WQ0029169_Monitoring - 01-2022_20220302

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0029169
Facility Name: Town of Mount Olive Reclamation
County: Wayne
Month: January
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Parameter Monitoring •. E]Influent DIEffluent
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1 -11-1. IVVI IVJ IL NUIv-Ul0Lr9a KUr_ 111/1UNIIUIC1►titi KtzVVKI (IMUlVIK) Rage of
Sampling Person(s) II Certified Laboratories
Nance: Plant Staff 11 Ncma: Town of Mount Olive Lab
Name: II Name: Environmental Chemists Inc
f.rlr 3 Tli ril rv, Ill 0.0 1 r " onfn P,rrc? rnnirIingr fm., iirrrrrs@co "rect 440 req of f rpmc,nl~ ire Attachment A of you permit? (]Compliant []Non -Compliant
If the facility is non -compliant, please explain in the spare 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.
NO FLOW TO SYSTEN
11 Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Glenn Holland Permittee: Town of Mount Olive
Certification No.: 27255 Signing Official: Jammie Royall
Grade: SI Phone Number: 919 658 6538 Signing Officials Title: Town Manager
Has the ORC changed since the previous NDMR? ❑Yes 171 No Phone Number: 919 658 9539 Permit Expiration: 3/31/2020
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Signat a Dad Signature _ Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge. I certify, under penally of law, that this document and ail attachments were prepared under my directlon or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the Informaton
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 penallles 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