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HomeMy WebLinkAboutNCG060309_Monitoring Report_20220110r C E i V 7 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 appropriate DEMLR Regional Office. Certificate of Coverage No. NCG06 0309 Person Collecting Samples: Travis Williams Facility Name: AdvancePierre Foods Laboratory Name: Statesville Analytical Facility County: Catawba Laboratory Cert. No.: 440 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 0 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 0 Yes ❑ No Date Uploaded: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red) Parameter Parameter OutfallI Outfall2 Outfall Outfall Outfall Code N/A Receiving Stream Class Water Supply Water Supply N/A Date Sample Collected MM/DD/YYYY No Flow No Flow 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or 50*) No Flow No Flow 00400 pH in standard units (6.0-9.0) No Flow No Flow 00556 Oil & Grease in mg/L (30) No Flow No Flow Fecal Coliform per 100 ml of 31616 freshwater (if required) (1000) Enterococci per 100 ml of saltwater 61211 (if required) (500) 00340 Chemical Oxygen Demand in mg/L No Flow No Flow (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 00552 1 Non -Polar Oil & Grease in mg/L (15) * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L Notes (optional): No discharge from Outfalls 1 or 2. "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." 12/31/2021 Signature of Permittee or Delegated Authorized Individual Date Email Address michael.doeden@tyson.com Phone Number 402-250-3050