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STORM WATER DISCHARGE OUTFALL(SOO)
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MONITORING REPORT
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Permit Number:NC( (0(e 0' u✓Or SAMPLES COLLECTED DURING CALENDER YEAR 2014
Certificate of Coverage Number.NCG 060000 (This monitoring report shall be received by the Division no later than 30 days from
the date the facility recleves the sampling results from the laboratory.)
FACILITY NAME Butterball,LLC•Turkey Feed MITI COUNTY Sampson
PERSON COLLECTING SAMPLE(S) Terry Mercer PHONE NO. [phone]
CERTIFIED LABORATORY(S) Envlrochem Lab# 94
Part A:Specific Monitoring Requirements
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--1 6/18/2013 277 7.01 22 <5
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Does this facility perform Vehicle Maintenance Activities usng more than 55 gallons of new motor of per month?_Yes X No
(ti yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
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Form SWU-249-102107
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Butterball,LLC Turkey Feed Mill
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STORM EVENT CHARACTERISTICS:
Date 6/18114 Mail Original and one copy to:
Total Event Precipitation(Inches): .3 Division of Water Quality
Event Duration(hours) .45 Attn: Central Files
1617 Mail Service Center
(if more than one storm event was sampled) Raleigh,North Carolina 27699-1617
Date
Total Event Precipitation(inches):
Event Duration(hours)
"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 Information,the information submitted is,to be best icluding tho possiblity of fines and
imprisonment for knowing violations."
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(Signature of ermittee) (Dale)
Form SWU-249-102107
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Butterball,LLC Turkey Feed Mill
Page 2 of 2