WQ0005150_Monitoring - 07-2022_20220810 (3)

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DWR - NonDischarge Monitoring Report Submittal ti '
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0005150
Name of Facility:* North End Elementary School
Month:* July Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 1506_001.pdf 226.04KB
PDF 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:* Paul Phillips
Signature:
Date of submittal: 8/10/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0005150
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 8/29/2022

rORM: moAn1oe11 NON-DISCHARGE APPLICATION REPORT (NDAR4) page or
Permit No.: VVQ0005150 Facility Name: North End Elementary County: Person Month: July Year: 2022

FORm:NOMR 08-11 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Sampling Person(s) 1
Certified Laboratories
Name: Paul J. Phillips I Name: Pace Analytical
II
Name: Chris B. Clayton ii Name:
II _
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 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 n
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Operator in Responsible Charge(ORC)Certification I Permittee Certification
ORC: Paul J. Phillips Permittee: Dr. Rodney Peterson
Certification No.: 986029 i Signing Official: Dr. Rodney Peterson
I
Grade: SI Phone Number: 336- 599-0223 Signing Official's Title: Superientendent
Has the ORC changed since the previous NDMR? 0 Yes E No
I Phone Number: 336- 599-0223 Permit Expiration: 7/31/2026
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Sign-,ure Date
Sigre Date
By tn;-s sigaature caftirr;dr,at t,Ns rer•cr,is accurate a:,d CfOrf'fpf etc to the DeSt,,f ar‘j knowtedge f ced;iy,uocer par,a*of!aw,that tnis docdmeN and a,!attadhMeats wWe,a'.epareri uader my d,rect:r.'-,or supe:Ar,sion;r
adozroance with a system desived to ass.Jre that al quaiified persor,ale!prneriy gatrlerad and evEiff.1n9c tr,e r,foraaatior, ,
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Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617