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Home My WebLink AboutNCG060156_MONITORING INFO_20140815STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V U& (3U) i�lt DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ a bI V 07 t S YYYYM M DD U T SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 IV D Date submitted 08/02/2018 AUG 2 9 2018 CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 201$CENTRAL FILES "VR SECTION} FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? ❑YES X NO LABORATORY Statesville Analytical Lab Cert. #i 440 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z .40 in or n No discharge this neriod3 Outfap No. Sample Collected, mo/dd/yr TS5, mg/L pH, ., Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml 'Enterococcil, Colonies.per 100 ml .Benchmark - 100 or 504 Within 6.0.— 9.0' 120 30 1000 Soo 160928-19-01 09/02/2018 5.167 6.15 <25 16.9 NA NA 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?[:] yes X no (if }des, 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, mo/dd/yr Oil and Grease; mg/L TS5, mg/L. pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. '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. SWU-249 Last Revised: October 18, 2012 Page 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 X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 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 fines and imprisonment for knowing violations." (Signature of Permittee) _08/24/2018 (Date) Additional copies of this form may be downloaded at: http:/,/portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 Analytical Results STATESVILLE ANALYTICAL Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 08/02/2018 Reported: 08/152018 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 1 B0802-09-01 Chemical Oxygen Stormwater <25 mg& HAChB00° 08/02/2018 CL Demand 180802-09-01 Oil and Grease Stormwater 16.9 mg/L EPA1664ROWS 08/13/2018 CL 180802-09-01 pH Stormwater 6.15 Std. Units SM4540+a-2011 08/02/2018 MD 180802-09-01 TSS Stormwater 5.167 mg/L SA12540a20" 08/0312018 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 a Statesville, NC 28687 a 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 180802-0"1 Temp on Arrival: 4 pH on Arrival: <2 Parameter Schedule: Oil and Grease Hydrochloric Acid Chemicals in containers, lab pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand Sulfuric Acid Chemicals in containers, lab PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 O 03 0 x N N 00 LA iv ro rD Z r) N 00 a� 00 V Client: Q t I DM SIA:VFSYlt.XANAwnt:At. 122 Croat Saw • P0. ew 22K Stetcsvillc. W 2KM7 (7W) 11724697 Chain of Custody Record Addro= r, ✓ •J / / Contact Parson: Phone N FAX# PO 0 Requisitioned by: (T mo Is) Cullarno, 3a IDe LaiND II Time me (GabcrtlY) Ditto S ntpled (0rat)Orto I w M rrw Puar CMI 494W9eil RK rrdyrt� p zzQA .� % 7. �I '� _ CO 7�'qq& Relinquished :,y: Received by: Relinquished by: Received by: CcMpoeltq Samol[gIL Time begin Time end Time begin Time end � am, pm Date �L_ ! am, pm Date _/--j_ am, pm Date am, pm Date _ / f ! Time j Time ?/Ir Time Time Lab Comment bpm Date !� Sampled by: ICJ e?pm Date A! Iff Transported by: am, pm Date J 1 Holding times met: am, pm Date _/__/_ Compliance work: Noncompliance work: Snmplas Trwuportod On Ice: Init n* Analytical Results STATESVILLE ANALYTICAL Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 08/0212018 Reported: 08/15/2018 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 180802-09-01 Chemical Oxygen Stormwater <25 mg/L HACHOM 08/02/2018 CL Demand 180802-09-01 Oil and Grease Stormwater 16.9 mg/L EPA1W4RevB 08/13/2018 CL 180802-09-01 pH Stormwater 6.15 Std, Units SM4WOH&2011 08/02/2018 MD 180802-09-01 TSS Stormwater 5.167 mg/L SWWD-2011 08/03/2018 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 180802-09-01 Temp on Arrival: 4 PH on Arrival: <2 Parameter Schedule: Oil and Grease Hydrochloric Acid Chemicals in containers, lab PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand Sulfuric Acid Chemicals in containers, lab PO Box 228 a Statesville, NC 28687 a 704/872/4697 Page 2 of 3 O UD 0 x N N 00 to n ar ru c ro Z n N 00 <r 00 V Client: �OM 122 Cksun SIreG • P.0 Ho% 228 tirutx villa, NC 29697 Address: U/• r. I. C r l ✓ / � q! R / b+ 17141 87246W Chain of Custody Record Contact Person: u, Phone # FAX# PO # i Requisitioned by: 0,11- Data) Cualomof Sa oIOR Latr10 R Tlma Samphrd 16mbOnly) We Sampled (OmbbOnty) Matrix lwumrnyx raywylnl rot wraYxra 3"" w WW t-6 1 ` • �7 Io / II —�1I- 1 Rclinquished:,y: Received by: Relinquished by: �� Received by: Cc4IDMitOt R-lilinsih Time begin am, pm Date _11_ Time end am, pm Date •T /_/_ Q=p Ajjta-ft >312llng 1t2: Time begin am, pm Date Time end am, pm Date Time j —Timeg/tr Time Time Lab Cornmortts: am pm Date u 1�-1 Sampled by: OPm Date C4 .�!ff Transported by: r✓*-, am, pm Date %1_ Holding times met: am, pm Date ,_ I —I — Compliance work: Nan -compliance work: Samp)os Transported On I= 4, _'j SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 03/26/2016 CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Bartlett Milling Company LP RECENFeCILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell MAR 2 $ 201g use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? []YES X_ NO LABORATORY Statesville Analytical Lab Cert. # 440 CENTPAt -PILES DWR SECTION! PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' .47 in or n No discharge this period' Outfall No. Sample Collected, mo/dd/yr TS5, mg/L pH,' St ndard "units COD, mg/L Oil and Grease, mg/L Jeial Coliforml Colonies. pew' 100 m1 Enterococcil, . Colonies per,106 ml Benchmark - 100 or 50° Within 6.0- 9A 120 30 1000 500 ; .. 