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NCG060174_MONITORING INFO_20190403
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V u&o ipO/ -7V DOC TYPE ❑HISTORICAL FILE �C7 MONITORING REPORTS DOC DATE ❑ � O) 7 YYYYMMDD SEMI-ANNUAL STORIViifii+ATER DISCHARGE MONITORING REPORT - - ---- �— - - - - -for North Carolina D vision of Water 6a,1ty General Permit No. NCG060000 Date submitted ,r? -aa- 19 CERTIFICATE OF COVERAGE N0. NCG06 01 7 a RECEIVED SAMPLE COLLECTION YEAR o�� I q Tf�� FACILITY NAME S FACIL TY ACTIVITIES INCLUDE (check all that apply): COUNTY LQ-e. ki209 use/process meats ❑ use ani I ats/byproducts PERSON'COLLECTING SAMPLES a�en .kC t6na�— rFNTRAI, a FS DISCH RGING TO SALTWATERS? []YES0 AT LABORORY A P`� )$rim% �x ld �wb Lab'Cert. # �3 QWB,pSECTl N PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A. Stormwater Benchmarks and Monitoring Results Total event rainfall 2 () ,11 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 Collform , Colonies per100 ml Enterococd , Colonies r 100 ml Benchmark - 100 or Se WlthIn 6.0-9.0 12t) 30 1000 Soo Op 1 by 1o°r 2DDi0 ICA, q yS <S I aopo o°iI abiq q.b 8• Sb 7&D 003 R. I h a- Dpp 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 f 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/ Oil and Grease, mg/L TSS, mg1l. pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 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 Lny 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 yn complete Part B) SAM-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 8. 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 �ANO ❑ Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tar at end of monitoring period In the case of "No Discharge" resorts) 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." (Signaturgof Permittee) �� ' (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18.2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT - fog fli�rih [ar6flna Division of Water Quality General Permit No. NCG060000 Date submitted _ �-:tb g i. as 14 (Tan Zoiq 54...pler CERTIFICATE OF COVERAGE NO. NCG06 d 1 '? FACILITY NAME COUNTY % - PERSON COLLECTING SAMPLES _�1 bn IL7, wa " LABORATORY �� sir Qi 14r; MS Lab Cert. #I 50i .4-3Ll _ _T Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2A i q 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 4 Total event rainfall z or ❑ No discharge this period; Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units coo, mg/L Oil and Grease, mgtL Fecal Collform , Colonies per 100 ml I Enterococc , Colonies per 100 ml Benchmark - 100 or 50 With In 6.0 — 9.0 120 30 1000 Soo db 1 01aq -7,B -7,a8 l+7 <S H000 ad 2 6112411.9 5 .Li 7-4 I < S I.oR 0 81 3, a -7- a2 V7 < Sa 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 iny 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 Pno Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/ r Oil and Grease, m /L TSS, m L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 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 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. (ifyes, complete Part B) RECEIVED MAR 0 4 2019 CCNTRAL FILE.,,' DWR SECTION SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART S MONITORING RESULTS: o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It 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 EXCEEDS CES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ZNO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ Mall an original and one copy of this DMR;Indudina all "No Discharge" reports, within 30 days of receiat of the lob 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 1] 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 fine,,.-a.nd imprisonment for knowing violations." ,-Q-e (Signatu$e of Permittee) oa ka f (Date) Additional copies of this form may be downloaded at: httlportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18. 2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT Hoirth Carolina Division of Water Quality General Permit No. NCGO60000 Date submitted [nacx_a01 ao i9 CERTIFiCATE'OF COVERAGE NO. NCG06 0 l _l SAMPLE COLLECTION YEAR ao iq ' y y ACTIVITIES INCLUDE (check all that apply): FACILITY TAME REr COUNTY LejL use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES _.�Lk 1�} APR 0 4 8WHARGING TO SALTWATERS? []YES 210 LABORATORY 4 &A , _,1 bm%-At_(J'" Lab Cert. # 3� AL FiL ,�, �v 3 0INR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall $±$~or No discharge this period3 Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mglL Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococc , Colonies per 100 ml Benchmark - 100 or SO 1 Within S.0 — 9.0 120 30 1000 Soo 0Q./aaliq C1.6 7. z s 30 r o07- oa r 5.1. 7y7 q yo DD 7.0 7r < '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 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 19no (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, m /L TSS, m L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or SO 6.0 — 9.0 - 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 iny 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. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. n TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q� NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES It NO o Mall an original and one copy of this DMIt including all "No Discharge" reports wlthin 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." j re of Permittee) (Date Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/`ngdessw#tab-4 SWU-249 Last Revised: October 18. 2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT fol' North Carolina Division of Wafer Quality General Permit No. NCG060000 ate submitted 0 4-ad Zb 9 CERTIFICATE OF COVERAGE NO. NCG06_a j bMPLE COLLECTION YEAR al) ij FACILITY NAME c'� MS 2.2019 FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY L _ep� - - --CEN.I.. use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES 1�ev, jejr-�rw„ tiL fiILESDISCHARGiNG TO SALTWATERS? ❑YES [gmo Di LABORATORY ?it4r-n-3 �e (d Lo-6 Lab Cert. # S067, 3 "-L�10 N �C,A PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 6, 5? or ❑ No discharge this period? Outfail No. Sample Collected, mo/dd/yr Tss, mg/L pH, Standard units COD, mg/L Oil and Grease, m L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 00 0 a+ 7• q 7. 9 -a aq 5 1 02 a ;k+ ►o. 3 Li 4 EH 0 003 arag bq 3 to < togoo 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 0 no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfali No. Sample Collected, mo/dd/yr Oil and Grease, m 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 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 M outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. S WU-249 (ifyes, complete Part B) Last Revised: October 18, 20t2 Page 1 of 2 *FOR PART AAND PART B MONITORING RESULTS: n 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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES KNO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ Mail an original and one copy of this DW Including all "No Discharge" reports, within 30 days of receipt of the lab results far at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1517 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." (Signat re of Permittee) _ (Da e) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 5WU-249 I Last Revised: October 18. 20I2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPOR EGF_NF-0 for Borth Carolina Division of Water Quality General Permit No. NCG060000 VEB 0 4 Date submitted SaA 2Atg ENYRAI-IL�N CERTIFICATE OF COVERAGE NO. NCG06 O 1 2 FACILITY NAME �► � 9cf+m s COUNTY 1_ —9 PERSON COLLECTING SAMPLES "NA LABORATORY_9� & ik LA Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results pWR 5EG-Tl0 SAMPLE COLLECTION YEAR FACILITY A IVITIES INCLUDE (check all that apply): use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES �O PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 6, 5Z or No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, m L Oil and Grease, tng/L Fecal Collform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or SO Within 6.0 — 9.0 120 30 1000 5o0 4 5 XP-/<5 3-7 00 A I D laq I a. a A 96 < 5 i t go 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? ❑ 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, m L pH, Standard units New Motor Oil Usage, Annual average al/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 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. SV U-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART AAND 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 k NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES �9 NO ❑ Mail an original and one copy of this DMRincluding 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. I am aware that there are significant penalties for submitting false information, including the po ility of f� s1�nd imprisonment for knowing violations." (Sign ture of Permittee) (Date) Additional copies of this form may be downloaded at: httg://portal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 J, 1,64 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year ao 18 RECEIVED Individual NPDES Permit No. NCSJ Certificate of Coverage (COC) No. NCG or This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: qe,, n 5 County: _ Lay- Phone Number: q( lot 3 5 Total no. of SDOs monitored Outfall No. 0o i Is this outfall currently in Tier 2 (monitored monthly)? Yes D . No ❑ Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes §1 No ❑ If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ Nog FEB 0 4 2019 CENTRAL FILES DWR SECTION Total Rainfall, Inches Parameter, units Ts` Benchmark N/A r�, o .. q o 3a t pa o Date Sample _' mm/ddl 77 �._C`.nrr �.=� =�'`s �• i '�f .�:��_ 3� .T b a i t� v-rs C'*.r�l.. R`� tY� .Y� r'p�= 3: �.F. tr a.' x-v S ���;�_ Mi a��. ..�''� 4^�.S''..aV ,`��;!L'f� a q„fi f{•.. �r l'y� � '�yh. a�F�''�tir' �'.i F t r i1+',-° r.°' "?1 "- � •�.� ��� �,7•f`"r ��'� +-�S ! ! i-::• i' v 1 '::I �": �; Ci ,�.<- ; . y 3 '• Yam, £u 1._ C-- �y-� ' - C>qla i ,6y ,)D S, S 17q O 1301i$ 1.1v I II q200 00f a h% 0,ag I"0 "7.01 46 .cS ao 1D h/le 0%4 a ,a I -al 3 `C II 5 1% i,� ,a -7a y 00 a any,$ .a <o 2, 1s s SWU-264 - Generic Annual DMR Last revised &1712013 Additional Outfall Attachment Outfall No. 06 %- Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑ If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Total Rainfall, Inches Parameter, units T S S M $ J L P M $ �+d s U n' C.°T-) rn-e) l- 0i I-Ar � SJL M I ' CG Benchmark N/A l o o (0 - l )Lb 0 16CA0 Date Sample Collected mmlddlyy `-ULA^r•a'1 �f r^� �t; "i,e �1�1-�iY� K fs x�Z�C - Y.p(-'1-�•1i.,k .i-R7 may, ..� "�`{jf Y`�' _ �'�. H'.' f.•"+.\a" 3 ��r+N4;KXrsji.ty� •'i ;._ r.urx," 4'" .r Y - i rP-' 3. ,� J n ..-- .. s z _ + I o, L04 9.19 7. o H 9 s i 000 6f18 1 .lo 117.9 L0,9 3 1S 7, D o ea I as �y 0194 aS .iq AS 712-oa0 e 01 y a • 19 V? < s , anon S i% i•Q$ ISM '7.0;L .'? .4 oca I Waali O. sa S 11 B0 Additional Outfall Attachment Outfall No. 00 Is this outfall currently In Tier 2 (monitored monthly)? Yes No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No7 If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency F1 Received approval from DWQ to reduce monitoring frequency 7 Other 11 Was this SIDO monitored because of vehicle maintenance activities? Yes ❑ No Total Rainfall, Inches Parameter (units) L Benchmark NIA Mo Data Sample Collected, mm/ddlyy t)ql aq) 0. �4 Qaoo I-10 > III Thi &.90 (coo SaOa 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 imprisonont for knowing violations." Signature " Date , ki-hA A For questions, contact your local Regional Office: DWQ Regional Office Contact information: ASHEVILLE REGIONAL OFFICE FAYETrEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFI<ICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 433.3300 RALEIGH_REGIONAL OFFICE WASHINGTO-.N REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM,REGIONAL OFFICE CENTRAL. OFFICE 585 Waughtown Street 1617 Mail Service Center "To pmsarva, Arofsc! Winston-Salem, NC 27107 Raleigh, NC 27699-1617 it 1 and enhance 336 771-5000 919 807-6300 Si� NonhCaratina'swafer..." SWU-264 - Generic Annual DMR Last revised 5/17/2013 Environn -tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted . W as � 0,-+) CERTIFICATE OF COVERAGE NO. NCG06 O 1 ? 4 SAMPLE COLLECTION YEAR eabi FACILITY NAME 2'!1rpc1$ _ _ _ _ _ _ _ _ _ FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY q_e_ ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES V C:ial M-,�sn :Ta snTr,�mm�Ql . ' ir�tLdl�W INGTO SALTWATERS? ❑YES [%0 LABORATORY R�i-A Lab Cert. # 3y NOV 0 5 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Tqtal event rainfall 2 0, 42 or 0 No discharge this period Outfall No. Sample Collected,. mo/dd/yr _ TSS,-. - mg/L -pH, standard units 01*6ECT mg/L ON it and Grease,. mg/L Fecal Coliform , Colonies per 100 ml Enterococc , Colonies per 100 ml Benchmark - 100 or SO Within 6.0 — 9.0 120 30 1000 Soo 001 16.0, 17, {; +► .3(p <S 60 Oo� la "n tr +0! " < S 712oa0 003 inh, I ii 2J.-I ,q'I 16nizi'° +3 3a <S >IaQao 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 M 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 (i yes, complete Part 13) 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/ma Benchmark - 30 100 or 50 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 gn� 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. Z\Fnvironmentai\Industrial\PP-Pilgrlm's Pride\PPNC-North Carolina\PPNC07•Smley Feedmlll & Hatchery\PP14C07-01 SPILL\2013 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It 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 fV1 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES �0 NO ❑ REGIONAL OFFICE CONTACT NAME: _s; 6kn ♦�oj�Q.ti__ ____ Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or 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) (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.om/web/wci/ws/suInRdessw#tab-4 SWU-249 Last Revised: October 18, 2012 7•\PnvironmentaAlnaustriallPP-Pilerim's Pride\ MC -North Cara line\PPNC07-Staley Feedm ill&Hatchery\PPNC07.01 SPILL\2013 ..._. Monitoi .w-; Form 2 Environn .tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. 14CG060000 Date submitted a Oc.+ a018 CERTIFICATE OF COVERAGE NO. NCG06 D RE 1LE COLLECTION YEAR P Oi S FACILITY NAME P l�r`,ius ITY ACTIVITIES INCLUDE (check all that apply): COUNTY LtjL NOV 0 B 2018 2 use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES l��rc�rt _ DISCHARGING TO SALTWATERS? []YES 2M LABORATORY Q��� Lab Cert. # _ _ y L FILES ., "" SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1 0, 28 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 100 ml Enterococcl , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 500 1 cSi4aotN oa 2 oh-gh 6 , c s Tt z e Oo /l ny, a �M � 4 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. 45ee 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 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 54 6.0 — 9.0 - 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 aM 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. Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC•North Carolina\PP9C04•Sanford Fresh Plant\ PPNC04.015PILL\2013 Monitoring Form 2 Environmental Plan *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 It SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK'EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES q�NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Z2'Nb ❑ REGIONAL OFFICE CONTACT NAME: � fi I f'IALeu Mail an original and one copy of this DMR, includinitlall "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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signat> re of Permittee) e r0 a 3 1 (g (Dat Additional copies of this form may be downloaded at: http://pqrtal.ncdenr.or.e/web``/`wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z:\Environmental\Industrial\PP-Pllgrim'sPride\PPNC-NorthCarollna\PPNC04-SaniOrdFresh PlanL\PPNC04.01SPILL\2013 MonitornLg Form 2 Environn Ial Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted a,;- zo l S CERTIFICATE OF COVERAGE NO. NCG06 Q_L 2 _q C �, SWCOLLECTION YEAR Zo FACILITY NAME 1 vi C �F ACTIVITIES INCLUDE (check all that apply): COUNTY. Lam. qqnn�� IN use/process meats ❑ use animal fats/byproducts N PERSON COLLECTING SAMPLES A OCT 0 s OHARGING TO SALTWATERS? []YES gNO LABORATORY ARA Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results 4_- l RAI:. FILES 1WR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 . . Total event rainfall or ® No discharge this perioa3 c Outfall No. Sample Collected,. mo/dd/ , .. TSS, .. - mg/1 _ .pH, Standard units COD, mg/L .Oil and Grease,. mg/L - Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100orSO4 Within 6.0 — 9.0 120 30 1000 500 2 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if yes, complete Part B) Outfall No. Sample Collected, mo/dd/ Oil and Grease, mg/L _ TSS, mg/L pH, Standard units New Motor Oil Usage, Annual avers a gal/mo Benchmark - 30 100 or 5046.0 — 9.0 - s 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 an� 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. Z\Envlronmenal\Industrial\PP.Pllgrim's Pride\PPNC-North Carollna\PPNC07-Staley Feedmlli & Hatchery\PPNC07.01 SPILL\2013 Environmental Plan *FOR PART A AND PART g 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 EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES �O ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [ENO ❑ REGIONAL OFFICE CONTACT NAME: JbA„ jqel(,g!:z Mail an ariainal and one cony 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: I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://oortal.ncden_r.org/web/wq/ws/su/udessw#tab-4 SWU-249 Las[ Revised: October 18, 2412 7-NEnvlronmenta111 noustrlaHPP:PI I crim's pride\PPNC-North Carolin3\PPNC07-slaley Feed mill&Hatchery\PPNC07.01 SP 11.1-\2013 Monito,.tr, Form 2 Environrli tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 SEA 04 Im Date submitted CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG05 O_L � 1 SAMPL OkLFCTIgN YEAR _ oZ0 )WR 5J<C7-ION FACILI1 lyA�k111Fx:' �gt�rrnS FACiL t i TiA INCLUDE (check all that apply): COUNTY '-LI:L-� Q use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES_ .Tnre_d C-lu.er�'ero DISCHARGING TO SALTWATERS? ❑YES Elf O .LABORATORY _ &� R Lab Cert. # R14 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 1, 10. or ❑ No discharge this period3 .Outfall No. _. Sample Collected,. mo/dd/yr'S'jing/L -. w.T55; �,.:_., _.__..... _ pH, ..._ _ . Standard units _.. COD, .- .- mg/L -.,.Oil and Grease,-_ _..:- mg/L ..Fecal Coliform ,- -. •- Colonies Pei 100 ml - _Enterococci ,- - Colonies per 100 ml Benchmark 77i00 or 50 Within 6.0 - 9.0 120 30 1000 " S00 O-71 l (o, (Da e a III c > 0 0 3 o r z000 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? �O yes - ❑ no {iLM complete* Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. - - . Sample Collected,. Oil and Grease, ITSS, pH, 5tanaard'units_• - New Motor Oil Usage, , Annual average gal/mo Benchmark -" ==r _ ;" �.: 30 100or50 _ 6A-9.0 = c)D I r` < Co•io� 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 ate outfalls, you must still submit this discharge monitoring report with a'checkmark here. 4See General Permit text, Table 3, identifyingthe especially sensitive receiving water classifications where the more protective benchmark applies. Zo\Environmental\Industrial\PP-Pllgrlm's Pride\PPNC.North Caro11na\PPNC07-Staley Feedmlll & Hatchery\PPNC07-01 SPILL\2013 Environmental Plan *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 4 OR MORE BENCHMARi EXCEEDENCES FOR THE S4E, PARAMETER AT ANY ONE OUTFALL? YES ENO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFF'' ,? YES ErNO ❑ _ REGIONAL OFFICE CONTACT NAME: S4►1% 11.11w 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 tti c.c- iroo 144 r— Z } t ZVs(r�a� 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 property 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 Perm g-2?-t8 (Date) Additional copies of this form may be downloaded at: http://gortal.ncdenr.o[g/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Z:\F.nvirunmentaiNlndustrial\PP-pilgrim'sPride\PPNC- North Caraiina\PPNC07-$taloyFeedmill&Hatthery\PPNC07.01SPi11\2013 Monitor,arj Form 2 Environn tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06LL J_ 1 SAMPLE COLLECTION YEAR 90Jt\o_) FACILITY NAME i � rpjiras FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lea, U_2 use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES A 1A DISCHARGING TO SALTWATERS? []YES 2160 LABORATORY Atli Lab Cert. # ^ �� Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or [ o discharge this period3 Outfall No. Sample Collected,. mo/dd/yr :.. TSS, .. mg/1 _pH, Standard units COD, mg/L .011 and Grease,- mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 S00 AU6 US 4210 ' Only applies to facilities that use/process meats. .. f 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at gny 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 (±yes, complete Part 6) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oll/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, rng/L = TSS, - mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 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. Z:\Envtronmental\tndustriai\PP-Pllgrim's Prlde\PPNC-North Carolina\PPHC07•Stztley Feedm[ll & Hatchery\PP14C07-01 SP[LL\2013 Environmental Plan *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. 9 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES P NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES N NO ❑ REGIONAL OFFICE CONTACT NAME: I I-n al Mail an on inal and one copy of this DMR including all "No Discharge" reports within 30 da s of recei t o the lab results or at end of monitorin period_in the case of "No Discharge" reports ta: 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." �-au--18 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: htti)://Portal.ncdenr.ore/web/wcl/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 7AF,nArnnmen lall I nciustrial\PP.-PiSenm's Pride\ PPNC-Norfh Carollna\PPNC07-Staley Feedmil!&Hatchery\PM07-015P ILL\2013 Monitol.a,-, Form 2 Environn tal Plan SEMIANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted, I TUJNC,. 1A, is CERTIFICATE OF COVERAGE NO. NCG06_Q RECEI V EGAMPLE COLLECTION YEAR 26Q FACILITY -NAME . �s �gr; �s � 2018 FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY CJ Utse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES MA 017-NTRAI FIEF ;DISCHARGING TO SALTWATERS? ❑YES []NO LABORATORY 01fl Lab Cert. # hJ/AGWIRSECTION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE Total event rainfaN 2 or D-16 discharge this period' .Outfall No. _.. Sample Collected,..:_.-.:.TSS,*_.-:--.. mo/dd/ r .>>�_ mg/L _...... _ b..'pH, _ ._ .,. _ Standard units . -COD, .- mg/L _Oil and Grease,--_ mg/L .--..Fecal Collform ,- Colonies per 100 ml Colonies per 100 ml Benchmark - -100 or 50 Nth In 6.0 — 9.0 120 30 1000 Soo 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 (if yes, complete PartB) Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor-oil/month. Outfall No. Sample Collected, . Oil and Grease, -TSS. mg/L' " '� pH, _ °` Standard ns it _N_ew_ a Motor Oil Usage , Annual average gal/mo Benchmark r -.30 100 or 50 6.0-9.0 - S 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 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. Z-.\Emdronmental\lndvstrla[\PP-Pligrim s Pride\PPNC.North Carollna\PPNC07.Staley Feedmill & Hatchery\PPNC07.01 SPILL\2013 Environmental Plan *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 ENO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 111CO ❑ REGIONAL OFFICE CONTACT NAME: ,�n%►n 14011 w Mail an oriciinal and one copy of this DMA including all "No Discharge" re orts within 30 days of receipt of the lab results or at end of monitorin period in the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 276991617 ji 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." ee_ (Signature of Permittee) (,—Z$-i9 (Date) Additional copies of this form may be downloaded at: http://Dortal.ncdenr.ore/web/wai/ws/su/nr)dessw#tab-4 SWU-244 Last Revised: October 18, 2012 7.:\Gnvlronmental%lndustrla[\PP-pilgrlm'sPrlde\PPNC-NorthCarahna\PPNC07•StalcyFecdmill&Hatch ery\PPNC07-015PIU\2013 Monito►,a- Corm 2 Environn .tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted rng:�j 30, Z0 1-1 -7y ,CERTIFICATE OF COVE AGE NO. NCG06 t- _L T:_ SAMPLE COLLECTION YEAR. o� 01 A Ad ..tar ti > � •, e <,�"'iTY'N1�gl E ' � �,tl'yhS ' `` ' � � �� FACILITY,A&IVITIES INCLUDE•(check all that apply): COUNTY 1-22- `� rse/process meats ❑ use animal fats/byproducts " PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES [i WO LABORATORY �i ALAE%F.KLEOLS i it N 0 4 2018 J PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall1 , 6 or ❑ No discharge this perioal3 .Outfall No. _ Sample Collected, _ mo/dd/yr =' _... 755, " � : mg/L " " ^' 1-. rstar�� units COD, "- - mg/I. -Oil and Grease,— _ mg/L ..----Fecal Coiiform , "-= Colonies per 100 ml :"-:Enterococci , - -"- - ' Colonies per 100 ml Benchmark - '100 or 504 ,Within 6.0 — 9.0 120 30 1000 " Soo S I 003 It , 8'1 a a 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 summit this discharge monitoring report with a. checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the rhore'protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil-per,month? �s []no (ifyes, complete Part l3) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No.: -'Sample Collected, := 011.and_Grease, -TSS, pH,' StandaFii units� New Motor Oil Usage,"s Annual average gal/mo Benchmark u-11 '"'�: 30 100 or SO fi.4 —.9.0 - y 2 0'4 1 2'A f it 5 9.8 -7. o �a 003 o Iz+�l14 � S 7. b a. 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 gj 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. Z\Environmental\lndustrlal\PP-PltgrltnsPrlde\PPNC-Nor[%Carolina\PPNC47-StaleyFeedml[1&Hatchery\PPNC07-01SPILL\2013 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1-REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES !N 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 [q'NO 0 REGIONAL OFFICE CONTACT NAME:._ Me,iLty Mail an original and one cony of this DMR, including. all "No Discharae" 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: I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L ( ),dAAjL,= 7 /442v aU1 5;' (Sign are of Permitte (Date) Additional copies of this form may be downloaded at: htti3://r)ortal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4 5 W U-249 Last Revised: October 18, 2012 7.:\Environmental\fndustrial\PP-pllgrlm'sPrlde\PPNC- North Carollna\PPNC07-StaleyFeedmlll&Hatchery\PPNC07-nISP111\2013 Monital rli j Form 2 Environn tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT REcEil/ElD for North Carolina Division of Water Quality General Permit No. NCG060000 APR 2 6 2018 Date submitted .CERTIFICATE OF COVERAGE NO. NCG06-D_L _Z L j .75' COUNTY PERSON COLLECTING SAMPLES LABORATORY— Lab Cert. # NIA Part .-Sto rmwater; Benckmwrki�ha-Monitoring Resu-1 Odtall;No.; TSS 0". SAMPLE,COLLE�.rjppi YEAR CENTRAL Fke�S R SECTJON� iN 'C66_E_=_(check 7ailthat �apply): FACIL[7!,A&IVITIES C 0 use/process meats 11 use animal fats/byproducts DISCHARGING TO SALTWATERS? F]YES E9960 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ?Total.,event.rainfalf-' or �No.diichar'ge this period? ...- "Sam Ie`Collected; d y= rtll , " �'A I —* vlu ;, K091 -�,Oil4da4iiii- 11*�roei6l;c@lf&cn� Y. di6CoFCi11V, er,400,' 100'w'1504�:F 6 i6trV6,_9. 50 0 I 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 any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4 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? jAj yes Ono (ILM complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal'of new motor oil/month. "Z 41. N A dar. 4_ - )Zld�/,yr ' `Oil jand Grdase;i..._,.. 4 - t t 11' . . '. , gt% rnj�/C j�'� , 11�;� = P K �1�1: tah ii�munits f. 9 nuclIa leake'gf 'mo [Ii6iicwmiiv�, r;, Alt om 4 [SL r4W,. 1: 777, ASa�� 1 Only applies to facilitie's that use/process meats.' 2 The total precipitation must be recorded using data from an on -site rain gauge. For sampling periods with no discharge at 2.n' outfalls, you must still submit this discharge monitoring report with a'checkmark here. 4See General Permit text, T6b(e 3; idbntlfving the especially sensitive receiving water classifications where the mare protective benchmark applies. M 7,\Environmetital\lndusMal\PP-Pilgrlm's Pride\MC-North Carolina\MC07-Staley Feedmili & Hatchery\PPKC07-01 SPILL\2013 Monitoring Form 2 Environmental Plan *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 ❑ IF YES, HAVE YOU CONTACTED THE DW,Q REGIONAL OFFICE? YES'.NO ❑ REGIONAL OFFICE CONTACT NAME; _o hn } 10llQu s Y Mail an original and one cony of this DMR including all "No Dischar e" reports, within 30 days of receipt o the lab results tor 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 io assure #hat.qualified personnel property gather and evaluate the information submitted.: Based,on.my inquiry of the person 1w or persons -,,who manage the system; or those persons directly responsible forgathering the information;athe inform atiorfsub mittedAs, to the best ?