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