WQ0000550_Monitoring - 10-2016_20161130 (2)

•` - FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of�
Permit No.: WQ0000550
Facility Name: Currituck County Detention Center
County: Currituck
Month: October
Flow Measuring Point: El Influent E] Effluent [] No flow generated
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of S
Permit No.: WQ0000550
Facility Name:
Currituck County Detention Center+b.i
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Flow Measuring Point:
0 influent E]Effluent E] No How generated
Parameter Monitoring Point: Influent Effluent I—] Groundwater Lowering Surface Water
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ' of f
Sampling Person(s) Certified Laboratories
Name: Will Rumsey Name: Enviromental Chemist
Name: Name::.
es all monitoring data and sampling frequencies meet the requirements :in Attachment A of your permit? 121 Compliant ❑ Non -Compliant
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) CertificationPermittee
Certification
ORC: William Nash:.
... .. ...
Permittee: .: County of Currituck:
Certification No.:: 998260
Signing Official: William Nash
Grade:.: WW4 Phone Number: 2522326062
Signing Official's: Title: Utilities Superintendent:
Has the ORC changed si a the p vious NDMR? ❑ res El No..
Phone Number:IV2 Permit Expiration:: 12/31/2017
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 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.
Mail Original and Two Copies to:
Division of Water Quality ..... .
Information Processing_ Unit.:.
1617 Mail Service Center
_- Raleigh, North Carolina 27699-1617