NCG060036_Monitoring Report_20220106

RECEIVED
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
JAN 0.3 2022
DENR-DEMLR
Land Quality Section
: •omsviile Regional Office
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. NCG060036
Person Collecting Samples: Doug Burns
Facility Name: Cargill Inc
Laboratory Name: Pace Analytical Services
Facility County: Mecklenburg
Laboratory Cent. No.:329
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 (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ® Yes [—]No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 001
Outfall 003
Outfall 004
Outfall
Outfall
N/A
Receiving Stream Class
C
C
C
N/A
Date Sample Collected MM/DD/YYYY
11/22/21
11/22/21
11/22/21
46529
24-Hour Rainfall in inches
0.65
0.65
0.65
C0530
TSS in mg/L (100 or 50*)
<13
40
<13
00400
pH in standard units (6.0-9.0 FW,
6.R—B.5SW)
6.85
6.74
7.08
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
NA
NA
NA
61211
Enterococci per 100 ml of saltwater
(if required) (500)
NA
NA
NA
Chemical Oxygen Demand in mg/L
00340
(120)
40
1 <20
<20
Additional parameters for outfalls 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
NA
NA
NA
00552
1 Non -Polar Oil & Grease in mg/L (15)
INA
I NA
I NA
* 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 possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
DI 1 OS/AM2.
Date
704-679-7120
Phone Number

0CStormwater NPDES Permit Data Monitoring Repor'
NOf1,,THRa ury (DMR) Upload
Permit and Facility Information:
Please enter the permit number and other details for this
IMPORTANT- Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all O's)
NCG060036
Must begin with NCS or NCG
Facility Name:* Cargill Charlotte
County:* Mecklenburg
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
.........--._......_.._........................................................................................................................................
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.

Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload * Click the upload button or drag and drop files here to attach document.
2021 Stormwater DMR (Nov).pdf 136.53KB
Only PDFs are accepted.
Comments: Storm water sampling for 4th quarter of 2021.
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction' subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the INC General
Statutes (the "Uniform Electronic Transactions Act');
e I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name:* Doug Burns
Name of person submitting this form
Email Address: * [e-mail]
Phone Number:* 17046797127
Signature:*
Date:* 01/05/2022