�E. of my knowledge and belief, true, accurate, and complete:: I am aware that there are significant penalties for submitting false informations including the possibility of fines and imprisonment for knowing violations." - (Signelure of *7J iqb ri i ca�atbr (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orglweb/wgfws/su/npdesswi#tab-4 SWU-249 Last Revised: October 18. 2012 7.:\Envlronmcntal\Industrial\PP:Pilgrim'sPrlde\PPNC.NurthCarollna\PPNC07-StaleyFecdmill&Ifatchcry\PPNC07•CISPIW.\2013 Monitottilry Farm 2 f Environn aal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Dateft CERTIFICATE OF COVERAGE NO. NCG060 L2 APR 4 4 201 SAACTIVITIES COLLECTION YEAR (checkQ0 all that apply): FACILITY NAME Pi i gCirnS COUNTY CENTRAL FIL61 Duse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Oon 1--, DWR SECT-10�tISCHARGING TOSALTWATERS? ❑YES EDWO LABORATORY Lab Cert. # 3q PLEASE REMEMBER TO SIGNIFON THE REVERSE 4 y {.; -: a vy fz 'Nd�, iPartA:.Storrhwater8enchmarks,and�Monitoprxng Results Totaeatr.ior�.perod'A xx Outfali!No Sample,Collected; - rr ,` w TSS„ , f. -3 Stardfu'nits" „l CtiO`•YD,• ; 4 1 mg,Lwi�` r e7s�r�da°°',Ec•�eo� r.;c1c0i 0, Co`oE3'nTte 'm�1Yik3, ��.. i Within 6:0 =- 9.D, ��� a" 120, ,�.. -� r. c 10 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. '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 ❑ no (if yes, complete Part B) Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. } Outfall No:� i' f -F , r; .12 fi Sam le Goliectedt° P ../�a.`i Y i _ mo'/,cad/,yrRr, ; ; �,µ t?y x.4 � OiUanii Grease`= "'Y '•' M... 1 _J „tip . mg/L i '' r' TS5 • ! f i 'I'mg/L. " ` ' C 1 �s,�,, �1�J.. .'� +� Y. �` 4 5tandardsunits , New IVIo`tor OiIIU 261 ' ?.� r' Annual.average.ggaa1/moor m !Benchmark -� :A71,130' r 100`AorR50 ' 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 recelving water classifications where the more protective benchmark applies. Z-.\Environmental\Industrial\PP•Pilgrim'sPride\PPNC•NorthCarollna\PPNC07•StaleyFeedmlll&Hatchery\PPNC07.01SPiLL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER i 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 DQNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ __ REGIONAL OFFICE CONTACT NAME: .Tr.i-)A •-ka1ig.�i Moil an original and one�02y 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 Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 276991617 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 _ sy'stem.designed to assure that qualified--personnel_properIy gather and evaluate thetinformationsUbrr�itted, Based on my- inquiry of the person:. . or•personsywho•manage the. -system, or those persons directly responsible°tfor gathering the information, the inform atiortsu b m itted is, to thdtest _ of my knowledge and belief;Arue, 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." P 3-29-r8 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: htta://nartal.ncdenr.ors/web/wp/ws/su/npdessw##tab-4 SWU-249 Last Rcviscd: October 18, 2012 7.:\Environmental\lndustrtal\PP:pllgrim'sPrlde\PPNC-NorthCaroltne\PPNC07-StaloyFeedmllt&Hatchery\MC07-01SPILL\2013 Monito,, j Farm 2 Environn -tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted Feb I a,18 _ - (Jcn Safe) CERTIFICATE OF YEAR AGILITY NAME COVERAGE NO. NCG06 Q il� RECEIVO�I-LE ACTIVITIES COLLENNCLUDE (check a� that apply): COUNTY LQ.1 MAR 0 6 2018 LJ use/process meats [] use animal fats/byproducts PERSON COLLECTIN SAMPLES l3o n ki c1c�o.� DISCHARGING TO SALTWATERS? [:]YES60 LABORATORY . IZ°I-� Lab Cert. #3 311 R FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results ,Total event rainfall z O.95 or ❑ No discharge this period? .Outfall No. -_ Sample Collected, - mo/dd/yr ' _-'--TSS,--.-.- -A mg/L .__...,.. ;.-!pH, 'Standard units COD, ._ mg/L Oil and Grease,__- mg/L ..--..Fecal Coliform , .- Colonies per 1001 `- --Enterococci ,. --- Colonies per 100 ml Benchmark - 100 or 50 '-Within 6.0 — 9.0 120 30 1000 % 500 o I a3 ca 9-E 1.61<s r 4s '1.7I i <S 9 o0 00 s N 3.3 -7.18 >Iao06 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? Ctlk yes Ono Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor o€I/month. (if_yLs complete Part B) Outfali No. Sample Collected, mo/dd/.i �� v Oil and Grease, ,TSS, �"' mg/L" '"`"� pH, 'Standard units N_ew Motor Oil Usage,_,-_ Annual_average gal/mo Benchmark 30 100 or SO 6.0 — 9.0 - 00 .7 i. Oo3t 1q-1 1 -7.75 At 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. Z.\Environmental\IndusMal\PP-Pllgrlm's Pride\PPNC.North Caroline\PPNC07.Staley Feedmill & Hatchery\PPNC07.01 SPILL\2013 Alf n.. iFn+ C • • '� Environmental Plan *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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES KNO ❑ - IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: LToh 10 dolk!4 Mail an original and one copy of this DMR, including off "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: 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: httR://Dortal.ncdenr.org/web/wa/ws/su/nt)dessw#tab-4 7.:\Environmental\Industrial\PP-pllgrlm'sPride\PPNC•NorthCarolina\M 07•StaleyFeedmill&Hatchery\PPNC07-0[SPI11\200 SWU-249 Last Revised: October 18, 20[2 Monitot,,vy Form 2 r Environn°tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted i�C 90,12 � >1 o V �RS'c�.lts, CERTIFICATE OF COVERAGE NO. NCGQ6 1? n r SAMPLE COLLECTION YEAR oZ�li FACILITY NAME i � (Sri nf� .t S i"' o R\/FF fg- LITY ACTIVITIES INCLUDE (check all that apply): COUNTY Ux_ JAN 0 ZDi use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES AD _ DISCHARGING TO SALTWATERS? []YES ANO LABORATORY WA Lab Cert. # �IA ryJw0'4'1:CTI0N . - �\%TPRIi APONPROCESSiNG UNIT -PLEASE REMEMBER TO SIGN ON THE REVERSE Part -A: Stormwat`er;Benchmarks.and.Monitoring Results :;. � :_-�_>::, Toe&-6e ent rainfall-. o dischargetthisiperioal3 1 - 1 w_ i� .y � [a ,w:' .ar A-'.:'ti 1" -t:l r. :Standard�units '- -•�?N5'c, i 4" -.:a rr�g�ls`,; ^'" t < ' ng/Lr �� � L..... ,: 3 - - y x _ Calonle's:per 100 m1 � — _l -: r. ,.� , .ir•t'41,: ;� Colonies p r„100�m1 P100;or'S0 ?UVithin fi.0-9:0 t;.r�� M120 �.. r' 30M 1000h.A;`',� 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? ❑ yes ❑ no (ifyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. .4 ^OutfaIlllVa'y ' 'Belli yle Collected':. .. mo/dif%yr t'� �•011and Grease `' '� #T55 mg/L 3 - �� k mg/'L iJWAW0 ; Hr .t=A Standardjunits Ni:w`Mofa��011 llsa e, Y<< n� Annual,average:galmo�� ..� 100 oci50; ry = 9.r a t ` 1 Only appiies,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 A 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: Z:\Environmental\lndusWal\PP-Pllgrlm'sPride\PPNC.NnrthCarollna\PPNC07-StaleyFeedmlli&Hatchery\PPNC07-01SP[LL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER I 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 IICTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑. REGIONAL OFFICE CONTACT NAME: Sohn Mail an original and one copy a this DMR;i»cluding all "No„ Discharge" reports, within 30 days receipt of the lab resultslor 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 e�aluate.the information submitted. BaiR ori my inquiry of the person: w or persons who -manage. -the system, or those persons directly -responsible for gatheringahe-information, *the,information submitted is',to'the best 44 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 (Date) Additional copies of this form may be downloaded at: httnalportal.ncdenr.ar weblwa/wslsta/n_pdessw#tab-4 5 W U-249 Last Revised: October 18, 2012 7.:\Enviranmental\lndusWal\PPlpilgrim'sPr1de\PPNC-NorthCarolina\PPNC07-StaleyFeedmill&11atrhery\PPNC07.01SP111.\2013 Monitor sal j Form 2 Environn :tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Ouality General Permit No. NCG060000 Date submitted a� 17 5vew� �z'-- ia�'a7- i CERTIFICATE OF COVERAGE NO. NCG4oc),L 7 RECEIVE® SAMPLE COLLECTION YEAR FACILITY NAME 61%j S FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _ L�-C DEC 0 5 2017 [` use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES /V ES DISCHARGING TO SALTWATERS? []YES [NO LABORATORY— !.� ��-, Lab Cert. # N r z PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part`A: Stormwater,Benchrriar[is,and Monitoring "Results. 3 ;..,,: �tr ; ._ Toial,event rainfall<? r '_:• ors❑_Alo`tlisciiarge,ihis period!- - x^c .., •' .-a+-- tytA" F, s t_ °'!n7 a ,ay. - ' .,nOutfail;No- `�mo/dd/ Samp"le.Coliected,:. rK rmg/L�`'' �. T5S, 7r `I I " 1 A-✓-�:,-d t- Standard°units'mg/L� COD, `�i = z u Oifancl,Giease, mg%L� .�,,� .. Fecal;Coliforiri ;Colonies per l0fl;iri a� _ .+.r- Eriterococci„E . Colonies er.100 mlf4 ;100QJ4�''9.`, '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? ❑yes ❑ no {if ve, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new, motor oil/month. Outfail�No. Sam Ie�Coilected 7 mo'/,dd/.qr LO, .. iI ancl'Grease m L g/ _ f T55 r �k , m i B/� ::. .n �._ 4 a StandardFunits, Heinr�flllotore Oil Usage, - t Annualiaverage g /,mo. "._ ' BencFimarkEnt r: F a Y� , 'iOnly,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 g!)� outfalls, you must still submit this discharge monitoring report with a'checkmark here. °See General Perniiftext, Table 3; identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Z:\Environmental\industrial\PP-Pilgrim''sPride\MC-HorthCarohna\MC07-StaleyFeedmlll&Hatchery\MC07•DISPILL\2013 '.-, .,'. .. .. Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. 0 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [nNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: Ja, LA Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days !o of receipt of the lab results r 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 276991617 ji 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 ah t' qualified personnel -properly gatfier and=evaluate the information submitted. -Basedon-myinqui .-of,the person or -:persons who manage,the system, or those persons.directly responsible;for gathering the,information,'the information submitted is, to-the:besti= of my knowledge and belief, true, accurate, and complete. I am aware,that there are significant penalties for submitting'false information, including the possibility df fines and imprisonment for knowing violations." (Signature of Permittee) ll-a?-1,2 (Date) Additional copies of this form may be downloaded at: httPz/&ortal.ncdenr.or webLwa/ws/su/npde-ssw#tab-4 5WU-249 Last Revised: October 18, 2012 Z:\Cnvirunmental\industrlal\PP:pilgrim's Pride\PPNC-North Carolina\PPNC07-StaleyFcedmill & Hatchery\PP1,107.01 SP111\2013 M orutol .i t, Dorm 2 Environn :tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted .�, �,2017 gca Fs S-"b,n-,40_d (0/�olr7 CERTIFICATE OF COVERAGE NO. NCG06D12R SAMPLE COLLECTION YEAR _ _ ZO l ? FACILITY NAME _�� I ; ,im S _ _ _ FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY LejL ( use/process meats [] use animal fatsf MVIVED PERSON COLLECTING SAMPLES . IV(A _ _ _ _ _ _ DISCHARGING TO SALTWATERS? DYES ®NO VV II�� LABORATORY 1j(A I Lab Cert. # OCT $ Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE RE)9MAL FI ES Total event rainfall 1 or M No discharci f fr $Fxl nni Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Collform , Colonies per 100 ml Enterococci , Colonies eer 100 ml Benchmark - 100 or 50 Within 6.0 -- 9.0 120 30 1000 S00 ' 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? ❑ yes ❑ no Part B: Vehicle Maintenance Area Monitorine Results: only for facilities averaeine > 55 eal of new motor ail/month. (ff yes, complete Part B) 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 - ' 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. Z:\Envlrentnental\lndustrial\PP-Pilgrim'sPride\ PPNC-North Carolina\PPNC04-SanFordFresh Plant\PPNC04015PlLL\2013 Monitorine Form 2 Environmental Plan *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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 97NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: hn kdiiey Mall an original and one copy ofthis DMR, including all "No Discharge" reports, within 30 days ofreceipt of the lab re suits (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) 10-0-1J (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/��,kq/ws/su/nodessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z,\Envlronmentai\Industrial\PP•Pilgrlm'a Pride\PPNC-North Caro11na\PPNC114-5adord Fresh PlanL\PPNCO4-01SPSLL\2913 Monitoring Farm 2 Environn Aal Plan MENNEN SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED Date submitted Amr. 2ori k Ava 2 n) OCT 0 3 20V CERTIFICATE OF COVERAGE NO. NCG060 I '? y saIAMPLE COLLECTION YEAR 2a11 CENTRAL FILES FACILITY NAME 1-i Ig,r-LAIC' � FACILITY ACTIVITIES INCLUDE (check all that apply): CWR SECTION COUNTY LRAR 'ruse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES [NNO LABORATORY NIA Lab Cert. # ni/A Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Total event rainfall 2 or NJ 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 Coliform , Colonies per 100 ml Enterococci I, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 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 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. (ifves. complete Part B) 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 - 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. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 2:\Environmental\tndustrlal\PP-Pllgrim's Pride\PPNC•North Carolina\PM04•Sanford Fresh Plant\MC04.01SPILL\2D13 Monitoring Form 2 Environmental Plan *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 EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q 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." �'lik (Signature of Permittee) R- ?1- ( 7 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wp/ws/suingdessw#tab-4 SWU-249 Last Revised: October i 8, 2012 �%� _ Zu\Envlronmental\industrial\PP•Pilgrim'sPrlde\PPNC-NorthCarolina\PPNC04•San(ordFresh Plant\PPNC04.O1SPILL\2013 Monitornig Form 2 Environn,, Vital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Rate submitted "�%„? (u oi0��1} CERTIFICATE OF COVERAGE NO. NCG06_I Z_q_ SAMPLE COLLECTION YEAR 0�7 FACILITY NAME _ P,i. mS t— F�IjjY ACTIVITIES INCLUDE (check all that apply): COUNTY use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES qEp 0 S PffHARGING TO SALTWATERS? []YES KNO LABORATORY Lab Cert. # Z FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 �WR SECTION Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or b� No discharge this period3 Outfall No. 'Sam ple�Collectdd f mo/dd/yr TSS, mg/L. pH; Standard units COD, mg/L .Oil and Grease, mg/L Fecal Cal iform , Colonies -per 100 ml Enterococei , Colonies per 100 ml FBenchmark `100,or50° Within 6.6 — 9.0 { 120 30 1000 560 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? A yes ❑ 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 OiPand Grease; mg/L, TSS, mg/L pH, Standard -units NewVotor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 5.0 — 9.0 - 1 Only applies to facilities that use/process meats. ZThe 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. Zo\Environmental\Industrial\PP-Pfigrlm'sPrlde\PPNC-NorthCaroltna\PPNC04.5anfordFresh Plan t\PPNC04-o15PN,L\2013 Monitoring Form 2 Environmental Plan *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 I SECTION B. 6 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ENO ❑ REGIONAL OFFICE CONTACT NAME: nhn Hole.► 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 monitorina 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." -eb (Signature of (Date) Additional copies of this form may be downloaded at: htta;//portal.ncdenr.ore/web/wc1/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 's Pride\PPNC-North CarollRa\PPNC04-Sanford Fresh Plant\MC04.01 SPILL\2013 Monitorh,ii Form 2 Environn" , tal Plan 94111 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCGO60000 , / Date submitted L�.0 �011 -C �u.�� 2.oli RECEI V EQ CERTIFICATE OF COVERAGE NO. NCG06 D SAMPLE COLLECTION YEAR 02b iq AUG U S 2017 FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY R W,&Ah ❑ use/process meats ❑ use animal fats/byproducGENTRAL FILES PERSON COLLECTING SAMPLES %&Vid HLLkJ93 DISCHARGING TO SALTWATERS? ❑YES gNO DWR SECTION LABORATORY i2 J, A Lab rt. # 3 y Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z 0� 0 S or ❑ No discharge this period Outfali'No. Sample Collected, mo/dd/ , TSS, mg/L pH, Standard units' COD, m /L Oil -and Grease,, mg/L[ Fecal 'Co llfoim•,' Colonies'per 100 ml Enterococci-, T Colonies, per100'ml mBenchmark - . •100,or501' WlthK6:0`..-9:0 ' ( 120' 30 1000 560 S '� �- y a < 3I O 1 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 (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 pit; Standard,units New -Motor oil Usage, Annual average.gal/mo Benchmark - 30 106or.'S4 6.0 -- 9.0 - 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. Z'.\Environmental\Indus[dal\PP-Piltgrlm'sPride\PPNC-NarlhCarohna\PPNC04-Sanford Fresh l'lant\MC04-01SP[11. 2013 Monitoring Form 2 Environmental Plan *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 11 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 ll "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 THI� CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://gortal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Z:\Environmental\1 strlal\PP-Pllgrim's Prlde\PPNC-North Ceroll na\PPNC04-Sanford Fresh P1ant\PPNC04.O1 SPILL\2013 Monitor'rrid Form 2 Environn, )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted L--i 4 2Z17 ' u" Tui a IL6 f'1 CERTIFICATE OF C01/FRAGE NO. NCG06 a Z` SAMPLE COLLECTION YEAR oqW FACILITY NAME 1 FACILITY ACTIVITIES INCLUDE (check all that apply); COUNTY L2k. Z use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES W1.4 DISCHARGING TO SALTWATERS? [-]YES ZNO LABORATORY IIJIA Lab Cert. # q1A Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or O�No discharge this period3 OutfalllNo. ; SamplelCollected;, mo/dd/yr' : TSS, mg/L.• pH Standard,units• 1 COD, mg/L 011'and Grease; mg/L Fecal Coliform ,. Colonies per 100 ml Enterococci., Colonies -per 100 ml, iB.enchmark - 100,or.501, Within 6.0--9.0 ' 120 30 1000 50.0 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. ENTRAP FILES 3 For sampling periods with no discharge at � outfalls. You must still submit this discharge monitoring report with.a checkmark F_NT AL FIL N 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. ( f_yes, complete Part B) Outfall No. Sample � Collected, mo/dd/yr Oil and Grease, mg/L. TSS, mg/L pH, Standard units New Motor,0il Usage, Annual average gal/mo Benchmark - 30 100 or-50 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. s 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. ZT\rnvironmental\lndustrlal\PP-Pllgrlm's Pride\PPNC-North Caro11na\PPNC04-Sanfurd Fresh Plant\PPNC04-01 SP111\2013 Monitoring Form 2 Environmental Plan *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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO ❑ REGIONAL OFFICE CONTACT NAME: T�,l^ n 44.J Mail an original and one copy of this DMR, includina_all "No Discharge" reports, within 30 days of receipt niche 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I (Signature of Permittee) 9-a1-1-7 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wn/ws/su/nr)dessw#tab-4 5 W U-249 Last Revised: October 18, 2012~ Z:\Envlronmencal\{n~,5trial\PP•Pllgrim's Prlde\PPNC•North Carolina\PPNC04•Sanford Presh Plant\PPNC04-01 SPILL\2013 Monitoriri� Form 2 Environn`tal PIan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORTi, for North Carolina Division of Water Quality General Permit No. NCG060000 JUL Date submitted _1680-a0r) Q01'? Samples} s r �' CERTIFICATE OF COVERAGE NO. NCG06 0 r? L ,� SAMPLE COLLECTION,YEAR o� b � n � S. ; � ., T FACILITY NAME ' S64orCk Inc + SS'tnS, kA+ - t�,1At� r S _ FACILITY ACTIVITIES INCLUDE (check all that apply): ` COUNTY L"_ rse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES lcs-td C', verr,- re, DISCHARGING TO SALTWATERS? []YES E+ KO LABORATORY Q4_ A Lab Cert. # ?S4 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z ol. or ❑ No discharge this period' OutfalliNo.. i Sample -Collected; ` mo/dd/yr... TSS, 'mg/L pH; Standardlunits- COD, m /, Oil and'Grease; mg/L' Feca[Coliform , Colonies per-100'ml Enterococcl , ' Colonies er 100 ml' ;Benchmark. - 100,or 504 W1thin,6.0 - 9:0 120' 30 1000 500 0 7, o o 0 ' os 10, a 1 �s «� p D3 S 7, 95 S 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3For 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? 2 yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gai of new motor oil/month. (if yes, complete Part B) Outfall.No., Sample,Collected, mo/dd/yr Oil and Grease, mg/Ls. TSS, mg/L pH; Standard units New•Motor.011 Usage, Annual average gal/mo Benchmark. - 30 `, 100 or. 50 6.0 — 91.0 45 11, � -7.%0 l� <S 10. 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. Z:\Envirunmental\lndustrlai\PP-Pilgrim'sPrid e\PPNC-NorthCarollna\PPNC04-SanrardFresh Plan l\PPNC04.015Plt,L\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li 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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 4NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: +lollo.0 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: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncc enr.or webLwa/ws sun dessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z:\Environmental\,\..—.strlal\PP•Pilgrlm's Pride\PPNC-North Carolina\PPNC04•Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitori'rte Form 2 Environn;' )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 JUN 0 5 2917 Date submitted ftw 34, 11 (A s l E"14s) CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG065 S 7 '� SAMPLE COLLECTION YEAR !2mo DWR SECTION FACILITY NAME YJgKirn S FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY LAIL � [R use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES- �+� _ DISCHARGING TO SALTWATERS? ❑YES [3140 LABORATORY Lab Cert. # 01A PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall or 2�No discharge this period' Outfal(No. : Sample,'Collected; mo/dd/yr TSS, mg/L pH, I Standard units COD, mg/L 011'and'Grease,. ' mg/L Fecal Coliform , - Colonies-per,100-ml Enterococci , Colonies tier 100 ml' `Benchmark - 100ror Se Withirr6.01-10 120, 30 1000 Soo 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? 0 yes ❑ no fif yes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. OutfalENo. Sample'Collected, mo/dd/yr Oil and Grease, mg/Lt TS5, mg/L pH, Standar&units New Motor Oii'Usage, Annual average gal/mo I Benchmark - 30 100'or,SO 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. `See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Z•.\Lnvlrnnnnental\Industrial\PP•Pilgrim'sPride\PPNC•NorthCarolina\PPNC04-Sanford Fresh Plan l\PPNC04-01SPILI,\2013 Monitoring Form 2 Environmental Plan *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 S CTION 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 P NO ❑ , REGIONAL OFFICE CONTACT NAME: 5oA--,n �AbIk A.l_ Mail an original and one cony of this DMR, includina all "No Discharae" 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of ,(Date)! Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab^4 Last Revised: October 18, 2012 I Z:\Envlronmental\la 'strlal\PP-Pllgrlm's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitortnd Form 2 Environn .tal Plan, SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 O I 4 Date submitted ri 1 "? arcil QeSU 1+s) CERTIFICATE OF COVERAGE NO. NCG06_SAMPLE COLLECTION YEAR abt-7 FACILITY NAME hi 11,rlr"S FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY L'ga %J RECEIVED Buse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES r DISCHARGING TO SALTWATERS? OYES QqNO LABORATORY f,4- A Lab Cert. # 3y MAY 0 T-2017 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION Total event rainfall 1 d' 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 Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 504Within 6.0 — 9.0 120 30 1000 500 03 13 , .0 i 0"1 5 �18 '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? IX yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (± yes, complete Part B) Outfali 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 - o 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 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. Z:\Environmental\Industrial\PP-Pllgrlm'sPride%PPNC•NorthCarolina\PPNC04-Sanford Fresh Plan[\PPNC04.01SP[LL\2013 Monitoring Form 2 Environmental Plan *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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Ij SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES O ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES KNO ❑ 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 27699-16ILil 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) y-11-n (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.or web wQ/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 19, 2012 Z:\Envlronmental\Industrial\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Mant\PPNC04-01 SP1LL\2013 Monitorn Lg Form 2 Environn .tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted ,1 "& 1 '7 _M C'C-k (�a(Aifs) CERTIFICATE Of COVERAGE NO. NCG06 0 I ? 4 SAMPLE COLLECTION YEAR a6l7 FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY ,¢� [-use/process meats ❑ use ani al fats/byproducts PERSON COLLECTING SAMPLES �cr Q _C�uarera - • DISCHARGING TO SALTWATERS7 ]YES NO LABORATORY 4 Lab Cert. # _3�i I Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or YNo 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 Col orm , Colonies per 100 ml Enterococcl , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 C1Q 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? V'yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if yeS complete Part B) 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 - 60 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. Z:\Environmentai\Industrial\PP-Pilgrim'sPride\PPNC• North Carolina\PPNC04-SanrordFresh Plant\PPNC04.01SPILL\2013 Monitoring Form 2 Environmental Plan *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 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 ❑ 1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X 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 monit ro ing 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 (Date) Additional copies of this form may be downloaded at: htto://Portal.ncdenr.org/web/wglws/su/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Z:\Environmental\fndustrial\PP-Pligrim'sPrldo\PPNC•NorthCarohna\PPNC04Sanford Fresh Plant\PPNC04-015PILL\2013 Monitoring Form 2 � II Environmental Plan . Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC �or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant _ _ - County: E L° Phone No. V g ` q IF-- " 71 . Inspector: arei Date of Inspection 3- 3 i - Irl Time of Inspection: Y Total Event Precipitation (inches): O31O Was this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? W Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable ston-n event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Z:\Envhnntnental\tndustrtal\PP-PliFim'sPride\PPNC-NorthUratina\PPNC04-Sanfordfresh %anl\PPNC04-01SPILL\2013 Monitoring Form 1 Environmental Plan 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) pi p-E—> Receiving Stream: 12PBP ?,,er Describe the industrial activities that occur within the outfall drainage area--- Pn H If ,-I)l -PrD Le 53, t e1 a 2. Color: Describe the color of the discha1(*, using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ��O 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): \r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is - clear and 5 is very cloudy: 1 2 3 A\ 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 <J? 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2T) 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stonmwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe N 0s1 e Note. Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. FH & q4 SWII-242, Last modified 10/25/2012 Zu\Environmental\lodustrlal\PP-Pllgtitn's PrYde\PPNC-North Carallna\PPNC04-San Ford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form I Environmental Plan; L� SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted March, 2017 (2/2017) RECLzI# �xr-j CERTIFICATE OF COVERAGE NO. NCG060174 SAMPLE COLLECTION YEAR _2017 FACILITY NAME _Pilgrims FACILITY ACTIVITIES INCLUDE (check all that a : 03 2017 COUNTY Lee ®use/process meats ❑ use artima�py�rQducts PERSON COLLECTING SAMPLES Jared Guerrero DISCHARGING TO SALTWATERS? [:]YES'S`E+�CCTTION LABORATORY R&A Lab Cert. # _34 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2. 