WQ0006785_Monitoring - 10-2016_20161115 (3)

FORM: NDMR 05-16 NON-DISCHARGE MONITORING REPORT (NDMR) / Page of
Permit No.: W00006785 Faculty Name: Murfreesboro WWTF I County: Hertford Month: October IYear: .,�_ D1(0
PPI: 001 1 Flow Measuring Point: p Influent ❑ Effluent ❑ No nowgenerated Parameter Monitoring Point: ❑ lnnuent O Effi m Cl Groundwater lowering ❑ 5urfa
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FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page—of
Sampling Persons) Certified Laboratories
Name: Eric M Parker Name: Environment 1, Incorporated
Name: Godwin Lassiter Name:
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit? o ren El N00 -con
If the facility is non-compliant, please explain in the space below the reasons) the facility was not in compliance. Provide In your explanation the date(s) of the non-compliance and describe the co
action(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification Permittee certification
ORC: Eric M Parker Permittee: Town of Murfreesboro
Certification No.: 998793 Signing Official: Eric M Parker
Grade: SI Phone Number. 252.396.3821 Signing Official's Title: WWfF ORC
Has the ORC changed since the previous NDMR? ❑ yes I7 No Phoria Number: 252.396.3821 Permit Expiration: 4/30/2021
Signature Date
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Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276964617