NCG060295_2021 DMR_20210603

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort DMR U load form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0 2 TF51 Person Collecting Samples: Robert Jackson
Facility Name: Mountaire Farms Inc. - Lumber Bridge Processing Plant Laboratory Name: Cameron Testing Services, Inc.
Facility County: Robeson Laboratory Cert. No.: 645
Discharge during this period: Q Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances. ❑■ Yes ❑ No
If so, which Tier (1, 11, or Ill)? Ill
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall 2
N/A
Receiving Stream Class
C;Sw
C;Sw
N/A
Date Sample Collected MM/DD/YYYY
05/07/2021
05/07/2021
46529
24-Hour Rainfall in inches
1.2
1.2
00556
Oil & Grease in mg/L (30)
<5.00P45
C0530
TSS in mg/L (100 or 50*)
15.5
00400
pH in standard units (6.0-9.0)
7.75
31616
Fecal Coliform per 100 ml of
1500
freshwater (1000)
6121
Enterococci per 100 ml of saltwater
00340
Chemical Oxygen Demand in mg/L
E54.5
(120)
96.1
Part 0: Vehicle
& Equipment Maintenance Areas —
Benchmarks in (Red)
Parameter
Code
Parameter
Outfaii 2
Outfall
N/A
Receiving Stream Class
C;Sw
N/A
Date Sample Collected MM/DD/YYYY
05/0712021
00552
Non -Polar Oil & Grease in mg/L (15)
<13.0
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
440
Outfall 3
Outfall
Outfall
C;Sw
05/07/2021
1.2
7.20
58
7.18
1100
96.1
Outfall j Outfall I Outfall
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): May 2021
"I certify by my signature below, 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."
�y
Signature/of Permittee or Delegated Authorized Individual Date