NCG020243 DMR WW (7)

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PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mall Original And One Copy To Mailing Address Below
GENE L , PERMIT NO. NCG020000
Part rl. Fac'ilih, Injbi-mallorl
Samples Collected In Quarter: t (20 3Q dQ (all samples shall be reported within 30 days following monitoring period)
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Certificate Of Coverare No. NCC:02 b,2 �3 // r : ✓J ,fJ Countv of Facility 011-5` w
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i'''l ilia' C'nnt'ICt Phnnr NO. (y/(% 1 3o�i�- c o"2,5-,. !-
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APR 11 2016
Outfall
Date -` -
30050
00400
00530 _----
- 00076 �—
00545-^
CENFILES
dumber
lteceivimr Stream Name
S'unple Collected
D:dly Flowi
PEI
Total Suspended Solids
Turbidity
Settleable Solids
LIAR SECTION
Inolsict'ta
� C.�ly��
I unit
m_Il
N1'll.
Inl/l
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07X91/1,3f 5EO P S-,6' < oZ v 'Ll)a 6 V
llc nurod cuntinuuutily u4lg a lla,'a' aumgnnng device Or :.,uuaalcd u:ul_ ut.uuat,arturor, Inunp curve, .uld pump L,••s
Karl C: Ccrillicrrlrorl
"I certify, under penalty of law, that this documentand all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate 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 ani aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations." ✓/ �,/ ��`
(Signature of Permittee) (Date)
Pa14 D- Mailing /Idch'ess
Attn: Central biles, DENR, N.C. Division of Water Quality. 1617 Mail Service Center, Raleigh, NC 27699-1617
SWI 1-241- )12 )115