NCG060390_DMR_20200409

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / /11/ / / / / or,Certifi ate of C verage No.: N/C/ /O/(/e.l!3/41'/©/
Facility Name: S/IN,r-�Li A, Pace, I►12C11 COr O c`q,
County: Phone No. 1le)—�7 3 - 5 i 7 5 7
Inspector: N eta j-
p �7_+ 09,oa V
Date of Inspection:
Time of Inspection: T I,S I et on RECEIVED
MAY A 4 2020
Total Event Precipitation(inches): i q
:mil N-i iuAL FILE
MP, SECTION
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I ce fy that this report is accurate and complete to the best of my knowledge:
1
1.
i1/4,(
(Signature Permittee or Designee)
1. Outfall Description:Outfall No. ©01 �'Structure(pipe,ditch,etc.): pe/irelick
Receiving Stream:
Describe the industriill activities that occur within thgqout 1 draippage area:
t.'ttliti Ciffi.g\ p;a„ i i 61 1 anipa 0,m1 OF ----n?(t(5
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the disch rge using basic colors(red,brown, blue, etc.)and tint
(light,medium,dark)as descriptors: C� i
ear- / l �—
3. Odor: Describe any distinct odor that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): rO O or
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes b71 No.
8. Is there an oil sheen in the stormwater discharge? °Yes
9. Is there evidence of erosion or deposition at the outfall? 0 Yes ''c/No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ‘)6 IV 10 4S (yli ICGt Of— Sdh'IwQrP� Q�11U416'1
Note: Low clarity,high solids,and/or the presence of foam,oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land R sources General Permit No. NCG060000
Date submitted
r __ 0
CERTIFICATE OF COVE G,E N9. CG06 & .. SAMPLE COLLECTION YEAR ����(
FACILITY NAME 5rni —,e l Cu —s C6r ,,v� k6r,
P SAMPLE PERIOD "/Jan-June n July-Dec
COUNTY 4r4kr or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Aff / 1O,-c 1
LABORATORY ( Crj l0C:L II Lab Cert.# 2 2 DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA
S M,. ,,1e , itsk %kls (c(p Lab 1-4 a ❑Zero-flow nWater Supply ❑SA
rr ❑Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
L1use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE -*
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' or ❑ No discharge this period'
OutfaII No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0-9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
CC Z 1-07,20.20 tIM,)/L y,77 _ ,3 ,9 ,>„ - (✓
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?❑yes ❑no (if yes,complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total
Outfall No. (mo/dd/yr) Inches2 Hydraulic Oil Usage Petroleum Hydrocarbons Total Suspended Solids
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code - 46529 NCOIL 00552 C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES n NO H
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"t 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."
dki7/170(7-e//wj 412
.J
Signature of Permitte Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

"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 po sibilit of 'nes and imprisonment for knowing violations."
Signature IL ,
Date Y)tt .9ca(--
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
4101 - 4.111 • ill 4-‘ .
,*` A
,. , sP Ile , Is
\IF• 114 ' ••••••••-
ngton
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
450 Hanes Mill Rd, Suite 300 1617 Mail Service Center
Winston-Salem,NC 27105 Raleigh, NC 27699-1617
[phone] [phone]
SWU-264-Generic Annual DMR
Last revised 6/01/2018

SMITHFIELD FRESH MEATS CORP
Fecal Coliform ANALYSIS LOG
Idexx Colilert 18 (MPN)
SAMPLE SAMPLE SET UP READ #of Large #of Small MPN per 100mI REPORTING
LOCATION DATE&TIME DATE&TIME DATE&TIME Yellow Wells Yellow Wells (See Chart) RESULTS
5 br.1". 11, / /, /' per 100m) INITIAL
/Kho — L• 1JJ1-�
FINAL-6FF `�� U � 1 � J (�7i�`j C7 C� l �r
FINAL EFF
FINAL EFF
FINAL EFF
FINAL EFF
Date Analysis time dye observed outside wells yes/no
Quanti-tray dye check(once a month)
SAMPLE Certified Actual Value Limits 95%Confidence Limit(per 100 ml)
)once a year) Value MPN MPN MPN results acceptable qualifier
Lower/Upper limit yes/no code
Qualifier Codes: this code applies to most propable number(MPN)microbiological tests
B1: No wells gave a positive reaction. Value based upon the appropriate MPN Index and reported less than"<"value
B2: All wells gave a positive reaction. Value based upon the appropriate MPN Index and reported greater than">"value
B3: Tray was read outside of the acceptable time criteria of 18 to 22 hours.
B4: The duplicate varied more than the 95%confidence limit.
Final Eff Limits: daily max 400cts/100m1 Monthly average 200cts/100m1
revised 9/30/2019

