HomeMy WebLinkAboutWQ0024577_Monitoring - 05-2022_20220630 n ..
DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
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Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0024577
Name of Facility:* Sutton's Retirement Center
Month:* May Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR&NDMR 576.95KB
may 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: 6/30/2022
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
Reviewer: _anonymous
Review Date: 7/19/2022
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: May 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
c c
10 0 co R N .a -a
w to
41 u7 L3 ra C 0 C 'i3 d! $1 a) p M
i G) i6 R Gl t6 iA t6 i6 V 70249
0 UN ~ iz LL m s II
o -- ys 11 O E � 'F Z Hw C- H C N Nco ~15 NN
oO t) U 0 Q C Z a p
o F
24-hr hrs GPD mg1L mg/L mg1L #1100 mL mg1L mg/L mg1L mg/L su mg/L mg1L mg/L
1 09:00 1 hr 2,200
2 2,200
3 2,200
4 2,200
5 2,200
6 2,200
7 08:00 1 hr 2,200
8 2,200
9 2,200
10 2,200
11 2,200
12 2,200
13 2,200
14 08:00 1 hr 2,200
15 2,200
16 2,200
17 08:00 1 hr 2,200
18 2,200
19 2,200
20 08:00 1 hr 2,200
21 2,200
22 2,200
23 2,200
24 08:00 1 hr 2,200
25 2,200
26 2,200
27 2,200
28 2,200
29 2,200
30 2,200
31 08:00 1 hr 2,200
Average: 2,200
Daily Maximum: 2,200
Daily Minimum: 2,200
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 of
Permit No.: WQ0024577 I Facility Name: Sutton's Retirement Center WWTF I County: Wayne I Month: May 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
N i
O U L
s i5 Ems' v13) E Lc E i,E E v v > ,c LA Eaa > c Eo .17, aH >
v Q g -5 9 6 ° `° 7, .E ❑ -6 a 7 6 R ° R 7, F .0 'xo
FL ,0-
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1 C 78 0.5 4
2
3
4
5
6
7 CL 50 2.5 4
8
9
10
11
12
13
14 C 89 0 4
15
16
17 CL 82 1.7 4
18
19
20 C 90 0 4
21
22
23
24 C 88 0.1 4
25
26
27
28
29
30
31 C 92 0 4
Monthly Loading: 0 ������ 0.00 0 r ,, 0.00 r j 0 �����V 0.00 ///////////////////////, 0 r �,, 0.00 A
12 Month Floating Total(in). /// /// /// � � /// /// /// ///
j���������/j�������-j��������i,.j���������/j�������i,-j��������%.j���������/j�������i,-j��������i,.r Aj�������-r������
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 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? Compliant E Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant 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? E Yes E No Phone Number: 919-738-2236 Permit Exp.: 1/1/24
6/29/22 A^'t 6/29/22
Sign ture Date Sign re 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? El Yes E No Phone Number: 919-738-2236 Permit Expiration: 1/1/2024
(71 6/29/2022 t ( 6/29/2022
Si nature Date v Signa e 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