WQ0013808_Monitoring - 08-2016_20161007 (2)

4'
NON -DISCHARGE APPLICATION REPORT Page _of_
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808
MONTH: August YEAR:
FACILITY NAME: Summerfield Constructed Wetlands COUNTY:_
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feAlgallon) x 12 Cinches/foot)] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (awes) x 27,152 (gallonslave-inch)]
Guilford
Maximum Hourly Loading (inches) = Daily Loading (inches) / rrime inigated (minutes) / 60 (minutesmour)] Monthly Loading (inches) =Sum of Daily Loadings Cinches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ [Monthly Loading Cinches/month) I Number of days in the month (days/month)] x 7 (days/week)
2016
Did Irrigation OCcurAt This Facility:
Yes: No:
Did Irr[gat[on Occur On This Field:
Yes:
No:
Did Irr[gation Occur On This Feld:
Yes:
No:
FIELD NUMBER:1
AREA SPRAYED (acres): 1 0.71
COVER CROP: Grass/Forest
PERMITTED HOURLY RATE (inches): 0.3
FIELD NUMBER: 2
AREA SPRAYED (acres): 0.52
COVER CROP: Grass/Forest
PERMITTED HOURLY RATE (inches): 0.3
D
A
T
E
WEATHER CONDITIONS
storage
weather Temperature Lagoon
Codd* at application Precipitation Free -board
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
34.75
Maximum
Hourly
Loading
PERMITTED YEARLY RATE (inches):
Volume Time Daily
Applied Irrigated Loading
34.75
Maximum
Hourly
Loading
(°F) inches feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
2
CI 87 1.3 2.8
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
3
3500
125
0.18
0.09
3000
115.384615
0.21
0.11
4
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
5
3000
107.14286
0.16
0.09
2500
96.1538462
0.18
0.11
6
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
7
2500
89.285714
0.13
0.09
2500
96.1538462
0.18
0.11
8
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
s
C 87 2.6 2.75
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
10
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
11
3000
107.14286
0.16
0.09
2500 •
96.1538462
0.18
0.11
12
3000
107.14286
0.16
0.09
3002
115.461538
0.21
0.11
13
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
14
3000
107.14286
0.16
0.09
3001
115.423077
0.21
0.11
15
3000
1 107.14286
0.16
0.09
2500
96.1538462
0.18
0.11
16
C 95 0.28 3.25
2500
89.285714
0.13
0.09
2000
76.9230769
0.14
0.11
17
2500
89.285714
0.13
0.09
2501
96.1923077
0.18
0.11
181
3000
107.14286
0.16
0.09
3001
115.423077
0.21
0.11
19
3000
107.14286
0.16
0.09
2500
96.1538462
0.18
0.11
20
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
21
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
22
1
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0:11
23
C 85 0.86 3.5
3000
107.14286
0.16
0.09
2500
96.1538462
0.18
0.11
24
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
25
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
26
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
27
1
3500
125
0.18
0.09
2500
96.1538462
0.18
0.11
28
1
3000
107.14286
0.16
0.09
3000
115.384615
0.21
0.11
29
2500
89.285714
0.13
0.09
3000
115.384615
0.21
0.11
30
C 75 0 3.75
1000
35.714286
0.05
0.09
1500
57.6923077
0.11
0.11
31
0
0
0.00
#DIV/01.
0
0
0.00
#DIV/01
Total Gallons/Monthly Loading (inches)
83500
4.33
83505
5.91
12 Month Floating Tota[ (inches)
34.24
39.71
Average Weekly Loading (inches)
0.9773819
.1.3345822
. Weather Codes: C -clear, PC -partly cloudy, Cl -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has C nged: ❑
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 !! TO THE BEST OF MY KNOWLEDGE.
O
lot
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Facility Status:
Please indicate( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant N
1. The application rate(s) did not exceed the limit(s) specified in the permit
N
2. Adequate measures were taken to prevent wastewater runoff from the site(s)..
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
YY
4. All buffer zones as specified in the permit were maintained during each application.
Y�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
YY
specified in the permit.
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.
n igation rates have been decreased in September to allow the 12 month floating average to decrease. The 12 month average
vas exceeded in Zone 2 (Field 2). Chad - ORC
"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 possibility of fines
and imprisonment for, owing violations."
