WQ0002857_Monitoring - 07-2020_20200828

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002857
Name of Facility:*
Month:* July
Report Information
Piedmont Custom Meats WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:*
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
Pied Custom_July.pdf 2.3MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
Reviewer: Williams, Kendall
8/28/2020
This will be filled in automatically

Is the project number correct? * WQ0002857
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 8/28/2020

Page 1 m of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W 0002857 MONTH: July YEAR: 2020
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Flow Monitoring Point: Effluent: LI Influent: ua
❑ Surface Water (SW�: ❑ 5W CGdelName:
Parameter Monitoring Paint: Effluent: Influent:
Was There Effluent Flow for this Month Generated At This Facility: Yes: Li No:
50050 00400 50060 003t0 110610 00530 31616 70300 00620 C0625 MAO
00600 00665
Operator
Fecal
D Arrival Daily Rate
A Time Operator ORC (Flowl into Colirorm
Total Total
'T 2400 Time on on Treatment Rc,idual ROD-5 Gea-metric
TSS Mcan`l DS NO-3-N T"K �' Chloride
Nitrogen Phosphorus
1'. Clrnk Site Site? System PII Chlorine 20°C Nlt-3-N
M(i 1. �7 ri'I%TC'1. .'100tiiL \ICirL ?11GL ]rill. S,IG%L
MG�'L MG/L
f lliti YiN t;ALl ONS I'\]lS IV I. .
1 2,778
1617 0.15 Y 2,778
3
2,778
2,779
2,779
2,778
3
s
7
Y
2,778
2.778
2,778
2,778
6.4
<I U
a
0925
0.50
9
2,778
2, 778
2,778
2,778
13
to
to
0.50
1
2,778
2,778
2,778
6.3
<10
la
10M
17
la
2,778
W
2,778
20
2.778
2I
2,778
2,778
23
0915
0.50
Y
2,778
6.3
<10
40.3
105
>2420
326
{0.05
54.2
97.7
54.3
2.18
3
2,778
25
2,778
26
2,778
27
2,778
,h
1,778
29
2,778
0
2,778
31
0830
0.25
Y
2,778
6.4
<10
133
Average
2,778
6.40
<10
<10
133
133
40.3
40.3
lU5
105
>242U
>2420
326
326
<0.U5
<0.05
54.2
54.2
97.7
97.7
54.3
54.3
2.18
2.18
Daily Maximum 2,778
Rallyhilnimum 2,778
6.30
<10
133
40.3
105
>2420
326
<0.05
54.2
97.7
54.3
2,18
Monthly Llmlts ( Avg) 5000
Composite C I Grab (G)
Operator in Responsible Charge (ORC): Glenn Price
Check Box if ORC Has Changed: EJ
Certified Laboratories (1): R & A Laboratories, Inc.
Grade: Sl Phone-. 336-996-2841
ORC Certification Number: 9879.
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Nan -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CIiA
Division of Water Quality By this signature, I 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 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Com liant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is not -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."
,d Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent) Field Services Director ( R & A Laboratories. Inc
(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
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
W 09 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 reporting 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
MONTH: Ju:L_YEAR: 2020
PERMIT NUMBER: W 0002857
COUNTY: Caswell
FACILITY NAME: Piedmont Custom Meats WWTF
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetlgallon) x 12 (Incheslfoof)i / [Area Sprayed (acres) x 43,560 (square feetlacre) or
_ [Volume Applied (gallons) I [Area Sprayed (acres) x 27.152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) I [rime irrigated (minutes)! 6o (minuleslhour)] Monthly Loading (inches) -Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this monlh•s Monthly Loading (inches) and previous 11 monlh's Monthly Loadings (inches)
Average Weeldy Loading (inches) = [Monthly Leading (inches/month) / Number of days in the month (dayslmor )] x 7 (dayshvii
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field,
❑ Nm❑
Yes. © No: ❑ Yes: ❑ No: ❑ Yes:
Field Number 1 Field Number. 2
Area Sprayed (acres): 1 Area Sprayed (arras): 1
CoverCrrp: Fescue Cover Crop: Fescue
PW ittad Hourly Rate (inches): 0.2 Permitted Hourly Rate (inches): 0-2
WEATHER CONDITIONS Permitted Yearly Rate (inches): 52 Permitted Yearly Rate (inches): 52
I } Mesimum
1 Weather Temperature Storage
Time Deily koudy Volume Time Nily
n,xxnuun
Ilnnrly
Code' at Preripita- Lagoon Vedumc
1, Con r:cc txu,J nppl:r,l Iri r+4.l LtndinF I.,ndinr Applied Frngarrd L-ding
taxd,n:;
1
H 88 11.3 2.3
3
J
5
0
7
x PC 77 it 2.1 10980 3115 f1.30 11.118 1119811 305 U.4iI
[L[IS
n,
12
14
,s
In
(-I
77
II
2 2
102h11
285
0.38
II,ON
1O260
28-5 11,38
D.OS
fa
Ih'
39
'Il
2t
22
as
PC
83
0
2.6
11196
31 !
0.4 E
0.08
11196
311 0.41
1k.418
1s
t,
17
29
Sn
a I li 80 1 0,I t:
1.19 _
I rno r,.n.n✓>sn,,,ta� L,,.,rnc rnln.o .-...
9.60 9.60
IS ][anrh }'Moline l9ul [Irkbr,) - _
0.27
_
Average u'.Aly 1-dlot Ilasaep
'Weather Codes: C-clear, PC•partly cloudy. Cl-cloudy, R-rain, Sn-snow, S1-51ed
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC HaFc Changed:
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the hest of my knowledge.
RALEIGH, NC 27699-1617
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. EITJ
2. Adequate measures were taken to prevent wastewater runoff from the site(s). Q
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. 4
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the 4
limit(s) specified in the permit.
If the facility is non-conwHani, 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."
U
(Signature of Pennitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville NC
(Permittee Address)
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
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: Ju1y_YEAR: 2020
FACILITY NAME: Piedmont Custom Meats W'*VTF COUNTY: Caswell
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feat/gallon) x 12 (orhestfool)) I [Area Sprayed (acres) x 43,560 {square fentlacre) or
_ (Volume Applied (gallons) / [Area Sprayed (acres) x 27.152 (gallonsfacre-Inch).
Maximum Houdy Leading (inches) = Daily Loading {Inches) I (Time irrigated (minutes)160 (minutes/hour)) Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total tinrhes) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ [Monthly Loading (inches/month) I Number of days in the month (dayshnomll )] x 7 (daysMreek)
.�
• Occur On This Field:
Did Irrigation Occur On This Field:
El NO:
■
Yes:12Field
Yes:
Number
®®gym®®®®®■�������
.:�
•We.thcr Codes: C-elear, PC-p.rlly cloud), CI -cloudy, R-rdn, Sn•snow, SI-sleet
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, 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. y
2. Adequate measures were taken to prevent wastewater runoff from the site(s). E(
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. CT-1
4. All buffer zones as specified in the permit were maintained during each application. ETI
S. 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-comoWnt, 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 Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Ament
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville 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)

