NCG060143 DMR SW (6)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _4/30/2015
CERTIFICATE OF COVERAGE NO. NCG060143 SAMPLE COLLECTION YEAR 2015
FACILITY NAME: Valley Proteins —Rose Hill Division FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY: Duplin ❑ use/process meats ® use animal fats/byproducts
PERSON COLLECTING SAMPLES: Allen Watkins & Carl Wheeler DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY: Microbac - Fayetteville Division Lab Cert. # 11
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE --),
Total event rainfall .75 or ❑ No discharge this period'
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*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: Jim Gregson
Mail an oriainal and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitorina 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 and imprisonment for knowing violations."
(Signature of permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.oriz/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
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