0.70 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 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 500 001 02/15/17 U 3 40 S a 002 02/15/17 &q. 5 1.77 003 02/15/17 9.10 ( < a (coo 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. (ifyes. complete Part B) 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 - 001 02/15/17 C 5 ��, a �, 64 002 02/15/17 .45 64 003 02/15/17 45 $, to 64 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 any outfalls, you must still submit this discharge monitoring report with a checkmark here. Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-NorthCarollna\PPNC04-5anfardFresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER Z REQUIREMENTS. SEE PERMIT PART It 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 ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: John Holley Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the tab results for at end of monitories 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) 3-A-11 _ (Date) Additional copies of this form may be downloaded at: htto://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-North Carolina\M 04-5anfordFreshPlant\PPNC04-015PILL\2013 Monitoring Form 2 Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report j Permit No.: NC Or Certificate of Coverage No.: NC6060174 Facility Narne: Sanford Processing Plant County: Le e_ Inspector: Me Date of Inspection Guerre r< ;�-15-19 Total Event Precipitation (inches): . 10 Phone No. Time of Inspection:: co 7 Ws a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittec obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Z:\Envtranmental\Industrial\PP-Pllgrlm'sPride\PPNC-NarthCarollna\PPNC04-SanrordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. �� Structure (pipe, ditch, etc.) Ptpp Receiving Stream: Describe the industrial activities that occur within the _ outfali drainage area: u )+C _ !- -c,S_ 1� _ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 'I q c^a tJ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ go $M e U ^� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1� 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (1) 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: l V 3 4 5 7. Is there any foam in the stormwater discharge? Yes a 8. Is there an oil sheen in the stormwater discharge? Yes Z) 9. Is there evidence of erosion or deposition at the outfall? Yes ',& 10. Other Obvious Indicators of Stormwater Pollution: List and describe N(2y1 e Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. pfl 'Rto3 SWU-242, Last modified 10/25/2012 Z:\Envtronmental\Induslrlal\PP-P11gr1m's Pttde\PPNC-North Cara[Ina\PPNC04-San[ard Fresh Plant\MC04-01 SPILL\2013 Monitoring Form 1 Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC la _ r Certificate of Coverage No.: NC0060174 Facility Name: Sanford Processing Plant County: Lee Phone No. 9) 9 "1 rl y ,rI Inspector: Zc,ra Date of Inspection: Total Event Precipitation (inches): v 90 Time of Inspection: Was his a "Representative Storm Event' or Measureable Storm Event: as defined by the permit? Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event' or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office, By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Z:\Envtronmentai\Industrial\PP-PllgdnisPdde\PPNC-NnrthCarohna\PPNC04-SanrardFreshPlant\PPNC04-01SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. a Structure (pipe, ditch, etc.) P� e Receiving Stream: e,r Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ed U !n 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly ofoil, weak chlorine odor, etc.): tl 0C1e. 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: I Q 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids- 1 2 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1® 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes Q 10. Other Obvious Indicators of Stormwater Pollution: List and describe C\on-e_ Note. Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. P� 9,99 SWU-242, Last modified 1012512012 Zu\Envirunmental\lnduslrlal\PP-Pllgrlm's Prlde\PPNC-North Carotin\PPNC04-Sanford Fresh Plaw\PPNC04-01 SPILL\2013 Monitoring Form I Environmental Plan Storrlr><water Discharge Outfall (SDO) ' Qualitative Monitoring Report Permit No.: N Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: Le- � Phone No. Inspector: cc4 er Date of Inspection: Q - 15 - I r1 Time of Inspection: 0 s °3 S Total Event Precipitation (inches): . rl Was this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? NYes ❑ No ' Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: J". (Signature of Permittee or Designee) 2.\Environmental\Industrlal\PP-Pilgrim'sPrlde\PPNC-NorthCarollna\PPNC04•SanfordFresh P1ant\PPNC04-01SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. 3 Structure (pipe, ditch, etc.) P, a,e Receiving Stream: i Describe the industrial activities that occur within the outfall drainage area:^ - - - PD_Ql -n4 PcQcc -c 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: &os, 3 '\3 i 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _QM< . ^ 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 3® 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2CP 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 2 (1) 4 5 7. Is there any foam in the stormwater discharge? Yes ttb S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/depositionf may be indicative of pollutant exposure. These conditions warrant further investigation. PH S'. � o 5WU-242, Last modified 10/25/2012 Z:\E:nvi a mental\IndusUlal\PP-PLI Vim's Prt4e\PPNC-North Carolina\PPNC04-Sanlord Fresh Plant\PPNC04.01 SPILL\2013 Monitoring Form I Environmental Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted Feb 26, 2017 (1/2017)_ CERTIFICATE OF COVERAGE NO. NCG060174 RECEIVEQAMPLE COLLECTION YEAR _2017 FACILITY NAME _Pilgrims MAR 0 2 Z017 FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lee ® use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jared Guerrero CENTRAL FILES DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY R&A Lab Cert. # 34 UWR-MCTION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 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 Collform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 001 002 003 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if ves, complete Part B) 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 - 64 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. Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC•NorthCarolina\PPNC04-SanfordFresh Plant\PPNC04-015PILL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK £XCEEDANCE 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: John Holley Mail an origlnal 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) 6 it / -;7— (Date) Additional copies of this form may be downloaded at: http:/Iportal_ncdenr.org/web/wci/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z:\Environmental\Industrial\PP-Pllgrim'sPrlda\PPNC-NarthCarulina\PM04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring )Form 2 Environn .tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted. CERTIFICATE OF COVERAGE NO. NCGOO�L k -L SAMPLE COLLECTION YEAR %kQ 1-7 _ FACILITY NAME , E[)FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Ouse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES G13 DISCHARGING TO SALTWATERS? ❑YES [210 LABORATORY f— _ Lab Cert. EN DWR "11 F LES ON PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results -Total event rainfall . (c A or ❑ No discharge this period .Outfall No. .._ Sample Collected,. mo/dd/yr w..:,TSS, W_.-_ �; ,�mg/t : ' _-_. w . pFi, _ _. Standard units COD, mg/L _.Oil and Grease,_ __ mg/L .. .Fecal Goliform , --•. Colonies per iDd ml "•-Enteracocci ,- • - - Colonies per 100 ml Benchmark - y : ',100 or 50 •Within 6.0 — 9.0 120 30 1000 S00 001 .19 a <S a a• a � � ' 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. 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. (ifyes• complete Part B) Outfall No. ".Sample Collected, Oil and Grease, TSS, pH, Stan( a units New Motor Oil Usage, -- Annual average gal/mo Benchmark 30 100 or SO _ ' 6.0 — 9.0 - ta - < 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 �( outfalls, you must still submit this discharge monitoring reportwith a'checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 7-\Envlronmenai\Industrial\PP-Pilgrim'sPrlde\MC-NorthCsro11na\PPNC07-Sa1eyFeedmill&Hatchery\PPM07.015PILL\2013 Environmental Plan *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 EI-wO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [�] NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cooy 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." P (Signature of Permittee) ►-114S (Date) Additional copies of this form may be downloaded at: htti3://Dortal.ncdenr.ora/web/wq/wslsu/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 I ntlustrial\PP.-pilprim's Pride\PPNC-North C2rG11na\PPNC07•Sta1ey FeedmilI & Hatchery\PPNC07.01 SPI11\2013 Monito►.a- Form 2 Envlronn tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 30. 11 CERTIFICATE OF COVERAGE NO. NCG06Ci L- SAMPLE COLLECTION YEAR 0!0 l 1 l E n FACILITY NAME i FACILITY ACTIVITIES INCLUDE (check all that apply: COUNTY Lg lxuse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Cal DISCHARGING TO SALTWATERS? ❑YES �NO LABORATORY 1,4 / �_ Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or [�(No discharge this period' .Outfall No. _._ Sample Collected,. Mo/dd/ 5r _._ .;.TSS,�_._.. mg/L _ ...__�pH, - ._ ..... Standard units COD, ._ .. mg/L .Oil and Grease,-_ _..- mg/L - _.Fecal Coliform , .- -• Colonies per 100 ml "-- - .Enteracocci ,.. -.- Colonies per 100 ml Benchmark - Z00 or 50 Within fi.0 -- 9.0 120 30 1000 500 - 1 Only a pplies 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. Did this facility perform Vehicle Maintenance Activities using more than'55 gallons of new motor oil per month? 0 yes ❑ no Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. @f_yeJ complete Part i3) Outfall No. :-.Sainple Collected,- mo%dd/.yrr Oil and Grease, mg/L ;•...,-.-..- ,TSS, f'..� _ ° rng%L '. _ pH, Standardi units New Motor Oil Usage,.,' Annual average gal/mo ;• Benchmark L'=;'=' 30 100 or 50 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 pn� 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. Z:\EnWronmental\Industrial\PP-Pllgrlm'sPrlde\PPNC-NorthCarolina\PPNC07-StaleyFeedmill&Hatchery\PPNC07.01S PILL\20I3 ���.".. Environmental Plan *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 I S CTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE. BENCHMARK EXCEEDWCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES IV, NO ❑ IF YES, HAVE YOU CONTACTED THE D Q REGIONAL OFFICE? YES/ NO ❑ REGIONAL OFFICE CONTACT NAME: Q�i Mail an original and one copy of this DMR includin all "No Discharge" re arts within 30 days of receipt of the lab results or at end of monitorin period in the case of "No Discharge" reparts j 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." 0 (Signature of (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.ocg/web/wa/ws/suLnpdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Ina ustrial\PP.pllprim's Pride\PPNC-North Carolina\PPNC07-Staley Feedmilt & Hatchery\PPNC07.01 SPILI.\Z013 Monitoi ,ary Form 2 ,.. Environmental Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06D-L-7 44 FACILITY NAME ?dC riMS COUNTY LQ- PERSON COLLECTING SAMPLES 3ared LABORATORY_d,A Lab Cert. # 34 9 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR FACILITY ACTIVITIES INCLUDE (check all that apply): Ouse/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES EXO PLEASE REMEMBER TO SIGN ON THE REVERSE -) Totol event rainfall 2 or Ea'No dischorge this perioa3 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 mi Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 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 Mai ntenance.Activities using more than 55 gallons of new motor oil per month? 2yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (ify S complete Part B) 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 - 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. Z:\Environmental\Industrial\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04•Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form 2 Environmental Plan *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 EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ErNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [� NO ❑ REGIONAL OFFICE CONTACT NAME: ui �olf�u Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoriin 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 Perm QJ3011 b (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z:\Environmental\Industrial\PP•Pilgrim's Pride\PPNC•North Carolina\MC04-Sanford Fresh P1ant\PPNC04.01 SPILL\2013 Monitoring Form 2 y.. Environmental Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted Nov 29, 2016 CERTIFICATE OF COVERAGE NO. NCG06 017 4 FACILITY NAME-. Pilgrims„_--�C� COUNTY Lee PERSON COLLECTING SAMPLES N/A DEC 0 LABORATORY NIA Lab Cert, # l DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 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 4 Total event rainfall 2 or M No discharge this period3 r'Ou4faN�No: -, a4 `Sample Collected, J� •.'ma/dd/,yrr. "J S. ttjlt" 1,TS5, .� „ n", ?rng/,L�� >;;;wStandardiunits,;, �t G ;,R+, ,-.: s. . �.; r,,''H,r - P2 + �' `YCOD, i ` f .'wamg/L'�?;;t . i'*..1 - ' ' -Oil and,G�ease, + a ri ,,mg/L 1 + r : Fecal Coliforma, K ' t' . t, l t 1 ;Colonies 'er;!100 ml� ).i a Enterococci ,u°�, �� y Colonies perr100'ml .,;100`or�50.,k i!Within`6V" ,9:Oft° `120"'t" ` `. , ,, 0+„ 3 100 p� _IA ' E'.. 5i?0` 001 002 003 ' 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. (Ives, complete Part B) }=a 'W "'tfall Nok *r =. µk t ` le'Colle tl�<� Sammo dd�{, / /y , - l Oi1 and Grease,>, :,,' , m L. s +::x i TSS g/L 1. %. N ` F ea .: P, Standard+units,w•Annual,,average,gal/mo t New Motor Oil.Usa a .a g , ^' ll Benchmark ;.. :,,. ,�, ;. :.� 30 100 0�50 6.0, ,9. 0`+',,,. 001 62 002 62 003 62 ' 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. Z:\Environmental\rndustrial\PP-Pflgrlm'sPride\PPNC- North Carollna\PPNC04-SanrordFresh Plant\PPNC04.01SPILL\2013 Monitoring }'orrh 2 1 Environmental 1PIan *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: John Holley one coov of this DMR. includina all "No Discharae" period in the case of "No Discharae" 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 be: 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) I 1-3a -t� (Date) Additional copies of this form may be downloaded at: ht�llportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October; [8, 2012 Z:\Environmen tal\Industrlel\PP-Pilgrim's Prlde\PPNC•North Carollna\PPNC04•Sanford Fresh Plant\PPNC04-01 SPll.l.\2013 Monitoring Form 2 Environnt " i.tall Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING -REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 2d,1b { A2dlb} CERTIFICATE OF COVERAGE NO. NCG06 0 1 FACILITY NAME 91f`,CnS COUNTY Lea - PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR c%a FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES EINO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or M No discharge this perioda Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L OII and Grease, mg/L Fecal Coliform 1, Colonies per 100 ml Enterococcl , Colonies per 100 ml Benchmark 1 100 or SO 4 Within 6.0 — 9.0 120 30 1000 50o a0 90 1 Only applies to facilities that use/process meats. CENTRAL FILES 2The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 3 For sampling periods with no discharge ate outfalis. 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? A yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if ves, complete Part B) I Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, 11 Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - { I 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 gny 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. Z:1Fnvi rnmmrntalV lndustrfallPP•PII¢rim's Prid6PPNC-North Carolina\ PPNC04-Sanford Fresh Plant\PPNC04.01 SPlLM013 MonitorinL- Form 2 Environmental Plan *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 11 SECTION � r • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR T E SAME PARAMETER AT ANY ONE OUTFALL? YES N I -Zd'i IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YESSNO q-,16,1i REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR,including all "No „Dischar e" rMortsf within 30 day s 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, 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) 9-a�-�� (Date) Additional copies of this form may be downloaded at: httn://Portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Z:\Environmental\fndnatrial\P't,Pligrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-01 SP]LL\2913 Monitorn, -t Form 2 \ r { Environn _ ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECUV D for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted �610c1 ,1 —I CERTIFICATE OF COVERAGE NO. NCG060 L? Lf SAMPLE COLLECTION YEAR SDI to MTRAL FILES FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply): DWR,SECTION COUNTY UP- ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTINGAMPLES DISCHARGING TO SALTWATERS? DYES �NO LABORATORY I�`�' Lab Cert. # 3 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 or kNo 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 Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 - 9.0 120 30 1000 Soo dl RECEIVED CENTRAL FILES I Only applies to facilities that use/process meats. UWR SECTION 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. (if ves= complete Part B) 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 1- 30 1 100 or 50 6.0 — 9.0 - 3 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. Z:\Environmental\Industrial\PP-Pilgrim'sPrlde\PPNC-NorthCarollna\PPNC04-SantordFresh F1ant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES k NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: �n DIIeU 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) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr__ore/web/wq/ws/su/npdessw#tab-4 SWU-249 Lest Revised: October 18, 2012 Zr\Environmental\lndustriai\PP-Pilgrim's Pride\PPNC-Nnrth Carolina\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 { Monitoril.g Form 2 •- (Environli _ itai Plan �`. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted t Zfo Q fur / A," CERTIFICATE OF COVE GE NO. NCG061:) t -7 'i SAMPLE COLLECTION YEAR C�o 1(p FACILITY NAME FACILITY CTIVITIES INCLUDE (check all that apply): COUNTY 1 Qg use/process meats [],use animal fats/byproducts PERSON COLLECTING SAMPLES _ i W DISCHARGING TO SALTWATERSizQYES ONO LABORATORY ' Lab Cert. # // Part A: Stormwater Benchmarks and Monitoring Results PLEASE RRRkM�1�ER TO SIGN ON THE REVERSE 4 Total event rdi �f !! 2 or � o discharge ttii iperrod 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 Ekei0cocci , Colonies er 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 16 S00, 6b rr} u L ram) } I Only applies to facilities that use/process meats. CENTRAL FILES 2The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 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. (if ves• complete Part 8) 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 - b - 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. Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-NorthCarollna\PPNC04-SanrordFresh Plant\MC04-01SPILL\2013 Mnnitnrinu Fnrm 7 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXC£EDANCES 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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO +P IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 7 NO ❑ REGIONAL OFFICE CONTACT NAME: 44oIIiLj Mail an original and one copy of this DMR, including al! "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. 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) b x3-1 i {o (Date) Additional coplTs of this form may be downloaded at: http://Portal_ncdenr.orrg/web/wQLws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 _, _ — Z:\Environmental\indusMal\PP-Pllgrim'sPride\PPNC-NorthCarollna\PPNC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2 r- Environn ital Plan r. •�. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted ,fw� Z�1 ZoI , 6-ri. A A- ) CERTIFICATE OF COVERAGE NO. NCG067 SAMPLE COLLECTION YEAR ;-?6 1 G, FACILITY NAME rl I 5rNv,S.FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lae � use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Ili. Was 6r, 'Ds-\ kId/tai DISCHARGING TO SALTWATERS? ❑YES ZNO LABORATORY d- � Lab Cert. # 3y _ Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z d gd 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 Coliform , Colonies per 100 ml Enterococcl , -Colonies per 100 ml Benchmark - 100 or SO Within 6.0 — 9.0 120 130 1000 Soo jr, (08 rXECEIVErl- 1 Only applies to facilities that use/process meats. "v"- u to iD 2The total precipitation must be recorded using data from an on -site rain gaugeCENTRAL i=l 3 For sampling periods with no discharge at any outfalls. You must still submit th0*0ig ring 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. (ifyes• complete Part B) 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 SO 6.0 — 9.0 - ia -7.51 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 gny 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. Z:\Environmental\lndustriai\PP-Pilgrim'sPride\PPNC-NorthCarollna\PPNC04Sanford Fresh Plant\PPNC0401SPILL\2013 — Mnnitnrinll Fnrm 7 Environmental Plan *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 S CTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES V-NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on final and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results [or at end of monitor 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 11 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) (%Ir� (Date) Additional copies of this form may be downloaded at: htto://nortal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 'S Z:\Environmental\lndustrlal\PP-Pilgrlm'sPrlde\PPPfC-NorthCarohna\PPNC04-SanrordFresh Plant\PPNC04.01SP1LL\2013 MonitoruLg Form 2 Permit No. : Facility Name: County: L lnspector::z Date of In5DEe1 Environmental Plan RECEIVED Stormwater Discharge OutfallISDO) JUL 0 5 2016 Qualitative Monitoring -Report CENTRAL FILES DWR SECTION NC Or Certificate of Coverage No.: NCG060174 Sanford Processing Plant Total Event Precipitation (inches): Q, IQ Time of Inspection: ' Was his a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? i Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. `V�y this signature, ,,I certify yt�that this repport is accurate and complete to the best of my knowledge: of Permittee or Designee) Y� ti i 7.:\Envlronmental%tndusWal\PP-Pllgrlm'sPride\MC-NorthCaro[ina\PPNC04-Sanford Fresh Plant\MCO"IMLL\Z013 Monitoring Form I Environmental Plan ,1. Outfall Description: Out ; No. 3 Receiving Stream: outfall drainage area: Structure (pipe, ditch, etc.). J 2. Color: Describe the color of the discharge using basic colprs (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Q Co yJ 4 -- L, ; C -A t �� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Wo 4. Clarity: Choose the number whick best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: 1 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 (9 3 4 5 7. Is there any foam in the stormwater discharge? Yes CN 8. Is there an oil sheen in the stormwater discharge? Yes 9'. Is there evidence -of erosion or deposition at the outfall? Yes { N 10. Other Obvious Indicators of Stormwater Pollution: List and describe 11!0 44 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25!!'012 Z.\Envlr43nmentai\lndustrlal\PP-Pilgrim'sPrlde\PPNC-NorthCaro11na\PPNC04-SanrordFreshPlant\PPNC04-01SPILL\2013 Monitoring Form l !� Environn rtal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 1to, a O 1 [n CERTIFICATE OF COVERAGE NO. NCG06 0 _L RECEIVED FACILITY NAME pl l a f+ M 5 COUNTY L-eA- - MAY 31 Z016 PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # CENTRAL FILES D SAMPLE COLLECTION YEAR 20 1 FACILITY ACTIVITIES INCLUDE (check all that apply): In use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 n d?�CQ Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or Ej No discharge this perio 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 Enterococci , = ,,, Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo uniy appues to racllltles that uselprocess meats. 'The 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ 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 50 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 i3y 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. Z:\Envimnmental\fndwstrlal\PP•PllgMm'sPrfde\MC-NorthCarollna\PPNC04.SanfordFresh P1ant\PPNC04.01SPfLL\2013 Monitorimy Fnrm 7 Environmental Plan *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 ANYONE OUTFALL? YES []NO[] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGiONAL OFFICE CONTACT NAME: Mail an original and one cony 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. 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) mag lk Ib (Date) Additional copies of this farm may be downloaded at: I)ttp://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 s Z:\Environmental\lndusba1\PP-Pllgrim'sPride\PPNC-Northr-arollna\PPNCD45anfordFresh Plant\PPNC04-D1SPILL\2013 Monitornig Form 2 it Environnr ital Flan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted I(Y AU 160 20110 /A" t-31?�oll� CERTIFICATE OF COVERAGE NO. NCG06 d L l-SAMPLE, COLLECTION YEAR 2oi b -FACILITY NAME : P �OrimS FACILI ACTIVITIES INCLUDE (check all that apply): 0. CC}UNTY.t l:¢¢. Ewse/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES tilirYii�0. _ - DISCHARGING TO SALTWATER5s* YES ❑NO LABORATORY! Rol• A _ _ - Lab Cert. #,0�4 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall1or ❑ No discharge this period ' Outfall No. � � "Sample Collected, mo/dd/yra - - � 'T55; • `" mg/L '-^• "" pH, ' -Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 mi Benchmark 100 or 50-.'!Within 6.0 -.L 9.0 ' k '' 120 30 1000 5o0 �03 .5 < 00 V 1 Only applies to facilities that use/process meats, CENTRAL FILES 3The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 3 For sampling periods with no discharge at 2a 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? Oyes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if yes. complete Part B) Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual avera a gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 00 ro �` S s 9- ' rt 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 pny 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. Z.\Environmental\Industriai\PP•Pilgr[m'sPrlde\PPNC•NorthCaralina\PPNC04•SanfordFresh Plant\MC04-01SPILL\2013 A/�nnrhnrinrr L'��` 1 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li 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 C,NO ❑ a,� IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [& NO ❑ REGIONAL OFFICE CONTACT NAME: Co 3 Mail an original and one cony of this DMA, includinaall "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorin 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.ofifines and imprisonment for knowin' g violations." (Signature of Permittee' 51t�1�� (Date) Additional copies of this form may be downloaded at: http://po_rtal,ncdenr.org/web/weLws/su/npdessw#tab-4 r J S WU-249 Last Revised: October 18, 2012 Z:\Environmental\lndustrlel\PP•Pligrim'sPride%MC•NorthCarolina\PPNC04MSantordFresh Plant\PPNC0401SP[LL\2013 Monitnrlllu Fnrm 7 r Environmental Plan Permit No. : Facility Name: County: t Inspector: Date of lnspecti Stormwater Discharge Outfatl.(SDO) Qualitative Monitoring' Report NC 7)x5-7 Or Certificate of Coverage No.: NCG060174 Sanford Processing Plant Total Event Precipitation (inches): D, n Was is a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local D WQ Regional Office. t py this signature, I certify that this report is accurate and complete to the best of my knowledge: of Permittee or Designee) I 2:\Envtmnruental\lndusuial\PP-Pilgrtm'sPride\PANG-NorthCaruHnA\PYNC04-Sanford Fresh Plant\PPNC0"I0 PILL\2013 Monitoring Form i ti Environmental Plan 1. Outfall Description: oOu No. 3 Receiving Stream: t T outfall drainage area: I Structure (pipe, ditch, etc.) scribje the industrial activitipe�t occur within the It] H.-, t 'n/VVIo <<- "el 2. Color: Describe the color of the discharge using basic colprs (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _� ro W ri -- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): -AL42 ®yam 4. Clarity: Choose the number whit best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: la 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 10 3 4 5 7. Is there any foam in the stormwater discharge? Yes N 8. Is there an oil sheen in the stormwater discharge? Yes 9: Is there evidence.of erosion or deposition at the outfall? Yes 10.Oth'er Obvious Indicators of Stormwater Pollution: List and describe Wo Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 2:\Em]ronmenta]\Indastrta]\PP.Pl]grim'sPrlde\PPNC-NorthCarollna\PPNC645antordFresh Plant\PPNC0"1sPILL\2013 Monitoring Form I Environrls y ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000' Date submitted , MpQ 116. 