HomeMy WebLinkAboutNCG020721_DMR_20230707DEWATERING WASPEWATERDISCHARGE MOM[TORING REPORT (DMR)
Please bdad Original And One Copy To MaUmg Address Below
GEMaAL PERMIT NO_ NCGO20000
Pan {: FadrwInformalim
Samples Cnliededin Quarter. to 30 40(aUa®pie sloU bereymtrd rsfUde 30 days inIImdag mvettvrivgpedad)
m
Certifinto Of Coverage Na. NCG02 County ofFarNt).
Fac➢llyNamc 1 Sq e IKC Name ofLabmatory
Fad ilty Coahet Klpwt qAnes Imb Cerdffeatloo g
Fa Tty Cantaet Phone No.
Pun Prurev U'anneaterandArm Donvering lYm(nmlerdfonil. gftagwenreatr (711p . W
i NmenN c®tlmamdy ®og a'aocmvvimgdrsix mcnaotaimin6a�fe�u3p�cmss®dP�t^4
Part t: Cedifratfea
ay.n
V{L940MCAJT 1� 14e-.
40
-T'0--0ww ma's vancrl'ory
jTr
7-lN6-
CENTRAI. FILLm' +
DWR SECT161
'1 eertify,®derpeuolfyoflaw,thatthBdommmtandallnttadaumtswe preparedmdr my.directi000rsapervision In verordoncewitha
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Basest on my inquiry of the perm
m-personswbo menage thespstem, or those personsdiredly responsible forgathering the information, the information submitted is, to the best
ofmylmowledgeandbcUe4true,a ti%mdmmplNe. ram aware andtbere neesiguiHmntpmdties for submitting false information,
indodivg the posWUi[r afpnes and lmnrfsoammtforlmaniee vleiadoac"1 A a �
Fa D: Afollr*Addmst
Ann: Central Files, DENR,N_G Division of Water Quality, 1617 }Iml Service Center, Raleigh, NC 27699-1617
SR9b244.012M