WQ0000731_Monitoring - 11-2016_20161222 (2)

FORM: NOW 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
w
■ D ■
■
D
■ ■
mommummno m.

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of 7 -
Sampling
Sampling Person(s) Certified Laboratories
Name: Gary Norton Name: Enviromental Testing Solutions, Inc
Name: Richard McCrary Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? c «plan ❑ Noncomplam
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
tasen. Aaacn aaamonal sneers n
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Gary Norton
permittee: Lake Toxaway Company
Certification No.: 21853
signing Official: Scott McCall, by signatory authority
Grade: II Phone Number: 828-553-2990
Signing Officials Title: Broker, Lake Toxaway Company
Has the ORC changed since the previous NDMR? ❑ res 0 No
Phone Number: 8�28-966-4260 Permit Expiration: 10/31/20021
Z-15--14
Signature Date
Signatu a Date
By this sign curs, I oertxy, Mat this report is acaxrate and complete M the best of my knowledge.
I cert0y, unoer penally of law, Mat this docum Wd and 80 attachments were herer Of In
pretty
he Information
eccomance wtth a system designed to assure that all qualnied personnel proper gathered antl evalueletl Ne Imormation
gathered an evaluated
submitted. Based on my inquiry of the person w persons who manage the system, or those persons dkeclN responsible for
gathering the information. the information submitted is. to One best of my knowledge and belief, mus, 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617