WQ0007026_Monitoring - 05-2023_20230617

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0007026
Name of Facility:* Sanford Health & Rehabilitation
Month: * May
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: * [e-mail]
Name of Submitter: * Randall Jarrell
Signature:
Year:* 2023
Upload Document*
SHR NDMR 5-23.pdf
PDF Only
2.92MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Date of submittal: 6/17/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0007026
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 7/7/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page t of 5,
Permit No.: WQ0007026
Facility Name: Sanford Health & Rehabilitation
County: Chatham
Month: May
Year: 2023
PPI:
Flow Measuring Point: ❑ Influent 0 Effluent ❑ No Flow generated
Parameter Monitoring Point: L Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code b
50050
00400
50060
00310
00610
00530
31616
00620
00625
70300
00665
00940
❑
N
O
C
0
O
lC d
C
W L)
O
co
C
O
E
E
a
OC 'a
.F
`
E
U =
lL
Z
L
C
O)
O
i
�
lLO
Nf6 O
❑
N
2
MOE
F N
°
a
dpi
c-O
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
1
10:15
0.42
8,590
6.86
0.36
2
6,482
3
6,482
4
6,482
5
6,482
6
6,482
7
6,482
8
10:10
0.42
6,482
6.91
0.31
9
6,967
10
6,967
11
6,967
12
6,967
13
6,967
14
6,967
15
10:00
0.42
6,967
6.82
0.36
16
6,940
17
6,940
18
6,940
19
6,940
20
6,940
21
6,940
22
10:00
0.42
6,940
6.77
0.32
23
5,707
24
5,707
25
5,707
26
5,707
27
5,707
28
5,707
29
10:15
0.42
5,707
6.81
0.19
30
6,385
311
6,385
Average:
6,582
0.31
Daily Maximum:
8,590
6.91
0.36
Daily Minimum:
5,707
6.77
0.19
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page y 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? 7 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 E] No
Phone Number: 919-210-2500 Permit Expiration: 2/28/2022
r/
ZL?
Signature Date
ignature 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.: Q111 1 •
• • Health & Rehabilitation•
.
1
• irrigation occur
this facility?
Area (acres):
at
Cover Crop:
YES NO
Hourly Rate (in):
Hourly Rate
1
Annual Rate (in):
Annual Rate (in):
Annual Rate
-
--•.. •
- • .. -•
•Field
Irrigat••?
Field Irrigat-.
Q �•
- .! Irrilatec540
•
Monthly•.• .
. / •�j�j��jj�jjj/;�jjjjj/
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1,1 of S
Did the application rates exceed the limits in Attachment B of your permit?
❑ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 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? ❑ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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: 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 0 No
Phone Number: 919-210-2500 Permit Exp.: 5/31/27
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

Sanford Health And Rehabilitation
12 Month Rolling Total Application In Inches
2023 2023 2022 2023 2023 2022 2022 2022 2022 2022 2022 2022 2023
Field Jan Feb March April May June July August Sept Oct Nov Dec Total
1 0.86 0.86 0.87 1.16 1.04 1.28 1.38 1.55 1.38 1.76 1.21 1.04 14.39