201 ka _ ( r APr: l Zol{�) CERTIFICATE OF COVERAGE NO. NCG0641 _7 SAMPLE COLLECTION YEAR 2016 FACILITY NAME J§eEI V TY ACTIVITIES 'INCLUDE (check all that apply): COUNTY Le&_ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES MAY 2 3 2dikHARGING TO SALTWATERS? ❑YES [SNO LABORATORY Lab Cert. # rENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or ® No discharge this period3 Outfall No. Sample Collected; mo/dd/yr : • TSS, : mg/L pH, Standard units COD; MOIL Oil and Grease, cmg/L' .. = Fecal Coliform , Colonies per 100 ml Enterococci , Colonles er 100 ml Benchmark - 100 or 50 . Within 6.0 — 9.0 ' 120 - : 30 _ , 1000 500 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no e Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (iM complete Part B) 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 z 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. Z:\Envlronmentat\Industrial\PP•Pligrim'sPride\PPNC•NorthCarollna\M 045anfordFreshPlant\PPNC0401SPILL\2013 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCE5 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE 'FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES D IVO ❑ Ow- `lA,(( IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [v� NO ❑ As 9�- oc+rj ef- 3 REGIONAL OFFICE CONTACT NAME: _ Se�n }{ a11(L&r Mail an original and one copy o f 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 4�� 0 (Signature of Permittee) Mau 2016 (Date) Additional copies of this form may be downloaded at: htto://portal.ncdenr.orglweblwct/ws/su/npdessw#tab-4 5 WU-249 Last Revised: October 18, 2012 HER -- -- — — -- ��r Z:\Environmental\industrlai\PP-Pilgrim'sPrldr.\PPNC•NorthCaroiIna\PPNC04-Sanford Fresh Flant\PPNC04-015PILL\2013 Mnnitnr\mv Fnrm 7 Environn Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPOR for North Carolina Division of Water Quality General Permit No. NCG0600 0 Date submitted Wa I b CERTIFICATE OF COVERAGE NO. NCG06?01: SAMPLE COLLECTION YEAR C901'6 _ FACILITY NAME ail grimy _ FACILITY ACTIVITi[S1NCLUDE (check all that apply): Le - COUNTY [+use/process cleats ❑ use animal fats/byproduct PERSON COLLECTING SAMPLES Virili W0L+s`w1 DISCHARGING TO SALTWATERS? ❑YES [XNO LABORATORY_ 4A Lab Cert. # -3 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -) Total event rainfall Z 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 Coliform , Colonies per 100 mi Enterococci , Colonies per 100 ml .Benchmark - 100 or 504Within 6.0 - 9.0 120 30 1000 5b0 a I6 a+'p 71(b o Saoo alyl/b --'s 7-7S 50 .e-5 s a ll, .a,? 5a s a`i41 FEB TT7W '"Only applies to facilities that use/process meats. DWR SECTION 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? [ yes ❑ 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, mgLL TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9.0 - a ib <5 96 19 ollg1ji, 45 /_5 -7- 78 3 1 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. aFor 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. Z:\Environmental\industrial\PP•Pilgrim'sPride\PPNC-NorlhCarohna\PPNC04-SanrordFresh Plant\MC04.01SPILL\2013 Monitoring Form 2 Environmental Plan *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 DUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S�&ION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES El NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME:'�hn �iollaa, Mail an original and one covy of this DMR includin all "No Discharge" re orts within 30 days o recei t 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, Vhose persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, tru ,ac urate, and complete. I am aware that -there are significant penalties for submitting false information, including the possibility of fund imprisonment for knowing violations." (Signature of ,Z , /� (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 MEMM NX01 -- Z:\Environmental\Industrlal\PP•Pilgrim'sPrlde\PPNC•NorthCarollna\PPNC04SanfordFresbPlant\PPNC04.01SP1LL\2013 Monitoriujz Form 2 Environn ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Qu lity General Permit No. NCG060000 FEB 2 3 2016 Date submitted _ $ Zb10 CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG06Q_L1,�L_ SAMPLE COLLECTION YEAR go 16 DwR SECTION FACILITY NAME . _ ?0gr1m % FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Leo. T [ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Ula k�chQy DISCHARGING TO SALTWATERS? DYES [3 0 LABORATORY 1 A_ A, Lab Cert. # 314 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or [►�No discharge this period3 Outfall No. Sample Collected, mo/dd/ r 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 50 Within 6.0 — 9.0 120 30 1000 S00 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? Eyes ❑ no Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if yes' complete Part B) Outfall No. Sample Collected, mo/dd/yr Oil and Grease, 'mg/L TSS, mg/L pH, Standard units New Motor ON Usage, Annual average gal/mo Benchmark - 30 100 or 50 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. Z:\Environmental\[ndustrlal\PP-Pilgr[m'sPride\PPNC-NorthCarolina\PPNC04•SanfordFresh P[ant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES (INO ❑ REGIONAL OFFICE CONTACT NAME: �Ao 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 eriod 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 andirrr�%onment for knowing violations." (Signature of 2 lI 1—�6 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.ore/web/wp/ws/su/npdessw#tab-4 M Last Revised: October 18, 2012 Z:\Environmental\lndustrlal\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04Sanford Fresh PIant\PPNC04-01 SPILL\2013 M onitorn tg Form 2 1 Environmental Plan -- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: Lee _ Phone No. Inspector: 56a.i Date of Inspection: _ % • 4 � xo l to Time of Inspection: Total Event Precipitation (inches): Was this a "Representative Storm Event' or Measureable Storm Event: as defined b rmit? ayes 0 No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. r A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approvalf�sxi the local DWQ Regional Office. By thi�ature, 1 ce ify that this deport is accurate and complete to the best of my knowledge: (SignaturesPermittee or Designee) Z;\Environmental\Industrial\PP-Pllgrlm's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-015P1LL\2013 Monitoring Form 1 Environmental Flan. ,- 1. Outfall Description: Outfall No. #3 Structure (pipe, ditch, etc.) R;Pe, Receiving Stream: ' i"VPv— Describe the industrial activities that occur within the r outfall drainage area: T 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ `"qh+ brow►. 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, -etc.): +donee 4. Clarity: Choose the number whichbest describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 W 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 O 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of sus ended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 13 4 5 7. Is there any foam in the stormwater discharge . es No S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes ©o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 7:\Envtronmen4t\industrial\PP-Piigrlm'sPride\PPNC-North Carolina\PPNC0 Sanford Fresh Plant\MC040ISPiLL\2013 Monitoring Form I L1 Environmental Plan �- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC Or Certificate of Coverage No-: NCG060174 Facility Name: Sanford Processing Plant County: L_e� Phone No. Inspector: if, W A Date of Inspection: a_a.{ . "a e, Time of Inspection:_ I I ; 2,5 cL,m Total Event Precipitation (inches): Was this a "Representative Storm Event' or Measureable Storm Event: as defined by the permit? [ "1 Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. f A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval' is representative for local storm events during the sampling period, and the permittee obtains approval from the IjKal DWQ Regional Office. By this signature, I certi at -this report is accurate and complete to the best of my knowledge: or Designee) Z:\Environmental\lndustrial\PP-Pllgrlm's Pride\PPNC-North CaroOna\PPNC04-Sanford Fresh Plant\PPNC01-01 sPiLL\2013 Monitoring Form I a - H - as l (o , I . 6;) Environmental Plan . 1. Outfall Description: Outfall No. Receiving Stream- R;Ver outfall drainage area- _ Structure (pipe, ditch, etc.) - P; pe Describe the industrial activities that occur within the 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 'B u i-4 0/ medium IiM. 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Alo odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: 1 2 3® 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 (b 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 2 © 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes S 9. is there evidence of erosion or deposition at the outfall. Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 Z:\Environmental\Industrial\PP•Pilgrlm's Pride\PANG-North Carolina\PPNC04Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form 1 Environmental Plan .�- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: ], M Phone No. Inspector: (,)j Date of Inspection: a . 4 Time of Inspection: Total Event Precipitation (inches): Was this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? QYes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representativSfgr local storm events during the sampling period, and the permittee obtains approval fr local DWQ Regional Office. By this signature, I certhat this report is accurate and complete to the best of my knowledge: or Designee) Z:\Environmental\lndustrlal\PP-PllgHm'sPride\PPNC-NorthCarnllna\PPNC04•SantordFresh Plant\PPNC"01SPILL\2013 Monitoring Form I de Environmental Plan 1. Outfall Description: Outfall No. # a Structure (pipe, ditch, etc.) ?q'L Receiving Stream: �i Pf' Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1, �h+ h rock tii V 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): M 0 0do r- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1(J) 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 ® 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of sus ended solids in the stormwater discharge, where l is no solids and 5 is extremely muddy: l3 4 5 7. Is there any foam in the stormwater discharge? Yes �l J S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10.Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 Z\Environmental\!ndustrial\PP-Pllgrim'sPride\PPNC-HarthCarolina\PPNC04-SanfbrdFr hPlant\PPNC04015P1LL\2013 Monitoring Form 1' Environn' )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted (ac o'I of 0 CERTIFICATE OF COVERAGE NO. NCG060 SAMPLE COLLECTION YEAR 2014 FACILITY NAME _evA 4r, _ _ _ FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lea_ _ RECEI VV 1�1 Q use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES _ l5n d n _ _ G_ _ HARGING TO SALTWATERS? []YES 219-0 LABORATORY-�► _ Lab Cert. #� CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results pWR SECTION Total event rainfall z 0.30 or ❑ No discharge this period' C►utfaillNo., ' `Sample'Collected"'"'' I mo/dd/.yr• • ' TSS, - =mg/L- pH; Standard: units COD, mg/L Oil and Grease, mg/L' Fec0Collform�, ' Colon les.per 100 ml Enterococd , Colonies p'er 100 ml' 'Benchmark.- 100or 50,. Within`6.0 — 9:0 r 120; 30 1000 500 �0 77 3 L o l .1717 LI S -7 000 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 (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 NewMotor Oil Usage, Annual average gal/mo -.Benchmark - 30 100 or 50 6:0 — 4.0 - 4 0o a b5iltoX, 6 R, 32 a A 1 <s (D 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 AU 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. �+ 'Lc\Environmental\Industrial\PP-PIIgrlm'sPrlde\PPNC-NorthCarollna\PPNC04•SonfordFresh Vanl\PPNC04-ittSPILL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: * A BENCHMARK EXCEEDANCE TRIGGERS TIER i 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 ANYONE OUTFALL? YES [3-WO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 2 NO ❑ REGIONAL OFFICE CONTACT NAME: Jphn tiokkg 1 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" Mortsi to: Division of Water Quality Attn: DWQCentral 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) / A7//7 (Date) Additional copies of this form may be downloaded at: httQ://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 der.., 1,} •- 'r 7.:\6nvtronmelltalNil �Yrlal\PP-PilgrWs Pride\PPNC-North Carolina\MC04-Sanford Fresh Plant\MC04.01 SPILL\2013 Monitortiiijdz Form 2 r � . Environn" )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted cul 0z ? r t ¢.c Zuio CERTIFICATE OF COVERAGE NO. NCG060 1;-7 q SAMPLE COLLECTION YEAR aVo FACILITY NAME Pi l�Yims _pr t8a_- _ t G E IVE gCILITY ACTIVITIES INCLUDE (check all that apply): COUNTY )--�- �,J E use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES artr! e—lua�reca _ FER 0 1 2017DISCHARGING TO SALTWATERS? ❑YES Lev LABORATORY_oLA Lab Cert. ii DWR SECTION LE PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0.% or ❑ No discharge this period' OutfallINo.. ". 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,p'er 100 ml ,'Benchmark. i - 100,or 50 Within.6.0 — 9i0 A 120' 30 1000 Soo 003 is a I _78 -7-7 -1 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? Eyes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (if ves' complete Part B) Outfall No. Sample'Collected, mo/dd%yr Oil and Grease, mg/Li TSS, mg/L pH, Standard;units New,Motor OII,Usage, Annual average.gal/mo Benchmark - 30 1 100 or SO 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. Z:\Fnvfronmental\dndustrlal\PP-Pilgrim'sPrlde\PPNC-North Carollna\PPNC04-Sanford Fresh Plant\PPNC04-01SP]LL\2013 Monitoring Form 2 Environmental Plan 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 EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES �10 ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 2 NO ❑ REGIONAL OFFICE CONTACT NAME: In hllwt, Mail an original and one copy of this DMR�includh 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) �% % (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/w Iws su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Prlde\PPNC-North Caroll na\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 `� Monitoring Form 2 - STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) r`aionriar Yaar JAN 3 0 2017 Individual NPDES Permit No. NCSUL—JUUUU or Certificate of Coverage (COC) No. NCGUZEFIDEI This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: YJ I CC.6 mS County: _ I_20 Phone Number: (.gam 'fls 3�5a Total no. of SDOs monitored Outfall No. Obi Is this outfall currently in Tier 2 (monitored monthly)? Yes 2 No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes M�--No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes 00-'-"No ❑ Total Rainfall, inches Parameter, units SS OxIL, 2H CAD O 4- e-ca-t Benchmark NIA 100 -9 100 30 1660 Date SampleY Collected,� mmlddlyy s� A r W No is o cS Sabo -� r.f - o rsC -rto ;Sc i 0 Q 5 �iaoa SWU -264-G e neric-2 5 May2 010 Z:\Environmental\lndustrlal\PP.Pflgrim's Prlde\PPNC-North Carolina\PPNC04-Sanford fresh Plant\PPNC44-01 SPILL\2013 Monitoring Form 3 Environmental Plan Additional Outfall Attachment Outfall No. 001 Is this outfall currently in Tier 2 (monitored monthly)? Yes B' No ❑ Was this outfall ever in Tier 2'(monitored monthly) during the past year? Yes No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes [D/ No ❑ Rainfall, inches Parameter,Total ,. Date . Collected,. . ,.! b.'r TES V4 h'<f {i.': e _;7. ,'• a' ry 3. . i SWU-264-Generic-25May2010 ;:\Environmental\Industrial\PP-Pllgrlm'sPrWe\PPNC-NvrthCarolina\PPNC04-SanfardFresh Plant\PPNC04-01SPILL\2013 Monitoring'Form 3 Environm :al Plan "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 /land imprisonment for knowing violations." Signature f " Date / Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: ASHEVL_L_E-REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MQORESVILLE REGIONAL OFFICE 2090 US Highway 70 ! 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 i Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 , (910) 433-3300 1 R_A_L_E_ I_G_H REGIONAL OFFICE WASHINGTQN REGIONAL OFFICE WILNIINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WIN_ST_ON_-SALEM_REGIONAL OFFICE 585 Waughtown Street Winston-Salem, NC 27107 771-5000 CENTRAL OFFICE i 1617 Mail Service Center Raleigh, NC 27699-1617 (919)807-6300 70 preserve, protect and enhance Nodh Carolina's uraler-.." i SWU-264-Generic-25May2010 Z:\Envfronmenfal\lndustrlal\PP-Pilgrim'sPride\PPNC-NarthCarolina\PPNC04-SaniordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form 3 Environmental Plan ' Monitoring Form 3 2:\Environrnental�Industria1�PP•Pltgrlm's Pride\PPNC-North Carallaa�PPNC04-Sanford Fresh Plant�PPNC04.O1 SPILL�2013 �' f Environm!' .al Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year Individual NPDES Permit No. NCS Certificate of Coverage (COC) No. NCG or This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 95t of the following year. Facility Name: �kti rnS County: iQA- Phone Number: �i( �°1 } ��S 345) Total no. of SDOs monitored 3 Outfall No. (za Is this outfall currently in Tier 2 (monitored monthly)? Yes [" r No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes [' No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ENo ❑ Total Rainfall, inches Parameter, (units) SS C16D 04-6 e,-e Benchmark Nia Date Sample Collected, mmlddly ! 3 # 'k f2 h ZIP ]�'Q,. r .. pFk - :� F t y A i] A 17 i5._i.' ` S P 7 a �rf_ .f g 'tr vY... _ ri. i� f < P' i 6 rti -.�c - l C C i k(.' 3 �3 0. S �� 7• I �3 �5 y l a000 Ll5 45 SWU-264-Generic-25NIay2010 Z:\Environmental\industrial\PP-Pilgrim'sPride\PPNC-NorthCaroIina\PPNC04-Sanford Fresh P1ant\PPNC04-01SML\2013 Monitoring Form 3 Environmental Plan Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Total Rainfall, inches Parameter, (units) Benchmark NIA Date Sample Collected mmlddlyy k -- k 1.i- r'� ..f 1S 4 r s 1: .Ah f. • �. N.. 5`' r�V .� r •; 1 a � ,Ak .: :,. $ � �' .� ''!. ^i r C. -. I:w...r,1 ..1^. i4. SWU-264-Generic-25May2010 Z:\Environmental\lndasthal\PP-Pilgrim'sPrlde\PPNC-NorchCamllna\PPNC645anrardFresh Plant\PPNC04015PILL\2o13 Monitoring Porm 3 l' Environmi 'al Plan "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." SignE Date Mail Annual DMR Summary Reports to: DW{,I_Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE ' FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL,OFFICE 2090 US Highway 70 ! 225 Green Street 610 East Center Avenue/Suite 301 i Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 I (910) 433-3300 R_ A_LE_IGH REGIONAL — OFFICE E 3 800 Barrett Drive - Raleigh, NC 27609 (919) 791-4200 WA_ _S_ HINGTO_N_REGIONA_L OF_F_IC_ l 943 Washington Square Mall Y Washington, NC 27889 (252) 946-6481 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 585 Waughtown Street ; 1617 Mail Service Center Winston-Salem, NC 27107 i Raleigh, NC 27699-1617 (336) 771-5000 j (919) 807-6300 WIL IIN_GT_ON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910)796-7215 -To preserve: protect � and enhance N69h Carolina 'sivater..." i SWU-264-Generic-25May2010 Z:\Environmental\lndustrlal\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC0401 SPILL\2013 Monitoring Form 3 Environmental Plan Z7\Environmentai\lndustrtal\PP-Pligrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form 3 Environmi" :al Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year c� 01G Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG E11 ❑Q0 This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March I" of the following year. Facility Name: P lzyiMs County: Lee - Phone Number: ( 9Iq ) ?0/5 3Y57 Total no. of SDOs monitored 3 Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes 2 No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes 3--" No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes 0?---'No ❑ Total Rainfall, Inches Parameter, (units) Es S �� �d-9 Benchmark N/A /CQ 0 3D Date Sample C ollected mmlddlyy t f �'✓',� - ��%i i ??� s 1 :' ���,�ry}.,..� 2 ��F 4� � � F� � 'tJ� i" w7' i.. "'`�S x. i. 171 - 19 1� f57iti � '.-`. �1'�-i'i'p - ",� y 8 �i''_. /� �s -3 O.So $. 0 `7. $ `18 < 5 60o a 30I , 30 j to' 6 7, q -1 1/0 -es 7 iZ000 lalaafit.D.S� 7E� g �a Cs lac SWU-264-Generic-25May2010 Z:\Environmental\Industrial\PP-Pflgrltn's Pride\PPNC-North Carolina\MC04Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitoring Form 3 Environmental Plan Additional Outfall Attachment OutFail No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Total Rainfall, inches Parameter, (units) Benchmark NIA Date Sample Collected mmtddlyy f' i, r t t . p i/ iy >� n k:Yi F -i k. a KJ si SWU-264-Generic-2510ay2010 �r»o 7;\Environmental\lndustrdal\PP-Pilgrim'sPride\PPNC•NorthCaralina\PPNC04-Sanford Fresh Plant\PPNC04015PILL\2613 Monitoring Form 3 Environmi, :al Plan "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 Date / z, 7 �o i Mail Annual DMR Summary Reports to: DWO Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE ' FAYETTEVILLE REGIONAL` OFFICE MOORESVILLE REGIONAL_ OFFICE 2090 US Highway 70 ! 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 i Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910 433-3300 RAI;EIGAREGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILAUNGTON REGIONAL OFFICE 3 800 Barrett Drive 943 ' Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 - - - (910) 796-7215 .- WINSTON-SALEM REGIONAL OFFICE w CENTRAL OFFICE _ 585 Waughtown Street 1617 Mail Service Center '; "To preserve. pm1ecd Winston-Salem' NC 27107 Raleigh, NC 27699-1617 anderrhance I - Nicrdh Carolina's wader..." (336) 771-5000 i (919) 807-6300 SWU-264-Generic-251Vlay2010 Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-NorthCarolina\PPNC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring Form 3 Environmental Plan :\Envirrnmental\lndustrial\PP-Pllgrim'sPride\PPNC-North Carolina\PPNC04•Sanford Fresh Plan t\PPNC04.01SPILL\2013 Monitoring Form 3 Outfall 001 r" There was not a stormwater event. We sampled from this outfall after a spill. We are reporting the numbers we got from there because it was our normal sampling location. Tina Pedley 919-895-3457 RF-r,F:tivE® APR 19 2016 DWR SECTION INFORMATION PROCESSING UNIT '. --"own Environd ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water,Quality General Permit No. NCG060OLO Date submitted ;,q 9-i1, i-�� Mph) , CERTIFICATE OF COVERAGE NO. NQ.06„L SAMPLE COLLECTION YEAR a 0 (o FACILITY NAME FACILITY CTIVITIES INCLUDE (check all that apply): COUNTY_, Jag _ � use/process meats ..❑ use animal fats/b PERSON COLLECTING SAMPLES SKc-wa C. N-L DISCHARGING TO SALTWATERS? []YES �gNO LABORATORY Lab Cert. # .eve 6�hc�c� PLEASE REMEMBER TO SIGN ON THE REVERSE - ..� - •ram_ . lct` U5 k aoj cad 6'a S P; l I. salyl� �. +.,ins Part A: Stormwater Benchmarks and Monitoring Results - Total event rainfall ` or o ctlscbarge this period"' Outfall No. Sample Collected;'. mo/dd r ` TSS, m L pH, : _ Standard Unit§ OD, . mg/L:; Oil and Grease; mg/L ". ' Fecal.Coliform , YEriterococci Colonles: er'100 ml . ,'<;:,. Colonies `er 1fti4. Benchmark. ' .'; , ' 100;or 5D ''aWithlti 6.0 = 9.0 12D_ ' 3D 1000 ' Soo 03 �0 7 3 SO O ' I uniy applles LU rauutles LnaL use/process llltars. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at Rn1C 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. Dill this faillity perform Vehicle Maintenance Activities; using more than 55 gallons of new motor oil per month? ffyesi ❑,no (ifyes, complete Part Bj Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. ' Outfall IVo:: ..Sample Collected,`. -. mo/dd/ r : Oil and Grease, `:: m L :. TSS, ,F v mg/L : 3 )H, ' Standard units New,Motor i II,L sage, .' Annual average dal/mop -Benchmark. , . - .. 30 100 or: 504 6.0 - 9.0 un iy appues to racultles mat use/process meats. 2Thetotal 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, identlfying the especially sensitive receiving water classifications where the more protective benchmark applies. 7� Z;\&nvlronmentel\Industrial\PP-Pilgrim'sPride\PPNC•NarthCsrollna\PPNCM-SanrardFreshPlant\PPNC0401SP1l.L\2013 Monitoring Form 2 Environmental Plan *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 OUTFALLTRIGGER 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 ❑ _ 1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT•NAME: Mall an original and one cove of this DMR, lncludMa all "No Discharae" reports, within 30 days of recekt of the lab results or at end of monitorinq period In the case of "No Discharae" 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 lNF_ORMATION 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, accura c mplete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and priso nt for knowing violations." ; (Signature of Pe (Date) Additional.copies of this form may be downloaded at: http://portal.ncdenr.org/web/wp/wsZsuZn,pdessw#tab-4 SWU•249 Last Revised: October 18, 2012 1:\Environmental\Industrial\PP•Pilom'sPHde\PPNC-North Carollna\PPNC04-Sanford Fresh P19nt\PPNC04.01SPILL\2013 Monitoring Form 2 is _ _ Environmental Plan _;�: K4 4, StorniNvater Discharge Outfi-til (SDO) Qualitative Mollitoting R�!)Ort Permit No.: NC C) 7a 5 Or Certificate of Coverage No.: NCGO60174 Facility Name: Sanford Processiiw Phint County: rL Phone No. qjq_j4 &- +71 Inspector: 5 Kai,) ,A Cj arj4, Date of Inspection: '3 10 - Time of lnspLCtioli: 10,00 OL-f" Total Event Precipitatioa (ijiclies)i 0 Was this a' epresentative Storm Event" or Measufeablv Storm Event: as del ined by the permit? "i, Yes No Please verify it,heiher Ouctlit(aive Ilonl'1017'17g, must be Aring u "i-qn-esenialive stor)n event" of "weasui-eable siorin event -eel Itilvilleills v411);, depending Oil Me Qualitative monitoring requirements vary. Most permits I'eqL.ire qualitative monitoring to be T" aj "representative storm event- or durii -i,, a "IlleISI.Ireable storm event." performed during a repi However; some permits do not have this requirement., refer to these definitions, if applicable. A "representative Storm event" is a Storm event that measures oreatef than 0.1 inches of rainfall V and that is preceded by at least 72 hours (3 ) (lays) in which no Sturm event 111CUSUring greater than 0.1 inches has occurred. A single Storm event may VORWIll Lip to 10 consecutive hours -of no precipitation. A "measurable storm event" is 2 Stol'111 M-,111 IhUt I'L!SL1liS iij all UCIULd discharge from the permitted site oud'all. The previous IIIl—tSUrable storm event jilust have 6: en at least 72 hours 7 prior. The 72-hour storm interval does not apply if' the perinittee Is ab)t: to document that a shorter interval is representative lor local Storm events dUrilIg the sanipliii,, period, and the pertnittee obtains approval 1rom the local DWQ Regional Officv. By this Signature- I cent' th,, lis rep0i'L IS LICCUR-ite gild COMI)I-LLe to the bcst"ol'iny knowledge: (Signature of it tee or Designee) YY Z:\Environmenial\lndustrial\PP-l'tiUrini's h1Je\PNNC-NorLh Cara hna\Eq.L,4CU+Sarrard kcAk Plnt\ITM:04-U I SI'01\2U13 Monitoring Form 1 Environmental Plan 1. Outfall Description: Outfall No.4"1 Structure (pipe, dit,ll, etc.) P-pe- Receiving Stream: 1Dm 'Vaevl_ Describe the industrial activities that occur within the outfall drainage area: �Lk-1 +ro1 WoQpSStrta ,J 2. Color: Describe the color of the discharge` using basic colors (red, brown, blue, etc.) and tint (light, mediUrn, dark) as des_riptors: L-iqh{— —Fan Coj6t- 3. Odor: Describe any distinct odors drat the discharge may htitirc (i.e., son Als strongly of oil, weak chlorine odor, etc.): ont-e� 4. Clarity: Choose the i.uniber wliicbbest describes the clarity of the discharge, where 1 is clear ant! 5 is very cloudy: 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount Of loaltinty-solids in the sto lnvater discharge, where 1 is no solids and 5 is the surfa.�r coverctd Mth floating solids: 1 2 3 4 5 b. Suspended Solids: Choose the number which best ckscribes the a111ot1111 lit slEs ended solids in the stormwater discharge; where l is no solids and 5 is extremely muddy: 3 4 S 7. Is there any foam in the storin%vater discharge? Yes 'a S. Is there an oil sheeii in the stornnvater discharge? Ycs �u 9. Is there evidence of vrosiva or depi;sitiun at the outi;tll? Yc., 10. Other Obvious Indicalors of Sturuj1 Pater Pollutioit: List and describe IR Note: Low clarity; high solids, and/or the presence of fb,.mi. oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions WaITZ1111 itlrther illvestlgation. 5WU-242, Last modified 10/25/2012 ~ Z:\Environmental\Industrial\PP-F•:y4'im',Prde\411%t:-tort}iFresh Plant\V11NCu1-ulSPll.l.