HomeMy WebLinkAboutNCG060026_MONITORING INFO_20160204a O
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 - 2 1 - ) (,p
RECEIVED
FEB 0 4 2016
CERTIFICATE OF COVERAGE NO. NCG06 O SAMPLE COLLECTION YEAR ;2-o l� CENTRAL FILES
FACILITY NAME e LA -_-a e NO A�: "C-e. FACILITY ACTIVITIES INCLUDE (check all that apply): ,1NIR SECTIOt"
COUNTY ant « ❑ use/process meats ❑ use animal fats/byproducts
PERSON COL CTEL 114G SAMPLES 1.Q 44L- DISCHARGING TO SALTWATERS? ❑YES 2gNO
LABORATORY Cy%� r7t: Lab Cert. # 3-7-2-2-1
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
a�
Total event rainfall 2 Z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
p
Standard units
COD,
mg/L
Oil and Grease,
mg/L. _
Fecal Coliform ,.
Colonies_per 100 ml
�nterococH, .ci ,
Colonles;per 100 ml
Benchmark
-
100 or 564
Within 6.0'- 9:0 '
120'
30
1000
500
j
i Z/ o S
(4 a
Z-
I 30 ,a
S ,a
4.L
4
5
2_/3o,s
14.0
4?.1
�d
�-
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 A" 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 Eno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil"end'GA ase,
Mg/L
TSS,
._mg/L'- �- ;
pH, _
r=- Standa�d:unitst ;
New Motor Oil Usage,
v Anndal-ave�agegal/mo
Benchmark
-
30
100 or SO
6.0 — 9.0
-
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 anv 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.
11�
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
D 1 .,r
*FOR PART A -AND PART BNONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXC£EDANCES 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-onexopy of this DMR; including all "No Discharge" reports; -within 30_days of'receipt`of the4lab 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 Permittee)
(Date) -
Additional copies of this form may be downloaded at: htt ortai.ncdenr.or web w ws su n dessw#tab-4
SWU-2, — Last Revised�ober 18, 2012
9
' ~J Page 3 of 2
Inspection Report and Certification form
For Storm Water Pollution Prevention Plan Evaluation
Owner andlor Operator: Bung_e North America, Inc. „
Facility Name: Meal Transfer Facility
Facility Location: Rose Hill, North Carolina T
Date and Time: —I1
Inspector(s): �''^ � '4ZI,. � cx
Date of Last Rainfall: �_y 2� — is
Deficiencies Noted During the Inspection (attach additional sheets if necessary):
001 -
002 -
003
Corrective Action Needed (attach additional sheets if necessary):
_ 001= =9�
002 - —4''p-
003 - _ __ 0--
Corrective Action Compliance Schedule:
Based upon this inspection which I or personnel under my direct supervision conducted, I certify
that all pollution control measures are adequate and have been implemented and maintained,
except for those deficiencies noted above, in accordance with the Storm Water Pollution
Prevention Plan filed with the Office of Pollution Control and good engineering practices as
required by the above referenced permit.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision is 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 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. ,
Mike Sprinkle llta4 a
44f�-12-
Authorized Name (Print) nature Date
u
r
N
u
HC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portat.ncdenr.or�-,/web/wg/ws/su/npdessw#tab-4
Permit No.: NIC/6' ID IIQI IQI olQl or Certificate of Coverage No.: NIC/G/o /lo I col
Facility Name:4•-+,
County: A Phone No. 910 -SSZ 002Co
Inspector:
Date of Inspection: 3d - r
Time of Inspection: 1I k-L,
z
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 'S Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this re ort is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designel)
1. Outfall Description:
Outfall No. _ :3Structure (pipe, ditc ,etc.)
Receiving Stream: _ 04,,<2
Describe the industrial activities that occur within the outfall drainage area: —
2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: tcl
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N 0-
SWU-242-20120613
Page I of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
t 20 31 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the O
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonnwater discharge, where 1 is no solids and 5 is extremely muddy:
I L2D 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes 60)
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe__
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swU-242-20120613
•
Xj7i
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fonn, please visit: hitn://Portal.nedetir.orJweb/wg/ws/su/nntiessw#tab-4
Permit No.: NICI11 vl (PIel of
Facility Name:
County: Lnj
-
Inspector: U-�
or Certificate of Coverage No.: N/C/GlL)l (a/Cl/ 3/2-I(J
Date of Inspection: I ;� 10 ^tom
Time of Inspection: &S6�
Total Event Precipitation (inches):
2`'
No. 2/ `0 - 5,T2- 60.2(o
Was this a Representative Storm Event? (See information below) [f Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0. l inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signat'jurre,- I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or besignee)
1. Outfall Description: n ,
Outfall No. L Structure (pipe, ditch, etc.) �(�!►--e _
Receiving Stream: �bt+J"._
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Wu-c�2 �JV`auM�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 74,-
5WU-242-20120613
Page I of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
r
5. Floating Solids: Choose the number which best describes the amount of floating solids in the O
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 6 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 �J 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes N�
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
10. Other Obvious In��drricators of Stormwater Pollution:
List and describe I.`
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
i
SWU-242-20120613
C�
x
Ar-W
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://Vortal.ncdenr.or<_,/web/wg/ws/su/np(lessw#tab-4
Permit No.: NIC/G
Facility Name:
County:
Inspector:
Date of Inspection:
Time of Inspection:
old /Qlcal 'otr Certificate of Coverage No.: NIC/G/D /f916131 ZI Q
lI h-CAA
tt
Total Event Precipitation (inches):
Phone No. 91 o ` 5Q- — 60 zb
Was this a Representative Storm Event? (See information below) T. Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify Pat this report is accurate and complete to the best of my knowledge:
(Signature of PermitteIor Designee)
1. Outfall Description:
Outfall No. t Structure (pipe, ditch, etc.)
