WQ0002857_Monitoring - 01-2022_20220303

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
Report Information
WQ0002857
Piedmont Custom Meats WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Piedmont Custom_Jan 22.pdf 1.31 MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
jwd rA lip
Reviewer: Gerald, Wanda
3/3/2022
This will be filled in automatically

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
4/11 /2022

Page . I of 3
NON-DISCIIARGE WASTE NVATER NIONITORING REPORT
Pf',101ITNUNIBER: XVQ0002857 INION,m: january YEAR: 2022
FACILITYNAME: Piedmont CustomN teals %VNN,"l"F (,IOLJN'FY: Caswell
McnOor4ig Point: Effluent: LJ Infloent:
Meter Moritchng Point: Effluent: LJ Influent: ""ace Water (SW): 10 S;d CodeiNarne:
There Effluent Row for this Month Generated At This Facility: Yes: u NT
Operator io 1lopoosil4c Chargv (ORC); Glenn Pricc Grade: S-1 . Phone: [phone]
Check Box KORC Has Charjoed: ORC Certificatimi Number: 987931120771
Certiried Laboratories (1): Pace Anak,fical Services (2):
pel'soll(s) Collectillt., Samples: C.'lenn Nice
Mail ORIGINAL and'I'Nvo O)PIES 1w
A FTN• Nort-Discharge Compliance 1. iiit x ... . . ........
DE'Nit (SIGNA I L RE OF OPER � 1.011 IN RESPONSIBLE CIIA
INN ision of Water Quafl(N B) this Signature, I eel-lirN that this report is accurale and
1617 "flail Service Center Complete to the hest of lll;ilulmvledge.
NC 27699-1617

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant (Y,N)
I. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-coMplia, 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."
(Signature of Permitee)* Date
Baron Neal McDuffie (Authorized Aaenfl
(Permittee-Please print or type)
9683 Keres 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
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
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
idity
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 2B.0506 (b) (2) (D).

Page 2 of 3
NON-D ISC I 1ARG1 EAPPLICATION REPORT
SPRAYWRIGNTION SITE(S)
THERE ARETWO APPLICATION FIELDS PER PAGE, USE ADDIDTIONAL PAGES AS NEEDED
PER.Nti'rNUNIBER. WQ0002857 MONTH: .1litnuary YEAR. 2022
FACILITYNAME.- llic(IiitoittCtistotiiNIetttsWNV'1'1� COUNTY: Caswell
Forrnulas;
Daily Loadind (inches IV0iLJmc Applied (gallons) X 0 1336 (ma)jc fee Vga km� x 12 (inches/fcca)] / lAfaa Sprayed (acrcs,x 43,560 (square feetacre) or
[Volurne Applied Oalionj) / jArea 1.iprayud 1rlues) x 27.152
Maximum Hmfly Loading (inches) Daily Loadffig (inchesf [lime indrdated (Inmijt") / 6fl (mintiles/how)] Monthly l_oadwg(in&es) =SurnofDaily Lca6ng{inches)
12 Morql) Floating Total Qinches) -:SUM Of ihIs MOeth'S Marilifly LoadinU (inchesand previous I I monifi's Monthly Loadings (inches)
Average Weekly Loading (irnhed) (Mcarlthly Loading iinchoshnonth), I Number i.A days tn Ore rnonli, {dayz,/=MP )I x 7 {d
[Did ithgation Occur At jll��S F,,,,jjjj,,
Y�s� No�
110-2
. ......... . .......
Did lrrigatvi Cdcur On TNs Fie�d�
yes� lso� ED
...................... . . . . ......
ru��
. . ... ........ .
. ...... ..... . ..... ........... . . . ...........
( Jekji,'S: ( , I .It", I I( _J­fly thud), ( 4_flo ly, , It rabaI, "n-snow,
Sprak Irrigation Operator- in Responsible Charge (011ii Glenn Price Phoilez 336-996-2841
ORC Certification Number: 987931/20771
.Mad ORIGINAL and'I'wo COMES to:
ATTN: Non-Discliaq�e Compliance Unit
1) EN It (W_,�NATURE OFOPERATOR IN RES'PONSMu C11,WCE)
Division of Water Qualiq 13.k Ihis signature, I certify that this report is accurate and
1617 Mail Ser%ice Center Complete to the best of ri know tethge.
IZAI.EIGII,NC 27699-1617
Check Box if i Has ChantledEl
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. C�
2. Adequate measures were taken to prevent wastewater runoff from the site(s). C�
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.
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."
(Signature of Permitee)* 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 (Pace Analytical Services)
(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-DISC.11ARGE, APPLICATION REPORT
SPILk)l' IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIE" -LDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PE,RMrrNU.N1ER: 1V00002857 MONTH: January YEAR: 2022
FACILITYNAME: Piedmo it t Custom N teats WWT1' COUNTY: Caswell
Formulas:
Owly Loading (inches) u lVolurnp Appiked (gallons) x 0.1336 iculdic fcc6gallon) x 12 (incheslfoot)I /IArea Sprayed Pacres) x 43,560 Fcijuare feet acre) or
Yolurrip AppNed Qqailans) / lAiea Sprayed (acres) x 2'7,152
Maxanum Hourly Loading (inches) Daily Loridomg (inichet) I [Tana, iingated ,rnwurm,) / 530 (nunutes(hour)] Monthly Loadmig. (inches) =Sum of Daily Loading enche.)
112 Mcrni Floating Total (inches) = Sum of thos montfrs Monthly Loading ymhes) and prev�oua I I rroMh'S Monthly Loadings (jrxhesj
Average Weekly Loading (lnches) u [Monthly Loading / Number of days in the monrin dayslmcmih )j x 7 pdaysl&eek,V
D�id Impfian Occur Al This Facilq�
N,�
bid lingwv! Occur Cin This Fed�
yan Nc�
IBM
. . . ....
SEEM=
... . . . ...... .. ... . ...... . .....
S'I)ra3r[ri,i;,,alioit0l)cr.itot,ijitZeSI10tiSil)ICCII:Al",'('4Olt(): GICIIIII'l Phone: [phone]
ORC Ccrtification Number: 987931/20771 Check Box if ORC Has Changed:E]
'Mail ORIGINAL and'I'sko COPIES to:
A I"FN: Non -Discharge Compliance Unit X.
DENIZ (SIGNATUIZE OF OPFRA-FOR IN RESPONSIBLE- CIIARGE)
Division of Water Qtlatio N' BN t;jjS I CCnjj(Nr tillad this repoi-( is accuil and
1617 Mail Service ll vol'opiviv to the best of ol,N kjlovN ledge.
IIALEIGH. NC 27699-1617

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). L�
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.
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."
(Signature of Permitee)* jV 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 ( Pace Analytical Services)
(Position or Title)
336-582-8247
(Phone Number)
03/31/21
(Permit Exp. Date)
* If signed by other than the Pennittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)