(5) MICROBAC '
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
KO D0160
Smithfield Packing Project Name:Stormwater sample-Biannual
Ms.Xiaolin Chen Project/PO Number: N/A
15855 Highway 87 West Received: 04/09/2020
Tar Heel, NC 28392 Reported: 04/16/2020
Analytical Testing Parameters
Client Sample ID: Rainwater
Sample Matrix: Stormwater Collected By: oil
Lab Sample ID: K0D0160-01 Collection Date: 04/09/2020 8:31
Inorganics Total Result RL Units Dilution Note Prepared Analyzed Analyst
EPA 1664E
Oil&Grease(HEM) <5.2 5.2 mg/L 1 04/14/20 0905 TBM
SM 5220 D-2011
COD,Total 30.9 10.0 mg/L 1 S1 04/13/20 1105 MT
Definitions
mgiL: Milligrams per Liter
RL: Reporting Limit
S7: Relative Percent Difference(RPD)outside accepted recovery limits
Report Comments Reviewed and Approved By:
The data and information on this,and other accompanying documents,represents only the
sample(s)analyzed. This report is incomplete unless all pages indicated in the footnote are Brittany Smith
present and an authorized signature is included. The services were provided under and Administration
subject to Microbac's standard terms and conditions which can be located and
reviewed at<https://www.microbac.com/standard-terms-conditions>. Reported: 04/16/2020 20.51
Microbac Laboratories,Inc.
2592 Hope Mills Rd I Fayetteville,NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2

*KOD0160*
Fayetteville Division 2592 Hope Mills Road-Fayettev , NC 28306 [phone]/864-8774 fax
NI mpg!
(f,DrviiCROBAC '
CHAIN OF CUSTODY RECO
\\ PAGE 1 OF 1
CLIENT NAME dADDRESS: PO PRO.IEGTl LOCATIO -D 1 TYPE OF ANALYSIS PRESERVATION (CODE)
IT��-fy rr fit/ !r• z �� _
\�•r1 CONOFI D p',vi�ly 111 CC �-,S�r.b,,1iv�J CODE: A=None
I+•( \
T �'L� rh99T H ZR 92 87
ce,J4.e r J w` B=HNO3(pH<2)+<6°C
PH�'M�Ri ILLL, 1�C r It C=H2SO4(pH<2)+<6°C
75 2FXT. 211 D=NaOH+<6°C
SAMPLED BY: 0,1
�J—Rh2-7 m
ll _ 0 ''- 11 v//^ E=ZN Acetate+<6°C
DATE!METHOD OF SHIPMENT: 0 C n F=HCI
_ C.) G=Sodium Thio
LAB ID# SAMPLE TYPE DATE TIME COMP GRAB PH FLOW TEMP•C RES. SULFIDE
ka YJ I+tJr.14, . CHLORINE
vS3 k ' c B.T-I
Qt2 N vVGiL'� ( s
Ah W Ovv </ /2 ✓ 1
Lab Initials_*
Relinquished by: Date, lime Re -'ed...( •oah"e) Time
Turnaround time: REGULAR RUSH
Dam
2
lal4 /(NG
Relinquished by: Date Time Received by:(Signature)1 e ) Date Time Comments or Special Hazards:
3 4
Relinquished by: Date Time Received by:(Signature)( 9 ) Date Time Y,^ \
n f/n-)
5 6 /V\Y 1l IV
ph Field: ph Field: Water Level#1 IS DATA FOR REG. COMPLIANCE PURPOSE?
Temp Field 1: Temp Field 2: Water Level #2 NO YES WHICH:
'`CI i e -1- w, 11 --b re '5Cfriletei
n 1 1,1 1-. X- tQlTh L►//31 zd
Page 2 of 2

Newton, Kyle
From: Chen, Xiaolin
Sent: Thursday, April 16, 2020 9:19 PM
To: Newton, Kyle
Subject: Fwd: Microbac lab attachment for K0D0160, [none], Sampling Start Date, 04/09/2020
Attachments: K0D0160_1 MB_Level_1_simple 04 16 2020 2051.pdf; ATT00001.htm
Here is the results on storm water TSS is 11mg/L done by our lab.
Sent from my iPhone
Xiaolin Chen
Laboratory Supervisor
Smithfield e: [e-mail]
boo took. "RtspoKsi0t8,. 15855 Hwy 87 West P.O. Box 99
Tar Heel, NC 28392
smithfieldfoods.com
Begin forwarded message:
From: Microbac Fayetteville<[e-mail]>
Date: April 16, 2020 at 9:01:21 PM EDT
To: "Chen, Xiaolin" <[e-mail]>
Subject: Microbac lab attachment for KOD0160, [none], Sampling Start Date,04/09/2020
Thank you for trusting Microbac Laboratories, Inc., with your testing business. We know you have many
decisions to make each day, and your choice to work with us is a responsibility we take seriously.
This email contains an attachment regarding Stormwater sample - Biannual. For any questions or to
provide feedback, please contact, Brittany Smith at [e-mail] or 910.864.1920.
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