Receiving Stream: arc � : -�-� L
Describe the industrial activities that occur within the outfall drainage area: oaj�:,.�, �
126
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ h!'L tifJlrac.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 1 0-�
r
5 WU-242-20120613
Page I of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 0 3. 4 5
�J
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 a 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 (�2) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. 1s there an oil sheen in the stormwater. discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the -presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242-20120613
X,
.^......� ]ram
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fonn, please visit: hup:HVortal.ncdenr.or_,/web/wg/ws/su/np(lessw#tab-4
Permit No.: NIC/G IOICo/ D/0/ol01 or Certificate of Coverage No.: NICIG/01(0/0131 z l 6l
Facility Name: Nor-(-., 6P— J c.,- -
County: Phone No. 910 — SSZ — 0 o 2- L o
Inspector:
Date of Inspection:
Time of Inspection
015
Total Event Precipitation (inches): �� CENTRAL FI
DINR SECTION
Was this a Representative Storm Event? (See information below) ❑ Yes ®- No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
rV
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and th,
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has` R
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature,
I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or De, ignee)
1. Outfall Description:
Outfall No. I Structure (pipe, dii h, etc.) . /"1 Oe
Receiving Stream: `�z ,,,_PCttLd
Describe the industrial activities that occur within the outfall drainage area:_,Q,�,,=
�0�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: G P--,2� — V"( u"
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): t401-c-P
S W U-242-201206 13
Page I of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 0 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
I (D 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy-
1 (D 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes O
9. Is there evidence of erosion or deposition at the outfall? Yes ONo
10. Other Obvious Indicators of Stormwater Pollution: 1
_J
List and describe a
Note: Low clarity, high solids, and/or the.presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
r
Page 2 of 2
SWU-242-20120613
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.nc(lenr.orJwei)/wq/ws/su/npdessw#tab-4
Permit No.: NICI19 l01 6
Facility Name: _
County:
Inspector:
Date of Inspection:
Time of Inspection:
'o /o / or Certificate of Coverage No.: N/C/G/a 1(Q /O /312-161
U ^ 6ro r..
(.30 -rs
Total Event Precipitation (inches): -&-�
Phone No. 910 -5 L
Was this a Representative Storm Event? (See information below) ❑ Yes &[ No
Please check your pennit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
R _ ,.. A n
(Signature of Permittee or De'gignee)
1. Outfall Description: ,Q ,
Outfall No. 2—Structure (pipe, ditch, etc.) ! - t �
Receiving Stream: t4c.�
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _
using basic colors (red, brown, blue, etc.) and tint J
3. Odor: Describe any distinctodorsthat the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): t� t�t��o �j
Page 1 of 2
Swt3-242-201206 i 3
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
111A 1 2 3 4 5
' �J
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
!~/R- 1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
�/r} 1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the, presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
M1
Page 2 of 2
5wU-242-20120613
U
U
A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htip:/Iportal.ncdenr.or<_,/web/wq/ws/su/npdessw#tab-4
Permit No.: N1C16
Facility Name:
County:
Inspector: .
Date of Inspection: _
Time of Inspection:
or Certificate of Coverage No.: NIC/G/o l6 / o / 31-2-I Q
Total Event Precipitation (inches):
Phone No. 71 O - Z— o a
Was this a Representative Storm Event? (See information below) ❑ Yes E�-No
Please check your pertnit to verify if Qualitative Monitoring must be perforned during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3. days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
S
(Signature of Permittee or Designee
1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the out�fall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: zcqx--- S t� AL-Qc.,AA — 144- Ar 1.,-- .
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): / �iT n <
5 W U-242-20120613
Page I of 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I 2 � 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ,.
3 4 5 T
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes ONO
to. Other Obvious indicators of Storrmwater Pollution:
List and describe d�rA[� D 1� G
A 1
Note: Low clarity, high solids, and/or the.presence offoam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
r
t
Page 2 of 2
SWU-242-20120613
7A
O
Inspection Report and Certification Form
For Storm Water Pollution Prevention Plan Evaluation
Owner and/or Operator:
Facility Name. -
Facility Location:
Date and Time:
Bunge North America, Inc.
