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HomeMy WebLinkAboutWQ0029169_Monitoring - 01-2023_20230306FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: 1111 • •• F Facility Name: Town of • • . . 1 11 -. ■ ■ ■ -. ■ ■ ■ ■ INN mlMIT-0 / - / 1 --_------_----- m 1 : ,1 -_-_-_--_--_--- ® 1: 11 -�__-------_---�- m 1: 11 --_---_--_----- 1: „ -_--------__-_- m NMI Daily Maximum: ... .,//, r_%jMV1. ivunnr�l vo-Iz NUIV-t)INt.:f-iAKUt MUM I UN111410 REPORT (NUIVIR) Page Of Sampling Person(s) II Certified Laboratories Nance: Plant Staff II Ncino: Town of Mount Olive Lab Name: II Name: Environmental Chemists Inc P(-Tao r1l r7i(,n tPr€r r (ant rt R meet the in Attachment A Cm$ your PerMit? ❑Compliant ❑Non -Compliant If the facility is non -compliant, please eyplain in the space below the reasons) the facility was not in compliance. Provide in your explanation the datc(s) of the non-compliance and describe the corrective rutivlfkb) LCIMU11. tAtLOU11 GVulnUlidl 511=1b 11 NO FLOW TO SYSTEN Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Glenn Holland Permittee: Town of Mount Olive Certification No.: 27255 Signing Official: Jammie Royall Grade: SI Phone Number: 919 658 6538 Signing Official's Title: Town Manager Has the ORC changed since the previous NDMR? DYes Elm Phone Number: 919 658 9539 Permit Expiration: 3/31/2020 ignature ate Signature _ Date By this signature, I certify that this report is accurrale and complete to the best of my knowledge, 1 certify, under penally 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 knowledge and belief, true, 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1817