NCG060022_MONITORING INFO_20190730

mu
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�l v�j (� a-- a
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
DOC DATE
�% O (�
❑
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted 7-24-2019
CERTIFICATE OF COVERAGE NO. NCG060 0 2 2 rrSArMPLE COLLECTION YEAR 2019
FACILITY NAME Tyson Farms flE(` IVRACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Iredell " 0 ❑■ use/process meats ❑■ use animal fats/byproducts
PERSON COLLECTING SAMPLES Kevin Haynes .IUL g 2091SCHARGING TO SALTWATERS? []YES *NO
LABORATORY Par tabs Lab Cert. # 20 w i L FILES
OWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stnrmwater Benchmarks and Monitorine Results Total event rainfall 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 504
Within 6.0-9.0
120
30
1000
500
SW-101
Die not meet reposing miens
SW-301
Did not meet reporting criteria
SW-401
Did not meet repening ontena
SW-501
Did not meet mponing=tena
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑✓ no (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/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
PH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100or50
6.0-9.0
-
r 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 anv 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
Page I 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 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 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 Resources
Attn: DWR 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. I am aware that there are significant penalties for submitting false
information, inokOALng tihte possibility of fines and imprisonment for knowing violations."
of
7 z4r-/
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October IS, 2012
Page 2 of 2