NCG060379_MONITORING INFO_20190403

STORMWATER DIVISION CODING SHEET
NCG PERMITS
U3�9
PERMIT NO.
DOC TYPE �915TORICAL FILE
't��MONITORING REPORTS
DOC DATE ❑ r� U 1 9 ol 03
YYYYM M DD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
DOC DATE
HISTORICAL FILE
❑ MONITORING REPORTS
YYYYMMDD
I

SEW -ANNUAL S u ®RMWATER DISCHARGE MONITORING REPORT
- - -- --f6rN&Zh Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted YYLwr_. \ _2o, 15 _^
CERTIFICATE OF COVERAGE NO. NCG06 0 ? 9
FACILITY NAME l nns T
COUNTY S Waot0
PERSON COLLECTING SAMPLES Zrc� ibyci
,_
LABORATORY RSA ab Cert. ff 3q
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 01 � E ➢
FACILITY ACTIVITIES INCLUDE (check all that apply);
❑ use/process meats ❑ use animal fats/byproc!AR 0 3 2019
DISCHARGING TO SALT WATERS? EYES L—ONO CENTRAL 1'1LE- ,
0WR SECTION
PLEASE REMEMBER TO SiGN OM THE REVERSE i
Totof event roinfoll 1 0 [5 or ❑ 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"
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
DOI
ol fol Ito
l�, S
. ;'a
-'s
<5
Ul-
031olI19
iD-7
{aY
<5
<
Cs
03i0k j I
9t
as,
Oniy applies to facilities that use/process meats.
z 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.
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,
Annual average gat/mo
Benchmark
-
30
100 or 50
6.0— 9.0
-
E
' Cnly 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 Lny outfads, 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 B)
S«VU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART 8 MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROAN FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES E] NO kn
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
Mail an odginal and one copy of this DMR, including all "No Discha_ role" reports within 30 days of receipt of the lab results (or at end of
monitoring erlod in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617 11
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. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date)
Additional copies of this form may be downloaded at: htto://oor-tal.ncdenr.org/web/wo,/ws/su/nr)dessw#tab-4
5WU-249 Last Revised: October 18. 2012

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2L 18
Individual NPDES Permit No. NCS00E❑❑❑ or
Certificate of Coverage (COC) No. NCGO®10F3_10®
This monitoring report summery of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: _'
County: RCINJ l
Phone Number:
Total no. of SDOs monitored
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ Nox
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce rnonitodng frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ NoYN
NC DepaiirpE-nt rf
Environmental QuJity
Recelvc-d
FEB 01 3-3
Winston-yLlem
Regional Giiice
Total
Rainfall,
Inches
Parameter, units
_`SS
M 1L
p H
(�n�
�►`�1L
r��l�
Benchmark
N/A
LGo
wiikr' 1O.CaAb
I�p
3p
Date Sample
Collected.
mmlddl�►
l l
s-- tr n t
�� .�.�
'��.+
j,4"x}Y,
Yr
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r
� � _� ::� �' ;.�.
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if y
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-
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o('00611S
0.5
8
as
L4
[ -
SWU-264 - Generic Annual DMR
Last revised &1712013

Additional Outfall Attachment
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No z
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
Inches
Parameter, units
T SS
r'��'
P 0
Sf0-44- d vn �S
CU 0
nn )
p; + bw'Ue
rn��L
Benchmark
N/A
1 aD
ts- 0
I')-O
�13
Date Sample
,.1
Collected '
mmtddl iy
it "YtYSiy.
Jy: yq¢
tFi'Iy
�� ?l
"''�S''t.Y1;. �
sr:a \4
.rC- i
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.4
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+C
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,,y;�.<;��;
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i,T y^?-.;,ik'i.4
+i!°4�y{{`:i�T
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:.pJf� wry:. •���),,-yy�iT�"
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y �+'�Y � •�"^f
.r y �-�'���_i•
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p
0.55�,�S
10111
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5

