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Home My WebLink AboutWQ0024577_Monitoring - 09-2021_20211110 n .. DWR - NonDischarge Monitoring Report Submittal •4 .. NORTH CAROLINA Enrlranmenlel QHaflly Monitoring Report Submittal .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Permit Number#* WQ0024577 Name of Facility:* Buttons Retirement Center Month:* September Year:* 2021 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR&NDMR 411.34KB sept 2021.pdf PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59). Confirmation Email Address:* suttonsresthome@bellsouth.net Name of Submitter:* Kristen Tingen Signature: Date of submittal: 11/10/2021 This will be filled in automatically Initial Review ................... Reviewer: Mokashi, Poorva Is the project number correct?* WQ0024577 Is the monitoring report accepted?* Yes No Regional Office* Washington Accepted Date: 12/2/2021 FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of Permit No.: WQ0024577 I Facility Name: Sutton's Retirement Center WWTF I County: Wayne I Month: September I Year: 2021 Field Name: ' 1 Field Name: Field Name: ' Field Name: Did irrigation occur Area(acres): 1. Area(acres): Area(acres):; Area(acres): at this facility? Cover Cro Coastal Hay&Rye Cover Crop: Cover Cover Crop: � y P=` 0 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?; Er YES NO Field Irrigated? ❑YES ❑NO Field irrigated? DYES ❑°NO Field Irrigated? ❑YES ❑NO v o v v 0 73 ° v N E ° zs to E to v v v rn E rn a+ zs a to E to v v -a rn E rn a ° cr, :9 °� Q c`°i E.. au > c c E v w °' c ° ?' c .. a� > c c E v v :' .E ° T c ° I 'v 'Q ° T a a E ° a c to v r a °F in ft ft gad- min in in gal min in in gad- min in in gal min in in 1 C 88 0 4 2 3 4 5 6 C 90 0 4 7 8 9 10 11 12 13 C 92 0 4 14 15 16 17 18 19 20 C 90 0 4 21 22 PC 85 1.3 4 23 24 25 26 27 28 29 C 85 0 4 30 C 83 0.01 4.5 31 21,600 480 0.80 0.10 Monthly Loading: 21,600 0.80 0 0.00 M.00560550999 0:0Q 0 ��/ 0.00 ��12 Month Floating Total(in):�0 � � A � � � ll�ll //� ��/� 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? E Compliant ❑Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant ❑Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? E 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? ❑� 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? LI Yes 0 No Phone Number: 919-738-2236 Permit Exp.: 1/1/24 10/31/21 ; 10/31/21 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 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 0 No Phone Number: 919-738-2236 Permit Expiration: 1/1/2024 10/31/2021 tr 10/31/2021 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.: WQ0024577 I Facility Name: Sutton's Retirement Center WWTF I County: Wayne I Month: September I Year: 2021 PPI: 001 I Flow Measuring Point: ❑Influent E Effluent ❑No flow generated I Parameter Monitoring Point: ❑rnfluent E Effluent ❑Groundwater Lowering ❑Surface Water Parameter Code - 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 c t Ts p R a< 3, -II C y.��,, 0 p ; iii i 13. LR T ra .0 li Z i-..,. Q h' 8. ~ 15 O - O a 03 24-hr hrs GPO; mg/L mglL mg/L #/100 mL mg/L mglL mg/L mglL su mglL mg/L mglL 1 09:00 1 hr 1,943 2 1,943 3 1,943 4 1,943 5 1,943 6 09:00 1 hr 1,943 7 1,943 8 1,943 9 1,943 10 1,943 11 1,943 12 1,943 13 08:00 1 hr 1,943 14 1,943 15 1,943 16 1,943 17 1,943 18 1,943 19 1,943 20 08:00 1 hr 1,943 21 1,943 22 1,943 23 1,943 24 1,943 25 1,943 26 1,943 27 1,943 28 1,943 29 08:00 1 hr 1,943 30 08:00 1 hr 1,943 31 Average: 1,943 Daily Maximum: 1,943 Daily Minimum: 1,943 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