NCG060174 DMR SW

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -51rl / 15
CERTIFICATE OF COVERAGE NO. NCG06 D 11I
FACILITY NAME �1 % � ar1 MS ����- Ciro i S:LA Pik*
COUNTY Lee. -
PERSON COLLECTING SAMPLES �D�-t l n2.j (,tiVtkjs5& �chAfj-moox
LABORATORY ? Jr N Lab Cert. # 34
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Part A: Stormwater Benchmarks and Monitoring Results
Environn >ltal Plan
SAMPLE COLLECTION YEAR 09015
FACILITY ACTIVITIES INCLUDE (check all that apply):
ase/process meats ❑ use animal f/ats/byproducts`
DISCHARGING TO SALTWATERS? ❑YES []NO
J# `� 0 6 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z 0.56 or ❑ No discharge this period
Outfall No. Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform", Enterococcil,
Colonies per 100 ml Colonies per 100 ml
Benchmark -
100 or 504
Within 6.0 — 9.0
120
30
1000 500
I41 n 15
5.
.Oq
<S
42100
1
Only applies to facilities that use/process meats.
"The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [" yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: oniv for facilities averaeine > 55 eal of new motor oil/month
(±yS complete Part B)
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark - 30
100 or 504
6.0-9.0
-
I 11-7115 <5
5,
(0"04
iaig
II <s
<s
88
3 If <5
<5
1
Only applies to Taclllties that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Z:\Environmental\Industrial\PP-Pilgrim's Pride\PPNC-NorthCarohna\PPNC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2

Environmental Plan
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring
period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 anq�alprisonment for knowing violations."
(Signature of
- r/1, 1 //1 -
(Date)
Additional copies of this form may be downloaded at: htta://nortal.ncdenr.ore/web/wp/ws/su/nr)dessw#tab-4
SWU-249
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Z:\Environmental\lnuustrial\PP-Pdgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-015PILL\2013
Last Revised: October 18, 2012
Monitoring Form 2