NCS000352 DMR SW (8)

RECEIVED
STORM %vATER DISCHARGE OUTFALL (SDO)
MONTHLY MONITORING REPORT FEB 1, 9 2015 ,
ELIZADETIITOWN ENERGY,LLC- STORMWATER OUTFALL NUMBER 001, aa2. and D03 (PACE I OF 2) CENTRAL FILES
Permit Number: 1t3 DWR SECTION
nu OF CALENDAR YEAR:
SAMPLES COLLECTED DURING CALENDAR MONTH: • n nn mutts from The laboratory)
(Thb monitoring report shall be recehed by the Division no later than 20 days from the date the laefOq' rads The SamplingCOUNTY: Olalkm
FACILITY NAME: Flbabelhtown Ftwrov LLC WA PHONE NUMBER: 19101862-2698
PERSONS) COLLECTING SAMPLE(S): Slenhen R. Coates '04 and
I
inuawn M, Lab N 1 SIGNATURE OF PERMITTEE OR DESIGNEE REQURED ON PACE 2
CERTIFIED LABORATORY(S): WA lab N WA
Part A: Specllk Monitoring Requirements -
50050
Date Sampkl I Eseot I _ _ . ^. _ I Smpe ded I Oa—
Outfall
01071 1 01067 1 01012
more than 55 Ilom of new motor o0 r mouth. '—l_J .—L.;1
Does this laelllty perform Vehkk hLlatenaua Aeh01e aslag P
Pe r
J

r
STORM EVENT CHARACTERISTICS:
STORM W ATER DISCHARGE OUTFALL (SDO)
MONTHLY MONITORING REPORT
ELIZABETHTOW N ENERGY, LLC - STORMWATER OUTFALL NUMBER 001, 1102v and 007 (PAGE 2 OF 2)
Mail Original And One Copy To: Division
Of rat Water
FileQuality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date:
Total Event Precipitation (inches): 0
Event Duration (hours): 0 (only if applicable • seepermiL)
(if more than one storm event was sampled)
Date:
Total Event Precipitation (inches): 0
Event Duration (hours): 0 (only if applicable • see permit.) /
"I certify, under penalty of low, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
as who manage the system, or those persons
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or perso
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true accurate, end complete. l am aware that then
are signifies alti for submitting
false information, including the possibility of fiats and imprisonment for knowing violations."
(Date)