NCS000130_COMPLETE FILE - HISTORICAL_20190621

---STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO..
[D;.00-TYPE
I�, COMPLETE FILE'- HISTORICAL
DATE OF
RESCISSION
❑ 17
YYYYMMDD

Perdue Food.
lz- -
Perdue Foods LLC
Environmental Services
416 Soltth Long Drive
Rockingham, NC 28379
www.Perdue.c0111
Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
.Tune 18, 2019
RFC°,\/gin
JUN 2 1
EN
SEC-! IO l
Subject: Storm Water Monthly Monitoring Report
Permit No. NCS000130
Perdue Farms, Rockingham Facility
To Whom It May Concern,
As specified under the Tier Two Storm Water permit requirements, please find
attached two copies of the May monthly storm water monitoring report for the
Perdue Foods LLC facility located at Rockingham, North Carolina.
This monitoring report meets the requirements under Part 11; Section B: Analytical
Monitoring Requirements for the facility's Storm Water Permit.
For the month of May 2019, there was not a qualifying rain event where a storm
water sample could be collected. This is required in statement 3 of the TIER 11
requirements in the Storm Water Permit. Please find attached the monthly
monitoring report indicating "No Flow".
If you need any additional information, please do not hesitate to contact me on my
cell phone at [phone].
Sincerely yours,
Paul B. Roberts
Regional Environmental Manager
brLicep.roberts perdue.com
cc: Fayetteville Regional Office
Division of Water Resources
215 Green Street
Fayetteville, NC 28301
Perdue Foods. A Heritage of innovation.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS % . o 3 6
FACILITY NAME ?I�PjZ-E-
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab # f}
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 7
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY `h I < k r'-O IV C9
PHONE NO. (Hj 1D) 9c'7 I — X6.9(t
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flory if a
Total
Rainfall
mo/dd/ r
MG
inches
i
I
Does 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 Acti ity MonitoringRe uirements
Out_fall
No.
Date
Sample
Collected
50050
00556
00536
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method.1664
SGT-HEM), if
appi.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
m /I
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
N Division of Water Quality
Date o Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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)
kl ./�,- //?
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2