HomeMy WebLinkAboutWQ0024577_Monitoring - 12-2022_20230202Monitoring Report Submittal
...................................................
Permit Number#* WQ0024577
Name of Facility:* Sutton's Retirement Center
Month: * December Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR & NDMR Dec 2022.pdf 577.13KB
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:
,4p-w
Date of submittal: 2/2/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0024577
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 4/3/2023
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?
❑✓ Compliant ❑ Non -Compliant
❑ Compliant ❑ Non -Compliant
2 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: 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? Yes 1 1 No
Phone Number: 919-738-2236 Permit Exp.: 1/1/24
1, ( �p
O —1 �
1/31/23
1/1/23
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
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? 0 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
Perm ittee 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: 919-738-22336 Permit Expiration: 1/1/2024
ov,
1-1
0/
1 /1 /2023
1 /1 /2023
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.: W00024577
Facility Name: Sutton's Retirement Center WWTF
County: Wayne
Month: December
Year: 2022
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code No
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
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~ N N
M
N
24-hr
I hrs
GPD
mg/L
I mg/L
mg/L
#/100 ml-
mg/L
mg/L
mg/L
I mg/L
su
mg/L
I mg/L
mg/L
1
09:00
1 hr
1,387
2
1,387
3
1,387
4
1,387
5
1,387
6
1,387
7
09:00
1 hr
1,387
8
1,387
9
1,387
10
1,387
ill
1,387
12
09:00
1 hr
1,387
13
1,387
14
1,387
15
1,387
16
1,387
171
1,387
18
1,387
19
09:00
30 min
1,387
20
1,387
21
1,387
22
1,387
231
1,387
24
1,387
25
08:00
1 hr
1,387
26
1,387
27
1,387
28
1,387
291
1,387
30
1,387
31
08:00
1 hr
1,387
Average:
1,387
Daily Maximum:
1,387
Daily Minimum:
1,387
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