NCS000130_COMPLETE FILE - HISTORICAL_20191008

--STORMWATER DIVISION GLIDING SHEET
RESCISSIONS. '.
PERMIT NO.
DOC TYPE
COMPLETE FILE- HISTORICAL
DATE OF
.RESCISSION
p Qo,
YYYYMMDD

Permit Number NCS
,) �) �) 120
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR:��
(This monitoring report shall be received by We Division no later than 30 days from
the date the facility receives the sampling results from the Edboratory.)
FACILITY NAME COUNTY
PERSON COLLECTING SAMPLE(S) PHONE NO.
CERTIFIED LABORATORY(S)
La_)'1VED
OCT a 8 2ors
CENTRAL
Part A: Specific Monitoring Requirements
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
1
II1
1 1
Total1
! �ifa 1
1 k
al 19
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
-(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd! r
MG rQ
in lies
m li
Mgt]
unit
al/mo
Form SWU-247, last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS: r
rr -
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based 6n 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 thenpossibility of fines and imprisonment for knowing violations."
(Signature oPPermittee)
/d/V//1
(Date)
Form SWU-247, lust revised 611212015
Page 2 of 2

Perdue Foods
_ ru
Perdue Foods LLC
Environmental Services
416 South Long Drive
Rockingham, NC 28379 October 2, 2019
www.perdue.com
Central Files
Division of Water Resources
1617 Mail Center
Raleigh, NC 27699-1617
Subject: September 2019 Storm Water Monthly Monitoring Report
Permit No. NCS000130
Perdue Farms, Rockingham Facility
To Whom It May Concern:
As specified under the Tier Two Storm Water permit requirements, please find attached
two copies of the September 2019 monthly storm water monitoring report for the
Perdue Foods LLC facility located at 416 S. Long Drive, Rockingham, North Carolina
28379.
For the month of March 2018, there was not any qualifying rain events. There were no
samples collected or any analysis by our contract lab, there is a DEQ Monitoring letter
included in this letter. This is required in statement 3 of the Tier two requirements,
please find attached the monthly monitoring report.
If you should need any further information, please contact me at 910-997-8593.
Since ely,
Dennis G. Parker
Environmental Manager
Perdue Foods. A Heritage of Innovation.

,A
Permit Number NCS
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
FACILITY NAME
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) b
Lab #
Part A: Specific Monitoring Requirements
/�
SAMPLES COLLECTED DURING CALENDAR YEAR:{
(This monitoring report shall be received by the Division no later than 30 days from
the date the faeility receives the sampling re pits from the oratory.)
COUNTY
PHONE NO.
SIGNATURE OF PERMrrTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
rl)o/dd/yr
MG
jdches ,
l
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
-(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
h
moldd/ r
MG
in , es
m Il
ti
MeA
unit
gallmo
Form SWU-247, last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):���
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that quaiified 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
D 1
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2

Permit Number NCSaV 1,36
FACILITY NAME
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERSON COLLECTING SAMPLE(S) . , , /"C_ �'''� / —
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sa plin 'results fr9m,,tbe laboratory.)
COUNTY
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED O� PAGE 2.
,.Total
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No..
Date .
Sample
.Collected
50050 -
00556
00530
o040o
To'ial Flow
(if applicable) .Rainfall
low"
.
Oil &Grease
(if appl.)
Non -polar
O&G/TPH
'(Method 1664
SCT-HEM), if
'Total
Suspended
Solids.
pH.
New Motor
Oil Usage
mo/d'
MG •
mc. e
m `I
_
`mg /I
unit
g
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ —? (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete, I am aware that there are significant penalties for submitting false information,
including the pgnsibift of lines and imprisonment for knowing violations."
(Signature of
.1116//1
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2

Permit Number NCS f)Vo /_�
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
tilt '-� 1 /_ C
FACILITY NAME
PERSON COLLECTING SAMPLE(S
CERTIFIED LABORATORY(S) ab # S
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: /
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility, receives the sa g re Its from the 1 story.)
COUNTY%
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
/ REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
i
mo/ddI r
MG
inches
-
,5
t
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
-(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
Mgt[
unit
gaumo
Form SWU-247, last reviser/ 611212015
Page 1 of 2

