NCG060265 DMR SW (6)

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May 6, 2015
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Discharge Outfall Monitoring Report —April 2015
Mission Foods Corp.
401 Gateway Drive
Goldsboro, NC 27534-70,58 _
Permit Number: OCG0602y65�
To Whom It May Concern:
MAY 4 8 2015
CENTRAL FILES
DWR SECTION
Enclosed is the completed Stormwater Discharge Outfall Monitoring Report as required in the NPDES
General Storm Water Permit for Industrial Activity for Mission Foods Corp.
Mission Foods did not experience a measurable discharge while trained SWPPP members,were available
on-site.
If you have any questions or concerns in regards to this, please feel free to contact me at (952) 567-
5625 orvia email at [e-mail].
Sincerely,
Myles Peterson
Environmental Specialist
Enclosures
Cc: Scott Shafer— Mission Foods
U.S. Compliance Corporation
520 Third Street a Suite 100 s Excelsior, MN 55331 • Phone [phone] • Fax [phone]
www.uscompliance com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 5/7/201S
CERTIFICATE OF COVERAGE NO. NCG06 0265__
FACILITY NAME Mission Foods
COUNTY Wayne
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES QNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z or x❑ No discharge this period3
Outfall No. Sample Collected, 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 — 9.0 120 30 1000 500
001
1 Only applies to facilities that use/process meats.
ZThe 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 ❑X no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
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 50
6.0-9.0 -
1 Only applies to facilities that use/process meats.
ZThe 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.
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 ANYONE OUTFALL? YES X❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑
REGIONAL OFFICE CONTACT NAME: Written notification submitted t0 Washington Regional Office Supervisor
In addition, sample results are emailed to Thom Edgerton each month regardless of exceedance.
Mail an oriainal 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."
re of
(D te)
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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