160928-18-01 06/06/2018 8.36 7.0 27 <5.3 NA NA 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. ^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? 0 yes X no (ifyes' 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, mo/dd/yr Oil and Grease, mg/L ;; , ` ` `TS5, mg/L pH, Standard units . ,New Motdr.0il Usage, Annual average gal/mo Benchmark - «9„ ' 30:, 100 or 504 6.0 - 9.0� 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. SWU-249 Last Revised: October 18, 2012 Page 1 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 ANYONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results for 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, INC 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 fines and imprisonment for knowing violations." (Signature of Permittee) T03/26/2018. (Date) Additional copies of this form may be downloaded at: http:ZLeortai.ncd_e_nrr.org/web/wq/ws/`sulnpdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 r Analytical Results Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 03/0612018 Reported: 03/16/2018 For: Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 180306-41-01 Chemical Oxygen 27 mg1L HACH8o00 03/07/2018 CL Demand 180306-41-01 Oil and Grease <5.3 mg/L EPA1664RevB 03/15/2018 MD 180306-41-01 pH 7.00 Std. Units SM45WHB-2011 03/06/2018 WC 180306-41-01 TSS 8.364 mg/L SM25400.2011 03/09/2018 WC Respectfully submitted, J Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 * Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 18030641-01 Temp on Arrival: 6.0 PH on Arrival: <2 Parameter Schedule: Oil and Grease Hydrochloric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: TSS Received on Ice PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: pH Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Client: A44:4 STATESVILLE ANALYTICAL 122 Court Sheet P.O. Box 228 Sudowilk, NC 28687 17441872-4697 Chain of Custody Rewrd Address' `7ol �' �a' Le p�Q Contact Pere Phone N FAX# PO ti Requisitioned by: me Cus,oma, 3a R 10P Letr10 R Time Sanoed Grab On j Dale Sampled (Gfab O 1 tZ Met, c Paramnem reduomd ror andyus y,ro, w � 3 &A 5 14 \ V K V/, Relinquished by: Received by: Relinquished by: Received by: Om NI%Sampling 01: Time begin am, pm Date _I_!_ Time end am, pm Date Comnoalte Sampling 02: Time begin am, pm Date _I_J_ Timeend am, pm Date _J_L_ _ Tlme /f(� Time q , Y Time Time Lab Comments; am, rr.f�W3_k_/A Sampled by: "I" am, Date / Trans orted p by: i am, pm Date _/ 1 Holding times met: --:7z am, pm Date _I_j_ _ Compliance work: Nan -compliance work: Samples Traneportad On la: b initials. P. 00 im 00 N u z ai 10 N N O m 0 a SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED Date submitted 08/28/2017 AUG 3 1 ZOR CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 2017 CENTRAL FILES FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION COUNTY Iredell ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? ❑YES X NO LABORATORY Statesville Analytical Lab Cert. # 440 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1.40 in or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform', Colonies per 160 ml Enterococci'. Colonies per 100 mi Benchmark 100 or 504 Within 6.0 — 9.0 120 30 1000 500 16092E-19-01 08/11/2017 26.395 6.51 <25 <5.3 NA NA 1 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. 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? ❑ yes X 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, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 501 6.0 — 9.0 - 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 as 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. SWU-249 Last Revised: October 18, 2012 Pagel of 2 r *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 IV SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO [] REGIONAL OFFICE CONTACT NAME: 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 o "No Dischar e" 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 fines and imprisonment for knowing violations." (Signature of Permittee) _08/28/2017 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wp/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 L! Analytical Results Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 08/11/2017 Reported: 08/2212017 For: Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 170811-04-01 Chemical Oxygen <25 mg/L HACHB" 08115/2017 CL Demand 170811-04-01 Oil and Grease <5.3 mg/L EPAINARer6 08/18/2017 MD 170811-04-01 pH 6.51 Std. Units SM450OH5-2" 08/11/2017 WC 170811-04-01 TSS 26.395 mg/L SM254OD-1997 08/11/2017 WC Respectfully submitted, Q.P.