WQ0038171_Monitoring - 08-2020_20200902

Monitoring Report Submittal
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Permit Number #* WQ0038171
Name of Facility:* Town of Boone WWTP
Month:* August Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR augustndmr.pdf 1.24MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Rudy Broschinski
Signature:*
Date of submittal: 9/2/2020
This will be filled in automatically
Initial Review
Reviewer: Williams, Kendall

Is the project number correct? * WQ0038171
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 9/2/2020

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0038171 Facility Name: Town of Boone Jimmy Smith WWTP County: Watauga Month: August
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FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ003B1 71
Facility Name: Town of Boone Jimmy Smith WWTP
County: Watauga
Month: August
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Jklaily Minimum:

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Persons} Certified Laboratories
Name: Name:
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑compliant ❑Non-comprianl
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 additinnal sheets if naraccnr,,
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Rudy Broschinski Permittee: Town of Boone
Certification No.: 24084 1
Signing Official: Rudy Broschinski
Grade: 4 Phone Number: 828-268-6271 Signing Official's Title: ORC
Has the ORC changed since the previous NDMR? Dyes []NO Phone Number: 828-268-6271 Permit Expiration: 7/3112021
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Signature ate Signature Date
By this signature, I certify that this report is accunale and complete to the best of my knowledge I certify, under penalty of law, that this document and all attachments were prepared under my dnection 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 pessibddy of fines and imprisonment for
knowing molations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617