HomeMy WebLinkAboutNCG060182_Monitoring Report_20220110RECEIVED
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Land Quality Section
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Permit and Facility Information:
Please enter the permit number and other details for this upload.
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 0's)
NCG060182
Must begin with NCS or NCG
Facility Name:* Pilgrim's Pride Corporation, Marshville Processing Plant
County:* Union
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:Hdeq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)7
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with anew 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.
Signed December 2021 SW DMR.pdf 64KB
Only PDFs are accepted.
Comments: For your review and approval!
* By checking the box and signing box below, I certify that:
• 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 NC General
Statutes (the "Uniform Electronic Transactions Act');
• 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
• I intend to electronically sign and submit this DMR upload form.
Full Name:* Yin-Pong George Chang, P. E.
Name of person submitting this form
Email Address:* yin-pong.chang@pilgrims.com
Phone Number:* 17046244317
Signature:*
Awe.9..
Date:* 01/06/2022
K & W Laboratories
1121 Hwy 24/27 W Midland, NC
nt/Company: Pilgrims Pride
ress: PO Box 668
Marshville, NC 28103
Contact:
Phone: (704) 233-4047 Fax:
Tel: 704-888-1211
Fax: 704-888-1511
Report To: Yi ►)-
Copy To:
IBill To:
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GeWrC HANG, P.
Chain of Custody Record
Remarks:
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R, ECEIVED
NCDEQ Division of Energy, Mineral and Land Resources 11
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
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duor� will.. Iticgcnsl 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 DEMUR Regional Office.
Certificate of Coverage No.
Person Collecting Samples: Yin-Pong George CHANG, P. E.
Facility Name: Pilgrim's Pride Corporation, Marshville Processing Plant Laboratory Name: Environmental Chemists, Inc.
Facility County: Union I Laboratory Cert. No.: 94
Discharge during this period: N Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑■ Yes ❑ No
If so, which Tier (I,11, or III)? III
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall #1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Salem Creek
N/A
Date Sample Collected MM/DD/YYYY
12108/2021
46529
24-Hour Rainfall in inches
0.15
00556
Oil & Grease in mg/L 130)
< 6.2
C0530
TSSin mg/L (100 or50•)
6
00400
pH in standard units (6.0-9.0)
6.3
31616
Fecal Coliform per 100 ml of
330
freshwater(1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
36
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
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 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 AuKorized Individual
/-G-.2�_
Date
K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel (704) 888-1211 Fax (704) 888-1511
Client: Pilgrims Pride Corp.
PO Box 668
Marshville, NC 28103
Results Report
Date: 04-Jan-22
OrderlD: 21120810
Project:
Stormwater #001
Collect Date:
12/8/2021
Location:
Outfall #001
Collect Time:
8:00:00 AM
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
REPORTING
LIMIT
ANALYSIS
DATE
21120810-01
COD
36
mg/L
SM5220D
10
1/4/2022
21120810-01
Fecal Coliform
330
colony/100ml
SM9222D (M17
1
12/8/2021
21120810-01
011&Grease
<6.2
mg/L
EPA1664B
6.2
12/17/2021
21120810-01
pH
6.3
units
SM45001-1+13
0.1
12/8/2021
21120810-01
TSS
6
mg/L
SM2540D
2.8
12/10/2021
pH analysis initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99051
Certified By G.,e,*4,akQ.
G. Kraska / Lab Director