HomeMy WebLinkAboutWQ0038171_Monitoring - 01-2021_20210208Monitoring Report Submittal
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Permit Number #* WQ0038171
Name of Facility:* Town of Boone WWTP
Month:* January Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR January2021 NDMR.pdf 1.22MB
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: 2/8/2021
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: 2/8/2021
Permit No.: WQ0038171
Facility Name: Town of Boone Jimmy Smith \NVVTP County: Watauga
Month: January
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00038171 IFacility Name
PPI: 002
Flow Measuring Point:
Parameter Code
Q0+1
mLo
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EWL'
Gallons
17
Town of Boone Jimmy Smith WWTP County: Watauga Month: January LYear: 2021
❑Influent ❑' Effluent ❑No Flow generated Parameter Monitoring Point: ❑Influent ❑Effluent LjGrojfidwater Lowering ❑Surface Water
No Discharge this Month
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Minimum:_��
-Daily
Sam piing Type:
Monthly
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ample Frequency:'
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FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Persons? II Certified Laboratories
Name: 11 Name:
Name: II 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 date(s) of the non-compliance and describe the corfective
nctionW 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 ENO Phone Number: 828-268-6271 Permit Expiration: 7/31/2021
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Signature Date Signature Date
By this signature, I certify that this report is accurrate and compiete 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
galhenng 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 imprisonment 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