WQ0030245_Monitoring - 04-2020_20200604

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: WQ0030245
Facility Name: Town of Rosman
I
County: Transylvania
Month:
April
Year: 2020
Flow Measuring Point: ❑Influent Effluent
❑� No flow generated
Parameter
Monitoring Point: ❑Influent
DEffluent
❑Groundwater Lowering ❑Surface water
Parameter Code
00400
00310
00530
00916
00929
00665
LO
11
L
0
-6
1—O
R
O O
Z
Q
V F
U(
m
0)
v
a
0
W
O
rn
24-hr
hrs
su
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
09.00
3.15
2
10:55
2.5
3
10:00
, JE-
12:20
10:23
09:52
10:43
09:50
10:46
10:26
09:26
10:30
2
2.5
1.15
3:36
2.5
1
10:26 1.5
11:12 1.5
11:10 1.5
10:30 1.5
10:23 1
11:00
10:12
10:05
10:44
2.15
1.15
1.75
2
Maximum:
r Minimum:
piing Type:
Avg. Limit:
Daily Limit:
Frequency:
Grab No= Grab Grab NINJINGrab Ell= Grab Grab Grab

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
Name:
Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? IZCompliant ❑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 corrective
action(s) taken. Attach additional sheets if necessarv.
Operator in Responsible Charge (ORC) Certification
I ORC: Dale Wike
I Certification No.: 1000267
Grade: SI Phone Number: 828-586-5588
Has the ORC changed since the previous NDMR? ❑Yes i]No
z"
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Town of Rosman
Signing Official: Brian E. Shelton
Signing Official's Title: Mayor
Phone Number: 828-884-6859 Permit Expiration:
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 imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0030245 Facility Name: Town of Rosman County: Transylvania Month: April Year: 2020
Field Name: I IField Name:
at
Y.
22
F]YES 0 •
WSW
\ \
\"'NFJ1\'
51
IN
acre N
®mmo
mm
OVER
30
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
❑YES
❑No
'
7 Q
R
n
E v
i Q
~
J
= 0
aal
min
in
in
1 9 %m
12 Month Floating Total

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
compliant [-]Non-compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? pcompliant [-]Non-compliant
Were all setbacks Iisted in your permit maintained for every application to each permitted site? Ecompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Ecompliant ❑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 corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Wike
-
Permittee:
Town of Rosman
Certification No.: 1000267
Signing Official: Brian E. Shelton
Grade: SI Phone Number: 828-586-5588
Signing Official's Title: Mayor
Has the ORG�cha ged since the previous NDAR-1? [-]Yes ❑No
Phone Number: 828-884-6859 Permit Exp.:
Signature Date
Signature Date
By this signature, I certify that this report is 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 sign cant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617