NCG060173_DMR_20210129

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
IVY-p(-0(%3
Permit Number NCS NC060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 0
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Valley Proteins INC. Gastonia Division COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Christopher Harris PHONE NO. 7( 04 ) 773-9962
CERTIFIED LABORATORY(S) Waypoint P.O. Box 24054 Lab #402
Charlotte, NC 28217 Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
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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 MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(ifappl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a I.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 611212015
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(ii' more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only it'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
"1 certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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 imprisonment for knowing violations."
of Permittee)
l/,Z 9% (
(Date)
Form S W U-247, last revised 611212015
Page 2 of 2