RECEIVED
JUL 2 7 2015
Meal Transfer Facility CENTRAL FILES
Rose Hill, North Carolina DWR SECTIOn,
Inspector(s):1`�
Date of Last Rainfall:n"�-
Deficiencies Noted During the Inspection (attach additional sheets if necessary):
001 - ��
002 - tgall-e,
003 - /4 a-l—f-
Corrective Action Needed (attach additional sheets if necessary):
001 - l`,�1QWp
002__
003 -
Corrective Action Compliance Schedule:
Based upon this inspection which I or personnel under my direct supervision conducted, I certify
that all pollution control measures are adequate and have been implemented and maintained,
except for those deficiencies noted above, in accordance with the Storm Water Pollution
Prevention Plan filed with the Office of Pollution Control and good engineering practices as
required by the above referenced permit.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision is in accordance with a system designed to assure that qualified
personnel property gather and evaluate the information submitted. Based on my inquiry of the
person or persons 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.
Mike Sprinkle /' 3d --rS
Authorized Name (Print) gnature Date
o
'D
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ 4 - !o ~- ( 9-
CERTIFICATE OF COVER�GE NO. NCG06 SAMPLE COLLECTION YEAR O I
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING AMPLES U. DISCHARGING TO SALTWATERS? DYES ENO,
LABORATORY Lab Ce . #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Totol event rainfall z or tg No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L.
Fecal Coliform , IEnterococci
Colonies. per 100 ml
,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120'
30
1000
500
I 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.
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 K_no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
ma/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L -
pH,
O'Standard uhitsl� -
New Motor Oil Usage,
-`Annuai-ave'age gal/ino '
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 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.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(Lies
, complete Part 8)
o
SWU-249 Last Revised: October 18. 2012
n___ + _r
*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 ANY ONE OUTFALL? YES ❑ NOK
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`ot the lab results (or 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 1016fmittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-2 Last Revised ober ]8, 2012,
\—/ Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted $ - -j-& -
CERTIFICATE OF COVERAGE NO. NCG06 o SAMPLE COLLECTION YEAR -2a Ilz
FACILITY NAMEFACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY(, _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Ga �, �►-a.-, s_�... DISCHARGING TO SALTWATERS? DYES ONO
LABORATORY E, rd L Lab Cert. # 37 7 217
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Total event rainfoll 2 or ❑ No discharge this period
Outfall No. I
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
rrig/L.
Fecal Coliform ,
Colonies.per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
Soo
I
& / q I
t711
-7. OQ
Sz,
4 S/G
6121
7. to
- '2-8
`ice
< �
-7.0
s
4j L
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.
°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 �9 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
_ mg/L
pH,
-'Standard units. -
New Motor Oil Usage,
� 'Annda average gal/mo
Benchmark
-
30
100 or SO
6.0 - 9.0
-
(i-f Yes' complete Part B)
RECEIVED
AUG 2 G 2014
CENTRAL FILES
DWQ/SQG
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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SW U-249
Last Revised: October 18. 2012
*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 ANY ONE OUTFALL? YES [-]NOS
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, withiw30 days of'receipt-ofthe-Ia6 results for at end of
monitoring period -inn -the case o "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 P66'hittee)
—2-0 -
(Date) _
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/ngdessw#tab-4
SW U-249
Last Revised: October 18, 2012"
Page 2 of 2
ALTTJ`�-A`
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: hunt//portal.ncdenr.orJweb/vvq/ws/su/nVdcssw#tab-4
Permit No.: NICI -el of h/ 0101 o/ o/ or Certificate of Coverage No.: N1C1G1 o/ 610/ 3121 GI
Facility Name: 6"!t No r' `(,
County: Tl, .,� Phone No. 9 f o - 5 2 - oo z (o
Inspector: of
Date of Inspection: G �2
Time of Inspection.
Total Event Precipitation (inches): I "I- '
Was this a Representative Storm Event? (See information below) Y Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements nary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittet,-'dr Designee)
1. Outfall Description:
Outfall No. "W-) Structure (pipe, ditch, etc. I-t -�
Receiving Stream: t `� v�.~.,�� i A��
Describe the industrial activities that occur within the outfall drainage area:
I ^C I A I n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: tJ►-,�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /4111 2-
Page t of 2
SWU-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 6) 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L2) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
444a
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fonn, please visit: hilp.//Vortal.nc(leiir-.or�Jwc[Vw(j/ws/sti/npcicssw#tai)-4
Permit No.: NICI6101 G/01 d/ al
Facility -Name: � � Y
County:
Inspector:
Date of Inspection: -31- / 9
Time of Inspection: A A-L-
or Certificate of Coverage No.: NICIG/0/ 6/0 / 3/ Zl U
Total Event Precipitation (inches): 1 tfz "
Phone No, Qt 0 - 92 - ego 2-(o
Was this a Representative Storm Event? (See information below) E�4 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PermitWor Designee)
1. Outfall Description:
Outfall No. -0` 7i Structure (pipe, ditch, etc.)
