NCS000130 DMR SW (7)

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Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Storm Water Mon Monitoring Report
EID
Permit AUG 1 2 1016
Perdue Farms,Rockingham Facility
CENT
RAL FILES
DWR SECTION
To Whom It May Concern,
As specified under the Tier Two Storm Water permit requirements, monthly storm
water monitoring is required for the Perdue Foods LLC facility located at
Rockingham,North Carolina.
For the month of July, there was not a qualifying rain event where a storm water
sample could be collected. As required in statement 3 of the Tier Two requirements,
please find attached the monthly monitoring report indicating"No Flow".
There was a qualifying storm event for the first week of August and a stormwater
sample was collected.
If you need any additional information, please do not hesitate to contact me on my
cell phone at(757) 710-4436.
Sincerely yours,
B greie/t,
Paul Bruce Roberts
Regional Environmental Manager
[e-mail]
cc: Fayetteville Regional Office
Division of Water Resources
215 Green Street, Suite 714
Fayetteville,NC 28301

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT //
Permit Number NCS 00 0 ( 3 SAMPLES COLLECTED DURING CALENDAR YEAR: O 1&--
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME ?-C'/' (14 COUNTY Ts. Q.1"M0,
PERSON COLLECTING SAMPLE(S) Nll} PHONE NO.(%j,10) GI cj ? - 3 /
CERTIFIED LABORATORY(S) N AA Lab#
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total
Collected Flow(if app.) Rainfall
mo/dd/yr MG inches
o "ti I 10 /A Nv FIotJ A-) /+-i
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes _no
(if yes,complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
apps.
mo/dd/yr MG inches mg/I mg/I unit gal/mo
n' ( N) /A No Elk ) N / _S3
Form SWU-247, last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
AA ,! Division of Water Quality
I
Date 0 I A 1 Attn:Central Files
Total Event Precipitation(inches): !v 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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 possibility of fines and imprisonment for knowing violations."
g R.,..„&qka _ 0/(;.
(Signature of Permittee) (Date)
Form SWU-247,last revised 2/2/2012
Page 2 of 2