HomeMy WebLinkAboutNCG020721_DMR_20210629RECEIVED
JUL 01 2021
-;ENTRAL FILE
DWR SrCT110NI
PROCESSNliNE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please \fail Origir al And One Copy To Mailing Address Below
Part A: Fewfilty tnformadon
GENERAL PERMIT NO_ NCGO20000
Samples Collected In Quarter. Y 3 (A ==pits shall bereparted srftbin 30 dxpsfollmsiag maaltaring period)
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Certificate Of Coverage No. NCGil2 County of Facility
FneM(y Na=B t ( KUWAte° Name of Laboratory
Facility Contact Lab Certification #
Facility Contact phone No. - �l � �I Lt4 � t E lLu Pm7B: Proem WasknrutermrdW7neAenrntering llrarteacmrrMnniloringRequiranemr �!{/e, r'�1 S . y ir`i�
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Oatfall
Number
rtadriog5tranaName
Date
SmWeCollected
50050
00480'
OEM
iaFi—T
56543
'132i[SP1.0
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l afrasL=d can[iavans[y using a flow a gmlpg dericc W estimascd using asamfarwr a-s pump Qurm Md pomp iDg
Par, C- CL'TYirrCW ioil
"I certify, under penalty afbtty that this document and all nttachmentswere prepared under my. direction or mpervisfon In accordance with a
system designed to 9ssu•+- that qualified personnel prop" gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage thesystem, or those persons directly responsible for gathering the information, the information submitted is, to the best
army Imawledge and belief, true, aeearate, and camplete. I am aware that there are sigoilie®ht penalties for submitting false information,
including the possibiiitpoffinesand imprisonmentfor knowingviotati "
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(Si tnreafperahll#ce) ��
PartD. ilfailfrig.4ddrers
Attn: Central Flies, DEgp,1'4.0 Division of Water QualIt};1617 Mazy Serviet Center, Raleigh, NC 276994617
5ll'U-244-012005