Receiving Stream: 0t d, _
Describe the industX al activities that occur within the outfail drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: PDr1Cn,.,kti
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): rV 0% e—
Page I of 2
SWU-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 30 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 C/ 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. is there an oil sheen in the stormwater discharge? Yes fo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
• ,
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: hti :II ortal.ncdeiir.or�Jwcb/w /ws/su/n cicssw#tab-4
Permit No.: NICI�I pl
Facility Name:
County: _ *b; a 1nl
Inspector: _(
Date of Inspection:
Time of Inspection:
' Dl a/ W ca�fJ or Certific(/att]e� of Coverage No.: NIC/G/0 6o 0 3 4 /C
f'
i�
Total Event Precipitation (inches): 1 '/2- "
Phone No. 410--oaZ.("
Was this a Representative Storm Event? (See information below) Eg Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or IAignee)
1. Outfall Description: ,
OutfaIl No. Structure (pipe, ditch, etc.
Receiving Stream: �Uk.'�v�-ati. 1s
Describe the industrial activities that occur within the outfall drainage
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ovo �
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NI
Page 1 of 2
S wU-242-20 i 206 i 3
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
V 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where i is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes (P
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the.presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-20120613
Inspection Report and Certification Form
For Storm Water Pollution Prevention Plan Evaluation
Owner and/or Operator: Bun a North America Inc.
Facility Name: Meat Transfer Facility
Facility Location: Rose Hill, North Carolina
Date and Time: 4 -02 9 -I - _
Inspector(s): to---56
Date of Last Rainfall: 4 -22 -i
Deficiencies Noted During the Inspection (attach additional sheets if necessary):
001 - 1� rr."-a
002 - _ N j� T
003 - T1011--e-
Corrective Action Needed (attach additional sheets if necessary):
001 -
002-
Corrective Action Compliance Schedule:
Based upon this inspection which 1 or personnel under my direct supervision conducted, I certify
that all pollution control measures are adequate and have been implemented and maintained,
except for those deficiencies noted above, in accordance with the Storm Water Pollution
Prevention Plan filed with the Office of Pollution Control and good engineering practices as
required by the above referenced permit.
i certify under penalty of law that this document and all attachments were prepared under my
direction or supervision is 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 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 violatiols.
Mike Sprinkle 'j,/ O ��
Authorized Name (Print) nature Date
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. DLS CERTIFICATE #37729
Bunge North America Date of Report: Jul 21, 2014
4600 South US Highway 117 Customer PO #:
Teachey NC 28464-9459 Customer ID: 12010010
Attention: Mike Sprinkle Report #: 2014-07867
Project ID: Storm Water
Lab 1D Sample ID: Collect DateMme Matrix Sampled by
14-19345 Site: Outfall #1 6/29/2014 11:00 AM Water G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 07/17/2014
Residue Suspended (fTSS� SM 25r40 D 17.7 mg/L 07/07/2014
Analyzed outside o hold ng time.
pH SM 4500 H B 7.09 units 07/10/2014
COD SM 62ND 56 mg/L 07/07/2014
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
14-19346 Site. Dull #2 6/2912014 11:00 AM Water G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 16B4 <5 mg/L 07/17/2014
Residue Suspended (TSS) SM 2fAO D 7.6 mg/L 07/07/2014
An8Vzed outside of hold Ing time.
pH SM 450o H B 7.28 units 07/10/2-014
COD SM 5220D 46 mg/L 07/07/2014
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
14-19347 Site: Outfall #3 6/29/2014 11:00 AM Water G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA IW4 <5 mg/L 07/17/2014
Residue Suspended (TSS� SM 264o D 7.2 mg/L 07/07/2014
Analyzed outside of hold ng time.
pH SM 4500 H B 7.05 units 07110/2014
COD SM 5220D 450 mg/L 07/07/2014
Comment: s
Reviewed by: U,
Report#:: 2014-07887 Page 1 of i
Analytical & Consulting Chemists
Way Witon, NC
ENVIRONMENTAL CHEMISTS, INC 20405OFFICEf19103920223gFAX 9
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION 0 37729 392- 424
COLLECTION AND CHAIN OF CUSTODY
CLIENT; BUNGS North America
PROJECT NAME: Storm Water
REPORT NO:
ADDRESS: 4600 South US Highway 117
CONTACT NAME: Mike Sprinkle
PO NO:
Teache , NC 28464-9459
REPORT TO:
PHONEIFAX:910.552.002410025
COPY TO:
E-MAIL: mike.sprin'kle@bunge.com
Sa111 ieta uy:Haft, n 1VLt 4 V.A SAMPLE
TYPE: I influent, E = Effluent,
W = Well, ST = Stream, sQ = Soil, 5L = tiluege, tinter:
Sample Identification
Collection
-S A
- f
!ao
g o
7-3
t
I;
W
x
. PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp"
x
Z
I
a
s
g
Y
Q
o
5
Outfall #
I
90
C
P
�
X
X
TSS, Oil & Grease, COD
G
N:
C
P
G
G
Outfall # 7-
IQ-ty
t Anq
300
C
P
xqv' `
X
X
� SS; ail &Grease, COI]
CG7
G
H:
C
P
G
G
Outfall #
gJ °
C
P
X
I
X
L
TSS, Oil & Grease, COD
G
M:
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
NOTICE - DECHLORINATION: Samples For Ammonia, TKN, Cyanide, Phenol and Bacteria must he dechlorinaled (0.2 ppm or leas) In the field at the time of conft- lon. See reverse for Instructions
Transfer
Relinquished By:
Date/Time
Received By*'.
