HomeMy WebLinkAboutNCS000166_MONITORING INFO_20180509T__ STORMWATER-DIVISION-CODINGµSHEET_—
PERMIT NO.
OS6�
DOC TYPE
❑ FINAL PERMIT
,MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ D-oI IC,5 p el
YYYYMMDD
a
Perdue rarmslncorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www.perdue.com,&
Office (252)348-4200
Certified Mail# 70110470000108202115eEI
VED
April 13, 2018
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern;
MAY 0 9 2018
CENTRAL FILES
DWR SECTION
Please find enclosed duplicate copies of our stormwater ananlytical monitoring for the above -
mentioned permit. This sampling is for Year 4 - Period 1 of our permit, consisting of
January 1, 2018 thru June 30, 2018.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
Tim Mize�'e
Environmental Manager
Perdue Farms Incorporated
R family Commitment to Quality Since 1920QD
8tormwater Discharge Outfall ($DO)
Monitoring Report
SICINATURE OF PERNIMTEE OR DE=SIONEE
Part 6 Swc I: MnnIt.rino Raeulnmsnle
1[
][
if
11
lE
I[
I[
I[
)f
11
Does this facility perform Vehicle Maintenance Achviliea using more than 55 gallons of new motor all per month 7
X YES NO
If yes, complete Part 9.
Parta :hVahlole Malmsnanw AaHvlfThtonit Re ulromsnte
Outten No.
Date
—plscollacteed
600ea r
Flow
ooase On
and Oreess
006a0
Tss
m
pN
New Motor
Op Mile
maldd
MO
in !I
m a
units
■llmon.
0"
312012018
0.513
<5
33
7.54
197.e
Storm Event Characteristics:
Date : 31201201S
Total Event Precipitation ( Inches) : 01
Event Duratlan (hours) : 2.5 hours
( if more than one storm event was sampled)
Date :
Total Event Precipitation ( inches)
Event Duration ihoum) : _
"I cartity, under penalty of law, thatthis document and all attachments wen prepared undermy direction or supervision In accordancs
with a system designed to assure that sualmad personnel properly gather and evaluatethe information submitted. based on my Inquiry
of the person or persons who manage the system, or thuss dimcdy mapomibi. for gaewring the irdormdlon, the information submitted
Is, to tins hest of my knowledge and bend, trus, accurate, and complete. I am awsm that them are significant penalties for submitting
false In formabon, Including the passibility of fines and Imprlslorment for knowing violations."
elgnsorre d Pann I Date I
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www. perdue.come
Office (252)348-4200
Certified Mail # 70110470 00010820 2030
January 26, 2018
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
RECEIVED
L-
FFB 0 5 2018
CENTRAL FILES
aWR SECTION
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for Year 3 - Period 2 of our permit, consisting of
July 1, 2017 thru December 31, 2017.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
a�� d��A&
Tim Mizelle
Environmental Manager
Perdue Farms Incorporated
A Family Commitment to Quality Since 19ZOO
Stormwater Discharge Outfell (SDO)
Monitoring Report
SIGNATURE OF PERMrfTEE OR DESIGNEE
Part"A : Swalflo Mcnitarina Reeulnmenb
=MEMNON ME M
If i
Does this facility perform Vehfdo Maintenance ActMUes using more than 55 gallons of new motor oil per month 7
% YES NO
If yes, Complete Part e,
;.- R •.V.hlnte Yelnlinen"T.-Z,lfu MAl4erine Reeulremam4a
Outlay Ne.
Date
umple collechrd 50060 TateI
Flow
peeve 011
and Grasso
s0670 pit
Tae
New Motor
On Mae
mold r I MO
moAm
units
aVmen.