Chad Leinbach
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ORC
(Permittee -Please print or type) (Position or Title)
919 260-7301 8/31/17
Post Office Box 9296 (Phone Number) (Permit Exp. Date)
Greensboro, NC 27429
(Permittee Address)
` If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
Page _ of
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH, August YEAR: 2016
FACILITY NAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) _[Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfoot)] 1 [Area Sprayed (acres) x 43,560 (square feetlacre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonsfaaeinch)]
Maximum Hourly Loading (inches) =Daily Loading Cinches) /[Time Irrigated (minutes) 160 (minuteslhour)] . Monthly Loading (inches) =Sum of Daily Loadings Cinches)
12 Month Floating Total (inches)' = Sum of this month's Monthly Loadng Cinches) and previous 11 month's Monthly Loadings (inches)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field,
Yes:
No:
Did Irrigation Occur On This Field:
Yes:
No:
FIELD NUMBER: 3
AREA SPRAYED (acres): 0.17
COVER CROP: Grass/Forest
PERMITTED HOURLY RATE (inches): 0.3
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):.
34.75
PERMITTED YEARLY RATE (inches):
A
T
E
saga
Weather Temperature Lagoon
Code• at application Precipda-tion Freeboard
Volume Time
Applied Irrigated
Daily
Loading
Maximum
Hourly
Loadina
Volume Time
Applied Irrigated
Maximum
Daily Hourly
Loadin Loading
(°F) inches feet
gallons- minutes --
inches
inches -
gallons minutes -
inches inches
1
0 0
0.00
#DIV/0)
2
Cl 87 1.3 2.8
815 67.916667
0.18
0.16
3
1
0 0
0.00
#DIV/O!
4
0 0
0.00
#DIV/01
5
0 0
0.00
#DIV/0!
6
0 0
0.00
#DIV/O!
7
0. 0:
0.00
#DIV/0!
6
0 0
0.00
- #DIV/O!
9
C 87 2.6 2.75
0 , 0 '
0.00
#DIV/0!
109
0 0
0.00.
#DIV/O!
-
-
11
0 0
0.00
#DIV/0! .
12
0 0
0.00
#DIV/01
13
0 0
0.00
#DIV/01
14
0 0
0.00
#DIV/O!
15
.0 0
0.00
#DIV/01
16
C 95 6.28 3.25
865 72.083333
0.19
0.16
171
800 66.666667
0.17
0.16
16
0 0
0.00
#DIV/O!
19
0 0
0.00
#DIV/0!
20
0 0
0.00
#DIV/0!
21
0 0
0.00
#DIV/O!
22
0 0
0.00
#DIV/01
23
C 85 0.86 3.5
800 66.666667
0.17
0.16
24
0 0
0.00
#DIV/0!
25
0 0
0.00
#DIV/OI
26
0 0
0.00
#DIV/0!
27
01 0''
0.00
#DIV/01
26
0 0
0.00
#DIV/O!
29
0 0
0.00
#DIV/O!
30
C 75 0 3.75
0 0
0.00
1 #DIV/Di
31
0 1 0
0.00
#DIV/0!
Total GallonslMonthly Loading (inches)
3280
0.71
0
0.00
12 Month Floating Total (inches)
24.38
Average Weekly Loading (inches)
0.1603471
0
rvenurer wuua: r-pdruy cruuuy, ulr iuuay, rc-ram, an-snovv, ar-sreec
Spray Irrigation Operator in'Responsible Charge (ORC): Chad Leinbach Phone: [phone]
ORC Certification Number: _23928 Check Box if ORC Has Changed:. ❑
Mail ORIGINAL and TWO COPIES to: X,4,/
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality (SIGNATURE OF OPERATOR IN RESPONS BLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
RALEIGH, NC 27699-1617 TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (512003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S) '
Page _ of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: if a fequirement does not apply to your facility put (NA) in the
compliant box. )
in
Com liant YN
c
1. The application rate(s) did not exceed the limit(s) specified the permit
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
4. All buffer zones as specified in the permit were maintained during each application.,
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
YO
specified in the permit
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 possibility of fines
and imprisonment for knowi g violation's."
Chad Leinbach
(Sign uat re of Permittee)*. Date (Name of Signing Official -Please print or type)
Kotis Properties, Inc. ORC
(Permittee -Please print,ortype) (Position or Title)
919 260-7301 8131117
Post Office Box 9296 (Phone Number) (Permit Exp. Date)
Greensboro, NC 27429
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (512003)