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HomeMy WebLinkAboutNCG060335_MONITORING INFO_20180110STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. /v 33 5 DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ Qo) 0 o) I-t) YYYYMMDD *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION • TIER 3: 'HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an Original and one copy of this DMR includIn all "No Discho e" re arts within 3� da s o recei t o the tab results or at end o manitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files RECEIVED 1617 Mail Service Center JAN 14 2019 Raleigh, NC 27699-1617 CENTRAL FILES DWR SE3TION YOU MUST SIGN THIS CERTIFIG4TION FOR ANY INFORMATION REPORTED: "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." of Permitteej (Date) Additional copies of this form maybe downloaded at: http.jj portal.ncdenr.ore/web/w9/ws/su/npdessw##tab-4 SW-249 Last Revised: October 18, 2012 PaaP. 7 of l SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT ) for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted /-IU-lei /2" CfS tea' CERTIFICATE OF FACILITY NAME COUNTY PERSON COLLEC LABORATORY Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 901 8� FACILITY ACTIVITIES INCLUDE (ch all that apply): ❑ use/process meats use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Total event rainfall a •ifs or n No dischar_e this ` Only applies to facilities that use/process meats. DVNR - SEC ' TI-ICzPd 3The total precipitation must be recorded using data from an on -site rain gauge. 4 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit tent, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes E(no if es complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaaina > 55 gal of new motor Amy applres to racmues [nat use/process means. 3The total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at Any outfalls, you must stiff submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 pava 1 of cri roc ern w ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 9111 392.0223 1,ah • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 & 910.342,5843 Lab/ Fax inf'a(,i,anvironmentalchemists,com Prestage. Farms Date of Report: Dec 29, 2018 P. 0. Box 438 Customer PO #: Clinton NC 28328 Customer ID: 09010051 Attention: Jim Carr (Moltonville) Report #: 2018-20782 Project ID: Storm Water (Moltonville feed Mill) Lab ID Sample 10: moltonville sw Collect Date/Tlme Matrix Sampled by 18-52367 Site: Infall 12/14/2018 3:00 PM Water Jim Carr/ Anthony Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/1812018 Residue Suspended (TSS) SM 2540 0 74.0 mg/L 12/18/2018 pH SM 4500 H 9 6,93 units 12/20/2018 COD sM 5220D 64 mg/L 12/24/2018 Lab ID Sample V. moltonville sw Collect DatelTime Matrix Sampfed by 18-52368 Site: Qutfall #1 12/14/2018 3:15 PM. Water Jim Carr [Anthony, Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1664 <5 mglL 12/18/2018 Residue Suspended (TSS) SM 254c ; 37.0 mg1L 12/18/2018 pH SM 4500 H B 6.68 units 12/20/2018 COD SM 52200 53 mg/L 12/24/2018 Comment: Reviewed by: Report C: 2018-20782 PAM. 1 ^f I Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWO CUMFICAMON # 94 NCDHHS: DLS CERTIFICATION 4 37729 COLLECTION AND CHAIN OF CUSTODY 910.392.0223 252.473.5702 info 0environmentatchemists.com CLIENT: Presta a Farms -Clinton NC PROJECT NAME: Storm water (Moltonville Feed Mill) REPORT NO - ADDRESS: 73 S 01 „ //e 114U ADDRESS: CONTACT NAME: Jiro Carr (Mottonville PO NO: `f o - e-15600 F, 5') REPORT TO: Glen Clifton PHON COPY TO: J ;.f Cam; y email: Sampled By: "", SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Coll Eon E u�i 2 a o c c7 m = a a V m o t E ¢ LU PRESERVATION ANALYSIS REOUESMD Date Time TempU o i d' z _ a Z = 9-{`1I ,tom Is9 /A/11G C P X Ix cA i ITSS, O&G, COD,PH (3 Outfall 12 to i.1 2 /v 4 1,11JArP, /� J 'G C P 3 X X'.-.9 ITSS, O&G, COD,pH G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Limits: pH 6-9, TSS 100, O&G 30, COD 120 mg/L Transfer Relinquished By: DateTme Received By: DateTme 1. 