t?p3
Storm Event Characteristics:
Date :
Total Event Precipitation ( inches) :
Event Duration (hours) : _
( II mom than one stone event was sampled)
Date:
Total Event Prwlpltstlon ( inches) :
Event Duration (hours) :
9 camty, under penalty of law, that this docuanwrt and all dtactwante wan prepared under my direction or supwvlslon In aeoerdsnee
with a system designed to assure tlut qualified penoeml properly gatirrand "aluout the iudormallen submitted. easad en my Inquiry
of the person or persons who marouge gw systwn, or thaw dinedy responsible ter gathering the rnformaUan, the Information submitted
Is. to the best of my krwAedge and boW true, oocumte, and eemphta, i sm swan ewt there s m •kgnifleant parwldes for submitting
(also kdonnatlon, bwksAng In possibility of flnes end IrnprisiwNnwa for Wewbp violations'
i Slpr— of P-nim- )
zt :'�
d�
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Certificate of Coverage/ Permit No. :
NCS 000166
Facility Name: PERDUE FARMS - LEWISTON
County : BERTIE
Inspector : T;o' f V\ 12eA `e,
Date of Inspection : � r.), - 3 � — 0
Phone : 252-348-4326
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
1. Outfall Description
Outfall No: 3 Structure (pipe, ditch, etc...} :
Receiving Stream: FLAG RUN GUT( CLASS C }
Describe the industrial activities that occurr within the outfall drainage area:
GARAGE / VEHICLE MAINTENANCE
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
'bf vl No Fk oyi
3.Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
DITCH
lb �'� No Fl ovi
chlorine odor, etc.):
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and Diu, No - i o 0
10 is very cloudy :
1 2 3 4 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge area where 1 is no solids and 10 is the surface covered in floating solids :
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended sollds in the i-� N 0 P o vo
stormwater discharge where 1 is no solids and 10 is extremely muddy :
1 2 3 4 5 6 7 8 9 10
7. Foam
Is ther any foam in the stormwater discharge? YES NO lt) r LA No � 1 O VJ
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES NO � `Lj PJ6 r(vLJ
9. Other Obvious Indicators of Stormwater Pollution
List and Describe:
NOTE : Low clarity, high solids, and/or the present of foam or oil sheens may be indicative
of pollutant exposure. These conditions may warrant further investigation.
Stormwater Discharge Outlell (SDO)
Monitoring Report
31ONATURE OF PERMriTEE OR DE31ONEE
Part A : Spwkic Monkoriny ReruhalmnGs
-
-r
1'
II
If
]f
I i[
;f
11 li:
11
Does this fedlily perform Vehicle Maintenance Activities using more then 55 gallons of now motor oil per month 7 K C V t I V E
% YES NO FEB Q 1 2017
If yes, complete Part B.
Part B :,Vihioia Malin n nnca Actly .MonI - irgRe ulremsirts
01666 Otl
and 0naw
o067o
Tea
PH
New Motor
Op rmpa
m
m
units
ellmon.
jjj
j1w
wp
d
dude
re rt'
period.
stone Evem Characterlsil
Data:
Total Event Precipitation ( inches) :
Event Duration {hours): _
( If more then one storm event was sampled)
Date :
Total Event Prsctpkatlon ( inches) :
Event Duration (hours):
9 cartky, under penalty of law, getthls documsra and all ottactsnwos wen pmpamd undw my direction or suparvlslon In accordance
with a system designed to assura that quaNeed pon—al property ptlharand walu.h de Information whrnlfbd, Band on my Inquiry
of the paean or persons who manage the system, or those directly responsible for gathering the Information, ale Information submltled
Is, to the bast of my knowledge and ballet, true, accurate, and complete. f s m aware that there am significant penalties for submitting
false Informal including the postIbetety of fire@ and Impdslon em for snmwirrg violations."
11;2 ,/Ii r I -a
(�linwh" of PwmttW w (Deb )
CENTRAL FILES
DWR SECTION
Z
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Certificate of Coverage/ Permit No.: NCS 000166
Facility Name : PERDUE FARMS - LEWISTON
County : BERTIE Phone: 252-348-4326
Inspector: T j N\ 1�A I Z, zt � t'.
Date of Inspection : 1r.% - 3 � i (o
1 I it �Y•�
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
1.Outfail Description
Outfall No: 3 Structure (pipe, ditch, etc...) : DITCH
Receiving Stream :
FLAG RUN GUT ( CLASS C )
Describe the industrial activities that occurr within the outfall drainage area:
GARAGE 1 VEHICLE MAINTENANCE
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3.Odor
Describe any distinct odors that the discharge may have (i.e, smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity {—i
Choose the number which best describes the clarity of the discharge where I is clear and �� wo [' ovi
10 is very cloudy:
1 2 3 4 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater NO R o vi
discharge area where 1 is no solids and 10 is the surface covered in floating solids :
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended soilds in the stormwater discharge where I is no solids and 10 is extremely muddy: b i Ll N0
1 2 3 4 5 6 7 8 9 10
7. Foam
Is ther any foam in the stormwater discharge? YES NO D r L', lV �� 0LJ
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES NO
9. Other Obvious Indicators of Stormwater Pollution
List and Describe:
NOTE : Low clarity, high solids, and/or the present of foam or oil sheens may be indicative
of pollutant exposure. These conditions may warrant further investigation.