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DM 1 SPPP Annual Update DATA REVIEW FORM
Calendar Year a
Individual NPDES Permit No. NCS
Certificate of Coverage (COC) No. NCC
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: �,i yim S _
County: R �eyj01 h
Phone Number (3% ) b')'l `4aS i Total no. of SDOs monitored
Outfall No. boa
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ Nof�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No LN
Total
Rainfall,
inches
Parameter, units
ASS
!r , IL
Ct
PN
S+1,ru lc:rd
vn}s
M� lu
O; ` 4�
9(t- c-
M 1�
Benchmark
NIA
too
(0.0 - q. o
Sao
Date Sample
p
t
Coliec ed
mmlddlyy�!�:a;��.�
: 'c{c
.y;" !, ,
:.# .�:
,�.
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s 7
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,al ,rss, F
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J .+ c`�' .. '� �.
_,.Y r`-F
�� 2' s:�
+' •r"t�+!x�
.1 kJ
� ��+ '�' � : trr'•
r�at�+'?SL
f s-.,r. �i'. !- s�
L.' i - ti �•5 3
,,�,t,Jr,�y,c_;t
ti.f FS<
''h �,i. i
.c kf`a
a , �
DW
to
L�
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

Additional Outfall Attachment
Outfall No. 0?)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑
Total
Rainfall,
Inches
Parameter,
units
mafc
Sdrndcsc!
�h�iG
Gceuse-
Benchmark
N/A
(0.6-
Date Sample
Collected,
mmlddlyy*r��tr�.�
�'!yyY
r�'J,. a"
. .•�..
V-
31'•4 ;is? �� y :�"
1'� i �^
�..l. kw A��.V`}RiRl�:.i
K'
- a `5*Y,^Y 'N'
--S''�f'r fi' 7•*'
'��:.`.f.i� E�"`, ''3r.�a��
K �«p� 7'a-Y =�%i,L
4,.ykF��, :f p-
F Vi -,.
�.���•: -4 � 'r}-4v"r
ems:
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1 _ .�"., {
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G'Ri tI . F .'
7 5
f.
an �5',.-:,,�:.� �
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�rii'
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�{•
� r- ="
-/ - �-
=�4•_r._IJ�.3 .!.
s •4�7 }'�
.; f':'L3 r;f•.

" 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 c plete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment f r k wing violations."
Signature
Date 1 �
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL'OFFICE
FAYETTEV_ILLE REGIONAL; OFFICE
_ —
�MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
- -
[phone]
RALEIG_H _REGIO_NAL OFFICE
WASHINGTON: REGIONAL OFFICE_
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALE_M REGIONAL OFFICE
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
-To preserve. protect
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
(336} 771_5000 _-.
_._.._�. _..._(919) 807-6300 _ _ _
I North Carolina's svaler... "
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted OCA- 25. '7.ai Ss (sty -D.-J
CERTIFICATE OF COVERAGE NO. NCG06D 3 ? 9 SAMPLE COLLECTION YEAR w K
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY o LGEI V EDse/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ DISCHARGING TO SALTWATERS? []YES VINO
LABORATORY SA -A Lab Cert. # 3y ivuV 05 2018
CENT kpL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
oWR sEcrloN
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z O 9 r or ❑ 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 ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SO
Within 6.0 — 9.0
120
30
1000
Sao
CAL
i .
1�
") a•
Iq `i'
L 5
2
o i?
al
(0.
(0 5
<S
ob5
iQ11, 11%
1 .
9S
<33
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 @M outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee 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 4 no (if yes, 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,
mo/ddjyr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/rno
Benchmark
-
30
SDo or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
a The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at My outfalls, you must still 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.
5WU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR, including all "No Discharge"' repo_rts, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reportsRo:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 2769L 617
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."
(Signbture of Permittee)
(oat )
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/nodessw#tab-4
SWU-249 Last Revised: October 18, 2012

