NCG060320_2021 DMR_20211202

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 DIVIR via the Stormwater NPDF5 Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DIVIR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0320
Person Collecting Samples: Joseph Franklin
Facility Name: Sanderson Farms Inc. (Processing Division) Kinston Processing
Laboratory Name: Environmental Chemists
Facility County: Lenoir
Laboratory Cert. No.: 37729
Discharge during this period: [] Yes R] No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? 11 Yes [] No
If so, which Tier (1, 11, or 111)?
A copy ot this DIVIR has been uploaded electronically via h ttos�/ ledoc,;- deg - nc.gov/Form�ZSW- D MR 0 Yes E] No
Date Uploaded: 12/02/2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
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)
00556
Oil & Grease in mg/L (30)
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
1 (120)
Additional parameters for outfalls in drainagp arpas that iisp >55 gallon,; ppr month of npw hydraulic. oil on av(-.ragp
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 50 mg/L All other water classifications have a benchmark of 100 mg/L
I Notes (optional): NOVEMBER 2021 DIVIR - no discharge to report
"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."
Signature of Per6tiee or Delegated Authorized Individual
12-11 2-1
Date( /
Email Address [e-mail] Phone Number 601-649-4030