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
E
Permit Number NGSk0'07&j1j _ SAMPLES COLLECTED DURING CALENDAR YEAR: ad /7 ^ � a2
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 1,ow + 8aNar TryL-
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) _�,,r-r P,tt, Lab #�
Lab #
Part A: Specific Monitoring Requirements
COUNTY un
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
3
1
EI I
ROME
(
I
1- W=A
9
•
� r
J0
- _
--
�-
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)
tart B: vehicle Maintenance
Form SWU-247, last revised 21212012
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date &tL6A-11 _
Total Event Precipitation (inches): �.
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 toe possibility of fines and imosonment for knowing violations."
LY
(Date)
Form S WU-247, last revised 21212012
Page 2 of 2
Low&
Bonar
April 18, 2017
RE: Permit Number NCS000179
CERTIFIED MAIL/RETURN RECEIPT
N.C. Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Sir or Madam:
Low & Bonar Inc.
PO Box 1057
q11-
Enka, NC 28728
T 828 665 5000
F 828 665 3737
lowandbonar.com
Enclosed are the results of our 2" d half 2016 Storm Water Discharge Outfall Monitoring
Report. All outfalls are within the benchmark values.
Due to the extensive extreme drought period for our region, we delayed our 2nd half
2016 sampling until April 3, 2017.
Our plan for 2017 forward is, after appropriate dwell time between sampling events, at
least 60 days, we will obtain 2 more samplings for our normal permit requirements.
Please note we are still operating under our November 1, 2009 — October 31, 2014
permit parameters while we await our renewal permit.
In checking the Permit Tracking Software we see that it was received and entered into
your data base during April of 2014 and indications are it is in review. While we are still
waiting on our permit renewal to be processed, we will continue under the 2009
parameters unless we hear otherwise from you or we receive the new permit.
Respectfully Submitted,
Stephen C. Jenkins, CSP, REM
HSE Manager
cc,. Wayne Merritt, Manufacturing / Site Manager — Low & Bonar Inc.
Clive Macro, Group HSE Director — Low & Bonar PLC, London
ji,
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www.perdue.com®
Office (252)348-4200
Certified Mail # 70110470 00010820 1019
April 19, 2017
Division of Water Quality
Attn: Central Files
1617 Mail Service Center R I V ED
Raleigh, North Carolina 27699-1617
MAY 0 X 2017
Re: Starmwater Analytical Monitoring CENTRAL FILESDWR SECTION
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
Please find enclosed duplicate copies of our stormwater ananlytical monitoring for the above -
mentioned permit. This sampling is for Year 3 - Period 1 of our permit, consisting of
January 1, 2017 thru June 30, 2017.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
t�
Tim Mizelle
Environmental Manager
Perdue Farms Incorporated
4 ngno prr�ue!
f
A Family Commitment to Quality Since 19200
:f
Stormwater Discharge Outfall (SDO)
Monitoring Report
SIONATORE OF PERktITTEE 09 DESIONEE
Pad A: BoeeBia Monitodna Rsaulremente
=MEMNON MEN
-
1
i
T
Does this facillty perform Vehiale Maintenance ActiyWas using more than 55 gallons of new motor oil per month T
% YES NO
If yes, complete Part B.
Dam
umpe caNctad
Outhd Na
adeH T 1101H all
Flow and am"
ea6'pH New dealer
Taa 04 arise
mold r
MO m l
m l units ellmon.
003 31371201T
0,570 <5
85 8.7 185.1
Storm Event Characteristics:
oat*: 313112017
Total Event Precipitation ( Inches) : 1
Event Duration {hours): 5 hra.
( If more than one alarm event was sompfed)
Date :
Total Event Praciphatlon ( inches)
Event Duration {hours)
9 certify, under penally at law, 09 this documsrd and all atfacMwas wan prepared under my direction or supervision In accordance
with a sysurn designed to @mum that queltlled personnel properly, gather and avakuda the information submhted. Band on my Inquiry
of the paean or persona who mange the system, or time directly resporalble for gathering the kdamhedoN the Information submhted
Is, to the best of my knowNdge and betlef, true, accurate, end complete. I am aware tat then am significant ponatin lur submitting
false Honnaton, Including the possibility of fines and Imprlalonnent for knowing viuletlone."
y —12
(a nature of Permtaee) - ( Date )
rig
Stormwater Discharge Outfall (SRO)
Monitoring Report
SIGNATURE OF PERWI-ME OR OESIONEE
Pa—ri"S13-0CI a. Manho„nc ReauI ants
it
1f
11
_
.
