WQ0014756_Monitoring - 11-2022_20221214 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0014756
Trinity American Corporation
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
[e-mail]
R. Jeff Wyatt
Year:* 2022
Upload Document*
Trinity NDAR November 733.43KB
2022.pdf
PDF Only
Trinity NDMR November 391.94KB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
12/14/2022
This will be filled in automatically

Initial Review
Reviewer: Gerald, Wanda
Is the project number correct?* WQ0014756
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/5/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / )f_-7,

FORM: NDMR 0$-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z' of 7—
Sampling Person(s) Certified Laboratories
Name: R. Jeff Wyatt Name: Pace Analytical Laboratories NC# 165
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
® Compliant E__I 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 actions) taken. Attach
additfonal sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: R. Jeff Wyatt
Permittee:
Trinity American Corporation
Certification No.: 997298
Signing Official: Eric M. Drye
Grade: SI Phone Number: 336-287-8821
Signing Officials Title: President
❑ Yes ® No
Phone Number: 336.885.4121 Permit Expiration: 8/31122
Si nature Date
Si ature Date
By this signature, I canfy that this report is accurrats and complete to the best of my knowledge.
I oertify, under panalty 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, induding 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