NCG060182 DMR SW (2)

TABLE 7
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING Rlsl'Olrr
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060182
the laboratory.)
FACILITY NAME: Pil rim's Pride Corporation, Marshvil a Plant
PERSON COLLECTING SAMPLES Q.v G
CERTIFIED LABORATORY W ; t Lab # 15'59
Lab #
Part A: Specific Monitoring Re uiremen6'-r -'--
kEtovan
JUL 06 2015
CENTRAL FILES
D1NR SECTION
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from
COUNTY Union County, NC
PHONE NO. Q y)--- 'Cl— S�aQ
PLEASE SIGN ON THE REVERSE 4
Outfall
No.
Tate
Sample Collected,
mo/dd/yr
'530`'400
00530
-' .340
"556 "`
.31616
Total Sus ended'
Solids,
mg/L
PH_.Standard"
units
Chemical Oygen"
Demand,
mg/L
` Oil -and: v '
Gr,,ease,
mg/L
Fecal Coliform,
Colonies
per 100 nil
Benchmark
-
100'
Within 6.0 - 9.0
120
30
1000
001
002
0
nvote: it you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2
responses
See General Permit Text
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes C.x/
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Reauirements
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Oil and Grease,
m /L
Total Suspended Solids,
mg/L
PH),
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100
6.0 — 9.0
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
PPNCOI-02 SWP3 Appendix E - 8

L
STORM EVENT CIIARACTERISTICS: Mail Original and one copy to:
� Division of Water Quality
DateS7�7Q" (first event sampled) n
Total Event Precipitation (inches): i Q Attn: DWQ Central Files1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each -additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
"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 the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
PPNCOI-02 SWP3 Appendix E - 9