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Central Files
Division of Water Resources !PeECEIVED
1617 Mail Service Center
Raleigh, NC 27699-1617 SEP Q 8 2016
CENTRAL FILES
Subject: Storm Water Monthly Monitoring Report DWR SECTION
Permit No. Wd S1,+00�
Perdue Farms, Rockingham Facility
To Whom It May Concern,
As specified under the Tier Two Storm Water permit requirements, please find
attached two copies of the August monthly storm water monitoring report for the
Perdue Foods LLC facility located at Rockingham, North Carolina.
This monitoring report meets the requirements under Part II; Section B: Analytical
Monitoring Requirements for the facility's Storm Water Permit.
The storm water sample was collected on August 2, 2016 during a qualifying rain
event.
If you need any additional information, please do not hesitate to contact me on my
cell phone at [phone].
Sincerely yours,
Paul Bruce Roberts
Regional Environmental Manager
[e-mail]
cc: Fayetteville Regional Office
Division of Water Resources
215 Green Street, Suite 714
Fayetteville,NC 28301

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Nunnbet NCN'=mil &-``' 4' r. SAMPLES COLLECTED DURING CALENDAR YEAR:g9 L
(This monitoring report shall be received by the Division no later than 30 days front
the date the facility receives the sampling results from the laboratory.)
FACILITY NAMERer gtAe__ P.RoCti srv' COUNTY b C�b1 CYp CO i\-1C9
PERSON COLLECTING SAMPLE(S) i&.)j 1 A,,,.. 1M0G/t t= PHONE NO.(OW ) cci I) ('' aq
CERTIFIED LABORATORY(S) ll b � �
l •Ct' �c4. fa
SEP 08 �0� SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
CENTRAL FILES
Outfall Date 50050 D SECTION
No. Sample Total Totale-o-C-AL Tr +lits � —11(-1.1/4-)C -11(-1.1/4-)Collected Flow(if app.) _ Rainfall ®� Pko. hits N �r63-t;t) , � C O t t q&P°,n
mo/dd/yr MG inche /11/1— r `°L cJI- /4_ 6,60‘,/ 100AL. fh /' _
D011 /Call6 Iu /A. o.c2. 35" 0, g&G mS° <g3 0, 09J gi i z a. 4, 15
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes no
(if yes,complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
app!.
mo/dd/yr MG inches mg/1 ril IL mg/1 unit gal/mo
00 4 ! © /e9_./ltp1 .0 A.)14 4. 8 6 ,, t 5 7i1
Form SWU-247,last revised 2/2/2012
Page I oft

"! certify, under penalty of last-, 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."
pa,...0 c-2(yeee...11-4-. / /
(Signature of Permittee) (Date)
SWU-249-102107
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