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Home My WebLink AboutWQ0002096_Monitoring - 09-2020_20201102IN FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Permit No.: WQ0002096 Facility Name: Pinewood Manor Rest Home County: Hertford 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 111. 50050 00400 00310 31616 00530 00610 00625 00630 00665 p U wO c 0 ~ N O W m E U. O U CD ~ N fn cc E E Q L C Z O I- } Z Z N F- NO t a 24-hr hrs GPD su mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L 1 15:00 0.5 1,391 2 09:00 0.5 1,391 3 1,391 4 09:00 0.5 1,391 5 1,391 6 15:30 0.5 1,391 7 1,391 8 1,391 9 1,391 10 1,391 11 09:00 0.5 1,391 12 1,391 13 1 1,391 14 1,391 15 09:00 0.5 1,391 16 1,391 Q 17 15:00 0.5 1,391 18 1,391 19 1,391 20 1,391 21 09:00 0.5 1,391 22 1,391 23 15:00 0.5 1,391 24 1,391 25 09:00 0.5 1,391 26 1,391 27 15:30 0.5 1,391 28 07:00 ,0.0 1,391 7.1 54 13000 58 15.76 29.96 0.06 3.81 29 1,391 30 1,391 31 Average: 1,391 54.00 13,000.00 58.00 15.76 29.96 0.06 3.81 Daily Maximum: 1,391 7.10 54.00 13,000.00 58.00 15.76 29.96 0.06 3.81 Daily Minimum: 1,391 7.10 54.00 13,000.00 58.00 15.76 29.96 0.06 3.81 Sampling Type: Estimate Grab Grab Grab Grab Grab Grab Grab Grab Monthly Avg. Limit: 7,500 Daily Limit: Sample Frequency: 1 Continuous 3/year 3/year 3/year 3/year 3/year 3/year 3/year 3/year FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Randy Parker Name: Environment 1, Inc. 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. Water meter not working properly. Water Department changed and replaced with new meter. Will Hart was notified. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Randall Parker Permittee: Pinewood Manor Rest Home Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDMR? ❑ yes El No Phone Number: 252-513-8591 Permit Expiration: 4/30/2020 L/ LV Signature Date Sign ure 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 property 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 1. FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0002096 Facility Name: Pinewood Manor Rest Home County: H e rtfo rd Month: Septembe Did irrigation occur ro Field Name: Area (acres):' Area (acres): ! Area (acres):; I Area (acres): at this facility? Trees/Bermuda 1 Cover Crop: �;fzul-litcov� 0 • Hourly'. 1 • '. 11 • RateYES • '. 1 Annual Rate (in):, �(in Annual Rate (in): W_,rir.TrF11:Flr41n. �� ••. .an V. I nmm M -• , • . •. • • • •. •• Q ��. . . 0 • m mmM m M®®_- -_-- ---- -_-- -_-- FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? ❑ Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑ Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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: Randall Parker Permittee: Pinewood Manor Rest Home Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDAR-1? ❑ Yes 7 No Phone Number: 252-513-8591 Permit Exp.: 4/30/20 Q Z3 n Signature Date gnature 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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: 11111 1•. Pinewood Manor Rest Home• • • •nth: September1 1 Did irrigation occurArea • - . . ®� this facility? (acres): Area (acres): at 0 YES • �® •Hourly'. • '.te (in):: Hourly '• Annual Rate (in): Annual Rate (in): Annual Rate (in): Field Irrigated? Field Irrigated?' Field Irrigated? o Monthly Loading: • • . • • „e.a,,. a KM ,. %, �, m ✓ii�u,;�% - , M 0 Ewa. 'W,/ . ", -/ FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? El Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? E] Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 2] Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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: Randall Parker Permittee: Pinewood Manor Rest Home Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDAR-1? ❑ Yes 7 No Phone Number: 252-513-8591 Permit Exp.: 4/30/20 094X�Llr . ILNM U L/V Sig ture 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 Raleigh, North Carolina 27699-1617