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HomeMy WebLinkAboutWQ0024577_Monitoring - 01-2023_20230313Monitoring Report Submittal ................................................... Permit Number#* WQ0024577 Name of Facility:* Sutton's Retirement Center, Inc. Month: * January Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR & NDMRjan 23.pdf 576.51KB 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: 0io;WMV k4ollw Date of submittal: 3/13/2023 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: 5/4/2023 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 ov, ov, 2/27/23 2/27/23 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? ❑ 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: 919-7738-2236 Permit Expiration: 1/1/2024 0/ wt < i�L � °" 1 l L2/27/2023 2/27/2023 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: January Year: 2023 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 0i QU0 O O 0 0 LL La m LUdC H .LUdL N _ R UO LL O ARZ p a ui Y f6 Z Z Z CL i D a ; V! yyH V!p 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 1,394 2 1,394 3 1,394 4 1,394 5 09:00 1 1,394 6 1,394 7 1,394 8 1,394 9 1,394 10 1,394 111 09:00 1 1,394 12 1,394 13 1,394 14 1,394 15 1,394 16 1,394 171 1,394 18 09:00 1 1,394 19 1,394 20 1,394 21 1,394 22 1,394 231 1,394 24 1,394 25 09:00 1 1,394 26 1,394 27 1,394 28 1,394 291 1,394 30 1,394 31 09:00 1 1,394 Average: 1,394 Daily Maximum: 1,394 Daily Minimum: 1,394 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