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HomeMy WebLinkAboutNCG060102_MONITORING INFO_20190207STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. �v C� b � 0 1 1) a, DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ 2,0/ 1 O a 0 YYYYMMDD STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted 0210712019 CERTIFICATE OF COVERAGE NO. NCG06 0 1 1 1 FACILITY NAME FPANKLIN BAKING COMPANY, LLC COUNTY WAYNE PERSON COLLECTING SAMPLES DARRELL LONG _R F=c r-� tx/D LABORATORY ENVIRONMENTAL 1 CO. Lab Cert. it 10 FEB 12 Z019 CENTRAL FILES DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑3 Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑® Other WS-IV, NSW FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVI=RSE 4 Total event rainfall z 0.16" or ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark 100 or 504 Within 6.0 — 9.0 120 30 10001 500, Parameter Code - C0530 00400 00340 00556 31616 61211 009 1/20/2019 465 7.41 143 13 NA NA j Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. s For sampling periods with no discharge at any cutfalls. You must still submit this discharge monitoring report with a checkmark here. `See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling {i nstead of ' semi-annual) must begin with the second consecutive enchmark exceedance for the same parameter at the same outfaii. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes X no Permit Date:11/1/2018-05/31/2021 (if yes. complete Part B) 5WU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B *FOR PART 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 it OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES Q NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO ❑ REGIONAL OFFICE CONTACT NAMI--: Thom Fdgerton _Mail an original 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 violatiops;` Signature of Permittee Permit Date: 11/1/2018-05/31/2021 Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted I a - & - 18 DEC 2 0 2W CERTIFICATE OF COVERAGE NO. NCG060: _L O 9T FACILITY NAME Pe.rdLct. A4rti business,Car►dor feedM*- COUNTY Moore. PERSON COLLECTING SAMPLES E wainJ Greene!.__ LABORATORYNIwrj+t.k.j:nlC— _ Lab Cert. # 165 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR a�lg CENTRAL PILES DOIR SECTlOi�j FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES [j]'NO PLEASE REMEMBER TO SIGN ON THE REVERSE —> 2 " 3 Total event rainfall �.50 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 Benchmarks, - 100 or 504 Within 6.0 — 9.0 120 30 1000 500 0 0 o s G - 14 < 5 R N A 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? [j y s ❑ no 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 50" 6.0 — 9.0 - 0o to tt S 31 fo, I o ' 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 anv 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. (if yes, complete Part B) SWU-2=1.9 I-asL Revised-. October 18. 2012 13",- 1 „F'1 *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 11 SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO R 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 o monitoring period in the case of "No Discharge" reports) to: -- Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center It 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 gathe"r 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 Perrnittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 ;NVU-249 0 • Las[ Revised: O�r 1 S, 2012 ' ge2.uf2 Mentech, Inca Environmental Laboratory Laboratory Certification No.165 Contact: Gordon Sessoms Client: Perdue Farms, Gander Deed Mill 909 Nc Highway 211. E Candor, NC 27229 Report Date: 10/19/2018 Date Sample Rcvd: 10/12/2018 Meritech Work Order # 10121847 Sample: Just Before Retenion Pond Gral_i 10/11/18 Parameters Resillt Analysis Bate Reporting Limit Method COD 79 mg/L 10/17/18 15 rng/L EPn 410.4 Total Suspended Solids 31 rng/L' 10/15/18 2.5 mg/L 5M 25400 Oil & Grease - Nor? Polar <5 tng/L 10/16/18 5 ing/L lal'A 1664B 1helreby certify marl hate t-eeliewed and approve these -data, -- Laljovatory .pepr•e,seWative { __...___.....w._.-__-._....._..._-._..._...._..... - -.........-----_---_----------- _._.- _ ._..-- ----- -- - ---......_... ___.._—.__._......_._...- ...._ . ..._......