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Home My WebLink AboutWQ0038171_Monitoring - 10-2020_20201103Monitoring Report Submittal ........................................................................................................................................... Permit Number #* WQ0038171 Name of Facility:* Town of Boone WWTP Month:* October Year:* 2020 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR octoberndmr2020.pdf 1.26MB PDF= Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). Confirmation Email Address:* r.broschinski@townofboone.net Name of Submitter:* Rudy Broschinski Signature: Date of submittal: 11/3/2020 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: 11/3/2020 FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: 01138171 Farifity Name: Town of :•.Watauga • October • • ENIN RISEN VMS SEEN KWA SEEN m��■��ii�i�SEEN m NONE ® NONE NONE WANM Mpg, �r ININENNIN m ENNE t`L��/�/.�1j ENIN�►�V�r��t��`iiiiiil�� NONE SEEN SEEN NONE m�� ■SEENNEENEENE SINS SEEN ENINSSEEN ONES SEEN M SEEN NONE NONE ®�� SEEN■� MENNEENE�� FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page Permit No.: 111038171 Facility Name: Town of Boone Jimmy Smith VVWTP County: Watauga Month: October 11Flow Measuring Point: • AWAA WAV m �� ■�� m�� r�■�rM■v�� m lam/ ■ao��i�ICl11�I1�� ® 1Si.zG��i�i�i�sill�� m�� m�� m�� ----------- • . 1 1 1 ------�---- FORM. NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Persorl Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑Non-cornplant 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 actiol taken Attach arirfFinnal chao+c if ---- 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? Dyes Ell Phone Number: 828-268-6271 Permit Expiration: 7/31/202 1 i J3 2-C-) litji Signature Date Signature Date By this signature, I certify that this report 3s 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 passibility of fines and imprisorment 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