WQ0002857_Monitoring - 02-2022_20220331

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
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_Feb 22.pdf 1.32MB
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
3/31 /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 1 .- of __ 3
NON -DISCHARGE WASTE, WATER MONITORING RETORT
PERMITNUMBER,- W00002857 INIONT11: February YEAR: 2022
FACUTTYNAME. Piedmont Cost om 31 eats WWTF COUNTY: Caswell
iRow Monitor�ng Point: ETfluenr IR 10 ueli
nt:
'Parameter Monftoring Point: Effluent: LJ Influent! L■
---
—This
Wa:s There Effluent Row for this Month Generated Tt Facjhty� Yes� No� L.1
mum
. ... . . ........
. ................... . ... . .... ..................
............. . .......... . ... . ....
. ......... . ......... ..................
Operator in Responsible cllargv(ORQclel)[11'rice Grade: SI 11hoov: 336-996.2841
Cheek Box if ORCIhs Chamwed: E:1 ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analvfical Services (2):
Persori(s) Collecting Samples: Glenn Price
Maill ORIGINAL and'h%o CONES to:
AT] N� Non-Dischar,,,e Comphance Lard
DENR (SIGNATC'REOF
Division of Water Quality Ilya this signature, 1 certify that this report isaccurate rand
1617 Mail Sea -vice Center complete to the best of ni.s knowledge.
It %LFIGII, Nk 27699-1M7

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: 'Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-comy&nt , 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 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
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 Colifortn
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 Permiuee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).

Page -, 2 of - -3
NON-DISCIIARG14,Al'i'l,]CA'I'lOtN REPORT
SPRAY IRRIGATION SITF-,(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PE'RMITNUMBER: WQ0002857 'MONTIJ: February YEAR: 2022
FACILITY NAME: Piedmont Custom Meats WNVTF COLTN'ry: Craven
Formulas:
Daily Loadinip (inches) jVolume Applied (gjflun5)� x 0.1336 (cubc feet/gallon) x 12 (ochLs/foot)j I [Area Sprayed (acres) x 113,560 (square feet/acre) or
(Vole the Apip4ert (gallons) i [Area Sprayed ('acres) x 27,152 (gallcns(acre-irchp,
Maxinnum, I (curly Loodmq (inches) Dairy Loading (inclic-5) / FTimp inirgated (miinutes) /60
12 Month Floating ToW (inches') Sum of this month's Monthly Loading ((inches') and pievicus 11 month's Monthly I-DadinqS G,nrhes)
Avotage Weekly Loading (inches) IMorithly Leading (lnchep(mantji) / Nirinber ofdays in the month (drayslrronth )l x 7 (dayt/weelk)
* NN earlier' Crw&- C cicar, VCI)artl) cltindy, Cl-do.d) , R-a ain, Su-swm, St -steel
Spray Irrigation Op crator ill Responsible Charge (ORQ: ±Lletrin Price Procie. 336-996-284l] -
ORC Certification Number: 987931/20771 Check Box if ORCHas Changed
Mail ORIGINAL and'Two COPIFS Or
ATTN: Non -Di Compliance Unit x
(SIGNATURE OFOPIERATOR UN RESPONSIBLE, CIIAll
Division of NVatier Quality By this signature, I certify that this report is accurate and
1617 Mail, Service Cefuter C01111110C 10 the best of nly kirtowledge.
RALEIGill, NC 27699-1617
DENR Form NDAR-1 (512003)

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).
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
C�
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."
Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aeent
(Permittee-Please print or type)
4683 Keres Chapel Road
Gibsonville. NC
(Permittee Address)
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 213.0506 (b) (2) (D).
DENR Form NDAR-1 (512003)

Page 3 of 3
NON-DISCIIARCT AFTLICATION REPORT
SPRANARRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMITNUMBER: kN'QO002857 MONTH: February YEAR: 2022
FACILITY NAME: Piedmont Custoni Meats NNAV11" COUN'ry: Caswell
Formulas:
Dafly Loading (rrchLs) [Volurne Applied (gallons) x 0 13313 (ajbic feet/gailon)� x 12 Iinchesfloot)j ! [Area Sprayed (acres) x 43,560 (squirp, fieeifacrey or
� [Volurne AppIked 4galions) I Area Sprayed (acres) x 2 7,152 (giNons"acre-wch�
lcbxlrnurn Hourly Loading (inches) = Daily Loading (inches) I [TimL inigated (nnnutes) 1 60 (rninutes/hicur)[ =Sum of Daily Leading (inches)
12 Month Foataig Total (inches) - Surn of this month's Monthly Loading ¢inches) and previous 11 nnonth's Monthly Loadings (orchm,)
Averige'Neekly Loading (inches) - [Mon6hiy Loadinj , (mches/month) I Number of days in the month (daye/month )p x 7 (days/vvepkp
Occur At Tfhs Facihty�
■
bird vngation Occur On TNs Fielo�
Y.Q
.. . ......... .
INN ember Cmfes. C-clAar, do"(1), (A-0
("Icull Price Phone.- 336-9962841
ORC Certification Number: 987931/20771
NIaiilORIGINAI,aii(I'I'NNo(.'<)Pll,'Sto:
ATTN: Non-Dischart,w ('ompliance Uoil X-
I)ENR (Sl(',NA'1*U1ZE OFOPERA FOR IN Cli
Mvisioll of Natter- Quality By dais signature, I certify' that this repoi-t is accurale and
1617 Mail Service Center complete to the best of III). kotm lvdgc.
RAI.EIGII, NC 27699-1617
Cheek Box if ORC Has Changed:E]
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).
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.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
Vj
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."
Baron Neal McDufe
(Signature of Permttee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Asent
(Pennittee-Please print or type)
9683 Ken's Chapel Road
Gibsonville. NC
(Permittee Address)
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)