NCG060174 DMR SW (8)

( Environn( rtal Plan
1
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1Q— I i-15 (ale- A)over br-2015)
CERTIFICATE OF COVERAGE NO. Nab L=. SAMPLE COLLECTION YEAR c20 15
FACILITY NAME (Pi\grims ' N� FACILITY A IVITIES INCLUDE(check all that apply):
COUNTY Loa- J process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES 'no-ld ktcL1 a� 241 use/DEC 2 s DISCHARGING TO SALTWATERS? OYES IANO
LABORATORY 2 t-A Lab Cert.# c'byrRP,I FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A:Stormwater Benchmarks and Monitoring Results - Total event rainfall 2 or O No discharge this period3
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliforms, Enterococcal,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0 9.0 120 _ 30 1000 500
.3 I(II9I 14.5 (v.91 09&) <5 —7 P00
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? es 0 no (if ves, complete Part B)
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, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 504 6.0—9.0 -
3 ill Igfi5 11.5 f.9( &R
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.
Z:\Environmental\Industrial\PP-Pllgrtm'sPride\PPNC-NorthCarollna\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 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 E NO❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES`l NO 0 Repeat -ge 0 } 443
REGIONAL OFFICE CONTACT NAME: �ohc\ "1
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 Discharae"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, acc •te, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines a �hprisonment for knowing violations."
%La
(Signature .t%ittee) (Date)
Additionalecopies of this form may be downloaded at: http://portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4
SWU•249 Last Revised:October 18,2012
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Z:\Environmental\Industrial\PP-Pllgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04.O1 SPILL\2013 Monitorh ig Form 2