NCG060173 DMR SW (21)

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•,�V I•LI VI\1
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ 11/09/2017
CERTIFICATE OF COVERAGE NO. NCG060173
FACILITY NAME: Valley Proteins – Gastonia Division
COUNTY: Gaston
PERSON COLLECTING SAMPLES: N/A
LABORATORY: Prism Laboratories Inc. Lab Cert. 402
Part A: Stormwater Benchmarks and nn ;..: in
SAMPLE COLLECTION YEAR 2017
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Outfall No. Sample Collected, TSS,
Total event rainfall
—or ® No discharge this period'
mo/dd/yr mg/L
pH,
Standard units
COD, Oil and Grease,
mg/L
Fecal Coliform , Enterococci ,
Benchmark 100 or 50
Within 6.0 – 9.0
m L
8/
120
Colonies per 100 ml Colonies per 100 ml
1 No Flow
30
1000 500
2 No Flow
' Only applies to facilities that use/process meats.
z
The i e totai precipitation must be recorded using data from an on-site rain gauge. Weather Underground:
For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See 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? Ej yes Ej no (if yes, 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 rrn�sn
"'l PH, New Motor Oil Usage
,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or SO
6.0 — 9.0
2
No Flow
' Only applies to facilities that use/process meats.
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.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: October 18, 3012
Pape I 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 ANY ONE OUTFALL? YES ® NO E]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: Bradley Bennett
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 to the case of "No Discharge" reports) to:
Division of Wate:Center ty
Attn: DWQ Cent
1617 Mail ServicRaleigh, NC 2767
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."
(Signature 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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