2. Temperature when Received ✓ Re)ected: Resample Delivered By: Received By ND: i for North Carolina Division of Water Quality General Permit lyo. N—CgO6OOQfl Date submitted `) -gb- is; f%ia- ma"I CERTIFICATE CdV RAs E NO. NCG0 S 6 ,�.5 0 /14i l i I F ^�n'�gq FACILITYPLE COLLECTION YEAR 19011, NAME LtTy ACi1VITIES INCLUDE (che II at apply): COUNTY �1 l on ❑ use/process meats use animal fats/byproducts PERSON COLLECTING SAMPLES -51m r *4 f DISCHARGING TO SALTWATERS? ❑YES 260 En LABORATORY r r ti /d Lab rt. PLEASE REMEMBER TO SIGN ON THE REVERSE 3 vniy appues w Tacanies inat use/process meats. DWR SECTION ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkmark here. "See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ©id this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?[] yes dno if yes complete Part B} vniy appnes io rapnties mar use/pr0Ce$S meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. `See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Pacer 1 of') 'FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER t REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. + TIER 3: xfAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES E] NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an orI Inal and one co o this DMR including all yNo Distha ep reports, witltln 30 dgygs ofrevel t of the lab results or at end a Monitoring eriod In the case of "No Dis a ep reports to; Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFIC,4TION FOR ANY INFORMATION REPORTED: °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." of Permittee) �-/9'Ig' j Date) Additional copies of this form may be downloaded at: htta:L/portal.ncdenr.or�lwebiwa/wsLsulnpdessw#tab-4 SWU-249 Last Revised: October 18, 2012 r,--- Environmental Chemists, Inc. • 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 l..ab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252,473.5702 Lah/Fax WSJ 255-A Wilmington I iighway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS into rr,cnvirozlnlentalchen-iists.com Prestage Farms Date of Report: Jul 06, 2018 P. 0. Box 438 Customer PO.#: Clinton NC 28328 Report M. 2018-10224 Attention: Jim Carr (Moltonvilie) Customer ID: 09010051 Project ID: Storm Water (Moltonville Feed Mill) Lab ID Sample ID: Collect DatelTime Matrix Sampled by 16-25677 Site: Infall 6/26/2018 8:30 AM Water Jim Carr / Anthony Bryant Test I10110hod Results Date Analyzed Oil & Grease (0&G) EPA 1664 <5 mgJL 06/28/2018 Residue Suspended (TSS) SM 2640 a 18.3 mg/L 06/27/2018 Temperature SM25609 23.9 C 06/26/2018 pH SM 4500 H B 6.61 units 06/27/2018 pH (Field) SM 4500 H 8 7.10 units 06/26/2018 COD SM 522GO 55 mg/L 07/02/2018 Lab ID Sample ID: 18-25681 Site: Outfall #2 Collect DatelTime Matrix Sampled by 6/26/2018 8:40 AM Water Jim Carr 1 Anthony Bryant Test Method Results Date Analyzed Oil & Grease (OW EPA 1664 <5 mg/L 06/27/2018 Residue Suspended (TSS) SM 2540 D 8.3 mg/L 06127/2018 Temperature SM 2550 B 22.9 C 06/26/2018 pH SM 4500 H B 5,84 units 06/27/2018 pH (Field) SM 4500 H B 8.90 units 06/26/2018 COD SM 52200 27 mg/L 07/02/2018 Comment: r Reviewed by: a ab'� / Report #:: 2018.10224 Pape 1 of 1 a Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 910.392-0223 2SZ473.S702 into®environmentalchemists.com CLIENT: Prestage Farms -Clinton NC PROJECT NAME: Stone water (Mottonville Feed Mill) REPORT NO: ADDRESS: 73.f'1wg) • 1� Rf CONTACT NAME: Jim Carr (Moltonville) PO NO: `a&' f, C Q U REPORT TO: Glen Clifton PHON • AD SS�-/dd eD r7- COPY TO:„r, Z email: Sampled By: M-- 4,e y SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, St. = Sludge, Other. Sample Identification Collection a m �, a o o. `o m C a �. CLi = o U d o � ;_o m U a w 8 m� i PRESERVATION ANALYSIS REQUESTED D e Time Temp z i x = c = o z o o 9wlllwF# 1 / Ls S� C P Lr' �' X X TSS, OBG, COD,pH eL*-- G FG Outiall # 2 � LL-r C P X X TSS, O&G, COD,pH t-- G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Limits: pH 6-9, TSS 100, O&G 30, COD 120 mglL Transfer Relinquished By: DateMnie Received sy: DateMme 1. ,1 2. Temperature when Received - Delivered By: Received By "� . i��.e-?