HomeMy WebLinkAboutWQ0000798_Monitoring - 08-2016_20160929FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
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Shallotte WWTP
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Facility Name:
Shallofte WWTPParameter
Code
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FORM, NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ of
Sampling Person(s) 11 Certified Laboratories
Name: John Mac Yow Name: Brunswick County Lab West Regional (WWTP)
Name: Name: Enviromental Chemists
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? []Compliant ❑Non -Compliant
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
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Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: John Mac Yow
Permittee: Brunswick County
Certification No.: 996766 / 27257
Signing Official: Jerry Pierce
Grade: WWIV / SI Phone Number: 910-754-7744
Signing Official's Title: Utilities Director
Has the ORC changed since the previous NDMR? ❑yes LIND
Phone Number: 910-253-2657 Permit Expiration: 10/31/2019
Signature Date
ig a Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty 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
gathenng the information. the information submitted is. to the best o1 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 27699-1617
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
•Facility
Name:
Shallofte WWTP- Upstream B (Charles Branch:
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Facility Name:
Shallotte WWTP- Upstream C (Mulberry Bran&�������M
Flow Measuring Point:
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_ of
Facility Name:
Shallotte WWTP-
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
Sampling Type:
Monthly Avg. Limit.
Sample Frequency-.