WQ0002857_Monitoring - 10-2020_20201207

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002857
Name of Facility:*
Month:* October
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*
Piedmont Custom Oct.pdf 1.85MB
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
jus6coLkc
Reviewer: Williams, Kendall
12/7/2020
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: 12/7/2020

Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W 0002857 MONTH: October YEAR: 2020
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Parameterr . lit ■ • .
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Operator in Responsible Charge (ORC): Glenn Price Grade: SI Phone: [phone]
Checl(Box if ORC Has Changed: ORC Certification Number: 9879.
Certified Laboratories (1): R & A Laboratories Inc. (2):
Person(s) Collecting Samples: Glenn Price
?Hail ORIGINAL and Two COPIES to: �
ATTN: Nan -Discharge Compliance Unit X_
DENR (SIGNATURE F OPERATOR IN RESPONSIBLE CIIIA
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 (512003)

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 E'necessary. / � /
.wi ,l,e_df1V �� a ilof — /t 4 k Ll.L7df7n^MI�V 4L,P %A QG �z1FJQ!`
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."
ey'(?-!�j /,.j.'' I ri
(Signature of Permitee)* JV Date
Baron Neal McDuffie iAuthorized Agent)
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Petmittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
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
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 Pennittee, delegation of signatory authority must be on file with Use 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: W 0002857 MONTH: October YEAR: 2020
FACILITY NAME: -Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading {inches) _ [Volume Applied (gallons) x 0,1336 (cubic feet/gallon) x 12 (Incheslfoot)) I [Area Sprayed (acres) x 43,660 (square feetfacre) or
= iVolumo Appiied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre-Inch)
Maximum HDudy Loading (inches) = Daily Leading (inches)! (lime irrigated (minutes) I e0 (minutasmour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Fleeting 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) I Numbar of days in the month (daysfmonth )] x 7 (daysAveek)
Did n Occur At This Facility:
•R ■
Did lftigaWn Occur On This Field:
R ■
Did Inngabon Occur On This Flel&
R ■
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 X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, 1 certify that this report is accurate and
16I7 Mail Service Center complete to the best of my know [edge.
RALEIGH, INC 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.)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Compliant (Y,N)
4
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
A All buffer zones as specified in the permit were maintained during each application.
4
S. 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 -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."
/Z ' Z v Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal MCDUffe (Authorized Aee—, Field Services Director (R & A Laboratories Inc)
(Permittee-Please print or type) (Position or Title)
4683 Keres Chapel Road 336-582-8247 03/31/21
Gibsonville. NC (Phone Number) (Permit Exp. Date)
(Permittee Address)
* 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: W 0002857 MONTH: October YEAR: 2020
FACILITY NAME: Piedmont Custom Meats AVWTF COUNTY: Caswell
Formulas:
Daily Loading (Inches) ; [Volume Applied (gallons) x 0.1336 (cubic featigallon) x 12 (incheslfoot)) l [Area Sprayed (acres) x 43,560 (square feetlacre) or
= [Volume Applied (gallons) l [Area Sprayed (acres) x 27.152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches)! [Time irrigeted (minutes)160 (minutesmour)) Monthly Loading (inches) =Sum of Daily Leading (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 (inchesimonth) ! Number of days in the month (days/month )I x 7 (daysmeek)
IrrigationDid
Yes:R ■
Did Irrigation Occur On This Field:
■ R
Did �rngation Occur On This Field:
■ R
MEN=
.y • uuy.-- vuuy, K-rain, 65Rne,,r-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 X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
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)

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.)
Comp (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). E4D
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. j—p
4. All buffer zones as specified in the permit were maintained during each application. 'EITI
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 -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."
r/
(Signature of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr's Chanel 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)

aceAnalj6cal g
www.pacelahe.com
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersvilie, NC 28078
[phone]
ANALYTICAL RESULTS
Project: Piedmont Custom 89537 10/29
Pace Project No.: 92502998
Sample: EFFLUENT 89637-05
lab lD: 92502998005 Collected: 10/29/20 11:45 Received: 10/29/2015:20 Matrix: Water
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2011
Pace Analytical Services - Eden
Total Dissolved Solids
128 mg/L 25.0 1 10/30/20 09:05
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Pace Analytical Services - Eden
Total Suspended Solids
10 mg/L 3.6 1 10/30/2014:17
5210B BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 521OB-2011
Pace Analytical Services - Eden
BOD, 5 day
2.6 mg/L 2.0 1 10/30/2014:07 11/04/2015:08 L1
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
95.9 MPN/100ml. 1.0 1 10/29/2018:25 10130/2012:25 D6
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
1.1 mg/L 0.52 1 11/11/2010:03
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
ND mg/L 0.10 1 11/07/2011:22 7664-41-7
361.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.01993 Preparation Method: EPA 351.2 Rev 2.01993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
0.92 mg1L 0.50 1 11/09/2013:42 11/10/20 03:40 7727-37-9
363.2 Nitrogen, N021NO3 pres.
Analytical Method: EPA 353.2 Rev 2.01993
Pace Analytical Services - Asheville
Nitrogen, NO2 plus NO3
0.18 mg/L 0.040 1 11/04/2010:03
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.01993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
0.17 mg/L 0,050 1 11104/2018:19 11/05/2018.15 7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
41.9 mg/L 2.0 2 11/02/2011:55 16887-00-6
Date: 11/13/2020 04:51 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.L.C.
Page 16 of 45

Research & Analytica
Laboratories, Inc.
Analytical / Process Consultations
1>1jnne (336) 996-2R-1I
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:, * pff rrt f Jj lent and mouitr,ririn wells (please sec attached field log)
Relinquished }'---
Dalenline
Received By
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