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NCG060168_MONITORING INFO_20191029
y" STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCG Q�Ob �0 �S DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ / YYYYM M D D STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted 149 - CERTIFICATE OF COVERAGE NO. NCG06Q1_�P_ 8 FACILITY NAME SARA Lt---E PkbZCtJ RA & C1C COUNTY da6C0Mj?E PERSON COLLECTING SAMPLES ✓Aitry L'hrtOMrW 7/2- ... LABORATORY &VIk iVtA La' 6 Ce'rt. 7t ` ' '-/YR .D GL�R ✓G�\Ol O Part A: Stormwater Benchmarks and Monitoring Results - SAMPLE COLLECTION•YEAR SAMPLE PERIOD-[] Jan -June ®'July -Dec-, or-.❑ Monthlys _ n_ (month). DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA [_]Other C: N5LJ FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE 4 -'Tntol PVPnt rninfnll1-IA 0nr. I�. Nn M' hnrna thk rcrin.43' Outfall No.- - _ - ":Date Sampler ; ' Collected,mo/dd/yr TSS mg/L - -_ _>pH,- _ _ Standard units- . COD,: --' mg/L • - Oil and Grease, mg/L Fecal Collform, "- Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - - 100or504 Within 6.0=9.0 120 30 10001 Soo' Parameter Code - C0530 -00400 00340 00556 31616 61211 ' Jo./ «. .' < _ .. - ao ` D < o t a 9 i vmy appnes to racemes mat use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. - ' 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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. d Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new.oil per month? ❑ yes D no= (ifyes' complete Part B) Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour"rainfall amount, Inchesz New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L* 100 mg/L or 50 mg/L° Parameter Code - 46529 - NCOIL 00552 C0530 Footnotes from Part A also apply to Part B *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 ATTHE 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 ZI IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original 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" reportsi 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." 1D/zehl Date Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 2 of 2 K 1U Environmental - .. Quality Stormwater Discharge, Outfall (SDO) Qualitative Monitoring Report t' For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ q, npdes'stortnwater'-gps 1. Permit No.: N/C/ / / / / / % / or Certificate of Coverage No.: N/C/G/O /(o/ bl l 61,31 Facility Name: ��ZOYOV County: FcI�ECotrlbt% Phone No. Inspector: Date of Inspection: r, Time of Inspection: F; 36 Total Event Precipitation (inches): %, � I a All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Perrrfyfee or 1. Outfall Description: Outfall No.- �51� Receiving Stream the Structure (pipe, ditch, etc.): toe? E occur within the outfall drainage area:.�� Page 1 of 2 SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the di charge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: fGI& 3. Odor: Describe any chlorine odor, etc.): / odors that the discharge may have (i.e., smells strongly of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: �y V 2 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: W 8. 9. Q 2 3 4' 5 Is there any foam in the stormwater discharge? O Yes a No. Is there an oil sheen in the stormwater discharge? QYes cm No. Is there evidence of erosion or deposition at the outfall? (P Yes ® No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe A)6,, 6 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, Last modified 06/01/2018 fnWranmenlal Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/O/6 /D Jl Facility Name: County: Phone No., a - Inspector: /L Date of Inspection: 210'- Time Total Event Precipitation (inches): ) 4 V f, All permits require qualitative monitoring to be performed during a "measurable storm event." 0 A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Reeional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of 1. Outfall Description: Outfall No. J/ Receiving Stream: the Structure (pipe, ditch, etc.): riP that occur within the outfall drainage area: Page I of 2 SWU-242, last modified 06/01/2018 2. Color: Describe the color of the (light, medium, dark) as descriptors: 3. Odor: Describe any chlorine odor, etc.): using basic colors (red, brown, blue, etc.) and tint odors that the discharge may have (i.e., smells strongly of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 6 2 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: 6 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: 7. 8. 9. 10. 2 3 4 ' 5 Is there any foam in the stormwater discharge? Q Yes ap No. Is there an oil sheen in the stormwater discharge? QYes 0 No. Is there evidence of erosion or deposition at the outfall? q Yes aO No. 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. Tage 2 of 2 SWU-242, tact modified 06/01/2018 10. Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit https:Hdeq.ne.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwaier-gps Permit No.: N/C/ / / / / / / / or Certificate of Coverag'e No.: N/C/G/, 0/6 /Ul/ 16 /9l Facility Name County: glcnn,�� Phone.No. Inspector:h„J Date of Inspection: A) Time of Inspection: ;? . 