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HomeMy WebLinkAboutWQ0012696_Monitoring - 09-2023_20231012Monitoring Report Submittal Permit Number#* WQ0012696 Name of Facility:* Pamlico River Ferry Terminal Month: * September Year: * 2023 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR Pam River Sept 23 NDMR.pdf 99.45KB 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: �lla�r ��ard Date of submittal: 10/12/2023 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: 10/16/2023 FORM: NDM . R .'03-12 NOWDISCHARGE MONITORING REPORT (NDMR) -Page Sampling Persons) 'Certified Laboratories Name: {t Ric 4� � Name: N e-Do T t G;11 011*0.' y`,7s'1 C.''~t . .� � .. Name: bA4)* Q at r Name.: Does all monitoring data and sampling frequencles meet the requirements in Attachment A of your permit? jwcompifant: ❑ Non -compliant If the facility Is non -compliant, please explain In the space below thereasori(s) the facility. *Was not incompliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective actions) taken. Attach additional sheets. If necessary. Operator in Responsible Charge (ORC) Certificatiort Permutes Certification CRC: �2Z Permittee: CertificationNo.: Signing Offlciatr. Grade:. Wwtf Phone Number:. 2,SZ- 2 3$-; Signing Official's Title: (L Z S ) Has the 417C changed since the previous NDMR? Yes Phone Number: Permit Expiration:e� Signature Date Signature Date 9y this. signature, i cerlify:lha this report.le aceurrate and complete to the hest of my knowledge, I certify, under penalty or tow, that t}tts document and all attachments were prepared under my dWocUon or supervision In accordance with a system designed to assure that all quaHfted personnel property gathered and evaluated the Information submitted, Eased on my Inquiry of the person or persons who manage the system; or those persons directly responsible for gatheffag tha Informaion, the Information submitted is, to the best or my knowledge and belief; true, accurate, and complete. f am aware. that there art} significant pariatles forsubmitting false information; including the posslblifty of fines and lmpdsaament for if knowing violations. MaIF Or] glnai and TWO Copies to: Divislon of Water Resources lnforrnation Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617