WQ0024577_Monitoring - 06-2021_20210726 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmrrttat Quaffty
Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* June
Report Information
Type*
0N0024577
Suttons Retirement Center
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
.............................................................
Reviewer:
Year:* 2021
Upload Document*
wg0024577 ndar & ndmr
june.pdf
FDF Only
412.32KB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kristen Tingen
Zhong, Vivien
7/26/2021
This will be filled in autor atically

Is the project number correct?*
Is the monitoring report
accepted? *
Regional Office*
WW0024577
Yes r No
Washington
Accepted Date: 7/30/2021

FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1)Page _____ of _____
County:Month:Year:2021
TemperaturePrecipitationStorage5-Day Upset (if applicable)Volume AppliedTime IrrigatedDaily LoadingMaximum Hourly LoadingVolume AppliedTime IrrigatedDaily LoadingMaximum Hourly LoadingVolume AppliedTime IrrigatedDaily LoadingMaximum Hourly LoadingVolume AppliedTime IrrigatedDaily LoadingMaximum Hourly LoadingºF in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 80 0 4
2
3
4
5 C 90 0.5 3.5
6
7
8
9 C 90 0.3 3.5
10
11
12 CL 70 2.5 3
13
14
15
16
17
18
19 C 90 0 3
20
21
22 CL 75 0.7 3
23
24
25
26 C 90 0.5 3
27
28
29
30 C 90 0 3
31
0 0.00 0 0.00 0 0.00 0 0.00
Annual Rate (in):Annual Rate (in):
Area (acres):
Cover Crop:
Wayne JuneFacility Name:Sutton's Retirement Center WWTF
Field Name:
Permit No.:WQ0024577
DayField Name:1
Area (acres):1
Coastal Hay & Rye
0.5
Cover Crop:
Hourly Rate (in):
Field Irrigated?Freeboard
Did irrigation occur
at this facility?
Monthly Loading:
Annual Rate (in):
Hourly Rate (in):
Field Irrigated?
Field Name:
Area (acres):
Cover Crop:Weather Code12 Month Floating Total (in):
Weather
Annual Rate (in):
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Field Irrigated?
Hourly Rate (in):
Field Irrigated?
20
YES NO
YES NO YES NOYESNO YES NO
FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT (NDAR-1)Page _____ of _____
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
7/22/21
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.
7/22/21
Mail Original and Two Copies to:
Division of Water Resources
Has the ORC changed since the previous NDAR-1? Phone Number:919-738-2236 Permit Exp.:1/1/24
Owner
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:
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
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?
Yes No
Compliant Non-Compliant
Compliant Non-Compliant
Compliant Non-Compliant
Compliant Non-Compliant
Compliant Non-Compliant
FORM: NDMR 05-16 NON-DISCHARGE MONITORING REPORT (NDMR)Page _____ of _____
Name:
Name:
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
7/22/2021
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.
7/22/2021
Mail Original and Two Copies to:
Division of Water Resources
Has the ORC changed since the previous NDMR? Phone Number:919-738-2236 Permit Expiration:1/1/2024
Owner
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:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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
Name:
Sampling Person(s)Certified Laboratories
Name:Gary C Sutton Environment One
Yes No
Compliant Non-Compliant
FORM: NDMR 05-16 NON-DISCHARGE MONITORING REPORT (NDMR)Page _____ of _____
County:Month:Year:2021
001
50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530
ORC Arrival TimeORC Time On SiteFlowBOD5ChlorideTotal Residual ChlorineFecal ColiformAmmoniaTotal Kjeldahl NitrogenNitrateTotal NitrogenpHTotal PhosphorusTotal Dissolved SolidsTotal Suspended Solids 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 08:00 1 hr 1,510
2 1,510
3 1,510
4 1,510
5 09:00 1 hr 1,510
6 1,510
7 1,510
8 1,510
9 09:00 1 hr 1,510
10 1,510
11 1,510
12 1,510
13 1,510
14 1,510
15 1,510
16 1,510
17 1,510
18 1,510
19 09:00 1 hr 1,510
20 1,510
21 09:00 1 hr 1,510
22 1,510
23 1,510
24 1,510
25 09:00 1 hr 1,510
26 1,510
27 1,510
28 1,510
29 1,510
30 09:00 1 hr 1,510
31 1,510
1,510
1,510
1,510
Estimate Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab
4,920
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
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Limit:
Daily Limit:
Sample Frequency:
PPI: Flow Measuring Point: Parameter Monitoring Point:
Parameter Code DayAverage:
Permit No.:WQ0024577 Facility Name:Sutton's Retirement Center WWTF Wayne July
Influent No flow generatedEffluent Influent Effluent Surface WaterGroundwater Lowering