NCG060097_DMR_20201217

STORMWATER DISCHARGE OUTFALL (SDO)
REGEIUEMONITORING REPORT
Permit Number NCG060000 JAN 0 4 2021
0 Oq7 CENTRAL FILES
DWR SECTIOM
FACILITY NAME Perdue Foods Nashville
PERSON COLLECTING SAMPLE(S) Tim Mizelle
CERTIFIED LABORATORY(S) Env 1, Inc Lab # 10
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DARING CALENDAR YEAR: 2020
(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 Nash
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
TSS
Total
Rainfall
pH
COD
Oil and Grease
Total Flow
if applicable),
Benchmark Value
mm/dd/yr
100 or 500 mg/L
inches
within 6.0-9.0 S.U.
120 m
30 mgtL
MG
001
11/12/20
12
7.6
6.2
85
5.0
1.2
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 Activity MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
TSS
Total
Rainfall
pH
COD
O&G
New Motor Oil
Usage
Total Flow
(if
applicable)
Benchmark
Value
mm/dd/yr
100 or 50
In
inches
Within 6.0-9.0 S.U.
120 mg/L
30 mg/L
gaUmo
MG
002
11/12/20
0
17.6
16.0
57
5.0
0
.5
Form SWU-247, last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 11/12/20
Totaf Event Precipitation (inches): 7.6
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:
NC DEQ/Division of Water Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
"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."
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2