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Home My WebLink AboutWQ0002096_Monitoring - 01-2023_20230307Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * January WQ0002096 Ahoskie Assisted Living Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address: Name of Submitter: * Signature: Date of submittal: Initial Review Year:* 2023 Upload Document* AAL Jan23 NDMR NDAR-1.PDF 259.09KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). armstrongmgt2@gmail.com Paula Armstong Paula � Arars%roa9 3.3ly Reviewer: Wanda.Gerald 3/7/2023 This will be filled in automatically Is the project number correct?* WQ0002096 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 5/1/2023 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: January Year: 2023 PPI: 001 Flow Measuring Point: Q Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent Q Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code 0 50050 00400 00310 31616 00530 00610 00625 00630 00665 50060 00940 70300 00620 00600 00615 iq o ,� OF O C 0 d N O O T U. N O u ,C E E L '00 a Z p f N N y O IL GJ ' O X Gl 'C7 `>E OP N Oa 0 0)U O + z C f r OOa Z Z 24-hr hrs GPD su mglL #1100 mL mglL mg1L mglL mglL mg1L mglL mg/L mglL mglL mg1L mglL 1 11:00 0.5 1,144 2 1,144 3 1,144 4 1,144 5 1,144 6 11:00 0.5 1,144 7 1,144 8 11:00 0.5 1,144 9 1,144 10 1,144 11 11:00 0.5 1,144 12 1,144 13 1,144 14 1,144 151 1,144 16 1,144 17 1,144 18 11:00 0.5 1,144 19 1,144 20 1,144 211 1,144 22 11:00 0.5 1,144 23 1,144 24 1,144 25 11:00 0.5 1,144 26 1,144 271 09:00 0.5 1,144 7.3 2.7 28 09:00 0.5 1,144 29 1,144 30 11:00 0.5 1,144 31 1,144 Average: 1,144 2.70 Daily Maximum: 1,144 7.30 2.70 Daily Minimum: 1,144 7.30 2.70 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:1 Continuous Weekly 3/year 31year 3/year 31year 3/year 31year 31year Weekly 31year 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? 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 Permittee Certification ORC: Randall Parker Permittee: Ahoskie Assisted living Certification No.: 996843 Signing Official: Paula Armstrong Grade: S1 Phone Number: 252-287-4153 Signing Officials Title: Administrator Has the ORC changed since the preyious NDMR? ❑ Yes 21 No Phone Number: 252-513-8591 Permit Expiration: 4/3012025 Signature Date Signa re 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 possibillty 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 County: Hertford Month: January Year: 2023 Did irrigation occur Field Name: Site1 Field Name: Site 2 Field Name Site 3 Field Name: Site 4 at this facility? Area (acres) 1:75 Area (acres): 1.33 Area (acres) " 1:35 Area (acres): 1.5 Cover,crop. Trees Cover Crop: Trees Cover Crop TreeslBermuda,, Cover Crop: Bermuda 2 YES ❑ NO Hourly Rate (in) U5 Hourly Rate (in): 0.25 Hourly Rate (�n). Q 25 Hourly Rate (in): 0.25 ... • . •. -• ' •. •. ��Field Irrigated?! NAME oom=UUME MENEM� INNEIIINE�� IME oo®= IME�� om==�■� --_- ®MEMMMEN ®___-_ -_-- ---- m__-_- ®_-_-- ___- MINE MINEMEN ---- m ____- -_-_ ---- M-_-__ MENIMEN-_-_ -_- mmmmmm ®-==__---- ®�m ---- MEMENman ®mmmmm �� m-_--_ ®=m�� UU- _-_- --__ ®---__ __--NEEMEN NINE -_-- MMMMMM __ •11 1 •: 1® ®-__-_IMENIMEN -_-_ -_-_ -_- 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? D Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Q Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? [D Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ID 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. IOperator in Responsible Charge (ORC) Certification II Permittee Certification I ORC: Randall Parker Certification No.: 996843 Grade: SI Phone Number: 252-287-4153 Has the ORC changed since the previous NDAR-1? ❑ yes R No Signature Date By this signature, l certify that this report is accurrate and complete to the best of my knowledge. Permittee: Ahoskie Assisted Living Signing Official: Paula Armstrong Signing Official's Title: Administrator Phone Number: 252-513-8591 Permit Exp.: 4/30/25 Si nature Date I certify, under penally 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.: VVQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: January Year: 2023 Did irrigation occur Field Name: Site 5, Field Name: Field Name: Field Name: at this facility? Area (acres): Area (acres): Area"(acres): Area (acres): Cover`Cro p Bermuda Cover Crop: p: Cover Cro p: Cover Crop: p: ❑ YES ❑ �o Hourly Rate (in): 025: Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): ET.R.W.M. 1111-MM Annual ate (in ... . • •. •. e .Field Irrigated?,• •. • logo N_Nmirl-mmmm m m=== mom=-_-- m==mom �� ■�■.��, Monthly Loading: 12 Month Floating Total (in): i»M � 0 N[iI�1 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? Q Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? p Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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 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 Q No Phone Number: 252-513-8591 Permit Exp.: 4/30/25 Signature Date Signat re 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 an II 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