WQ0013808_Monitoring - 09-2016_20161104

NON -DISCHARGE APPLICATION REPORT Pageof
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00013808
MONTH: September YEAR:
FACILITY NAME: Summerfield Constructed Wetlands COUNTY- Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 Cinchea/fooQ] /[Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acreinch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) I [rime Irrigated (minutes) / 60 (minutewbour)] Monthly Loading (inches) =Sum of Daily Loadings Cinches)
12 Month Floating Total (inches) =Sum of this month's Monthly Loading Cinches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading Cinchestmonth) / Number of days in the month (dayslmonth)] x 7 (days/week)
2016
Did Irrigation Occur At This Facility:Did
Yes: No:
Irrigation Occur On This Field:
Yes: Z
No:
Did Irrigation Occur On This Field:
Yes:
No:
DENR
s�
FIELD NUMBER:l 1
AREA SPRAYED (acres): 0.71
COVER CROP: Grass/Forest
PERMITTED HOURLY RATE (inches): 0.3
FIELD NUMBER:1 2
AREA SPRAYED (acres): 0.52
COVER CROP:j Grass/Forest
PERMITTED HOURLY RATE (inches): 0.3
D
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches):
34.75
PERMITTED YEARLY RATE (inches):
34.75
A
T
E
storage
weather Temper -azure Lagoon
Code' at application Precipita-tion Free -board
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F) inches feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
2
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
3
0
0
0.00
#DIV/01
0
0
0.00
#DIV/0!
4
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/O!
5
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/0!
6
C 85 0.015 4
1500
53.571429
0.08
0.09
1501
57.7307692
0.11
0.11
7
1500
53.571429
0.08
0.09
1502
57.7692308
0.11
0.11
6
1500
53.571429
0.08
0.09
1500
57.6923077
0.11
0.11
9
1500
53.571429
0.08
0.09
1502
57.7692308
0.11
0.11
10
1
1500
53.571429
0.08
0.09
1225
47.1153846
0.09
0.11
111
2500
89.285714
0.13
0.09
770
29.6153846
0.05
0.11
12
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/0!
13
C 75 0 4.2
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/0!
14
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/01
15
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/01
16
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/0!
17
1
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/O!
16
3000
107.14286
0.16
0.09
0
0
0.00
#DIV/0!
19
3500
125
0.18
0.09
0
0
0.00
#DIV/01
20
CL 75 0.35 4.75
1500
53.571429
0.08
0.09
500
19.2307692
0.04
0.11
21
1500
53.571429
0.08
0.09
1000
38.4615385
0.07
0.11
22
1000
35.714286
0.05
0.09
1500
57.6923077
0.11
0.11
23
1000
35.714286
0.05
0.09
1000
38.4615385
0.07
0.11
24
1 1
1500
53.571429
0.08
0.09
1000
38.4615385
0.07
0.11
25
1000
35.714286
0.05
0.09
1500
57.6923077
0.11
0.11
26
1500
53.571429
0.08
0.09
1000
38.4615385
0.07
0.11
27
CL 72 1.7 4.75
1300
46.428571
0.07
0.09
1300
50
0.09
0.11
2E
0
0
0.00
#DIV/01
0
0
0.00
#DIV/01
29
0
0
0.00
#DIV/0!
0
0
0.00
#DIV/O!
30
0
0
0.00
#DIV/O!
0
0
0.00
#DIV/01
31
1 1 1
1
0
0
Total GallonslMonthly Loading (inches)l
44800
2.32
16800
1.19
12 Month Floating Total (inches)
35.70
39.73
Average Weekly Loading (inches)F
0.5418715
0.2774486
Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Snsnow, SI -sleet
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:
ATTN: Non -Discharge Compliance Unit
DENR
s�
Division of Water Quality
(SIGNATURE OF OPERATOR IN RESPONABI E 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 (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 facilityput (NA) in the
compliant box. )
Page of
Compliant Y 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). Y _j
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. 0
4. All buffer zones as specified in the permit were maintained during each application. YO
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.
Excessive rain and equipment malfunction in prior months has led to over application. System problems have been fixed.
