NCG060295_2021 DMR_20211214

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 0295
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 this sample period for any benchmark exceedances? MYes No
If so, which Tier (I, 11, or III)? III
A copy of this DMR has been uploaded electronically via https://edocs,deo.nc.gov/Form.S/SW-DMR F7, Yes 0 No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Cade
Parameter
Outfall01
Outfall02
Outfall03
Outfall
Outfall
N/A
Receiving Stream Class
C;Sw
C;Sw
C;Sw
N/A
Date Sample Collected MM/DD/YYYY
11/0512021
11/05/2021
no flow
46529
24-Hour Rainfall in inches
0.2
0.2
C0530
TSS in mg/L (100 or 50*)
<5.00
144
00400
pH in standard units (6.0-9.0FW,
6.59
7.87
6.8 — 8.5 SW)
00556
Oil & Grease in mg/L (30)
<6.00
<6.00
31616
Fecal Coliform per 100 ml of
freshwater (if required) (1000)
20
1820
61211
Enterococci per 100 ml of saltwater
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
(120)
159
350
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCO1L
Estimated New Motor/Hydraulic Oil
g10
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
<6.00
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS5 limit of 50 mg/L. All other water classifications have a benchmark of too mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional): NOV 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, orthose persons directly responsible for gathering the information, the information
submitted is, to the best of rn knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties forsubmitting
false inforrfi ion, including e possibility of fjnes and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
Date
910-359-5515
Phone Number