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Home My WebLink AboutWQ0038171_Monitoring - 07-2020_20200812Monitoring Report Submittal ........................................................................................................................................... Permit Number #* WQ0038171 Name of Facility:* Town of Boone Month:* July Report Information Type * NDMR, NDAR-1, NDAR-2, NDMLR Year:* 2020 Upload Document* ndmrjuly2020.pdf FDF Only Please upload only one combined pdf document. Upload GW-59 individually. Confirmation Email Address:* rudy.broschinski@townofboone.net Name of Submitter:* Rudy Broschinski Signature:* Date of submittal: 8/12/2020 This will be filled in &Aorratically Initial Review Reviewer: Williams, Kendall Is the project number correct?* WQ0038171 1.25MB Is the monitoring report Yes r No accepted?* Regional Office* Winston-Salem Accepted Date: 8/12/2020 FORMNbMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: •Ii38171 Facility Name: Town of :.. . .. WMI= 12 • • '• 0 . . .... ...Parameter Monitoring •. 0 LI s • • ®111111� INS MWa■■F JOIN 'r; ■ A►ME ■■ ��■�■�� FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of permit No.: WQ0038171 Facility Name: Town of Boone Jimmy Smith VVWTP County: Watauga Oil • • o��■i■�� s�■ ter. �.�n■� ��■r�■� o �� ■■ , Discharge this Month�� i,�� rrs� �. ■ ► �� .ter �� FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Name: Name: 11 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 dates) of the non-compliance and describe the corrective aclionisl taken Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee 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 {]No Phone Number: 828-268-6271 Permit Expiration: 7/31/2021 ztl S-[) Signature Da a 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 responsiblefar gathering the information, the information submitted is. to the best of my knowledge and belief, tine, accurate, and complete I am aware that there are signihcanl penalties for submitting false infonnaLan, including the possibility of fines and imprisonment fer knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617