NCG060021 DMR SW (7)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCGO6OOOO
Date submitted: April 6, 2016
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or n No discharge this nerind3
Outfall No. Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH, COD, Oil and Grease,
Standard units mg/L mg/L
Fecal Coliforml, Enterococcil,
Colonies per 100 ml Colonies per 100 ml
Benchmark -
100 or 504
Within 6.0 — 9.0 120 30
1000 500
NA NA
CEIVED
1 2016
z Only applies to facilities that use/process meats. CENTRAL FILES
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. DWR SECTION
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, Non Polar Oil TSS,
Mo./dd./yr. mg/L &Grease/TPH mg/L
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark - 30 15 100 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.
'For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
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4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. 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: Sue White
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."
LO
(Signat re of Permittee) (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
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