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Home My WebLink AboutWQ0002096_Monitoring - 08-2023_20240124Monitoring Report Submittal ..................................................... Permit Number#* WQ0002096 Name of Facility:* Ahoskie Assisted Living Month: * August Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR NDMR Aug 2023.pdf 398.32KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * armstrongmgt2@gmail.com Name of Submitter: * Paula G Armstrong Signature: � f�ni�/n �(%�rar,Irrevey Date of submittal: 1/24/2024 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0002096 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 2/20/2024 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.. WQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month; August Year: 2023 PPI: 001 Flow Measuring Point: ❑ Influent ❑ Effluent ❑ ,'do flow generated Parameter Monitoring Point: ❑ Influent E Effluent C Groundwater Lowering ❑ Surface Water Parameter Code — 0 50050 '' 00400 00310 31616 00530 00610 00625 ' 00630 00665 - 50060 00940:; s: 70300 00620 00600 00615 O f6 U O � O E- fA O Ll. : - 11 p U "[� y Eo., 0.:0 �tn E E QE r - Y° oZ '. ; ZZ - N O Q ~ ° a O N O �LrU O U o O '� y� ..., Z o 2 F Z «`n Z 24-hr hrs GPD su mg1L #1100 mL mg[L I mg/L mg/L '" mg/L mg/L - mg/L mg1L mg1L mg/L '' mg/L mg/L 1 1,380 2 10:01) 0.5 1,380 3 1,380 4 10:00 0.5 1,380 > 5 1,380 6 1,380 7 1,380 8 10:00 0.5 1,380 9 10:00 0.5 - 1,380 7 0.1 10 10:00 0.5 1,380 11 10:00 0.5 1,380 12 1,380 13 1,380 141 1,380 15 1,380 16 1,380 °= 17 1,380 '- Is 10:00 0.5 1.380 - 19 1,380 20 # 380 21 22 9 y 23 r,38D at 24 25 10:00 0.5 7,380 a 26 27 1;38fl G i 28 j,380 . ri.NM 29�;�38Q✓ 30�38Q 311 10:00 0.5�,$0 Average .�f�380 w� r Y 0.10 Daily Maximum ON 7.00 0.10 Daily Minimum 1 3gQ...;z 7.00 w .,. 0.10 Sampling Type: ,Estimaf, Grab Grab Grab Grab '' GrabGsab-„ '< Calculated Grab Grab Graby `; Grab F Grab; m' r r Calculated Grab Monthly Avg. Limit 7,500 Daily Limit r s� Sample Frequency yGontmuousI Weekly 3lye4r, . 31year „3/years.": 31year 3l ea> 3tyear 3lyear„:: Weeky 3tyeer :-; Wyear 3Jyear-, 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? ❑ 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 0RC: 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 NDMR? ❑ Yes 21 No Phone Number: 252-513-8591 Permit Expiration: 4/30/2025 Signature Date Signature Date By this signature, I certify that this report is accurrale 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 property 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 2023 Permit No.: WQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: August Year: 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: Trees/Bermuda Cover Crop: Bermuda YES ❑ no Hourly Rate (in): 0.25 Hourly Rate (in): 0.25 1 Hourly Rate (in): 0.25 Hourly Rate (in): 0.25 Annual Rate (in): 18 Annual Rate (in):1 18 Annuai Rate (in): 31.5 Annual Rate (in): 31.6 Weather Freeboard Field Irrigated? _ YES [j N0' Field Irrigated? P/1 YES No Field Irrigated? [2] YES ❑ N0 Field Irrigated? [21 YES ] N0 >, to U° m`rn 9E 0m G E = Ea CE T CN ? C T a) . ° O x X -n EO 12. �� ema 7 °E in ft ft gal min in in - gal min in in gal 'min in in gal min in in 1 2 C 82 3 4 R 76 1.3 1.83 5 6 7 0.1 S C 84 20,700 180 0.56 0.19 9 C 84 48,300 420 1.34 0.19 10 C 81 20,700 180 0.51 0.17 11 C 85 2.16 = 12 13 14 0.1 15 0.3 16 17 0.3 181 C 88 2 19 20 21 22 ` f H25 C 88 1.83 w a y 0.1 F2728 0.1 0.1 311 R 73 0.3 1.75 Monthly Loading 0 0 00 48,300 1.34 ��vr 20700 0.56 ' 20,700 0.51 12 Month Floating Total (in) 0 58., :; 2.87 680 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) 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? Page of ❑� Compliant ❑ Non -Compliant E Compliant ❑ Non -Compliant ❑� Compliant ❑ Non -Compliant Q 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: 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 I, a�� (2 a�m� 2/z� Signature Date Signature J 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 of Permit No.: VVQ0002096 Facility Name: Ahoskie Assisted Living County: Hertford Month: August Year: 2023 Did Field Name �� site 5, Field Name; ' `Fielii fVame Field Name: ICCIgat1011 OCCUI' Area (acres): 194 Area (acres): Area (acres): Area (acres): at this facility? Cover Crop: p� Bermuda Cover Crop; p� Cover Crop: p� Cover Crop: p: 1 YES ❑ N0 Hourly Rate (in); 0,25 Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Annual Rate (in): 31.5 Annual Rate (in): Annual Rate (in): Annual Rate (in): Weather Freeboard Field Irrigated? 0� YES ❑ No - Field Irrigated? ❑ YES ❑ NO Field Irrigated? YES ❑ No Field Irrigated? ❑ YES ] No oa^ ° 'O Vy° a a � � w 4 o E a O CL > _ v >¢ •D_ E E °M — E•° >¢ "° t Eg ° CoS::- 3, ' r .9 a CL > 'D mo E ° t°cT4 K°Ei°° °F in ft ft ' gal 'min in in gal min in in gal min: in in gal min in in 1 2 3 4 5 6 7 8 9 10 11 20:700 180 0.39 r 0.13 ; 12 13 14 15 's 16 f 17 18 19 20 �r 21 22 �. �.. 23 24: 25 26 27 28 r 29 r ,-7 m 30 131 -. v, Monthly Loading: 20700 c fs. .: 0.39 s 0 0.00 0✓. s. _ 0.00 MI 12 Month Floating Total (in) 6 40.=' rI -40 am 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? ❑� Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 23 Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 21 Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? it 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 actlonlsl taken_ Attach nrldifinnni sheatc if nacaccnn, 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 ED No Phone Number: 252-513-8591 Permit Exp.: 4/30/25 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 knit 1617 Mail Service Center Raleigh, North Carolina 27699-1617