WQ0005681_Monitoring - 06-2020_20200805

• F(4RM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of �_
Permit No.: W00005681
Facility Name: Pilgrim's Corporation - Staley
County: Randolph
Month: June
Year: 2020
Field Name:
1
Field Name:
Field Name:
Field Name:
Did irrigation occur
Area (acres):
6.27
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
❑✓ YES U 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?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
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Monthly Loading:

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 9 of 4
Did the application rates exceed the limits in Attachment B of your permit?
❑✓ Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑✓ Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑✓ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑✓ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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.
rn2d;(CJ 1 �c,••�- Qz ' �S zc
Operator in Responsible Charge (ORC) Certification
ORC: Melissa Harshman
Certification No.: 1001745/1991779
Grade: SI/WW2 Phone Number: 919-599-1295
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
l _ e,cY-t)a,� �' 13- ze2e,
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
- )")-,24az
Permittee Certification
Permittee:
Pilgrim's Corporation
Signing Official: Mohammed Jamal
Signing Official's Title: Sanford Complex Manager
Phone Number: 919-895-3455 Permit Exp.: 10/31/20
li Signature Date
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 imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

14
Permit No.: W00005681
Facility Name: Pilgrim's Pride Corporation - Staley
County: Randolph
Month: JunePa e
Year: 2020
PPI: 001
❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00310
00530
31616
00610
00400
00929
00927
00916
00931
00625
00620
50060
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24-hr
hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
su
mg/L
mg/L
mg/L
Ratio
mg/L
mg/L
mg/L
1
2782
2
9073
3
4873
4
10331
5
10439
6
5192
7
3385
8
10088
9
10759
10
5928
11
26717
12
17225
13
2897
14
2640
15
9383
16
15413
17
4715
18
10630
19
8553
20
2283
21
2310
22
5960
23
10733
24
4821
25
8460
26
7454
27
2396
28
857
29
7118
30
7414
31
Average:
7,694
Daily Maximum:
26,717
Daily Minimum:
857
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
13,000
Daily Limit:
Sample Frequency:
Continuous
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year

FdRM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page y of Lf
Sampling Person(s)
Name:
Name: Glenn Price
Name: R and A Laboratories
Name:
Certified Laboratories
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 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: Melissa Harshman
Permittee: Pilgrim's Corporation
Certification No.: 1001745/1002531
Signing Official: Mohammed Jamal
Grade: SI/WWII Phone Number: 919-599-1295
Signing Official's Title: Sanford Complex Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 919-895-3455 Permit Expiration: 10/31/2020
2 1 &-Yo
,-"� y 5 0
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 imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center