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Home My WebLink AboutNCG060382_Monitoring Report_20220119NCDEQ Division of Energy, Mineral and land Resources G� \� Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 Food and Kndred 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 aoorooriate DEMLR Regional Office. Certificate of Coverage No. N CG06 0382 Person Collecting Samples: Thomas Owens Facility Name: Mountaire Faris Inc -Statesville Feed Mill Laboratory Name: Statesville Analytical Facility County: Iredell 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 No If so, which Tier (I, 11, or III)? III - A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/FForms/SW-DMR ® Yes ❑ No Date Uploaded: 01 /12/2022 Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red) Parameter Code Parameter Outfall 02 Outfall Outfall Outfall Outfall N/A Receiving Stream Class C N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or 50i) OD400 pH in standard units (6.0-9.0 FIN, 6.8 — 8.5 SW 31616 Fecal Coliforn per 100 ml of freshwater (if required) (1000) 61211 Enterccocci per 100 ml of saltwater Of required (500) Chemical Oxygen Demand in mg/L 00340 (120 Additional parameters for outfalis in drainage areas that use>55 gallons per month of new hydraulic oil on average NCOIL Estimated New Motor/Hydraulic Oil Usage in gal/month 00552 1 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 benchmarkTSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L FW (Freshwater) SW (Saltwater) Notes (optional): December2021 "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 sign cant penalties for submitting false infor 'on, indudi ossibility of fines and Imprisonment for knowing violations." Sig re of PermfiKe or Delegated Authorized Individual Date A6,9 P 07 d4 n fgi/",o - L'o%l '05� };7,F, 3vs-sl tm li Address Phone Number NCDEQ Division of Energy, Mineral and land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000 Food and ICndred Click here for instructions Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form withtn 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Reeional Office. Certificate of Coverage No. NC606 0382 Person Collecting Samples: Thomas Owens Facility Name: Mountaire Farms Inc- Statesville Feed Mill LaboratoryName: Statesville Analytical Facility County: Inadell I 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?❑R Yes ❑No If so,which Tier(I, it, or IIQ? III Acopyof this DMR hasbeen uploaded electronically via https://edocs.deg.nc.gm/Forms/SW-DMR ®Yes El No Date Uploaded: 01 /12/2022 Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in (Red) Parameter Code Parameter Outfall 02 Outfall Outfall Outfall Outfall N/A Receiving Stream Class C N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or SO-) 00400 pH in standard units (6.0 —9.0 FW, 6.8-8.5 SW 31616 Fecal Coliform per 100 ml of freshwater (if required) (1000) 61211 Enterococci per 100 ml of saltwater (if required) (500) Chemical Oxygen Demand in mg/L 00340 (120 Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average NCOIL Estimated New Motor/Hydraulic Oil Usage in gal/month 00552 Non -Polar Oil & Grease in mg/L (15) • Outfalls to Outstanding Resource Waters (OR", High Quality Waters (HQW), Trout waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS limit of50 mg/L All other water classifications have a benchmark of 100 mg/L FW (Freshwater)SW (Saltwater) Notes(o tional): December2021 "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 nfor on, i� ossibility of fines and imprisonment for knowing violations." /-/P. zL Sig re of Pernpieee or Delegated Authorized Individual Date ° eo f P M 04 n fgira . l�otit �05�' %7� 3oss' NM Address Phone Number