WQ0002857_Monitoring - 04-2020_20200529

Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00002857 MONTH: April YEAR: 2020
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Flow Monitoring Point: Effiuent' ■ !'
R ■ ■
- ■ R
Operator in Responsible Charge (ORC): Glenn Price Grade: Si Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 9879
Certified Laboratories (1): R & A Laboratories, Inc.
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHA
Division of Water Quality By this signature, 1 certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
5', Baron Neal McDuffie
(Signature of Permiee)* ate (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville, NC
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
Field Services Director ( R & A Laboratories, Inc)
PARAMETER CODES
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
(Position or Title)
336-582-8247
(Phone Number)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
WQ09 PAN (Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
03/31 /21
(Permit Exp. Date)
00929 Sodium
00931 SAR
00745 Sulfide
00515 TDS
00010 Temperature
00625 TKN
00680 TOC
00530 TSS/TSR
00076 Turbidity
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone], extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting_
facility's permit for reportin data
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).

Page 2 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00002857 MONTH: April YEAR: 2020
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) =jVolume Applied (gallons) x el 3W(cubic feeugallon) x 12(iremestfool)]/[Area Sprayed (sues) x 43.%0(square feedaue) or
= [Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Leading (inches) = Daily Loading (inches) / [Time irrigated (minutes) 160 (minuleslheur)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month plasma Total (inches) = Sum of W s month's Monthly Loading (inches) and previous 11 month's Momhly Loadings (inures)
Average Weedy Loading (inches) = )Monthly Loading (inches/mdnm) I Number of days in the month (dayslmome)l x 7 (daysWeek)
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Did n Occur 0 This Field
: Nol■
Did Irrigation Occur On This Field:
N.: ■
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-Wiselher Codn: C<dolr, PC-immy dowdy, CI-doudy, R-nN, tin -snow, S"Icit
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By this signature, 1 certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)

FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
L The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s). 4
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application. 4
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a 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."
t"i - -> d-f- a (/ Baron Neal McDuffie
(Signature of Permitee)* 1011or Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aeent
(Perm ittee-P lease print or type)
9683 Kerr's Chapel Road
G►_bsonville. NC
(Permittee Address)
Field Services Director (R & A Laboratories, Inc)
(Position or Title)
336-582-8247
(Phone Number)
03/31 /21
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)

Page 3 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00002857 MONTH: April YEAR: 2020
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic leeVgalbn) x 12 (inchestlool)I / [Area Sprayed (acres) x 43,560 (square fe.vacre) or
= (Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) =Daily Loading (inches)/[Time Irrigated (minutes) 160(minules/bour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/morr )] x 7 (days/week)
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•. Irrigation Occur On
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•. Irrigation Occur On This Field:
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•w'emhrr Codxa: C-cli PC -portly cloudy. Claloudy, R-caln, se -ors ,sl-Aw,l
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC Has Ckanged: ❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division or Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHI
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)

FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2, Adequate measures were taken to prevent wastewater runoff from the site(s).
4
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4
4. All buffer zones as specified in the permit were maintained during each application.
[�
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is nail -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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 a 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."
Baron Neal McDuffie
(Signature of Permttee)* Oate (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent
(Permi ttee-P lease print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Pennittee Address)
Field Services Director ( R & A Laboratories, Inc)
(Position or Title)
336-582-8247
(Phone Number)
03/31 /21
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)