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Home My WebLink AboutWQ0024577_Monitoring - 07-2020_20210412Monitoring Report Submittal ............................................................................................................................................. Permit Number #* WWO024577 Name of Facility:* Month:* July 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 418.95KB revised July 2020.pdf FDF a,ly 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 4/12/2021 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: 4/12/2021 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: Q11 • Retirement C- - 1 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 IT 3/31 /21 3/31 /21 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 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 3/28/2021 lT 0328/2021 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: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00024577 Facility Name: Sutton's Retirement Center WWTF County: Wayne Month: July 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 08:00 30 min 1,927 2 1,927 3 1,927 4 1,927 5 1,927 0.005 7.4 6 1,927 7 08:00 30 min 1,927 8 1,927 9 09:30 8 hrs 1,927 10 1,927 ill 1,927 12 1,927 13 1,927 14 10:30 8 hrs 1,927 0.0994 6.9 15 1,927 16 1,927 17 1,927 18 1,927 19 1,927 20 08:00 8 hrs 1,927 0.029 7.58 21 1,927 221 1,927 23 1,927 24 09:00 30 min 1,927 25 1,927 26 1,927 27 1,927 281 1,927 42 48 40 0.05 14.39 <0.04 14.48 9.7 2.92 223 300 291 1,927 30 1,927 31 08:00 30 min 1,927 Average: 1,927 42.00 12.03 40.00 0.05 14.39 0.00 14.48 2.92 223.00 300.00 Daily Maximum: 1,927 42.00 48.00 40.00 0.05 14.39 0.04 14.48 9.70 2.92 223.00 300.00 Daily Minimum: 1,927 42.00 0.01 40.00 0.05 14.39 0.04 14.48 6.90 2.92 223.00 300.00 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