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Home My WebLink AboutWQ0002096_Monitoring - 03-2024_20240426Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * March 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* March 2024 NDMR.pdf 265.94KB 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 4/26/2024 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: March Year: 2024 PPI: 001 Flow Measuring Point: Q Influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ Influent ❑✓ Effluent ❑ Groundwater Lowering ❑ Surface Water Parameter Code --a 50050 00400 00310 31616 1 00530 00610 00625 00630 00665 50060 00940 70300 00620 00600 OD615 O C O ❑ O = c oo (n o L a ;z Fo N ~~ ❑ zjna o �- yM z _ z: 24-hr hrs GPD su mglL #l100 mL mglL mg1L mglL mglL mglL mglL mglL mg1L mg/L mglL mg1L 1 10:00 0.5 2,086 2 2,086 3 2,086 4 2,086 5 10:00 0.5 2,086 6 2,086 7 2,086 8 2,086 9 2,086 10 2,086 11 14:00 0.5 2,086 7 1.2 12 10:00 0.5 2,086 13 10:00 0.5 2,086 14 10:00 0.5 2,086 15 2,086 16 2,086 17 2,086 18 2,086 19 2,086 20 2,086 21 10:00 0.6 2,086 22 2,086 23 2,086 24 2,086 25 2.086 26 10:00 0.5 2,086 27 2,086 28 2,086 29 2,086 30 2.086 311 10:00 1 0.5 2,086 Average: 2,086 1.20 Daily Maximum: 2,086 7.00 1.20 Daily Minimum: 2,086 7.00 1.20 Sampling Type: Estimate Grab Gram Grab Grab Grab Grab Calculated Grab Grab Grab Grab Grab Calculated Grab Monthly Avg. Limit: 7,500 Daily Limit: Sample Frequency: Continuous Weekly 3/year 31year 31year 31year 31year 31year 31year Weekly 31year 3/year 3/year 3/year 31year 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? F] 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 NDMR? ❑ Yes 0 No Phone Number: 252-513-8591 Permit Expiration: 4/30/2025 -4� '4�� /4_ � C 4 / Ple?&OL-t— Date / USignature 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 udder 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 NOT. -DISCHARGE AK)LICATION REPORT (NDAR-1) Page __ of Did the application rates exceed the limits iril Attachment B of your permit? ❑ Compliant ❑ Non -Compliant Were adequat,� measures taken to pmvent effluent ponding in or runoff from the .sites? F±1 corngiant ❑ Non -Compliant Was a suitable vegetative co,,rer maintained on all sates as >pecified in your permit? 0 Compliant ❑ Non -Compliant Were EJl setbacks list=ad in your peratit maintained Ior evert application to each permitted site? 0 comVlant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 2 Compliant ❑ Non -Compliant If the facility is non -compliant, please explain in the space belox the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective QULI VI R01 UMVIhALLCIUIr GVultlur lG Af IrMLu I IOperato.- in Responsible Charge (ORC) Certification I Permittee Certification 1 I:.ORC: Randall 'parker Certificaton No.: 99684.$ Grade: SI Phone Number, I Has the ORC changed since tree previo Lis NDAR-1? 252-287-415: ❑ Yes ❑ No Signature Date By this signature, t certify that this report is accurate and complete to the best of my knowledge. Perm!ttee: Ahoskie Assisted Living Signing official: Paula Armstrong Signing Official's Title: Administrator Phonf er: 252-513-8591 Permit Exp.: 4/30/25 Sig Dale I certify, under penalty of law, that this document snd 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 art my inquiry of the person or persons woo manage tho system, or those persons cirectly responsible for gathering the information, the information submittec is, to the bes of my knowledge and belief, true, accuralo:, and eomple:e. I am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations. Kail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-16317 FORM: NDAR-1 14-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: Q111 1•. Facility Name: Ahoskie Assisted Living County: Hertford . • 1 Did irrigation occur �:i'I�i °",'ail•Field . . • ■��_ Area (ac res ): M1MMMM1 Area (acres): at this facility - ffijm� Cover Crop: 0 YES ■ NO - • t O MENEM ---- _-__ m __--- _�__EMINMEMME -_-- mmmmmm MMIMMMEM M ___ _= ---- 1�111110=11=11= ImmmmmmMMISMEEM ____ ---- ---- ME -___ ®-_- --MEME ---- ®-____mm ---- 0=_111=- ®___ -_-_ ®___ _- -_-- -_-_ ®--_ _= -___ SIM -_- Monthly Loading: %,,..h.•. 9v.,. ,.�ti:.,+-,.,..Pw,el.,S:•r.£--: ,,-'--tea -w..,`^7.,.,.,'.,..^^i,> .H-.�i°","'r4as s,zyo&i. 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? 0 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑r Compliant ❑ Nan -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? Q Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 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 El No Ph ber: 252-513-8591 Permit Exp.: 4/30/26 -` 411 194 Signatu a 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 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