WQ0023896_Monitoring - 09-2016_20161101 (2)

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page _1_ of _2_
Permit No.: WQ0023896
Facility Name:
UNC -CH Bingham Facility
County:
Orange
Month:
September
Year: 2016
PPI:
001
Flow Measuring Point:
21
Influent ❑ Effluent ❑ No Flow generated
Parameter Monitoring Point:
❑ Influent
Q Effluent
❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050 ':
00310
00940
50060 31616 00610
06625
00620
00600
00400
60665
70300
00530
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_ of _2_
Sampling Person(s) 11 Certified Laboratories
Name: James E. Smith II, Christain Teague 11 Name: UNC -CH Bingham Facility (NC Certification No. 5652)
Name: Eric McHorney 11 Name: Environmental Chemists, Inc. (NC Certification No. 94)
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? P] compliant ❑ 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James E. Smith II
Permittee: The University of North Carolina at Chapel Hill
Certification No.: 985237 / 994849
Signing Official: Matthew M. Fajack
Grade: SI WW -1 Phone Number: 919.883.6003
Signing Official's Title: Vice Chancellor for Finance & Administration
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 919.962.3795 Permit Expiration: 9/30/2020
Signature Date
ignature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
ce i , under penalty of w, 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 27699-1617