Client: Perdue Farms
41.6 S. Long Drive
Rockingham, NC 28379
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Report Date: 8/28/2019
hate Sample Rcvd: 8/14/2019
Meritech Work Order i#
08141983 Sample: Stormwater Grab
8/14/1.9
Parameters
Result
Analysis Date
Reporting_li
Method ualifier
BOD, 5 day
27.0 mg/l,
8/15/19
2.0 mg/L
SM 5210$ G8
COD
77 mg/L
8/27/19
15 mg/L
LPA 410.4
Total Suspended Solids
129 mg/L
8/15/19
2.5 mg/L
SM 2540D
Chloride
27.0 mg/L
8/19/19
0.10 mg/l.
SM 4500 Cl B
TKN
3.82 mg/L
8/16/19
0.20 mg/I.
EPA 351.1
Nitrate/Nitrite, Nitrogen
1.46 mg/L
8/21/19
0.10 mg/l,
LPA 353.2
Nitrogen, total
5.28 mg/I..
6/21/19
0.20 mg/L
EPA 353.2
Phosphorus, total
0.900 mg/L
8/19/1.9
0.020 mg/1,
EPA 200.7
l7ecal Coliform
400,000 col/100 ail
8/14/19
9 col/100 rnl
SM 92221)
Oil & Grease (HEM)
<5 mg/L
8/19/19
5 mg/L
EPA 1664B
PH
6.68 S.U.
8/14/19
1,0 - 14.0 S.U.
5M 4500 H li
Free Chlorine
<0.02 mg/L
8/14/19
0.02 mg/l.
SM 4500 CIG
GB Oxygen usage is less than 2 ing/l. for all dilutions set. The reported value is an estimated less than value
and is calculated
for the dilution using the most
amount of sample.
I hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES#:
Client: Perdue Foods Phone:_ 910-997-8634
nn E R I TE e H INC.
1Address:_
416 S Long Drive Fax: [phone]
ENVIRONMENTAL LABORATORIES
Rockingham, NC, 28379 Email:_ [e-mail]
642 Tamco Rd. Phone: [phone]
o+"
Project:
Reidsville NC 27320 Fax: [phone]
P.O.#:
` Email: info@meritechlabs-com
Turn Around Time*
Attention:_ William Moore
'
*RUSH work needs prior approval.
How would you like your report sent?
WWW.meClteChlabs.001T1
Circle all that apply: Email (preferred), Fax, Mail std(i) a-s ❑ays za -asHn
Sampling Dates & Times
p g
Person Taking Sample (Sig
illiam Moore
Lab Use Only
Sample Location and/or ID #
Start
End
Comp?
# of
Test(s)
Required
on Ice?
pH OK?
Date
Time
Date
Time
Grab?
Cont.
qes / No
Cl OK?
Stormwater
( t4
�f _ C�
G
1
BOD / TSS,CI
Stormwater
��[`f
G
1
COD,T (H2SO4)
Stormwater
+`{
G
1
Metals - Ptot (w/HNO3)
Stormwater
V-,
G
1
OIL & GREASE (w / HCI )
Stormwater
"k
G
1
Feca[ Coliform
t
Ph
�ty
XYX
Temperature upon
Free Chlorine
Receipt:
Method of
Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation.
Comments:
Compositor #
Shipment:
❑ UPS-00
Jug #
Fed Ex
Are tl7pe results for regulatory purposes? Yes No ❑
Report results in: mg/L ❑ mg/kg C1 ug/L El
Hard Delivery
Resin wish d b Date: Time: /
�-Y� /$ f
Received rme: ell
/
❑ Other
Relinquished � � � ���: /�i Ti �
(/
Stormwater
Relinquished by: Date: Time:
Received by Lab: ,. �ateyy Jf, Time: j�$

