NCG060174 DMR SW (7)

Environif ital Plan'
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No., NCG060000 ���VE
Date submitted NOV 0 3 2015
CERTIFICATE OF COVERAGE NO. NCG06_ 7L SAMPLE COLLECTION YEAR ao i5' CENT
FACILITY NAME r'e r d OV FACILITY ACTIVITIES INCLUDE (check all that apply): DWS RRL �1`LS
SECTION
N
COUNTY I-ee N'1_LAkA use/process meats ❑ use•animal fats/byproducts
PERSON COLLECTING SAMPLES 17on1 `cl a DISCHARGING TO SALTWATERS? ❑YES ✓❑NNO
LABORATORY�,1 A- Fie -19 (A b Lab CA # 34 I Stk l
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE
Total event rainfall, l: a5 ' or ❑-No discharge this period
Outfall No.
Sample Coll`ected,'
mo/dd/yr
TSS,
mg/L
pH,
Standard units,
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforms,' ' Enterococce,
"
Colonies per 100 ml Colonies, per 100 ml,
Benchmark
-
100 or 5041,Within
6:6— 9.0
120=
- - "_ 30 - _ ,
1000 500
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to IIS
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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?- Eyes, -,❑ no,,,: (±M complete Part B) ,
Part B: Vehicle Maintenance Area Monitorinz 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 504
-6.0-9.0 -
# I a 115 <5
14.9-
U -TS
3 « <s
1a.0
7.arZ
I 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.
Z:\Environmenta1\Industrlal\PP-Pllgr(m'sPrlde\PPNC-NorthCarolina\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form 2

Environmental Plan
*FOR PART A AND PART B MONITORING RESULTS:
o 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES RNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES © NO ❑
REGIONAL OFFICE CONTACT NAME:
110+ brs'I 0 -Ne h ;' M ctS c F 10/22
EA,0"le-d off-key ftD 'x&4, roc( cur 4;hc_t
(ems n z�tl s YD say, wrn d, ns Scan c.s verri yV
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 finjg y nd imprisonment for knowing violations."
(Signaturermittee)
D/2 3
(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
7. \Environmental\Industrial\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitoring Form 2