NCG020766 DMR WW (7)

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE ARGE MONITORING REPORT(DMR)
Please Mail Original And One Copy To Mailing Address Below
Porn A:Feedlot Ir�fa+rnatlan
GENERAL PERMIT NO. NCGOZ8000 017
JAN
Samples Collected In Quarter 10 20 3,Q `'ti ae® les stall be CENTRAL FILES
(tinge p reported within 30 days fallowing monitoring period)
DWR/7/--c,
WR SECTION
Certificate Or Coverage No. NC,U2+2t. . iD.� 7/a Comity alimony ty .r
Facility Name F _ 4 •�
t,y•rQ„ Name of laboratory
Facility Contact - ,, 1 • -
. •� Lab Certifirtttiou p
Facility Contact Phone No. (7./o)-02 0‘`
Pare B:P,ocean Wastewater and Mine Dewatering Wastewater MonitoringAegtdremeerts
(?ntiail a Dote. ,`,5005!1,.->.06100...• :.,6 i i ;,,� • •s;1 r.c. - OE} .;�,..—
,lumber Rcrrl�In�StruntnlVurte 5_atnple�ollected Dail g7nwt ;' OH
st?�' -;��
r Y R _: TotorSnepended Solids • T�irbfdkY:4,Settleable Se6ds•
D 'nio/dd/yr
MCA unit rgll Ms mill
©.02 ) /V12/
.
r
I Measured continuously using i Clow meuuring davite or estimated using tennaft utero pump curves and pump logs. -' '
Part C:Cert fcalian
"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 qualified personnel property gather and evaluate 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
offs sy knowledge and belief,true,aecur'atc,and complete. I am aware that there are si y„:r w.,t penalties for bmitting ' information,
including the possibility of floes and imprisonment for knowing violati. ,:"'T - i
d' 4�i / //
(Si •47�• of P • tree) (Datta)
Fart D:Mailing Address -
Atm: Central Files,DEM,N.C.Division of Water Quality,1617 Mail Service Center,Raleigh,NC 27699-1617
r`T n:a ,;aa, Cx,.. . , c A 40 d k „,int,Q .4,..44.4....14.4- swu-244-012005