WQ0034380_Monitoring - 04-2020_20200518

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of L/
Permit No.:
WQ0034380
Facility
Name:
Sanderson
Farms -Kinston
Facility
County:
Lenoir
Month:
April
Year:
2020
PPh
001
Flow Measuring Point:
❑Influent
QEffluent
[-]No Flow generated
❑Influent
Parameter
Monitoring
Point
QEffluent
❑Groundwater
towering
❑Surface
Water
Parameter
Code
—�
'.544gg
00310
9¢910
00940
'(6 ,1
00927
0p¢1 f:,.r�
00625
44Q
00600
E�04Q0 n,
00665
o
'$r�i:
00931
I
70300
QQ'fw�;,
>
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E
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..
24-hr
hrs
'P,1}lj i '"
mglL
{n fit,.. r..
mg/L
/1QQ 1tIL=,.
mglL
In :`,
mly
(
:,
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2
07:00
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t3464t1
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07:00
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i
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s a
QiVi 4
n 1
a
06:00
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$ ow
1
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el
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lry-y
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ys
6
6
07:00
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7
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11
8
07:00
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39 9
i4.4 s
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7.37.44
;
10
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07:00
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8.8
i 118
28 4
,fz 99
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t
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.;
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ty�¢Q¢p "
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i li
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t
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07:00
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.,1 ¢
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''6y9QQA n.
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07:00
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u . • �s $4t040 .,.,., r
.;
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07:00
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7
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23
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24
07:00
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28
07:00
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5
a44.1
716
-; ste7'
196
1j`98 '
20.9
$
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29
07:00
10
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c
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,''
1
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07:00
10
A,t¢Q 4
6
11
IAlH
1'C G
14.3
f¢
25.9
t j
31
r t k
f
x s
t:
`' :
AlI
t
t
s
Average
s } . ire? t
7 00
= A Q¢ -
485 ";
9 07
�,k 4 ¢4
22 53
21 09
r
Daily
Maximum,
O'ty¢04
9 00
=('p4
1t1Q,1
7 37 I
j jo Q�i
4 04
9.17
Q¢
14 30
'4 7jj
39 90
9
k�jy+}f,1s
Daily
Minimum
ASY
4
11g+¢tl
_
; r 4
Q
24 90
7 37 -
1Ij �$Q t
s
00
1 30
9.17
{} 71i e'
2 80kd
44
11.90
Sampling
Type
t R$,ppn1@f j - C mp lte
^pmpg}�af�p;,
Comp ite
jI0f*5
ite
-t%'pm piit
p
C m o t
p
:tplRPslt Co p srt
S
73'k'
12.80
C mpost
u8 ¢s;..
s}y I tit¢
7 37
Calculated
Q#
Monthly
Limtt
t1y}(1¢ Q """ f n
'
ns r<y
t !:
S
I
k,A�ppjpp�e'
C mposlte
Daily
Limit
t
k i aAll
Sample Frequency
s t ' 2X
Wek
T
4
v:pppnuglAy,
:L'1¢7FtkGy„:
3XY Year
�`3H59alt'I
Monthly
,2yeefe..
2XW ek

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.:
WQ0034380
Facility
Name: Sanderson
Farms -Kinston Facility
County: Lenoir
Month:
April
Year: 2020
PPI:
001
Flow Measuring
Point:
❑Influent ❑effluent
❑No flow
generated
Parameter
Monitoring Point:
❑Influent Deffluent
❑Groundwater Lowering
❑Surface water
Parameter Code
y
;
t
j
fs
}i
W24hrIgMI�Mt
}.i
it
{
! ty ;}
r i Est
} i i(}
i ttt %
I trs
il':
.?..nip
1
07:00
10
F''IIIIII,�IO
tp:
t}H
2
0700
10
's.
i i i,.
t
r
t
4.1
t }
t
:,4
RIL
3
07:00
10
''-
i }
t
4
06:00
8
r
=
t i
_
}
f
'4
10
'
-
.;.
7
07:00
10
t
8.2
8
07:00
10
--
'
iIwI
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"
,:
i
9
n
i'.
t
yrti
07:00
10
6.6
".."
y t
_
t
10
07:00
10
}%NF,
11In
',
IIII'mInT
Im
t f
12ttt7t.:nt
13
07:00
10
IM,t
:.; -r,
.Yr `c
stt .t
`k
14
07:00
10
4
f
""
et
.:, :
„u
:;, r
+ } Fn
t r
15
07:00
10
_y
16
07:00
10
7.3
r
17
07:00
10
18
06:00
'
r t;
8
tt
ti
t
19
r
20
07:00
10
21
07:00
-
10
7.5
r
22
07:00
10
s
f
t �
23
07:00
10
24
07:00
10
t
S t
y i
t
27
07:00
10
t=
}
¢ t
�
28
07:00
10
5.4
f � �
;
K
s
s t
29
07:00
10
30
07:00
.
10
4,8
t t„
y
31
NIS
Average
'
,
t
Daily
Maximum,
;,
t r t ,.
Daily Minimum.
t
t t t
s}t
a
t
Sampling
Typetnlptlet''.,.IA
t
tft
in t
t
s
u
,y
t
f t
s t
Monthly
Limrt
tUI
i}%
-..
y
IRKf t
y
tr
t
y
tft
y t t.nr
IMI
tii
-
DailyLtmn
:. t
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y a 1'
fs"
+ t° ix
:r a
Sample Frequency;y10
n
., v ......
s,- �,

