NCS000166_COMPLETE FILE - HISTORICAL_20190212

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STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
*COMPLETE FILE'- HISTORICAL
DATE OF
RESCISSION
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YYYYMMDD

Perdue Foods
Perdue Foods LLC
P.O. Box 460
Lewiston Woodville, NC 27849
perdue.com®
Office: [phone]
Certified Mail # 7011 0470 00010820 2344
February 6, 2019
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 2 1?419
R s�cr�o�s
Re: Stormwater Analytical Monitoring N
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
Please find enclosed duplicate copies of our stormwater ananlytical monitoring for the above -
mentioned permit. This sampling is for Year 4 - Period 2 of our permit, consisting of
July 1, 2018 thru December 31, 2018.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
Tim Mizelle ✓
Environmental Manager
Perdue Farms Incorporated
Perdue Foods. A Heritage of Innovation.

L
Stormwater Discharge Outfall (SDO)
Monitoring Report
Permit Number : Ni Samples Collected During Calendar Year: 2018
(This more toring report shall be recNvee by the Dlvlalon
Facility Name Perdue Farms Lewiston no later than 30 day. hem receipt or eampdnp aaat:h
P.— Collecting sample. Tim Mizelle County : Berrie
Certified Laboratories Perdue Farms Inc. Lab 9 245 Phone Number: 252-34B-4291
Environment 1 Labs 10
SIGNATURE OF PERMITTEE OR DESIGNEE
Part A : Specific Monitoring Requirements
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of now motor oil per month ?
X YES NO
If yes, complete Part B_
Part B : Vehicle Maintenance Activity Monitoring Requirements I
gv[fall No.mofdtl
Data
amps caaxlnd
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pH
New Ntmor
Oil usage
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units
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11
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129.9
Stones Event Characteristics: Maims I on""' al all" Ons COpy t0:
Date : 12f =D18 Divislon of Water Quality
Total Event Precipitation ( inches) ; 0.5 ' Alm; Central Files
Event Duration (hours) : la him 1617 Meii Service Center
(if more than one storm event was sampled) I Raleigh, North Carolina 27D9991817
Date
Total Event Precipitation ( inches)
Event Duration (hours) :
'I cartify, 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 evaluato the Womtabon sub kited. Based on my it iuiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the Information submitted
it, to the best of my knowledge and belief, true, accurste, and complete. I am aware that there an slgri fitam penalties for submitting
false infomtadon, Ind di the possibility of fines and imprislon ment for knowing violaili—'
(sigrawrs of P.rmittes ) � 1 Dm