NCG060173_DMR_20201231

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS NCG060000 0601 % ,3 SAMPLES COLLECTED DURING CALENDAR YEAR: 0
J (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.)
FACILITY NAME Valley Proteins INC. Gastonia, NC Divison
PERSON COLLECTING SAMPLE(S) Christopher Harris
CERTIFIED LABORATORY(S) Waypiont P. O. Box 24054 Lab #402
Charlotte, NC 28217 Lab #
Part A: Specific Monitoring Requirements
COUNTY Gastonia
PHONE NO. 7( 04 ) 773 9962
SIGNATURE OF PERMITTEE OR E
NEE
REQUIRED ON PAGE 2. : I
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
mo/dd/ r
MG
inches
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons 6TTijRtiw)9otor it fir month? (Dyes Ono
(if yes, complete Part B) C(+r t_ y-
Part B: Vehicle Maintenance Activitv Mnnitnrinv Remuirrmnntc
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I
mgA
unit
gaVmo
Form SWU-247, last revised &12/2015
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STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
re of
12/31 /2020
(Date)
Form S W U-247, last revised 611212015
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