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of
Permit No.: WQ0034380 Facility Name: Sanderson Farms -Kinston Facility county: Lenoir Month: April Year: 2020
PPic 002 Flow Measuring Point: ❑Influent ❑efguent ❑No Flow generated El
Parameter Monitoring Point: ❑Influent ❑emuent ❑Groundwater Lowering [Zsurface water
Parameter Code y '
I?4 ooslo gits2u;', oosoo , 11o4uq ?, Doses
:hr�s
vo
,i ii
1 07:00 10
2 07:00 10 � ,
3 0700 10
s
4 1 06:00 8
07:00
10
0700
to
0700
10
07:00
10
07:00
10
07:00
10
07:00
0
10
07:00
0700
10
07:00
10
06:00
8
07:00
10
07:00
10
0
110
0700
67:0
07:00
10
10
10
10
0
Limit:
Limit:
Grab (i �rf8b:.-s'�. Grab , 33eah :; Grab
3 x Year � 3 8 y�gii, 3 x Year r ,� � Year °' 3 x Year

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of
Sampling Person(s)
Name: Jon Jones
Name:
Certified Laboratories
Name: Environmental Chemists, Inc
Name:
-- -•• •••�•••. • •.•y waLa arru aaurNNNy unyuencles meet the requirements in Attachment A of your permit? Lc°mprant ONon-c°mpGant
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
antinnfal fnkan Aftanh aMainnol ake=fo if11
We had the nitrate and total nitogen reanalyzed on May 7th, for April 7th effluent. These were the new numbers Nitrate-10.7 / Total Nitrogen= 21.9
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Jon A. Jones Permittee: Sanderson Farms, Inc
Certification No.: 1002179 / 997304 Signing Official: Jared Lowe
Grade: 4 Phone Number: 252-363-2123 Signing Official's Title: Divlson Manager
Has the ORC changed since the previous NDMR? Dyes 21No Phone Number: 252-522-9145 Permit Expiration: 5/31/2021
Date
By this signature, I certify that this report is accurrate antl complete to the best of my knowledge.
Signature Date
certily, 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 property gathered and evaluated the information
submittetl. 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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) PAMP / of

