WQ0012796_Monitoring - 09-2016_20161020 (3)

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _JV_ of
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FORM: NDMLR D8-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page Sof
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FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Pape —L— of
Did the mass loading rates exceed the limits in Attachment B of your permit?
If the facility Is non-compliant, please explain M the space below the reason(s) the facility was not In compliance. Provide in your toplanatlon the data(&) of the noncompllance and describe the corrective
Aaacn aocmonarsneem
Mali Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1817 Mail Service Center
Raleigh, North Carolina 27888.1817
Operator In Responsible Charge (ORC) Certification
Permittee CarfMcatlon
ORC: .TSC00
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Certification Number:
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979705 705
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SigningOMlcial: 3gC46-7a,-N-
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Grade: WWI
PhoneNumber:a5J-,559- 98D8
Signing Official's Tide: T ";dewt
Has the ORC changed
since the previous NDMLR? ❑ Yes fkK
Phone No.:;?S�2 —SS 9- 98 08 Permit Exp.. 3 -3 /
Sign tura Date
Signature Date
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Mali Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1817 Mail Service Center
Raleigh, North Carolina 27888.1817