_ 0 A.v Date Comments: Time: 3'Y 0 for North Carolina Division of Water Quality General Per 't No. NCG060000 Date submitted / 2 —I CERTIFICATE OF CoyERAGE NO. NCGoo 33-5 S�}MPLE COLLECTION YEAR P'0/ rT �rF:1VFD FACILITY NAME rtj .,�.s ,�,sv,Ile )V IMS61 TY ACTIVITIES INCLUDE (check all that apply): JAN 0 3 2618 COUNTY .t /� ❑ use/process meats 1z use animal fats/byproducts PERSON COLLECTING SAMPLES ;," r DISCHARGING TO SALTWATERS? DYES �YYV SECTION ®NO rFo>�rnarIo;V p�OcEssrNc lJNI7 LABORATORY ren�v f�%e_ai S Lab Cart. # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 uniy apprres to TaGlitles chat use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. See General Permit text, Fable 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes M no Tarr o; venicie maintenance Area twonitormK Results: oniv for factimes averaKine > s5 Kai of new motor Amy appues w Tammes mat use/process meats. z The total precipitation must be recorded using dafa from an on -site rain gauge. 3 For sampling periods with no discharge at jny outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit tent, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies. if Kes, complete Part B) SWU-244 Last Revised: October 18, 2012 PaaP I of *FOR PART A AND EMT 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: T1AS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES E] NO& IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES CJ NO Q REGIONAL OFFICE CONTACT NAME: Ma11 an orl final and one copy of this DMR Including all ffNo Dlscha eu re orts wiithln 30 days recel t o the lab results or at end monitorin erlod I the case o "No Dlscha e" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN'THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." m* of Permittee) 2- " %7 `1 (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su re dessw#tab-4 SWU 249 Last Revised: October 18, 2012 T.--_ n _r- for North Carolina Division of Water Quality General Permit No. NC 06 OOO Date submitted CERTIFICATE OF CDyPAGE NO. NCG064_ja5 FACILITY NAME Przke I., COUNTY _ -n10r*% PERSON COLLECTING SAMPLES~ '.n r LA8ORATORy _jg&dadMf l ..a;s � Lab 6;t. # �7 Part A: Storrawater Benchmarks and Monitoring Results 5 MPLE couiii TIow YEAR d4d/ ���CILri•Y ACTivmES INCLUDE (check all that apply): ❑ use/process meats (9 use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Totol event or I I No ' Only applies to facilities that use/prociess meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 4For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here. {See Gen eral Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] Yes � no Part 8: Vehicle Malfftnance Area Monitoring Results: arm for facilities averanina > 55 gal of new motor ' Only applies to Facilities that use/process meats. The total precipitation must be recorded using data from an on -site rain gauge. 8 For sampling periods with no discharge at M outfalis, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies. this if es complete Part Bj SWU-249 Last Revised. October 18, 2012 ' PavP 1 of � *FOR PART A AND PART S MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION a, • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B, • 13ER 3: TIAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO& IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ No [l REGIONAL OFFICE CONTACT NAME: M i an orf Ina! and one copy of this DMR Including an -No Disch e'° a orts ! 90__dM gf rmhot of he b ret►tGs or en m Whorl a od LiLog case o "No Discharge" re orts Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YD-U MST SIG iS RTIFICATiON FOR NY I FORMAiIDN E 0: "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 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." re of Permittee) Z - /'7 (Date) Additional copies of this form may be downloaded at: lhttn:ffoortaLnc�enr.or lweb/wct ws sulnpdess_w#tab-4 SWU-249 East Revised: October 18, 2012 Environmental Chemists, Inc. i 6602 Wiiidrii0l'IVAy Wilrrihigtoii, NC 28405 ' ' 910.:392M0 i.ab 910.392.4424 Fax 710 Bowsertown road, Mantco, NC 27954 • 252.473,5702 Lab/ Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS in fo@environmentalchemists.corn Prestage Farms P. 0. Box 438 Date of Report: Dec 18, 2017 Customer PO #: Clinton NC 28328 Customer ID: 09010051 Attention: Brenda Matthis Report #: 2017-19020 Project ID: Storm Water (Moltonville Feed Mill) Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-46155 S e: Irate 12/6/2017 11:40 AM Water Jim Carr 1 Anthony Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 1211212017 Residue Suspended (TSS) SM 2540 D 29.0 m /L 11— pH SM4500 