NCS000166 DMR SW (4)

uE0
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www.perdue.com®
Office [phone]
Certified Mail# 7014 1820 0001 7603 7843
July 7, 2016
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re:Stormwater Analytical Monitoring
Permit N' SCJ�oo� mF
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
Please find enclosedduplicate copies of our stormwater ananlytical monitoring for the above-
mentioned permit.This sampling is for Year 2-Period 1 of our permit, consisting of
January 1, 2016 thruJune 30, 2016.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
././A0,73-
Tim Mizelle
Environmental Manager
Perdue Farms Incorporated
ou—
A Family Commitment to Quality Since 1920®

Stormwater Discharge Outfall(SDO)
Monitoring Report
PrmNumber- .. t� G6 ro -_ Samples Collected Dunng Calendar Year - �� �- 2016 ��^^7
E � x--
(This monitoring report shall be received by the Division
iFacibty Name Perdue Farms Lewiston no later than 30 days from receipt or sampling results) ,- _ I
Person Collecting Samples - Tim Mizelle County: Bertie • - -
'Certified labomtones Perdue Farms Inc Lab# 245 Phone Number - - 252-348-4291
i _ .... Environment 1 - Lab# 10 --_ _ � ____, ,�,—...
SIGNATURE OF PERMITTEE OR DESIGNEE
Part A•Specific MonitonngMRec urrements ---''.1
Date 00530 00340 00310
sample collected 50050 Total TSS 00400 COD 5 Day BOD■ ■■■
Flow PH
IM Outfall No ®�®��- s IIIIIIIIIIIIIIII■IIIIIIIIIIIIIII■--
mo/ctrl/yr
---,..1G-___—IL_=]=7=1 �J 7i _IT:i -- - it-7C- 1f T__
.®. ���6/30/2016 . reporting penod _ ----
L______—_=- 1— IL`=-:C=- L__J ',IC_. i-. L.7— — Il =L_ _Zi:_=t----1_7=
r- _-- I------..:=_J1 1C- !+ JL—_i[_
_I1M — — — — MIIIMIII•��
=-=L_ 11.it:1--DC-- C
7C=_IL -._- _ II - Ir----- JCI --1C—a
IMMIIIM= 111111111• M =• 111
--3L- -- 0 Ii —_-Jr-----L_____ _ 3—--J' __ Jr 1i____
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month 7
X YES NO
If yes,complete Part B �r
Part B•Vehicle Maintenance Activity Monitoring Requirements 1 5 R �9
13
Date 00400 ���aaa A9r8
sample collectesd 50050 Total 00558 011 00530 pH New Motor
Flow and Grease TSS Oil usage y O
Outfall No 7
— _mo/dd/yr ®MMIIIIMM®ITIMI-
1__:..._.- JE_____.. -r—:--.==I --.i�=I�-_1C -_]L= r— -- �i A
® 6/30/2016 ���� reporting penod � NTR I
L --11 ._ s __1 11.__ IE 1[ I 1C --- ----- DIAJFp Q rCTILE
��� I� �M
= ----- Il- IL__ 1E----11-11--1I IF
Storm Event Characteristics 'Mad Onginal and one copy to - -- - '
Date. i Division of Water Quality
Total Event Precipitation(inches) Attn Central Files
Event Duration(hours). f 1617 Mail Service Center --
(if more than one storm event was sampled) II Raleigh,North Carolina 27699-1617_ _��
Date
Total Event Precipitation(inches)•
Event Duration(hours)•
•'1 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 parson or persons who manage the system,or those directly responsible for gathenng the information,the information submitted
is,to the best of my knowledge and belief,true,accurate,and complete.lam aware that there are significant penalties for submitting
false information,including the possibility of fines and imprisionment for knowing violations"
*�� 1"(Signature of Permittee) (Date)