NCG060182_2021 DMR_20220106

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report DMR Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0 1 $ 2 Person Collecting Samples: Yin-Pong George CHANG, P. E.
Facility Name: Pilgrim's Pride Corporation. Marshville Processing Plant Laboratory Name: Environmental Chemists. Inc.
Facility County: Union Laboratory Cert. No.: 94
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances7 ❑■ Yes ❑ No
If so, which Tier (I, II, or III)? Ili
Part A: Analytical Monitoring Requirements for Clutfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
24-Hour Rainfall in inches
12/08/2021
46529
0.15
00556
!
Oil & Grease in mg/L (30)
< 6.2
6
6.3
330
C0530
TSS in mg/L (100 or 50•)
00400
pH in standard units (6.0— 9.0)
31616
Fecal Coliform per 100 ml of
freshwater (1000)
61211
Enterococci per 100 ml of saltwater
500
00340
Chemical Oxygen Demand in mg/L
36
(120
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in
(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
00552 Non -Polar Oil & Grease in mg/L (15)
NCOIL New Motor/Hydraulic Oil Usage in -
-_ gal/month _
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L,
Notes (optional):
"I certify by my signature below, 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."
Signature of Permittee or Delegated Au orized Individual date

K & W Laboratories Results Report
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel [phone] Fax [phone] l
Client: Pilgrims Pride Corp. Date: 04-Jan-22
PO Box 668 Order ID: 21120810
Marshville, NC 28103
AProect; Stotmwaterl#001
Colhe Date: 12/8/20
Location: Outfall #001 Collect Time: 8:00:00 AM
REPORTING ANALYSIS
SAMPLE # PARAMETER RESULT UNITS METHOD LIMIT DATE
21120610-01 COD 36 m9/1. SM5220D 10 1/4/2022
21120810-01 Fecal Cnlifortn 330 colony/1o0ml SM9222D (MF) 1 12/8=1
21120810-01 oimkGrease <6.2 mg/L EPA16648 6.2 12/1712021
21120810-01 pH 6.3 units SM45001-1+13 0.1 12/8/2021
21120810-01 TSS 6 mg/L SM2640D 2.8 12/1012021
pH analysis Initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99061
Certified By G.w'�astQ
G. Kraska / Lab Director

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Georgoulias, Bethany
From: Chang, Yin-Pong <[e-mail]>
Sent: Wednesday, March 2, 2022 2:36 PM
To: Georgoulias, Bethany
Cc: Abernathy, Micah; Sheppard, Evans
Subject: [External] RE: Bad DMR PDF File for NCG060182 (Dec 2021)
Attachments: Signed December 2021 SW DMR.PDF
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Per your request, please review and approve the original "Signed December 2021 SW DMR" (See attachment).
Tin -Wong George Chang, VE O: 704.624.4317
- C: 704.231.1304
pilgrim, Complex Environmental Manager Pilgrim's Pride Corporation
[e-mail] 5901 W. Marshville Blvd.
Marshville, NC 28103
Our foundation & our strength is in our values
ETHMINA L��HUMILr[Y JL SNCENTY Tmim WKRSHP
From: Georgoulias, Bethany <[e-mail]>
Sent: Wednesday, March 2, 2022 1:42 PM
To: Chang, Yin-Pong <[e-mail]>
Subject: [Ext]- Bad DMR PDF File for NCG060182 (Dec 2021)
Importance: High
*Use caution before opening attachments or links!*
Good afternoon,
We are processing PDF documents uploaded from the DMR upload form, and we are having problems opening the
attachment sent in with this one. Could you please email me another copy of it so it can be replaced?
1

DJF Submittal from 116J2022
Permit and Facility Information:
Perm it Number Enter GOC Ar Individual Pftnl Number
WA b4Qin wnf+ NCS or NO. -
Facility Nat'r C * Pilgrim's Pride Corporation. Marshville Processing Plant
County. * union
Note Facility name and county are used to neEp lrie reviewer verify Lhe permit numtxef enlered, and to display the
Regional Office address on the submitt&s form (not here). These metadala details wIII be pulled from current BIMS
Informahon after Lhe Ol,AR(s) are filed If Me submittal is accepted. simply note any errors In the few -ewers comments.
Monitoring Period Information:
Monitoring Period Whal is the YEAR W the sample dates)?
Year; * 2021
DMR Upload* Clock the u*w bullan or drag ono Gimp files Rene to attach document
19MM December 2021 SW 01AR_p41f
Only POf s are a cteple-a
Thank you,
Bethany Georgoulias (she/her)
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
64KB
512 N. Salisbury Street, Raleigh, NC 27604 (location)
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