1.
2.
.I
I emperature when
L—
Delivered By: Received
Comments;
mple Re tad: MON
ate: L Time: 3---
T AROUND:
s
Analytical & Consulting Chemists
ton, NC
ENVIRONMENTAL CHEMISTS, INC 28405OFFICE: 910392-0223gFAXe 0-
NCDENR: DWO CERTIFICATION 4 94 NCDHHS: OLS CERTIFICATION # 37729 392-4424
COLLECTION AND CHAIN OF CUSTODY
CLIENT; BUNGS North America
PROJECT NAME: Storm Water
REPORT NO:
ADDRESS: 4600 South US Hijhway 117
CONTACT NAME: Mike Sprinkle
PO NO:
Teach , NC 28464-9459
REPORT TO:
PHONEIFAX:910.552.002410025
COPY TO:
E-MAIL: mikes rinkie buts e.com
sam leQ tly:Haft4 10 1Vk Ice 1"d SAMPLE
TYPE: I a Influent, E Effluent,
W = Well, ST = Stream, SO
= Soil, SL = Sludge, Other:
Identification
Collection
Q
8
°
"
o
PRESERVATION
ANALYSIS REQUESTEDSample
Date
Time
Temp
z
o
_
a
x
i
x
Outfall #
$o
C
P
X
TSS, Oil & Grease, COD
G
H:
C
P
G
G
Outfall # Z
16 - 4:1
11 A,,j
pjo
C I
P
`
X
X
TSS; 0i1.& Grease, COD
G
Fi:
C
P
G
G
Outfall #
gv °
C
P
X
I
X
TSS, Oil 8 Grease, COD
G
H:
C
P
G
C
G
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
NOTICE - DECHLORWATION: Samples for Ammonia, TI(N, Cyanide, Phenol and Bacteria must be dechlorinetad (0.2 ppm or less) In the fleld at the time of conectlon. See reverse for instructions
Transfer
Relinquished By:
Datefrime
Received By:'.
1.
2.
J
Temperature when Received:_ Accepted: ejected: Resample Re ted:
delivered -By: Received By: Date: Time:
Comments- T AROUND:
Environmental Chemists, Inc.
• � 6602 Windmill Way • Wilmington, NC 28405
® (910) 392-0223 (Lab) (910) 392-4424 (Fax)
710 Bowsertown Road • Manteo, NC 27954
(252)473-5702
ANALYTICAL & CONSULTING
CHEMISTS NCDI!tvIz DWQ CER=CATE fl94. OLS C$RTIFiCATE 037729
Bunge North America
4600 South US Highway 117
Teachey NC 28464-9459
Attention: Mike Sprinkle
Date of Report: Jul 21, 2014
Customer PO #:
Customer ID: 12010010
Report #: 2014-07867
Project ID: Storm Water
Lab ID Sample ID: Collect DateMme Matrix Sampled by
14-19345 Site: Outfall #1 6/29/2014 11:00 AM Water G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1684 <5 mg/L 07/17/2014
Residue Suspended (TSS) SM2W1) 17.7mg/L 07/07/2014
Analyzed outside of hold ng time.
PH SM4500 H s 7.09 units 07/10/2014
COD SM 52MD 56 mg1L 07/07/2014
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
14-19346 Site: Outfall #2 5/29/2014 11:00 AM Water G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA1684 <5 mg/L 07117/2014
Residue Suspended (rTSS) SM 2540 D 7.6 mg/L 07/07/2014
Analyzed outside o hold ng time.
pH SM 4500 H B 7.28 units 07/10/2014
COD SM 5220D 45 mg/L 07/07/2014
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
14-19347 Site: Outfall #3 6/29/2014 11:00 AM Water' G. Branson/ M. Tracey
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 07/17/2014
Residue Suspended (TSS� time. SM 2540 D 7.2 mg/L 0710712014
Analyzed outside of hold ng
PH SM 4500 H B 7.05 units 07/10/2014
COD SM 5220D 450 mg/L 07/07/2014
Comment.
