NCS000520 DMR SW (10)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000520 or
Certificate of Coverage Number: NCG
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME PCS Phosphate Bulk Handling Facility -Morehead City
PERSON COLLECTING SAMPLE(S) Jason Broadwell
CERTIFIED LABORATORY(S) Environment 1 Lab # 10
Lab # E I VED
Part A: Specific Monitoring Requirements
FEB 0 9 2015
(CENTRAL FILES
DWR SECTION
COUNTY Carteret
PHONE NO.
I ( 252) 322 - 8283
Q. 1/ ,
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this sign ture, I certify that this report is accurate and
complete to the best of my knowledge.
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100 1 1/12/15 1 27 1 3 1 7 1 6 . 1 0 26 0.11 15.5 7.05 1.01
200 1 No Flow
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of NEW motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
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STORM EVENT CHARACTERISTICS:
Date: 1/12/2015
Total Event Precipitation (inches): 1.01" at sample time
Event Duration (hours): (only if applicable - see permit.)
(if more than one storm event was sampled)
Date:
Total Event Precipitation (inches):
Event Duration (hours):
(only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Surface Water Protection Section
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 properly 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 of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."'
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( Date)