WQ0015929_Monitoring - 02-2021_20210407

FORM: NDMR 10 13 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ of %
Permit No.: WQOO 15929
Facility Name: High Vista WWTP
County: Henderson
Month: February
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Sampling Type.
Monthly Avg. Limit:
Sample Frequency:
OEM
Ir

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2-
Sampling Person(s)
Name: Vincent Edwards
Name:
Name: Environmental Testing
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? UCompliant UNon-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)
10 n- I. nU., I QUU M.. I.1 J - . II
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Vincent Edwards
Permittee: A&D Water Service, Inc.
Certification No.: 10940
Signing Official:
Grade: 4 Phone Number: 828-674-2680
Signing Official's Title:
❑Yes ❑No
Has Yie ©RC changed sinceAhe previo IjF$MR?
Phone Number: 828-884-9772 Permit Expiration: Sept. 30.2018
7
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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 property 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