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Crosstree Healthcare The Ranch, LLC

Skilled Nursing Care Facilities, Marble Hill, Missouri. NPDES permit MO0099953, in force until May 31, 2030. Last 12 months: over a limit 3 times (last March 2026), 5 of 11 reports late. Source: EPA ECHO, Oct 22, 2026.

Reports due
About 28 days after each period: form M monthly (12 values)
Last report on file
August 2026
Oct 2024 – Sep 2025
4 values over a limit, 0 required values missing, 2 of 6 reports late

Last 12 months (Oct 1, 2025 – Sep 30, 2026)

Period endingParameterReportedLimitOver by
March 2026Nitrogen, ammonia total [as N], monthly average3.97≤ 2.7 mg/L47%
March 2026Solids, total suspended, monthly average120≤ 80 mg/L50%
March 2026pH, maximum9.28≤ 9 SU—

Limits in force (18)

ParameterStatisticLimitMonths
BOD, 5-day, 20 deg. Cweekly average≤ 65 mg/Lall year
BOD, 5-day, 20 deg. Cmonthly average≤ 45 mg/Lall year
pHminimum≥ 6.5 SUall year
pHmaximum≤ 9 SUall year
Solids, total suspendedweekly average≤ 120 mg/Lall year
Solids, total suspendedmonthly average≤ 80 mg/Lall year
Nitrogen, ammonia total [as N]daily maximum≤ 3.6 mg/LApr, May, Jun, Jul, Sep
Nitrogen, ammonia total [as N]daily maximum≤ 11.2 mg/LJan, Feb, Mar, Nov, Dec
Nitrogen, ammonia total [as N]daily maximum≤ 11.2 mg/LOct
Nitrogen, ammonia total [as N]daily maximum≤ 3.6 mg/LAug
Nitrogen, ammonia total [as N]monthly average≤ 1.4 mg/LApr, May, Jun, Jul, Sep
Nitrogen, ammonia total [as N]monthly average≤ 2.7 mg/LJan, Feb, Mar, Nov, Dec
Nitrogen, ammonia total [as N]monthly average≤ 2.5 mg/LOct
Nitrogen, ammonia total [as N]monthly average≤ 1.3 mg/LAug
Flow, in conduit or thru treatment plantdaily maximumreport only (MGD)all year
Flow, in conduit or thru treatment plantmonthly averagereport only (MGD)all year
E. colidaily maximum≤ 1030 #/100mLApr–Oct
E. coli30-day geometric mean≤ 206 #/100mLApr–Oct

How strict are these limits?

Cited limits by parameter: Missouri's rules and the federal ones.

Same industry: the 17 Health Services permits in Missouri.

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On EPA ECHO: Facility report · DMR history

Your permit document is the final word. As JSON: /api/v1/permits/MO0099953 · MCP: https://passage-data.com/mcp