NCG020721 DMR WW (7)

A.)
pacc\I
AUG 10
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CENTRAL FILE&
oWR SECTIO,:
PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT(DMR)
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Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO.NCG020000
Part A:Facility Information
•
Samples Collected In Quarter: 10 2rc 3Q 40 (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. $CQ02a" i077-3-,-7--- <.IC County of Facility t,res. /e n
Facility Name , I I ►�a';,'{1. Name of Laboratory i LD4/' Ar 1 l L.
Facility Contact r. .'r:Z�{ - Lab Certification 4 10 i
Facility Contact Phone No. 12.613 ,61j �Wir- it 4wLe Mi• Lt -rip t A) SOF LI4LA/(4/3 211_ ) p Ll
Part B-Process Wastewater and Mine Dewatering iWaslewaterMonitoring Requirements ., f. �S 3 Ls�! /
Date - 50050_ 00400 00530 00076 00545 �t lr
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Outfall Receiving Stream Name Sample Collected Daily Flows pH Tota]Suspended Solids Turbidity Settleable Solids
Number
mo/ddryr MGD . unit - mg/I NTUs m1/1
ODI Beeve. Bra.nG10 7/a /A ,2e 7s' 3v 3.4 < :alt
00 t eettr 6/--4 (.LC k `7 p-�j6. CJS?
1 Measured continuously using a llow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C:Certification
"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 qualified personnel properly gather and evaluate 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."
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(Sip/attire of Perm e) te)
Part D:Mailing Address
Attn: Central Files,DENR,N.C.Division of Water Quality,1617 Mail Service Center,Raleigh,NC 27699-1617
SWU-244-012005