WQ0034350_Monitoring - 09-2016_20161017 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W110034350
Facility Name:
Hendersonville WWTP
County: Henderson
Month: September
Flow Measuring Point: ElInfluent 2Effluent [ZNo flow generated
Parameter Monitoring Point:
ElInfl-rit
2Effluent []Groundwater Lowering
OsurFace Water
•
Ell
Sample Frequency:

t
• FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2— of
Sampling Person(s) Certified Laboratories
Name: Scott Chovan Name: 'City. of Hendersonville WWTP
Name: Denise Kinchen Name:.
Does all monitoring data. and sampling frequencies meet the, requirements, in .Attachment A of your permit?ElCompliant ONon,,Compliant
If the facility is non-compliant; please explain in the;space'below the reasons) the facility was not in compliance.:Provide inyour explanation the dates) of the nori-compliance and describe. the corrective
action(s) taken: Attach additional sheets if'necessarv.
Operator In Responsible` Charge (ORC) Certification
Permittee.Certification
ORC: Garrett DeMoss
Permittee:. CITY OF HENDERSONVILLE
Certification No.: WW -1000305, LA 1001681
Signing Official: Garrett DeMoss
Grade: IV Phone Number: 828-697-3077
Signing Official's Title: Plant Superintendent
Has the ORC changed since, the previous NDMR? DYes ONo
Phone Number: 828-697=3077 Permit Expiration: 12/31/2015
Signature Date
Signature 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 thelinfonnation
submitted. Based'on my inquiry of the person orpersons who managq 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 thatthere are significant perialties for submitting false, nformation, induding1he 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 276994617