WQ0036327_Monitoring - 11-2016_20161219 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 2
Permit No.: W00036327 I
Facility Name: Mystic Meadows WWTF
I County,.
Swain I month:
November
Year: 2016
PPI: 001 Flow Measuring Point: D Influat El Eftert No now QWW9W parameter Monitoring Point:
El ull{a,x [J Efflma
0 G.udweW LcwerVQ
0 SWOM W6bV
Parameter Code P
00310 40'
31610
00820
00400
70300
4
z
X
IN
0 0
*4
24 -hr hrs FLP12,13,
mg/L mgfL amoo WL
m
cNY81n
su
m IL
2
............
3
4
6
JJ
7
ic*;A
TKIAZZ
8
. . . . . .
mum
10
11
121
ANA
LY"z"M MAO]
131
1
14f
11
V.LA,
161
1
V, 3... s
lei
Mi
.
.
17
ON
...........
18
PW I
19
201
1� WOM
211
22
23
?
Vii
24
25
Jf�WE
26
27
9A.
q, e,
I �r4R MU
28
29
A91
301
-t
Average:
4
Daily Maximum:
Daily Minimum:
Sampling Type; Cqwvoto,
EG -b Grab ,,
Grab
Grab
tz;#
Grab
Grab
VANN
Monthly Limit:
10
14
10
Dally Limit:
15
25
llzL 4V�
Sample Frequency: Mcntn�j
.4kWW
M-thly
F Weakly
Monft

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of
sampling Psrson(a) CerN1Md Laboratories
Name: Name:
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑coro9ee ❑ ar.rc.sre .
If the fadlky Is non-mmplLant please at lain In the apace below the reuon(s) the fadifty was not N compliance. Provide In your explanation the dsle(N of the non-Complenas and dswbs the consultive
acton(s) t ken. Attach additional sheets ifnecessary.
Operator In Responsible Charge (ORC) Certification
Pemddn Certification
ORC; Micheal Bolt
PermBbc Meadow Partners
Certification No.: 22966
Signing Official: Hugh Shannon
Gnde: IV Phone Number. 828.421.7229
Signing Official's Title: Manager
Has the ORC changed since the previous NDMR? ❑ res ®Na
Phone Number. [phone] Permit Expiration: 05/31/2018
64i= 12/1/16
12/1/16
Signature Date
Signature Date
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Mall Original and Two Coples to:
Divi" of water Quality
Information Processing Unit
1617 Mali Service Canter
Raleigh, North Carolina 27OW1817