NCG060399_2022 DMR_20220916

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 forth 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 0399 Person Collecting Samples: Peyton Orr
Facility Name: Carolina Poultry Power Laboratory Name: Environmental 1, Inc
Facility County: Pitt Laboratory Cert. No.: 37715
Discharge during this period: [!,✓ Yes Lj No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample Period for any benchmark exceedances? El Yes ® No
If so, which Tier (I, 11, or 111)? Tier II
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR 21 Yes ®No
Date Uploaded: 9/19122
Analyticai Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code Parameter Outfall 001 Outfall 002 Outfall Outfall Outfall
N/A Receiving Stream Class Not Impaired Not Impaired
N/A Date Sample Collected MM/DD/YYYY 09/01/2022 09/01/2022
46529 24-Hour Rainfall in inches 0.2 0.2
C0530 TSS in mg/L (100 or 5o*) $.2 12
00400 pH in standard units (6.0-9.0) 6 6
00556 Oil & Grease in mg/L (30) <5.0 <5.0
31616 Fecal Coliform per 100 ml of
freshwater (if required} (3000) >6000 >6000
61211 Enterococci per 100 ml of saltwater
(if required) (500) 435 >2420
00340 Chemical Oxygen Demand in mg/L
(120) 21 26
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Flydraulic Oil
Usage in gal/month
00552 Non -Polar Oil & Grease in mg/L (25)
* Outfalla to Outstanding Resource waters (ORW), high Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 omit of 50 mg/L. All rather water classifications have a benchmark of 100 mg/L
Rlotes (optional): Rainfall amount estimated
"1 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 forgathering the information, the information
submitted is, to th?_be)t of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false informUG<,'ncluding the possibility of fines and imprisonment for knowing violations."
or Permittee or Delegated Authorized Individual
Email Address [e-mail]
_/ 9 r .,; ?,--;?
Date
Phone Number 433-668-4123