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HomeMy WebLinkAboutWQ0038171_Monitoring - 05-2020_20200604FORM: NDMR 05-15 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0038171 Facility Name: Town of Boone Jimmy Smith WWTP County: Watauga Month: May Year: 2020 PPI: 001 Flow Measuring Point: ❑Influent ❑FffEuent ❑No Flow generated Parameter Monitoring Point: ❑Influent QEffluent ❑Groundwater Lowering ❑Surface Water • •7ii7m m ■i F�Li�ffm Will I ■�ia�����■■�� mom■■ �■■■■����■■■■���■■■��� Daily Maximum: Sampling Type; op—M FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 01138171 Facility Name: Town of :.• .. INN. • FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) 11 Certified Laboratories Name: 11 Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑compliant ❑neon-Cornphant If the facility is non-compfiant, 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 Perm ittee Certification ORC: Rudy Broschinski Permittee: Town of Boone Certification No.: 24084 Signing Official: Rudy Broschinski Grade: 4 Phone Number: 828-268-6271 Signing Official's Title: ORC Has the ORC changed since the previous NDMR? ❑Yes Qlvu Phone Number: 828-268-6271 Permit Expiration: 7/31/2021 ` ii C fqlzo 3 �L Signature V Date Signature Date By this sgnature, I certify that this renori 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 (hat 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 A 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 tmprisonmenl 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