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Home My WebLink AboutWQ0007026_Monitoring - 12-2022_20230118Monitoring Report Submittal Permit Number #* Name of Facility:* Month: * December Report Information WQ0007026 Sanford Health & Rehabilitation Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter: * Signature: Date of submittal: Initial Review biowater@aol.com Randall Jarrell Reviewer: Gerald, Wanda Year:* 2022 Upload Document* SHR NDMR 12-22.pdf PDF Only 2.97M B Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). 1 /18/2023 This will be filled in automatically Is the project number correct?* WQ0007026 Is the monitoring report accepted?* Yes No Regional Office* Raleigh Reviewer: _anonymous Review Date: 2/8/2023 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _k of S Permit No.: WQ0007026 Facility Name: Sanford Health & Rehabilitation County: Chatham Month: December Flow Measuring Point: influent E] Effluent El No flow generated • • • Daily Maximum: Daily Minimum: FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -- of s Sampling Person(s) Name: Randall Jarrell Name: Certified Laboratories Name: Eurofins (591) Name: Wastewater Management, L.L.C. (5038) Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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 Jarrell Permittee: Jordan Wall Certification No.: 7937, 23925 Signing Official: Randall Jarrell Grade: WW4, SI Phone Number: 919-210-2500 Signing Official's Title: ORC Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: 919-210-2500 Permit Expiration: 2/28/2022 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: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .3 of S Permit No.: Q011 1 . • • Health & Rehabilitation,County: Chatham Month: December , 1 • irrigation occur IP Field Name. this facility? Area (ac Area (acres): at YES NO Hourly Raue_(_in). 1 -Annual Rate (in):' Annual Rate (in): 1=21TRIM . Field Irrigated? Monthly Loading:: 12 Month Floating Total (in): FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Li of S 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? ❑ Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant ❑ Compliant ❑ Non -Compliant ❑ 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 Jarrell Permittee: Jordan Wall Certification No.: 7937, 23925 Signing Official: Randall Jarrell Grade: WW4, SI Phone Number: 919-210-2500 Signing Official's Title: ORC Has the ORC changed since the previous NDAR-1? ❑ yes 7 No Phone Number: 919-210-2500 Permit Exp.: 5/31127 j Signat re 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 Sanford Health And Rehabilitation 12 Month Rolling Total Application In Inches 2022 2022 2022 2022 2022 2022 2022 2022 2022 2022 2022 2022 2022 Field Jan Feb March April May June j_!ISI August Sept Oct Nov Dec Total 1 1.38 1.38 1.38 1.38 1.38 1.28 1.38 1.55 1.38 1.76 1.21 1.04 15.47