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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page a of a?
' Sampling Person(s) Certified Laboratories
Name: Donald Feller Name: Enviornmental Chemist
Name: Charles Bryan Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 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
dutiv11t5) ldnufl. 1AUdUll dUUMV11dl bli=LS 11
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Donald Feller
Permittee: AQUA North Carolina
Certification No.: 993428
Signing Official: Chris Collins
Grade: WW4 Phone Number: 910-524-4976
Signing Official's Title: Coastal Manager
Has the ORC changed since the previous NDMR? Q Yes ❑ No
Phone Number: 910-270-1412 Permit Expiration: 4/30/2020
L Q4 Z&ewto i9
/ ,3) -lb
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