NCG060394_2022 DMR_20220428

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 0394
Person Collecting Samples: Doug Goodwin
Facility Name: Mountaire Farms - Mount Vernon Hatchery
Laboratory Name: Cameron Testing Services, Inc.
Facility County: Chatham
Laboratory Cert. No.: 654
Discharge during this period:E1
Yes 0 No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? F]Yes E]No
If so, which Tier (1, II, or Ill)?
A copy of this DMR has been uploaded electronically via htt s: edocs.deg. nc.gov/Fo rmsSW-DMR Yes ® No
Date uploaded: 04/28/2022 L�j
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Dade
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
03/24/22
46529
24-Hour Rainfall in inches
1.1
C0530
TSS in mg/L (100 or 50*)
16
pH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 5W)
6.9
OOS56
Oil & Grease in mg/L (30)
<5.0
31616
Fecal Coliform per 100 ml of
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
(120)
13 5
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), grout 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
FW (Freshwater) SW (Saltwater)
Notes (optional): 2022 Q1
"I certify by my signature below, under penaltyof law, that this document and all attachments were prepared under my direction orsupervision 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 forgathering 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 V possibility of fined)and imprisonment for knowing violations."
Signature of Per "ee or Delegated Vithorized Individual Date
[e-mail] 910-974-3232
Email Address
Phone Number