Loading...
HomeMy WebLinkAboutNCG060382_DMR Upload Review_20201218Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/17/2020 2:14:30 PM (DMR Submittal) Submit by McCoy, Suzanne 12/18/2020 8:17:40 AM (DMR Submittal Review) • The task was assigned to McCoy, Suzanne 12/17/2020 2:14 PM d� 4 NORTH LAROLI NA Enrlmnmenfcl Quouty DMR Submittal from 12/17/2020 Permit and Facility Information: Permit Number* Enter ODCor Individual Fbrrrit Ninber NCG060382 Mast begin w ith NCS or Na,- Facility Name:* Mountaire Farms - Statesville Breeder Feed Mill County:* Iredell Note: Facility name and county are used to help the reviewer verify the permit number entered, and to display the Regional Office address on the submitter's form (not here). These metadata details will be pulled from current BIMS information after the DMR(s) are filed. If the submittal is accepted, simply note any errors in the reviewer's comments. Monitoring Period Information: Monitoring Period VUTatisthe YEAR ofthe sanpledate(s)? Year:* 2020 DM R Upload* aick the upload button or drag and drop files here to attach document. 2020.11.Statesville Feed Mill SW DMR Template 306.57KB Form_signed.pdf only FOFs are accepted. Comments: 17 By checking the box and signing box below, I certify that: have given true, accurate, and complete information on this form; • I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature; AND • I intend to electronically sign and submit this DMR upload form. Full Name:* Elizabeth B Gordon %me of person subrritting this form Email Address:* egordon@mountaire.com Phone Number:* 9196636729 Signature: Date: * 12/17/2020 Review Review Date: 12/18/2020 Confirm Permit No.* Correct the perrritIDnurrberifneeded. NCG060382 ConfirmDMRYear* 2020 Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above. Can submittal be r Yes accepted?* r No (Explain why below) Do Central Office r No staff need to be r Yes alerted?* Do Regional Office r No staff need to be r Yes alerted? Type of Permit* General Ensures DUZ s) filed correctly.