WQ0005681_Monitoring - 09-2020_20201102

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page , of 4
Permit No.: 0111 •i
•rim's Corporation - Staley
County: Ran•• •h
Month: September1
1
"?
Area (acres):
at this facility
Cover Crop:
® YES NO
Hourly Rate (in)�'
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
NOW=
•.. •
M.rT, lia
. .. rzr.w
Field Irrigated?0
•
miffs 1Month-_--
•.. .

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of
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? Q 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Melissa Harshman
Permittee:
Pilgrim's Corporation
Certification No.: 1001745/1991779
Signing Official: Mohammed Jamal
Grade: SI/WW2 Phone Number: 919-599-1295
Signing Official's Title: Sanford Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 9197747333 Permit Exp.: 10/31/20
lozo
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

Permit No.: W00005681
Facility Name: Pilgrim's Pride Corporation - Staley
County: Randolph
Month: Septempe e
Year: 2020
PPI: 001
Q Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code 0
50050
00310
00530
1 31616
00610
00400
00929
00927
00916
00931
00625
00620
50060
f0
p
>_
a£
U
Q
O
c
0
P ai
F N
U
O
3
O
U-
p
O
m
m c v
o a O
rn U)
V)
m L
u o o
U) :_
LL p m
U
p
E
Q
=
O
U)
E
N
v
C
p)
M
E
>
V
_
R
U
E°
> Q o
0 m
O
O N E
U) O
Q
a c
0) 0)
Y O
F +`
Z
F0-
a
Z
m a
c
O O
l- N
cc U
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
9685
2
4451
3
11309
4
8899
5
3860
6
2892
7
2998
8
12706
9
4726
10
8925
11
18579
12
2002
131
2625
14
10686
15
8811
16
5945
17
19714
18
09:00
4
14388
191
6787
20
1957
21
9632
22
8242
23
4016
24
8075
25
14579
26
3472
27
2702
28
10958
29
15639
30
13:45
4
5385
31
Average:
8,155
Daily Maximum:
19,714
Daily Minimum:
1,957
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

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page __4_ of
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? ❑J 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.
elissa Harshman) is out on leave due to current Pilgrim's Policy regarding high risk groups during Covid-19. Back-up operators visited in place of ORC.
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: 9197747333 Permit Expiration: 10/31/2020
Ir ib
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