- wOL'o—y- +t Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page i of 3 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 06/20/2017 CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Bartlett Milling Company LP R EC E `V FAffITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell CI C ❑ use/process meats ❑ use animal fats byproducts PERSON COLLECTING SAMPLES Dan Winslow .II IN `i 3 Z(RPSCHARGING TO SALTWATERS? [-]YES X NO LABORATORY Statesville Analytical Lab Cert. # 440 SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE DWR SEC Part A: Stormwater Benchmarks and Monitoring Results Totol event ra' all .47 in or No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COI?, mg/L Oil and Grease, mg/L Fecal Coliformi, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 5W Within 6.0-9.0 120 30 1000 500 160928-18-01 05/01/2017 72 6.0 <25 5.58 NA NA 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 Lnj 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? ❑ yes X 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, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 - 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. '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. SWU-249 Last Revised; October 18, 2012 Page 1 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 ANYONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: this 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 fines and imprisonment for knowing violations." (Signature of Permittee) _06/20/2017 (Date) Additional copies of this form may be downloaded at: httpa/portal.ncden orelweb/wa/wsisu/npdesswtttab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 Analytical Results Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 05/02/2017 Reported: 05111 /2017 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 170502-19-01 Chemical Oxygen SW <25 mg/L HACH8000 05/05/2017 CL Demand 170502-19-01 Oil and Grease SW 5.58 mg/L EPA1664RevB 05/08/2017 CL 170502-19-01 pH SW 6.0 Std. Units SM45°°Ha-2000 05/01/2017 DW 170502-19-01 TSS SW 72 mg/L SM2540D`1997 05/05/2017 CR Respectfully submitted, rL 'I Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 170502-19-01 Temp on Arrival: 3 Parameter Schedule: Oil and Grease Hydrochloric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: TSS Received on Ice Parameter Schedule: Chemical Oxygen Demand Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: pH Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Client: SrATFSFu.t Y ANAI. 71CA1, 122 Cban Sacs • P.O. liar LB stausville.NC 28697 n04, 9724697 Chain of Cuslody Record Add Contact Person: &AI Phone FAXR PO r Requisitioned by: ima tla,e Samlpie too l aDUSN)MKio r o� p amab P y� " x Purenwters roquoswa rn ermlprls � 2-I IOUIOU> '1 k p S -t r Relinquished by: �/jJ/.e. l LJ Received by: �,/ /�� Relinquished by: Received by: S.9 s��ife Sam In inag1: Time begin am, pm Dale Time end am, pm Dale Composite sarnplino 1. Time begin am, pm Date J_/_ Time end am, pm Date ..,_.1_/ Time am pm Date.J-2=L 7 Sampled by: 422L4J Timeeyo �pm Date J� Transported by: Time am, pm Date _ _/�Holding times met: Time am, pm Date " /�_ Compliance work: ../ "rnn-compliance work: Samples Transported on Ice i by: n o, N O � 4 n n tD 00 N U Z a; a� 00 N N X 0 m 0 Analytical Results Bartlett Milling Co. PO Box 831 Statesville, NC 28687 Receive Date: 05/02/2017 Reported: 05/11/2017 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 170502-19-01 Chemical Oxygen SW a25 mg/L MHGiiBO00 05/05/2017 CL Demand 170502-19-01 Oil and Grease . SW 5.58 mg/L EPA1664RevB 05/08/2017 CL 170502-19-01 pH SW 6.0 Std. Units SM45WHR-2000 05/01/2017 DW 170502-19-01 7SS SW 72 mg/L SM2540D-1997 05/05/2017 CR Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 170502-19-01 Temp on Arrival: 3 Parameter Schedule: Oil and Grease Hydrochloric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: TSS Received on Ice Parameter Schedule: Chemical Oxygen Demand Sulfuric Acid Received on Ice Chemicals in containers, lab Parameter Schedule: pH Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 i Client: l + rS STA7Y_SYII.I.E AYAI.Y`TI[:Al. 122 Coup Sum • P.O. Box 228 SL rn ilk,NC 28697 (704) 872-697 Chain of Custody Record Add r SL+ Contact Person: Phone N FAXp PO 0 Requisitioned by: (Tim outol customer Semple Ids WHO / IM SWTOM dam Semped (Grab GNYt [ , PW�* roquesmd [or eneysis w ww 2-I Yn�-7 k o :� sn i-1 d Y' k Relinquished by: Received by: : i�� ^ Relinquished by: Received by: ComRQsit e^8mpling--p ], Time begin am, pm Date J�l Time end am, pm Date Time begin am, pm Date ___I_J_ Time end am, pm Date — _ Time am pm Date _Tj_,?Y_ G sampled by: I l� Timev pm Date ' % Transported by. Time am, pm Dale �/_!� Holding times met: Time am, pm Date _ _l _J Compliance work: .✓ "'in -compliance work: Samples Transported on Ice _ by', f � ...�.r..- r% 00 tO 00 N u z ai a� N 00 N N x 0 cc 0 a SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 10/12/2016 CERTIFICATE OF COVERAGE NO. NCG060,0156 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell R��o1�GV❑use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow f� VV DISCHARGING TO SALTWATERS? []YES X NO LABORATORY Statesville Analytical Lab Cert. # 440nCl 4 2016 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and MonitoringResults DWR SECTION Total event rainfall z .