WQ0020808_Monitoring - 11-2022_20221219

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0020808
3M Pittsboro
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Pittsboro WQ0020808 W... 1.54MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Della Hardy
Reviewer: Gerald, Wanda
12/19/2022
This will be filled in automatically

Is the project number correct?* WQ0020808
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 12/20/2022

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of 1-t
Permit No.: WQ0020808
Facility Name: 3M Pittsboro Plant
County: Chatham
Month: November
Flow Measuring Point: P-1 Influent Effluent No flow generated
I&MMW mi,
•
•

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 off
Permit No.: WQ0020808„Facility
Name: 3M Pittsboro Plant
County: Chatham 1
11111111-11111151111,
- - ..
•

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of. �'
Permit No.: WQ0020808
Facility Name: 3M Pittsboro, Plant
of County: ChathaIIIIIII m
Month: Novembe•
#
Flow Measuring F mC
Mai 10miiiii 0 9-:111111161
a N 11503'. 1 i n* i
•

FORM: NDMR 10-13 NON -DISCHARGE MONITORING REPORT (NDMR) Page Ll off_
Sampling Person(s) II Certified Laboratories
Name: Randall Jarrell VACHIM. Vwastewater rv1aanagement, L.L.C.
Name: II Name: Environmental Ganservatioruaboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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 Jarrell ❑ Yes 0 No
Permittee: 3M Corporation, Moncure
Certification No.: 7937
Signing Official: Blake Arnett
Grade: IV Phone Number: 919-210-2500
Signing Official's Title: Plant Manager
Has the ORC changed since the previous NDMR?
Phone Number: 919-642-4011 Permit Expiration: 6/30/2025
-I
E'
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