WQ0022224_Monitoring - 07-2020_20200902

TOWN OF CLAYTON
"SERVICE- OPERATIONS CENTER "ENVIRONMENT"
ELECTRIC SERVICE • PUBLIC WORKS
[phone] [phone]
VEHICLE MAINTENANCE WATER RECLAMATION
[phone] [phone]
08/21 /2020
Certified Mail
Return Receipt Requested_
NC DEQ, DWR
Non- Discharge Section
1617 Mail Service Center
Attn. Information Processing Unit
Raleigh, NC 27699
Re: Monthly NDMR Report Forms:
To Whom It May Concern:
Enclosed please find a NDMR with two copies for July 2020.
Please contact me directly at 919-553-1536 if you have any questions.
Sincerely,
(.Jgmes Warren, p
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ORC, Town Of Clayton, NC Z
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653 Highway 42 West • P.O. Box 879 • Clayton, North Carolina 27520 • [phone] • Fax [phone]

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
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Sample Frequency:

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of _
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Bill Simpson, Salvador Valdiviezo, David Atkinson Name: Environment 1, Cameron Labs, Town of Clayton
Name: Chad Wallace, James Warren Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? compliant Qdon-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
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Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Warren
Permittee: Town of Clayton
Certification No.: WW4- 7149
Signing Official: James Warren
Grade: W W-4 Phone Number: 919-553-1536
Signing Official's Title: Wastewater Operations Superintendent
Has the ORC changed since the previous NDMR? d'g ENO
Phone Number: 919-553-1536 Permit Expiration: Oct. 31,2026
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Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I ce nder 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 submiajng 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