H 8 6.68 units 12/12/2017 COD SM 6220D 72 mg/L 12/08/2017 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-46157 : u a 12/6/2017 11:55 AM Water Jim Carr / Anthony Bryant Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1004 <5 mg1L 12/1212017 Residue Suspended (TSS) SM 2540 D 33.5 mg/L 12/07/2017 pH SM 4500 H 8 6.54 units 12/12/2017 COD SM 5220D 38 mg/L 12/08/2017 Comment: Reviewed by: _ RBpon M: 2D77.19020 Pan. I nF t ENVIRON ENTAL CHEMISTS, INC Analytical & t onsulting Chemists NCDENR: DWO CE ncxnoN # 94 NCDFIHS: DLS CERTTFICATION 4 3TM COL CTION AND CHAIN OF CUSTODY 810.3920223 252473.S702 info0environmentaichemists.com CLIENT: Prestage Farms -Clinton NC PROD CT NAME: Storm water (Moltonville Feed Milt) REPORT NO: ADDRESS- CONTACT NAME: Jim Carr (Moltonville) PO NO: REPOF T TO: Glen Clifton PHONE/FAX: COPY O: email: Sampled By: i-A tz-SAMPLE TYPE. I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Outer: Sample Identification Collection n E g a� JB `o E a 0o $" o c`iz oLU PRESERVATION ANALYSIS REQUESTED Da a Time Temp z $ x c i o F .i n > C P ;v X X 14 Z 1 TSS, O&G, COD,pH G G Outlall*e— IL C P 11 j X I X 1 TSS, O&G, COD,pH G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Limits: PH 6-9, TSS 100, O&G 30, COD 120 m91L., I Transfer Relinquished By: Data(Time Received By: i]ateffirne 2. Temperature when Received: Accepted: ✓ R ected: Resample F Delivered By: A tved By: Date: TURNAR Time: t L5;1 _ .. 0. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED Date submitted / 1 /-7 CERTIFICATE OF CO ERA E NO. NCG06�,�� � SAMPLE CDLLECTION YEAR FEB 0 ZQi% ``J I �^ ����� ^, d�l� FACILITY NAME _ r��` aewd z_ olA�if� FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES DWrR SECTION COUNTY _ SarYceffln ❑ use/process meats [�tse animal fats/byproducts PERSON COLLECTING SAMPLES Sim 6.1 %4490�-'V- y DISCHARGING TO SALTWATERS? OYES NNO LABORATORYLab Cert. # PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Willy oNPttiMb w IaAINUU4 trtat uW/process rneaL5. zThe total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Vno if es complete Part 6) vcny aNprrt a w Iotairut:Z. ulat usr[prvt:ess meats. 3 The total precipitatlon must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Page 1 Of') *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO R1 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an orfainal and one copy of this DMR, includlny all "No Discharge" reports within 30 days of receipt of the lab results or at end o monitoring period in the case of "No Discharge" eportsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." 1-a�(-- 2 jDate) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/wslsulnodessw#tab-4 SWU-249 Last Revised: October 18, 2012 PROP 7 of ? 'FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOW IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an 2&1nal and one cony of this MR, Including all "No Discharge" reports, within 30 days of recelpt of the lab results for at end o monitoring period in the case of 'No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#itab-4 SWU-249 Last Revised: October 18, 2012 PAoP. 7 of? for North Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted - 1� ,eCe� v S D CERTIFICATE OF COMERAGE NO. NCGO6 SAMPLE COLLECTION YEAR FACILITY NAME _ 1►'r000- ��� _��f��� _ _� FACILrIY ACTIVITIES INCLUDE (check all that apply'): COUNTY 'faO&MA ❑ use/process meats 0 use animal fats/byproducts PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results b PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event or L l No ` Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:]yes � no Part s: vehicle Maintenance Area Monitoring Results: oniv for facilities averaninx > 55 aal of new motor unry appareb tv raemnes mar use process meats. ZThe total precipitation must be recorded using data From an on -site rain gauge. 