WQ0002857_Monitoring - 11-2022_20221229

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
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 1.31 MB
Custom_November.pdf
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
jw
Reviewer: Gerald, Wanda
12/29/2022
This will be filled in automatically

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* - Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/19/2023

Page 1 of 3 _
NON -DISCHARGE WASTE WATER MONITORING REPORT
P"EMIT NONIBER: NVQ0002857 MONTH: November YEAR: 2022
FAC I L I TY N AN I F_ Piedmont Custom Meats WWTF COUNTY: Caswell
Monitaring Point: Effluent� LJ linfluenL � W
IIFlow
Pararneler Monitoring Point� Effluent: LJ, Influent-,tlnrltSUrface Wat (SW Y
er 0 SW CcdeiNarne:
s There Effluen� Flow for this Morithi Generated At This Facifily: yes� u No! u
Operator in Responsible Charge(ORC): Grude� Sl llhooe: 336-996.2S41
Check Box UORC Has Chan(red: ORC C'et-fification Numbet-: 987931/20771
Certified Laboratories (1): Pace Analvitical Set -vices (2):
Pell'NOII(S) Collecting Samples: Glenn Price
Mail ORICINAL and Tm) COPIES to:
ATTIN; Noil-Discluarge Couirftuicc Ciij(
17 E NR (SIGNATERE OF OPHIATOR IN RC�'1'0N.SIIlLV CID
i)ivisiopi a wmv, Qoaij(y By this Signature, I certif? that this report is accuniteand
1617 Alai) Service Center complete to the best o1rins, kiom lc&e.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant Y,N)
/. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-comallant, 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."
(Si ture of Penns e * Date
Baron Neal McDuffie (Authorized Agent)
(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
Turbid'
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 -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADMOTIONAL PAGES AS NEEDED
PERMITNUMBER: NV00002857 MONTH: November YEAR: 2022
FACILITYNAME. Piedmont Custom Meats NNAVIT COUNTY: Caswell
Forn-Was:
Difly Loading (Inches„ = [VaIume Applied (gallons) x 0. 1326 (culsc faoVpIIon) x 12 (IhChOajfiaot)I I (Area Sprayed dacres) x 43.50 (square feiotficro) or
[VDIume Applied (gallonsy l [Area Srrayed (acres) x 27,152
MaXI(r)Um Hourly Loading lunettes) Difly Loading (inchca) / [Time irrigated (minwes) 160 (minuteMiour)j MonHyLoadlng(inches) =Surn of Daily Loading (Iri
12 rsoam Rowing Total) (inch(esl = Sur" of this tvonfh's MonthIy [.oidmg (inches) and pteAous I I month's Monttdy Loadinqs (oi
Avera, jr Wec"y Leading (incites) = 4NlondNy Load ;ng (inOieslmonlh/ Nurneer of day,", In the inonth (dap/rvionth )j x 7 idayslvveek)
Did IrIIg up'gcrI�Qrj Ocr�ur Al Me �ac,fity�
Yes� El No�
DId Imptron Occur On IhIs FWd::
NaG
M
ENE=
I mm��
Iry , Ll , I I � 1I I I I; r i, , � , ' _ -p; ... ir auuu) , , .— ..... ......... ... el
S(nra) Ismigati0o 01)(ti-at0h ill Responsible Charge (ORC): Glenn Price, Phone: [phone]
ORCCertification Number: 987931/20771
plait ORIGINAL aod'I allo COPIES to:
XI­FN: Non -Discharge Compliance Unit x
DENR (SIGN Wrj,URE OF OPERAI-OR IN RESPONSIBLE CHARG'PO
Division of Water QillafiIlk IV this signature, I certify 11W this report is accurate and
1617 Mail Set -vice Center coniplete to the best of nay knoNi ledge,
RAIJAGII,NIC 27699-1617
Check Box if ORCHas —1 Changed:
t% F
1111, 111 li�, I III, 111 1111

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.
Elp
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.
4
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
limit(s) specified in the permit.
If the facility is non-conw&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."
�'"�` -% •� Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent) Field Services Director (Pace Analytical Services
(Permittee-Please print or type) (Position or Title)
9683 Kerr's 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
SPRAYIRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMITNUMBER: NN'00002857 MONTH: November YEAR: 2022
FACILITYNAME: Piedmont Custom NI cats COUN'ry: casweii
Formulas
Daily Londmg iinchas) [Volume Applied (gaflcns) x 0.1336 dCubic fec.-Vqallony x 12 (inches/fciotpi I [Area Sprayed x 43,560 (square foet/acre)� or
[VoUne Applied (gallons,t r [Area Spfayed 4acres) x 27,152 Cgallonslacrclnnh).
Maximurn Hourly Looding (inches) Daily Lending (Inchor,) / ffifne irrigated (minutes}! 60 Qrninutes/hour)) Monthly Loading (in ones) =Sum of Daily Loading Qwchos)
12 Month Floating Total (inckiesR &lrn nf this mcnth's hloolhly Loading Qlricho5) and previous 11 month's Montllny Loadings, (inches)
Avc,rage WaiXdy Loading (ipiche5) [Monthly Loading (Inchesfmonth) / Number of ddyF in the month (daywmonth lj x 7 (dlysweek)
........n O= A
yNo�
Oul, On Ths Fild1es�
yes� El No:12
Yes� El
11111jl1111
. . . . . . .... .. ......... .
YIN cWher k oays: t,-cicar, m. -pjrltj}cloutl3, t 1-clmul, K-rauc "'mun.' 'fl,leet
Siway I ii-t-igatinallt Orl in Respoilisible Chary e (ORC): Glenn Pll,icc Photle: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC 11a1(Chan4ed,:FL
Mail ORIGI all3d'I'tio COPIES to:
ATIl Non-Dischm-ge Compliance Ill x
DE It (SIGNXI'lM OF OPERXMIZ IN )NSIBI.E1 CHAW.'V)
Division of W"i (blatity B * N; this sigivature, I certify that this report is acowate and
1617 Mail So -vice Coact, Complete 10 tile best of 111Y 1,110NN ledge.
RAUIGII, NC 27699-1017
DENIM 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
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 A eennO
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville NC
(Permittee Address)
Baron Neal McDuffre
(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)