Envlronn tal Plan
t4c oppQrtme'it CIO
FrvironmentLl Qu&`i ty
Received
L�� i ,n SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
�S
for North Carolina Division of Water Qualitv gleneral Permit No. NCG060000
Date submitted JAB
CERTIFiCATE-OF-COVERAGE NO. NCG06%� q^� SAMPLE COLLECTION YEAR a a 1 16
FACILITY NAME pi l rrt ] _ _ _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY �andolp - ❑ use/process meats ❑ use animal fiats/byproducts
PERSON COLLECTING SAMPLES 7 e Jg0r4 64,r& _ _ DISCHARGING TO SALTWATERS? DYES QKO
LABORATORY Kd,-iA LabCert.#�3ql3-7-7oi
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0.5 or ❑ No discharge this period
Outfall No.
Sample Collected,.
mo/dd/yr
. ,. T5S,
mg/L
pH,
Standard units
COP,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml, .
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
1000
S00
7 0 5
`4 -1
S
2
20
So,�
.01
gtA
�5
003
66(tin1U1g
S8
S-SS
(49
�S
40
0011-6 i e it
8.,4
5
' 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 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes *o (ifiyes, 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,
ma/r1d/y+
Oil and Grease,
..g/L-
TsS,
I mgjL
pH,
Standard units
New Motor Oil Uslge,
Annual average gal/mo
Benchmark
-
.30
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 an� 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.
7.\Envirnnmentai\industrial\PP-Ptigrim'x Pr1dc\PPNC-Nurth 1:arol1na\PPNC07-Sta1ey Feed mill & Hatchery\PPNC07-01 SPILLN7913

Environmental Plan
FOR PART A AND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
6 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 [:]NOR
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mall an on final and one copy of this DMR including a!1 "No Discharge" reports within 30 days of receipt of the lob results or at end of monitoring
period in the case o "No Discharge" reports) ta:
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 Rermittee) (Date)
Additional copies of this form may be downloaded at: http://mrial,ncdenr.org/webLw--q/.ws/su/no.dessw#tab-4
S W U-249
Last Revised: October 18, 20i2
-U'nvm�me�taRInaustriot\PP-PHcrim'3PriiieNPPNC-PlvnhCarohna\PPNC07-$uleyfecdmill&Nzichery%PPNC07-0iSPRIN2013 Monit01 ail-) Form 2

Environn tal Plan
1Y c. L. :. fl v l L,: lL: 1
Fnvironment-_1 Quality.
Received
AU i 01 20106'
Winston-Szlem
SEM r I -ANNUAL ST®RMWA T ER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Per mit No, NCGO60000
Lute submitted a P, i
Regional Ounce
CERTINCATE OF COVERAGE k10. NCG0E- 7 q1
FACILITY NAME -- - ? I i rpi nn s _
COUNT( kph
PERSON COLLECTING SAMPLES -
LABORATORY KA- A Lab Cent. # ^ 3q! 3"?Zol .
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o� - I t
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES [:�KO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 O. S or ❑ No discharge this perioc 3
outfail No.
Sample Collected, .
mo/dd/yr
TSS,'..
mg/L
pli,
Standard units
COD,
mg/L
Oil and Grease,.
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or so'
Within 6.0 —9.0
120
30
1000
Soo
C
7c5
H11
r-S
LNu2
2�
Sr" -1
10 Z
9le
< S
Gc.36
61
Ss
5:55
f09
<s
Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at a"y 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 *o
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
M40!dd/yr
Oil and Grease,
T
TSS,
mgjL
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or so
6.0 — 9.0
-
1 Only applies to facilities that use/process meats. ,
2The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at i3y outfails, 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.
'-\Envlronmenta!\Industriial\PP-Pligrim's Pridr\PPNC-North Camhna\PPNC07.5ra1ey Feedmlll & Hatchery\PPNC07.01 5PSLL\2033

Environmental Plan
"FOR PART A AND PART B MONITORING RESULTS: .
O A BENCHMARK EXCEEOANCE TRIGGERS TIER 3 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
o 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 final 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 Permittee) (Date)
Additional copies of this form may be downloaded at: http://Dortal.ncdenr.ore/web/wa/ws/su/npdessw#tab-4
_.. .._u.,...._i� PP_Pu � ,-,P,ANVPNC-North Carol, no\PPN[07-Staley FeedmilI&Hatchery\PPNC07.01 SPI L. \ZOM
SWU-249 Last Revised: October M 2012
T Monitot,,c, Form 2