\1113 Monitoring Form 1 If Environd l.tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date -submitted 4 -`�- l l�. �� Mp,r c h� J CERTIFICATE OF COVERAGE NO. NCG060' l ��, SAMPLE COLLECTION�YEAR, ab i io • _ FACILITY NAME ��Y`Ms _ FACILITY ACTIVITIES INCLUDE (check all that apply).. COUNTY L e,- ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES S1Awa Qcrk c- DISCHARGING TOSALTWATER5? []YES CEKO LABORATORY a 4 Lab Cert. # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: stormwater vencnmarics ana monitoring Kesures roror evenr roinlarr - or ivo alscnarge rnrs erroa- outfa{I Not :Sample.Collected;, rno/dd/ r ,- ; 7SS, f m L . - H p , . ' Standard units- ,`COQ,. m L.' 'Oil -a' d Grease, m' l... Fecal Coliform ,' ;, Colonies per 100 ml ' 'Enterococcl , Colonies er..100 mi. - eenchnnark, ': ': "10p;or 50 ,Within 6.0='9:0 120 _. 30. , 1000`' 500 Vlllr GtI F.IIIGJ .V iGYlII �IGJ LIIW� VJGf FII VV4JJ III4.V 4J• 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at M 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 appiles.1 Did this facility perform Vehicle Maintenance ActivitiesiuAng more than 55 gallons of new motor oil per month? ❑ yes, [:]no (fM complete Part B) Part B:-Vehicle Maintenance Area Monitorina Results: onlv for facilities averaeine > 55 aal of new motor oil/month. Outfall No:: . t. Sam le Collected p. '. 011 and Grease T55 `' ,:. T.I G pH Standard units ayew Motor 0l Usage, Annual average` al/nio- Bericiirriark : ' ; - ,: :: 30 l00 or 50 :6:0 -.9.0 wy oFNnc4 - lu...uaw uw..I J.y l+l+..., . L.c.r.a. 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. L\Environmental\Industrlak\PP•Pllgrlm'sPrlde\PPNC•NorthCarolina\PPNC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *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: _:�,t-ln �Ab{i Mai! an on final and one copy of -this DMR includin all "No Disc ar e" re o s within 30 days of r ceI t of the lab results or at end of monita&Lng Aerlod 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 com fete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and impriso nt for -Wowing violations." (Signature of 1-12-14 (Date) Additional.copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglws/su nodessw#tab-4 S WU-249 Last Revised: October 18, 2012 Z:\Gnvironmental\lndustrlal\PP-Pllgrlm's Pride\PPNC•North Carohna\MC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitoridlg Farm 2 Environn_ )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted a a o I U Gbr J-�' ', ) CERTIFICATE OF COVERAGE NO. NCG06 C) SAMPLE COLLECTION YEAR ab i FACILITY NAME RECEIVEDFACILEACTIVITIES INCLUDE (check all that apply): COUNTY Lem s�� a 6 logs use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES EXNO LABORATORY Lab Cert. # r`ENTRAl FILES DWREC STION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfafl2 0 or [kNo discharge this period3 ,Outfall No.. Sample Collected;j mo/dd/yr TSS, •mg/L pH, ', Standardwrilts) COD, mg/L 011'and Grease; ' mg/L' ' Fecal!Coliform., Coloniesper 100 ml 'Enterococci , Colonies per, 100 ml IBencFimark - 100,or50°� Within 6.0 — 9:d 120' 30 1000 '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 any outfalls. You must still submit this discharge monitoring report with a checkmark here. aSee 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 ves' complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfal[No. Sa mp le, Collected, - mo/dd/yr Oil and -Grease, mg/L TSS, mg/L pH, Standard,units Nevi Motor Oil Usage; Annual average gal/mo Benchmark - 30• 100 or 50 6.0 — 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 M 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. 2:\Gnvironmental\lndustrial\PP-Pligrlm'sPride\PPNC-North Carolina\PPNC04-SnnfordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART B SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES M NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [P NO ❑ REGIONAL OFFICE CONTACT NAME: t��q�a 11QA: Mail an oriainal and one copy of this DMR including all "No Discharge" Marts, within 30 days of receipt of the lab results for at end of monitoring period in the case of "'No Discharge" reports) ta: 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." :� pQ c (Signature of Permittee) �2 (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.orR/web/wg/ws/su/nodessw#tab-4 S W U-249 Last Revised: October 18, 2012 .. r Pride\PPNC-North Carolina\MC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 `�-' MonitoriTig Form 2 Environn- )tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water uality General Permit No. NCG060000 Date submitted ab iv -A sa'(0 r /_ CERTIFICATE OF COVERAGE NO. NCG060 i �� SAMPLE COLLECTION YEAR O� f �P FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES DISC ARCING TO SALTWATERS? DYES NO LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall or [X No discharge this period3 OutfalhNo.,-'Sample',Collected;.: mo%dd/yr •TSS, V ' mg/L PH, Standardwrilts � COD, mg/L Oil and Grease; mg/L' Fecal,Collform�., Colonles•per 100,ml Enterococcl% ' Colonies per-100 mi. ;•Benchmark - -• 100ior 50" , Withln:6.0 -- 9:0 ( 120, 30 1000 500 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 Lny 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? Exes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. (iyes, complete Part B) Outfal[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 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 a_y 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. 7.:\Environmental\industrial\PP-Pllgrim's Pride\PM-Narlh Ca roll ra\PPNC04-Sanfurd Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form ,2 Environmental Plan *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 OUTFALI_? YES B NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES �10 ❑ REGIONAL OFFICE CONTACT NAME: o n a Mail an original and one copy of this DMR, including aIf "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) F/91h)� (Date) Additional copies of this form may be downloaded at: http://Rortal.ncdenr.or�/web/wa/ws/sul_npdessw#tab-4 �. S W U-249 Last Revised: October 1$, 2012 Z:\Environmental\in...strial\PP-Piigrlm's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitori-ag Form 2 .w' Environn/ ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted ij I 7.o►la Sw►u Zo1b} CERTIFICATE OF COVERAGE NO. NCG060 1 ? SAMPLE COLLECTION YEAR as 1(0 FACILITY NAME l�? f�r;mS FACILITY ACVITIES INCLUDE (check all that apply): COUNTY se/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES IICQLw_rre_roDISCHARGING TO SALTWATERS? DYES LABORATORY 4A Lab Cert. # 3 h V E AUG uL 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0,50 or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard unitjD AefO©;!-ES R SWgTJON Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 - - b • , 42 C15 < abrb 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? Ej,�'es ❑ 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 - Ooi ,Ll 7�. 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. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. V,Environmental\Industrial\PP-Pilgrim'sPrldeNMC-NorthCarollna\PPNC04-SdnfordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *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 2-KO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YE7 ' NO ❑ REGIONAL OFFICE CONTACT NAME: ,6" Ho 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: "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." P-ecu,- /a (Signature of Perrnittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wp/w5/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 r Z:\Environmental\Industrial\PP-Pilgrim'sPrtda\PPNC-NarthCarohaPPNC0¢SanlordFmshPlanr\PPNC0401SPILL\"13 Monitorii,g; Form 2 Environmental Plan Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: NC �j 7 Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processinli Plant County: Inspector: Date of Inspection: Total Event Precipitation (inches): Phone No. Time of Inspection: FW this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; 'some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred., A single storm event may contain up to 10 consecutive hours of no precipitation. ` A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply-ifthe permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: jz,� plza � (Signature of Permittee or Designee) Z:\Environmental\Endushlal\PP-Pllgrim'sPrlde\PPNC-NnrthCaro11na\PPNC04-SanfurdFresh Plant\MC04.01SPILL\2013 Monitoring Form I Environmental Plan 1. Outfail Description: Outfall No.-1— Receiving Stream: L outfall drainage area: Structure (pipe, ditch, etc.) scribe the industrial activities th t occur within the 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: r 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):g���� 4. Clarity: Choose the number whicA best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 (3) 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 © 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspe ded solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: l 2 T 4 5 7. Is there any foam in the stormwater discharge? Yes ND 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Atg== r Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 r Z:\Environmental\Industrial\PP-Pligrim'sPNde\PPNC-NorthCarollna\PPNC04-SanfbrdFresh Plant\PPNC04-015P1LL\2013 Monitoring Form 1 Environn�,', �tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted - - f. ;X 2,010 ¢ Zdlb) CERTIFICATE OF COVERAGE NO. NCG06 ©1 Z +1 FACILITY NAME E, I rfmS COUNTY LQZ PERSON COLLECTING SAMPLES -0 , ki4n2U LABORATORY_ �_ _ Lab Cert. # . 3q �! Part A: Stormwater Benchmarks and Monitoring Results RECEIVED OCT 31 Miu. SAMPLE COLLECTION YEAR �2 O CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES 240 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event roinfa111 or ❑ No discharge this period' Outfall`No. Sample'Coliected,'; -mo%dd/.yr.' TSS, �mg/L ' pH, Standardiunits COD, i mg/L OiI and;Grease, mg/L Fecal Callform, . Coionies'per 100 ml Enterococci ,, Colonies per 100 ml: AWor 50 within'610`= 9.0 1 120 30 1000 500 , 75 a <- S y DD iIQl. oqlal Ilk-1•9 <S 7/Z000 I 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 6 eneral Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did ti is facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? E yes ❑ no (i_fyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. -Qutfall No. ' Sample Collected, mo/dd/yr Oil and Grease, mg/L: TSS, mg/L pH, Standard units NewWotoroll Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 I1 9 2l < 27• 75 I 6q r21 k (vS 7r q o Ss 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. / \\KnvironmenGsl\]ndustrfol\PP-Pilgrim'sPrlde\1'PNC-NorLhCaralLna\PPNC04-SanfurdFresh Plant\PPNC04-01SPJ1.L\2013 MonitorinRForm 2 PP - Environmental Plan *FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECT ON B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES E94o ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 ❑ REGIONAL OFFICE CONTACT NAME: Mail an on ina! and one copy of this DMR including aN "No Dischar e" 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." J6 " 0, �4A- 16- (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http.Wportal,ncdenr.ore/web/wci/ws/su/npdessw#tab-4 SWU-249 last Revised: October 18, 2011 7.1 Anvtrnnm•nra11 Iel—_,triailPP.Pllvr(m'%Pride%PPNC•North Carolina\PPNC04-Sanrord Fresh Plan t\I)PNC04-015PILL\2013 - Monitoring Form 2- c. ' r= Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No- : NC Oo'W-5-16 Or Certificate of Coverage No.: Facility Name: Sanford Processing Plant _ County: Ite, Phone No. Inspector: Date of Inspection: T- j -16 - Time of Inspection: Total Event Precipitation (inches): ; 9 5 NCG060174 7 this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes 0 No Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Z:\Environmental\Industrlal\PP-Pllgrlm'sPrlde\PPNC-NorthCaroOna\PPNC04-SanfbrdFmhPlant\PPNC04-01SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. �` Structure (pipe, ditch, etc.) Receiving Stream: r^ Describe the industrial activities that occur within the outfall drainage area:rxfl-��..i �toCe,�S:�nG 2. Color: Describe the color of the disc (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /VO adOr 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 04 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy G 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes QD 8. Is there an oil sheen in the stormwater discharge? Yes '> 9. Is there evidence of erosion or deposition at the outfall? Yes Q 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/2512012 Z:\Environmental\Industrial\PP-Pllgrim'sPrlde\PPNC-North Caro1ina\PPNCU4-SanrordFmhPlant\PPNC04-01SPILL\2013 Monitoring form I Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC QO 7a 5 � Or Certificate of Coverage No.: NC6060174 Facility Name: Sanford Processing Plant County: 1 Phone No. Inspector: Jar�c Date of Inspection: u -- 16 Time of Inspection: S. y 0 Total Event Precipitation (incites): Qs Was this aa""R,Tepresentative Storm Event" or Measureable Storm Event: as defined by the permit? Yeses `"o Al 4�/c? VL_/ Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: D-Al (Signature of Pem- ittee or Designee) �"" Z:\Environmental\lndusirtal\PP-Pilgrim'sPride\ppNC-NorthCarotina\pPNC04-SantardFreshPlant\PPNC04-015PILL\2U13 Monitoring Form I Im Environmental Plan 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) / .0 Receiving Stream: , � Ri \rer Describe the industrial activities that occur within the outfall drainage area: !'✓QV./ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, darn) as descriptors: A/fin 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /'ZQ'Cfot✓ 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 3 4 5 &6 old w 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 /v o 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 /V d F /'d t.-/ 7. Is there any foam in the stormwater discharge? Yes No /VG 'e'%w 8. Is there an oil sheen in the stormwater discharge? Yes No /'/d W 9. Is there evidence of erosion or deposition at the outfall? Yes No fI/a f )d t, 10. Other Obvious Indicators of Stormwater Pollution: List and describe �f /� 6 Kk �J Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. 5WU-242, Last modified 10/25/2012 Z\Envito.mental\lndustrlal\PP-Pllgrlm's Pride\PPNC-North Carallna\PPNC04-Sanford Fresh P1ant\PPNCO4-U1 SPILL\2013 Monitoring Form 1 �. Environmental Plan .J Stormwater Discharge Qutfall (SD4) Qualitative Monitoring Report Permit No.: NC 00-7a51Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: L-Q,e. — — Phone No. Inspector: Fared r Date of Inspection: _ q -.11- IL Time of Inspection: 5,0. Total Event Precipitation (inches): __ _ , ) 5 W,as this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? KYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or esignee) Z\Environmental\lndustrlal\PP-Pligrim'sPrlde\PPMC-NarthC&mBna\PPMC11+SanfordFresh Planl\PPMCO"lSPILL\2013 Monitoring Form 1 Environmental Plan 1. Outfall Description: Outfall No._;3 Structure (pipe, ditch, etc.) Pj)c. Receiving Stream: Dae A VZ r Describe the industrial activities that occur within the outfall drainage area: _ Povi{Tt Pro CesS;n9 2. Color: Describe the color of the discharge u ing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: rn e i V M 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 iq 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 T 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 30 4 5 7. Is there any foam in the stormwater discharge? Yes S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 Z\Environmental\Industrlai\PP•Pilgrim'sPrlde\PPNC-NorthCarolina\PPNC04-SantordFresh Plant\PPNC04-015P[LL\2013 Monitoring Form I SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality Gene 1 NO. NCG06.6 J__I Lf LITY NAME Y,1�'r S NTY �-PG ;ON COLLECTING SAMPLES `�w. kt�/)4 )RATORY_ &kA ^_ Lab t PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfo!! . 3 or ❑ No discharge this period3 Permit No. NCG060000 e+ Zoi(c) FACILITY ACTIVITIES INCLUDE (check all that apply): eluse/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? [DYES 260 Outfall'No.,. , 'Sample, Collected' ma/dd/yr TSS, ymg/L pH, Standard:units COD, # mg/L Oil and,Grease, mg/L Fecal Collform% _ Colonies per 1W IF 'Enterococcl , Colonies 'er.100 ml' Benchmark,' ' - ' t ' '•100.or•50 Within'6:0'- 9.0 ' I 120, 30 1000 Soo I Opt 3o I0 jb. q- 0<5 >r2voo I I 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 i General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did ti is facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ['yes ❑ no (if yes, complete Part B) Part B: Vehicle Maintenance 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, I Annual `average gal/mo 1 BencFimark - 30 100 or 50 6.0-9.0 I 3� �� /(v,8 R i 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 2ny 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. :\1inv1ronme1tt`1\[ndus1r1a1\PP-P11gr1m'sPr1dn\PPNC-N0rt11Cmn11na\PPNC04SanFordFresh11[ant\P11NC04-015P[[,1.\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It 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 E3wO- IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES E NO REGIONAL OFFICE CONTACT NAME:n Mail an original and one co of this DMR includin all "No Discharge"" re arts 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) (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/weblwct/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2011 v.�c................,��i„--,•...��n»p.na„.�„,� voAeS ❑PNP.Nnrrh C-11 NPPNff14-."nFnrd Fresh P1ant\PPNC04.015PILL12U13 Monitoltag'Form 2' { Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC Oa 7,� 5 Or Certificate of Coverage No.. NCG060174 Facility Name: fianforrl Prnee-,inv Plant County: Inspector: Date of Inspection: �ga� Total Event Precipitation (inches): . D Phone No. Time of Inspection:_ Was this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? FU Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior- The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: --Q (Signature of Permittee or Designee) �Z:\Environmental\Industrial\PP-Pltgdm'sPrlde\PPNC-NorthCaroAna\PPNCU4-San[ordFresh Plan1\PPNC04-015PILL\2013 Monitoring Form l 4 Environmental Plan ` 11. Outfall Description: Outfall No. a Receiving Stream: L outfall drainage area: Structure (pipe, ditch, etc.) scr be the industrial activities th t occur within the 2_ Color: Describe the color of the discharge using b sic colors ed, brown, blue, etc.) and tint (light, medium, dark) as descriptors.-_ L_1`/�-. _. 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.)-. 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1<0 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I Mi 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 3 4 5 7. Is there any foam in the stormwater discharge? Yes 6 S. Is there an oil sheen in the stormwater discharge? Yes N 9. Is there evidence of erosion or deposition at the outfall? Yes (!So 10. Other Obvious Indicators of Stormvwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. 5WU-242, Last modified 10125/2012 Z:\Envlronmental\ladustrlal\PP-Pllgrim's Pride\PPNC-Nnrth Carolina\PPNC04-Sanford Fresh P1ant\PPNC04.Ol STILL\2013 Monitoring Form I CL Environrn " .al Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ,)e)15 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG®®❑O 0 "1❑© This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 18t of the following year. Facility Name: P),1%- s , an d_Plan+ _ County: Leo- z Phone Number: ( q A ) Sq5 3y $�_ __. Total no. of SDOs monitored I►,� � Outfall No. I z '%- :d Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [' Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ✓❑. If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ — Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes C�K No[] $ Total Rainfall, Inches Parameter, units ISS rn i H/ S 41A CoD m 11 � � d'y"6 . 03 Fec.-f Qo-%L' Benchmark NIA lob ,4 - 9.a a a 3o I600 Date Sample Collected,Ml mmlddlW I J s 5. k5 Sbo SW U-264-Generic-25May2010 vac-.,,.,,.,.....,..ni-a„�,r„npp_piieron•,PrIrJAPPNC-North Carolina\PPNC04-Sanford Fresh Plan[\PPNC04-01SPILL\2013 Mnnitnrina F'nrm I Environmental Plan Additional Outfall Attachment Outfall No. a Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No a Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [r If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes Eg," No ❑ TotalRainfall,Pararnotor, inches (units) Date Sample Collected L r yy " 1{-�.. 4 MMW $WU-264-Generic-2510ay2010 1&-n.ental\li(dustrlal\PP-PL]grLm'sPride\PPNC-North Carohna\PPNM0 Sanford Fresh Plant\PPNC0401SPILL\2013 Monitoring -Form 3 Floor r l� Environm(- alPlan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year Individual NPDES Permit No. NCSJ Certificate of Coverage (COC) No. NCG or This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1st of the following year. Facility Name: County: Phone Number: (_ Total no. of SDOs monitored Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other Was this SDO monitored because of vehicle maintenance activities? Yes [9r"'No❑ Yes Q"' No ❑ El Yes❑✓ No❑ Total Rainfall, Inches Parameter, DateSample Collected, / /._0.^^^ ' e 'Q "' }-_,�-,�3-_j x � r -•Y - i"... f'_j/�S � }�.y3[yaL 1SjG}5�,,,•1�Y.%` _ �" �?i`l w3 rirylv�`-M` / & grq_•i.rt I��, SWU-264-Generic-25May20 1 0 --+--.---.-+-.......noo_on�l...•,n.Id-%overr_w, hC/mRn.XPPNLO45anfardFresh Plant%PPNC0401SPILL\2013 Monitorine Fnrm I Environmi r al Plan " 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 an complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisgnmmoment for knowing violations." Signature i Date / II / DWQ Regional Office Contact_ Information: ASHEVILLE REGIONAL C -- -- 2Q90 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 RALEIGH REGIONAL OFFICE 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 Mail Annual DMR Summary Reports to: FAME 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 WA_ SHINGTON REGIONAL_ ; OFFICE 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 WIN_ _ST_ O_ N-SALEM REGIONAL'OFFICE CENTRAL OFFICE 585�Waughtown Street 1617 Mail Service Center Winston-Salem, NC 27107 Raleigh, NC 27699-1617 (336) 771-5000 (919) 807-6300 MOORESVIIILE_REGIONA_L OFFI_C_E_ 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 "Fo preserve, protect and entrance Nodlh Carndina'S wafel..." ~ SWU-264-Generic-25 May2010 � ---------- ._•.. ��_n nn nii...�...•- n.�a.,t wour.�b....�. r....u...}nou!'rtdaanFn H F... h Ml f%PPNrn4- 1 mi.r. 2nn Monitoring Form I Environmental Plan i\EnvlronmenW\lndustrlal\PP•Pilgrim'sPridejPPNC-NorthCarohna\PPNC04-SanfardFresh Plent\PPNC0401SPILLN2013 1 Monitoring -form 3 Environrn( A Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year d Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCGE1FJ 510E This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March T" of the following year. Facility Name: ! drdrAs, Sanfd Plan+ County: Lea_ t� Phone Number: (Q.19 5 ) Sq34S'1 Total no. of SDOs monitored n Outfall No. I L.- Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No �_ Z Was this outfall ever in Tier 2 (monitored_ monthly) during the past year? Yes ❑ No [✓� `D ^' M d, If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? � Enough consecutive samples below benchmarks to decrease frequency ❑ r� Received approval from DWQ to reduce monitoring frequency ❑ w rr Al Other ❑ 8 Was this SDO monitored because of vehicle maintenance activities? Yes [� No El kit9 Inches 77 Dat Sample • Z � d Ab q. CollectedS 96-0-6 L.� wn OR • . • SWU-264-Generic-25May2010 Z:\Envlronmental\Industrlal\PP•Pllgrlm'sPrlde\PPNC•NorthCarollna\PPNC04•Sanford Fresh Plant\PPNC04.01SPILL\2013 Monitnrinp Fnrm I Environmental Plan Additional Outfall Attachment Outfall No. d Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No a Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 21' If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ED/ No ❑ 5WU-264-Generic-25May2010 �. 2:\Envronmenodusnial\P ial\lP-Pllgrlm'sPrlde\PPNC-NorthCarolina\PPNC04-SanfordFruh Plan[\PPNC04.01SPILL\2013 �� Monitoririg"Form 3 �r l� Environmal Plan Individual NPDES Permit No. N Certificate of Coverage (COC) No. N STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year or This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1st of the following year. Facility Name: County: Phone Number: f,) Total no. of SDOs monitored Outfali No.� Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes d No ❑ SWU-264-Generic-25 M ay20 1 0 Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04.01SPILL\2013 Monitorinw Fnrm I Environm( al Plan " 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 perso ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurat d complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and impris ent for knowing violations." Signature Date Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 GH,REGIONAL C 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704)663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 ' 70 presTd erve, protect i SWU-264-Generic-25May2010 Z:\Environmental\lndustrlal\PP-Pllgrlm'sPrlde\PPNC-NorthCarohna\PPNC04SanfordFresh Plant\PPNC04.O15PILL\2013 Monitoring Form I Environmental Plan Z:\Envlronmenta \Induscrlal\PP-Pilgrim's Prlde\PPNC•North Carolina\MC045anford Fresh Plant\PPNC040I SPILL\2013 Monitoring For Environrlf ital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORIN REPORT for North Carolina Division of.Water Quality General Permit, N . NCG060000 f . 's f �l is Date submitted l �l s CERTIFICATE OF COVERAGE NO. NCG060 L ? SAMPLE COLLECTION YEAR'' • 960 J C FACILITY NAME _F1+Jciim5, 62a&rd 21"1 __ FACILITY ACTIVITIES INCLUDE (check all that-appiy): 4 COUNTY - use/process meats ❑ use animal fats/byproducts 4- PERSON COLLECTING SAMPLES r> k�cLpg, DISCHARGING TO SALTWATERS? ❑YES e1gO LABORATORY UA Pt laliMS w Lab Cert. # 3-4 A_ 1 Lab 56407 PLEASE REMEMBER TO SIGN ON THE REVERSE d �V Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z • or No discharge this'period' OutWI M Sample Collected, ; ;mo/dd% r 5. ' 7SS, mg/L pH,' Standard units COD, :.... m 1< Oil and Grease; mg/L > 1Fecal Colifo�m , "`> Colonles Pei 108 m1 < Enterococcl Coloriles o er 100 hill. Benchmark 100Cor54'' `':Wi#hln'fr0'-9:4 I2Q1• - 30 104U• 500 AN 28,2016 Willy aFrFrnva w %-Orly I KAL FILES 2 The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 3 For sampling periods with no discharge at gU 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 SS gallons of riew motor oil per month? ❑ yes ❑ no .(if Wes' complete Part B) • Part B: Vehicle Maintenance Area Monitoring Results: only for facilities, averaging > 55 gal of new Moto r.oiI/month, Outfall No Sampfie Collec#ed; .:Oil and Grease, TSS, ' pH, ' New Motor OiI Ltsage ' mo/dd/ r mg/l '` mg/ L`: - '".Standard units' :: Annu'al average'gal/mo Benchmark _ 30 - 100. or 50 fi3O " 9.0 Amy appues to racuives Gnat 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. 2;\Environmental\industrial\PP,,Ptigim'sPrIde\PPNC•NorthCarollna}PPNC04-5anfordFresh P1ant\PPNC04-01sPIl.G\2013 Monitoring Form 2 Environmental Plan *FOR PART A AND EARUMONITORING 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 SECT ON B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EX_CEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO Q . IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [INO ❑ REGIONAL OFFICE CONTACT NAME: Mail on arl Jnal and one cogy of this DMR Including all "No Discharge re orts wlthln 30 da s of recel t of the lab results or at end of monitoring shod 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 1NFORMATION'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, orthose persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, ccur te, and complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fine�d�rlsonment for knowing violations." [Signature of t It (Date) Additional,copies of this form may be downloaded at: http://portal.ncdenr.o[g/web/wg/ws/su/npdessw#tab-4 SWU•249 Last Revised: October 18, 2012 Ego Z:\Envlronmental\fndustrin]\PP-Pilgrim's Pride\PM-North Cara11na\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILLN2013 E M0nit0rillg Form 2 Environd ital P1 Is SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water, Quality General Permit No. NCG060000 Date submitted - r 111averyA-x r- 2015) 1. CERTIFICATE OF COVERAGE NO. NCG06_a.L2�` SAMPLE COLLECTION YEAR,___c?b 15• t FACILITY NAME r;rn ED • FACILITY IVITIES INCLUDE (check all that apply): 1 c, S Ca o, COUNTY L� h a 2015 use/process meats _ ❑ use animal fats/byproduc . PERSON COLLECTING SAMPLES �no_td k�al.�aLr Dtil. DISCHARGING TO SALTWATERS? ❑YES SNO LABORATORY�A Lab Cert. #� %Xlui FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE Y it k /- I . . Z Part A. Stormwater Benchmarks and Monitoring Results Totof event rainfall or No discharge this period' .,. Outfall No. Sam 1e:Collected,„ p mo/dd/ r . -'TSS, m$%L pW► : ; Standard units.. " 'COD;` mg/L . Oil and Grease; ,:m L "' ` =-Fecal Collform , ;• Colonies' er 100 rnl °' Enterococci , ;_ •'. Colonies per 106inl> - Benchmark. ';: _ :':. 100;0 50 :::Within'6.0 = 9:0 120.=: :..: ,...._ : -30 :., 1000 .. 500. 5 1 < o0 WI IIr nf11,11ICx LV Ioy111LIGa vlui. uaCJI-1144. a II ICP La. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any. outfails. You must still submit this discharge monitoring report with a checkmark here. y 4See General Permit text, Table 3, identifying the especially sensitive receiving water classiflcations 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 (if Wes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. C►utfall No. .Sampie:Collected; Oil and Grease, TSS, ° � :. H, .. p NdW Motor Oil Usage; ` mo/ddl. r mglL .. { 1 = .., m L r .:• Standard'units :..Annual average:gal/mo Benchmark .. •..: =' 30 100:or 50 , ... 6.0 - 9.0 it 14�1-5 �n I�,S &.�fr �aa Willy PrJ}JIIC] LV Ialdtluca LIIQt UJC(lJl VL.CJJ 111CQL3. 2 The.total precipitation must be recorded using data from an on -site rain gauge. , 3 For sampling periods with no discharge at rM outfalis, 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. �+ �f G Z\Environmentsl\lndusvW\FP-Pllgdm'sPride\MC-NarthCarolEnn\PPNC04-SanrordFresh Plant\PPNC04-015P1LL\2013 Monitoring onitoring form ow Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: __ ' • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If SECTION 8. , • 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. [RNO Q,, IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES `F" NO 0 r�Jy�t Ttsr O �i`3 REGIONAL OFFICE CONTACT NAME: hn- E "`"�� Mall an orlaInal and one copy, ,of this DMR, Including a!1 "No Discharge" reparts. within 30 days of recelot of the lab results far at end of monitoring period in the case of "No Discharae 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, acc te,-and complete. I am aware that there are sign lficantpenalties for submitting false information, including the possibility of fines ar} nprisonment for knowing violations." (Signature o6kirm ittee). jZ LwI (Date) Additional,copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wp/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 r 7-\Envlronmental\fndustrlal\PP•Pilgrim's Pride\PPNC-North Caro11na\P?NC04-Sanrard Fresh Plant\PPNC04.01 SPILL\2013 Moni Farm 2 Environil's ital Plan. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division_ofiWater;Quality General,Permit,No..NCG060000,1; Date•Submitted. S., , r.' ( tvov f t n... t, i ..-'. ._, I I • ji, Fi3O' 7 ' CERTIFICATE OF'COVERAGE NO1 . NCG06�y" FACILITY NAME ; e r V- COUNTY - PERSON COLLECTING SAMPL S T)b" LABORATORY Fe.id�% bl Lab CA # 34 150(,r7 "S'AMPLE'COI.LECTiONIYEAR-t0 r,Ao15`r, ` , CENT - FACtLITY AC"fIVlTf S INCI UpE (cFieck'•aii that a-ppl#) Dw? �� FILES use/process meats _ ❑ use'animal•fats/IiVproiiuctsCrJON. DISCHARGING TO SALTWATERS? [-]YES DNO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 F t , Part A: StormwaterABenchmarks antl Monitorirtig Results i � '� t �Tota1'event-rarnf&11"ij=a5-�'or-O6No discharge this period":` Outfall-No. ``'Sample:Collected '; mo/dd/jr ` ' T_SS; mg/L pH, Standard units , COD, mg/L 'Oil. Grease, mg/L - FecaitColiformr, Colonies er400 mi '^s _ Enterococcl , Y _ Colonies er.iWml ;Benchmark - 100;or 50- ri Within`6.0' -`9:0' ;120= - . --30. �� -;�-- 1000` Soo 07 <;5Vr +# 3 " l�•a '7.a'7 ? I a0 • r , , . it 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 AU outfalls. You must still submit this discharge•monitoring report.with a,checkmark here. . a .t , See Genera1,Perm!t,text, Table.3, identifying.the,especially sensitive receiving water classifications where`the more -protective' benchmark -applies. - t •• I _. .f _ }r1. to f:.f !!ia �1_. ". �4'rC - :F j{ 7r _'. �' - #rfi'�i '` .. ii r• .Y, Diil7tfits facility perform Vehicle!Malntenance'ActivitiesFusing more#han 55'gallons of riew orator oil per!rnonth?, yes ID no ,c,(if.yes•-cornpiete, Part B), Part B:,VehicleiMalntenance Area Monitoring. Results:�only for facilities averaging > 55 gal of new motor, oil/month.. :0utfali;No. ' Sam pie;tollected mo/dd/yr" :Oil and'Grease, mg/L T55, - "+r �m �lY, r;i �r�' r! pH, , ' ` '` err: Standarsl•units�"'' `' New Wtor�0il Usage; ` ' I } 'Annual averagelgal/m,oI Benchmark -1 30 100 or'50 6.0 - 9.0 - # U.75 Only applies to facilities that use/process meats. 2The_total precipitation must be recorded using data] orn an on-site,rairrgauge: For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. a5ee'General'Permit text, Table 3, identifying•the especially sensitive receiving water classifications where the more protective benchmark applies. Z:\rnvlranmental\industrial\PP-P11 Im'sPrlde\PPNC•Nor[hCaroUnWPNC04-SanfordFreshP1ant\PPNL04-01SP1LL\Z013 m Monitoring-Potm- 2r Environmental Plan *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRiGGERS-TIER-4 REQUIREMENTS: SEE PERMMOART 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 4'011 MO_ RE-BENCHMARK:EXCEEDENCES FOR THE SAME PARAMETER AT ANY, ONE OUTFALL? YES NO ❑. IF YES, HAVE YOU CONTACTED THE.DW.Q REGIONAL OFFICE?, yYES„[K NO ❑ _J r" . REGIONALr:OFF,ICE CONTACT,NAME: , _�b (1 jAollea:►_~en' 4!L4 4-Ca111tc(_ _ E _ e ed c)-keys -tv ► incf curt 4;t -? eI�fC✓ LIS SRy W�'fl C♦0 !�S $06ri CIS Tho.� 1� Ve;fi Al . _ _ ` �•,.. .,f .'.J.,- :i Mail an original and onexooV of this •DMR, ,includirta all "No Discharge" reports, within 30 dovs of receipt of the lab results lfor at end of monitoring period I» the case o "No Dfschar e" r'e arts :,ta: - - - _ ►', h , . _ y 'A r1: ' Division.of Water Quality•, ; _ Attn:-DWQ'Central Files F - 1617 Mail -Service: Center . 11 Raleigh,-NC..27699-1617 „ } C C YOU MUST SIGN T IS CERTIFICATION'FOR'ANY'INFORA AT16N`REPDRTFD: ' S'�•� „ t ' "I certify, under penalty of law, that this document and all a#tachrnents were prepared under my direction'o'r si�pe`rvision in accordance With -a systemdesigned,to:assurelthat;qualifiedi ersonnel properly gather and•evaluate'Ahe 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,beIief,;true;-accurate, 'aware,that.there are significant penalties;for-'submitting faIse,'inforniatioh -I! .including,the possibilityof fin nd.imprisonment for knowing violations." - ,. /x- �(Slgnaturofferm`lttee) a (Date.) Additional.copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4:.-,) ,, ; , f SWU,,249,,, Last Revised: October 18.2012 moon- - - wwtwwi��l 4 Z:\Environmental\industrial\PP•Pllgrlm'sPrldo\PPNC•NorthCarollnn\PPNC04-Sin(ordFreshPlant\PPNC04-01SPILL\2013 F '' ._Monitoring Form 2 Environn. Vital Plan I� SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted -5/ 7115 CERTIFICATE -OF COVERAGE NO. NCG06 E) l -7 FACILITY NAME Na- Corp, SUL3 ? A - COUNTY Lee - PERSON COLLECTING SAMPLES 0-6 fit k6 CA1AtrmaA LABORATORYZ!�A__ _ Lab Cert. # . ___ _ 3q Part A: Stormwater Benchmarks and Monitoring Results i r�r.F I1/E SAMPLE COLLECTION YEAR Dols FACILITY•AC1'IVITIES INCLUDE (check all that apply): Sct?� ED-d's'e/process meats ❑ use animal ,;fqr/byprod"u1cTs141&�AWMW6UNIT DISCHARGING TOSALTWATERS? ❑YES [+] PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 0.56 or ❑ No discharge this period3 C+utfalliNo: ' £ 5'a'"mple Cailected;; f �.mo%dd/:yr,+ 755; ". P.. tmg/L'. '" Sfandard;unitsrii i `; COD, ` } ; :mg/t Oii�and[Grease; ` m6/L FecalFColiform., Coian(esipers100�m1 d . Enterococci ,9 Colonies per+100. m1 ` ` Ix ,. .. ` Z _0o 30 100D 50D'en rills '-" 5. . C)q „ 5 �5 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 performVehicle 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. (if gj complete Part B) =0UtfalPN .' h;. :6amplb;Collected, m '?dd%:yr 'Oil,.and Grease,. mg/.t TSS, mg/L pH, Standardunits -New:Motar OWUsage; Annual'averagegal/MM,_ l Benchmark.. .. ,30?:: 100.l or:50 6.0 — 9:0r - lI <5 G, $S 11 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. �1 Z:\Cnvlronmental\Industrial\PP-Pllgrlm's Pride\PPNC-North Carolina\PPNC04-5anford Fresh Plant\PPNC04.015PILLN2013 Monitoring Form G Environmental Plan *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 Dischar e" reports, within 30 days of receipt -of the lab results Lor at end of monitoring period in the case of "No Dischar, eg " reportsl ty: Division of Water Quality Attn: DWQCentral Files 1617 Mail Service Center Raleigh, NC 27699-1617 Ikr1N 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-z-t 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;grprisonment for knowing violations." (Signature of (Date) Addition copies of this form may be downloaded at: htti)://portal.ncdenr.ore/web/wa/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Pride\PPNC-North Caro11na\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitorn-ig Form 2 Environmental Plan Stormw4ater Discharge Outfall (SDO) Qualitative Monitoring Report N 7 1 Certificate Permit No C 00a'1� , 5�,• Or Certi Facility Name: Sanford Processing Plant_ _ of Coverage No.: NCG060174 County: Lee Phone No. R (9 7 7 4 7333 Inspector: 1�on lt-.dneV 1' f-k*%sS& c)nder_ rtnov-, _ _ - Date of Inspection: �112J[S Time of Inspection: $_ !So-nn Total Event Precipitation (inches): 6.50 Was is a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do n_d have this requirement. Please refer to these definitions, if applicable. i A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive. hours of no precipitation. A "measurable storm event... is, a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is.,Able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify this report is accurate and complete t6the best of my knowledge: (Signature o01rmittee or A 1 Z:\5niironmental\Industrial\PP-Piigrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh P14nt\PPNt04-01 SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. i Structure {pipe, ditch, etc.} VIA Receiving Stream: IZi Yer Describe the industrial activities that occur within the - outfall drainage area: -�nu�r���cesfin� pianf 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) aes s'dcriptors: Li!l._+ 3. Odor: Describe andistinct odors that the discharge may have i.e. smells strongly of oil Y g Y { � gY weak chlorine odor, etc.). e-as`44.y 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i 1 C 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: © 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 5 is extremely muddy: l 3 4 5 7. Is there any foam in the sto r nwater discharge? il�o Yes S. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion, or deposition at the outfall? Yes 10. Other Obvious Indicators lof Stormwater Pollution: List and describe i Note: Low clarity, high solids, dnd/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. H SWU-242, Last modified 10/25/2012 Z:\Enviranmentai\industrial\PP-Pligim'sPride\PPNC-Narl[hCarolIna\MC04-SanlordFresh V1ant\PPNC04-01SPILL\2013 Monitoring Form 1 I l Environmental Plan Stormw.ater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC 8o l95']5 Facility Name: County: �Qc Inspector: 1)oA- Date of Inspection: y j n jrg Time of Inspection: V, Z3ae Total Event Precipitation (inches): ©. So FY this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? es No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requireml nts vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. r A "representative storm event" 'is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 fours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive. hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The - 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the Certificate of Coverage No.: NCG060174 Sanford Processing Plant Phone No. q t 4 7-1 q 7 3 53 permittee obtains approval from the local DWQ Regional Office. By this signature, I certify tha I report is accurate and complete to'the best of my knowledge: Z:\Envfronmentel\Industrial\PP-Pilgrim's Pride\PPNC-North rohna\PPNC045anford FreshP1Vt\PPNC04-OS SPILL\2013 Monitoring Form 1 Environmental Plan I. Outfall Description: Outfall No. a Structure (pipe, ditch, etc.)�t�� _ Receiving Stream: 96m- Describe the industrial activities that occur within the . outfalI drainage area: To,) roc1CS5EKSs_466k;'j 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: t; Thfi r ;�ti•- bctxan .1 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): e-C'J 1 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1-is clear and 5 is very cloudy: 1® 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the storwater discharge, where mI is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge; where 1 is no solids and 5 is extremely muddy: U22 3 4. 5 7. Is there any foam in the stormwater discharge? Yes GN 8. Is there an oil sheen in.the stormwater discharge? Yes 9. Is there evidence of erosion' or deposition at the outfall? Yes .. 10. Other Obvious Indicators 1of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. { SWU-242, Last modified 10/25/2012 Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC- North Car0jna\PPNC04San1ordFresh flant\PPNCO¢OISPILL\2013 Monitoring Form I Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Penn it No.: NC [b� c25-7 ;Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: - Phone No. Q 7? `f733 Inspector: a to i3'S a- Met -I Date of Inspection: S., Time of Inspection: $;ypArK& Total Event Precipitation (inches): l i Was is a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Lj Yes No { Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive. hours of no precipitation. A "measurable storm event" ;is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is ;tLble to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. .s .t I By this signature, I certify th is re ort is accurate and complete to the best of my knowledge: t 2� / t (Signature of Pttee or Designee) F Z:\Environmentai\lndustria]\PP-Pllgrim'sPrlde\PPNC-North Carolina\PPNC04$anfordFresh Plqnt\PPNC04015PILL\1013 Monitoring Form I i i -i Environmental Plan 1. Outfall Description:-outfall No. ^3 Structure (pipe, ditch, etc.) h Receiving Stream: l -Z,4,&7 Describe the industrial activities t at occur within the outfall drainage area: �ort� t J 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: rAAd: s J- n T • �� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, .weak chlorine.odor, etc.): s 4. Clarity: Choose the numbei which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1@ 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge,.where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge; where I is no solids and 5 is extremely muddy: 1(j 3 4 5 i 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes Cp 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators } f Stormwater Pollution: List and describe i f 7 i i Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. 4 +r I SWU-242, bast modified 10/25/2012 Z:\Environmental\lndnstrla[\PP-Pilgrlm's Pride\PPNC-North Carolina\PPNC"Sanford Fresh-Plant\PPNC04-01 SP1LL\2013 Monitoring Form I DO/5Environmental Plan StorniNvater Dischal.,Je Outfi;.-ai (SDO) Qwc-ditafi,ve Mouitoring R_�porc Permit No.: NC - FOr Certificate ,,tificate of No.: NCGO60174 _4���': Facility Name: Sanford Processing pjailt,k, County: Phom: No. Inspector: Time of Inspection. Date of Inspection. Total Event Precipitation (inches)- K" Was this a"Represemative Storin Event", or MC3SUreabkStorm Event: as dcl"ined by the permit? rVi Yes[] No Please verify icheiher Qzialiiafi!'e Muniioring, wasl be -j3uijb)-)nvJ durbig a -representative storm event," or "measureable sturin ei,enl - (i-equij-ewems vw�), Un 1he J)erinil). Qualitative monitoring requirements vary. MUSL P',1-1111B rC:CJU11-e ClUalitUtiVe Monitoring to be performed during a "I'epreSerllatiVC storm event" or dUrifh, a "ineasureable storm event.. However; sorne permits do not have this reqLiifz1111L'ffl. Vlu-usc: refer to these definitions, if applicable. A "representative sturin event" is a storill evellt that MeLlsures z;,rQater than U. I inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storin event measuring greater than 0.1 inches has occurred. A sin -le storm event Inay contain up to 10 consecutive hours -of no precipitation. A "measurable storm evelIL" is a storm event that results iii an actual discharge from the permitted site oull'all. The previous nle'LISUrable storm CVC11t 11LUSt have been at least 72 hours prior. The 72-hour storm interval does not,apply if the peri-nittee is able to document that a shorter interval is representative for local SLOI-111 events dur1jL1 the sampling period, and the permittee obtains approval froin the local DWQ Re,ponal Offit:,'n By this signature. I certify t "is report is accurate and coinplcte to On: best of my knowledge: - / 2- L (Signature qP li 9� iittoz or Designee} 7--�EavironnienL31\lndusLrial\PP-E'jigrii)i's Prid.%PPNC-%Drth Laro1jna\PP,%C4J4-SunfUrd Fresli PlanE\PHN Lid V-01 SP1LL\2U13 Monitoring Form. 1 Environni� ntal Plan 1. Outfall Description: Out#all No.-3-- Structure (pipe, ditch, etc.) fiJr f/� Receiving Stream: �( r- Describe the iiihstrkil activities that occur within the outfall drainage area: n5w 14r�prD52t,16i^T Z. Color: Describe the color of the discharge using b' sic solos {red, brown,. blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe airy distinct odors that the discharge may live (i.e., sin Als strongly of oil; weak chlorine odor, etc.): _ tje> _ _ -- 4. Clarity: Choose the nuniber which best describes the clarity of the discharge, where 1 is ` clear and 5 is very cloudy: 1 Z-& 4 5 A 5. Floating Solids: Choose the IWInber �vliich best describes the atiAottM of floating solids in the stortn\vater disclarge, where 1 is no solids and 5 is the surface covered %with floating solids: 1 q) 3 4 5 6. Suspended Solids: Choose the IlUm ter which best describes the amount of'suspended solids in the stormwater discharge, where 1 is no solids anti 5 is extr-ernely muddy: lb 3 4 5 7. is there any foam in the sw::nwater discharge? Yes 'o S. Is there an oil sheen in the :;corm%vatLr discharge? Yes 9. Is there evidence of erosion or deposition at the outlall•? Yc; I� 10. Other Obvious 1jidicators i>f Storntw:rtet PoIlutiutl: List and describe Note: Low clarity, high solids, and/or the presence of tbttin, oil sheen, or erosion/deposition may be indicative of pollutant exposttrc. These conditions warrant fiu-ther• 111vesti0a11011. Swu-242, Lail modified 10n5n012 Z\EnV[ranmeniai\[ndustria1\PP-Pifdrim'sPrids\PNNC—Artiit:3rUlini\YF';:C04-54nlurdFresh Plant\lit,NCv-t-UiS1,111\:u13 Monitoring Corm 1 Envil�anmontal Plari_ 1StO1*111NV7tC'1- D1Stharot OtItkiil (SI)O) ;W/S�— PennitNo.: NC Or Cc:tiltcatcar'C'o�Lr::�c a.: \CGUG017�"'' Facility Name: S, ord Processin, Pl:uii County: _ Phone Inspector: Ak,,A_ ' Date ofhispection: 1'jmL ()I insl�ctl�on: Total Event Precipitation (inches): Was this a `'Repl-eseni ativo Storm EVenl" ur NIc:tsttreabit: SLUfif, ["Vellt: tls dz:fin:d by the perms 5 rn Yes No Please i'erif}1 whel/lee- Ourlliva i:'v kfi1nhurinl� l asi he [hu-iiw f! •-)-el Y' i-entatlye storm � event " br ��iJlt'C1Sll1'L',r1J1rU J'IUl'111 C'hi'111 ' (rry(rit c'111C 11l.�' i'(tia', t1C'fi�'i7:i111} oil !!r'i' �JL'i'1JIlt). r p;w.. Qualitative nionitoring regUirC`IIICIIIJ Vary. IMOSt pL ,1111S CjULJiL.ililrc 1110111toring to be performed during, a Iepr,�!sentaLiVC Storlu eVellt"' Of (loony a nlcasureable storlll; event.'! However- SOlnie 1]cffflits do not have this reCltin-znl llt. Pltt:� I-CfUl' tC) Lh1,—s ; defin'itions.1f applicable. 1` l A "represelatativz• S101*111 CVC11C IS a SLO1'l11 Lh.:t 111L:lsltiCCS 11'l.tl1 0.1 Inches of rainfall and that is precedf:d by at bast 72 flours (3 d.tys) its which no S101-in cvcslt nwasLiring treater than `'� . 0.1 inches h.:s occurred. A -siiiL le storul eVtlit inay c0lu:lin L,j) 10 10 cOnSeCL1tiVe hours -of�no1 precipitation. ' A "measurable SLOI'I11 c\'ontll 1S tI St01-tll LVCM LhLit 1-CSltitS M Cllt LiC'tlt:il discharge from t11e permitted site outfall. '1'hi pI'E 1'iUl1S I11Lasttrable Sturin i;VClll IilLISt have been at least 72 hours prior. The 72-110ur Storlll interval does not apply it' Lllc Perin alee is able to document that a ' shorter interval is represealtative lbr local stunii ev= :nts dtirili, the sanlpiill�� period, and the permittee obtains appi-oval i•ralri tits local D\VQ O1Tic 4 By this 51`IiZilit-e, 1 cel'tllV ciE E111s CLport iS aCCUI`dlt .gild co.ropl. tc t0 flit best of nl)' knowledge: (Signature ern)lttee 01' Desi{.nee} it u a. v '-- Z:\£ni•Ironmeatal\Indus:ria1�Pi'-P:Igrin:'x3'rtJe�1'I•R'L'-::�nh Carofioa\PP::i:U4-S:.I.furg F; tslz 19un1�1'i';;CU•1 Ul%T1i"A'D13 Monitoring Form, t •x''t; Env t onmental Plan 1. Outfall Descriljtiujj: Outtitl l ?`to.J_ Structure (pipe, dit;:h, Receivirw StrLatn: _ Describe tli�- 111JUStl ,d activities tiviaL occur within the 4 - outfall drainage aCc•d: . 2. Color: Describe the color of ffic discharge usin- .tsic olocs (red, brown, blue, etc.) and tint (llpht, 1liCdlCllil, d:il'k) as Cles:l'ip[Oi's: f 3. Odor: Describe. anv disilne[ oclors that the disch:ir;,,,inay li_: r� (i.L.; smAls strongly of oil, weak chlorine odor,-- 4. Clarity: Clioo;e th;: i:tinibu.r which best describes tilt cltiritl, ul'the dis�:hur, k:, where 1 is clear and 5 is very cloticly: t d 3 4 5` 5. Floating Sulids: C huose the: itmober wvh;vIi best c!'.:sc•ribes H.,,' anlotli,t 110iti-11-0 solids in the storm\}'liter cliscll_tr��e \\diet: 1 is lio solids and 5 is tli. stlt'i::: Co�-rr�•cl ',% deli iloating solids: 1 69 3 4 5 6. Suspended Solids: Choose ]hV 111.111dwr which best Lsesc,'ibts the arnuuoL ut sus ended solids in the stormw:iier clisch:tr�e, where 1 is no solids and 5 is extremely ti.uddl,: 1 3 4 5 7. Is there any fu:Iin in the sto,-m%valer dis(diame? YUi -_ g. IS there an U11 51iE1'ii 1[1 llte aiUl'lnwati'C C11aCllargi:? Ve.s 9. Is there evideltce ut'erosiuu jr dvijusit,uu at [fie ouri_lll'1 Y.-. 10. Other Obvious lijdiCILWI'S vt' SIO1'i'l ate,• Puli.,tiGit: l� v List and describe—___. Note: Low clarity; high solids, toed/or the presctico ui' i't—Kmi. oil -,been. oi- ei'usiun!deposition may be indicative of ljolltlttint exf)USLa-c. "1'lizse C011ditlulls �V UTaut i'urther III VCst".14LAiuli. air U-'242, LaSL muditied 10/25/2012 ((� Z:\EmProrMcrlsl\lam a.. as:\PP-i'cka:,z �i': 7t\fPAJt: n?zl:..rclir�\I' JFrre;i� .L�.i-JIiI':1A.1,-J:3 Mo111toring form 1 -Environmental .Plan-- _ ' 60 A.StorniNvater Discharge 011ttill _(SllU} l , t -. 101tlt 1•l tl 1 i Y h ` ' b , Pennit No.: NC 10716 Or Cen ic;nc of Cywrage No.: I CGOG0174' r Facility Name: SanArcl FrucessAiR Plant 111101te NO. Inspector: _ Date of Inspection: Tilde ol'ilispectioll: % a tn- t Total Event Precipitation (inches): �`�JS =N N Was tills a "Repressmadve Swrin Event" or Wasurcuble Stonn Event: as da Inc!d by tale permit? Yes 1\0 •'c. S� i Please,, verify ivhelliei- Quulilaiive Alonhurillg ri wy hugge Jvisleal cha,in� a • ),q)i-esenlalive s_torfn r event & or WNeuS111'c able sioi•111 e ve w „ yq uli't'i11wits inul, S po W,g coil Ih,' Ile1 wit). � 1 - Qualitative monitoring requkcinLlnts vary. ;\,lust permits require clLl.ditative inoniloring t0 performed. during a %presentative Storm evelit-or clurinz, a "meaSLH-eable storm event." • F However, soiile permits do not have this regUireffle t. 1'le.:Se refer to these definitions,Vtf ,`Vo `x applicable. :� A "representative Sturm event" is a stonn event tll.it 111C%1au1-cs :arc ter than 0.1 inches of rainfall and that is preceded by at le::1st 72 hoLWS (3 clays) in Wah no SLu1•e11 event 1.11e:lsuring greater than 0.1 inches has OCelllTCLl. fi single stone event inav collt.itll up to 10 Cult3el'tltive hours -of no g precipitation. A "measurable storm eve iC is a- sturni ev ale that VUSLllls .11 all UL'ltil diSCharge from the.;: - pertlliued site oudAll. The pre OUS eVC7111 ::,ust 11a4re b,:LA] at least 111610 prior. Tlie 72-hoar Stol]n ifflt rv.tl dues not apply it' th1:' pc:r;:lilter is able to clocunlent that; 16 ' 0 �# shorter interval is rcpfes::ntative lur lucal Storm curets CiUrij,u tile; S:11111)lin� pertod, and the � �.,.. L permittee obwKs .lppruval ii,oiil the loc-1 D\VQ Regioi n:l By this signature. i cerlil clt' Lis report is azcuratc :;reel ; cintljletL to the best of' illy knowledge: STA (Signature �riiiittce or Desig-allce} - _` ' 10.1 di .. . _ 3 .. _ Y • - Z:�Ers'Ironn=en:al�lnd.iscYinl\I'i'I'ilgrin.'sl•ridr�i'fiiC-ffel�en Co�u!in��Pe f7Cu-bS;crjord l'rrsle l;a�':•Yi•:a:U l-U151'ii.2.jlu li Monitoring orm`I W' Jr. Envii-ont-nental Plan 1. Outfall Descripticow Ouifali No. Structure (pipe, djit,:h, etc.)- Receiving Stream: ^Atiles Describe theeindustri-I activities . tirat `occur within the outfall drainage area: DZ4 Mr, 2. Color: Describe the color ol'the discliat-Lje usisl k: L:u I ui s wn; blue, etc.) and tint (light, mediLlni, dark) as descriptors: 3. Odor: Describe afiv distinct OdUrS iha the disch-iniLiv1 (i.e.. sill'Als stroll-ly of oil, weak chlorine odor. etc.): 4. Clarity: Choose the number which b;1-st describes dic clarity ul'the disciiaq,c. where I is clear acid 5 is cloudy: 1 2 5 5. Floatinu Solids: 01,0USU Li-,-" JlLllliber %vhit:h best cL-s,--ribes ti.- ctniouiJ (i I'll oatflic, solids in the storniNvater disciiarue. v,hurc! 1 is no solids and 5 Is suiT1I------ (:ovuvvd with 11outin'-1 solids: 1© 3 4 i 6. Suspended Solids: Choose ilic ntwibr-:-r which Lost ck:sLrlbt-s the LHIIOUI-A 01'sLispended solids in the storinwater dischanve. w-livre I is no solids geed 5 is muddy: 1 2 4 5 7. JS there allV 1u.1111 in the ON 8. Is there an oil specie in the storinwat;:r dischan,-c? V.:s 9. Is there evidei,---e oftn"os;cii, ijr du1juSit'011 tit thl,- U10'--,H? 10. Other Obvious hidicaiurs of storl'.wmel, P011u(1:01-1: List and describe__ Low clarity_ high solids, and/or thc presence of !bane, oil shcen, or crusiuii!deposition may be indicative Of P0111.1tant eXI)OSL1l%:.T)1QS,2 culiditions vvzin-Luii fi-rd,,er Invesiluatiou. �VVU-232, LaSt mudified 10/25/2012 ilr.-'r%ill'.',C,,'.',,".!:l:a-olitia\11P,',Cul-S.iii(,j,d Vresh St, I L I N101-litoring Form 1 ___ z -- �- ' •- _ _ rivironmental-Plan _ 5tot"Ill, v,ater Disih-Aro Oul<f ill (SD0) alit.lit` e ac, R,:fjot'(a- k .moiiltE"1 Permit No. , \C � �, Ccl .itictlt. of Covtr;:� ?� ,.: - CG06U 17-4 _ter Facility Nalne: swilord Pro�:L;S'iL P1.1Ilt Count}'' 1'hu,I� 1o. s`�', Inspector: • a, . -' Date of lnspectiol,: ` IIIIC of, µ Total Event Precipitation k Was this a `Reprlscnt:Itive Jtoi-1,! ur Stu;;,: :vuitl::!s d iiiied by the pennO ,. Yes F1 \o r Please vertfj, ii4iethei- Oualitcuive Alunitill'lilg must be 1)�,i:J'Ul'1i;:'(1 chu-ing C! I'L'1/I'L'J'eiltf2tive storm. F :' . eve22t" 01' • "Prim-ttible stoi'm event " {i't(jtill i11leJll.i i'Llra, Cl., P!,iilil2, oii IhL Qualitative rnonitoring recluilcanents \:lly. Nlosl permits req::ire cll.l.tlitutive monitoring to be t -`' performed dtlrint_ a "represelltativ slornl event' or ciurirlL� .1 "Measul•;.al�l.e storm event.'.'- - However; some permits do loot have this regliirelllc:r,t. Plu:.� ; re1Cr to these definitions, if applicable. A "representative stornl event" is a sturl,I rvenl tll:it 11i jlkrlj •�I'C�lter lll::li i1.1 inches of rainfall ' f `t- and that is preceded by zit h:, List 72 ltc,uls (3 days) il, 1YlIlC11 !1U yI.)i'111 L'1'(:131 li,tatSllrllli, uleater than rt'r 0.1 inches has occtlrre;i. A sinLil stul-1I1 :\relit !13 ly t:0111::ill I:I) to 10 c;;,Ise utive hours of no - precipitation. ' ]le 5t01\ll" is SIUI1 .vn'Lill l4ILal discharge frOn the-.',, A "eaAlISt` y . permitted site outfall. The prc\`IOUs inu isur�iblc storm L :'etlt IIfL,SI b�_-cll at least 72 hours--' = `' •, � P . prior. The 72-hour stDrIll 11AC:1v 11 docs nut .Ipply ii' Lh , jx:1i1:iatx is ,&L! to doculncnt that a _ - shorter interval is representative lbr lueal storm events d1.Irill` the 5illrll)lili<� period, and the pelniittee obtains apprciv�tl lron� tl Dl1'Q ke4ior;_Il Oiiie' .h' �r By this sigl1ature. 1 certilj 1. tlIIS report is aLCUl"'IC 'ill; Uuntplet to bzst of my knowledge. i (Signature of ,IittLe ur Desinze} i , a. s" ` � n• ' 2:\Erti,ronmrrtal\lao�,trial\YY-pilgrim'sf':i3e\PPtGKartf,l:ar�;ina\1'i'�.CUF-Sane]r�iFrc,6Niar,t�1'i^.:C.i;i-flf5i'IL:1,�.�I3 Monitoring Form 1 ElIvii,onmental Plan- 1. Outfall Dvscripfiun: OLiffall No. StrtictUft: (pier, di-IJI, e:!Ll)—plae- Receivin L, str,.im: Describe the ;1JUSti-i-1.1 within the outfall draill'I'Le ar-,:.,t- aLet 4il, Pro e-44 frg 2. Color: Describe the color ufiiic dlsc:Iiuroe usin,- b-, ` color - (r -Cl, wn bro blue, etc.) and tint (light, niediUlll, dark) as descriptors: 3. Odor: Describe Filly disunc`t odors tfl.iL the discInir-,t: niaY (ix- siij,�:Ils strotild), of oil, weak chlorine odor, etc.): kc— I 4. Clarity CIIOOSe the IlUmber which best describes ilic ckirii\ ofthe discharge, where I is clear and 5 is VCW CIULldv: t 3 4 5 5. Floating Solid.;: Choose1114:' 1111inbur %\-hlch best dt:sccd)es ti L-1111LAHIL C, fil 0,,1, Li fig solids in the storni%vater %vtiert- I is no solids and 5 :IS th-,: SUN"�_-V COVVFQd wiLh iloalling, solids: I (D 3 4 55 6. Suspended Solids: C1100-le 111r Mlinber whieb b,:si the aliloUnL ol . SUSI)CIlded solids in the stormwater discharge. ,%,here I is no solids an,11 5 IS VMi-tMIL!1�- 111L1Jd)_: U'P 3 4 5 7. Is there anv fijam Iii the Ob 8. Is"there an oil sheen in the stormwaier discharge? 