Reviewed by:
1
Report X:: 2D14-07867 Page 1 of t
inspection Report and Certification Form
For Storm Water Pollution Prevention Plan Evaluation
Owner and/or Operator: Bunpe North America, inc._
Facility Name: _ Meat Transfer Facility
Facility Location: _ Rose Hill, North Carolina
Date and Time: _ --,2 9 -1 t
Inspector(s): V.!3 Y7 �-t�Sa
Date of Last Rainfall: 4
Deficiencies Noted During the Inspection (attach additional sheets if necessary):
001 -
002 -
003
Corrective Action Needed (attach additional sheets if necessary):
001 -
002-
003 -
Corrective Action Compliance Schedule:
Based upon this inspection which I or personnel under my direct supervision conducted, I certify
that all pollution control measures are adequate and have been implemented and maintained,
except for those deficiencies noted above, in accordance with the Storm Water Pollution
Prevention Plan fried with the Office of Pollution Control and good engineering practices as
required by the above referenced permit.
i certify under penalty of law that this document and all attachments were prepared under my
direction or supervision is 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 responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are
significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violati7L-Z
s
Mike S rinkle D —Z — I
p
Authorized Name (Print) Wriature Date
A!4',"-Pr-A
NC®ENR
Stormwater Discharge OutfaIl (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please ►visit: http://nortal.ncdcnr.orL,/web/%vq/t%,s/su/npdcssw#tab-4
Permit No.: N/C/ of/
Facility Name: r
County:
Inspector:
Date of Inspection: _
Time of Inspection: -
f %/ o/ o/ o/ o/ or Certificate of Coverage No.: N/C/G/o/ fa/o/ 3 / Z/ 61
Cf r
Total Event Precipitation (inches): 1 `/I- "
Phone No. 9 t a- 5, 2- d 0 2 ca
Was this a Representative Storm Event? (See information below) E�r Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitt0n-'dr Designee)
L Outfall Description: n�
OutfaIl No. 'W-) Structure (pipe, ditch, etc. _ I 1 R
Receiving Stream: �_`%u-emu.-•-..� AA,-e
Describe the industrial activities that occur within the outfall drainage area:
t ^C ► . t n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: rJ ,&L-J —
3. Odor: Describe any distinct odors that the discharge may have (i.e., smeIls strongly of oil, weak
chlorine odor, etc.). _ -u+
Page I of 2
SWU-242-20124513
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
( 2 3 4 5
6. Suspended Solids: Choose the Number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 t _) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes oNo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the, presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr.orJweb/ti�,q/wshu/nUdesstiv#tab-a
Permit No.. N/C/ -el of W o/ d/ o/ 0/ or Certificate of Coverage No.: NIC/GI0/ b/ o 1.3 / zl 61
Facility Name: _
County:
Inspector:
Date of Inspection:
Time of Inspection
et r
G
Total Event Precipitation (inches).
I t11 I/
Phone No. 9 t o- t a 2- oco z (a
Was this a Representative Storm Event? (See information below) [2' Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary),
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
1/ l
(Signature of Permittet-14 Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area. j
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 1411�
Page t of 2
SWU-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 6) 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,'where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L2) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes DNo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the, presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
A1',1;A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: ham://portal.nedeiir.oroweb/wu/�ys/su/npcicssw4tal)-4
Permit -No.: NIC16101.
Facility Name: {
County: . <
Inspector: a
Date of Inspection: J
'o/ a/ al D/ or Certificate of Coverage No.: NIC/G/o/ G/o / 3/ Z/ U
_11v
Phone No. t o - SS2 - C90 z(o
Time of Inspection: A/ t�—
Total Event Precipitation (inches)
I t/L I'
Was this a Representative Storm Event? (See information below) � Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PernvtWor Designee)
1. Outfall Description: n
Outfall No. `f- ?/ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the Indust, ill activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): r, cr,.,;e.
Page 1 of 2
sWU-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 C3) 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes LV
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ $ - -A-w —I
CERTIFICATE OF COVERAGE NO. NCG06 a SAMPLE COLLECTION YEAR _ _ 2s 1q _ _
FACILITY NAME _ r,�o�--.�.�.� e�a _ _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES GQ►- �S�a,..sr•._ DISCHARGING TO SALTWATERS? []YES NNO
LABORATORY i�..+i� rpLt L,n Lab Cert. # 3-7 7 2
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Total event rainfoll z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease, Fecal'Coliform ,
mg/L. Colonies per 100 ml
Enterococcl ,
Colonles.per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
1 30 1000
500
&l 5 1I
-j.Oq
S(o
Ls /L
612-11
-7.16
1 7-19
Lt'
/
. 71
7. j
S
L J L—
'-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 p.0 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 tAno (if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L -'-,'Standard units'-?Mnual,average.gal%mo
Benchmark - 30 1 100 or 50 6.0 — 9.0 -
' 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. -
SWU-249 Last Revised: October 18. 2012
*FOR PART A -AND PART &MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE'PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 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 finaland-oneicopy of this DMR jncludin all "No Dischar e" re arts wlthin,30 da s-o `recei t-a 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
_S-20-1 �{
(Date)
Additional copies of this form may be downloaded at:.http://Portal.ncdenr.org/web/wc[/ws/su/npdes.sw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2
Inspection Report and Certification Form
For Storm Water Pollution Prevention Plan Evaluation
Owner and/or Operator: Buncte North America, Inc. -
Facility Name: Meal Transfer Facility
Facility Location: Rose Hill, North Carolina
Date and Time:
Inspector(s): _ - WIS,6 U
Date of Last Rainfall:
Deficiencies Noted During the Inspection (attach additional sheets if necessary):
_002 -a
003=
Corrective Action Needed (attach additional sheets if necessary):
001 -
002-
003 -
Corrective Action Compliance Schedule:
Based upon this inspection which I or personnel under my direct supervision conducted, I certify
that all pollution control measures are adequate and have been implemented and maintained,
except for those deficiencies noted above, in accordance with the Storm Water Pollution
Prevention Plan filed with the Office of Pollution Control and good engineering practices as
required by the above referenced permit.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision is 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 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.
