WQ0036327_Monitoring - 08-2016_20161219 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) page -I— of --L-
Permit No,: W00036327
I Facility Name: Mystic Meadows WWTF
I County:
Swain I month:
August
Year: 2016
PPI: 001 Flow Measuring Point C3 1AM C1 Eftert (A W now g&wrdal Parameter Monitoring Point
Parameter Code 00310 7�00410,-31616 006 i 00020 �Jj (itiod 00400 EAD 70300
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FORM: NDMR 03.12 NON•DISCHARGE MONITORING REPORT (NDMR) pop 2
Sampling Person(s) CWUGW Laboratories
Nona: Name:
Nam: Nem:
Does all monitoring data and sampling frequencies meet the requirements In Attachment A of your permit? ❑rrpYra ❑ an mow~
If the facility Is non-compliant, please ex lain In the space below the vaaon(a) the fadlity was not in compliance. Provide In your explanation the dale(*) of the noncornph nce and describe the corrIc"
action(s) taken. Atladp additional sheets H necessary.
Operator In Responsible Charge (ORC) Certification
PenrdNes Centiflaaaon
ORC: Micheal Soft
Pam tdm Meadow Partners
Certification No.: 22966
Signing Official: Hugh Shannon
Grads: N Phone Number. 828.421.7229
Signing Official'sTitle: Manager
Has the ORC clanged since the previous NDMR? ❑ Ye ® No
Phone Number: (828) 4211.31499 Far mitEapastlom 0513112018
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Mall Original and Two CopNa to:
DMslon or water Ouatity
Information Processing Unit
1817 MMI Service Center
Raleigh, North Carolina 27899.1817