NCG060182_DMR Upload_20240515

DE(Z�� Stormwater NPDES Permit Discharge
i°Monitoring Report (DMR) Upload
RECEIVED
MAY : 5 ?024
Permit and Facility Information: QENR-OEMLR
Land Quality Section
Please enter the permit number and other details for this upload. '✓Iooresville Regional Otfce. . _... ..
IMPORTANT. Until your stormwater permit is registered in the eDMR system, an original signed(not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number* Enter COC or Individual Permit Number(NOT General Permit number with all 0's)
NCG060182
Must begin with NCS or NCG
* This permit should be reporting data through eDMR now instead of uploading
forms here and mailing a paper copy. I understand the permittee should go to
https://deq.nc.gov/sw-edmr and follow instructions to register.
Permits beginning with this prefix should be using the eDMR system and reporting electronically instead of
using this form or mailing a paper copy. Please see the Stormwater eDMR website and follow the Six Step
Process for registering in the eDMR system. Permittees who already submitted registration forms but are
still waiting on ownership updates and/or registration confirmation should just indicate this as the
reason below.
Reason for not yet After numerous requests to change current Company's owner, name, and relevant
reporting data information submitted by PPC, NCDEQ failed to respond and correct Company's
through eDMR for profile; therefore, it's impossible to complete the eDMR registration process.
this permit:*
Please review the facility, owner, and county below! If that information is not what you expect, please
check your permit number again and contact us regarding any errors.
Facility Name:* Pilgrims Pride - Marshville Complex
Owner/Operator Pilgrim's Pride Corporation
Name:*
County:* Union
After uploading here, the original signed hardcopy must be mailed to:

DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2024
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
DMR Upload* Click the upload button or drag and drop files here to attach document.
2nd Quarter 2024 SW DMR NCG06-DMR-Form-20200... 207.12KB
Only PDFs are accepted.
Comments: For your review and approval!
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction" subject to Chapter
66,Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature;AND
o I intend to electronically sign and submit this DMR Upload form.
Full Name:* Yin-Pong George Chang, P. E.
Name of person submitting this form
Email Address:* [e-mail]

Phone Number:* 7046244317
Signature:
Date:* 05/03/2024

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.NCG06 0 1 8 2 Person Collecting Samples: Yin-Pong George CHANG,P.E.
Facility Name: Pilgrim's Pride Corporation,Marshville Processing Plant Laboratory Name: K&W Laboratories
Facility County: Union Laboratory Cert. No.: 559
Discharge during this period:X Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances?❑Yes No
If so,which Tier(I, II,or 111)?
Part A:Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Code Parameter Outfall#1 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class Salem Creek
N/A Date Sample Collected MM/DD/YYYY 04/09/2024
46529 24-Hour Rainfall in inches 0.04
00556 Oil&Grease in mg/L(30) <5.0
C0530 TSS in mg/L(100 or 50*) 9.3
00400 pH in standard units(6.0-9.0) 6.5
31616 Fecal Coliform per 100 ml of 15
freshwater(1000)
61211 Enterococci per 100 ml of saltwater
(500)
00340 Chemical Oxygen Demand in mg/L 100
(120)
Part B:Vehicle&Equipment Maintenance Areas—Benchmarks in(Red)
Parameter paramete
Code r Outfall Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
00552 Non-Polar Oil&Grease in mg/L(25)
NCOIL New Motor/Hydraulic oil Usage in
gal/month
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L.
Notes(optional):
"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,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."
S-,3"2V
Signature of Permittee or Delegated Kthorized Individual Date

K& W Laboratories Results Report
1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel[phone] Fax[phone]
Client: Pilgrims Pride Corp. Date: 02-Mav-24
205 Edgewood Drive OrderlD: 24040929
Wingate,NC 28174
Project: Marshville Stormwater Collect Date: 4/9/2024
Location: Outfall#001 Collect Time: 10:30:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
24040929-01 COD 100 mg/L SM5220D 10 4/30/2024
24040929-01 Fecal Coliforrn 15 colony/100m1 SM9222D(MF) 1 419/2024
24040929-01 OilBGrease <5.0 mg/L EPA166413 5.0 4/12/2024
24040929-01 pH 6.5 units SM4500H+B 0.1 4/92024
24040929-01 TSS 9.3 mg/L SM2540D 2.5 4/11/2024
NC Certiflcation: 559 SC Certification: 99051
Certified By
G. Kraska/Lab Director

K & W Laboratories Tel: [phone]
1121 Hwy 24127 W Midland, NC Fax:jj(e704-888-1611 /� Chain of Custody Record
ClienVCom_pany: Pilgrims Pride_ _ Report To:y,' n Q, em-r—CH7,r AAG P.t-, . Remarks. _
Address: PO Box 668 a l
Marshville,NC 28103 Copyro:
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