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-11 ann> ') „f t�

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-11 Dn.. Z G

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDARA I Perna LI of lc�f-

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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?
OCompliant []Non -Compliant
OComplent []Non -Compliant
❑� Compliant ❑Non -Compliant
❑� 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 Pennittee Certification
ORC: Jon A. Jones Permittee:
Sanderson Farms, Inc
Certification No.: 1002179 / 997304 Signing Official: Jared Lowe
Grade: 4 Phone Number: 252-363-2123 Signing Official's Title: Divison Manager
Has the ORC changed since the previous NDAR-1? ❑yes ❑� No Phone Number: 252-522-9145 Permit Exp,: 5/31/21
fi
Signature Date
Signature Date
By this signature, I certify that this report is accurate 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
information
of the person or per
who manage the system, or those persons directly responsible for gathering the information, the
formation 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.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page % of__ L
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
county: Lenoir
Month: April
Year: 2020
Field Name:
1A
f f`I�d Name
71re ecTHSi
jtvart'ap
tsOatt
,,.jIBif(L4xdd
: '.� y m,@
yl it r1{ 4yy�«
ice`
f
gs( 1At)31.
'116 A*I6-' 4.48
]r'; M0145L 6.71
i1 4A6180;, 5.09
M",�21 r`7R 6.32
1;27i't*Z3i 1.88
ia$ ;66 3.94
': ti 9.49
,';. 0 9.23
.`s Q :!. 7.18
F9.1
f7g y2#{'14.29
;;;)7y*jt" ;; 17.16
ere
1 i
8-8 f
t}({(y)�y� s
a Pi'1
VF,S i-
i
S�f i....
�.
f f
ItSt�c'''.. tb5rac'
1 „ 41„.
g t:; 1Q;,#;j
7"9 9 ?
6�' '271? t,
23 ,i98
A '4f `,
�1fiY�:..�}ri
Q(1 �; aX `,:I
Q 83.4
E}P �, 34 w
zt{9 a 3$.3; :i
Q 1,. 4'I
'-SA
1 t.(-:
Field Name:
2A
r Ft�r741artIt y °
f i =}iL-
u f '(St. (pfi
zgrCnwPiCfltr *rr,( G,.
t IiNjl
+ tf +
, �i14{,dg�'>t i3 N (,
.51
i yrs liE,.T
s f ai ift pla"tiof
,, ,,•rSt`1/L tbs0: tft(!.
1129062 4.48 ,,,, 1, 4,�;
1829757 6.71 98„�;; 4 :1j
1501753 5.09
906114 6.32 �{4
2094248
Field Name:
Area (acres):
Cover Crop:
Load Type:
3A
24
BURMUDA
PAN
Area (acres):
22.4
Area acres
( )
22.4
Cover Crop:
Load Type:
Field Loaded?
BURMUDA
PAN
EYES LINO
Cover Crop:
BURMUDA
Load
Field
¢
W
>°
gal
2431826
3941017
3234543
1951630
4510689
Type:
Loaded?
a
N Wit,
m e
¢O
mg/L
4.48
6.71
5.09
6.32
1.88
❑yEs
2
a. v
o¢
Ibs/ac
4.1
9.8
6.1
4.6
3.2
❑No
m o
O°-
Ibs/ac�I
4.1
13.9
20.0
24.6
27.8
Field
'
¢
E
o
>
gal
Loaded?
OZ0 O
-
n C
¢'0
mg/L
EYES
2
d
a N
�°
Ibs/ac
❑No
> m
O J
E z
Ua
Ibs/ac
.d+
o.
C
QN N
0
¢o
Qa s
a A
o
j
O
Z
U ai
Month
gal
2,431,826
31941,017
3,677,050
mglL
4.48
6.71
5.09
Ibslac
4.1
9.8
7.0
Ibslac
41
139
20.9
May
June
July
4,304,279
4,017,270
4.48
6.71
6.7
9.4
6.7
16.1
3,457,044
5,516,901
41238,294
5.09
6.32
1.88
6.1
12.1
2.8
22.2
34.3
37.1
August
September
October
November
nana
31234,925
3,248,566
2,450,656
317895868
2,792,332
3,470,001
3237924
6.32
1.88
3.94
9.49
9.23
7.18
91
7.6
2.3
3.6
13.4
9.6
9.3
11.0
285
308
34 4
477
573
66 6
776
2671536
2022314
3932704
4113376
4094999
5152215
3809866
3.94
9.49
9.23
7.18
9.1
14.29
17.16
3.9
7.1
13.5
11.0
13.9
27.4
24.3
129.0
31.7
38.8
52.4
63.4
77.2
104.6
129.0
1240355 3.94 3 g ='.. 3 '),7 "',
938932 9.49 Z r,3,${),;',
1825898 9.23 1$6f x2;
0 7.18
0 9.1 t 0 }f { ` „
0 14.29 ,p,(j.,,;!,,,
1768865 17.16ii`-P yri
�'7
5,0005664
5,9631021
4,213,611
21969,287
4,387,501
5,027,717
1,696,628
3.94
9.49
9.23
7.18
9.1
14.29
17.16
6.8
19.7
13.5
7.4
13.9
25.0
10.1
43.9
63.6
77.1
84.5
98.42,692,937
123.33,139,147
133.5
12 Month
14.29
17.16
Floating PAN Load
(Ibs/aclyr);
14.3
20.1
112.0
919
1120
133.5
Annual
PAN Load Limit
(Ibslac/yr):
8318
5T iz
rd