3 For sampling periods with no discharge at ( outfalls, you must still submit this discharge monitoring report with a checkmark here. 4any See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. this 3Ut, 19 �016 G \NSEC TION D if es complete Part Bj SWU-249 Last Revised: October IS, 2012 PACrk 1 n0 FF000 0 Environmental Chemists, Inc. envirochem 1 6602 Windmill Way, Wilmington, NC 28405 * 910.392.0223 Lab • 910392.4424 Fax ® 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Pax ANALYTICAL& CONSULTING CHEMISTS infor@environmentalcbemists.com Prestage Farms Date of Report: May 19, 2016 P. O. Box 438 Customer PO #: Clinton NC 28328 Customer ID: 09010051 Attention: Glenn Clifton Report #: 2016-05907 Project ID: Storm Water (Moltonville Feed Mill) Lair ID Sample ID: Collect DateMme Matrix Sampled by 16-13974 Site: WWI #1 5/2/2016 8:20 PM Water Jim Carr / Anthony Bryant Test Method Results Date Analyzed Oil & Grease (OW EPA 1664 <5 mg/L 05/10/2016 Residue Suspended (TSS) SM2540D 51.5 mg1L 05/05/2018 pry SM 4500 H s 6.51 units 05/17/2016 COD SM 6220D 71 mg1L 05/09/2016 Lab ID Sample 10: Collect Daterrime Matrix Sampled by 16-13976 Site: I"fall #1 5/2/2016 8:16 AM Water Jim Carr / Anthony Bryant Test Method Results Date Analyzed Oil & Grease P&G) EPA 1664 <5 mg/L 05/10/2016 Residue Suspended (TSS) SM 2540 0 64.0 mg/L 05/05/2016 pH SM 4500 H s 6.04 units 05/17/2016 COD SM 82200 67 mg/L 05/09/2016 Comment: Reviewed by: Report #.: 201 "5907 page 1 of 1 ENVIRONMENTAL CHEMISTS, INC 910.392.0223 252.473.5702 Analyficffl & Consulting Chemists NCDENR: DWIQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION 0 37729 inio@mvirorunentalchanistacom COLLECTION AND CHAIN OF CUSTODY CLIENT: Presta a Fanns-Clinton NC PROJECT NAME: Storm water Moitonville Feed M1111 REPORT NO: i to- _yq0 ADDRESS: 73S ' IV,a P14 PQ CONTACT NAME: Jim Carr Moltonville PO NQ: MVV4) r; ,r REPORT TO: Glen Clifton PHON D "i%4 I COPY TO: email: Sampled By: 3 ion r 't- r SAMPLE TYPE: I - Influent, E Effluent, W - Well, ST = Stream, 50 = Soll, SL = Sludge, O#im: Sample Identification Collec ' n rL a ° m ` o � 3 PRESERVATION ANALYSIS REQUESTED Date Tine Temp" o Outfall # 1 . o 911 C P i X X TSS, O&G, COD,pH G ;.c !/ 2 5-.7vio Q- �� C P X X TSS, O&G, COD, H G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Lirrilte: 6-9, TSS 100, O&G 30. COD 120 mg/L. Transfer Relinquished By: Date/rime Received By: Daterrirne 1. z. Temperature when Received: 44 --fr Accepted: Rejected..Resamp Delivered By: Received By: v ate Comments: W 10) SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted / 12 10 _ CERTIFICATE OF COVERAGE NO. NCG06_011, !! II/ FACILITY NAME ��rSt iG ar �L►L fin/:lk ��ri! M, /I COUNTY PERSON COLLECTING SAMPLES LABORATORY_nyr/cR ��nf� - Lab Cert. ## `jh•rroisi / L,. C. Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR o901S FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats Ouse animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES [ArNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall _a (o�.:r'or ❑ No discharge this period3 i,�ifallIVoa Coltect"" €mo/,ticYrw �TSS _i.., . rl, Sta .. art!€ui_ CD, m kLa Ol.andG�WK l=ef�ilaou..;__ Ga o. - es�pei100_m,Cales� er,t>ftF rd "Ben_chmarl' � A. fw. 6'rt�S4 W liin,t 0 9 t► ` 1?p' �= :. 34 ' � OOE � 00 Ligli 9 - '? LA915 .� < S 1 Only applies to facilities that use/process meats. CENTRAL FILES 2The total precipitation must be recorded using data from an on -site rain gauge. dWR SECTION 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q( no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. autfatLV eencEf»tark� S;Irtt le Coll e" ino ..live , -; ss Oil.anrl�a e; w . 30SM97Otor0 i 1f�f 7!•.i ,e+ Stattdad unit a 6 6�9:0 iv[ot�o OiiUsage,. = A r�t�al` ve a e. mo 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. fQL■ if es complete Part B) SW'LJ-249 Last Revised: October 18, 2012 Aaea 1 of 9 "MR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one coov of this DMR including all "No Discharge" reports, within 30 days —of recei t of the lab results for at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." /--iz-t� hire of Permittee] (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wg/ws/su/npdessw#tab-4 SW-249 Last Revised: October 18, 2012 Pace? of Eenvir ochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc, 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com environmentalchemists.com Prestage Farms Date of Report: Dec 28, 2015 P. 0. Box 438 Customer PO #: Clinton NC 28328 Customer ID: 09010051 Attention: Jim Carr (Moltonville) Report #: 2015-16367 Project ID: Moltonville Feed Mill Lab ID Sample ID: Collect DatelTime Matrix Sampled by 15-38939 Site: Infall #1 12/7/2015 1:35 PM Water J.Carr/ A. Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg1L 12/21/2015 Residue Suspended (TSS) SM 2540 D 40.5 mg1L 12/10/2015 pH SM 4500 H B 6.15 units 12/18/2015 COD SM 5220D 85 mg/L 12/10/2015 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 15-38940 Site: Outfall #2 12/7/2015 1:50 PM Water J.Carr/ A. Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg1L 12/21/2015 Residue Suspended (TSS) SM 2540 0 122 mg/L 12/10/2015 pH 5M 4500 H B 6.77 units 12/18/2015 COD SM 52200 73 mg/L 12/10/2015 Comment: Reviewed by: - .�. 0 Report #:: 2015-16367 Page 1 of 1 Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION 0 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 910.392.0223 252.473.6702 Info&nvironmentalchemists.com CLIENT: Presta a Fars -Clinton NC PROJECT NAME: Storm water Maltonville Feed Mill REPORT NO: i ADDRESS: 7 CONTACT NAME: Jim Carr Moltonville PO NO: C 3 REPORT TO: Glen Clifton PHONEIFAX: COPY TO: Yid email: Sampled By: G n SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification COI ection a E L 13 C _ Z .0 W m z PRESERVATION ANALYSIS REQUESTED Date Time Temp z o 0 0 o. $k ?-7-/s :3S 4 12., w C P s3 931 X X I I ITS'S, OiG, COD, H G G. Outfall # 2 C P. 4' ;$ X X I ITSS, O&G, COD,pH G G. C P G G. C P G G C P G G C P G G C P G G C P G G C P G G Limits: pH 6-9. TSS 100, O&G 30, COD 120 mglL. , Transfer Relinquished DatelTme ived B : atelTime Z. Temperature when Received: Accepted: Rejected: Resample Requested: Delivered By: Received By: Date: Time: 3 s r Comments: TURNAROUND: '_ � ,' � � -' , -; . � .� .. H�. .r ; I -s � t k ._� E � !. i t_ � � . ' �' � t .. s. .. y � i ... � � ' � � .. k _ � � k ., .., `3. •. - for North Carolina Division of Wafer Quality General Permit No. NCG060000 Date submitted - 1 CERTIFICATE OF COVERAGE NO. NCG06-Q 114: FACILITY NAME &4 G �,� ' /N%rl COUNTY PERSON COLLECTING SAMPLES _7"" G4tr" In LABORATORY FRyirnAsarr�fcl Lab Cert. # _ �y &Ae,.irs4 / rr SAMPLE COLLECTION YEAR o940/S FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats [Ruse animal fats/byproducts DISCHARGING TO SALTWATERS7 AYES WNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 uniy applies to Tacurues tnat use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Eno rare n: venicte maintenance Area monitoring Results: oniv for tacillUes averaging > 55 sal of new motor v111y aNNura u, IaLinurs ulat uselprocess meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 3For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. if es complete Part B) S WU-249 Last Revised: October 18, 2012 Non i nf? *FOR PART A AND PART B MONITORING RESULTS: y • A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO go IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Marl an orl final and one cany of this DMR including all "No Dfscha e" reports, within 30 da s recel t a the lab results or at end o Monitoring period in the case of -No DischgMe" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." 3 re of Permitteef 1-iz- lz (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.or /web/wp/ws/Su/nodessw#tab-4 SW-249 Last Revised; October 18, 2012 Papa 1 of l SEMI-ANNUAL STORMWATER D for North Carolina Division of Water Quality,GenegW Permit No. NCG060000 Date submitted 6 -SO- CERTIFICATE OF COVERAGE NO. NCG060 FACILITY NAME COUNTY S4@b21-0 1 PERSON COLLECTING SAMP Sim G+rr LABORATORY- fArkoawurirtCAWhr Lab Cert. # ply Part A: Stormwater Benchmarks and Monitoring Results • SAMPLE COLLECTION YEAR aD/S FACILITY ACTIVITIES INCLUDE (check all that apply): RECEIVED ❑ use/process meats ® use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ®NO JUL 4 8 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES . DWR SECTION Total event rainfall Zi5 or ❑ No discharge this period Outfall_ 11 o�. _ Wimple Collected o/dd/yr i55,R mg/Les pit, r Hsi! ndari- units ;--C[iE?, Oil and Grea a Fecal Col�form ,_ Colan� per__iQQ_rrsl = Fnte�rococc� —� ._._Colonies'per 1Oa ml= - aBenchmark =100'or 50X I<With n 6=0 §% � 120 0 _ =� � 10 0 �-�.. -® '----,�iM5 GPM —� s gi 1 78 S. - a -i.s 3oS .f 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aM outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall lya Sample Collected, -_ �� Vr .