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HomeMy WebLinkAboutWQ0022711_Monitoring - 09-2016_20161208FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __LofA Sampling Person(s) Certified Laboratories Name: N/A Name: N/A Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑' Compliant El 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 action(s) taken. Attach additional sheets if necessary. not utilized during this Operator in Responsible Charge (ORC) Certification �y Permftt'e e Certification ORC: Permittee: Macon County Op Signing Official: Jaimie Plcou Grade: Phone Number: Signing Official's Title: Solid Waste Field Environmental Specialist Has the ORC changed since the previous NDMR? 0 Yes ❑ No not utilized during this Operator in Responsible Charge (ORC) Certification �y Permftt'e e Certification ORC: Permittee: Macon County Certification No.: Signing Official: Jaimie Plcou Grade: Phone Number: Signing Official's Title: Solid Waste Field Environmental Specialist Has the ORC changed since the previous NDMR? 0 Yes ❑ No Phone Number: (828)349-2100 Permit Expiration: 9/30/2020 l2 Ito �ignature 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 Form: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page o{f No.: WQ0022711 Facility Name: Macon County Reuse System County: Macon Month: September ORM111rWrWrifir. 111!111111111111 "111 Jill MonthlyPermit FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page a of I -- Sampling Person(s) Certified Laboratories Name: N/A Name: N/A Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? OO 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 action(s) taken. Attach additional sheets if necessary. System not utilized during this reporting period. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: Permittee: Macon County Certification No.: Signing Official: Jaimie Picou Grade: Phone Number: Signing Official's Title: Solid Waste Field Environmental Specialist Has the ORC changed since the previous NDMR? 0 Yes ❑ No Phone Number: (828)349-2100 Permit Expiration: 9/30/2020 G 21 I� Signature Date Signature Date By this signature, I certify that this report is accurate 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 Form:,NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page+ofi Permit No.: Q00 - -. . IN 0 Minn NONNI IN NONNI .. -0' ------------ -0' DailySampling ------------ Type. Monthly Avg. Limit, Daily--0-----------