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HomeMy WebLinkAboutNCG060021_2021 DMR_20220103NCDEQ 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. NCG060021 Person Collecting Samples: Raymond Nichols Facility Name: Tyson Farms Inc. Roaring River Feed Mill Laboratory Name: Statesville Analytical Facility County: Wilkes Laboratory Cert. No.:# 440 Discharge during this period: 0 Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ®Yes E] No If so, which Tier (I, II, or III)? A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR E]Yes ® No Date Uploaded: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Parameter Outfall Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class RRIV-01 RRIV-02 RRIV-04 N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or 50*) pH in standard units (6.0— 9.0 FW, 00400 6.8 — 8.5 5W) 00556 Oil & Grease in mg/L (30) Fecal Coliform per 100 ml of 31616 freshwater (if required) (1000) Enterococci per 100 mi of saltwater 61211 (if required) (500) Chemical Oxygen Demand in mg/L 00340 (120) Additional parameters for outfails 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 50 mg/L. All other water classifications have a benchmark of 100 mg/L 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 aossibility of fines and imprisonment for knowing violations." Signature cWPermittee or Delegated Authorized Individual Email Address `-S-4)a Date Phone Number L