�40 in or 3 ❑ No discharge this period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, m L Oil and Grease, mg/L Fecal Conform', Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 504 Within 6.6 — 9.0 120 30 1000 500 160928-18-01 9/28/16 93.83 6.96 54 <5.2 NA NA 1 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes X 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, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 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. SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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 ANYONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []No ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cry of this DMR,ncluding 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 fines and imprisonment for knowing violations." (Signature of Permittee) _10/12/2016 (Date) Additional copies of this form may be downloaded at: http://pQrtal.ncdenr.org/web/WqLws/su/npdessw#tab-4 S W U-249 Last Revised! October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 0$/21/15 RECEIVED h�"�� AUG 2 CERTIFICATE OF COVERAGE NO SAMPLE COLLECTION YEAR 2015 Z�T� FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES COUNTY Iredell ❑ use/process meats ❑ use animal fats/bypro@m SECTION PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? []YES X NO LABORATORY Statesville Analytical Lab Cert. # 440 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1.04 in or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0-9.0 120 30 •1000 S00 150729-20-01 7/30/2015 26.167 6.87 <25 <5.2 NA NA 1 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 outfalis. 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. M Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes X no (ifyes, 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, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 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. SWU-249 Last Revised: October 18, 2012 Page i of 2 *FCfR PART A AND PART B MONITORING RESULTS: • I 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 X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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: "1 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) _8/21/2015 (Date) Additional copies of this form may be downloaded at: httgJ/uortal.ncdenr.ore/web/wg/ws/su/npdessw##tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 AUG 2 0 2014 Date submitted 08/15/14 CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 2014 owaiBOG FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? []YES X NO LABORATORY Statesville Analytical Lab Cert. # 440 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z .57 in or ❑ No discharge this Perlod3 Outfall No.. Sample Collected, rho/dd/yr' TSS, • mg/L:, :i' PH, Standard units COD, mg/L Oil and Grease, mg/L. F.; Fecal Coliform , Colonies per 100 ml sEnterococd Colonies ger 106 ml' <. Benchmark - 100 or 50 Within 6.0 - 9.0' 120 30 ` 1000 500 140721-26 7/21/14 33.75 6.95 29 <5.2 NA NA 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? ❑ yes X no (ifyes, 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, mo/dd/yr Oil and Grease, mg/L . TSS, mg/L ..pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 5046.0'- 9.0 ' 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 aM 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. SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART 8 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 a OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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, l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) _8/15/2014 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp,/web/wQ/ws/suZnr)dessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 01/29/14 CERTIFICATE OF COVERAGE NO. NCG0600156 SAMPLE COLLECTION YEAR 2014 FACILITY NAME Bartlett Milling Company LP FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Iredell ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Dan Winslow DISCHARGING TO SALTWATERS? []YES X NO LABORATORY Statesville Analytical Lab Cert. # 440 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall .57 in or ❑ No discharge this period Outfall No. Sample Collected,.. rrto/dd/ r TSS, _ mg/L pH, Standard units .. COD, mg/L ., ;r. Oil and Grease, mg/L Fecal Coliform , Colanles per 100 ml Enterococci , Calonles. er 100 ml Benchmark 100 or:50 .Within 6 0. 9 01 120 },; . 30 1000 Soo 140110-12 1/10/14 76.7 6.72 <25 <5.2 NA NA Only applies to facilitles 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 aM 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? ❑ yes X 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, h rno/dd/ r i.; Oil andGrease, : mg/L 1 `„ TSS,;; mg/L .3, t ; pH,, ' Standard unks" New Matvr Oil Usage, Annual average gal/mv Benchmark - :��30 k '. r. ° .100 or 50 6.0 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. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. RECEIVE® FEB 0 6 2014 CENTRAL FILES DWQ/BOG SWU-249 Last Revised: October 18, 2012 Page 1 of 2 ;r *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 If SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharae" 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 fines and imprisonment for knowing violations." (Signature of Permittee) _1/29/2014 (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 Page 2 of 2