NCG060024_2023 DMR_20230216

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. NCGO6 0024 Person Collecting Samples: Justin Batchelor
Facility Name: Tyson Mexican Original Inc Laboratory Name: Pace Analytical
Facility County: Lee Laboratory Cert. No.: 5342
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,II,or III)? Tier I
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ®Yes ❑ No
Date Uploaded: 02/15/2023
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in
Parameter Parameter Outfall#1 Outfall
Code #2 Outfall #3 Outfall Outfall
N/A Receiving Stream Class C C C
N/A Date Sample Collected MM/DD/YYYY 2/2/2023 2/2/2023 2/2/2023
46529 24-Hour Rainfall in inches 0.47 0.47 0.47
C0530 TSS in mg/L 100 or 50*) 4.6 33.0 36.0
00400 pH in standard units 5.0-9.0 FW.
7.54 7.52 8.21
31616 Fecal Coliform per 100 ml of
freshwater(if required)
61211 Enterococci per 100 ml of saltwater
(if required)
00340 Chemical Oxygen Demand in mg/L
<25.0 146 26.6
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 30 30
Usage in gal/month 30
00552 Non-Polar Oil&Grease in mg/L <5.0 <4.9 <5.0
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of .All other water classifications have a benchmark of
(Freshwater) (Saltwater)
Notes(optional): Benchmark exceedance on Outfall#2 for COD. Tier I notification has been emailed. Updated BMP(s)will be implemented.
"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,tot est of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false inf t' n,i ludiinngg the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] gig -77 Y-O8'i s
Email Address Phone Number