NCS000166_COMPLETE FILE - HISTORICAL_20190807

' -- --STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO..
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DOC TYPE
1A COMPLETE FILE- HISTORICAL
DATE OF
.RESCISSION
YYYYMMDD

t
N'C
Perdue Foods
Perdue Foods LLC
P.O. Box 460
Lewiston Woodville, NC 27849
perdue.com©
Office; [phone]
Certified Mail # 7011 0470 0001 0820 1088
July 31, 2019
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
Please find enclosed duplicate copies of our Stormwater ananlytical monitoring for the above -
mentioned permit. This sampling is for Year 1 - Period 1 of our permit, consisting of
January 1, 2019 thru June 30, 2019.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
Tim Mizelle
Environmental Manager
Perdue Farms Incorporated
Perdue Foods. A Heritage of Innovation.

North Carolina Division of Energy, Mineral, and Land Resources
SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR)
Vehicle Maintenance Activities Only
Date submitted 7/15/19
PERMIT NO. NCS000166
FACILITY NAME: Perdue Foods, LLC- Lewiston Mill
COUNTY: Bertie
PERSON COLLECTING SAMPLES: Tim Mizelle
LABORATORY Env 1, Inc Lab Cert. # 10
SAMPLE COLLECTION YEAR 2019
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall I or ONo discharge this period
Outfall No.
003
Sample
Collected,
mm/dd/yr
00530
Total Suspended
Solids (TSS), mg/L
00556
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
00310
Biochemical Oxygen
Demand (BOD), mg/L
00340
Chemical Oxygen Demand
(COD), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 503
15
30
120
-
6/30/19
Outfall
Was Dry
during
reporting
period
1 The total precipitation must be recorded using data from an on -site rain gauge.
Z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
laboratory's detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR MONITORING RESULTS:
• A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C.
• Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS.
• TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑
IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014
pnae 1 of 7

Mail an original and one 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 Dischar e"' reports) to:
Division of Water Resources
Attn: DWR 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 Peimittee)
Z-1z:4
(Date)
Additional copies of this form may be downloaded at: http://Dortal.ncdenr.org/web/Ir/npdes-stormwater
SWU-254 Vehicle Maintenance Activities DMR
Last Revised August 11, 2014
Papa 7 of'?

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htto://portal.ncdenr.org/web/lr/npdes=sstormwater/­
Permit No.: N/C/ S /0/0/0/1& / or Certificate of Coverage No.:
Facility Name: Perdue Foods, LLC- Lewiston
County: Bertie Phone No. (2S2) 348-4291
Inspector: Tim Mizelle
Date of Inspection: In - 10 - 1 q
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes [ "No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
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 DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perafiltee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.)
Receiving Stream: Oc') 00 -�l Ow
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: D f 4L
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.): �)r,A. no P1 a),3
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V �ov%
S. 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:
1 2 3 4 5 �j r,3
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:
1 2 3 4 5 D r
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No �) C Lt n6 '�� { W
9. Is there evidence of erosion or deposition at the outfall? Yes No Dry no � \ o 0
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 7/31/2013