--A-
I J
.___ ...... .
I _]t
Does this facility pe„o" Vehiris Maintenance Adivllies using more than 55 gallons of new motor oil per month 7
X YES NO
li yes, complete Pe„ B.
Pa„ B VehicM.Malntenanca Actlul Monttorin Ri Aulrements
Outtall No.
Dare
..Pit eogectesd
BW50 T
Flow
00666 Og
arnl Oreesa
00630
TSe
0040
pN
Nw Motor
Oil usa9e
mofddf r
MO
m R
m
units
dlmon.
003
3131120t7
0,570
<5
65
6.7
185A
Storm Event Characteristics:
Date : 3131r2017
Total Event Precipitation ( inches) : 1
Event Duration jhours) : 5 hrs.
( if more than one storm event was sampled)
Date :
Total Event Precipitation ( ]nches)
Event Duration (hours) :
"I csrhfy, under penalty of taw, Ghatthh docurmintand all attachments were prepared under my direction at supervision In accordance
with a system designed to assure that quallflad penonhel properly gatherand evaluate the information submitted. Based on my inquiry
as the person or persons who manage the system, or those dimetly responsible for gathering the Information, the irdermadon submitted
Is, to the best of my knowledge and belief, hue, accurate, and complete, I ern Were thin there are significant Penalties for submitting
false Infonnatinn, Including the posdbRity at fines and Imprls�lonment for knowing violations."
j
j ai naturs or PennT— iU � Onto) ! r
VA CS a01
Ilexion - STORM WATER SAMPLING REPOR
Certificate of Coverage No- NCSM156
Columbus County, North Carolina
Personnel Collecting Samplcs: P Busovne/D Maddox/S. /S.Mo� rev
Certified Laboratories::-Enviromnental Cheruists Lab ID: 94'
nviro�Testing Solisrians, inc I�0 ill: _ 37
ANALYTICAL RESULTS
00530
003101
MUD
00610
00625
006.30
00665
779M
50060
71UD
01042
01092
01051
00556
00400
TGA311
Outran
Date
mo/dd/yr
T55
MZA
ROD
mgA
COD
mg/l
NH3
mg/1
TKN
mgA
NO3+NO2
mg/1
Total
Phoaphorm
mgA
ethanol
mgA
TRC
100
Heaamine
mg4
traruWdehyde
mgA
Tout
Capper
mgn
Total
Zinc
mgA
Total
Mead
mall
Non -Polar
O&G
mgA
pH
:u.
Acute
Toxicity
LC50
D03-DryProjecu
1=912016
31.90
14.D0
41.D0
9.00
9.9
0.11
0.44
<5
0
<10
0.089
0.0460
0A85
<0.01
<5
7.01
NA
004-HCHO
1 12/292016
28.70
56.0
892.0
215M
213.0
Raj
0.57
1 7.61
0
558
1 il.700
0.0390
0.205
1 <0M
G5
7.05
NA
006-Durk Pond
12292016
19.70
9.00
41,00
5.60
6,7
0.03
0.77
<5
0.02
<10
0-890
<0.005
0.M2
<om
�5
7.12
NA
009-Meiat. Shop
1 122912016
3.80
Q'
<20
<0.2
0.6
<0.02
0.53
<5
0.017
<10
0.520
<0.005
0.049
<0M
G5
705
NA
STORM EYF.N-I CHARA=RLMCS
Total Event Precipitation (ins.): Q.7
Permit Sampling Period®
Note:
CERTIFICATION STATEMENT
By s signature, I certify this report is accurate and complete to the best of my knowledge.
Company Information
} 1J
]�3 01l
Hexian.
1 1 I
333 Neils Eddy Road
rinature of Pe 'ttee or Designee Date
Riegelwood, NC 28456
(910) 655-2263
ioO 409 �At j eve 1
EXT 2757
Print Name and Title
Submit I (original) Form AT-1(no DMR) to:
NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Raleigh, NC 27699-1621
Submit 1 ropy DMR (original) and Form AT-1 to:
Division of Water Quality
Water Quality Section
Attu Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Submit i copy DMR (copy) and Form AT-1 to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
=� 0 :i 20u
FILE COPY
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849'
www. perdue. come'
Office i252i348-4200
Certified Mail # 7014 1820 00017603 7843
July 7, 2016
Division of Water Quality
Attn: Central Files" .