RESEARCH & ANAIyTICAI Report of Analysis
UboRATORIES, INC. 8/11/2020
Aft
For: Piedmont Custom Meats ��+` �.•�;�b•C111�*".
P.O. Box 621 .•` ?,p''f` o
Oakboro, NC 28129 Ni NC #34-
1 NC #37701
Attn: Larry Moore ':+ ;4�krQ►•r
Lab Sample ID:
85124.04
Client Sample ID: Effluent
Site: Piedmont Custom
Meats
Collection Date:
7/23/2020
9:50
Method
Result
Units
Rep Limi Anal s Analysis Date/Time
Parameter
Ammonia Nitrogen
SM 4500 NH3 D-2011
40.3
mg/L
0.1
FK
7/29/2020
BOD-5
SM 5210 B-2011
ancelled - Recollemg/L
2
Chloride
SM 4500 Cl B-2011
97.7
mg/L
1
EE
7/24/2020
Dissolved Solids
SM 2540 C-2011
326
mg/L
25
AW
7/23/2020
Fecal Coliform QT
Colilert 18
>2420
MPN/100m1
1
BJ
7/23/2020 1336
Nitrate + Nitrite
SM 4500 NO3 E-2011
0.067
mg/L
0.05
DW
7/23/2020 1520
Nitrate Nitrogen
(SM 4500 NO3 E-2011)-(SM
<0.05
mg/L
0.05
DW
7/23/2020 1520
4500 NO2 B-2011)
Total Kjedjahl Nitrogen
Hach 10242
54.2
mg/L
1
FK
7/24/2020
Total Nitrogen
Calc
54.3
mg/L
1
Total Phosphorous
SM 4500 P E-2011
2.18
mg/L
0.05
BJ
8/2/2020
Total Suspended Solids
SM 2450 D-2011
105
mg/L
5
AW
7/23/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ra! cca_basic v1d

