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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
N
DOC TYPE
❑ HISTORICAL FILE
❑xMONITORING REPORTS
DOC DATE
❑ v S
YYYYM M D D
October 22, 2019
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Permit No. NCG060382
To who it may concern,
RECEIVED
NOV 05 2019
CENT RAL FILES
DWR SECTION
Enclosed please find the Discharge Monitoring Report required by the storm water general permit at our
Statesville Breeder Feed Mill. The DMR reflects the month of September 2019.
If you have any questions, please feel free to contact me at 302-934-4035.
Thank you,
Jessica Collins
Environmental Compliance Auditor
Cc: Tanya Rogers -Vickers (Mountaire)
John Jacobs (Mountaire)
Mountaire Farms Inc.
"We measure quality by how well we service our internal and external customers"
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted:10/22/2019
CERTIFICATE OF COVERAGE NO. NCGG60382
FACILITY NAME _Statesville Breeder Feed Mill
COUNTY Iredell
PERSON COLLECTING SAMPLES
LABORATORY Statesville Analytical_ Lab Cent. # _440
Part A- Stormwater Renehmarks and Monitorine Results
SAMPLE COLLECTION YEAR _2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall N/A or n No discharge this period3
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
02
Unable to
obtain a
representative
sample
' Only applies to facilities that use/process meats.
'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? ❑ yes ® no (if ves, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd r
Oil and Grease,
mg/L
TSS,
mg/L
PH,
Standard units
New Motor Oil Usage,
Annual average gaVmo
Benchmark
-
30
100or504
6.0-9.0
-
' Only applies to facilities that use/process meats.
' 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
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`FOR PART A AND PART B MONITORING RESULTS:
o 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: James Moore
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/6 -z 1�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
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