WQ0029169_Monitoring - 12-2022_20230206

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQ0029169
Facility Name: Town of Mount Olive Reclamation
County: Wayne
Month: December
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' `"""'• V°'14 IVUIU-Mh:ffldKUt: IVIUiVI I URING DEPORT (111DIVIR) Page of
Sampling Person(s) 11 Certified Laboratories
Name: Plant Staff 11 Nc.mm Town of Mount Olive Lab
Dame: 11 Name: Environmental Chemists Inc
T z i7fvr ff�n I,gajt^ Bi^° °TT('�f(f' g ff''P!1f>'t"(Pr°fr " '17r7'4` l`�r°= !f°nllfF(�Cl'ilfnf..� fn AV.achment �. CEg jfOtiAf �et'6YBI>t� Ocompllant ONon-compliant
If the facility is non -compliant, please eyplain in the space below the reeson(.$) the ficilithr 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 necessarv.
FLOW TO SYSTEN
1 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 Official's Title: Town Manager
Has the ORC changed since the previous NDMR? OYes ONO
Phone Number: 919 658 9539 Permit Expiration: 3/31/2020
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Signature Date
Signature _ Date
Bythls signature, 1 certify that this report is accurrale 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 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276994617