WQ0004502_Monitoring - 04-2024_20241024

Monitoring Report Submittal
Permit Number#* WQ0004502
Name of Facility:* Hillsborough United Church of Christ
Month: * April Year: * 2024
Report Information
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, NDMLR 04.2024.Rev2.pdf 93.71KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Hillsborough United Church of Christ
Signature:
Date of submittal: 10/24/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0004502
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 10/28/2024

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0004502 MONTH: April YEAR: 2024
FACILITY NAME: Hillsborough United Church of Christ COUNTY: Orange
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Operator in Responsible Charge (ORC):
James W Gooch Grade: IV
Check Box If ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Pace Analytical Services (2):
Person(s) Collecting Samples: Tyler Collier
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: [phone]
988035
"E OF OPERATOR IN ON$IBLE CHARGE)
SIGNATURE, I CERTI THAT THIS REPORT IS ACCURATE
UPLETE TO THE BE OF MY KNOWLEDGE.
DENR FORM NDMR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? u
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including the pq§sibility of fines and imprisonment for knowing violations."
Date
(h United Church of Christ
print or type)
200 Davis Rd.
Hillsborough NC 27278
(Permittee Address)
Parameter Codes:
James W Gooch
(Name of Signing Official -Please print or type)
ORC for Spray and Wastewater
(Position or Title)
919-732-9183
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 OII-Grease
70295 TDS
00916 Calcium
31610 Fecal Coliform
WQ09 PAN (Plant Available)
00010 Tem eratuse
00940 Chloride
01051 Lead
00400 pH
00626 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00660 TOC
71900 Mercu
00665 Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
4/30/2021
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting_
facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (512003)