�_._.rno/dd/Yr...__._ _Oil and Grease, --.�mg/L___mg/L=Standardunrts-Annual'average;gal/mo. TSS, pH, iVew Motor Oil Usage, - - - ._ 1a ^x Benci�inark ..,. .. ri:...,, r _ :. 30 Graz aerie; 100 or 50 ,E �:,,� -_6 ;. Tt 0 _� = _ .. _... Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from anon -site rain gauge. 3 For sampling periods with no discharge at gft outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifyes, complete Part B) C'"2 "0 idC SWU-249 Last Revised: October 18, 2012 PAUR 1 of *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including al! "No Discharge" reports, within 30 days of receipt of the lab results for at end o monitoring-eeriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 if YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." r� re of Permitteej (Date) ^� Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/_npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 PaaP ? of SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG06000ORECEIVED Date submitted 6/9/2014 CERTIFICATE OF COVERAGE NO. NCG060335 FACILITY NAME Prestage Farms, Inc. Moltonville Feed Mill COUNTY Sampson PERSON COLLECTING SAMPLES Jim Carr / Anthony Bryant LABORATORY Environmental Chemist Lab Cert. # 94 Part A: Stormwater Benchmarks and Monitoring Results JUN 16 2014 SAMPLE COLLECTION YEAR 2014 CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply). 1:1 use/process meats Z use animal fats/byproj0u(PIBOG DISCHARGING TO SALTWATERS? [—]YES ©NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 1.9" or D No discharge this period3 �-'Ouifaill_Nb`-'�-. Sample Collected, TSS, Standard -`-Wb Oil :and :Gi6 M 6 nies:pe �ml -1W QColonies �Be—nc-h mark ,-,-_-q"-.2­ -,Ao ov5eiii 2 qmqwu- SOR 12 60A LEM 60 Infall #1 5/16/14 17.2 6.9 70 Outfall #1 5/16/14 17.5 6.9 68 I Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? El yes R] no Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. V�_ 7--M-27- _Standard 9 P. Annual I 07� 1 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. if es complete Part 13) SW-249 Last Revised: October 18, 2012 Pace 1 of *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOFij IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end o monitoring period in the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." of .406 //1 /0-0/� (Dat ? Additional copies of this form may be downloaded at: http-Ilpor-tal.ncdenr.org/weblwqLws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 PaaP 7 of 7 0 Environmental Chemists, Inc. envirochem 6602 Windmill Way • Wilmington, NC 28405 (9I0) 392-0223 (Lab) • (910) 392.4424 (Fax) ® 710 Bowsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL 8 CONSIATINO CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Prestage Farms Date of Report: May 30, 2014 P. O. Box 438 Customer PO #: 46 35185 Clinton NC 28328 Report M 2014-05729 Attention: Jim Carr (Moltonville) Report to: Jim Carr (Moltonville) Project ID: Moltonville Feed Mill Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-13855 Site: Infall 5/16/2014 9:46 AM Water Jim Carr 1 Anthony Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 6/27/2014 Residue Suspended (TSS) SM 2640 D 17.2 mg/L 05/19/2014 Temperature SM 2650 9 18.9 C 05/16/2014 pH SM 4600 H B 6.90 units 05/16/2014 COD SM 5220D 70 mglL 05/1912014 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-13857 Site: Outfall #1 5/16/2014 10:01 AM Water Jim Carr / Anthony Bryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/22/2014 Residue Suspended (TSS) SM 254D D 17.5 mg/L 05/19/2014 Temperature SM 2550 B 19.4 C 05/16/2014 pH SM45oa i s 6.90 units 05/16/2014 COD SM 5220D 68 mg/L 05/19/2014 Comment: 1 M r Reviewed by: Repon #:: 2014-0572e Page 1 M 1 - ENVIRONMENTAL CHEMISTS, INC 910.392.0223 252.473.5702 info@environmentalchemisis.com Analytical & Cansumng Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY CLIENT: Prestage Farms -Clinton NC PROJECT NAME: Storm water Moltonville Feed Mil!L REPORT NO:' Zg ADDRESS: 35 aAn CONTACT NAME: Jim Carr (Moltonville) PO NO: 1= �s g REPORT TO: Glen Clifton PHONEJFAX: 9/. S 2-/52D COPY TO: .S email: 'Q , Sampled By:7jn SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Coll ction C `o 2 ° = o cia m a `o+ c� E n m �i PRESERVATION ANALYSIS