HomeMy WebLinkAboutWQ0002096_Monitoring - 05-2022_20220701 FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT (NDMR) Page of
rermit No:: WQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: May Year: 2022
PPI: 001 Flow Measuring Point: ,❑Influent ❑Effluent ❑No flow generated I 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
0 -O t N
•i N f0 @ C N a) C
N r 3 I U o ..+ a, O d 0) as 1 a TO L y 'p c ms t�6 y
QE Po 0 a O m - Oa.o E Y2 r oQ oyo 2 ov° o = o2 *'
Lz U ~ LL m LL O ~ N co E Z F- w F y s . F" s" cn Z ~ a-' 2
O re U Cl) Q O2 Z 0 � U U 2
O H-
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
1 848
2 848
3 848
4 848
5 848
6 09:00 0.5 848 7 0.06
7 848 _
8 848
9 848
10 09:00 0.5 848 6.9 0.09
11 848
12 848
13 848
14 848
15 848
16 09:00 0.5 848
17 848
18 10:00 0.5 848 7 4.2
19 10:00 0.5 848
20 848
_
21 848
22 848
23 848
24 848 J.) ._ f
25 10:00 0.5 848 7 10.1 inir.,—.
26 848 a3. r.�;c. , 1 -
27 848
28 10:00 0.5 848
29 848
30 848
31 848
Average: 848 3.61
Daily Maximum: 848 7.00 10.10
Daily Minimum: 848 6.90 0.06
Sampling Type: Estimate Grab Grab Grab Grab Grab Grab Calculated Grab Grab Grab Grab Grab Calculated Grab
Monthly Avg. Limit: 7.500
Daily Limit:
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? E 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 Phone Number: 252-513-8591 Permit Expiration: 4/30/2025
-.� (e l24lzz
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.: W00002096 Facility Name: Ahoskie Assisted Living l County: Hertford Month: May 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
2 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? ❑YES ❑ NO Field Irrigated? ❑YES ❑NO Field Irrigated? i__i YES ❑NO Field Irrigated? 0 YES ❑NO
m c
a y
a, m °' y -0 C E a) a> . c E am m a •a rn E al m a -0 E a)
m o m y a, � Q E 0 0 C >. c > > c 2 .m a, 2 a c S a c E m m a; �. c 3 >•' c 2 .0) an d >. c 3 >` c
0 U k. g . 3 o E ca Ili .E '5 1 a E r Ti 10 E 3 1 3 fl E m 3 .E 5 'a z a E v @ 1 •E 3 a
`� E v $ >,Q 0 . H .� 00 x o o O Q F .� 0 0 is o O 0 . i- .: 00 x 0 0 0 . i- .0 0 0 x o
N F co 0 Q _ J = J Q J = J Q _ -J 2 = -J > Q _ -J = J
mi
°F in ft ft gal min in in gal min in in gal min in in gal min in in
1
2
3
4 0.34
5 C 78 2.5
6 1.83
7 1.6
8
9
10 C 62 1.58
11
12 2 13,800 120 0.34 0.17
13 0.1
14 0.2
15
16 C 81 0.1
17
18 C 76 1.75 27,600 240 0.68 0.17
19 C 81 2 13,800 120 0.38 0.19
20
21 0.1
22
23 0.2
24 0.2
25 C 75 2.08 27,600 240 0.58 0.15
26
27 0.1
28 C 78 2.08 13,800 120 0.34 0.17
29
30
31
Monthly Loading: 27,600 Vim
0 58 Xl 13,800 5 0.38 0 ' 0.00 55,200 ; ,%f 1.36 ��
12 Month Floating Total(in): '0 ,w.,
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? Q 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? E 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
(0/2?Jzt
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 1Jo.: WQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: May 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:
d 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? ❑YES ❑NO Field Irrigated? ❑YES ❑NO Field Irrigated? YES ❑NO Field irrigated? ❑YES ❑NO
c
° m m °'
aCm E m Ra -0 -o E
Em -a -a E
a c E .m E .� � � c E 0 m c X
ca ° Ea d rn •- '8 5 E sE E '3 E -@ E
y a I:: .C. aJ X = -8. a = oJ x = 6 o a i= 6 C = o a H ° m2 °
-c E (I) c6 > < LJ > J > < > < J Jj @Fa 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 34,500 300 0.65 0.13
7
8
9
10 34,500 300 0.65 0.13
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Loading: 69,00 1.31 / w� 0 o -y�r,� 0.00 0 0 00 % 0 0.00
of
12 Month Floating Total(in): d 13.04 %' I ❑ ° r;
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? Q Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 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? 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 chan ed since the previous NDAR-1? ❑Yes E No Phone Number: 252-513-8591 Permit Exp.: 4/30/25
./e7e$0,4
CiYr)/ 03 (-124?1/2. 2-
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