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HomeMy WebLinkAboutNCG030646_DMR Upload Review_20230426 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 10/21/2022 3:49:28 PM(DMR Submittal) Submit by bethany.georgoulias 4/26/2023 5:22:32 PM (DMR Submittal Review) • The task was assigned to DEMLR SW Admin for DMRs 10/21/2022 3:49:30 PM • bethany.georgoulias reassigned the task to bethany.georgoulias 4/26/2023 5:09:56 PM DEQ DMR Submittal from 10/21/2022 Permit and Facility Information: .............................................................................................................................................. Permit Number* Enter COC or Individual Permit Number NCG030646 Must begin with NCS or NCG Facility Name:* John Deere Kernersville County:* Forsyth 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 What is the YEAR of the sample date(s)? Year:* 2022 DMR Upload* Click the upload button or drag and drop files here to attach document. DMR Form Q3 2022 WC-Signed Copy.pdf 708.78KB Only PDFs are accepted. Comments: Q3 2022"NO FLOW"Report for John Deere Kernersville West Campus * By checking the box and signing box below, I certify that: o I have given true,accurate,and complete information on this form; o I agree that submission of this Discharge Monitoring Report(DMR)Upload form is a"transaction"subject to Chapter 66, Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act"); o 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"); o 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 d I intend to electronically sign and submit this DMR Upload form. Full Name:* Debra Randleman Name of person submitting this form Email Address:* randlemand@dhcmc.com Phone Number:* 3369968144 Signature: �2a�ardldrrar Date:* 10/21/2022 Review Review Date: 04/26/2023 Confirm Permit No.* Correct the permit ID number if needed. NCG030646 Confirm DMR Year* 2022 Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above. Can submittal be Yes accepted?* No(Explain why below) Do Central Office No staff need to be Yes alerted?* Do Regional Office No staff need to be Yes alerted? Type of Permit* General Ensures DMR(s)filed correctly.