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Home My WebLink AboutWQ0024577_Monitoring - 04-2022_20220621 STATE DWR - NonDischarge Monitoring Report Submittal .� . NORTH CAROLINA Enrironmrntol Qaaffly Monitoring Report Submittal ..................................................................................................................................... Permit Number#* WQ0024577 Name of Facility:* Sutton's Retirement Center Month:* April Year:* 2022 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR&NDMR 576.35KB April 2022.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: 6/21/2022 This will be filled in automatically Initial Review Reviewer: Gerald,Wanda Is the project number correct?* WQ0024577 Is the monitoring report accepted?* Yes No Regional Office* Washington Accepted Date: 6/21/2022 FORM: NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of Permit No.: WQ0024577 Facility Name: Sutton's Retirement Center WWTF I County: Wayne I Month: April I Year: 2022 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 Crop: Coastal Hay&Rye Cover Crop: Cover Crop: Cover Cro p: 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? ❑YES ❑NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES ❑NO e i y E Ó á LQ ' — . 2 E .á wá 2i5 � vá c Lc á c i5 ..c � L=ó JcÚ a > x ° , _ a . > ° ,6 vaº- á16 ° º 'xó aá á `6 x ° ó ❑ .Rmi E > Jg = J > Q t J 0 = > J g = J > Q t J Fa v °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 C 70 0 4 2 3 4 C 72 0 4 5 6 7 8 9 10 C 80 0 4 11 12 13 14 C 82 0 4 15 16 17 18 19 C 54 1 4 20 21 22 23 24 25 26 C 80 1 4 27 28 29 30 C 70 0 4 31 Monthly Loading: 0 Vj�� 0.00 o r ,, 0.00 r j 0 ��V 0.00 ///////////////////////, 0 r �,, 0.00 A 12 Month Floating Total(in). /// /// /// � � /// /// /// /// r j��/j��-j��i,.j��/j��i,—j��%.j��/j��i,—j��i,.j��/j��—j�� 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? Compliant E Non-Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant E Non-Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant E Non-Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant E Non-Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E Compliant E 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? I Yes E No Phone Number: 919-738-2236 Permit Exp.: 1/1/24 5/27/22 5/27/22 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 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? L Compliant C 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 E No Phone Number: 919-738-2236 Permit Expiration: 1/1/2024 t 7 V\ 5/27/2022 ' ( 5/27/2022 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: April I Year: 2022 PPI: 001 I Flow Measuring Point: ❑Influent El Effluent ❑No flow generated I Parameter Monitoring Point: ❑Influent .Effluent ❑Groundwater Lowering ❑Surface Water Parameter Code -* 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 �0 O R R N -a a) 41 u7 L3 Ts C C G1 2 a) p M Z3 N i G1 TO a Gl i4 LA t6 ru 4 R C i3 I o o 1 º Ñ1- L .0 l- L 1O w i- w i- 8N Ñ oI- NQ oU Ncc 5 Z p Cl)O o cc U U a á O F 24-hr hrs GPD mg/L mg/L mg/L #1100 mL mg/L mg/L mg/L mg/L su mg/L mg/L mg/L 1 09:00 30 min 1,722 2 1,722 3 1,722 4 08:00 1 hr 1,722 5 1,722 6 1,722 7 1,722 8 1,722 9 1,722 10 09:00 1 hr 1,722 11 1,722 12 1,722 13 1,722 14 08:00 30 min 1,722 15 1,722 16 1,722 17 1,722 18 1,722 19 09:00 1 hr 1,722 20 1,722 21 1,722 22 1,722 23 1,722 24 1,722 25 1,722 26 09:00 1 hr 1,722 27 1,722 28 1,722 29 1,722 30 09:00 1 hr 1,722 31 Average: 1,722 Daily Maximum: 1,722 Daily Minimum: 1,722 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