1617 Mail Service Center:.
Raleigh, North Carolina:27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporatedjewiston
To Whom it May Concern:
Please find enclosed duplicate copies of our stormwater ananlytical monitoring for the above -
mentioned permit. This sampling is for Year 2 Period 1 of our permit, consisting of
January 1, 2016 th.ru June '30, 2016..
We hope this meets'with your approval and should you have any questions or concerns please
contact me at 252-348-4291.
Sincerely,
f
Tim Mizelle
Environmental Manager
Perdue Farms Incorporated
A Family Commitment to Quality Since r9zoe
Stormwater Discharge Outfell (SDO)
Monitoring Report
SIGNATURE OF PERMrTTEE OR DESIONEE
Per! a • .name. U—N—t— R�rerdr�rn�nte '
MENEWEE®®■■
,I
II II I� II
Ir
I I
,
Does this facility perform Vehicle Matntenencs Activities using more Men 55 galions of new motw oil per month 7
X YES NO '
If yea, complete Part B.
D.w0040
rsmple oulleewrd Soria Total eaiee' Os '
Flow. and Orene
Orates Na
00530
US
pH
'
New Mawr
Oil Mgt '
maiddlPyr MG . m
mUn
unto
gaUmon.
003 151=2016 - Outfell was -
dry
during
reporting edod.,
JUL 211 2016
CENTRAL FILES
DwR SC-crronf
Storm Even ChamoarlHics: . ' MNI OAgEnaI antl one capyAo:
Date : Diviaian o! Water Quality
Total Event Proalplatlan ( inches) : Attm Central Filesi'-
Event Duration (hour►: 1517 Mell SarvIce, Canto' of
( If more then one storm event was sampled] - Raleigh, North CamFna 2708g-1 B77
Data
Total Event Precipitation ( inches)
Event Duration (hourl : • ,
1 cordly, under neeeny of law, Nat Sat documard and all elta ivinsi a wen prvpar•4 udw my dlrecti n or aupwvisien kn accordance .
with a system dnlgrwd to assure OW qualSMd personnel property Yaws ind —hosts do Wormstien submmed. eased an my W*dry
al ew person or person who manage to system, or those dlmctly msponaibte for gathering Nit Information, aw Inlormatlon submitted
Is, to the best of my knowledge and belief, tnw; accurate, and cornple4, I am aware that them are alpfffuM penalties for submitting
also WemrstIoN Including the possibility at first; and Imprislomnw/tforr *rwrrhq vleWans' /! j
( Signature of Pennhtee) (Date I
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Certificate of Coverage/ Permit No.: NCS 000166
Facility Name: PERDUE FARMS - LEWISTON
County : BERTIE.,.. Phone : 252-348-4326
Inspector :
Date of Inspection
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
1. Outfall Description..
Outfall No: .3 Structure (pipe, ditch, etc...} : DITCH
Receiving Stream : FLAG RUN GUT( CLASS C )
Describe the industrial activities that occurr within the outfall drainage area:
GARAGE 1 VEHICLE MAINTENANCE
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
DIFXA Nta' I0kk)
3.Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity +
Choose the number which best describes the clarity of the discharge where 1 is clear and i k o F I o V)
10 is very cloudy
1 2 3 4 5 •. 6 7 8 9 10
5. Floating Solids ' I
Choose the number which best describes the amount of floating solids in the stormwater
discharge area where 1 is no solids'and 10 is.the surface covered in floating solids
1 2 A 4 5 6 7 8 91 10
6. Suspended Solids r N o P �Gl)
Choose the number which best describes.the amount of suspended soilds in the '
stormwater discharge where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is ther any foam in the stormwater discharge? YES NO Q (` i� 10 VJ
8. Oil Sheen
Is there an oil sheen in,the. stormwater discharge? YES NO f - 1 ' No 0 t�
9. Other Obvious Indicators -of Stormwater Pollution:
List and Describe:
NOTE : Low clarity, high solids, and/or the present of foam or oil sheens may be indicative
of pollutant exposure. These conditions may warrant further investigation.
ruiuuc rdimi iim:orporated
P,O.Box 460
Lewiston Woodville, NC 27849
www.perdue.com®
Office (252)348-4200
Certified Mail # 7015 0640 0000 4319 7425
June 15, 2015
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
This is an ammendment cover letter to make a correction on the Monitoring Schedule for the
sample collected on May 21, 2015.