"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 knowing violations"
(Signature of Permittee)* Date
Kotis Properties, Inc.
(Permittee -Please print or type)
Chad Leinbach
(Name of Signing Official -Please print or type)
(Position or Title)
919 260-7301
Post Office Box 9296 (Phone Number)
Greensboro, NC 27429
(Permittee Address)
ORC
. 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).
8/31117
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)

+ NON -DISCHARGE APPLICATION REPORT Pageof
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0013808 MONTH: September YEAR:
FACILITYNAME: Summerfield Constructed Wetlands COUNTY: Guilford
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchestfoot)] f [Area Sprayed (acres) x 43,560 (square feet/acre)) OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonsfacreinch))
Maximum Hourly Loading (inches) = Daly Loading (inches) f [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) -Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings Cinches)
2016
Did IrrigationOCCUrAt 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):1 0.17
COVER CROP:j 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
storage
weather Temperature lagoon
Code' atappliration Precipitation Free -board
Volume Time
Applied Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume Time
Applied irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F) Inches feet
gallons minutes
inches
inches
gallons minutes
inches
inches
1
0 0
0.00
#DIV/01
2
0 0
0.00
#DIV/0!
3
0 0
0.00
#DIV/01
4
0 0 1
0.00
#DIV/0!
5
0 0
0.00
#DIV/0!
6
C 85 0.015 4
0 0
0.00
#DIV/01
7
0 0
0.00
#DIV/01
6
0 0
0.00
#DIV/01
s
0 0
0.00
#DIV/01
10
0 0
0.00
#DIV/0!
11
0 0 1
0.00
#DIV/01
12
0 0
0.00
#DIV/01
13
C 75 0 4.2
0 0
0.00
#DIV/01
14
0 0
0.00
#DIV/Ol
15
0 0
0.00
#DIV/0!
16
0 0
0.00
#DIV/O!
17
0 0
0.00
#DIW01
18
0 0 1
0.00
#DIV/01
19
0 0
0.00
#DIV/01
20
CL 75 0.35 4.75
476 39.666667
0.10
0.16
21
400 33.333333
0.09
0.16
22
1 0 0
0.00
#DIV/Ol
23
1
0 0
0.00
#DIV/0!
24
0 0
0.00
#DIV/01
25
0 0 1
0.00
#DIV/0!
26
0 0
0.00
#DIV/0!
27
CL 72 1.7 4.75
600 50
0.13
0.16
28
0 0
0.00
#DIV/O!
29
0 0
0.00
#DIV/0!
30
0 0
0.00
#DIV/0!
31
0
Total GallonslMonthly Loading (inches)
1476
0.32
0
0.00
12Month Floating Total (inches)22.92
Average Weekly Loading (inches)
0.0745614
0
vveamer cones: c -clear, rc-panty ciouay, uclouay, m -ram, on -snow, of -steer
Spray Irrigation Operator in Responsible Charge (ORC): Chad Leinbach Phone:
ORC Certification Number: _23928 Check Box if ORC Has Changed: ❑
919 260-7301
Mail ORIGINAL and TWO COPIES to: n
ATTN: Non -Discharge Compliance Unit
DENR f�
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.
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. )
Pageof
"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 knowing violations." /`
avvl��� )o hO 16 Chad Leinbach
(Signature of Permittee)` Date (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Permittee -Please print or type)
(Position or Title)
919 260-7301
Post Office Box 9296 (Phone Number)
Greensboro, NC 27429
(Permittee Address)
ORC
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
8/31/17
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)
Com liant N
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
YY
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit
0
4. All buffer zones as specified in the permit were maintained during each application.
YY
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 knowing violations." /`
avvl��� )o hO 16 Chad Leinbach
(Signature of Permittee)` Date (Name of Signing Official -Please print or type)
Kotis Properties, Inc.
(Permittee -Please print or type)
(Position or Title)
919 260-7301
Post Office Box 9296 (Phone Number)
Greensboro, NC 27429
(Permittee Address)
ORC
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
8/31/17
(Permit Exp. Date)
DENR FORM NDAR-1 (5/2003)