WQ0005681_Monitoring - 12-2023_20240130

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * December
WQ0005681
Pilgrim's Staley
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Staley.pdf 604.85KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Daniel Shaw
Reviewer: Wanda.Gerald
1 /30/2024
This will be filled in automatically

Is the project number correct?* W00005681
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 3/26/2024

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Permit No.: WQ0005681
Facility Name: Pilgrim's Pride - Staley WWTP
County:
Randolph Month: December
M
EM
Average:
Daily MB)CIMUM:
Daily Minimum:,��

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of
Sampling Person(s) Certified Laboratories
Name: Dennis Sumpter Name: Pilgrims Field Lab
Name: Don Kidney Tina Pedley Name: Cameron Testing
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
actionfsl takan_ Attarh nrfrlifinnal eheetc if ---
Operator in Responsible Charge (ORC) Certification Perm ittee Certification
ORC: Tina Pedley Permittee: Pilgrim's Corporation
Certification No.: 997617/994534 Signing Official: Dan Shaw
Grade: SI/WW4 Phone Number: 919-895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ Yes Q No Phone Number: 9198953455 Permit Expiration: 11/30/2026
2-� n
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Signature Date Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge I certify, under penalty of law that this document and all attachments were prepared under my direction or supervr----,on in
accordance with a system designed to assure that all qua died personnel property gathered and evaluated fl're ,nlormalion
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 signikant penalties for submitting false information mWuding the possibility of fines and imprisonment for
knowing violations
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _q_ of
Permit No.: W00005681
Facility Name: Pilgrim's Corporation - Staley
County: Randolph Month: December
Year: 2023
Did irrigation
Field Name:
1
Field Name:
Field Name:
Field Name:
occur
Area (acres):
6.27
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:Cover
Crop:
P'
Cover Crop:
P'
cover Crop:
P:
0 YES No
Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):,
35.88
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
[] YES ❑ NO
Field Irrigated?
Ll YES ❑ NO
Field Irrigated?
❑ YES Elmo
Field Irrigated?
❑ Yes ❑ NO
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in
ft
ft
gal
min
in
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gal
min
in
in
gal
min
In
in
gal
min
in in
1
0
1.9
0
0
0.00
0.00
2
0
0
0
6,00
0:00,
3
0
0
0
0.00
0.00
4
C
57
0
1.6
20,368
168
0,12
6.04
5
C
53
0.09
1.7
13,072
180
0,08
0.03
6
0
1.8
0
0
0:06
0.00.
7
C
48
0
1.7
44,920
, 3$9
0.26
0.04
a
C
42
0
2
5.001
s0
6.03
0,03
9
0
0
0 _
0,00
0.00
101
1.51
0
6
0.00
0.00
11
0
1.4
0
0
0.00
0,00
12
C
50
0
1.2
31,226
271
0.18
0.04
13
C
58
0
1.4
31,82E
269
0.19
0.04
14
C
52
0
1.7
01
238
0.10
0.03
15
C
56
0
1.8
297
0.16
0.03
16
C
59
0
r296,434
72
480
0.$0
0.04
17
2
0
0.00
0.00
18
0
1.6
0
0.00
0.00
19
C
44
0
1.7
14,419
180
0.08
0.03
20
C
42
0
1.5
53,M
325
0.32
0.06
21
C
44
0
3,398
19
0.02
0.02
22
C
59
0
2
21304
19
0.01
0.01
23
PC
45
0
2,925
19
0.02
0.02
24
PC
48
0
3,401
19
0.02
0.02
25
0
0 1
0
0.00
0.00
26
1.1
1.8
0
0
0,00
0.00
27
0.4
0
0
0.00
0.00
28
0
0
0
0.00
0.00
29
C 1
44
0
1.3
28,772
269
0.17
0.04
30
C 1
39
0
16,165
270
0.09
0.02
31 IC
1
37
0
21,526
270
0.13
0.03
Monthly
Loading:
388,623
2.28
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
17.02

FORM: NDAR•1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page S of 5
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑✓ Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
j 1 Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tina Pedley
Permittee:
Pilgrim's Corporation
Certification No.: 997617/994534
Signing Official: Daniel Shaw
Grade: SI/W W4 Phone Number: 919-896-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1 ? ❑ yes 0 No
Phone Number: 9198953455 Permit Exp.: 1 1 /30/26
� �J� i - 29 zy
t zq/zY
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 all qualified personnel properly gathered and evaluated 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 imp6sonment for knowing violations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center