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for the first period of the first year of our permit, consisting of
January 1, 2015 thru June 30, 2015.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4326.
Since ely,
Wayne Black, REM
Environmental Manager
Perdue Farms Incorporated
ogSA�i�
A Family Commitment to Quality Since 1920—
Stormwater Discharge Outfall (SOO)
Monitoring Report
Permit Number: -'NCS 000155, - Samples Collected During Calendar Year: - 2015'
(This monitoring report shall he recslvad bythe Division - -
Facility Name Pardue.Famis Lawlston no later than so days from moslpt of sampling maults.)
Person Collecting Bungles; -- ,Tim Masts -County: same _
Certified Laboni Perdue. Farm& Inc. - Lab ft 245 Phone Number : _ 252-348-4326
_ Environment 1 Labi 10
i
OF PERMI3REE OR DESIGNEE
Part A rSnacmc Mentrodnn Ronulraments
'®'
■.■
bra®�rate��Iaa®®®®®■
if
l': 1
If
ll
11
l 1`
f it
Does this facility perform Vehicle Maintenance Activities using more then 55 gallons of now motor all per month?
% YES NO
If yes, complete Pert S.
P.rt R • V.1,1r•.1. M.Inf.nanea Arn,iW Mnnknrine Raaulrament. -
Ouffall No.
D�.tasiarnplt ii 0a'" 00500
collected Total Flow Oil and TSS
Grease
eases
pH
New Motor
oil wage
mofdd! r MG m I m I
units
allmon.
003
5l2112615 0.285 < 5 9.2
7.5
275
Storm Event Characteristics: Mall Original and one copy to: _
Date : 5121f2D75 Division of Water Quality
Total Event Precipitation ( inches) : 0.5 Attn: Central Files -
Event Duration (hours) : 1 A 1817 Mail Service Center (it more than one storm event was sampled) Raleigh, North Caroline 278MI617 -
Data :
Total Event Precipitation ( inches) :
Event Duration (hours) :
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or Supervision In attordance
with a system designed to assure that qualmed personnel properly gather and evaluate the information submitted. Based on my Inquiry
of the person or persons who manage the system, or those directly responsible for gathering the Inform ttlon, the Information submined
Is, to the best of my knowledge and belief, true, accurate, and complete. i am aware that mare ere significant penalties for submitting
false Infonnallon, including the, possibility of fines and Imprislonmem for knowing violations"
( Signature of Permatee) 1 Date I
1
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www.perdue.comg
Office (252)348-4200
Certified Mail # 7015 0640 000D 4319 7302
June 5, 2015
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
RFrnvFt)
AN'] I. J015
MRsMflm
"W*. Mx RWFS= WT
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for the second period of the second year of our permit, consisting of
December 1, 2014 thru May 31, 2015.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4326.
Sincerely,
Wayne Black, REM
Environmental Manager
Perdue Farms Incorporated
h
A family Commitment to Quality Since 19101m
Stormwater Discharge Outfall (SOO)
Monitoring Report
rmlt Number : NC5.0003fi6, 4, - - - - • .•'-w•-•�••-� - --. Siunples Conecuetl During Cahndar Year;
17his..onfi Ind report ehril b. r.eelved try the Di 1 3 En
;IIIty Nama d Pardue pamha,t:ewiston i ' l'- .;.Y no later thsn 30 d -y. fmm fecelpr of p lerg
. r
son collecting Samples}'-'y'� `� '�Tlm Mizellet v -,t County i "" ' Bartley
,. - w x14 rEl..... - a ..gin +
tilled Laboratodea rl, perGue Ferma InC. a 4^ I Lab r! �.: 246 Plidne Number.. 252-3494326° t ;
....._...._...........'.-..:;ErriVdnment�lr` ."i,;' ? 'Lab# 10-�r.._,n�
81G AT�MI E OR pESIGNEE
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month 4
X YES NO
If yes, complete Pan B,
a.A Hr• 1%w{rinln MMlxtrr... _ Arrm.lty rannitn:inn Rwn ,Immwn l ` -� i ZI
FMMMM-Womm�
if
-_ 11.
..... _1L
A aL
. jr
I . [[
[-
aC
_ II..
