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FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pageof
Permit No.:WQ0022523
Facility Name: H&T Truck wash facility
County: Greene1
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Flow Measuring Point: EXI Influent 0 Effluent Fj No flow generated
Parameter Monitoring Point: [I Influent EJ Effluent Groundwater Lowering■Surface Water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: NA Name: NA
Name: NA Name: NA
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [I 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 necessaryr
[Due to pandemic we were unable to obtain sample results for waste water as required by permit in March due to the fact that the Lab was closed. I notified Mr. David May at the Wa
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Timothy Alan Sugg
Permittee: Jeff Turnage
Certification No.: SI-24668 WW1-24001
Signing Official: Jeff Turnage
Grade: 1 Phone Number: 252 253 8454
Signing Official's Title: Owner
Has the ORC changed since th< previous NDMR? ❑ Yes X No
Phone Number: 252-717-0370 Permit Expiration: 3/30/2017
ignature 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 vere prepared under my direction or supervision in accordance
win a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person a persons who manage the system, a those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowedge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibilityof fines and imprisonment for knowng violations
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Enclose you will find amended form NDMR for July 2020. I was unable to enter the parameters
for samples when I sent previous month in report. I did not receive sample results in time to include
them in the report. Please enter this amended form into the records.
Thank You,
Timothy A. Sugg ORC H&T Truck wash
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