_._-...._._ 642 7t awwo Road, R.eidsvilne, North Carolina 27320 tel.(336)342-4749 fwc .(335)342-1522 l r f r Chain of Custody Reco;d (COC) NI P D ES=_, Olent: Phone: MEWTECH, MC. ,3,ddress- ClrebA A11-0 Fax: EVIROMETAL LABORATORIES ma' 642TamcoRd. Phone: 336-342-474.8 -Uv11A C) r 117Pr0iec-. Peldsville NC 2732) Fax: 336-342-152?- 4.0 Email: info@meritechlabs.com A-'L,tcntic)n-. :'RUSH work needs prior approval. How would vcu lily our repar-L Sent? vvww. mg.ritc-ch ka bs.co m std CIO daysl 3-3 Oa ys 2-r,- 48 Hrs Circle all that apply Email(p F7ix, _ail Sampling Dates Ec Times Person TakinR I (S' IP - t) Fail" L2b Use iDniv Sarre le Location and/or 0 Sta rt 7- red Comp? # of Test"s) Required On Ice? pH C) I� Date 1-2—ME Date T�MLI Grab Cont. Yes 1"10 cl OKF TALL- v libe ,,,1449 c O"N ejy-_�, J - - - - - ---------- Temperature Upon receipt: _ Metlhod of "4' Dechlcringion (<ij.S ppm) of Ammonia, Cyanide, Phenol and TKNsarnples must be none in the field priorto preservation. Comments: Compositor# D. L, P S Jug # E/ Fed Ex F F, Are these results regulatory purposes? yes (R_�Port in: mg/L LZ ,FPg LJc -&'L Ell, I 2—Hand De[i',jery Relinqu! by: -0 Dz?e: Tl,-ne: pi-13 zr Re TM� Other wee: Time Tfr�e: Rel Ja-M 1 Time: SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Qualit General Permit No. NCG060000 Date submitted 7- ? /6 CERTIFICATE OF COVERAGE NO. NCG06 0 1 0 A Eg3l•e-6Pr;1I FACILITY NAME AAA60f. FJAPS �aAc1,gZ A,L COUNTY dvR.e_ PERSON COLLECTING SAMPLES CXAZXv 600ee— LABORATORY-1eW.*r6e.#' , �C - Lab Cert. # /�oS 0L-fal1 ool Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 0 018 JUL Z018 FACILITY ACTIVITIES INCLUDE (check all that apply): D �r L P; LEs ❑ use/process meats ❑ use animal fats/byproducts C7-10,Nj DISCHARGING TO SALTWATERS? ❑YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 ��or ❑ No discharge this period3 i Dutfall N#�o.'s _5arnpli= Collected, mo/,dd/yrF; _,�, TSS; _,Jng/L ;; Y ' pH, ,5tandard.units ` 's •CDD, l :• r-=.}�mg/L ' ` Oil and_'G`reasear mg/,L t •. �•` ,-FecaLColiforml, _ Colonies per 100sm1; �� r �Enterocco tip ' •> _. ;Coloriies,per�;100.m1.;, �BencFiiiiaTk' ,, l `" :, t q . "1p0iiarf50. ' Y Vtlitliink6a'- 9.0^L' 120 _ =30�L_ .I _ T10D_0' n, A,r.F 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 2ny 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? Ryes ❑ 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 ' `Samp lejC611`ected;,: 4,'` .Oil,and Grease -- 7551 =,'pH;; � Standardns= NewilVlotor 0i! L!s`age' l%mop!mo/dd Aririval.average gaL �Bchtrk Fesy. - D,ori50 T Y� ovo� o 4 S ait•!q. 9 eFYD '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 11 SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SLCTION B. 0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ 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 o monitoriny period in the case o "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) _aq_ Is - (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgZws/su/npdessw4tab-4 S WIUt 249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for Borth Carolina Division of Water Qualit General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG060 1 O A E�Ik�SP^'J/s FACILITY NAME G DU COUNTY 004,e, PERSON COLLECTING SAMPLES {,tXJXA 04CG/1ei LABORATORY A7C,4re_C41 , Z4C • Lab Cert. # /&S Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use anima[ fats/byproducts DISCHARGING TO SALTWATERS? ❑YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE --> Total event rainfall z 145 or ❑ No discharge this period3 OutfallllVv. "° nSample Collected,-, ?-_ ,,TSS; pH, Standard.units• COD, - m L g� Oil.and Grease, m T L. g/ :Fecal Coliforml, Colonies, er. 100 mi p �Enterococci'-, Colonies? er--=1Q0 m1. R ,Bench? a'rk, - L �arvAy :-'100'or504:). Within5:0'-9.0t,'�'=g 120 -:30 oovr o� zz, ! ?- 9 z S ! Only applies to facilities that use/process rreats. ZThe 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, 4See General Permit text, Table 3, identifying the especial#y 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 ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor ail/month. OutfalllNd: #; •i .9� Sample Collecte`d,, ka.4.1 / /.Y.� Oil and Grease, = mg/,L". ; TSS, img/L„ ;pH,. Standard.uriits Net4'Motor0il Usage, Annual.average gal%mo :BencFimarkt, i - .i ; _ �` � 30, - -100,0r.50° 610.