NCG060295_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 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 approl2riate 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:0 Yes 0 No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ✓ Yes 0 No
If so, which Tier (l, II, or III)? III
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR Dyes 0 No
Date Uploaded: 01/12/2022
Analytical Monitoring
EN/
46529
C0530
00400
00556
31616
61211
00340
Additional
NCOIL
00552
Requirements for outfalls with
Parameter
Receiving Stream Class
Date Sampie Collected MM/DD/YYYY
24-Hour Rainfall in inches
TSS in mg/L (100 or 50*)
PH in standard units (6.0-9.0 FW,
6.8-8.5SW)
Oil & Grease in mg/L (30)
Fecal Ccliform per 100 ml of
freshwater (if required) (1000)
Enterococci per 100 ml of saltwater
(if required) (500)
Chemical Oxygen Demand in mg/L
(120)
parameters for outfalls in drainage
Estimated New Motor/Hydraulic Oil
Usage in gal/month
Non -Polar Oil & Grease in mg/L (15)
Industrial Activities
Outfall01
C;Sw
12/08/2021
1.1
33.7
70
9.10
350
43.1
areas that use
910
9.10
— Benchmarks
Outfall02
C;Sw
12/08/2021
1.1
58.0
75
<5.56
>1800
348
>55 gallons per
in (Red)
Outfall03
C;Sw
no flow
month of new hydraulic
Outfall
Outfall
oil on average
* 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): DEC 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 responsibie 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 Permittee or Delegated Authorized Individual
[e-mail]
Email Address
Date
910-359-5515
Phone Number