Perdue I I /
Perdue foods LLC
Environmental Services
416 South Long Drive
Rockingham, NC 28379
www.perdue.com
Central Files
Division of Water Resources
1617 Mail Center
Raleigh, NC 27699-1617
Subject: Storm Water Monthly Monitoring Report
Permit no. NCS000130
Perdue Farms, Rockingham, NC
To Whom It May Concern:
August 14, 2019
RECEIVED
AUG 21 2aS9
CENTRAL FILES
DWR SECTION
As specified under the Tier Two Storm Water permit requirements, please find attached two copies of
the July 2019 monthly storm water monitoring report for the Perdue Foods, LLC, facility located at
Rockingham, North Carolina.
This monitoring report meets the requirement under Part 11; Section B; Analytical Monitoring
Requirements for the facility's Storm Water Permit.
For the month of July 2019, there was a qualifying rain event for the month. Samples were taken and
shipped to our contract lab. A DEQ monitoring report is included with this letter.
Efforts are being made to improve our storm water discharge as stated in previous reports, Perdue is
committed to protecting the Environment,
if you should need any additional information, lease contact me at 910-997-8593.
Sinc
Dennis G. Parker
Environmental Manager
Cc: Fayetteville Regional Office
Division of Water Resources
225 Green Street, Suite 714
Fayetteville, NC 28301
Perdue Foods. A Heritage of Innovation.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 6 C>6 f 3 0
]]
FACILITY NAME u� % r
, -A-
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: �d
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the I oratory.)
COUNTY C fi vf'1 .
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
-
Date
ttiti�►'�
ti:��c—
Sample
Collected
Total
Flow (i appL_JRainfall/
Total
i
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activi MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00406
Total Flow
-(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/d / r
MG , ,
inches,
m Il,
m A
unit
al/mo
pCCJ
V
r
!.
W
Form SWU-247, last revised 611212015
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date Date q z`r�r f1 O r 4�)
Total Event Precipitation (inches):
Event Duration (hours): `` (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possikility�of Cines and imprisonment for knowing violations."
(Signature of
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2

.k �c!_n9��iaYLfiR.
PerduewFoods
Perdue Foods LLC
Environmental Services
416 South Long Drive August 14, 2019
Rockingham, NC 28379'
www.perdue.com
Central Files
Division of Water Resources
1617 Mail Center
Raleigh, NC 27699-1617
Subject: Storm Water Monthly Monitoring Report
Permit no. NCS000130
Perdue Farms, Rockingham, NC
To Whom It May Concern:
As specified under the Tier Two Storm Water permit requirements, please find attached two copies of
the July 2019 monthly storm water monitoring report for the Perdue Foods, LLC, facility located at
Rockingham, North Carolina.
This monitoring report meets the requirement under Part fl; Section B; Analytical Monitoring
Requirements for the facility's Storm Water Permit.
For the month of July 2019, there was a qualifying rain event for the month. Samples were taken and
shipped to our contract lab. A DEQ monitoring report is included with this letter.
Efforts are being made to improve our storm water discharge as stated in previous reports, Perdue is
committed to protecting the Environment.
If you should need any additional information, lease contact me at 910-997-8593.
Sinca�ly,���
Dennis G. Parker
Environmental Manager
Cc: Fayetteville Regional Office
Division of Water Resources
225 Green Street, Suite 714
Fayetteville, NC 28301
Perdue Foods. A Heritage of Innovation.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS
I LA
FACILITY NAME ' o�t 1 C-_
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) �]�` �— Lab # r
Lab #
Part A: Specific Monitoring Requirements
;­5�5& / lF
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the 1 boratory.)
COUNTY
PHONE NO. (j ZD
E
GNATURE OF PERMITTEE OR DESIGNEEEQUIRED ON PAGE 2.
51
Outfall
No.
Date
Sample
Collected
50050
l �' 1. -'/
Total
Flow if app.)
Total
Rainfall
/V
1
molddl r
MG
in hes
/7`�
y'Ilk
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ©yes ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
-(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPII
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mold 1 r
MG )
inches,
Inti
`l \ '4—
m /l
unit
aUmo
1 U
�'
U r
✓
U
{
�.
/c?
Form SWU-247, last revised 611212015
Pagel of 2