36/9rr'\ Total Event Precipitation (inches): A -1/y All permits require qualitative monitoring to be performed during a "measurable storm event." N , A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm' interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature 1. Outfall Description: Outfall No. 1— Receiving Stream: Describe Structure (pipe, ditch, etc.): Pl' &" ) that ocFur within Page 1 of 2 area: SWU-242, Last modified 06/01/2018 2. Color: Describe the color of the (light, medium, dark) as descriptors: _ 3. Odor: Describe any chlorine odor, etc.): using basic colors (red, brown, blue, etc.) and tint that the discharge may have (i.e., smells strongly of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5' 1 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: Q 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: I 7. 8. 9. 6 2 3 4 5 Is there any foam in the stormwater discharge? q Yes a No. Is there an oil sheen in the stormwater discharge? OYes 0 No Is there evidence of erosion or deposition at the outfall? P Yes 40 No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe /00 Ai z 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, Last modified 06/01/2018 Envvanmentnt Qualfty Stormwater Discharge Outfall (SDO) Qualitative Monitoring Wpdrb For guidance on filling out thisform, please visit htrps:Hdeq.nc.gov/about/divisions/energy-mineral-land-resource s/ npdes-stormwater-gps ' Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/L)16 lO/ I l (P/ Yl Facility Name: �G County: �CF�or�bE Phone No. r (o Inspector: fihh) � tl, w /Z GUn1N/t oad Z Date of Inspection: 44— // Time of Inspection: $0 f Y 1 . Total Event Precipitation (inches): /' / Z% t- t e, All permits require qualitative monitoring to be performed during a "measurable storm event." V. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been'at least 72'hours prior. The 72=hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. ' •t By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee 1. Outfall Description: Outfall No. _C Receiving Stream: Describe the iridus$ial Structure (pipe, ditch, etc.): -7) tit M7that o cur within the ou all drainage area: t7Qit�ri/15, Page 1 of 2 SWU-242, Last modified 06/012018 2. Color: Describe the color of the (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): til)A)uG 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 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:', Q 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: 2 3 4 5 7. Is there any foam in the stormwater discharge? Q Yes q► No. 8. Is there an oil sheen in the stormwater discharge? QYes AD No. 9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe A)LlAle' 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, Last modified 06/01/2018 EnvY mmental QaautY Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stoimv8ater-gps rl Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 0/W 8/ Facility Name: 5 RRA LZF County:Iln Inspector: %dh,J fi C!t Date of Inspection: Time,ofInspection:, 3D R� Total Event Precipitation (inches): /' Z/ it ) All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee 1. Outfall Description: Outfall No. / Receiving Stream: Structure (pipe, ditch, etc.): ✓.7/TCrii activities thqt occur within the outfall drainage area: Pagel of 2 S W U-242, fast modified 06/01/2018 2. Color: Describe the color of the (light, medium, dark) as descriptors: 3. Odor: Describe any chlorine odor, etc.): using basic colors (red, brown, blue, etc.) and tint odors that the discharge may have (i.e., smells strongly of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the numbei 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: 2 3 4 5 7. Is there any foam in the stormwater discharge? p Yes ® No. 8. Is there an oil sheen in the stormwater discharge? OYes ® No. 9. Is there evidence of erosion or deposition at the outfall? Q Yes 4 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, Last modified 06/O1/2018 Emdhmomm % HILLSHIRE BRANDS ATTN: MR. JOHN H. CHAPMAN, JR. 110 SARA LEE ROAD TARBORO ,NC 27886 ID#: 449 D DATE COLLECTED: 10/16/19 DATE REPORTED : 10/23/19 REVIEWED BY: Stormwater Stormwater Stormwater Stormwater Stormwater Analysis Method PARAMETERS (#I, Grab) (ll2, Grab) (N3, Grab) (N4, Grab) (115, Grab) Date Analyst Code COD, mg/l 21 <20 27 20 28 10/18/19 SEJ H8000-79 Total Suspended Residue, mg/l <2.6 <2.5 4.3 6.5 3.6 10/18/19 HJO 254OD-11 Oil & Grease (HEM), mg/l <5 <5 <5 <5 <5 10/22/19 SEJ 1664B Environment I, Inc. CHAIN OF CUSTODY RECORD P.O.Boz7085,114Oakmont:Dr. - ^ r~nviuft Nr` 97RsR Page 1 of 1 Phone • . .. 756-0633IFINIMMIMMOMMEM ILLSIURE BRANDS �I' SARA LEE t• ' • ' 8 •1... • I. h •'17. 0• •. • 1 C-F• ZINC ACETATE/NAOH i i mom ■ 1,. Ire �. '.�i• � rt�! r. • f✓v1I/t�iie�■© ■�■��. ■■■��■. W • 1 •q ..•. act 9 : 1' I •I^•7 :1 : 1• ! PLEASEEREAD instructions fdf Completing.this,form on the'reverseside: Sampler roust place a V for composite sample or a V for FORM I5 Grab sample in the blocks above for each parameter requested. N 0 3 6 7 2 6 7