WQ0031030_Revised Monitoring - 08-2020_20201026

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0031030
Name of Facility:*
Month:* August
Report Information
Shawboro Elementary (North)
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
North Elementary NDMR-08- 752.06KB
2020-Revised.pdf
FDF a,ly
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Rebecca Manning
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Reviewer: Williams, Kendall
10/26/2020
This will be filled in automatically

Is the project number correct?* WQ0031030
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Washington
Accepted Date: 10/26/2020

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: WQ0031030
Facility Name: Shawboro Elementary School (North)
County: Currituck
Month: Auqust
Flow Measuring Point: Influent Effluent No flow generated
Parameter Monitoring Point: E] Influent Effluent Groundwater Lowering Surface Water

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ 2 of 2
Sampling Person(s) Certified Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ 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: Randall Marrs
Permittee: Envirolink, Inc.
Certification No.: 1006386 '
Signing Official:
Grade: WW4 Phone Number: 252-340-4586
Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 252-235-4900 Permit Expiration:
Randall Marrs 10/15/2020
10/15/2020
Signature Date
Signature Date
By this signature, I certify that this report is accurrate 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617