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HomeMy WebLinkAboutWQ0012696_Monitoring - 04-2023_20230525 (3)Monitoring Report Submittal Permit Number#* WQ0012696 Name of Facility:* Pamlico River Ferry Terminal Month: * April Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR NDMR April 23 PR.pdf 70.99KB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * wvneeland@ncdot.gov Name of Submitter: * Bill Neeland Signature: Date of submittal: 5/25/2023 This will be filled in automatically Initial Review Reviewer: Wanda.Gerald Is the project number correct?* WQ0012696 Is the monitoring report accepted?* Yes No Regional Office* Washington Reviewer: _anonymous Review Date: 6/27/2023 FORM: NDMR 03-12 'NON -DISCHARGE MONITORING REPORT (N . DMR) Padb !— -of 2, FORM' "r)MR.03-12 NON -DISCHARGE M01'-0RING REPORT (NT]MR) Page _7 , of-2— Name: bAt1,l:a P 11rr Nams, Sampling Person(s) W,..� Certified l.aboratorles Namer :JiS:>w., dzt4--&--:5 Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Wc°»tpiiant ❑NonconspUant 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-complianceand describe the corrective actlori{s) taken. Attach additional sheets if necessary, Operator In Responsible Charge (ORC) Certification Pernlittee Certification ORC: Permittee: t�.f}US7A1C2 Certification No:: S -LIt01 Signing Official; bAV:; D PAJ,-r Grade: t V - Vo S z,�, Phone. Number: 252-, }2-57 3V" l Signing Official's Title: C)IZ-(o Has the ORC changed since the previous NDMR7 ❑ Yes. ® No. Phone NUMber: Z.5 Z: 1,7-S, "5?,4,1 Permit Explrat€on: Signature Date H Slgnature Date: t3y this slgnaUue, l certify thaEdhls-ieporf is acGurrate and complete to Ihe:best of my. knowledge: I cor.!fy,;undor penaityafiaw, (list this document and all allaclimonls.v�ere. praparod under my. direction or superolslon In accordance vrith a system designed to assure that all quaitfled personnel property galheied and evaluated lhdinformallon sttbnttllod. Based: on my Inquiry of the person or persons wito manage the system, or those persons dlreclty.roisponsible for gathering lheanfortnapon, ilia Information submitted is,, to the best of my knowledge and belief; true, accurate, andxomplele.I am aware 1101+010ro rife sEghiflcant penalties for submitting false (aformallon, rncluding the posslbllHy.o! !Ines and inivdignmeni for knowing violatlans, Mall Qrlginal and Two Copies to: DIVIsion of Water FResources Information Processing Unit 1617 Mall Service. Center Raleigh, North Carolina27699-1617