—:9.0 - 5 -COO/ o o S D 1 Only applies to facilities that use/process meats. 7.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. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (jtyr s, complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 -FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. o 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: h4rjil an original and one copy of this DM4 including all "No Discharge" report within 30 des of receipt of the lab results for at end o; 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 [1IIUST 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: httl?:Lbortal.ncclerir.oi-p,/web/`­wq/ws/sLi/­npdesswittab-4 SWti-249 Last Revised: October i8, 26i2 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted -7 - Ll- W CERTIFICATE OF FACILITY NAME COVERfkraAGE 4YO-W',O. NGl36 O l S COUNTY MWrtl PERSON COLLECTING SAMPLES LABORATORY. ©u4al I a> - Lab Cert. # Part A; 5tormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 90 c8 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES XNO PLEASE'REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or L'� rvo discharge this period OutfalPNo 5ample;Collected, - ,� , �, .mo%dd/yr,.._. �r �T55,]'� !,_ gJ =}}, u m L , " � pH rs :�` r••Standarii units e ;t COS, . L. i[ •t r>.,rm L_ g/, OiI`.and!Greas`ek''t - 7: n i F ,mg/,C ;'' iFecal Coliforrrir.; ;° „ ' L • ri--;3;.'� �r - 1 -- w S. ,�; Coloriies�per.J003m1-:,Colon+esAper;10D4inE gyp' »�Erite ococc+1 - ur4 i PA i +100oSD .— 0Nithi6`D,.. �w r 1 Only applies to facilities that use/process meats. ZThe 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. ItSeeGeneral 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? 19 yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. ` Outfall {Vo !`+ . . ;FE>c_ �« -Sampie�Collected, a,O�I '3rrio/dd/,yr,, r , and Grease, . `:.. rtig/1'�s 4 `;__ S; ' ,y"T55;; _ i_ y ;mg/L'', jpli;F , ,, Standard;units L . ..1Veinr Motor,OilFUsage, g _Aniiiaal avefage;gal7/ rio I -�6,.01:.9�0 ` Only applies to facilities that use/process meats. ZThe 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. (if yes, complete Part B) S'VVU-249 Last Revised: October 18, 2012 Pagel of 2 *FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. 2 EXCEEDENCES EN 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 ❑ IF YES, HAVE YOU CONTACTLD THE DWCQ 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_result_s (or at end monitoring period in the case of "No Discharge" re ortsl 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." 47u�� 7- -�q -ie (Signature of Permittee) (Date) Additional copies of this form m"ay 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 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water- Quality General Permit No. N00060000 Date submitted �7 - a�Ll^ [$ C-ERTIFICATE OF COVERAGE NO. NCG06 Qj_& c SAMPLE COLLECTION YEAR 9"3 FACILITY NAME "tte-RYP-t5 FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY M00re­ _ _ ❑ use/process meats ❑ use animal'ats/byproducts PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES XN0 LABORATORY Lab Cert. ## ou-.F&1( 00cp- part A: Stormwater Benchmarks and Monitoring Results PLEASE'REMEMBER TO SIGN ON THE REVERSE -� Total event rainfall 2 or [P N discharge this period3 OutfaliNo �' iF" =:5amp€e,;Coliected 33 1� !- '1 _, , y4 Y ;TSS _S. S ` mgJL t ,. _ 'Standard units a '''t. ..: ,mg L Oil and'Grease ..- _• — mg/L i ecal Colifo; rml ".• - -- - :,'Colpnies pe.c 10o mf i nterococcil, . .. ,w ,•�ws. . tColoniesipeE100_sml , Benchma 9'.0500 Only applies to facilities that use/process meats. Thetotalprecipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfa[Is. 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 ❑ no (if yes, complete Part B) ?art S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfa]IINo '-`SairFple,Callected i.,..,0€I:and.Grease, TSS;• _gmg%L. ;pN;;' , . ' Standard units New Mofor OilUsage`,` Aronual average"gal/m"o' *Benchmar,ka"%�;�''�1DOor:504 Only applies to facilities that use/process meats. 