WQ0030245_Monitoring 2019-10_20191130

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NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page _ of
,mit No.: W0002
PPI: 001
meter Code --j
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24-hr hrs
10:40 2
10:40 2
11:45 Q_
11:00 1
11:00 2
10:30 1.5
10:30 1.5
11:00 2
10:30 1.5
11:00 4,5
10:30 1.5-
10:30 1.5
10:40 1.5
10:40 1
11:00 2
10:45 1.5
10:30 1.75
10:50 1.5
10:30 1
10:45 2_
10:30
10:50 1
10:50 2
Average:
Daily iaimum�
Daily Minimum:
Sampling Type:
Monthly Avg. Limit
:
Daily Limit
SampleFrequency:
0245
Facility Name: Town of Rosman
County: Transylvania
Month: October
Year: 2019
TFlow Measuring Point: DInfluent REffluent FZ]No flow generated
Parameter Monitoring Point: ElInfluent EjEffluent DGroundwater Lowering oSurface Water
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NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Dale Wilke 11 Name: Environmental, Inc
IName: II Name: Pace Analytical I
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 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 ORC chan ed since the previous NDMR? ❑Yes ONO
Phone Number: 828-884-6859 Permit Expiration:
! I
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�
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

NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
t No.: WQ0030245
rDid
Facility Name: Town of Rosman
County: Transylvania
Month: October
Year: 2019
Irri ation occur
g
at this facility?
❑YES [ZNo
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PVNDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
PD!d'the applicat
ion rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Page of
DCompliant ❑Non -Compliant
❑r Compliant ❑Non -Compliant
❑� Compliant ❑Non -Compliant
OCompliant []Non -Compliant
❑� 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 Wlke
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 ORC changed 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 penally 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