WQ0024577_Monitoring - 06-2023_20230725

Monitoring Report Submittal
...................................................
Permit Number#* WQ0024577
Name of Facility:* Sutton's Retirement Center
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR WQ0024577 NDAR & NDMR June 2023.pdf 559.69KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Kristen Tingen
Signature:
0io;WMV k4ollw
Date of submittal: 7/25/2023
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: 8/3/2023

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?
❑✓ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 2compliant ❑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? 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: 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
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0"1'1
6/24/23
6/24/23
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
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 [I 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 NDMR? 0 Yes 0 No
Phone Number: 919-738-2236 Permit Expiration: 1/1/2024
2 11 ( 2�
01 (
_1 l /—\
Signature Date
Si ature 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: June
Year: 2023
PP1: 001
Flow Measuring Point: ❑ InFluent El Effluent El No Flow generated
Parameter Monitoring Point: FI Influent Effluent ❑Groundwater Lowering ❑ Surface Water
Parameter Code 10
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
Z
cc
O
O
N
O
O
LL
N
'a
E N
C
E
i
LL 0
R
C
O
E
Q
C
N
N
o
N
C
N
z
>3
O
R t
c
a
R y'
y O
co
N
a
C . 'O
C
C�z
CO
24-hr
hrs
GPD
mg/L
I mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
09:00
1
2,381
2
2,381
3
2,381
4
2,381
5
2,381
6
2,381
7
09:00
1
2,381
8
2,381
9
2,381
10
2,381
11
2,381
12
09:00
1
2,381
13
2,381
14
2,381
15
2,381
16
2,381
171
2,381
18
09:00
1
2,381
19
2,381
20
2,381
21
09:00
1
2,381
22
2,381
23
2,381
24
2,381
25
2,381
26
2,381
27
09:00
1
2,381
28
2,381
29
2,381
30
09:00
1
2,381
31
Average:
2,381
Daily Maximum:
2,381
Daily Minimum:
2,381
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