�_- �L
_ __ _. fir._
I
- --IF
Storrs Event Characteristics:
Date : al12015
Total Event Precipitation ( inches) : 0,5
Event Duration (hours) : 1,4
( if more than one storm event was sampled)
Date :
Total Event precipitation ( inches) :
Event Duration (hours) :
MliaOdglnal 'and copy to
DivislonofVJeteliDuaGtyl,-'- i -
Attn: Central piles -
1817Mail Service Center
1NF0RW El
uN
I "_ �RBleigh, NL girth Carolina 27EB9.1677 � ��_; j
I certify, under penally 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 directly responsible for gathering the Information, the Information submitted
Is, to the best at my knowledge and belief, true, accurate, and camp late. I am aware that there are significant penalties for submitting
false Information, Including the possibility of fines and imprisionment for knowing violations."
( Signature of Perminse I �"0" I Date I
Stonrlwater Discharge Outfall {SDO)
Monitoring Report
Facility Name Perdue Fames Lewiston
Parson Collecting tramples Tim Wells
Cartlflsd Laboratories Perdue Farms Inc, Lab 0 245
1 Environment 1 Lab*
asmplas Uouacud Dunng caimcef Year:
(Mls enwhonng report shell be resehred by the Division
m later than 30 days from maelpt of sampling rsaults.l
County : BertEe
Phone Number: 2524
SIGNATURE OF PERMITTEE OR DESIGNEE
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month 7
X YES NO
If yes, complete Part B.
Part 9 : Vehicle Maintenance Activity Monitoring Requirements
Ouhall Na
Dote
ample
eullsrtaad
JIM TOW
Flow
00656
Oil and
Oraaaa
0063D
TellPN
OWO0
New Motor
Oil wage
molcldtyr
No
m
units
Union.
003
12/1812015
0.371
< 5
27
7.3
239
Storm Event Characteristics!
Data : 12718l2pt5
Total Event Precipitation ( inches) : 0.65
Event Duration {hours) : 3
( if more than one Storm event was Sampled)
Date :
Total Event Precipitation ( Inches)
Event Duration (hourei :
Mail Original and one copy to:
Division of Water Resources
Attn: Central Files - -
1617 Mall Service Canter
Raleigh, North Carolina 270W1617
"1 certify, under penalty or law, that this document and all attachmeMS were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the Information submitMd. Baud on my Inquiry
of the person or persons who manage the System, or those directly meponsibia for gathsring the Information, the Information submitted
Is. to the Lest of my knowledge and pedal, true, aced". and complete. I am swan But then are eignifium penalties for submitting
rates infomiation, Inch Imp the possibility of fine d Imprislonment for knowing violations."
-A�
rSignmum of Parmfttee te
I Da
r
Perdue Farms Incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www.perdue.com®
Office (252)348-4200
Certified Mail # 7015 0640 0006 3082 5717
January 6, 2016
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
RECEIVED
JAN 12 2016
CENTRAL FILES
DWR SECTION
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for the second period of the first year of our permit, consisting of
July 1, 2015 thru December 31, 2015.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4326.
Sincerely,
Wayne Black, REM
Environmental Manager
Perdue Farms Incorporated
t
r
A Family Commitment to Quality Since 1910—
5
II
Perdue Farms incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www. perdue.como
Office1252j348-4200
Certified Mail # 7010 2780 0000 3948 1893
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
RECEIVED
OCT 17 2014
CENTRAL FILES
DVVR SECTION
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for the first period of year two of our permit, consisting of
June 1, 2014 through November 30, 2014.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4326.
Sincerely, A11) 1�1%�
A�
Wayne Black
Director AgriBusiness Environmental
Perdue Farms Incorporated
u
X
A Family Commitment to Qualify Since t920—
w
Stormwater Discharge Outfall (SDOI
Monitoring Report
Pi'r—M Nr±mMr: ` NCSOop766
Facility Name -Perdue Farm51swldon
Person Collecting Samples; .:- .- Tim Mizelle
Certlfleaboratorles .-Perdue Penns Inc. - Lab 0 245
I d LEnvironmem.l` _LabA_ 10
�Samplai Collected Dlrring Celsndai Year.
I(This monitoring raport shall be rscolved by tha Division
no later than 30 days from raceipt of sampling results.) - - -
;County: Beale ..
'Phone Number: ". 252.348-4326
SIGNATURE OF PERMITTEE OR DESIGNEE
Data
Sample
Outtag No. Colectad
50050 Total
Flaw .530 T53
00400
H
00340 COO 00310 0
0aY DOD
mold(. r
MO m A
units
m I In 0
003 92412014
1,230 7.0
7.2
54 13
Does this facility perform Vehicle MMnlenance Activities using more then 55 gallons or new molar all per month 9
1l YES NO
If yes, complete Part B.