C
_ Mike Sprinkle
Authorized Name (Print) Svvfdture Date
REemvm)
uAlk-A
ee .v. ,FEB 12 2015
�fC®r��� . rF
Stormwater Discharge Outfall (SDO) 2EtQN
Qualitative Monitoring Report
Forguidance on filling out this fonn, please visit: htln://portal.ncdenr.org/web/wc1/ws/su/npdess.v-#tah-4
Permit No.: NIC/G/d/to/ o/o l o / o/ or Certificate of Coverage No.: N/ClGlo l fhID/312 141
Facility Name: i~`"Lt
County: Phone No. 9 J e -SS2- - oo2-(p
Inspector: V-"Q�'
Date of Inspection: 11- 31 -
Time of inspection: 7:3o ►----.
Total Event Precipitation (inches): )-
Was this a Representative Storm Event? (See information below) a Yes ❑ No
Please check your permit to verify, if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certifv that this report is accurate and complete to the best of my knowledge:
1 A. A I \ te n
(Signature of Permittee`d Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) P. ,rk
Receiving Stream: 4L Ao.A
Describe the industrial activities that occur within the outfall drainage area:
. i . .. r1 t n , . I ,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: W-ItAi�111 _ _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
S WU-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
(9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes 0
S. Is there an oil sheen in the stormwater discharge? . Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of 5tormwater Pollution:
List and describe 9VUe_.
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242-20120613
Alf,'xi-A&
NCDE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr.ortz/web/wq/ws/su/npciessw#tab4
G
Permit No.: NlC161 Al f 16 O1D /OI or Certificate of Coverage No.: NICIG16 / d / 0l 312 / 61
Facility Name:_ r�L,
County: _ �.., I&St,. _ _ � Phone No. 110 - S.S2 - oo zC. _
Inspector: .o
Date of inspection: 12 `3i - f t-
Time of Inspection: 7' '3P V91-
Total Event Precipitation (inches):
2 !I
Was this a Representative Storm Event? (See information below) & Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PerinitteeV& Designee)
1. Outfall Description: /�
Outfall No. 7� Structure (pipe, ditch, etc.) $Le
Receiving Stream: + icL_
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �_�g _Ent
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
S WU-2a2-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 � 3. 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 ..5
7, is there any foam in the stormwater discharge? Yes No
$, is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe &;rl.
Note: Low clarity, high solids, and/or the.presence df foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
WDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisfonn, please visit: hilp-.//portal,ncdetir.orWwel)/wq/ws/so/nr)dessw#tai)4
Permit No.: NIC/G/ o/ 6161 o/ 61 of or Certificate of Coverage No.: NIC/GI d 1401013 1 Z I G
Facility Name: _
County: �u
Inspector:
Phone No. 9/0 - SSZ- 0 ou,
Date of Inspection:
Time of Inspection: Zap
Total Event Precipitation (inches):
�r
v
Was this a Representative Storm Event? (See information below) [f Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0:1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. j
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perms{tee or Designee)
1. Outfall Description:
Outfall No. _{_ Structure (pipe, ditch, etc.) _ (`'. e
Receiving Stream: A ---a
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page I of 2
S W U-242-20120613
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 1. % 3. 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 V 4 5
7. Is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes nNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe _ _140A o
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613
r-1 �:. -,-- -1 Environmental Chemists, Inc.
