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Permit and Facility Information:
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Please enter the permit number and other details for this upload.
IMPORTANT.• Until your stormwater permit is registered in the eDMR system, an original signed (not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this 'electronic
upload.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG060184
Must begin with NCS or NCG
Facility Name:* Pilgrim's Pride Corporation, Wingate Feed Mill/Truck Shop
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://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
*"DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
DMR Upload* Click the upload button or drag and drop files here to attach document.
Signed 1st Quarter 2022 SW DMR.pdf 102.49KB
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;
• I agree thM submission of this Di &arge Monitoring Reort (DMR) Upload fornA a "transaction" subjet!t to Chapter
66, Article�40 of the NC General statutes (the "Uniform 1ectronic Transactions"+Act');
• 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, R E.
Name of person submitting this form
Email Address: * yin-pong.chang@pilgrims.com
Phone Number:* 17046244317
Signature: *
Date: * 02/28/2022
NCDEQ Division of Energy, Mineral and Land Resources re`�
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 fo within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriab DEMLR Re ion Office.
Certificate of Coverage No. NCG060184
Person Collecting Samples: Jeremy Spencer
Facility Name: Pilgrim's Pride Corp., Wingate Feed Mill
Laboratory Name: K & W Laboratories
Facility County: Union
Laboratory Cert. No.:559
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, 11, or III)?
A copy of this DMR has been uploaded electronically via https:Hedocs.deg.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded: February 25, 2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall#001A
Outfall#002A
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Rays Fork Creek
Rays Fork Creek
N/A
Date Sample Collected MM/DD/YYYY
02/04/2022
02/04/2022
46529
24-Hour Rainfall in inches
0.1
0.1
C0530
TSS in mg/L(100 or SO*)
25
54
00400
pH in standard units (6.0-9.0)
8.0
7.7
00556
Oil & Grease in mg/L (30)
<7.5
<5.9
31616
Fecal Coliform per 100 mlof
8600
6700
freshwater (if require ) (1000)
Enterococci per 100 ml of saltwater
61211
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
55
53
(120)
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
56
56
00552
1 Non -Polar Oil & Grease in mg/L (15)
<7.5
1 <5.9
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T65 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, includingthe possibility of fines and imprisonment for knowing violations." l l
Signature of Permittee or Delegated
Individual
Date
Email Address Micah.Abernaty@pilgrims.com Phone Number (704) 624-4448
K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel (704) 888-1211 Fax (704) 888-151 l
Client: Pilgrims Pride Corp.
205 Edgewood Drive
Wingate, NC 28174
ProjeW. Wingate Feed Mill;5tormwater
! i\ .f•_ f! 11AA•
Results Report
Date: 22-Feb-22
Order ID: 22020412
Collect Date: I / 2I4/2022
Collect Time: 9:28:00 AM
REPORTING
ANALYSIS
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
LIMIT
DATE
22020412-01
COD
55
mg/L
SM5220D
10
2/9/2022
22020412-01
Fecal Coliform
8600
colony/100ml
SM9222D (MF)
1
2/4/2022
22020412-01
011&Grease
<7.5
mg/L
EPA1664B
7.5
2/7/2022
22020412-01
pH
8.0
units
SM450011+13
0.1
2/4/2022
22020412-01
SGT HEM, TPH
<7.5
mg/L
EPA1664B
7.5
2/712022
22020412-01
TSS
25
mg/L
SM2540D
4.2
2/6/2022
pH analysis initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99051
Certified By 6,,�,o,�a„
G. Kmska / Lab Director
K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel (704) 888-1211 Fax (704) 888-1511
Client: Pilgrims Pride Corp.
205 Edgewood Drive
Wingate, NC 28174
Results Report
Date: 22-Feb-22
Order ID: 22020413
VStormwater
r
Collect Date 2/4/2022
Feed Mi Wingate oh
Proi� g l
Location: Outfall #002A
Collect Time: 9:32:00 AM
SAMPLE # PARAMETER
22020413-01
COD
22020413-01
Fecal Coliform
22020413-01
011&Gmase
22020413-01
pH
22020413-01
SGT HEM, TPH
22020413-01
TSS
REPORTING
ANALYSIS
RESULT
UNITS
METHOD
LIMIT
DATE
53
mg/L
SM5220D
10
2/9/2022
6700
colony/100ml
SM9222D (MF)
1
2/4/2022
<5.9
mg/L
EPA1664B
5.9
2/7/2022
7.7
units
SM45001-1+13
0.1
2/4/2022
<5.9
mg/L
EPA1664B
5.9
2/7/2022
54
mg/L
SM2540D
6.3
2/612022
pH analysis initiated more than 15 minutes after sample collection.
NC Certification: 559 SC Certification: 99051
Certified By G.
G. Kraska / Lab Director
K & W Laboratories
1121 Hwy 24/27 W Midiand, NC 281L
e.wC parry: plgrims Pride
Gress: 205 Edgew d Dr. _
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Tel: 70"88-1211
Fax:701"-1511 Cain of Custody
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