WQ0000265_Monitoring - 05-2023_20231222 (3)

Monitoring Report Submittal
Permit Number#* WQ0000265
Name of Facility:* Washington Correctional Center
Month: * May
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2023
Upload Document*
May 23 WCC NDMR number 2.pdf
PDF Only
81.49KB
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: * Bill Neeland
Signature:
�lla�r ��ard
Date of submittal: 12/22/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0000265
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 12/22/2023

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMA Rage

i
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT {NDMR) Page of
Sampling Perzon(s) Certified Laboratories
Name: David Pharr Namm NCDOT FERRY Diviislon Certification #577.9
Name:
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit.? R) Complia*nt 0 Non -Car . t
131]an
If the facility is non -compliant, please explain in the space below the reason(s). the facility was not in.comp;ibric.e. Provide in your explanation:the date(s) of then011-compliance. and describe the corrective
action(s) taken. Attach additional sheets if necessary.
operator in Responsible Charge (ORd) Certification Permittee Certification
ORC:. David Pharr PermitWe: David Pharr
Certification No.: 26526121101 Signing Official:
lcial: David Pharr
Grade: 1V'Sl Phone Number. 2627253871 Signing Official's Title: ORC
Has the ORG changed since the, previous NDMR? 0 Yes 10 No Phone Number: 252 725 3871 Permit Expiration:
5/1/2027
6120/2023 6/2912023
Signature Date Signature Date
lay this signature. I certify that this report is accurrate and complete to the best.of my knowledge, I certify; under penafty of low, that this document and all attachments Were prepared under m supervision en e ydlreclJonorsup islonin
accordance with asystem designed to assure that all qualified personnel piop&fy gathered and evaluated the Information
submitted- Based on my I nqulry of the per -son or persons who manage the system, or these persons directly resp I onsible.for
gathering the latormatlon, the information submitted is, to the best of my knowledge and belief, true, aGmrate, and camoiete. lam.
aware that there. are significant penalties for submitting false information, includIng the possibility ofFnes and imprisonment for
knoMng violations.
Mail, Original and Two Copies to:
Division of Water Resources
information Processing Unit
1817 Mail Service Center
Raleigh, North Carolina 27699-1617