NCG060174 DMR SW (2)

Environn \,ital Plan
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quility General Permit No. NCG060000 FEB 2 3 2016
Date submitted $ 261 Io) CENTRAL (FILES
CERTIFICATE OF COVERAGE NO. N 6 :• SAMPLE COLLECTION YEAR b 16 ®R SECTION
FACILITY NAME h+�qr; m S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Lem 2 use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES l��G�� k�ca �t DISCHARGING TO SALTWATERS? ❑YES [D10
LABORATORY iZ A, Lab Cert. # 3y
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE
Total event rainfall 2 or F�I_rft discharge this period'
Outfall No. Sample Collected, TSS,
mo/dd/yr mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark - 100 or 504
Within 6.0 — 9.0
120
30
1000
500
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 ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes complete Part B)
Outfall No.
Sample Collected, Oil and Grease,
mo/dd/yr _mg/L
TSS,
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark
- 30
100 or 504
6.0-9.0 -
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 i3y 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'sPride\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 INA 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 EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F,71 ❑
REGIONAL OFFICE CONTACT NAME: 114\0 X4011 ALj
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 anJc..hTVisonment for knowing violations."
(Signature of
ll l6
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised- October 18, 2012
MOW
Z:\Environmental\lndustrial\PP-Pilgrim'sPnde\PPNC-NorthCarolma\PPNC04-Sanford Fresh Plant\PPNC0401SPILL\2013 Monitoring Form 2