WQ0030245_Monitoring - 06-2021_20210802 (2)

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmerttat Quaffty
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0030245
Name of Facility:* TOWN OF ROSMAN
Month:* June Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR ROSMAN NDMR JUNE 3.13MB
2021.pdf
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* WILLIAM WESLEY ROYAL
Signature:
ar1L/W1 !ve'SLE}f QO YAL
Date of submittal: 8/2/2021
This w ill be filled in automatically
Initial Review
Reviewer: Mokashi, Poorva

Is the project number correct?* WQ0030245
Is the monitoring report C' Yes r No
accepted?*
Regional Office* Asheville
Accepted Date: 8/19/2021

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.: WQ0030245 Facility Name: TOWN OF ROSMAN County: Transylvania Month: June Year:
2021
PPI: Flow Measuring Point: ❑Influent ❑Effluent No flow generated Parameter MonitoringPoint: ❑Influent
❑Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code —► 50050
c
0
2
t] 0 ~ V LL
O
24-hr hrs GPD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average: #DIV/0!
Daily Maximum: 0
Daily Minimum: 0
Sampling Type:
Monthly Avg.Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: WILLIAM ROYAL Name: ETS 600
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2 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: WILLIAM ROYAL Permittee: TOWN OF ROSMAN
Certification No.: 990510 Signing Official: WILLIAM ROYAAL
Grade: SI Phone Number: 828-884-9537 Signing Official's Title: ORC
Has the ORC changed since the pre ' NDMR? ❑Yes [ vo Phone Number: 828-884-9537 Permit Expiration:
619-C it`,2
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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617