NCG060133_Monitoring Report_20220527

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 ReportIQMR) Upioa'dform n
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropria �i Regiaoal O e.
Certificate of Coverage No. NCG06 0133
Person Collecting Samples: Glen Fisher
°ai°Oo
Facility Name: Cargill Feed & Nutrition Barber
Laboratory Name: Pace Analytical Services
Facility County: Rowan
Laboratory Cert. No.: 37706, 5342, 37712
Discharge during this period: ®
Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ❑ No
If so, which Tier (I, II, or III)? N/A - No Benchmark Exceedances
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded:
Ayes ❑ No
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfal 101
Outfall 02
Outfall
Outtall
Outtall
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
3/23/2022
3/23/2022
46529
24-Hour Rainfall in inches
i
C0530
TSS in mg/L (100 or 50•)
6.5
58.0
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
? 0
7 2
31616
Fecal Coliform per 100 ml of
N/A
N/A
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
N/A
N/A
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
59.0
42.8
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
N/A
Usage in gal/month
00552
1 Non -Polar Oil & Grease in mg/L (15)
1 N/A
` Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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
FW (Freshwater) SW (Saltwater)
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 ftrmatioryk'ncludingrthe possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
'Slen_ �s1,�r- (?- C�rSII I . ckry\
Email Address
510 IQ
Date i %
-��
Phone Number

DMR Upload * Click the upload button or drag and drop files here to attach document.
NCDEQ 3-23-22 results.pdf 865.56KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
c I have given true, accurate, and complete information on this form;
o I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR Upload form.
Full Name:* Glen Fisher
Name of person submitting this form
Email Address: * glen—[e-mail]
Phone Number: * 704-278-2941
Date: * 05/23/2022

Please enter the permit number and other details for this
IMPORTANT. Until your stormwater permit is registered in the eDMR system, an original signed (not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG060133
Must begin with NCS or NCG
Facility Name: * Cargill Feed & Nutrition Barber
County: * Rowan
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.ne.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**