NCS000166 DMR SW (2)

Stormwater Discharge Outfall (SDO)
Monitoring Report
Permit Number NCS 000166 Samples Collected During Calendar Year GUIb '
(This monitoring report shall be received by the Division ,
Facility Name Perdue Farms Lewiston • no'later than 30 days Irani receipt of sampling results)
'Person Collecting Samples ' Tim Mizelle _ - County. ' Bertle _
(certified Laboratories Perdue Farms Inc Lab # 245, Phone Number-: 252-348.4326'
Environment 1 Lab# ', 10
SIG ATURE OF PERMITXEE OR DESIGNEE
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
X YES NO
If yes, complete Part B
Date sample
collectesd
Outfall No
50050
Total Flow
00556
OII and
Grease
00530
TSS
00400
pH
New Motor
Oil usage
moldd/yr
MG
mgll
mgll
units
gal/mon.
003 5/21/2015
0.285
< 5
92
75
275
Storm Event Characteristics:
Date : 5/212015
Total Event Precipitation ( inches) : 05
Event Duration (hours) : 14
( if more than one storm event was sampled)
Date :
Total Event Precipitation ( inches)
Event Duration (hours)
Mad Original and one copy to:
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, 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 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 rmprisionment for knowing violations"
Signature of Permittee) ( Date)
JUfv r � � 2015
INFpRWIoly
71® PDWR RESSING UNIT