NCG060144_DMR_20220201

STORM WATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS 060000 ]V C ((7(,.p 14'Ij SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
/ (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Valley Proteins COUNTY Anson
PERSON COLLECTING SAMPLE(S) James Hodges PHONE NO. 7( 04 )694-3701
CERTIFIED LABORATORY(S) PRISM LAB Lab#402
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A:Specific Monitoring Requirements
Outfall Date 50050'
No. Sample Total Total
Collected Flow if a Rainfall TSS pH COD Oil&Grease Fecal Coliform
mo/dd/ r MG inches 100 Within 6.-9 120 30 1000
1 01/31/2022 NO FLOW AVAILABLE FOR SAMPLING
r ? 0
. I•ILES
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of neN9M&P9rpPG&th?Dyes Ono
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (ifappl.) O&G/fPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/ r MG inches mgfl m unit al/mo
N/A
Form SWU-247,last revised 611212015
Page I of 2

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STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS 060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Valley Proteins COUNTY Anson
PERSON COLLECTING SAMPLE(S) James Hodges PHONE NO. 7( 04 )694-3701
CERTIFIED LABORATORY(S) PRISM LAB Lab#402
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A:Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total
Collected Flow if a Rainfall TSS H COD Oil&Grease Fecal Colifo
mo/dd/ r MG inches 100 Within 6.-9 120 30 1000
2 01/31/2022 NO FLOW AVAILABLE FOR SAMPLING
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?dyes Ono
(if yes,complete Part B)
Part B:Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall Date 50050 00556 00530 00400
No. Sample Total:Flow . Total Oil&Grease. Non-polar Total. pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),Jf
appl.
mo/dd/ r MG inches m m unit al/mo
N/A NO FLOW AVAILABLE FOR SAMPLING
Form SW U-247,last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Date 01/31/20 Attn:Central Files
Total Event Precipitation(inches): N/A 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable—see permit.)
"I certify,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 a sibility of fines and imprisonment for knowing violations."
�� � 02/01/2022
( t e of Permittee) (Date)
Form S W U-247,last revised 611212015
Page 2 of 2

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS 060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Valley Proteins COUNTY Anson
PERSON COLLECTING SAMPLE(S) James Hodges PHONE NO. 7( 04 )694-3701
CERTIFIED LABORATORY(S) PRISM LAB Lab#402
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A:Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total ::. Total
Collected Flow if a Rainfall. TSS H COD Oil&Grease Fecal Coliform
mo/dd/ r MG . . inches. .. 100 Within fi.-.9 120 30 1000
3 01/31/2022 NO FLOW AVAILABLE FOR SAMPLING
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Oyes @no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity MonitoringRe uirements
Outfall :Date..: 50050. . . . .100556 00530 00400...
No. Sample Total Flow Total Oil&Grease Non-polar Total PA. New.Motor.
Rinfall: t�fPP1.
) 'O&G/TPH Suspended Oil Usa g:eCollected ifa licable a
(Method 1664 Solids
-HEM),'if:.: SGT _.
appl.
mo/dd/ r MG inches :m m unit al/mo
N/A
Form SWU-247,last revised 611212015
Pagel of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Date 01/31/20 Attn:Central Files
Total Event Precipitation (inches): N/A 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-16 1 7
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration(hours): (only if applicable—see permit.)
"I certify,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 th ossibility of fines and imprisonment for knowing violations."
02/01/2022
Ail at a of Permittee) (Date)
Form SWU-247,last revised 611212015
Page 2 of 2