NCS000130_COMPLETE FILE - HISTORICAL_20191126

..,..:.:......:..:::....:.._STORMWATER=DIVISION CODING -SHEET........_.:......:...:..,::_._.,::.__
RESCISSIONS
PERMIT NO..
DOC TYPE -
COMPLETE FILE = HISTORICAL
DATE
RESCISSION
C) L�
YYYYMMDD

t
1.
-
Perdue
Foods
Perdue Foods LLC
Environmentai Services
416 South Long Drive
Rockingham, NC 28379
www.perdue.coni
Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699•-1617
November 23, 2019
Subject: Storm Water Monthly Monitoring Report
Permit No. NCS000130
Perdue Farms, Rockingham Facility
To Whom It May Concern,
RECEIVED
NDv 2 6 2019
CENTERAL FILES
DWR SECTION
As specified under the Tier Two Storm Water permit requirements, please find
attached two copies of the October 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 October 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
brucey.robertsDnerdue.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 Cp c) () � -3 0
FACILITY NAME, DtxOCE4A)�—kjtZV� 1
PERSON COLLECTING SAMPLE(S) li} !
CERTIFIED LABORATORY(S) Lab #
Lab 4
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: C�0 GC>l
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling r salts from the lab tory.)
COUNTY 1 N-� 0 �1
PHONE NO. (5 1Q)
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE Z.
Outfall
No.
Date
Sample
Collected
St1050
Total
Flow if a
Total
Rainfall'
d
a f ti
Q-
Zvi t4
r 'a
��
^a
d•C c }'�: N\
<tj
mo/cfcEl r
MG i
inches
►'iti - , L:
L,
Ctc' IOJ A
/L
,
r
! �1 `]
1
Does this facility perform Vehicle Maintenance Activities using more than » gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
yes _no
Outfall
No.
Date
Sample
Collected
5606
-
00556
00530
00400
Total Flow,
(if appiicabie)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM)"if
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I : -
m v-
unit
aU io'
/
r'
N
Form SWU-247, last revised 21212012
Pagel of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
j Division of Water Quality
Date t 1A- ! Attn: Central Files
Total Event Precipitation (inches): {t/ A 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,
incl j the possibility of fines and impriso ent for knowing violations."
l �
(Signature of Permittee)
(Date)
Form SWU-247, last revised 21212012
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