WQ0036327_Monitoring - 09-2016_20161219 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1of 2
F_7 Perailt No.: W00036327
Facility Name: Mystic Meadows WVV_rF
County.
Swain
Month: September
Year: 2016
PPI: 001 Flow Measuring Point: Elinnum ClEffluent Awnow gmmted Parameter Monitoring Point:
0 inmuarc EI Emumt E3 Gmndmter Lammift
gun wa
Parameter Code 50066
00310 ;:00840;;
3106
,„00610.:,,„00610.:, 00620
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moo
70300
g
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-A
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z
tm
24 -hr Ara GPD
mg]L #MOQmLl
mgfL
au
mult.
�VMWL
r
V4 W
a 0
3
41
1
'Ai
10
eft,
11
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f__
12
1
At
M
UN
13
14
"NMI
15
16
17
19
20
21
IMAYMNA
ZZ
S. "W A
23
24
........... ....
T7
29
30
31'
ti
. . . . . . . .
Average.
Daily Maximum:
............. ............ .........
Daily Minimum,
Dally Minimum:
'In TY0 Estim�jl.,Gmb
�=Jig
�:Prbb,111
G
Grab
Grab
Gob
E,1_11�pifi� C
Monthly 3,000
lit
10
10
Daily Limit:
15
15
25
_50.lhly
I Monthhe 1 MohM*
." I —_ —
I - I k�;ft
f
Weekly
',Worft*:
'�:Mmt IV

FORM: NOMR 03.12 NON -DISCHARGE MONITORING REPORT (NDMR) page of 2
Sampling Person($) Certified Laboratories
Hare: Neme:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your perralt? ❑tea D emdaplenl
If mo facility Is noncort~. please &vlaln In the space Ihebw sir muc XU the facility was not In compiumea. Provide In your ehplanstoh the date(a of the nomconpie rce and describe the Ow**m
action(s) taken. Attach additional sheep If necessary.
Operator in Responsible Charge (ORC) Certification
Parmit re Certification
ORC: Micheal Bok
Permtfba Meadow Partners
Certification No.: 22986
Signing official: Hugh Shannon
Grade: IV Phone Number. 828.421.7229
Signing Official's Tide: Manager
Has the ORC changed since the previous NOIAR? [I yo ® No
Phone Number: [phone] pem it Exp4Wom 05/31/2018
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0/1/16
10/1/16
Signau s Data
Signature - Date
By be eua . I orrery sial ear Won Is amurra WKI aonpW b re ler of er hioeedae.
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Mail Original and Two Copies to:
Division of hater Quality
Information Processing Unit
1617 Moll Service Center
Raleigh, North Carolhm 27888.1817