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Home My WebLink AboutWQ0024577_Monitoring - 09-2020_20201029Monitoring Report Submittal ............................................................................................................................................. Permit Number #* WW0024577 Name of Facility:* Month:* September Report Information Suttons Retirement Center Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2020 Upload Document* WQ0024577 NDAR & NDMR 415.62KB sept.pdf FDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). suftonsresthome@bellsouth.net Kristen Tingen Reviewer: Williams, Kendall 10/29/2020 This w ill be filled in automatically Is the project number correct?* WQ0024577 Is the monitoring report t: Yes r No accepted?* Regional Office* Washington Accepted Date: 10/29/2020 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: Q11 • Retirement C- -r WWTF County: Wayne Month: September1 1 Did irrigation occur at this . • 0 YES El NO FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Was a suitable vegetative cover maintained on all sites as specified in your permit? Were all setbacks listed in your permit maintained for every application to each permitted site? Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ compliant ❑ Non -compliant ❑ compliant ❑ Non -compliant ❑ compliant ❑ Non -compliant ❑ compliant ❑ Non -compliant ❑ compliant ❑ Non -compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Gary C Sutton Permittee: Sutton's Rest Home Certification No.: 989283 Signing Official: Gary C Sutton Grade: SI Phone Number: 919-738-2236 Signing Official's Title: Owner Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No Phone Number: 919-738-2236 Permit Exp.: 1/1/24 10/26/20 10/26/20 Signature Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Raleigh, North Carolina 27699-1617 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Gary C Sutton Name: Environment One Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant ❑ Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Gary C Sutton Permittee: Sutton's Rest Home Certification No.: 989283 Signing Official: Gary C Sutton Grade: SI Phone Number: 919-738-2236 Signing Official's Title: Owner Has the ORC changed since the previous NDMR? ❑ Yes ❑ No Phone Number: 919-738-2236 Permit Expiration: 1/1/2024 10/26/2020 10/26/2020 ignat Date ignature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00024577 Facility Name: Sutton's Retirement Center WWTF County: Wayne Month: September Year: 2020 PPI: 001 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water Parameter Code No 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 N 'i y UL p a 0 NLO E F N 0 M UG p 7NU LL O U R QO E t N � YO Z F Z 0 7 ` N G N A p 'C '2Y N fNA 24-hr I hrs GPD mg/L I mg/L mg/L #/100 ml- mg/L mg/L mg/L I mg/L su mg/L I mg/L mg/L 1 09:00 30 min 1,920 2 1,920 3 1,920 4 10:00 8 1,920 5 1,920 6 1,920 7 08:00 1 1,920 8 1,920 9 1,920 10 1,920 ill 1,920 12 1,920 13 1,920 14 08:00 30 min 1,920 15 1,920 16 1,920 171 1,920 18 09:00 30 min 1,920 19 1,920 20 1,920 21 1,920 22 09:00 30 min 1,920 23 1,920 24 1,920 25 09:00 30 min 1,920 26 1,920 27 1,920 281 08:00 8 hrs 1,920 29 1,920 30 09:00 30 min 1,920 31 Average: 1,920 Daily Maximum: 1,920 Daily Minimum: 1,920 Sampling Type: Estimate Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Monthly Limit: 4,920 Daily Limit: Sample Frequency: Monthly 3 X Year 3 X Year Per Event 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year Per Event 3 X Year 3 X Year 3 X Year