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _ of
4
Permit No.:
W00034380
Facility Name:
Sanderson Farms -Kinston Facility
County:
Lenoir Month:
April
Year: 2020
Field Name:
3B
ate, s)'ie1c,{1r( a i -01j r
Afe Gi'eS t k .y
pvBprDl'APS' Ct"Aw ". a
I„oxd?Yl�e P
r
y t) II, (yin
oma>'�
P 3' :F:
fi s ,4
' 4'; yj
ql LMYTL 10 a0=; Ibgtad',
A7282, g 4.48 1 81
1,Q 9 $1'4:. 6.71 o? 13 $
`x.A ;, 5.09 11p '{y'E5;
-''R4g 6.32 "guy. 19,E
;;�}ae 9,21.;: 1.88 4 19f5,r':.
'; 49521:;. 394 y 235-
.,.yg js4 = 9.49 4 iF ., 7 $
;4 8 873 9.23 "l 41f
.�i,1,7,�ue`,fi 7.18 1fidP,; 52 J1, `
01`4p6: 9.1 INC yilu6p 8
4;`p6 �,,` .;:. 14.29Mi .4 $ u: 90+,:;
Field Name:
Area (acres):
Cover Crop;
Load Type:
Field Loaded?
4g
8 14
BURMUDA
PAN
OYES ❑nl0
S{T,C1 pf`k}
�f g (ac�'!R)r�JS .;.
i obi d1`y'pt r sPAN r
is
fi4hd L4e s }$m.
a�Qi£ah¢r
fl 9{. ¢( `..�i �j `.'Rtme�`
Pr3 E+II + Z') `t ¢`��t :�'p1 '^
IQ
s f' .•�O ��-t; v
'
,.,an+tL,41 1�1;y/yiQ't� /
26p `y,3 448 `,t�1132,0894.48
:2,$66, i :+ 6.71 5,6i,; + 1 s,
Field Name:
Area (acres):
5B
1.4
Area (acres):
3.51
Cover Crop:
BURMUDA
Cover Crop:
Load T ype:
Field Loaded?
Q o
Em��Ez
o C
BURMUDA
PAN
❑� YES ❑No
¢
mi
L)..
Load Type:
PAN
Field
L
5051592
806,847
Loaded?
Q O
mg/L
Ores
o
C J
o
Ibs/ac
[]NO
>
E 2
O a
Ibs/ac
W
E
j
gal
y
v u
Q U
mg/L
.c O
c J
Ibs/acIbs/ac-alp
8.1
5.7
0.0
_,o
E Q
�¢
8 1
13 8
138
gal
mg/L
Ibs/ac
Ibs/ac
nebe,r
December
January
February
4.48
6.71
5.09
6.32
6.7
9.4
6.1
12.1
6 7
16 1
222
34 3
1,76%548
822,186
0
4.48
6.71
5.09
3.5
3.5
143,789
6.71
t 7
9.3
=,3"#-y 5.09p ;,q 'j'
168,852
5.09
5.1
74.4
834,412
185,907
9703818
412,685
11429, 116
6.32
1.88
3.94
9.49
9.23
5.4
0.4
3.9235,;.,;.,
4.0
13.5
19 2
195
27.5
41.0
;4,88 p t` itTlm:
:;! 22a
'y 1pg, 9.492" ",
;u'477 ,p, g_23 �k : 5h?
;ij;$4t€,1.1 14.29 gr+ys4
17.16 1 „1€?
ry
230,250
6.32
8.7
23.1
619,850
731,34743.9
872,090
0
0
0
0
1.88
9.49
9.23
7.18
9.1
14.29
2.8
19.7
0.0
0.0
0.0
0.0
371
63 6
63 6
63 6
63.6
63 6
172,174
174,522
216,876
0
p
215,677
9.49
9.23
7.18
9.1
14.29
17.16
9.7
9.6
9.3
0.0
0.0
22.0
38.1
47.6
56.9
56.9
56.9
79.0
1,494,770
11488,094
1,692,636
7.18
9.1
14.29
11.0
13.9
24.8
52.0
65 9
90 6
March
April
0 17.16
Floating AN Load
(Ibs/aclyr)o
0.0
63.6
636
.,'i; 'P}4Q- 17.16I]5`,i
i11.p�f
90.6
12 Month
Annual
PAN Load Limit
(Ibs/ac/yrl:
{I 3 �

