WQ0030245_Monitoring - 07-2020_20200902

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* July
Report Information
wg0030245
Town of Rosman
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:*
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
Rosman 07-2020.pdf 1.65MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Mark Teague
Reviewer: Williams, Kendall
94pw"�'
9/2/2020
This will be filled in automatically

Is the project number correct? * WQ0030245
Is the monitoring report r Yes r No
accepted?*
Regional Office * Asheville
Accepted Date: 9/2/2020

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Dale Wike
Name:
Name: Environmental, Inc
Name: Pace Analytical
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2Compliant ❑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
ORC: Dale Wike
Certification No.: 1000267
Grade: SI Phone Number: 828-586-5588
Has the ORC changed since the previous NDMR? ❑Yes ONo
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 Officials Title: Mayor
Phone Number: 828-884-6859 Permit Expiration:
r c_ I > 'e! T—A u
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
Permit No.: W00030245
Facility Name: Town of Rosman
County: Transylvania
Month: July
Year: 2020
Field Name:
Field Name:
Field Name:
Field Name:
Did irrigation occur
at this facility?
DYES rvo
Area (acres):
5.81
Area (acres):
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Annual Rate {in}:
Annual Rate (in):
Weather
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YEs No
Field Irrigated?
Field Irrigated?
Field Irrigated?
EYES _]NO
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f-UNW NUAK-1 US-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
OComphant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
E]Compliant
❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
ECompliant
❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
❑Compliant
❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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 corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Wilke
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 O changed since the previous NDAR-1? ❑ves [,]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 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