NCG060399_2021 DMR_20220112

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 Storm water 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 0399 Person Collecting Samples: Peyton Orr
Facility Name: Carolina Poultry Power Laboratory Name: Environmental 1, Inc
Facility County: Pitt Laboratory Cert. No.: 37715
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? ❑ Yes ❑ No
If so, which Tier (1, II, or Ill)? N/A
A copy of this DMR has been uploaded electronically via https:/Iedocs-deg.nc.gov/"Forms/S­W-DMR ❑✓ Yes []No
Date Uploaded: 1/4/22
Analytical Monitoring
Requirements for Outfalls
with Industrial Activities
— Benchmarks
in (Red)
Parameter
Code
Parameter
Outfall001
Outfall002
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Not Impaired
Not Impaired
N/A
Date Sample Collected MM/DD/YYYY
12/09/21
12/09/21
46529
24-Hour Rainfall in inches
0.1
0.1
C0530
TSS in mg/L (100 or 50*)
22
27
00400
pH in standard units (6.0-9.0)
6
6
00556
Oil & Grease in mg/L (30)
<5.7
<g 1
31616
Fecal Coliform per 100 ml of
freshwater (if required) (1000)
<10
27
61211
Enterococci per 100 ml of saltwater
(if required) (500)
1
37
00340
Chemical Oxygen Demand in mg/L
(120)
30
33
Additional
NCOIL
parameters for outfalls in drainage
Estimated New Motor/Hydraulic Oil
Usage in gal/month
areas that use
n/a
>55 gallons per
n/a
month of new hydraulic
ail on average
00552
Non -Polar Oil & Grease in mg/L (15)
n/a
n/a
* 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
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 forgathering 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 forsubmitting
false info ,�cluding the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
Date
Email Address Phone Number