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Home My WebLink AboutWQ0002096_Monitoring - 01-2022_20220314 FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of Permit No.: W00002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: January Year: 2022 PPI: 001 Flow Measuring Point: 0 tnfluent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent ❑Effluent ❑Groundwater Lowering ❑Surface Water Parameter Code --► 50050 00400 00310 31616 00530 00610 00625 00630 00665 50060 00940 70300 00620 00600 00615 c L Topas co w 'L m m rn a m c a a°i + :: o a c CD °�' In m a�i m >. ¢ « p 2 U O co c '6 ° d DI " al cu r „al " C •C ate+ > a C5 - rn a+ Cu H N a 0 m o a o E Y ° _ o a ° o 0 0 ° r o ° Oceu ~ IJ m LL O I— = u.) E Ts Z Z Z ~ p I' N .c C) F' N N Z F- 2 Z p o Q o t ce U U 0 Z p F, a 24-hr hrs GPD su mg/L #/100 mL_ mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L mg/L 1 10:00 0.5 962 2 962 3 962 4 962 5 962 6 962 7 09:00 0.5 962 6.8 1.74 8 09:00 0.5 962 9 09:00 0.5 962 10 962 11 962 12 962 13 962 14 10:00 0.5 962 15 962 16 962 17 962 18 962 R 19 09:00 0.5 962 6.5 0.17 20 962 21 962 22 962 23 962 24 962 25 962 26 09:00 0.5 962 27 962 28 962 29 962 30 962 31 962 Average: 962 0.96 Daily Maximum: 962 6.80 ' 1.74 Daily Minimum: 962 6.50 0.17 Sampling Type: Estimate Grab Grab Grab Grab Grab Grab Calculated Grab Grab Grab Grab Grab Calculated Grab Monthly Avg. Limit: 7,500 Daily Limit: . I Sample Frequency: Continuous Weekly 3/year 3/year 3/year 3/year 3/year 3/year 3/year Weekly 3/year 3/year 3/year 3/year 3/year FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of , Sampling Person(s) Certified Laboratories Name: Randy Parker Name: Environment 1, Inc. Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 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: Randall Parker Permittee: Ahoskie Assisted Living Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDMR? ❑Yes 0 No Pho ber: 252-513-8591 Permit Expiration: 4/30/2025 s" iittei ,..^-7 AI7� Z) 4 z- 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. NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0002096 I Facility Name: Ahoskie Assisted Living I County: Hertford Month: January Year: 2022 Field Name: Site1 Field Name: Site 2 Field Name: Site 3 Field Name: Site 4 Did irrigation occur - Area(acres): 1.75 Area(acres): 1.33 Area(acres): 1.35 Area(acres): 1.5 at this facility? Cover Crop: Trees Cover Crop: Trees Cover Crop: Trees/Bermuda Cover Crop: Bermuda ❑✓ YES ❑NO Hourly Rate(in): 0.25 Hourly Rate(in): 0.25 Hourly Rate(in): 0.25 Hourly Rate(in): 0.25 Annual Rate(in): 18 Annual Rate(in): 18 Annual Rate(in): 31.5 Annual Rate(in): 31.5 Weather Freeboard Field Irrigated? [J YES ❑NO Field Irrigated? E YES C NO Field Irrigated? JI YES ❑NO Field Irrigated? El YES ❑NO m v. o _' ,� U f0 m am E . a> m ac m L c_ E E . m m >, C = c E m a, m ac = a £ m o m >, c ` Cr) o m Q c) . a E ar. •, £ 5' '5 m a E �a •, a ,E o = a E T E .5 o = a E m •@ E 3 v a o C a i_ 0 K O o a a' 0 f0 X O 2a o a F ,c 0 2 g o A o a 1- c O m K 0 2 ate+ E d En 19 Q > Q J = J Q J = J Q J N 2 J Q @ _ °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 72 1.91 2 0.3 3 2.2 4 5 0.1 6 7 C 45 8 C 36 1.83 18,000 182 0.38 0.12 9 C 56 18,000 180 0.50 0.17 10 0.3 11 12 13 14 C 48 1.83 15 16 1.7 17' j 18 19 C 46 1.66 60,000 600 1.64 0.16 20 48,000 480 1.18 0.15 21 0.1 22 0.1 23 24 25 26 C 38 1.75 27 28 29 30 - 31 Monthly Loading: 18,000 0.38 18,000 ,7 0.50 60,000 - 1.64 r 48,000 1 18 ` �A .., ,.� �� tea. � , � �yi� 12 Month Floating Total(in): 10.09 T � T 10.73 ` ;; 12.12 � i 12 08 '�� FORM: NDAR-1 10-13 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? 2 Compliant ❑Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 2 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: Randall Parker Permittee: Ahoskie Assisted Living Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDAR-1? ❑Yes III No PF 1 Num r: 252-513-8591 Permit Exp.: 4/30/25 4z5fr7 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 p n 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: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of Permit No.: W00002096 I Facility Name: Ahoskie Assisted Living 1 County: Hertford Month: January Year: 2022 Field Name: Site 5 Field Name: Field Name: Field Name: Did irrigation occur Area(acres): 1.94 Area(acres): Area(acres): Area(acres): at this facility? Cover Crop: Bermuda Cover Crop: Cover Crop: Cover Crop: YES No Hourly Rate(in): 0.25 Hourly Rate(in): Hourly Rate(in): Hourly Rate(in): Annual Rate(in): 31.5 Annual Rate(in): Annual Rate(in): Annual Rate(in): Weather Freeboard Field Irrigated? J'YES No Field Irrigated? YES ]NO Field Irrigated? ❑YES r-,NO Field Irrigated? ❑YES ❑NO °ia c > U m m o pre a Fa 3 I?_ >, § E w w >, >, E d >, >, c E rn E E •@ E ' E , E a E T E 3 a 0- o - IT o o o o a i ) xcx m o a i= o' m o a = o o xxE y Cl) > Q > > Q > Q _I 2 E@o J dF.- CL �a °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 2 3 4 5 6 7 84,000 840 1.59 0.11 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Loading 84 000 Fle X, 1.59 'tit-MU' 0 ME 0.00 � 0 " >, 'RAW 0 0 00 12 Month Floating Total(in) ,, y 13.67 b y r ',`,•n ;% `' " FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? Li Compliant ❑Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 2 Compliant ❑Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 2 Compliant ❑Non-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 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: Randall Parker Permittee: Ahoskie Assisted Living Certification No.: 996843 Signing Official: Paula Armstrong Grade: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previous NDAR-1? ❑Yes 0 No Phone Number: 252-513-8591 Permit Exp.: 4/30/25 (P ,% ifj/ I %�" 2P7Z60. 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