Part B7Vihld67Miinrananea Aet*ft; MO0II9dW0 Raeuiraments
cuttell No.
Dets
Sample 60050 Total 00551 Oil
Collected Flaw and Grease 00530 TSS
00400
H
mold r MG m m
JeUmon,
units9242014
1.230 �5 76
7.2
Storm Event Characteristics:
Date: 9242014
Total Event Pra4lPhation ( Inches) : 2.15
Event Duration (hours): 14
{ 0 more than one slorm event was sampled)
Data:
Total Event Precipitation ( inches)
Event Duration (hoursF;
'Mill Original and one copy to:
LDlvlsbn of Water Quality
Attn: Central Plies
1617 Mall Service Center _
F181619h, NorthCarollna 27599-1617
"I certify, Nrlder penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
with 4 system designed to assurs 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 directly responsible for gathering the Information, the Information submitted
Is, to the best of my knowledge and bellef, true, accurate, end complete. I am aware that there are significant Penalties for submitting
falee Information, niciyding the possibility of flnu and imprisionment for knowing violations."
i
reraue rarms incorporated
P.O.Box 460
Lewiston Woodville, NC 27849
www. perdue.com,D
Office (252)348-4200
Certified Mail # 7010 2780 0000 3948 1664
Division of Water Quality
Attw Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Stormwater Analytical Monitoring
Permit # NCS000166
Perdue Farms Incorporated, Lewiston
To Whom it May Concern:
RECEIVED
MAY 2 7 2014
CENTRAL ALES
DWQIBOG
Please find enclosed duplicate copies of our stormwater analytical monitoring for the above -
mentioned permit. This sampling is for the second period of year one of our permit, consisting of
December 1, 2013 through May 31, 2014.
We hope this meets with your approval and should you have any questions or concerns please
contact me at 252-348-4326.
Sincerely, � .� "7 11%--71111G G,��
Wayne Black
Director AgriBusiness Environmental
Perdue Farms Incorporated
`._ s .. M wr
A Family Commitment to Quality Since 19201"
8tormwntsr Discharge Outfa I I SDO
I"
Monitoring (Upon
[PaimR Number IJCS OOOi66 �
.Facility Name Pardue Farms Lewiston ^
Person Collecting Samples . Tim M oVe
Csnmad L,aboratariss Perdue Forms Inc. _ Lab it Z43
f Environment 1 _Lab a TO I
Samples Collected DurRg dlinda7Yesr: 2014
(This monitoring report shall he received by the Division no later than 30 days from mcelpt of sampling moults.)
County: Bartle
Phone Number : 252.345-4320
SIGNATURE OF PERMITTEE OR DESIGNEE
Date
3amph
Oulfsll No. Collsctstl
50060
Taul Flew
0a530 T68
t1pH
H
00340 COD
00310 5
Day B00
mofdd
MG
mail
units
I mail
m I
003 875/2014
0.616
252
6.6 63
17
----------------
Does this facility perform Vehive Maintenance Activities using more than 55 gallons of new minor oil per month 7
K YES NO
It yes, complete Pert B,
Pict R V•hleli Milnl.nine: Aeelvlly MnnhoAnn RenuliimiMi
Dais
Sample _
Outtell No. Collected
goose ODSLe Oil
Total Flow ■nd Oroses OOS90 T88
004a0
H
New Motor 011
Ilea •
moltl r
MO mail m
untte
ellmOn.
003
0.910 .5 252
6.5
346
g411512014
Storm Event Characteristics: Mill Ortplmlind one eopyto:
Date : 411512014 Division Of Water Quality
Total Event precipitation ( inches) : 1.6 Attn: Central Files
Ewrd Duration (hours) : 3 1017 Mall Service Canter
(If more than one storm event was sampledy Raleigh, Norih Cerollne 27599.1517
Data:
Total Event precipitation ( Inches) :
Event Duration (hoursj:
"9 cortlty, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance
with a system deslgnad to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my Inquiry
of fM person or persons who manage Me system. or those directly responsible for gathering the Information, the Information submitted
Is, 10 the beat of my knowledge and belief, true, accurate, and complete. I am aware that them am signmcant penalties tar submitting
false Information, cluding the possibility of fines and lmprisionment for knowing violations."
( Slgnatun rmltbw I I Date)
f
l
�-
�;
.�
`�
-.._�.e.