NCG060382_Monitoring Report_20220602

NCDEQ Division of Energy, Mineral and Land Resources hOo syp`2X,
Stormwater Discharge Monitoring Report (DMR) Form for NCG0604 , -
Food and Kindred °? 0
Click here for instructions O
Complete, sign, scan and submit the DMR viathe 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. NC306 0382
Person Collecting Samples: Thomas Owens
Facility Name: Mountalre Farms Inc -Statesville Feed MITI
Laboratory Name: Statesville Analytical
Facility County: Iredell
I Laboratory Cert. No.: 440
Discharge during this period: ❑ Yes Ej No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions th is sam ale pe riod for any benchmark exceedances?❑X Yes ❑No
If so, which Tier(I, 11, orlll)? III
A copy of this DMR has been uploaded electronically via httos://edocs.deg.nc.gov/Forms/SW-DMR ® Yes ❑ No
Date Uploaded: 05/27/2025
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 02
Outfall
Outfall
Outfall
Outfall
Code
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 50*)
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
Fecal Coliform per 100 ml of
31616
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
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
1 Non -Polar Oil & Grease in mg/L (35)
-* Outfalls to Outstanding Resource Waters(ORVO, High Quality Waters (HQW), Trout Waters(Tr) and PrimaryNursery Areas (PNA)
have a benchmark TSS limit of SO mg/L All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional): April 2022
"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 be� ledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false in io in ding the posibility of fines and imprisonment for knowing violations."
edor Delegated Authorized Individual
C") M.4tI A 411 s1S� . A/
S 2 G l2
Date
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Phone Number