Environn .dal Plan
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted a9 1p a0 a C (0)2.o1'1)
CERTIFICATE OF COVERAGE NO. NCG06_L ����i� `E MPLE COLLECTION YEAR (9to
FACILITY NAME (gr nS V ACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY an r - - - FEB U 5 Z013 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES nielfSSa- `;A&b4S Qn iicwSkmctr\ DISCHARGING TO SALTWATERS? ❑YES [ANO
LABORATORY k Lab Cert. # 3 CENTRAL FILES
t' ION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z D • (o.� or ❑ No discharge this period
Outfall No. _
Sample Collected,-
mo/dd/yr
;"'mg/L
Standard units
COD,
mg/L
-Oil and Grease,— ..
mg/L
Fecal Coliform , .-_.
Colonies per 100 ml
-- - Enterococci ,- - -
Colonies per 100 ml
Benchmark
-
-100 or 504 •
Within 6.0 — 9.0
120
30
1000
S00
<5
<5
boa
Q'-1-n
<s
.3s
NO
'es
boa
1 a - w -o
'45
7.0-1
s
<s
Ooy
1-a-- ko- k1
16.4
-7q
4 S
1 Only applies to facilities that use/process meats.
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.
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? Elyes1 � no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor. oil/month.
(if yes, complete Part B)
Outfall No.
_
Sample Collected,
- rrrpld�i/yr; ;A
Oil and Grease,
_ - �. �,,:,'L�--•----
-TSS,
--- ri�gji "-
pH,
"Stand��d units
New Motor Oil Usage,— .'
Annual average gal/mo
Benchmark
7r=
30
100 or 50°
6.0 — 9.0
-
1 Only applies to facilities that use/process meats. ,
2The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at aD_� 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.
Z:\Envitonmenml\Indus[rial\PP-Pligrit¢i's Pride\PPNC-North Carolina\PPNC07-Staley FeedmIII & Natchery\PPNC07-01 SPILL\2013

Environmental Plan
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERSTIER 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 ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy of this DMR,- including all "No Discharge" reports, within 30 days of receipt of 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 27699-161.7
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.ore/web/wg/w5/su/npdessw4#tab-4
SWU-249
Last Revised: October 18, 2012
7•:1Envirnnmen Lai\Inaustrlal\PP-Pi➢Erim's Pride\PPNC-North Caro11n3\PPNC07-Sta1ey FeedmilI & Hatchery\PPNC07.01 SPILL.\2013
Zs
Monito,.&; Form 2

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xo 1e'� PILGRIM'S PRIDE CORPORATION FIGURE 2
ox.nwr oxec�eam STALEY, NC FEED MILL STORM WATER WH_
sxe� 2607 OLD 421 ROAD POLLUTION
�•-45' RaW 2 p�� t. STALEY, NORTH CAROLINA 27355 wooDRUl� k HOWE
wre Rev ■ S• RANDOLPH COUNTY PREVENTION
"5i' ° SITE MAP �OM

Receiving Stream:
Unnamed Tributary to 1 Rocky River T
f Rocky River "f.r rra
Pilgrim's Pride
.•
Corporation Feed Millre-
t'
'� 1J
} • o f Outfall 001
Property
• �- Border
Pilgrim's Pride
- G t ,°• Corporation Hatchery
•{�',;`� ,,/'i �' , ; Outfa11002
FOutfall 003 Outfall 004
4. L .
Receiving Stream: ,
1 Unnamed Tributary to r_�!
•' +'L Rocky River4.
F.
t. ,.
Note: Property Line and _ ,;ipy_ • , F
Location of Outfal{s are
Approximations
W b I r 26d7 OLD 421 RD
PILGRIM'S PRIDE CORPORATION DATE
r r STALEY FEED MILL
STALEY, NC 12/2/16
wo0DRUFF&HowE STALEY, NC N
EWRONMENTAL ENGINESUNG.INC. FIGURE 1—GENERAL
4405 Canton Hwy, Suite 100 LOCATION MAP RANDOLPH COUNTY
Cumming, GA 30040 0 0.5 Mil