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Home My WebLink AboutNCG020463_DMR Upload Review_20231031 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 10/31/2023 8:37:19 AM(DMR Submittal) Submit by Brittany.Cook 10/31/2023 8:49:43 AM(DMR Submittal Review) • The task was assigned to DEMLR SW Admin for DMRs 10/31/2023 8:37:19 AM • Brittany.Cook assigned the task to Brittany.Cook 10/31/2023 8:46:32 AM [rftDQ DMR Submittal from 10/31/2023 Permit and Facility Information: .............................................................................................................................................. Permit Number* Enter COC or Individual Permit Number NCG020463 Must begin with NCS or NCG Facility Name:* Fogleman Landfill Mine&Recycling Owner/Operator Fogleman&Fogleman Soils Inc Name:* County:* Durham Note: Facility name and county are used to help the reviewer verify the permit number entered,and to display the Regional Office address on the submitter's form(not here).These metadata details will be pulled from current BIMS information after the DMR(s)are filed. If the submittal is accepted,simply note any errors in the reviewer's comments. Reason for not yet If applicable: reporting data Facility registered for eDMR before the original deadline of Jan. 1,2022 and has not through eDMR for received any confirmation of eDMR registration. this permit: Monitoring Period Information: .............................................................................................................................................................................................................................................................................................................................................................................................. Monitoring Period What is the YEAR of the sample date(s)? Year:* 2023 DMR Upload* Click the upload button or drag and drop files here to attach document. Fogleman Q3 DMR Signed.pdf 635.96KB Only PDFs are accepted. Comments: Q3 2023 no discharge DMR signed by the permittee and submitted electronically by Jesse Li of Smith Gardner, Inc. * By checking the box and signing box below, I certify that: o I have given true,accurate,and complete information on this form; cl I agree that submission of this Discharge Monitoring Report(DMR)Upload form is a"transaction"subject to Chapter 66, Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act"); • I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes (the"Uniform Electronic Transactions Act"); • I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature;AND • I intend to electronically sign and submit this DMR Upload form. Full Name:* Jesse Li Name of person submitting this form Email Address:* jesse@smithgardnerinc.com Phone Number:* 9198280577 Signature: Date:* 10/31/2023 Review Review Date: 10/31/2023 Confirm Permit No.* Correct the permit ID number if needed. NCG020463 Confirm DMR Year* 2023 Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above. Can submittal be Yes accepted?* No(Explain why below) Do Central Office No staff need to be Yes alerted?* Do Regional Office No staff need to be Yes alerted? Type of Permit* General Ensures DMR(s)filed correctly.