WQ0038171_Monitoring - 11-2020_20201209

Monitoring Report Submittal
...........................................................................................................................................
Permit Number #* WQ0038171
Name of Facility:* Town of Boone WWTP
Month:* November Year:* 2020
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR ndmrNov2020.pdf 1.23MB
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: 12/9/2020
This will be filled in autorratically
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: 12/9/2020

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Wermit wii'121
- ••"
■
li i
Facility Name�
® 11: 1
Town of Boone Jimmy
If ( Ili .
Smith
__-_-_-__-_
WWTP
'
•-
Month:
NovemberAIM
q
16
17
18
19
1
21
• .

FORM NDMR 05-16 NON -DISCHARGE MONITORING
Permit No.: W00038171 Facility Name: Town of Boone Jimmy Smith WWTP
PPI: 002 Flow Measuring Point: ❑Influent (]Effluent ❑No flow generated
Code WQ01
c
1i O v ro
y y
} QE CID
rd U F- H U) 3 C
d p it p
O
24-hr hrs Gallons
1
2
3
4
5
6
7
$ No Discharge this Month
9
REPORT (NDMR)
County: Watauga
Parameter Monitoring Point: ❑Influent
Month:
❑ Effluent
November
Groundwater
[]GroundwaterParameter
Page
Lowering
of
2020
Water
Year:
❑Surface
t
1D
11
12
13
14
15
161
17
19
20
21-
22
23
24
25
26
27
28
29
34
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Limit:
- --
#DIV10!
0
0
Estimate
—
- ----
-- - —
-
----
—
-_-
-
-----------
- -
---------
-
-
-
--
-
-
--
000
000
0.00
-- - -
--- _
_
-
Daily Limit:
Sample Frequency:
Monthly

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name
Name:
Name:
11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
❑Compliant ❑NomCamptiant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Previde 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
ORC: Rudy Broschinski
CertlW,atl No,: )4084
Grade q
Phone Number: 828-268-62I1
Has the ORC changed since the previous NDMR?
❑Yes ❑✓ No
Signature
By this signature, I certify that this report is accurrate and cornplete to the best of my knowledge
Permittee Certification
Permittee: Town Of Boone
Signing Official: Rudy Broschinski
Signing Official's Title: ORC
Phone Number: 828-268-6271 Permit Expiration: 7/31/2021
Signature Date
I certify, under penalty of law. that this document and all attachments were prepared under my direction or supervision in
accordance Huth a system designed to assure that all qualil personnel properly gathered and evaluated the information
submitted Based on my inquiry of the person or persons who manage the systern, or those persons directly responsible for
gathering the information, the information submtted is, to the bestoi my knowledge and belief, Frm; accurate, and complete I an
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violalions.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617