27he 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 1.8, 2012 Page ] of 2 "FOR PART A AND :BAR:' B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENT& SEE PERMIT PART II SECTION B. 0 2 EXCEE DANCES IN A ROW FORTH E SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. o HER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTI ALL? YES ❑ NO ❑ ;F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: ii k1ir` cin original and one copy of this DMR, including all "No Discharge" reports, within 30 days a receipt o the lab results or at end of r onitoring ,period in the case of "No Discharge" reports) to: _ T Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORRIIATION 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 Perrnittee) (Date) Additional copies of this form may be downloaded at: http://Portal.iicdenr.org/web/wq/ws/su/npdesswtltab-4 STAITU-249 Last Revised: October 18, 2012 Palse 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 C77- .0 A FACILITY NAME rAAA.S Ct,46,f- COUNTY SAMPLE COLLECTION YEAR o2 D/ ? FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES - "OvJ DISCHARGING TO SALTWATERS? DYES ©NO LABORATORY AP.Af!-7--WC— Lab Cert. # /&S LEASE REMEMBER TO SIGN ON THE REVERSE 4 JAN 19. ^018 Part A: Stormwater Benchmarks and Monitoring Results MIA— Total event rainfall 2� 5 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, i mg/L`. 's pH,, ; , Standardunits - IiVFQq N PRQ m L p� Grease, : Fq.q% ^Fecal,Coliforml, Cblon�es`per.l00 m! - Enterocacci.. . Colonres per,100 ml Benchmark -- 400or50%- :Withli 6&O-9.0 120 _: 30 _-1000,`, 500' ! 2 8 7 ,10 8• ! -- -- -- -7 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 ❑ no 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 40i1 and°Grease, A mg/L ; ' . TSS, mg/i pH, _ Standad'unIts New Motor Oil Usage;," ==Annual average gal/mo Benchmark -_ - 30 .'- 100 or 50" 6.0 — 9.0.' 30 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. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 V a t „f *FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART[] SECTION B. B. o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO u 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" re arts within 30 days of receipt of the lab results Lor 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." 4 i . (Signature of Permittee) � - L- " 18 (Date) Additional copies of this form may be downloaded at: http://Portal.,-)cdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 e 0 Last Revised: O4ar 18, 2012 _'age 2 bf 2 4 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5 - 5 — 1"T CERTIFICATE OF COVERAGE NO. NCG06 W l.O a FACILITY NAME ale— SprinAs ;Fen Y COUNTY Njo0re, PERSON COLLECTING SAMPLES E WGLrGre"e— LABORATORY Me61+F-C�I Zac• ^ Lab Cert. # _ 165 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR -1,01"7 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES ❑NO PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Total event rainfall z 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 Enterococci , Colonies per 10o ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 Soo 1 -S-tip .4145 <5 rJ JA PJ JA _CIE e nY 7.017 ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an or -site rain gaugd,-f=NTRAL FILES 3 For sampling periods with no discharge at any outfalls. You must still submit thQ9A&Vgg0T1P'Nring 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? Q yes ❑ no 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 50" 6.0 — 9.0 - -a3-N s P52L ?o ' Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. a 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. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 F), ,,, 1 _4l 1 'FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER ? REQUIREMENTS. SEE PERMIT PART II SECTION B, C 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 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 o 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." 5 -,5 -�'j (Signature of Permittee) - (Date) Additional copies of this form may be downloaded at L ` http://Portal.ncdenr.orgZweb/wgZws/su/npdessw#tab-4 SW U-249 Last Revised: Oc r 18. 