HomeMy WebLinkAboutNCG020721_DMR_20211222F?eCF'VSD
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PROCESS/11ffiVE DEWATERING WASTEWATERDISCFIARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMT NO. NCGO20000
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Samples Collected In Quarter. 10
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Part C. CeniBconm
"1 earthy, under penalty of law, that this doenmentand an atlaehmentswere prepared under my. direction or supervision in accordance with a
system designed to assure that gnallfied personnel properly gather and evaluate the information submitted. Based on my inqutry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest
ofmy knowledge and belief, tree, accurate, and complete I an aware that there are significant penalties for submitting false information,
including the possildity of flues and rmprisonmentfor knowing violaoffdql
(S amre etminae) (Dare)
PartD., MailnrgAddress
Atm: Central Files, DENR, N.0 Division of water Quality, I617 Nail Service Center, Raleigh, NC Z7699-1617
SWU-244-013005