NCG060182 DMR SW (5)

TABLE 7
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING W,l'O1tT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060182
the laboratory.) 11
FACILITY NAME: Pilgrim's Pride Corporation. Marshville Plaut /
PERSON COLLECTING SAMPLES S)jcj,,, Al'vdre ft
CERTIFIED LABORATORY W o,i Lab # SS
r Lab #
Part A: Specific Monitoring Requirements,=° _
REcF/vE
JAN � 8 2015
DWR�CFI�ES
TI pN
SAMPLES COLLECTED DURING CALENDAR YEAR: -:;?,O/.'/'
(This monitoring report is due at the Division no later than 30 days from
(lie date the facility receives the sampling results from
COUNTY Union County, NC
PHONE NO. (70 !;� g2, 9
PLEASE SIGN ON THE RE VERSE 4
Outfall
No.
Date
Sample Collected,
nlO/dd/yr
-530
400
340
556 "`
31616
,, Total Suspended '
I Solids,
mg/L
pII, Standard
units
Chemical Oxygen'
Demand,
mg/L
Oil and,'
Grease,
mg/L
Fecal Coliform,
Colonies
per 100 nil
Benchmark
-
100"
Within 6.0 - 9.0
120
30
1000
001
F..
AT.. Fes,. TV -
002
a 0�
Note: 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 &-flo
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring ReanirPmPnk
Outfall Date
No. Sample Collected,
mo/dd/yr
11
---- ---- ---- ---------
00556
00530
00400
Oil and Grease,
m /L
Total Suspended Solids,
m /L
PIT,
Standard units
New Motor Oil Usage,
Annual average al/mo
Benchmark -
30
100
6.0 — 9.0
_
F..
AT.. Fes,. TV -
11 y,,,, icl,kJT t a Nau►p►eu value In excess of the benclunark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
PPNCOI-02 SWP3 Appendix .E - 8

STORM EVENT CIIARACTERISTICS:
Date 1" -/ (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
46
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
ature of Permittee)
��Z �?
(Date)
PPNCO1-02 SWP3 Appendix E - 9