2012 rake 2 �F2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 07/11/16 CERTIFICATE OF COVERAGE NO. NCG060102 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Perdue Farms Inc. Eagle Springs Facility RECEIVE fACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY: Moore ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Edward Greene JUL 18 201bDISCHARGING TO SALTWATERS? ❑YES X NO LABORATORY Lab Cert. # �;LN I RAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 0.40 or ❑ No discharge this period3 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 Enterococcik, Colonies per 100 ml Benchmark - 100 or so Within 6.0-9.0 120 30 1000 500 Main Ditch #1 06/24/16 43 8.1 778 8 n/a n/a #2 No runoff - - - - - 1 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at �ny outfalls. You must still submit this discharge monitoring report with a checkmark here. _n Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes ❑ 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 50' 6.0 — 9.0 - #1 06/24/16 8 43 8.1 300 #2 - - - - I 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. 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 li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ 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 o "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) r7/11 116 (Dale) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/"su/gpdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL ST®RMWATER WSCHARGE MONITORING REPORT for North Carolina Division of dater Qualityt General PermiNo. NCG06OOOO Date submitted 1——ILO _-- CERTIFICATE OF COVERAGE NO. NCG06 0 f 0 A � SAMPLE COLLECTION YEAR rat Pe0l5 FACILITY NAME na �E M FA-!Wc CAW SorrN�s rAC L FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY 61000ee ❑ use/process meats ❑ use animal fiats/byproducts PERSON COLLECTING SAMPLES 6-dward Gveene- ^' Sit3SW-s DISCHARGING TO SALTWATERS? DYES [ 0 LABORATORY, Lab Cert. # RECEIVED ` PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Vital event rainfall 21,125 or ❑ No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L' _ pN,. Standard units COD, Chi mg/L ©VfR 1 rD`I'ancl Grease, 5V rrmg/L Tecal Coli#arrn�;. Colonies per-100 ml - Enterococci'., Colonies -per 100 ml Benchmark 100 ar 504 Within 6.0 9.0 120 30 _1000. .500 - is i5 3 s• a r SAe 44 1 Only applies to facilities that use/process meats. ZThe 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 ❑ no (ifyes, complete Part B) Part It: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall"No. Sample Collected," mo/dd/yr � �Oi! and Grease, . -:"mg%L: T55, mg/L pH,' Standard units New.M6tor Oil Usage, Annual average gal/mo Benchmark - 30 100 cr 50 6.0 - 9.0 -I /s C , o / V00 9A(_ 1M04 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at anV outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Fable 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 1.ngTRP.vkPr1- C)rtnhrr 1 R 7 i1) *FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B. O 2 EXCEEDANCES IN A ROW FOR THE SAME PAR_ AMETEK AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. O TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES n NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copk of this DMR including all "No Discharae" reports, within 30 days of recei t of the lab results or at end o monitoring eeriod in the ease 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 Iaerrnittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sij/nRdessw#tab-4 SWU-249 .�-• '"� Last Revised: 01 �' r 18, 2012 -Wage? of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Q Date submitted I - a I - i 's CERTIFICATE OF COVERAGE NO. NCG06 O L Q FACILITY NAME �ue.TAfMS Z>JC-—Faai25asr�nas lac.% 4N COUNTY Moore, _ PERSON COLLECTING ''SAMPLES _ 1,�/Q,rC� (jreP_neDrAoh Skgop LABORATORY Merlil_Cil,-EMC• Lab Cert. # Ito5 Part A: Stormwater Benchmarks and Monitoring Results RECEIVE® SEP 2 9 2015 CENTRAL FILES SAMPLE COLLECTION YEAR a 0l5 _ _ nWR SECTION FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal f is/byproducts DISCHARGING TO SALTWATERS? DYES QNO PLEASE REMEMBER TO SIGN ON THE REVERSE -> Total event rainfall 2 t:i5 "or ❑ No discharge this period3 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 Enterococci , Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 = 9.0 120 30 1000 506 1 08 1.5 5 .'a•5 9 b 5 or r% Dff-- — — — — __ 1 Only applies to facilities that use/process meats. ZThe 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? E yes ❑ no 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=,.r 