NCG060131 DMR SW (14)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 2/2/2016
CERTIFICATE OF COVERAGE NO. NCG060 1 3 1 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Valley Proteins FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford ❑ use/process meats Vuse animal fats/byproducts
PERSON COLLECTING SAMPLES Lee Lewis DISCHARGING TO SALTWATERS? ❑YES ZNO
LABORATORY PRISM Lab Cert. # 402
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ® No discharge this period3
Outfall"No. Sample Collected, TSS, pH COD, Oil and Grease, Fecal Coliform', Enterococci',
mo/dd/yr mg /L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
benchmark - 100 or 50' Within 6.0 - 9.0 1.20 30 1000 Soo
1 1/31/2016 No Flow Availa le
1 Only applies to facilities 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Gutta- IrNo. Sample Collected, Oil and, Grease, TSS,
mo/dd/yr mgX mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark - 30 100 or 50
6.0-9.0
-
(ifyes, complete Part B)
ZOnly applies to facilities that use/process meats. 'eV,
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. *Pb 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. P
S W U-249
Last Revised: October 18, 2012
Ripe I of 7.

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 2/2/2016
CERTIFICATE OF COVERAGE NO. NCG060 1 3 1
FACILITY NAME Valley Proteins
COUNTY Guilford
PERSON COLLECTING SAMPLES Lee Lewis
LABORATORY PRISM Lab Cert. # 402
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Vuse animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES 4NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -3�
Total event rainfall 2 or I -Y] No dischorae this nprior?
Outfall No: Sample Collected;, C ' TSS, pH, COD, Oil and Grease, Fecal Coliform , Enterococcil,
mo/dd/yr._ mg/L Standard units mg/L mg/L ' Colonies per 100 ml Colonies per 100 ml
Benchmark . '.' - 100. or 50 Within 6.0 —9.6 120 '30 1000 500
5 1/31/2016 No Flow Available
Only applies to facilities that use/process meats.
3The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at anyoutfalls. 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 U no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaeine > 55 eal of new motor oil/month
Outfall'N6, ; Sample Collected,
mo/dd/yr'"
Oil and Grease,
mg/L
TSS, v pH,
mg/L Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark- -
30
100 or 50 6.0-9.0
-
Only applies to facilities that use/process meats.
Z 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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if vas, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pave 1 of

*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 ATTHE 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 ANYONE OUTFALL? YES []NOSf
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 and imprisonment for knowing violations."
(Signature of Pe
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
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