WQ0022711_Monitoring - 04-2020_20200506

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ofy-
Sampling Person(s) Certified Laboratories
Name: N/A Name: N/A
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
If the facility is non -compliant, please explain in th space below the reason(s) the facility was not in compliance. Provide in your explanation the dates(s) of the non-compliance and
describe the corrective action(s) taken. Attach additional sheets it necessary.
System not utilized during this reporting period.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Permittee: Macon County
Certification No.:
Signing Official: Chris Stahl
Grade: Phone Number:
Signing Official's Title: Solid Waste Director
Has the ORC changed since the previous NDMR? 0 Yes ❑ No
Phone Number: [phone] Permit Expiration: 9/30/2020
C 5-6•a0
Signature Date
Signatulog Date
By this signature, I caddy that this report is accurrete and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all allchmenM 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 im risonment for knowfina violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

Form: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page'Zoft
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) - Page 30 4'
Sampling Person(s) Certified Laboratories
Name: N/A Name: N/A
Name: Name:
Does all monitoring data and sampling freauencies meet the reauirements in Attachment A of vour nermit?
If the facility is non -compliant, please explain in th space below the reason(s) the facility was not in compliance. Provide in your explanation the dates(s) of the non-compliance and
describe the corrective action(s) taken. Attach additional sheets if necessary.
System not utilized during this reporting period.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC:
Permittee: Macon County
Certification No.:
Signing Official: Chris Stahl
Grade: Phone Number:
Signing Official's Title: Solid Waste Director
Has the ORC changed since the previous NDMR? RI Yes ❑ No
Phone Number: [phone] Permit Expiration: 9/30/2020
S-G- L'*
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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 Nose 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 knowino violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Form: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -of4
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