WQ0024577_Monitoring - 03-2020_20210407

Monitoring Report Submittal
.............................................................................................................................................
Permit Number #* WW0024577
Name of Facility:*
Month:* March
Report Information
Suttons Retirement Center
Type *
Revised - 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 419.99KB
Revised March 2020.pdf
FLJF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kristen Tingen
Reviewer: Williams, Kendall
4/6/2021
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: 4/7/2021

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: WQ0024577
Facility Name: Sutton's Retirement Center WWTF
County: Wayne
Month: March
Year: 2020
Did irrigation
Field Name:
1
Field Name:
Field Name:
Field Name:
occur
Area (acres):
1
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:Coastal
Ha & Rye
Y Y
Cover Crop:
p�
Cover Crop:
p�
Cover Crop:
p:
❑ YES ❑ No
Hourly Rate (in):
0.5
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
20
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
0 YES ❑ No
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ No
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I in
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Monthly Loading:
64,800
2.39
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0.00
12 Month Floating Total (in):

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 El No
Phone Number: 919-738-2236 Permit Exp.: 1/1/24
3/31/21
3/31/21
ure 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? 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: 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 0 No
Phone Number: 919-738-2236 Permit Expiration: 1/1/2024
3/31 /2021
3/31 /2021
Signature Date
S nature 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
Permit No.: WQ0024577
Facility Name: Sutton's Retirement Center WWTF
County: Wayne
Month: March
Year: 2020
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 10.
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
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to
24-hr
I hrs
GPD
mg/L
I mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
9;00
30 min
1,955
2
1,955
3
1,955
4
1,955
5
1,955
6
09:00
1 hr
1,955
7
1,955
8
1,955
9
1,955
10
09:00
1 hr
1,955
11
1,955
12
1,955
13
10:00
30 min
1,955
14
1,955
15
1,955
161
1,955
17
1,955
18
1,955
19
1,955
20
09:00
30 min
1,955
21
1,955
221
1,955
23
1,955
24
09:00
7 hrs
1,955
18
38
0.85
<1
0.49
4.82
<0.04
4.82
10.6
2.94
208
9.8
25
09:00
6 hrs
1,955
26
1,955
27
1,955
281
1,955
29
1,955
0.057
7.3
30
09:00
6 hrs
1,955
31
09:00
6 hrs
1,955
Average:
1,955
18.00
38.00
0.45
1.00
0.49
4.82
0.00
4.82
2.94
208.00
9.80
Daily Maximum:
1,955
18.00
38.00
0.85
1.00
0.49
4.82
0.04
4.82
10.60
2.94
208.00
9.80
Daily Minimum:
1,955
18.00
38.00
0.06
1.00
0.49
4.82
0.04
4.82
7.30
2.94
208.00
9.80
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