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Home My WebLink AboutWQ0007217_Monitoring - 08-2016_20161004FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT NDMR Pae 1 of 2 Permit No.: w111 ATLANTIC RIM 111IRTIMM MR M-1 v ■ Effluent■Groundwater Lowering■No Flow Generated v®v opo®oma®�®� MET ITWIMYTITWWM�� FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of 2 Sampling Person(s) Certified Laboratories Name: J. Clayton Name: MCAS Cherry Point, NC 28533 Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?. Fil 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 Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Jeffrey Clayton Permittee: U.S. Marine Corps Air Station, Cherry Point Certification No.: 998515 Signing official: George W. Radford Grade: SI Phone Number: 252-466-5874 Signing Official's Title: By direction of the Commanding Officer Has the ORC changed since the previous NDMR? ❑ Yes Q No Phone Number: 252-466-4599 Permit Expiration: 4/30/2016 1113 9/16/2016 Signature Date Sig ature 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 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. I Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617