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Home My WebLink AboutWQ0024577_Monitoring - 04-2021_20210524Monitoring Report Submittal ............................................................................................................................................. Permit Number #* WW0024577 Name of Facility:* Month:* April 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:* 2021 Upload Document* WQ0024577 NDAR & NDMR 411.51 KB APRIL.pdf PDF 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 r6c1r Reviewer: Williams, Kendall N 5/24/2021 This will be filled in automatically Is the project number correct?* WQ0024577 Is the monitoring report t: Yes r No accepted?* Regional Office* Washington Accepted Date: 5/24/2021 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: W00024577 Facility Name: Sutton's Retirement Center WWTF County. Wayne Month: April Year: 2021 PPI: 001 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: El Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water Parameter Code 10 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 2 >L y r_ O : O LO a R C E cO LLO E Q2 s a Y Oc c :° Z xE Q ur V) sO a ° yV) y (� 0 «° aac V) yLLL) Cl) 24-hr hrs GPD mg/L mg/L mg/L #/100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L 1 09:00 30 MIN 1,747 2 1,747 3 1,747 4 1,747 5 1,747 6 1,747 7 1,747 8 09:00 30 MIN 1,747 9 1,747 10 1,747 11 1,747 12 8;00 1 HR 1,747 13 1,747 14 1,747 15 1,747 16 09:00 30 MIN 1,747 17 1,747 18 1,747 19 1,747 20 1,747 21 1,747 22 08:00 1 HR 1,747 23 1,747 24 1,747 25 1,747 26 1,747 27 1,747 281 08:00 1 HR 1,747 29 1,747 30 09:00 1 HR 1,747 31 Average: 1,747 Daily Maximum: 1,747 Daily Minimum: 1,747 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: Q11 • Retirement C- - '• 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 5/23/21 5/23/21 Signat re 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 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 5/23/2021 5/23/2021 ignature Date 9 gnatur 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