'V,:s 9. Is there evidl-nce w- deposlaiun at the oui!1411? V17.; 10. Other 0 b v i u w s I I i: at u rs u i , a i 1v a t e r P olloiWi.: JQO List and describ,e___ Note: Low clarity, iii-Ii solids, the presefice 01'I'UX-11I.. U11 Sjjeejj, or erosion./deposition may be indicative Of j)OHLWt1!t conditions . ill-thcr SWU-242, L.,st wudified 10/25/2012 i4uniroring Form I Environn Jtal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT REcp/V for North Carolina Division of Water QuI ity Ge eral Permit No. NCG0160000 ED Date submitted � DEC 0.82014 CERTIFICATE OF WVERAGE NO. NCG06Ql -7_�F SAMPLE COLLECTION YEAR Q1Lt CENTRAL F FACILITY NAME 11LGriln r 91 J v- 4^ s9�u /"s �,r� FACILITY ACTIVITIE INCLUDE (check all that apply): °wR sEerioN COUNTY Lee_ 11ji rocess meats ❑ use animal fats/b .ucts PERSON COLLECTING SAMPLES w, a X Z vm && WJ9-pses.% DISCHARGING TO SALTWATERS? ❑YES LABORATORY !3d- A Lab Ce . # 3LF Frlee.d Lr9L,, to ,% )1 6661 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall zCa:60 or ❑ No discharge this period3 'Outfall1No . �+� Sample�CoIIPF4"d; ; mo/ild%y`rs `: " `�TSS,_ _ wm L ` . g/ � pW;: ' Standard urnts r: COD,, m L. g/, ' ^Oil�and.Grease, 'm Lr`' g/. Fecal:Colifdrm.:; Colonies, er 100mi P "' -' rEnterococci , "Coionie's` ert100pm1i^ P (13ei;cl;mark a... ,. r r '.' ; Na4 100dor 50 _ ��Wi#hl'w .6.= 91Or�;:;: �1.20« 301 1000 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 gny outfails. 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. (if yes, complete Part B) QutfallNo l :Sample Collected, mo/ad/.yr_ 0lUand'rGrease, ' mg/t TSS; mgL. pH; Standard=units: NewMotor¢Q!I Usage,...:. Annuailaverage,gal%mo. ` - Benchmark:, ! . 30° . 100.or,50 6.0-9.0' ! C 5, v12, Ca 3 6-7 '.'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 outfails, 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. MEMEMENIM Z:\Environmental\Industrial\PP-PNgrim'sPrlde\PPNC-NorhCarohna\MC04-Sanford Fresh Plant\PPNC04.01SPILL\2013 Monitoring Form 2 Environmental Plan *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 ©� IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one cony of this DMR including all "No Discharge" re orts within 30 days of recei t of the lab results or at end of monitorin 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 qualifiedpersonnel 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 anj�jrffprisonment for knowing violations." (Signature of !1 ZG Lw (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ors/web/_wg/ws/_su/npde sw#tab-4 SWU-249 Last Revised: October 18, 2012 Pride\PPNC-North Carolina\MC04-Sanford Fresh Plan[\PM04-01 SP1LL\2013 MonitoFird Form 2 Environn. vital Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quali y Ge rai Permit No. NCG060000 Date submitted CERTIFICATE.OF C VERAGE N0. NCG06 Q1 Z� SAMPLE COLLECTION YEAR o �� FACILITY NAME 1,114 &tt I rr,s %/I'I c7�. Sn►NFo.tJ 4,9-.7 FACILITY ACTI S INCLUDE (check all that apply): COUNTY - P �.. se/process meats []use animal fat products PERSON COLLECT NG SAMPLES It &11ra. Awa.. DISCHARGING TO SALTWATERS? [-]YES LH90 LABORATORY �- A Lab Cert. # 3 c-t I ec.j L al, IN $ t, ., Sm 6") Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE + Total event rainfall 2C�661 or ❑ No discharge this period3 Outfall Node`5ample .tea ,.� . iiT Collyected, .. N''K l�-i. , mo/,dd/,yr,-,�, "i {T55; °' �.-' `Nt�r ",��r,m L...;; g/ f ;�. "' ` �H;.. , .~ •', k'�' - Standardiunits .,; ;' `'.COD, .s -:.i . srri /L. ,.:..,.,, g �F` °011ka"ndgGreas'e, M -�1' „ mg/,L. Fecal Cdliform,r "Trite .. [..'1� , Coloriiessper,l0.0imIF oror cocc ,- Y"..•-5-. ,_: Colon�es�per 100tm1;== FfWorl50:_ � � Wifhrn�6P0A �9r0�' :: , `?120.;:a> 301 1000: ._ 500 a t o 1 19.0. -7. 610X < S. o :22 . . 3 63 C.. o 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 chm applies. ;yes Did this facility perform,Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ no (if yes, complete Part Bj Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. t 7`Outfall;No Y Sample'Collected„ l: mo%dd/yr Oil Nand;Grease mg/,L. " T55,. mg/L-, : pH; Standard; units New!Motor OII;Usage;. " Annualjanerageig' al/mo- Benchm'ark,!,';30 100.or'SO 6.0 - %0 - O S I <-",a ! . S '► < X..37 "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. Z:\6nvlronmental\Industrial\PP-Pilgrim'sPrlde\MC-NorthCarohnn\MC04-SanrordFresh Plant\PPNC04.015PILL\2013 Monitoring Form 2 Environmental Plan *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 Q+ 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 of receipt of the lab results tor at end of monitorin period in the case of "No Discharge" reportsj-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 informatlon, 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 _d imprisonment for knowing violations." (Signature of Il kly - (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Pride\PPNC•North CaroUna\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitorirf1tl Form 2 Environmental Plan Stormivater Discharue Outtall (SDO) Qualitative Monitoi-Hib n�-poi•C 4 ` y- Permit No.: NC Or Certificate of Coverjoe No.: NCG060174 Facility Naine: Sanford Processini;• Plant County: A-lh i Phone No. d I q ? 71/ _AQ-3 Inspector: Q Date of Inspection: Total Event Precipitation (inches): s 60 Tinle of Inspection: 91; , o M this a "Representative Storrn Event' or 11�easureable Storni Event: as defined by the permit? [W Yes No 1`'=` Please verify trheiher Qualilaii-e A?onilorin,; mits1 be (hiring a "repwesentative storm event " o1' " lneasl!!'eClble S101'll7 event „ ('1'C'Cj11li'eIi1L'i1IS !'al }', C%L'pC i'l(ll1?g o1a the E)eI'►)rll). =' Qualitative nlonitorin- requirelnellts vary. Most pLA-111 is 1'eCIC:i1-e Clualitative monitoring to be performed during a ~representative storm event or during a measureable storm event_. However; some permits do not have this requirernent. l'le..se refer to these definitions, if' applicable. A representative storm evenC is a storm event that pleasures greater than 0.I inches of rainfall and that is preceded by at least '72 hours (3 days) in which no stol'111 e1'e11t IneUsu1'l11g greater than '` , 0.1 inches has occurred. A_ single storm event 111ay contain up to 10 consecutive hours -of no precipitation.> A "measurable storm event" is a storm event that rLstllts ill an actual discharge from the pennitted site outfan. The previous mL':tsurable storm event liiltst Have been at least 72 hours prior. The 72-hour storm interval does not apply 11 the permittee is able to document that a shorter interval is representative for local storm events Citlfill<1" the samplim, period, and the permittee obtains approval from the local D\11Q Regiomd Oifiit•c. By this signature; 1 certi t-tllia ri,poll is accul'ate and cunlpk- to to the best 'of my knowledge: ' (Signature of Pe 1itte or Designee siF+ - .ice• ' _ .- - - __ �. - S.••y } Z\Entlroamallal\ladusuhl\PP-PllgrinisPridc�PP{tic- crtiC ruSina\Pp;,cli•SsnSi;rdFrn],Pljn1%VPNCW'UlNPJL.\'J13 Monitoring Form 1 _'- Environmental Plan 1. Outfall Description: Outl=all No.___L Structure (pipe, dht:h, etc.) f Receiving Stream: e Describe,the industmz1 activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red,1brown, blue, etc.) and tint (light, medium. dark) as descriptors: W.,r /rrZA 3. Odor: Describe unv disum:j, odors that the discbarcfe may h ivc (i.e.: su3c4is.strottgly of oil, weak chlorine odor, etc.): .Y... 4. Clarity: Choose the nunibef*which best describes the clarity o['the discharge, where 1 is clear and 5 is \Very cloudy: 1 3 4 5 5. Floating Solids: Choose tlis_ nut 1lbef- which best drsrt•ibes 11.• :unottIli oI'll o:iti11�1 solids in the storniwater discharge, wher. I is no solids and 5 is the surfll,-: coven:d w-ith floe►tins solids: 3 2 3 4 5 6. Suspended Solids: Choc•se the MIMI er \vhich best describes the amount of sus )ended solids in the stortnwhere discharge, here 1 is no solids and 5 is eatreirtely muddy: 1 3' 4 5 7. Is there any ft►am its the stormvater discharge? Yes N 8. Is there an oil sheet[ in tiir _:!ormwatcr discharge? Yes 9. Is there evidence of erosiiii► it c giu;itiuu at the outl:tll? Y: 10. Other Obvious ludicatur``syy--A-'Stur►,i►vatcr Pollutiw► : List and describe Note: Low clarity, high solids, ultd/or the presence of -login, oil sheen, or erasion/deposition may be indicative of pollrttatlt export►re. "These conditions warrant RI. Cher investigation. f 5WU-242, east mudified 10/25/2012 ` Z\EnvSronmcntal\Indc�triai\PPd'iio:inisYr:Je�P!'7v(:-K�r'thC roliei�\I'1';:CU3-Sir.(ordFresh Pla[rt\Pi1NCU-1-U151.1LL':u13 Monitoring Form I t Environmental Plan Stormwater Discharge 4utfall (SDO) Qualitative Monitoring Report Permit No.: NC ('�72�7j ' Or Certificate of Coverage No.: NCG060174 Facility Name: Sanford Processing Plant County: Inspector: Date of Inspection: Phone No. Time of Inspection: Total Event Precipitation (inches): 7, 7W this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event " (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm, event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours �-- prior. The 7 storm interval does not applyy, if the permittee is able to document that a -� shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify (Signature of Permittek or D si nee) is accurate and complete to the best of my knowledge: Z:\Envlronmenlal\Industrial\PP-Pilgrim's Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04-01 SPILL\2013 Monitoring Form I Environmental Plan 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) at, -- ) Receiving Stream: PU g;tlz /- Describe the industrial activities that occur within the i outfall drainage area: V W/ �'5 , 42rcG,1)5. 2. Color: Describe the color of the discharge using basic col rs (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): i)©/je- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 (1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 a 4 5 7. Is there any foam in the stormwater discharge? Yes S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe���� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 C-'i Z:\Environmental\lndustriai\PP-PilglrrtsPride\PPNC•NorthCarohna\PPNC04-SanfordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form I Environmental Plan Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NC Vp 7zS7jr Or Certificate of Coverage No.: . NCG060174 Facility Name: Sanford Processing Plant - County: ,[,I;iA Inspector: Date of Inspection Phone No. Time of inspection: Total Event Precipitation (inches): a � ! Was this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? YYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureahle storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureahle storm event_" However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sig ure,1 certify that (Signature of Permittek or Des is accurate and complete to the best of my knowledge: 2:\Environmental\Industrial\PP-Pilgrim's Prlde\MC-North Carolina\PPNC04-Sanford Fresh Piant\PPNC04-01 SPILL\2013 Monitoring Form 1 Environmental Plan 1. Outfall Description: Out all No. Structure (pipe, ditch, etc.) - Receiving Stream: &42v Describe the industrial activities that occur within the outfall drainage area: ,OAU //rr_o�5� G 2. Color. Describe the color of the discharge us in ba'c color (re brown, blue, etc.) and tint s (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 J> 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: 1 � 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: IT 3 4 5 7. is there any foam in the stormwater discharge? Yes _ 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Q Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, Last modified 10/25/2012 Z:\Environmental\lndustrial\PP-Pilgrim'sPride\MC-North Caro11na\PPNC04-San ford Fresh P1ant\PPNC04-01SPILL\2013 Monitoring Form I Environm ;al Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 001y Individual,NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCGIE©©00© This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year. Facility Name: 2kpm's Pi'& _ Lf-p—, 5cr`S-6ur+ County: ¢fi- Phone Number: °Ir ra a_{]-)q'1?>133 e. aImo Total no. of SDOs monitored Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 12' Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0rsl;_� If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ �' D �ti�R t;�i�ir;� r%3aianFj Other ❑ Was this SDO monitored'because of vehicle maintenance activities? Yes [2' No ❑ Tiotal$W. fall.,, inches, -Parameter, units), TSS KrSsnu�ts CAc�.+- °'-.�,ar�c L Benchmark NIA uo o -q. c� S ao -30 1000 { DatetS'ampleP ri 'C'dlledtetl,� `mmlddlyy?� n, kego < . 4 %00 SWU-264-Generic-251Vlay2010 Z:\Environmental\lndustrlal\PP-Pllgrlm's Pride\PPNC-North Carohna\PPNC04-Sanford Fresh P1ant\PPNC04-01 SPILLVO13 Monitoring Form 3, Environmental Plan Additional-Outfall Attachment Outfall No. 1_ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No E51, Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No []� If this outfall•was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes Q� No ❑ rnr6/&yy —I[- F I SWU-264-Generic-25May2010 Prlde\PPNC-NorthCarollna\PPNC04-Sanford Fresh Plant\PPNC04.01SPILLVO13 Mofut.orfflg'Form 3 y l-,tt."...r yr r Ira:' a;.. .... . •r. •.,•1•. '� �cy!'r, '.,f.� a wi 3-=1'; T.. � : 'r4V h_:i.?�- ] $�"F:. � , ����L +ijA�+#��iw�'� " ' S� STORMaWATER-DISCHARGE:QUTEALL,(SDQ). ANNIJAL�SUMMAR�Y-DfAT►A�MONITQRING REPQRT (DMR),. ,_ .. __._.� . � - - • - , �- - ... .� � -Calendar Year ;a�y "`Individual5NP.,DES Permit"No: T.� " "NCS❑"'` Q[�Q" { Certificate<ofrCoverage {COC)�No "'NCG "O o"" �' OQ"';` r NC DENR R;afc`�y Red;°nal G• �� " rThis;monitorin9lreportsummary?ofthe,calendarwear-is,due.lotheOM ReglonalrOfflce-noaafe6than March'. of the, followingayear. FacRlityName.�, ,County: ,.._:Lei= _ _ _ . _ ..� `_ __ ._ _ .� ^ .... ��. _ �. _ - - _ . - . .•._ , - - - - r -PlioneAumber; °It• �.. -� �. ���-33�e �t1 - -- Totai.no.,of_SDOs.monitored—. �-:Outfall,No. - Is4this:outfall currently; in Tt!erF,2, (monitoredtmonthly,)? _.. _ = T Yes_❑....,'No,a'. ,',WasithisKoutfal[ e,v,er�,,in:„Tierr;2; monitored„montfil .durin the ast. ear..?._ Yes; No, �mlf,wttiis�outfallkwasnin�Tiery2rila`s#year�why�was�maiitlily+monitoring:discontinued'?'-- � -_" __ _- , _ .. � _ _ _ .. _ ._ . . IN, '—Enou hgconsecutive°sarnples�belowi-, enchmarks ito,decP,ease:rifrequencyf.,, EI% , x i l—il1-,.,;. Mr- Q" .g Sfax ,..�a�, r i^z-.� WLr!� "�• .�`,x„ r,i' y�� ^' •�><�'%;"'�s i�a, '� .�,, - �,d'� tx'� A�tr �" Receiverl,,approval� rorri''DW,Q,;to�reduce�'monitorling� �fi•equenc <;•`, y ,. ; ` "`'_. „,`�-.' '°,-. ;�y� <�.." ',; .-��•Y �,� __ ., y, �` ,.. m i1.'4;`r'>ri u. ;y,. " . a-_.'i-..,� . t�;L >.J FMa.^1 j_ Y , ,•,`!5 .y1 .i. .4 '4 1 L�SM_ .;F 3.w+�. ti# �! t 'Qtllelc'Sri"�."i';r v{'.,..,. s:4�w 1S Wais�kS.clD••�=.+..�1 Y.,_.es�s�YF-n�a No, s me,c�.'� `;Si'.. .. ti•. +��. W.: '., .-..•r ...r . Ye X*o. 3i ❑; �, �Tofal41,Rairifall' If � f EParameter�i�/�unifs l ' ,� �� r t 'r ; ,r{� '' { I I ` •��nches.. j_ S L ;rr• ;::, of r„ i t` r t M I Ii - I. Y' .i� .cr s' w .,. - •�-':i3 r`.�ji '',y tnc "� .� "� Benclirriarkr , Niat I a �, `,'ao, m2 ji000, t: s.. U; L ' I'. •, l�� 1 1 �il�.-`I .��. �. .+1 - r (Date`tSamplel-' a�'s �{ V Collected},. ' '`mrnitl�tlly�y�' : f `Y F, �.iil��`�'�"i�R'`�a.h°`'" J.a+R.S•..vb4r��..�lryr r..:tr..K.y„:iviW nC,�itii,dlp:r',r.WM,�.s�r-�!Jr.+_I'_r-ti 71j E4�.'\�u�y Ka V]V W- ... �, y..V.• Ate"] � �{!.k � 9� :� x:,rtirsz,-�' y.rri 1�•tn'.�+�.t� +�r' ,'_ �'a : •�s Rr�s; ,�,,.:;:*�s, ixr.:a: �i•::''' "..fir" ' �• ' SWW 264 Generic,25May20,1,0• Z:\0nvlranmentat\lndasLrlal\PP-Pilgrlm'sl'ride\PPNC•North Caroline\PPNC04-SanfordFresh PlartL\PPNC04-015PILL\2013 .MOi1itoring'Form J .. .z . �i :, ..—+♦a.".':� ,.. .ti. rkL'..exosr s:k-' t1e.., .�,..r. ... r'xu••, ,r ,J�w sirs .:3.d�.*�q; 'iti.1f' •,..-. .R ...},err. .'. „A.,. _.. - i 1 � ..i - ��EnEviirg�nm�. a � 'an "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 gatheringthe 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 a prisonment for knowing violations." Signature Date Mail'Annual°DMR Summary Reports to: DWO Regional Office Contact Information: NG DENIR PZat_-iV;h r�gional Office S� � L + •G'®N� v� ® J)1~C)G A ETT L E RECTO' AL O C O© •SY + •G+ ON O C 2090 US Highway:70' 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910 433-3300 CstO ..�L"O" C W S' , 'a G ON GiO OF I CF i' ii.iVi%NG ©1�1 RiE ©N A' O'Barrett Drive µ943'Washington Square Mall 127 Cardinal Dr&e',Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919)'.791-4200 (252) 946-6481 (910) 796-7215 1'617 Mail -Service Center Raleigh, NC 27699-1617 919 807-6300 -- '7*'Presert►e; pro v;ndherrce�. Wotffii ;aroJlr slw�ter...0 585' Waughiown Street Winston-Salem, NC 271Q7 33 771-5000 SWU-284-Generic-25May2Q10 Z:\Environmental\lndustrlal\PP-PII Im's Pdc PPNC-North Carolina PPNC04-Sanford f gr rl .� \ \ reshPlant\PPNC04-OISPILL\2013 Monitoring -Form 3 Environm( al, Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year rX)19 Individual NPDES Permit No. NCSJ Certificate of Coverage (COC) No. NCG or This monitoring report summary of the calendar year is due to the DWQ Regional Office no. later than March I" of the following year. Facility Name: Ptl CQQ2, SC(nfvrct_ Plant Count � Phone Number: °l( iq ) ��y- 33 i Exi • I Total no. of SDOs monitored Outfall No. Is thls outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was.this outfall-ever. in Tier 2 (monitored monthly) during the past year? Yes ❑ No [� If-this-outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring, frequency ❑ Other ❑ Was this SDO monitored'because of vehicle maintenance activities? Yes 2--**'No ❑ NC DENR r"..}gional of -rim TotahR iinfall', + lhchest Parameter,, units ' ..'� �. m . f H s t p rnr� pr fi Ftlu R Benchmark NIA 100 ..p•-q -0 1 120 30 1000 �Datei;Samplet��. ' `Collectetl ,� "3 4 .5a GS,o 3vo y N SWU-264-Generic-25May2010 Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-North Caro11na\PPNC04San(ordFresh Plant\PPNC04-01SPILL\2013 Monitoring Form 3 Environmental Plan Additional Outfall Attachment Outfall No. a^ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall.was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes [o ❑ TotalgRainfall, P:..arameter (units) ��nclies Benchmark N/A DateS'ample� `'', Collected,:.:„ mmhcl /yy' %' =MIME SWU-264-Generic-25May2010 Pride\PPNC-North Carolina\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 %�� M onitori'rrg Form 3 Environm.1 ,dal Plan "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 SignE Date prisonment for knowing violations." Mail Annual DMR Summary Reports to: PM Regional Office Contact Information: ASHEViLLE REGIONAL ©F }ICE FA ET E'VIILLE REGIONAL OF ICE 1VIO.ORESVIILLE REGIONAL OFFICE 225 Green Street 610 East Center Avenue/Suite 301 2090 US Highway 70 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 {910 433-3300 a. RALEIG)ET REGIONAL TCOF T WASHINGTON REGIONAL OFFiCFi WILMING'TON REGIO OFFICEr 943 Washington Square Mall 127 Cardinal Drive Extension 3800 Barrett Drive Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 W�>iINST�UN=S�LEIVII�REGION�L�,O.EFIC_� CE1Vi'RAL QFF Ck3 1617 Mail Service Center 'rropmsem,''protect 585 Waughtown Street Winston-Salem NC 27107 Raleigh, NC 27699-1617 and ehhence. Moth Carofiiw'swafer._." 336 771-5000 (919) 807-6300 _ - SWU-264-Generic-25May= 0 Z:\Environmental\industrial\PP-Pitgrim'sPrlde\PPNC•NorthCarolina\PPNC04-SanfordFresh Plant\PPNC04-015PILL\2013 Monitoring Form 3 Environmr ;gal Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ao N Individual NPDES Permit No. NCSJ Certificate of Coverage (COC) No. NCG •T This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March I't of the following year. Facility Name: -to rimS Wap— C"r _4-Sc2srd �LC�fi County: Lam - Phone Number: C2 L 1 11 k-t i 333 f alwo Total no. of SDOs monitored 3 Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ Nod Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? 3 c J —5 Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring.frequency ❑ Other ❑ Was this SDO monitored'because of vehicle maintenance activities? Yes Z No ❑ NC DEUR i;2gional Office I Total''Rainfall;, -inches,. , Parameter„ units)! i SS mG i. ScTj�.ts GDD�c�1Gl�- 1o« CAt A! Benchmark NIA P bo 0-9.0 lao 3D 1Date'Samglef"A y Collected;; s mmldciLY Yti, .._ a. s 9.43 Q0 45.0 H ` Ck SWU-264-Generic-251V!ay2010 2:\8nvlronmental\]ndustrlal\PP-Pilgrim's Pride\PPNC-NorthCurollna\PPNC04-Sanford Fresh Plant\PPNC04015P[LL\2013 Monitoring Form 3 Environmental Plan Additional Outfall Attachment Outfall No. I Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored. monthly) during the past year? Yes ❑ No [� If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes No ❑ Mrr -Date Sdmo]6- SWU-264-Generic-25May2010 Pride\PPNC-North Care=Ina\PPNC04•Sanrord Fresh Plant1PPNC04-01 SPILL\2013 ``' Monitoririg orm 3 r EnvironK)_tal Plan SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Qual't Gen ral Permit No. NCG060000 Date submitted 0 CERTIFICATE OF COVERAGE NO. NCG06 0 % SAMPLE COLLECTION YEAR d _ FACILITY NAME Pg. 6-mg. s &g" FACILITY AgWITIES INCLUDE (check all that apply): COUNTY LC use/process meats ❑ use animal fats/ roducts PERSON COLLECTING SAMPLES V/ &q,_ tic/ .soo- DISCHARGING TO SALTWATERS? DYES LABORATORY R c)- #9 Lab CA. # 3 446 _— h 1$ 5CA6'? PLEASE REMEMBER TO SIGN ON THE REVERSE -� Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 20-80 or ❑ No discharge this period3 Outfall No MOIL CoUect'& TSS, pH; COD, k' �OlFand Grease, Fecal, Cohform: ` ,� iy. ' �'Enterococci , Imo%dd/.yr mg/L '• , " =standard units mg/L. mg/t Colonies per100`M'. Colanies11per 100?m0-. )Benchmark :;'.; Oq H� " '100, , $0 '. i ,Within 6f0-',9b: p; ?120 30' 1000' S00 8 / .Jr7,413 20 1 i • Sri C 1- . 67 61t CENT E® c Only applies to facilities that use/process meats. DWQI$OG 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aU 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 ;esmar ies. Did this facility, perform. Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ no (ifyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. 0u'tf611`No I, 'Sample Collected; i mo/dd/yr . Oiliand Grease,. mg/L= 7SS, mg%C, pH, Stand'ard,:units Ne%WoMotorOil Usage, T .. Annual average gal/"mo: 'Bencfimaik , - '•30 100 or'S0 6.0-1.0 - 1 C S ►�6. 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. 7.:\Gnvlronmen[al\lndustrlal\PP•Pilgrim'sPrlde\PPNC•NorthCarellna\PPNC04SanrordFresh Mant\PPNC04-01SPILL\2013 Monitoring Form 2 Environmental Plan *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 ANYONE OUTFALL? YES ❑ NO j� 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 aprisonment for knowing violations." (Signature -Z1 / (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 5 W U-249 Last Revised: October 18, 2012 Pride\PPNC-North Caro11na\PPNC04-Sanford Fresh Plant\PPNC04.01 SPILL\2013 Monitor1hri Form 2 Environmental Plan �• E Permit No.: NC Facility Name: County: Inspector: Date of Inspection: ''. Stormwater Discharge OutfaIL(SDO) Qualitative Monitoring Report Or Certificate of Coverage No.: NCG060174 Sanford Processing Plant } Phone No. Time of Inspection: ' O Total Event Precipitation (inches): P� Wa this a "Representative Storm Event" or Measureable Storm Event: as defined by the permit? Yes F—] No - Please verify whether Qualitative Monitoring must be performed during.a "representative storm event " or' "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However; some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation_ A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the- permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I cerf at this report is accurate and complete to the best of my knowledge: (Signat Permittee or Designee) Z\Envlronmental\Industrlal\PP-Pilgrim's Pride\PPNC-North CaroSna\PPNC04-Sanrord Fresh P1ar%t\PPNC04-01 SPILL\2013 Monitoring Form 1 Environmental Plan Y 7 1. Outfall Description: Outfall No.Structure (pipe, ditch, etc.) (PR - Receiving Stream: 9- /cr Describe the industrial activities t at occur within the outfall drainage area: r`A�d 2. Color: Describe the color of the discharge using sic c lors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ` �� , j 3. Odor: Describe any,distinct odors hat the discharge may have (i;e.; smells strongly of oil, weak chlorine odor, etc.): oijC.. r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 a) 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the 4tormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of sus ended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 10) 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes �l 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SWU-242, last modified 10125/2012 r � _.,' Z:\Environmental\Industrla]\PP-Pilgrim'sPride\PPNC•NorthCarolina\PPNC04-Sanford Fresh Plant\PPNC04-01SPILL\2013 Monitoring Form 1 Environmental Plan..... "Stormmater Dischar(je Outf':131,(SDO) Quafiytile, Moliitorillb pporti ;>tZi Permit No.: NC Or Certif icatr of Coverage No.: NICGO6017 4 Facility Name: Sanford Processing Plant Y:. County: Phone No. _ Inspector. ¢, n.- Date of Inspection: — Tinle of 111SpkfCtioll: Total = Event Precipitation (inehes): rOa .s W s this a "Representative Storin Event" or Measureable Storm Event: as defined by the permit? Yes _ NO TA Please verif}, irheiher Qwditcah e 111oniturin mast be j_)e) jbrmc ,1 cluring a '•represenlaltve slol'111 event „ or "measureflble slol'Jn even „ rr('quh-emenls I,CaD', delie,14Iing 017 /he permil,. Qualitative monitoring reclLiirernents vary. Most pL�rmiis r;ctLfirc quafitaiive monitoring to be performed during it "representative storm event" ar durinb a "measureable storm event." However; some: permits do not have this recluirenlent. Please refer to these definitions, if ' applicable. 4 , .. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in kvhich no storm event measuring greater than- 0.1 inches has occurred. A single storill event may contain up to 10 consecutive hours of no precipitation. A "treasurable -storm event" is a storm event 111LIL results in an actual discharge from the pertnitted site ouilall. The prevIOLIS I11C.ISUI'able StOI.1I1 �!Venl 11t11St have been Lit least 72 hours prior. The 72-horn' sttlrrn interval does not apply it' tilt •perrslitiee is able to document that a shorter interval is representative for local storm events Lluriiq, the sampling period, and the _ pernlittee obtains approval from the local DWQ Regional 01ticL. By this signature. 1 certif, , t this report is accuraLe Lind Mllp1eLe to the b.st "of n1y knowledge: (Signatur ermitte(: ur Designee} k: • Z:\Entiiroamencal�lndusrial\PY-tSlgrirti's1'ridc�FY1•ilTiUfffll_J:U11R3`PYiiCUi-S.oilorLLFr�hYlanc\YPkCUa-UISNILL��U13 Monitoring Form 1 - - ' r Environmental Plan 1. Outfall Descriptioi • Otttfall No. Structure (pipe, ditch, etc.)c1J Receiving Stream: ��� Descri e the industrial activities that occur within the outfall drainage area: . 31 2. Color: Describe the color of the discharge using asic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1` 3. Odor. Describe any distinct odors th' t the discharge may hav-e (i:e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the nuniber which best describes the clarity of the discharge, where 1 is •. clear and 5 is very cloudy: I(t 3 4 5 5. Floating Sulids: Choose the nu,nber which best describes the JUnount of floating -solids in the stormwater discharge, where 1 is no solids and 5 is the covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the atnott,it of'suspended solids in the stormwater discharge_ where I is no solids and 5 is extremely niuddy: 1® 3 4 5 7. Is there any foatu in the stor.mvater discharge? Yes 8. Is there an oil sheets in the siormwau:r discharge? Yes Q 9. Is there evidence of erosion or delwsitiva at the outfall'? Vz, 'u 10. Other Obvious lndicators.of Storunvater Pollutiou: List and describe Note: Low clarity, high solids, and/or the presence of f6�un, oil sheen, oi• erosion/deposition may be indicative of pollutant etipost,rc. These conditions \varr.tnt ftu-ther investivation. l 3WU-242, Last modified 10/25/2012 Z:\Bnrronmer,al\lades:rial\PI'p:lnr::r.'spride\pi'KGN Coral:n:\i'PIN L04-S:aIt rdFresh Plaa[\tINXu4-it ISvILL,.j:3 Nlo,jitoring Form i • 3 . Environmental Plan Permit No.: Nt Facility Naine: County: Z-ee Inspector: Date of Inspection: 1 •StorniNvater Dischai Outf dl •($DO) unlit"Itive Mollitoring1kipor`t • t is • .: ., -_==� Or Certificate of Covera4e No.: NICGO60174 b Sanford Processing Plant — l'hollr No. 9 14 77 X b6 Time of Instlectiolt: Total Event Precipitation (inches): A,s this a "Representative Storm Event" or McLisureable StornL Event: as defined by the permit? , WIFYes ❑ No -, Please verify 1Moilivr Uuahicuive Monitoring mast be perfurnzv,1 Ai-ing a -representative storm � .'•. �'.:° event " ol• "ineasureable stoi-in event " (i-e'qulrernews val-Y, Clej)Cn ing On 111e permil). Qualitative monitoring requirements v:ll'y. Most Pel'lllilS l'tlltlil-C tltlalitalive monitoring to be performed during a "representative stllrni event" or citu•i11 a "nteasureable storm event." However; some } ermits do not have this requirenlclll. 