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I
Permit No.:
W00034380
Field Name:
Area (acres):
Cover Crop:
Facility Name:
6Field
30
BURMUDA
Sanderson Farms
AI'0a (�Ge�)ig8
, Gt}yerCo(?s
.'s l #ad Tp
) ( d t�?
L
T;: ,7{10, 4.48
4'4,�1t6 6.71
;91 1, 5.09
4r7 j{} ;; 6.32
4,`57a 4S' 1.88
R,3lj-4 $ s. 3.94
fa,$2`Fg 9.49
-Kinston Facility
s
r Btl€{Ml)(;j(t
i )?fit
t FNeV -Ileek be
v`ii ..` k
4
IbSiag; I¢ar
{ 5 .i 1 5 ;.i
g 0 ,: 9
rxs$ ?; '159 Si.
8 4 3 :'
u .--$' 252.9
$r$ 3{i 6'
18'2 j 4�8,:
Name:
County:
8q
Lenoir Month: April
s,- Field Name:
= s 1.1'a ��tife�tI.MIH1,� r Area (acres):
is C erg 8
: K4p Cover Crop:
LQ itl Type kLr( `P q(IE Load Type:
Flg�t�Lo(0t1'it u s uh ,i Field Loaded
Year: 2020
9
16.2
BURMUDA
Area (acres):
22.8
Cover Crop:
Load Type:
BURMUDA
PAN
Load Type:
PAN
PAN
Field
v
>o
Loaded?
o
MYES ENO
a
Field Loaded.
EYES ❑No
EYES []NO
�0
4
oQ
gal
4,154,063
4,753,155
3,596,034
3,645,771
a m
ze°
e
o
mg/L
4.48
6.71
5.09
6.32
aa
Ibs/ac
6.8
11.7
6.7OP,:
8.4;.
sc
68
18.5
4W
I, ere 11
7igbl t i 'rily)L `lbslaeu I�rs/,'
p
.,.3'5 41 `• 4.48 9s,;.;! 8,8,is
:,d'r ¢8,7:;I 6.71 1 7;:'! ;t#..i
5.09 �,;;! $5y,�
>va
gal
jU
mg/L
¢m
o
goU
Ibs/ac
v
ao_
=z
Ibs/ac
Month
May
June
July
August
gal
5812707
3172949
4715740
4172039
4350761
mg/L
4.48
6.77
5.09
6.32
1.88
Ibslac
712
5.9
6.7
7.3
2.3
Ibsa
72
13 2
198
27 2
29 4
0
0
1,766,220
4.48
6.71
5.09
5.09
0.0
0.0
6.32
,; 41654 , 1.88
8, g 84 ; 3.94
'2990T4 ; 9.49
!:; 4 ;+. 9.23
,;? Q, ;,;; 7.18
0 9.1
0 14.29
;' Q ± 17.16
84. ,:, sa'., 1. 3,354,516
u, 6, , yr 2,850,001
a* Z r Q ,' 2,960,418
1;1,i,`, i7,,,. a, 2,080,985
0 ,.":, 1,999,139
0#�„,=. Gs37; 2,444,172
!Mq,eusYb&yeiY1.. 2,182,183
t) ! bq 2,696,602
Werts, 7i ;, 2,714,192
s'�?�.
6.32
88
3.94
9.49
9.23
7.18
9.1
14.29
17.16
10.9
2.8
6.0
102
9.5
9.0
10.2
19.8
24.0
107.0
15.5
18.3
24.3
34.5
44.0
53.0
63.2
83.1
107.0
September
October
November
3,927,224
3,334,177
2,842,196
2,905,533
3,199, 935
3,340,251
3,819,976
3.94
9.49
9.23
7.18
9.1
14.29
17.16
5.7
11.6
9.6
7.6
10.7
17.5
24.0
36 5
537
633
710
81 6
991
1231
5628588
2454997
3.94
9.49
6.2
6.5
35 6
421
December
3702110
4248023
9.23
9.5
516
at3B2,74e, 9.23
g,5, `:. 5p .,;.
85 ifl8's
January
7.18
8.5
6014:1913�$.
7.18
February
March
April
12 Month
4614617 9.1
4197048 14.29
4795155 17.16
Floating PAN Load
(Ibs/ac/yr):
11.7
16.7
22.9
111.3
71 7
884
1113
9,503�tj67, 9.1
4,-1•j 4R14.29
Met., 17.16
1ti 7 ,. $ 5 ,
16a >�54
(4,$ „1Qg t,.;
1tYg NTI123.1
l j
Annual
PAN Load Limit
(Ibs/ac/yr):
a sr sus
s

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _ 4 of
Did the mass loading rates exceed the limits in Attachment B of your permit?
❑� 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) CertificationIL Permittee Certification
ORC: Jon A. Jones Permittee:
Sanderson Farms, Inc
Certification Number: 1002179 / 997304 Signing Official:
Jared Lowe
Grade: 4 Phone Number: 252-363-2123 Signing Official's Title: Divison Manager
Has the ORC changed since the previous NDMLR? ❑Yes [,]No Phone No.: 252-522-9145 Permit Ex
p.: 5/31 /21
5 J
f5fg ature Date
Signature Date
By this signature, I certify that this report is accurrdte 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 su
accordance with a system designed ed the
in
y gnqu to assure that all qualified personnel properly system,
or
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 imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617