envirochem 6602 Windmill Way - Wilmington, NC 28405
(910) 392-0223 (Lab) e (910) 392-4424 (Fax)
SM
710 Bowsertown Road • Manteo, NC 27954
(252)473-5702
ANALYTICAL & CONSULTING
CHEMISTS NCDENR: DWQ CERTIFICATE #94. DI.S CERTIFICATE #37729
Bunge North America Date of Report: Jan 14, 2015
4600 South US Highway 117 Customer PO #:
Teachey NC 28464-9459 Customer ID: 12010010
Attention: Mike Sprinkle Report #: 2015-00012
Project ID: Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
15-00015 Site: Outfall #1 12/31/2014 7:30 AM Water Mike Sprinkle
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 16"
<5 mg/L
01/12/2015
Residue Suspended (TSS)
sM 2W D
33.5 mg/L
01/02/2015
pH
SM 4500 H B
7.02 units
01/09/2015
COD
SM522015
81 mg/L
01/05/2015
Lab ID Sample ID:
Collect DatelTime
Matrix Sampled by
15-00016 Site: Outfall 2
12/31/2014 7:30 AM
Water Mike Sprinkle
Test
Method
Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 01/12/2015
Residue Suspended (TSS) SM 2540 D 23.0 mg/L 01 /0212015
pH SM 4500 H B 7.00 units 01/09/2015
COD SM5220D 72 mg/L 01/05/2015
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
15-00017 Site: outfall 3 12/31/2014 7:30 AM Water Mike Sprinkle
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 01112/2015
Residue Suspended (TSS) SM 2540 D 71.0 mg/L 01/02/2015
pH SM 4500 H B 6.93 units 01/09/2015
COD SM5220D 110 mg/L 01/05/2015
Comment:
Reviewed by: _ M adO
Reparl #:: 2015-00012 Page 1 of 1
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602
ill Way
ENVIRONMENTAL CHEMISTS, I N C OFFICE 9r10 392-0 23 FIAX 910-3 2-4424
Ana!$WE
emists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com
COLLECTION AND CHAIN OF. CUSTODY
CLIENT: A e- Nord{ r4,,,,.nc `_
PROJECT NAME: .( //► l�
REPORT NO: 1!;---000 12_
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO:
PHONE/FAX:
COPY TO:
email:
Sampled By: r, SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
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PRESERVATION
ANALYSIS REQUESTED
Date
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Relinquished By:
Date/Time
Received By:
DatelTime
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Temperature when Received: _Accepted: 'Lf- Re' Resample Re u sted:
06livered By: Received By: Date: Time:
Comments: TU N ROUND:
I MPORANT NOTICE
Carnfi=Division oaf Water QoaIity (NMWQ) is sadly enforcing -EPA regd2ii=s far.sample cailechan and preso vaf on-
Clignt Mud Pravidc.Ih6EpUqTrjqg Inform fioe
l _ SAMPLE IDENTIFICATION (Cmd=nnr Assommmed with requested tesfing)
2_ SAJPLE TYPE (ClampositcCrab, Water_ Sail, ems)
3_ DATE COLLECTED
TltidE COLLECTED
S. SAMPLE COLLECTOR
i_ PRESERVATION (LcrdimgTairperadurr+eand pH)
T�pgngrm Sanq&s MUST' be ra fterated ar received m ice betmm 2 and 6"C_
SanWIes retxia d within two (2) bun ofcalleafim midst show a downward trend �
. Z'bcra!`cmc, piassc retard tempacatore at � aaEian in spin pntugidad m mllcdion sheet s
A lava (2) haartimit to rbemira1t91mscrv'�e �pti b9'PHis allmwed. ea�pt
farmetals samplas reported to die Grumduoatcr Serbnumbich be acidified at the time ofcasliertioa
cantiom
'Phase sample bold cs may contain smcM amounts of and or other aarasiae. and potentially barm5d chumicak, Laberahnies are required to add
these cbemicals lhr c Wt om maty ms fie miler
to comply vim EPA pr escrvab on regcireascat& Use eaiseme one whey opening and handmg
the batfles- Haay cbdumId get m your sbu or dathms flnsh hb r "milh water and seekmadicsl-ate:
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Deddai inatiez Sa•ples that ifegolreA id ltvsa-sat!$am
I- Add 4 S grAnides of thi osuY" to a baffle with an acrid preservative-
2- After mixing to dissolve ih a thi asulf ft. poor half of the srmnpie into, a battle cout iming acid
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3 _ Then c outpletely fill both bottles with fin& sample
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prevee< fie problraa far lhhm mmgdm- tt E WCAC 2H 0205 (a) Cn Qij ::�
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I - al j S
CERTIFICATE OF COVERAGE NO. NCG06 d 32 4- SAMPLE COLLECTION YEAR
FACILITY NAME �p _L�for-!._ .�� FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY u ni. H ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES [NNO
LABORATORY Gv% u', ro rA&.,,.,,,, Lab Cert. # 3 77 Z `�
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease, Fecal Coliform ,
mg/L, Colonies per 100 ml
Enterococc ,
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0 — 9A
120
30 1000
500
# 1
33.5
g I
e- 5
a
.A
z—
-e—s-
ix - r_)y
`71.
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.
°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? 11 yes ® no (if aes, complete Part B)
Part B: Vehicle
Maintenance Area Monitoring Results: only
for facilities averaging > 55 gal of new motor
oil/month.
Outfall No.
Imo/dd/yr
Sample Collected,
I
Oil'and Grease,
mg/L
TSS, pH,
_rng/L -Standard units:
New Motor Oil Usage,
Annualaveiage.galfino
Benchmark
-
30
100 or 504 6.0 — 9.0
-
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.
°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
*FOR PART.A AND PART, &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 ANY ONE OUTFALL? YES ❑ NO F
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one;cou of this DMRrincluding all "No Discharge" reports;-within�30 days of�recei t•of the -lab results for at end of
monitoring period Iwthe-cose of "No Discharge reportsl 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 forgathering 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
1--27- J.S
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wct/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
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