1'Ie.uC refer to these definitions, if applicable. A "representative storm event" is a sto�in event that measures v-reater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in %6ich no storin event rneastiring greater than 0.1 inches has occurred. A sin -le storin event inay contain ul.) to 10 collSMItive hours of no precipitation. A "measurable storm event" is a storm event that results i:l an actin clischarge from the permitted site outlall, The previous measurable storm event must llave bCell at least 72 hours -,. prior. The 72-hour storin interval does not apply it' tile-Nper11,.ittee is able to document that a w{ shorter interval is representative for local slorril events tlu613�.1 the sampling period, ands, the permittee obtains approval from the local DWQ Re4uional Ofiic(!. ., By this signature, I certify a us report is accurate Laid conlpl:te to the bast -of my knowledge: (Signature ttee or Designee) . M1E -- - -• �-';- ' Z\Em'ironmental\IndvstrbI PP- Piigrirn'sl'ride\PNNC-ironI CaroIina1P1Y:Co.1-Sa fa4JFresh]'I:.ni�l'YNCO.1-UISPI L 1.\2U13 Monitoring Form: l it . .i Envifol"imental Plan 1. Outfall Description: Outiail No. Structure (pipe, diich, etc.) Receiving Stream:�i' Describe the industrii:l activities that occur within the outfall drainage area: �Q �:,•: /' i l✓ 2. Color: Describe the color of the discharge usino basic colors (red, bro\vii, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge Inay h..ve (i.e., sniclls strongly of oil, weak chlorine odor, etc.): s 4. Clarity: Choose the nuniber'which best describes the clarity ufthe discli:irge, where 1 is clear and 5 is very cloudy: i ) 3 4 5 5. Floating Solids: Choose the nuinber which best describes thc amount oi' floating -solids in the storinwater discharge, where 1 is no solids and 5 is the surface covered \vith floating solids: 1 &) 3 4 5 6. Suspended Solids: Choose the number which best describes the aniount of suspended solids in the stormwaier discharge_ where 1 Is no solids and 5 is exireinel\' Inuddy: 1® 3 4 5 7. is there any foam in the storinwater discharge? Yes t' 8. is there an oil sheen in the siormWater discharge? Yes 9. is there evidence of crosioli or depositiun at the outfall? Yes 10. Other Obvious Indicators o1' Storiim,ater Pollutiuli: List and describe Note: Low clarity, high solids, and/or the presence of loaf:I, oil sheen, or erosion/deposition may be indicative of pollutant eXposi.ii•e. These conditions warrant further investigation. SWU-242, Last iuodit7ed 10/25/2012 Z\Environmental\Enduscriai\PP-i'ilgrim'sPriJt\PPWC-curt'.Karoluau\PPNCoi-S:darJFresh KmT\PPKCu•1-il1Monitoring Form l t j p P-7 Environmal Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) ; i A Calendar Year MAR 1 3 2014 Individual'NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG o❑®© !❑ 7❑Q P, r This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 18t of the following year. Facility Name: P1 L. G tz l "" Is P/71 d e- (!� Ors -Sn r- F.D tzd rf "'nnL fl 4-4V7 County: �-e e- Phone Number: (2_ 2 )-77Y -733 3 ��csG Total. no. of SDOs monitored 3 Outfall No. I — Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was -this outfall ever in Tier (monitored monthly) during the past year? Yes ❑ No ©' if this,outfall was in Tier- 2 last year, why -was monthly monitoring discontinued? 'Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring. frequency ❑ Other ElWas this,SDO monitored" because of vehicle maintenance activities? Yes ✓e No ❑ Total Rainfall, inches Parameter, units Ci� -T-$ 5 mo-s�S Benchmark N/A 100 120 30 /0a4 Date Sample Collected,MMMMMMMMO mmlddlyy a s s 2- ® 8 . �- 1 `7 a G • 4� 1,600 `a . U T. '7 7 , O O O b SW U-264-Generic-25May2010 Z:\Environmental\lndustrlal\PP-Pllgrlm's Pride\PPNC-North Cnra11na\PPNC04-Sanford Fresh Plant\PPNC04-01 SP1LL\2013 Monitoring Corm 3 c, r- 7 Environmental Plan Additional- Outfall Attachment Outfall No. I Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Trier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes No ❑ TotaPRainfall -flinches=- Benchmark NIA UatelS'a'mple Collected Parameter,,: units SW U-264-Generic-25May2010 Pride\PPNC-North Carolina\PPNC04-SanrordFresh Plant\PPNC04.01SPILLN2013 N4-.Z Monitoriiig'Form 3 Enviro -�> �r- -7 al Plan STORMWATER DISCHARGE OUTFALL (SDO) . ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 'A0/3 Individual NPDES Permit No. NCSUUUU"U or Certificate of Coverage (COC) No. NCG©OQ©Q&] This monitoring'report summary of the calendar year is due to the DWQ Regional Office no later than March Is' of the following year. Facility Name: T-)! z &n 1,,, 1.S P/71 Je C ej S)9, Fnnc1 & 49.--7 County: L e e Phone Number: (5/!�}_77cy — '73 3 3 E-2.1o6 Total no. of SDOs monitored 3 Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall.ever in Tier (monitored monthly) during the past year? Yes ❑ No If -this outfall was ire• Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring. frequency ❑ Other ❑ Was this'.SDO,monitored'because of vehicle maintenance activities? Yes No ❑ Total RaiMWE, ; inches I _ meter, units Para j SS lr+�- L ;P y�:; 6x M r & A` 141 Benchmark NIA 1 O -- 9 J c> 36 ! o00 194teIS'ampl'e p Collected" 1 A "4 mrriliitllyy��r yr' . .. ! ` S �. 7.76 78 4 5. O 4-00 a 5. n Bain SWU-2$4-Generic-25May2010 Z:\Envlronment0\1ndustrlal\PP•Pllgrlm'sPrlde\PPNC-NorthCarolina\PPNC04-Sanford Fresh Plant\PPNC04.01SPILL\2013 Monitoring Form 3 1+ 0 F 7 Environmental Plan ti Was this SDO monitored because of vehicle maintenance activities? Additional Outfali Attachment Outfall No. a Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [!� Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [gam If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Yes @/No ❑ SWU-264-Generic-25May2010 Pride\PPNC-NorthCarohna\PPNC04SanfordFresh Plant\PPNC04.015PILI.\2013 N4.-/ Monitorfrig'Form 3 5 c!),F 7 Environm jals Plan STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 'ao 13 Individual-NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG 91 kil o0y .This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1st of the following year. Facility Name: P/L Crn 1k-^ jS P17reje_ Ccar2,(a. sl3ri.. r �4J9.�.� County: �. C � Phone Number: (Ile � -7-74- -�7 3 3 r -.2IIaG Total no. of SDOs monitored .3 l Outfall No. R Is this outfall currently in Tier 2 (monitored monthly)? Was this outfali_ever in Tier (monitored monthly) during the past year? If this-outfall was in -Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring. frequency ❑ Other Was this'SDO monitored because of vehicle maintenance activities? Yes ❑ No ®� Yes ❑ No 13 Yes No ❑ TotaIAMhfall,; i'nches� ,. Parameter,, units)i 19 Benchmark NSA 100 6-1? 1 2, O 046 loco � � Da'te�Sariaple' �: � Collected; f�' mmldilyyi ..� 1. J .a S mmmmm < -o 'aaov 13 o e 50 6,s- 91*3 Q. qtoo J a .as SW U-264-Generic-25Mav2010 Z:\Environmental\lndastrial\PP•Pilgrim'sPride\MC•RarthCarollna\MC04•San(ordFresh Plant\MC04.01SPILL\2013 Monitoring Form 3 G or 7 Environmental Plan Additional Outfall Attachment Outfall No. .3 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past. year? If this outfall-was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Yes No ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No [ rnldfty 1 SWU-264-Generic-25May2010 Prlde\PPNC-North Carolina\PPNC04•Sanford Fresh Plant\PPNC04.01 SPILL\2013 I.-V Monitorffig Form 3 7 Environm( al Plan "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 impri ent for knowing violations." Signature �--� Date Ct %a i4t Mail Annual DMR Summary Reports to, DWQ Regional Office Contact Information: ASHEVIILLE REGIONAL OFFYCFj FAYETTEVIL E GIUNAL OFF CE . I s R 1 ,YILLE REGIONAL O F C 4 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910 433-3300 R.A EI�H REGi�NAI.. OFFICE WASHINGTON REGIONAI, OFFICE �'4�ILNIINGTON REGIO AL OFFIC 943 Washington Square Mall 127 Cardinal Drive Extension 3800 Barrett Drive Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WI�NSTON-SALEM iREGI®NAL O �'IC� CENTRAL 4 ICE 1617 Mail Service Center Raleigh NC 27699-1617 (91�9) 807-6300 _ -ro pres n e; praect' endeahamv i �NarthCamliita^swater..° W. — , 585 Waughtown Street Winston-Salem NC 27107 3( 36) 771-5000 5wu-Zb4-venenc-zbmayZu i u Z:\Environmental\Indusulal\PP-Pilgrlm'sPride\PPNC-NorchCarolina\MC04-Sanford Fresh Plan[\PPNC0401SPILL\2013 Monitoring Form 3 P-7 --En viron, mn�.' jArT-lan: STO.RMWATER.DISQHARQE OUTFALL.(SD-Q)-- ARNUAL-SU.M-.M--ARY�;QATA,-MONITORING R, EPORT.(DMR), Calendar Year '-_�0/3 PMAR I J L 1; 2014 Individual-NPIDES-Permit-No. NCSEI[:IEIFIF—IEI or 'Ceftifidate of Coverage (COC).-Nb._'L' _NCG0 9E] FF --This-m oniforingweportsummary.of. the calendar.year-is- due Io. the. DWO-Regional.Office no -later than March-Vt of the following.year. l=acility, Name:. DI L e'z I rn 15 P7 i d e arx 2. Ar-Fond 1"LA"7 I _County: I- e- I.Rhone.Number: .(-Cf/ 1__)_-77Y- -73-a, 3 jE-.2/06. -Total-no..of SDOs monitored ... 3 js_ttip.outfall currently.in Tier.2 (monitored monthly,)? Yes ❑ NO ®' ..W.as;this.ouffaIL ever-! n.Tier-2-(monitor.ed,month ly).du ri ng.the.past.year? Yes E] No -If-this-ouffall�was-in,Tier..2-last-year, why -was, month ly-mon i ' toring.discontinued? . -Enough -consecutive-sam ples-belbw,'benchmarks toe decrease -frequency ❑ V I '.36ceivedi ap' rovaffrom� to red Oce - m6n itorl %frpqueh cy ❑bth WoslthiitSRO�monitore'd"because.of vehicle maintenance activities? Yes d No ❑ :TIiDta'VRM0aII',, Parameter; (units)'. :.,Inches. mane. AN Benchmark NIA Cd11ktedt. W " rntnI&UVV'II ' XWNAW-,.MffffAb�� 4SWU 264-Generic725May Z:\Environmental\lndustrial\PP-Piigrlm's PrIde\PPNC-North Carolina\MC04-Sanfard Fresh Plant\PPNC04-01 SPILL\20I3 Monitoring Form 3 ;.-EnwironmentallcPlan . Add itional-OutfalkAttachment Outfall No. ';Is this outfall currently 'in -Tier 2 (monitored, monthly)? Yes ❑ No ®--� Was.thisRoutfaILever.in..T.ier.2,(monitored.month ly) during the past year? t Yes ❑ No If this•outfallrwas in lier,2 last -year, why,%was-monthly monitoring -discontinued? Enough- consecutive,samples below, benchmarks to°decrease frequency,., ❑, - Received approval:fromrDWQ,to reduce monitoring, frequency _ ❑. Other : : ❑' • . VVas th'i's`Sl]O',.monitord&because of vehicle maintenance activities? Yes--PR'-No ❑ ' 7otalRainfall- : Pa,rarneter .{units Benchmark NIA r ©aWS ample �� nCollected MmAfty SWU-264-Generic-25May209 0 Z!\EAronmental`lnLtrlal\PP-Pllgrlm'sPride\PPNC-NorthCarW1na\PPNCC4-SanrordFresh Plant\PPNC04.OSSPILL\2013 Monitoring Corm 3 7 En. vir o STORMWATER.DISCHARGE OU.TFALL,($DO.) - ANNUAL' SUMMARY-DATAM!DNITORING RE;P0,RT.(DMR) Calendar Year O0/3 ' ' 1 ndividual-NPDES -Permit No. NCSDDEII:]F]7 'or `Ceftificafe of Coverage -(COC) N6.' NCGgd00E]ff]&]- -.This-monitoringf,report-summar.y,of-the.calendaryear is due Io -the.DWQ Regional -Office. no.later than March-.1". of fhe-following year. PIZ i Je, I:f e., i9, r,,fzc/ go. Facility Name. A L Cr!'{ I �S - -- --- .County:. e e- PhoneAumber-Cl/c -77, 3 3 3 E-z/o6 Total. no -of _SD0s monitored. _66tfall No'. Is,this ouffall currently in Tier 2,ftn9pitored monthly)? Yes E] No -Was Ah is,outfail.ever. in Tier.2.(monitored.monthly)-during�the past year? Yes ❑ No --If.this-outfall-was-in-Tier--2-last-year,-why was monthly monitoring discontinued? -Enough-conseputive. samplestplow ben, chm,arks:.to,,dec.rease-fre.qLjency El Received Jappr . oVal frqMaI DW ,,&t6:T6duc6. mon, itorihgLfr eqpency, OtHdr El 2� 1 mon tored%ecaus�e of vehicle maintenance activities? Yes N;o 0 UfavUhMill, inces� h Parameter, Uhft)i: 3"1 16A &I Ic N Benchmark NIA pa CD 36 001116cted',; mmk(dl,Vy)' 6T 2.4-00 �611 2i8 .. YS6 7, 91: L91 Jr, Ion SWU-264;:G e nqric-25 May2 0 10 Mm" 'L-\Environmental\lndustrJai\PP-Pilgrlm's Pr1de\PPNC-North CaroI1ria\PPNC04.San ford Fresh Plant\MC0401 SPILL\20 13 Monitoring Form 3 4 or- 7 -,Envi-rori�m'ental=Plan Additional-Outfall. Attachment Outfall No. i Is this..outfall currently in. Tier 2-(monitored monthly)? Yes ❑ No Was -this outfall.ever, in -Tier 2,(monitored monthly) during.the past.year? Yes ❑ No If.this outfalipwas•in,Tier 24last year, why was monthly monitoring,discontinued? Enough consecutive! -samples. below benchmarks- to decrease frequency - Re c-jeived approval from DWQ to reduce monitoring frequency Other' _. _ _ _ []• Was.thi' SD0':monitored.kbecause of vehicle maintenance activities? Yesi b ❑ `{ Total)Ramfall Parameter, units). incles,... L r ' Benchmark ►via �DateSample_ -_ `'�ColEected; r; r :;n;rridaryy, S A SWU-264-Generic-25May2010 Pri4c\PPNC•North Carcilna\PPNC04-Sanford Fresh Plant\PPNC04-01 SPiLL\2013 o Jy Monitoring Form 3 a t• ... . 7, :. �, : _ _ : >. .. ,.. , x= .En. �viironim all, Plan i i STORMWATER.DISC HARGE.OUTFALL.(SDO) y ANNUAL.SUMMARY DATA.MO,NITORING.REPORT (DMR) r''_ninnrinr Vatsr 01 ]f •x Individual"NPDES Permit No. NCS[--JLJLJLJL--]" or Certificate of Coverage (COC) -No. NCGQ©]Q©1z This,monitoringtreport summaryof-the•calendar year is due to the.DWQ Regional Office. nalafer.than March 1sr of the following -year. Facility Name: DIL G-n i►ti+'S Pn,,I,-. ifo!y. "C�A,' AD/rJ ��,�.•.� i County: L ' J Phone ,Number: (,q1 r) -7'774 -% 3 3 3 c -.2 /476 Total no. of SDOs monitored. -3 Outfall No. Is, this.outfall,.currently in.Tier 2.(monitored monthly)?. Yes ❑ No Was;this.outfall.ever in Tier,•.2. (monitored month ly).duringL.the past year? Yes ❑ No ®_ If this,outfalhwas -in-Tier.2 last year, why was monthly -monitoring discontinued? Enough consecutive samples below -benchmarks to. decrease frequency +Received•approval,frbm DVVdto-reduce►monitoringrfrequency "❑ Other. :` ❑' ' Was thlilSDOxmonitored�because of vehicle maintenance activities? Yes No ❑ f Tsotal�;RamfaH; iirches i . .Paraeter m; eJnits i �-- F Benchmark N/A l oc G D'ate�Sampte� w ` Collecfed; _. 510 r"ell Q. 14.o • _ SW..U•-264-Generic.25WY2010 Z:\Environmental\Industrial\PP•Piigrim's Pride\PPNC-North Carolina\PPNC04.Sanrord Fresh Plant\PPNC0"1 SPILL\2013 Monitoring Form 3 . Environ} , � entailTlan Additional-Outfall-Attachment Outfall No. Is this outfall.currently in Tier. 2 ,(monitored. monthly)?. Yes, ❑ No 1� .Was this.outfall.ever in Tier 2 [mo.nitored:monthlyydur•ing the past;year? Yes. ❑ No If this•outfall-was:in-1Tier-2last year, Whywas monthly -monitoring-discontinued?� Enough- consecutive samples below benchmarks to decrease. frequency; ❑ Received approval from DWQ•to reduce•monitoring frequency .❑ Other _ .. ' ❑ Was th'is:S DMffionitoredt;because of vehicle maintenance activities? Yes �No[:] SWU-264-Generic-25May2010 Z:\Fnvlranmentat�lndustrla]\PP-Pllgrlm's Prldc\PPNC•Narth Caro]Ina\PPNC04-Sanford Fresh Plant\PPNC04-0I SPILL\2013 �'` Monitoring Form 3 r .- Envivo F 7 d-Plan "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;,! impri ent for knowing violations." Signature 6 Date oa JO.le-r DWQ Regional Office Contact Information: 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 3800 Barrett Drive Raleigh, NC 27609 .(919) 791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 Mail Annual DMR Summary Reports to: 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 '7'apreselve;� protect` j � ;erg erthem�e. ; I �Narthi�Caidlit�'s,wafer.::".' ,t SWU-264-Generic-25Msy201 Q Z:\Environmental\Industrial\PP-Pilgrim'sPride\PPNC-Nor[hCarnlSna\PPNC04-SanrordFresh Plant\PPNC04.01SP1LL\2013 Monitoring Form 3 `� '� ! ,. � +_ • � i1 .. , �. • . ._ � ._ r M z � E • �. NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman Governor Director Secretary December 10, 2012 Bruce Morgan -Manager Pilgrim's Pride Corporation 484 Zimmerman Road Sanford, NC 27330 Subject: Compliance Evaluation Inspection Pilgrim's Pride Corporation Sanford Water Treatment Plant NC0083852r NCG060174 Lee County Dear Mr. Morgan: On December 4, 2012 Thomas Ascenzo and Mack Wiggins of the Raleigh Regional Office (RRO) conducted a compliance inspection (CEI) of Pilgrim's Pride Corporation Water Treatment Plant and the Stormwater Pollution Prevention Plan. The assistance of yourself and Dale Betts- Operator in Responsible Charge (ORC) was appreciated as it facilitated the inspection process. The following observations were made: NCO083852 Pilgrim's Pride Processing Water Treatment Plant (WTP) 1. Pilgrim's Pride Processing Plant WTP is permitted to operate a water treatment plant with a discharge of filter -wash wastewater. The VW TP consists of two - settling lagoons. Effluent is discharged from the wastewater treatment works via an effluent channel into the Deep River, a stream classified as Class C waters within the Cape Fear River Basin. 2. A review of the discharge monitoring report (DMR) for April 2012 was checked with lab bench sheet and found to be accurate with no discrepancies noted. 3. The plant was very clean and well maintained. Visitation logs and operational logs were reviewed and well maintained. 4. Both Lagoons were inspected and found to be free from floating material. The slopes and the edges were clear of vegetation and weeds. NorthCarolina Naturally North Carolina Division of Water Duality Raleigh Regional Office Surface Water Protection Phone (919) 791-4200 Customer Service Internet: www,newaterquality.org 1628 Mail Service Center Raleigh. NC 27699-1628 FAX (919) 758-7159 877-623-6748 An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer paper Pilgrim's Pride Collection System CEI NCO0838521NCGo60174 Page 2 of 3 .-' j,1 t 5. The plant effluent and receiving stream was clear and free of solids or pollutant indicators. 6. Flow meters were operational and calibrated quarterly. NCGO60174 Pil-grim's Pride Processinp Plant Stormwater The Stormwater Pollution Prevention Plan (SP3) was reviewed and revealed the following: • The plan contained the required general location map that included outfall location and drainage areas. • Employee training documents were included in the (SP3). Training is conducted quarterly.(Note: employee training is required to be conducted annually and documented in the (SP3) plan). • List of responsible parties for Emergency spill response notification was available for review. • One spill was documented on September 2012. • Plan included Stormwater Facility inspections reports. • Best Management Practices summary, current certificate of coverage, and narrative description of practices were available for review. • (SP3) Plan is being updated annually and as needed. 2. Qualitative Monitoring and Analytical Monitoring were conducted on January 9, 2012 and October 8, 2012 as per permit requirements. Please continue your diligence with the operation of the Pilgrim's Pride Water Treatment Plant and the Stormwater Pollution Prevention Plan. Should you or your staff have any questions regarding this inspection or correspondence, please do not hesitate to contact me at 919-791- 4256 or you can email me at tom.ascenzo@ncdenr.gov. Sincerely, ;444 (1�i Thomas Ascenzo Environmental Specialist Surface Water Protection Attachment: Compliance Inspection Reports CC: Central Files NC00838521NCG060174 Raleigh Regional Office SWP Compliance Inspection Report Permit: NCG060174 Effective: 12/01/12 Expiration: 10/31/17 Owner: Pilgrim's Pride Corporation SOC: Effective: Expiration: Facility: Pilgrim's Pride Corporation County: Lee 484 Zimmerman Rd Region: Raleigh Sanford NC 27330 Contact Person: Bruce Jackson Morgan Title: Phone: 919-774-7333 Ext.2106 Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Certification: Phone - Inspection Date: 1210412012 Entry Time: 02:20 PM Exit Time: 03:00 PM Primary Inspector: tom ascenzo Phone: 919-791-4200 Secondary Inspector(s): Mack K Wiggins Phone: Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC Facility Status: ■ Compliant Q Not Compliant Question Areas: 0 Storm Water (See attachment summary) Page: i Permit: NCG060174 Owner - Facility: Pilgrim's Pride Corporation Inspection Date: 1210412012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Page: 2 Permit: NCG060174 Owner - Facility: Pilgrim's Pride Corporation Inspection Date: 12JO412012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Storrrtwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? # Does the Plan include a General Location (USGS) map? # Does the Plan include a "Narrative Description of Practices"? # Does the Plan include a detailed site map including outfall locations and drainage areas? # Does the Plan include a list of significant spills occurring during the past 3 years? # Has the facility evaluated feasible alternatives to current practices? # Does the facility provide all necessary secondary containment? # Does the Plan include a BMP summary? # Does the Plan include a Spill Prevention and Response Plan (SPRP)? # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? # Does the facility provide and document Employee Training? # Does the Plan include a list of Responsible Party(s)? # Is the Plan reviewed and updated annually? # Does the Plan include a Stormwater Facility Inspection Program? Has the Stormwater Pollution Prevention Plan been implemented? Comment: Training is conducted quarterly. Qualitative Monitoring Has the facility conducted its Qualitative Monitoring semi-annually? Comment. Jan 9, 2012, and October 8, 2012. Analytical Monitoring Has the facility conducted its Analytical monitoring? # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? Comment: Permit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented by the Division? # Has the facility evaluated all illicit (non stormwater) discharges? Comment: Yes No NA NE ■ ❑ ❑ ❑ Yes No NA NE ■ ❑ ❑ ❑ Yes No NA NE Page: 3 ' OF VVATF9 Michael F. Easley, Governor • `O� QG William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources 7 � � Q .r Coleen H. Sullins, Director Division of Water Quality December 22, 2008 Mr. Ralph Upton Division manager Pilgrim's Pride 484 Zimmerman Road Sanford, NC 27330 Subject: Compliance Evaluation Inspection (CEI) NPDES Permit No. NC0072575, NC0083852, and NCG060.17.4} Pilgrim's Pride Lee County Dear Upton: On November 20, 2008, Vicki Webb of the Raleigh Regional Office conducted a compliance evaluation inspection of the subject facility. The assistance of Mike Beal and Bruce Morgan was appreciated as it facilitated the inspection process. The following observations were made: NCO072575 Pilgrim's Pride Processing Plant Wastewater Treatment Plant (WWTP) 1. Pilgrim's Pride WWTP is permitted to discharge at a rate of 1.0 MGD and consists of an influent pump station, aeration basin, secondary clarifier, tertiary filter system, anaerobic treatment lagoon, methane incinerator, chlorination and dechlorination contact chambers, and step aerator. All components were reviewed at the time of inspection. Effluent is discharged from the wastewater treatment works, through Outfall 001 to the Deep River, a stream classified as Class C waters within the Cape Fear River Basin. 2. A review of the Discharge Monitoring Report (DMR) data for the 12-month period from July 2007 through August 2008 was performed prior to this inspection. The DMR's indicated noncompliance with final effluent limitations in the months of September and October 2007, January, June, July, and August 2008. 3. DMRs for August 2008 was reviewed and compared to lab reports. No mistakes or inconsistencies were noted. Chains of custody were complete and kept on file as required. 4. The facility uses Carolina Environmental for all analysis not performed by the field lab. Samples are stored on ice prior to analysis by the field lab or shipment to contract laboratories. �v�rturone Carolina North Cam]ina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone (919) 791-4200 Customer Service Intemet h2o,enr.state.nc.us 1628 Mail Service Center Raleigh, NC 27699-1628 FAX (919) 571-4718 1-877-623-6748 An Equal Opportun4/Alfirmative Action Employer —50% Regcledl10% Post Consumer Paper Pilgrim's Pride (CEI) ' , NPDES Permit No. NC0072575, NC0083852, and NCG060174 Lee County 5. The plant was very clean and well maintained. No operational or maintenance issues were noted. Visitation and operations logs were reviewed and found to be complete and satisfactory. 6. The plant effluent was free and clear of solids or any other pollutant indicators. The receiving stream looked healthy and showed no adverse conditions and right-of-way (ROW) to the outfaIl was well maintained. NCO083852 Pilgrim's Pride Processing Plant Water Treatment Plant (WTP) 7. The Pilgrim's Pride Processing Plant WTP is permitted to operate a water treatment plant with a discharge of filter -backwash wastewater. The WWTP is a PC -I facility consisting of two settling lagoons. Effluent is discharged from the wastewater treatment works via an effluent channel into the Deep River, a stream classified as Class C waters within the Cape Fear River Basin. 8. A review of the DMR data for the 12-month period from July 2007 through August 2008 was performed prior to this inspection. The DMR's indicated noncompliance with TSS in the month of October 2007. 9. DMRs for August 2008 was reviewed and compared to lab reports. No mistakes or inconsistencies were noted. Chains of custody were complete and kept on file as required. 10. The plant was very clean and well maintained. No operational or maintenance issues were noted. Visitation and operations logs were reviewed and found to be complete and satisfactory. 11. It was noted during the inspection of records that Lagoon number two was cleaned out on September 28, 2008 by Synagro. The residuals from lagoon number two was land applied under land application permit number WQ0028653. According to Mr. Morgan and Mr. Beal, the facility is trying to schedule the cleaning of lagoon number one in the summer of 2009. 12. The plant effluent was free and clear of solids or any other pollutant indicators. The receiving stream looked healthy and showed no adverse conditions and ROW to the outfall was well maintained. NCG060174 Pilgrim's Pride Processing Plant Stormwater 13. The Site plan, the storm water management plan, and the spill prevention and response plan were presented and appeared complete. All of the facility's stormwater outfalls were observed during the inspection. The ROW to the outfalls was well maintained. 14. The facility has evaluated the Storm Water Pollution Prevention Plan (SP3). The new SP3 has been developed and implemented as of February 2008. 15. Qualitative and quantitative inspection records were available for review and found to be complete and acceptable. Pilgrim's Pride (CEI) NP'JES Permit No. NC0072575, NC0083852, and NCG060174 Lee County The overall conditions of PiIgrim's Pride is compliant with Division standards If you have any questions regarding the attached report or any of the findings, please contact Vicki Webb at (919) 791-4256 (or email: vicki.webb@ncmai].net. r Sincerely f Vicki Webb Environmental Specialist Cc RRO=SWP=files Central Files Mike Beal and Bruce Morgan 484 Zimmerman Road Sanford, NC 27330 Compliance Inspection Report Permit: NCG060174 Effective: 11/01/07 Expiration: 10/31/12 Owner: Pilgrim's Pride Corporation of Georgia Inc SOC: Effective: Expiration: Facility: Gold Kist Incorporated- Sanford County: Lee 484 Zimmerman Rd Region: Raleigh Sanford NC 27330 Contact Person: Bruce Jackson Morgan Title: Phone: 919-774-7333 Ext.2106 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 11/20/2008 Entry Time: 09:08 AM Exit Time:. 01:00 PM Primary Inspector: Vicki Webb �" ��. Phone: Secondary Inspector(s): Reason for Inspection: Routine • Inspection Type: Compliance Evaluation Permit Inspection Type: 1=ood/Tobaa:o/Soaps/Cosmetics/Public Warehousing Storn water Discharge COC Facility Status: ■ Compliant ❑ Not Compliant Question Areas: ■ Storm Water (See attachment summary) Page: 1 Permit: NCG060174 Owner - Faclllty: Pilgrim's Pride Corporation of Georgia Inc Inspection Date: 11120/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Page: 2 . ., Permit: NCGO60174 Owner - Facility: Pilgrim's Pride Corporation of Georgia Inc Inspection Date: 11/20/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Storrnwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ■ ❑ ❑ ❑ # Does the Plan include a General Location (USGS) reap? ■ ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? ■ 1111 ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ ❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ■ ❑ ❑ ❑ # Has the facility evaluated feasible altematives to current practices? ■ ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ■ ❑ ❑ ❑ # Does the Plan include a BMP summary? ■ ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ ❑ ❑ ❑ # Does the facility provide and document Employee Training? ■ ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ■ ❑ ❑ ❑ # Is the Plan reviewed and updated annually? ■ ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ■ ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? ■ ❑ ❑ ❑ Comment: The SP3 was updated in Feb 2008 Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑ Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ■ ❑ ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ■ ❑ ❑ ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑ # Were all outfalls observed during the inspection? ■ ❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ■ ❑ ❑ ❑ Comment: Page: 3