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 - t o$ 5 - a5 4;qlt on Iman. a A 1 Only applies to facilities that use/process meats. ZThe 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. (if es complete Part B) SWU-249 Last Revised: October 18, 2012 *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 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." -.At 115 (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 . I fast Revised: O{ r 18, 2012 �"' "rage 2'of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060.0& Date submitted 8 �g—!S CERTIFICATE OF COVERAGE NO, NCG060 1 O A FACILITY NAMEiQ COUNTY PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR S FACILITY ACTIVITIES INCLUDE (check all that apply). ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? OYES [ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z or Q No discharge this perioo3 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 100 ml Enterococcil, Colonies per 100 ml Benchmark 100 or 504 Within 6.0 — 9.0 120 30 1000 500 CV E 1 Only applies to facilities that use/process meats. CENTRAL FILES z The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 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? �es ❑ no (ice complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. 1 j 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 AIOAIr�: ° - , 95 tiro 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 D7 1 -C ') *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 [�J' IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO [j 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." �ciw�a 115 (Signature of Permittee) (Da e) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/n2dessw#tab-4 SWU-249 Last Revised: Oc fr 18, 2012 `— Page �.,'3f 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted !/-13� CERTIFICATE OF COVERAGE NO. NCG060L Oi SAMPLE COLLECTION YEAR O! FACILITY NAME P6_A-60C fA44i .ilPG ��p'�'^ l' FACILITY -ACTIVITIES INCLUDE (check all that apply): COUNTY /�9014_5- ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES E"D(r�AiLb � NL' DISCHARGING TO SALTWATERS? OYES RNO LABORATORY_1W1"471-__L7�_ _ Lab Cert. # 1105 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfoll z• ?3 or M No discharge this period Outfall No. Sample Collected, mo/dd/yr T55,,' mg/L' +_ ; pH,, . Standar&units COD, mg/L Oil and Grease,, mg/L Fecal Coljfarm� : Colonies per 100 ml ". Enterococcil,. Colonies per 100 ml , Benchmark - 100 or 503 " '.Within'6.0 = 9.-0' '120 = 30 ` : - . - .100Q. ,_ 500 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 anv 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? dyes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. out No. Sample Collected; mo/dd/yr Oii and Grease;' ` _ _mg/L` ` �' TSS, mg/L r. pH; Standard units :New Motor`OII Usage;:' Airii 1'ave gal/mo ' erig Benchmark _ 30° 100 or 50 6.0 — 9.0 . 07o ' 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, (if Yes, complete Part B) SWU-249 Last Revised: October 19, 2012 *FOR PART A AND PART B MONITORING RESULTS: 0 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 ❑ IF YES, HAVE YOU, CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR includin all "No Discharge' reports within 30 days o recei t of the lab results or at end o 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) (Da e) Additional copies of this form may be downloaded at: http://porLal.ncdenr.orglweb/wcL/ws/­5u/npdessw#tab-4 S W U-249 Last Revised: O( r 18, 201') 'Pane 1- & 2 Meritech, Inc. A- Environmental Laboratory Laboratory Certification No. 165 Contact: Aaron McCaskill/ Edward Greene Client: Perdue Farms,- Candor Feed Mill 909 Nc Highway 211 E Candor, NC 27229 Meritech Work Order # 09241475 Sample: IS Grab 1zcportl)atc; 1.0/7/2014 Date Sample Rcvd: 9/24/2014 9/24/14• Parameters Result Analysis Date Reporting Lunit Method COD ✓20 mg/L 9/29/14 15 mg/L EPA 410.4 Total Suspended Solids 46 mg/L 9/30/14 2.5 mg/L SM 2540D Fecal Coliforni 3,400 cal/100 ml 9/24/14 1 col/100 nil SM 9222D Oil & Grease - Non Polar-'ITPH ✓< 5 mg/l. 9/29/14 5 mg/k EPA 1664E I hereby certify that 1 have reviewed and approve these data, Lahoratoty Reptdidntative 642 Tanico Road, Reidsville, North Carolina 27320 tei.(336)342-4748 fax,(336)342-1522