NCG060390_2021 DMR_20210928

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 Monitoring Report (DMR) Upload 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; ?,,l L
Person Collecting Samples:
�ec,
Facility Name: " mi
; ,q ;w LL
Laboratory Name: I',N�¢,el }
Facility County: 67
Laboratory Cert. No.: H Ia iq
Discharge during this period:
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? [Dyes ®No
If so, which Tier (I, 11, or Ill)? ` j
A copy of this DMR has been uploaded electronically via htt s:
Date Uploaded: `I �- ,, j' -
edocs.de .nc. ov Forms SW-DMR ©Yes No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C( l[
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0 — 9.0 FW,
r
6.8 — 8.5 SW)
00556
Oil & Grease in mg/L (30)
31616
Fecal Coliform per 100 ml of
I1
11
freshwater (if required) 1000
61211
Enterococci per 100 ml of saltwater
�i
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic
oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 5o mg/L. All other water classifications have a benchmark of 100 mg/t
FW (Freshwater) SW (Saltwater)
Notes (optional):
"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."
of Permittee or Delegated Authorized Individual
t
Email Address
n� 1
Date
Phone Number

I C'.
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI I l 1 1 I l l
Facility Name: , ,,}V1'1,
County:t,)jCjQU
1r
Inspector: ht
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
W
C' • 9
of Coverage No.: N/C/G/v / Sul 613 fl 1b1
Phone No. q 1() - 73i - 5 7 5 7
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 permittec 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 DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. Outfall Description:
Outfall No. C C I Structure (pipe, ditch, etc.):
Receiving Stream,
—t:��t�L<n wL%ft1
Describe the industrial activities at occ w(ithin th outfall dr-4inage area:f
nOrl/� t 4 1<JlllIn
Page 1 of 2
SAIU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: I tj
basic colors (red, brown, blue, etc.) and tint
,I,-
3. Odor: Describe any di
chlorine odor, etc.): fu
odors that the discharge may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. 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:
l_% 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
7.
8.
9.
I �2) 3 4 5
Is there any foam in the stormwater discharge? 0 Yes 0 No.
Is there an oil sheen in the stormwater discharge? oYcs CNo.
Is there evidence of erosion or deposition at the outfail? o Yes "o.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ko Ins �cc�c�S Gt' S�W,n'1lc�Qr
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 06/01/2018

SMITHFIELD FRESH MEATS CORP
Wastewater Nitrate I COD
Analysis Log
DR6000
Sample Date: 2,/`y
NITRATE
Sample Time (or)
Sample Date
Sample Location
Analysis Date
Sample
Type
QCICIG
Sample
Vol.(mQ
Reading
(mg/L)
Dilution
Factor
Report Value
mg/L
INIT.
ANOX EFF
G
1
10
F E
C
1
10
Sample Time (or)
Sample Date
Sample Location
Analysis Date
Sample
Type
(QCICIG)
Sample
Vol.(mL)
Reading
(mg/L)
Dilution
Factor
Report Value
mg/L
INIT.
DAV INF
G
2
1
DAF EFF
C
0.2
10
DAF EFF - filtered
C
0.2
10
ANL EFF
C
0.2
10
ANOX EFF
G
2
1
UV inf
G
2
1
ESS
G
2
1
Revised on 2l2312021 Notify management of any UV value in excess of 80 mg/L summer limits
150 mg/L winter limits

SMITHFIELD FRESH MEATS CORP
WASTEWATER LABORATORY
pH ALKALINITY LOG
(klLi31� SAMPLE DATE:
SAMPLE
LOCATION
SAMPLE
TYPE
SAMPLE
TIME
ANALYSIS
SAMPLE
VOLUME
pH m!s of 0.04N H2SO4 used
S. U. to reach pH 4.5
TOTAL ALK
m IL
INITIAL
DATE
TIME
MLSS
G
���
50
ANL E Tues. Thur.
C
50
DAV INF
G
50
DAV E F F
G
50
DAV MLSS
G
50
ESB
G
50
TG
50
SAMPLE DATE:
SAMPLE
LOCATION
SAMPLE
TYPE
SAMPLE
TIME
ANALYSIS
SAMPLE
VOLUME
pH mis of 0.04N H2504 used
S. U. to reach pH 4.5IL
LTOTAL ALK
INITIAL
DATE
TIME
MLSS
G
50
ANL E Tues. Thur.
C
50
DAV INF
G
50
DAV EFF
G
50
DAV MLSS
G
50
ESB
G
50
G
50
Revised on 514/2021

[en7viroche]m
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc,
6,602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab ' 910 392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington High%vay, Jacksonville, NC 28540 • 910.347 5843 Lab/Fax
info@enviro:imentalchemists.com
Smithfield Fresh Meats Corp. • Tarheel Date of Report: Aug 31, 2021
15855 Hwy. 87 Customer PO #:
Tarheel NC 28392 Customer ID: 08100118
Attention Xlaolin Chen Report #: 2021-14487
Project ID: Stormwater
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
21-36264 Site: Distribution 8/17/2021 12.55 PM Water WW Operators
Test
Oil & Grease (O&G)
Comment
Reviewed by: _
Method
EPA 1684 Rev 8
Results Date Analyzed
<5.0 mglL 08/2512021
Pane 1 nF 1

TIME IN OVEN I09D
TIME OUT OF OVEN_
SAMPLE LOCATION BLANK
SMITHFIELD FRESH MEATS CORP
Wastewater Laboratory
SUSPENDED SOLIDS ANALYSIS LOG
(SM 2540 D-2015)
SAMPLE DATE ' .
ANALYSIS DATE
ANALYST INIT YC
DAF EFF C ANL EFF C CLAR EFF C FE C FE C DUP
FILTER iD # 1 2 3 4 5 6
SAMPLE VOL mis---------- --- 2 ,/� 2(��/ 50 100 100
i'
DRY WT. gm �i�. V� 0, �f-k . 3 q 2-
TARE WT. gm
WT. DIFF. gm �1 n I t�- Zcvz 1
TSS mg/L ,�— � I
ASH WT, gm Q ``rr���� 2- Avg = '1 —
ASH WT_ DIFF gm /� C� ilf %RPD =
TVSS mg/L Ncy Report Value. = i
SAMPLE LOCATION MLSS RAS DAV MLSS DAV RAS ESB 7 �� l4w
FILTER ID # J— �J !� L j r
SAMPLE VOL mis 20 20 20 20 50 r 10
DRY WT. gm ��t q V " 7ke2j- 1,93 � f
� 3 si �u Z3�]r� L
TARE WT_ gm LSE Q. a
WT_ DIFF, gm f 12,0 Q. z It
TSS mglL © .
ASH WT, gm '9
ASH WT. DIFF gm ©
TVSS mg1L S?) f 2
Final Eff results will be reported on DMR report; all other sample results will be for Process control check.
Final Effluent Permit Limits: Daily Max : 1997.5lbs/ day; monthly average: 998.7 Ibs/day
Revised on 7/29/2021