REQUESTED Date Time Temp i z = o i n = = _o w c I# 1 a- 9: d 43 C P 541", X X . TSS, O&G, COD,pH G Ouffall A a- if tow �r C P 1 X X eR.IE;Y. fcT. y C_ TSS, O&G, COD, H G. G C P G G C P G G C P G G C P G C G P G G C P G G C P G G Limits: pH 6-9. TSS 100, O&G 30, COD 120 mg/L. Transfer linquished By: Datefflme Received By: Datetrime Z. Temperature when Received:_ L Accepted: Rejected: Resample Re d: Delivered By: Received By: J Date: 11 f ',' Time: fz �v Comments: TURNAROUND: SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 11 W I+- CERTI F I CATE OF COVERAGE NO. NCG060 -135 ' SAMPLE COLLECTION YEAR _kIS FACILITY NAME PjF5776E reit"S, Moc. MOL'@A111t" Fkeb Mtw. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY SAAkr..0+4 ❑ use/process meats Q use animal fats/byproducts PERSON COLLECTING SAMPLES .1jN1 CARR DISCHARGING TO SALTWATERS? []YES QYNO LABORATORY EN 1RtiN lST Lab Cert. # 94- Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -> Total event rain/all z ,75 or ❑ No discharge this period3 �DutfaHNNa -.e.,.�y.�- s& 9...:T,� «z.,;psy.adr.»^:r� Sample,,GollectedA '. , TSS,-� .m. ~ ' PN, Sfar3darc3gunits ..._...r_.. COD; mg/l _ _ O. "�.m— it and=Gi-ease, m _ mg/L ..$p�s�..: +r-yp�--'w.vi..�iw Fecal`Goliform.; Golonfes,per i00iml'� "Enterocacci , A .� Colonies per�lOD ml Senchmaik.� _ 1.2d 30 100 f - M 0W 00.. R � -..a i 1 ` 240,�;_�,- 3.? `.� . � 5 uJFp" I I 114, b3 577 G • Z 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at Any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Dutfall=Now �SamPl,eCallecietl, _' _,_mo/cid/yr ilandGrease,� , •- , mg/L - TSS, mg/L -,-. pH, Standard units ew Motor Ui!°�Uge Annu.al?average�gal/mom F � , MEMO?� . � �,_ ,._ _-?� 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part Bj RECEIVED JAN 31 2014 CENT RAL FILE: DWQIBOG SWU-249 Last Revised: October 18, 2012 paaP 1 nf'2 o- *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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." (Signature of Permitt 11z�1,4 (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4 S WU-249 Last Revised: October 18, 2012 Pave ? of 7 0 F"00"-7- _747 Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) ® 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. OtS CERTIFICATE H37729 Prestage Farms P. O. Box 438 Clinton NC 28328 Attention: Jim Carr (Moltonville) Date of Report: Dec 19, 2013 Customer PO #: Report #: 2013-14722 Report to: Jim Carr (Moltonville) Project ID: Moitonville Feed Mill Lab ID Sample ID: Collect Daterrlme Matrix Sampled by 13-35979 Site: Outfall #1 11/2612013 4:30 PM Water J.Carr/ ABryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/10/2013 Residue Suspended (TSS) SM 2540 a 3.7 mg/L 12/03/2013 pH sM 460o H B 6.65 units 12/02/2013 COD SM sszon 51 mg/L 12/03/2013 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 13-35980 Site: Outfall #2 11/26/2013 4:30 PM Water J.Carr/ ABryant Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1ae4 <5 mg/L 12117/2013 Residue Suspended (TSS) SM 2W D 3.7 mg/L 12/03/2013 pH SM 4500 H B 6.27 units 12/02/2013 COD SM 6220D 58 mg/L 12103/2013 Comment: Reviewed by: "all�& 1 I Rgmjt *:: 201344722 Page 1 of 1 envirochem, AnefWcW & CmsLdting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION ## 94 NCDWS: DLS CERTIFICATION d# 37729 COLLECTION AND CHAIN OF CUSTODY 910.392.0223 252.473.5702 info@environmentalchemists.com CLIENT, Presta a Farms -Clinton NC PROJECT NAME: Storm water Moltonville Feed MIII REPORT NO: /S ' /Y% Z L ADDRESS: a a CONTACT NAME: Jim Carr Moltonville PO NO 91 570-770Sw ` JS1_�C. �Q REPORT TO: Glen Clifton PHON F . ,a - - S 1 ��Mg '1 ary c�i ere COPY TO: 3;m emaII:' Sampled By, Mry, SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Co! ctio = �a r A .e E `o � c c 8 `4 a c " w 0 W 2 Z PRESERVATION ANALYSIS REQUESTED Date Time Temp i a o o Ouffall # 1 -�1 }� 7. !-?A' 3 #:3o 'L. C P S9 X X ITSS, O&G, COD,pH G 11 lilMW # 2- 7. S C P S � X X TSS, O&G, COD,pH G C P G G C P G G C P G G C P G G C P G G C P G G C. P G G Unfits: pH 6-9, TSS 100, O&G 30, COD 120 mglL. Transfer Relin ulshed By: Da einme Received By: DateMme i. 11 Ls �J 83 6 •r Lr r) i3 3a 2. Temperature when Received: t Accepted: -- ( e' a Resample Delivered By: J Received BY Date: It Comments: T Time: �Ys