Research & Analytical
Laboratories, Inc.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Water / Wastewater
Misc.
Company Piedmont Custont Meals
Job No.
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Street Address
Project
Groundwater srnnpling ( March Jul),)
City, State, Zip
Sampler Name (Ple Print)
�blpw„
Contact Phone
Sampler Signature
'�
Sample Number
II'ab Use only)
Date
Time
Comp
Crab
Temp
(
Res.
CI.
Chlorine
Removed
1' or N
Sample
Matrix
S or 1V)
Sample Location / 1.1.
C
Requested Anal sis
-(s
23Z c
D I
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MW-I
4
1
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(Cl-, TDS, TOC, NH3N
O%217
x
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MW-4
4
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F.coli, Cond, NO3, SO4)
b
x
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M W-5
4
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Effluent
-t
1
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1
160D, TSS, NH3N, F.coli
!-, TDS, NO3, TAR, T. Phos
iielin�uisheBy
7 �Do
fe/Tinic a`
Ze i d Ky
I
12emarks: ** (VOC's (qall Monitoring Wells in October ONLY) ***
pI/ of Effluent and nioniforing wells (please see affacherl field log)
Relinquished By
Date/Time
Receive R
Oil Ice
Sample Temperature at receipt "C

RESE:ARCh & ANAlyTICAI
LAORATORkSf INC.
For: Piedmont Custom Meats
P.O. Box 621
Oakboro, NC 28129
Attn: Larry Moore
Rveport of Analysis
8/7i2o2a
►i�►ttte�r�r,
Lu ••, =4i '�i4
r
v� NC #34 z,
NC #37701
Client Sample ID: Effluent Lab Sample ID: 85414-01
Site: Piedmont Custom Meats Collection Date: 7/31/2020 8:33
Parameter ��� Method Result Units Rep Limit Analysi Analysis Date/Time
a
BOD-5 SM 5210 B-2011 133 mg/L 2 HW 7/31/2020 1700
NA = not analyzed
P.O Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1

RESEARCN & ANALyTICA[
L boRAT0RIES, INC.
Analytic@[ / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER ! WASTEWATER I misc.
COMPANY A/
e ," CJs %
.JOB NO.
i
e� roq p'
P. �M1
Q�'Gv
?'z'c�`D.�gG
aoF �c� oP 2 q
ry ryy ryy ti �" �` REQUESTED ANALYSIS
STREETADO RESS
PROJECT
CITY, STATE, ZIP
It SAMPLER NAM SE PRINT}
CONTACT PHONC
SAMP ER SIGNATURE
SAMPLE NUMBER
(LAB USE ONLY)
DATE
TIME
COMP
GRAB
TEMP
"C
nEs
s41y°
c� MMD
MAIM
Isa�wl
SAMPLE LOCATIONII.0.
5 1 0)
RELINQUISHEZBY&
D EITIME
RECEIVE BY
REMARKS:
SAMPLE TEMPERATURE AT RECEIPT�°C
RELINQUISHE BY
'DATE/TIME
RECEIVED BY