WQ0012690_Monitoring - 05-2023_20230918

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
WQ0012690
MT. MITCHELL STATE PARK
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
REVISION 05-2023 Mt Mitchell (NDMR).pdf 209.95KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Envirolink Inc
Signature: /
Date of submittal: 9/18/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00012690
Is the monitoring report accepted?* Yes NO
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 9/19/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __ of
Permit No.: W0001 2690
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Operators Name: Statesville Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? m Compliant o Non -Compliant
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 neoessarv.
SYSTEM STARTED UP MAY 15
Operator in Responsible Charge (ORC) Certification
Permkthe Certiflcation
ORC: Todd Robinson
Permittes: Mt. Mitchell State Paris
Certification No.: 1006252
Signing Official: Robert McGraw
Grade: SI Phone Number. [phone]
Signing Official's Title: Superintendant
Has the ORC changed since the previous NDMR? o Yes ❑ No
Phone Number: [phone] Permit Expiration: 9/30/2026
9/12/2023
(. e
Signature Date
Signature Date
By this signature, I codify that this report Is accurrats and complete to the hest 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 larowledge and belief, hue, 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