NCG060390_MONITORING INFO_20191217

PR
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG (p 3
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ h / c� 7
YYYYMMDD

KICO RIB IVIiD
DEC 17 2019
Environmental Quality CEN i ,AL ME—
Stormwater Discharge Outfall (SDO) owk SECTION
Qualitative Monitoring Report
For guidance onfilling oul thisform, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-stormwaler-gps
Permit No.: N/C/ OjpD
Facilily Name//��f MI
County:
Inspector:
Date of Inspection:
Time of Inspection:
0 D/ 0/ G or Ce fficate of
r, 11 11 I rl ,m
WJ�
Total Event Precipitation (inches):
No.
No.: NlclG/eCPQl6(3/q'10/
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 cert(fy that this report is accurate and complete to the best of my knowledge:
h
(Signature of Perlmittee or Designee)
1. Outfall Description: l _
Outfall No. 60) Structure (pipe, ditch, etc.):
Receiving Strum: I _
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of
(light, medium, dark) as descriptors: _
3. Odor: Describe
chlorine odor, etc.):
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 I is clear
and 5 is very cloudy:
0 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:
O2 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.
l_/ 2 3 4 5
Is there any foam in the stormwater discharge? dyes O No.
Is there an oil sheen in the stormwater discharge? 0Yes cAo.
Is there evidence of erosion or deposition at the outfall? O Yes 74'No.
10. Other Obvious Indicators of Stormwater Pollution:
L
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

CERTIFICATE OF
FACILITY NAME
COUNTY _#� 1,
PERSON COLLEC
eAJi(6A
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
0 3 9 © 1 ^ ( SAMPLE COLLECTION YEAR ­,201 cl
�d tnerwfs ca 17o ett IU SAMPLE PERIOD ❑ Jan -June [� July -Dec
or ❑ Monthly' (month)
Cert. # Lq ) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
# q t/ ❑Zero -flow ❑Water Supply ❑SA
❑Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
[`use/process meats ❑ use animal fats/byproducts
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall z 11l or ❑ No discharge this period'
Outfall No.
Date 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
10001
5001
Parameter Code
C0530
00400
00340
00556
31616
61211
U
M L
L
1
1 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.
45ee 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ® no (if yes, 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/0
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 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 FORT HE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
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 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."
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2
Permit Date: 11/1/2018-05/31/2021

qN
Environmental Chemists, Inc.
' 0 6602 Windmill V%'ay, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392,4424 Pax
`C 7] 0 13owsertcnvn Road, Mantco, NC 27954 • 252.473.5702 1-ab/Pax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 lab/Fu
" ANALYTICAL & CONSULTING CHEMISTS inl''o eOenvironmentaichemisis.com
Smithfield Fresh Meats Corp. - Tarheel Date of Report: Nov 29, 2019
15855 Hwy, 87
Customer PO #:
Tarheel NC 28392
Customer ID: 08100118
Attention:
Report #: 2019-19484
Project ID: Weekly Wastewater
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-49459 Site: DAF EFF
11/13/2019 3:57 PM Water WW Operators
Test
Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664 1760 mg/L 11/21/2019
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
19-49460 Site: ANL EFF
11/13/2019 4:03 PM Water WW Operators
Test
Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664 53 mg/L 11/21/2019
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-49461 Site: Final EFF
11/18/2019 10:06 AM Water WW Operators
Test
Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1654 <5 mg/L 11/21/2019
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-49462 Site: Final Effluent - Field
11/19/2019 10:32 AM Water Tom Beasley
Test
Method Results Date Analyzed
Residual Chlorine
10041 utR <10 pg/L 11/19/2019
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
19-49463 Site: Distribution
11/12/2019 12:46 PM Water WW Operators
Test
Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664 <5 mg/L 11/21/2019
Comment: Reviewed by: V ''OJ AQ' a9Jo a,
Report #.. 2019.19484 Pape I of 1

..:,-. ENVIRONMENTAL. CHEMISTS, INC
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION 0 94 NCDHHS: DLS CERTIFICATION 0 37729
COLLECTION AND CHAIN OF CUSTODY
it: Smithfield Fresh Meats Corp I PROJECT NAME: Weekly WaRtamatn,
DDRESS: 15855 Highv
Tar Heel, NC
3mpled By: WW Ope
Sample Identification
2.
Temperature when
Delivered By:
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392.0223 FAX [phone]
i nfollPenvi ronmentsi chemiats.com
SORT NO: jf I
NO:
)NE: 910.785.4702
ICOPY TO: Iemail•
[e-mail]
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Effluent,
PRESERVATION
W =
Well,
ST
= Stream,
SO = Soil, SL = Sludge, Other:
Time
Temp
ANALYSIS REQUESTED
w
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y
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Oil & Grease %
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OCCAAS a 191Q
: 11- r% Time:
TURNAROUND:

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 01—
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: . Jvgtt yn+,p 1 d
County: Ai4z-n
Phone Number: �l( ty ) a`/I
Total no. of SDOs monitored
Outfall No. 06 1-
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No M
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 0
Parameter, (units)
Total
Rainfall,
inches
-T �5
yL
P
` II
M�� Un'
(CO)
rnyl—
bA v 6-reasz
rrlyL
rml (oi,4ro
I pQ
(9ogloSilir�i
Benchmark
N/A
I()o
,o-9,d
Ia0
-.Z)v
Ion
Date Sample
Collected,
mm/dd/yy
E'=__-�---
C
< 1
iU
I
t
m 4/L
-1
/L
avv�-cow - uenei H: �nnuai vrvrrt
Last revised 6101 a018

Additional Outfall Attachment
Outfall No.
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 [r
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 0
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SWU-264 - Generic Annual DMR
Last revised 61012018

"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 pf fines and imprisonment for knowing violations."
Signature
Date 1i
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE 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]
RALEIGH REGIONAL 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-SALEMREGIONAL OFFICE
CENTRALOFFICE
1617 Mail Service Center
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
[phone]
[phone]
SWU-264 - Generic Annual DMR
Last revised &VI2018