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Home My WebLink AboutWQ0002096_Monitoring - 10-2020_20201130F'JRM: NDMR 03-12 bY��01 NON -DISCHARGE MONITORING REPORT (NDMR) Page Permit "o.: W00002096 Facility Name: Pinewood Manor Rest Home County: Hertford Month: October Year: 2020 PPI: 001 Flow Measuring Point: ] Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code - 111. 50050 00400 00310 31616 00530 00610 00625 00630 00665 E ~ C O V . Q E 2 a o- p Z f- + a)4 Z (n> 2'E � r a 24-hr hrs GPD su mg/L #/100 mL mg/L mg/L mg/L mg/L mg/L 1 1,547 2 09:00 0.5 1,547 3 1,547 4 15:00 0.5 1,547 5 1,547 6 1,547 7 1,547 8 1.547 9 09:00 0.5 1,547 10 15:00 0.5 1,547 111 1,547 12 1,547 13 1,547 14 1,547 15 11: 00 0.5 1,547 16 1,547 171 1,547 18 1,547 19 09:00 0.5 1,547 IN IT 20 1,547 21 15:00 0.5 1,547 ; LU 22 1,547 231 1,547 24 1,547 25 1,547 �Qy� 26 1,547 27 1,547 28 11:00 0.5 1,547 291 1,547 30 1,547 311 1,547 Average: 1,547 Daily Maximum: 1,547 Daily Minimum: 1,547 Sampling Type: Estimate Grab Grab Grab Grab Grab Grab Grab Grab Monthly Avg. Limit: 7,500 Daily Limit: Sample Frequency: 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? i❑ 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 correctiv 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 0 No Phone Number: 252-513-8591 Permit Expiration: 4/30/2020 ale') 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 Raleigh, North Carolina 27699-1617 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: WQ0002096 Facility Name: Pinewood Manor Rest Home County: Hertford Month: October Year: 2020 Did irrigation occur Field Name: Site1 Field Name: Site 2 Field Name: Site 3 Field Name: Site 4 this facility? Area (acres): 1.75 Area (acres): 1.33 Area (acres): 1.35 Area (acres): 1.5 at Cover Crop:Trees Cover Crop: p: Trees Cover Crop: p: Trees/Bermuda Cover Crop: p: Bermuda 7 YES ❑ NO Hourly Rate (in): 0.25 Hourly Rate (in): 0.25 Hourly Rate (in): 0.25 Hourly Rate (in): 0.25 Annual Rate (in): 31.5 Annual Rate (in): 31.5 Annual Rate (in): 18 Annual Rate (in): 18 Weather Freeboard Field Irrigated? ❑ YES L, NO Field Irrigated? ❑ YES 0 NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO o (Do ymIC ma a) Cv ° a d m -�, an m 0WE . D Ma> N a) 'a a � O a 'a E. 0) C LE m O o E C x o o E O i �TC E Mx pc E` n 'aC o oO E a C. i - �0o E ?` o o m'aa7 EU O � d E oO J E rnCa E3`o 3 0 J °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 54 2 C 57 1.83 3 C 48 4 CL 54 5 C 48 6 C 46 7 C 56 8 C 54 9 C 52 1.91 12,600 126 0.31 0.15 10 CL 60 11 CL 62 0.16 12 CL 72 0.52 131 CL 1 62 0.02 14 C 50 15 C 48 1.91 16 CL 76 17 CL 46 0.18 18 CL 43 191 CL 50 43,800 438 1.19 0.16 20 CL 63 21 CL 63 2.08 22 PC 57 23 PC 57 24 C 58 25 CL 57 261 CL 54 0.3 271 CL 59 0.01 28 CL 63 1.91 29 CL 64 0.01 30 CL 55 0.29 31 C 43 Monthly Loading: 0 0.00 0 0.00 43,800 1.19 12,600 0.31 12 Month Floating Total (in): 10.73 12.58 8.66 9.43 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page of ` 0 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: Randall Parker Permittee: Pinewood Manor Rest Home Certification No.: 996843 signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Officials Title: Administrator Has the ORC changed since the_previous; NDARA? ❑ yes 7 No Phone Number: 252-513-8591 Permit Exp.: 4/30/20 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 Raleigh, North Carolina 27699-1617 rORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit go.: W00002096 Facility Name: Pinewood Manor Rest Home County: Hertford Month: October Year: 2020 Did irrigation occur Field Name: Site 5 Field Name: Field Name: Field Name: this facility? Area (acres): 1.94 Area (acres): Area (acres): Area (acres): at Cover Crop:Bermuda Cover Crop: p� Cover Crop: p: Cover Crop: p: ❑ YES ❑ NO Hourly Rate (in): 0.25 Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Annual Rate (in): 18 Annual Rate (in): Annual Rate (in): Annual Rate (in): Weather Freeboard Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑ YES ❑ NO Field Irrigated? ❑i YES ❑ NO Field Irrigated? ❑ YES ❑ NO T f° -tea U d > CL Fd- ° d d N m °' CL O fC � m E N > Q a ~ a� J E rn rL = J m a E 2D > Q E ~ - rn J E rn g= J m y E y 'a CLE Q a ~ _ M J E rn a = J m a d 7 i Q yE y E@ ~ rn T a J E rn ` X o 0 2 J > °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 2 34,200 342 0.65 0.11 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 d 1 3 • • . • • �i� �I��y� 1 • • � � �j�� 1 / 1 �y�H 1 ry � 1 11 1 '� ��%� 1 11 � � � FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Did the application rates exceed the limits in Attachment B of your permit? Page of Q 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? ❑ 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? E 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: ` F f� Pinewood Manor Rest Home j� Certification No.: 996843 r signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Officials Title: Administrator rJ�%-` >Lar�- Has the ORC changed since the previous NDAR-1? ❑ Yes F/I No Phone Number: 252-513-8591 Permit Exp.: 4/30/20 ) jjj� &100 11 1 ignature 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 ocument 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