NCG060280_2022 DMR_20220520

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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Complete, sign, Scan and submit tine DMR vla th• Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form 4,J-
30 days of receiving sampling results. Mail the original, signed hard cope of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG0602SC
Person Collecting Samples:
Facility Name: Chief VNI
Laboratory Name:
Facility County: Duplir
Laboratory Cert. No.:
Discharge during this period: ❑ Yes ® Na (�f no, skip to signoture and a`ei
Has your facility implemented mandatary Tier response actions this say o _ pence; for any benchmark exceedances? ❑ Yes ❑ NO
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically v•s https://edocs.de_q.nc.gov/Eorms/"SW-DMR ®Y_s Elmo
Date Uploaded: 5/20/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall f
Outfall 2
Outfall
Outfall
Outfall
N/.A
Receiving Stream Class
C. sw
C S"w
N/A
Date Samale Collected Ml'vf/DD/YYYY
46529
24-Hoar Rainfall In inches
C0530
TS5 in rng,'L (100 or 51
pH in standard units (6.0-9.0Ill
00400
6.8 — 8.5 SW)
fecal Coliform per 100 mi of
31616
freshwater (if required} (1000)
Enterococci per 100 ml of saltwater
1211
(if required) (S00)
Chemical Oxygen Demand in mg/L
00340
(120)
Additional parameters for outfads in drainage 3-eas that use >55 gallons rt r oil on average
Estimated New Motor/Hydraulic Di!
NCOIL
Usage in gal/month
00$>2
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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): Outfall # 1 and 92 are on monthly monitoring and no flow was reported for April
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervisior 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 .ar persons who manage the system, or those persons directly responsible for gathering the inforrration, the information
submitted is, to t'r­ my knowledge and belief true, accurate, and complete. i am aware that there are significant penal-ies for submitting
false informa_': yossi�ility ofyf�es and imprisonment for knowing violation>.'
Signature if Permittee or Delegated Authorized Individual
[e-mail]
Email Address
5/20/2022
Date
910-293-3434
Phone Number