HomeMy WebLinkAboutWQ0024577_Monitoring - 09-2022_20221130Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
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 576.91KB
Sept 2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
suttonsresthome@bellsouth.net
Kristen Tingen
Reviewer: Gerald, Wanda
11 /30/2022
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: 12/14/2022
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
10/30/22
� � < 10/30/22
Signatur 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
FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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? ❑ 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: 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 ❑ No
Phone Number: 919-738-2236 Permit Expiration: 1 /1 /2024
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10/30/2022
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10/30/2022
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Signature Date
IV
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: September
Year: 2022
PPI: 001
Flow Measuring Point: El Influent ❑Effluent ❑ No flow generated
Parameter Monitoring Point: ❑influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
60060 00310
00940 60060
31616 00610
00626 00620
00600 00400
00665 70300
00630
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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
1,493
2
1,493
3
1,493
4
09:00
30 min
1,493
5
09:00
6 hrs
1,493
0.042
6.8
6
1,493
7
1,493
8
09:00
1 hr
1,493
9
1,493
10
1,493
11
1,493
12
1,493
13
1,493
14
1,493
15
1,493
16
1,493
17
1,493
18
1,493
19
1,493
20
1,493
21
1,493
22
09:00
6 hrs
1,493
0.007
7.2
23
1,493
24
1,493
25
09:00
30 min
1,493
26
1,493
27
1,493
28
1,493
1,493
30
L29
09:00
30 min
1,493
31
Average:
1,493
0.02
Daily Maximum:
1,493
0.04
7.20
Daily Minimum:
1,493
0.01
6.80
Sampling Type:
Estimate Grab
Grab Grab
Grate 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