WQ0024577_Monitoring - 07-2022_20220928

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * July
Report Information
WQ0024577
Sutton's Retirement Center
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
WQ0024577 NDAR & NDMR 581.05KB
July 2022 revised.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Kristen Tingen
Reviewer: Gerald, Wanda
9/28/2022
This will be filled in automatically

Is the project number correct?* WQ0024577
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 10/18/2022

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of

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?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
EI compliant [_] Non -compliant
E compliant [_] Non -compliant
E compliant D Non -compliant
E compliant [_] Non -compliant
compliant D 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 [,] No
Phone Number: 919-738-2236 Permit Exp.: 1 /1 /24
8/30/22
8/30/22
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? E 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? E] Yes E] No
Phone Number: 919-738-2236 Permit Expiration: 1 /1 /2024
s"l l
8/30/2022
% 8/30/2022
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
Facility Name: Sutton's Retirement Center WWTF
County. Wayne
Month: July
Year: 2022
PPI: 001
FIOW Measuring Point: ❑Influent Effluent E]No flow generated
Parameter Monitoring Point: [71Influent ❑Effluent ❑Groundwater Lowering E] Surface Water
Parameter Code No
50050 00310
00940 50060
31616 00610
00625 00620
00600 00400
00665 70300
00530
R
0
41
0 I-
0
G1LnLf
E w
1=
V
0
- O
W m
C
'% .t0-.
O to
N
AR
C
ets p
ai ='
LL E
s
G3 mod,,
G; R
rti Z
h
G3
Z
10 C.
O j N
.o. WE -0
10 N th O
8: �_ rn
CL
V 0
3 C 33
C. O.
00
24-hr
I hrs
GPD mg/L
mgfL mg/L
# 100 mL mg/L
mgfL mg/L
mgfL su
mgfL mg/L
mgfL
1
08:00
6 hrs
2,400
0.103
7.1
2
2,400
3
2,400
4
2,400
5
2,400
6
2,400
7
09:30
6 hrs
2,400
0.003
6.9
8
2,400
9
2,400
10
2,400
11
2,400
12
2,400
13
08:00
30 min
2,400 12
29
<1 0.13
5.84 <0.04
5 92 9.6
253 180
197
14
2,400
15
2,400
16
2,400
17
2,400
18
08:00
30 min
2,400
19
2,400
20
2,400
21
09:30
6 hrs
2,400
0.003
6.9
22
2,400
23
2,400
24
2,400
25
09:30
6 hrs
2,400
0.01
7.2
26
2,400
27
2,400
28
2,400
29
09:00
1 hr
2,400
30
2,400
311
09:00
1 1 hr
2,400
Average:
2,400 12.00
29.00 0.03
1.00 0.13
5:84 0.00
5 92
2,53 180.00
197.00
Daily Maximum:
2,4010 12.00
29.00 0.10
1.00, 0.13
5.84 0.04
5 92 9.60
253 180.00
197.00
Daily Minimum:
2,4010 12.00
29.00 0.00
1.00 0.13
5.84 0.04
592 6.90
2.53 180.00
197.010
Sampling Type:
Estimate Grab
Grab Grab
Grab Grab
Grab Grab
Grab Grab
Grab Grab
Grab
Monthly Limit:
4,920
Daily Limit:
kXYear
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 Y-ar 3 X Year