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Home My WebLink AboutWQ0002096_Monitoring - 04-2024_20240510Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * April 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 Reviewer: Year:* 2024 Upload Document* April 2024 NDMR.pdf 266.04KB 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 Armstrong Wanda.Gerald 5/10/2024 This will be filled in automatically Is the project number correct?* W00002096 Is the monitoring report accepted?* Yes NO Regional Office* Washington Reviewer: _anonymous Review Date: 5/21/2024 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0002096 Facility Name: Ahoskie Assisted Living county: Hertford Month: April Year: 2024 PPI: 001 7Flow Measuring Point: ❑A Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ surface water Parameter Code -► 50060 00400 00310 31616 00530 00610 00626 00630 00666 50060 00940 70300 00620 00600 00615 a q 7G Q E U O e O vEy' O p fl O £ Q U V o ao �Cy o E o + z N r0c p A. o N (an y o wrn 3� - Z m�o y•ZCGrn-7 z6� 24-hr hrs GPD su mg/L #1100 mL mg1L mg1L mg1L mg1L mg/L mg1L mg1L mg1L mg/L mg/L mg/L 1 10:00 0.5 1,892 21 1,892 31 1,892 •4 1,892 5 1,892 6 1,892 7 1,892 8 10:00 0.5 1,892 7.2 1.2 91 10:00 0.5 1,892 10 10:00 0.5 1,892 11 10:00 0.5 1,892 12 10:00 0.5 1,892 13 1,892 14 1,892 151 10:00 0.5 1,892 7 1.3 16 10:00 0.5 1,892 17 10:00 0.5 1,892 18 1,892 19 1,892 20 1,892 21 1,892 221 1,892 23 1,892 24 10:00 0.5 1,892 25 1,892 26 1,892 27 1,892 28 1,892 29 1,892 30 10:00 0.5 1,892 31 Average: '"1,892. 1.25 Daily Maximum: 1,892 7.20 1.30 Daily Minimum: 1,892 7.00 1.20 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: Continuous Weekly 31year 3/year 3/year 3lyear 3lyear 3lyear 3lyear Weekly 31year 31year 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: Waypoint Analytical 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: SI Phone Number: 252-287-4153 Signing Official's Title: Administrator Has the ORC changed since the previou NDMR? ❑ Yes FZI No Phone Number: 252-513-8591 Permit Expiration: 4/30/2025 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 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 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? ❑r Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? El Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? 2] 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 ORC: Randall Parker Certification No.: 996843 Grade: Sl Phone Number: 252-287-4153 Has the ORC changed since the previous NDAR-1? ❑ Yes P7 No Permittee Certification Permittee: Ahoskie Assisted Living Signing Official Paula Armstrong Signing Official's Title: Administrator Phone Number: 252-513-8591 Permit Exp.: 4/30/25 'OPA l r D4 Signature Date Signature Date By this signature, I certity 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 w re prepared under my direction or supervision in accordance with a system designed to assure that all qualified porsonnel properly gathered and evaluated the information submilted. 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 tines 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: April Did irrigation occur NORM= MORE= I• at this facility'?.. .. • . • .. . . 1771 YES NO Annual Rate (in):, MEMO= e�® Field Irrigated? E Field Irrigated?, r ---_ ME ---_ NIM---- mmmmMEMMENIM MWIMMO m ___ __ mm __-- IMIMMmmmmm -_-_ ---_ ®_m_ __-__- ®-__ -- ---� ---_ WMINM_- 0=11=11M_ ---_ ---- Im -mm -_ ME ®----- -IMMIMM_ WM__� ®___ __Monthly _--- ---- Loading:. 12 Month Floating Total`../ %y �N �f � h • . A ,+3'3 %s�.✓'"��-'�"'.��I nT'ff-'s"�`A� �-kiY! �..k' ^' ry,%a"i^".".N ��.,.�s`�"✓y�K'.J� _. '' '`k ' \`""`.�,ys ��.�"?S�.ws. _?s ,. "to��L 7'` .,'�. ''.. 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? Q Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? 23 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 taKen. Auacn aaamonal sneers IT 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 7 No Phone Number: 252-513-8591 Permit Exp.: 4/30/25 6�6 j 51, 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 any 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