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Home My WebLink AboutWQ0038171_Monitoring - 12-2020_20210106Monitoring Report Submittal ........................................................................................................................................... Permit Number #* WQ0038171 Name of Facility:* Town of Boone WWTP Month:* December Year:* 2020 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR decemberndmr2020.pdf 1.21VIB FDF 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: 1/6/2021 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: 1/6/2021 �• -, • • •• -•- s Permit No.: WQ0038171 Facility Name: Town of Boone Jimmy Smith VVWTP County: Watauga Month: December 11 �•. ■ -� ■ ■ ■ . ■ • • r • u ®®� r-MI I ��®--------_- Sampling Type: Composite Grab Composite Composite Recorder Monthly Limit: Daily Limit: Sample Frequency: 5 X Week 5 X Week 3 X Week 5 X Week Continuous FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0038171 Facility Name: Town of Boone Jimmy Smith WWTP County: Watauga Month: December 11Flow Measuring -. [AEffluert E:]No flow generated Parameter MonitoringPoint: ■ FIGroundwater Lowervig ElSurface WaterSurfa • • Daily Maximurrr.0-- ------------ ■ . 0-- -----------_ FORM, NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [-]Compliant ❑Non-cpmibliart If the facility is non -compliant. please explain in the space below the reason(s) the facility was not in compliance. Provide in your expianation the date(s) of the non-compliance and describe the corrective actions) 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 7 N o Phone Number: 828-268-6271 Permit Expiration: 7/31/2021 u 5- Signature / I Date By this signature. I certify that this report is accurrate and compiete to the best of my knowledge t� -_ jj 5jo L, Signature Date 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 possibility of fines and impnsonmenl 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