WQ0024577_Monitoring - 03-2024_20240430

FORM:NDAR-1 05-16 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Permit No.: WQ0024577 Facility Name: Sutton's Retirement Center WWTF County: Wayne Month: March Year: 2024
Field Name: 1 Field Name: Field Name: Field Name:
Did irrigation occur
Area(acres): 1 Area(acres): Area(acres): Area(acres):
at this facility? Cover Crop: Coastal Ha &Rye Cover Crop: Cover Crop: Cover Crop:
Y Y p� p� p:
YES No Hourly Rate(in): 0.5 Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 20 Annual Rate(in): Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? ❑YES n NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES ❑No Field Irrigated? ❑YES —1 NO
d c
07 Ns 4) 'a o o) E Trn ° � v rn E Trn y � O of E Trn �, ° v rn E T �
° m }a °> ° c@i E a� d :: >. 5 3 — E 2 m : >. c ° — c E 2 d >. c 3 _ c E 2 m 1a = _ c
v _ R a E v E m v E � =a = E a E a E m a E v
o Q ° T a E as m R K O R CL rn a K ° a> 5 K O R ° R R K ° R
t •U O O- O Q F •i D O f6 2 0 O Q F •L D O tC 2 0 O G F •i G O N 2 O 0 0- F •i O 16 2 0
N N G f6 > Q _ J J > Q - J J > Q - J J >
N � w
°F in ft ft gal min in in gal min in in gal min in in gal min in I in
1 C 60 0 4
2
3
4 PC 63 0 4
5
6
7 C 1 65 1 1 4
8
9
10
11
12
131 C 1 72 1 0 4
14
15
16
17
18
191 C 1 58 1 0.1 4
20
21
22
23
24
25
26 C 62 1.2 4
27
28
29 C 60 2 1 4
30
1311 C 1 72 1 0 1 4
Monthly L in
i /i%/e i /i i /ii i /ice
oad 0 0.00 0 0.00 0 0.00 0 0.00 g
12 Month Floating Total in . ..................................................................

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? ❑✓ 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: 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 0 No Phone Number: 919-738- 6 Permit Exp.: 1/1/24
4/30/24 4/30/24
Signature Date Signature Date
By this signature,I certify that this r7rtis ccurrate and complete to the best of my knowledge. I certify,under penalty of la , t 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 ❑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? ❑Yes 0 No Phone Number: 919-738-2236 Permit Expiration: 1/1/2024
4/30/2024 4/30/2024
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
Permit No.: WQ0024577 Facility Name: Sutton's Retirement Center WWTF County: Wayne Month: March Year: 2024
PPI: 001 Flow Measuring Point: n Influent ]Effluent No flow generated Parameter Monitoring Point: I I Influent Effluent Groundwater Lowering Surface Water
Parameter Code -0 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530
c
r w
> Q £ 0 �> EZ L c (n� Fu 'C E_a7i 'aE G O M R � t -F. NN £ N O C_ Oru V =U N y
O Q Z O
0 0 N N
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 1,983
2 1,983
3 1,983
4 09:00 1 1,983
5 1,983
6 1,983
7 09:00 1 1,983
8 1,983
9 1,983
10 1,983
11 1,983
121 1,983
13 09:00 1 1,983
14 1,983
15 1,983
16 1,983
17 1,983
181 1,983
19 09:00 1 1,983
20 1,983
21 1,983
22 1,983
23 1,983
241 1,983
25 1,983
26 09:00 1 1,983
27 1,983
28 1,983
29 09:00 1 1,983
301 1,983
311 08:30 1 30 min 1,983
Average: 1,983
Daily Maximum: 1,983
Daily Minimum: 1,983
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