WQ0002857_Monitoring - 01-2021_20210305

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002857
Name of Facility:*
Month:* January
Report Information
Piedmont Custom Meats
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Piedmont Custom 1.64MB
Meats_Jan.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Jessica. [e-mail]
Jessica Mize
Reviewer: Williams, Kendall
3/4/2021
This w ill be filled in automatically

Is the project number correct?* WQ0002857
Is the monitoring report t: Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 3/5/2021

Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00002857 MONTH: January YEAR: 2021
FACILITY NAME: _ Piedmont Custom Meats WWTF COUNTY: Caswell
.111 1111111111101111 IN, IIIIIIIII■ w
Operator
Timean
Treatment:.,
Operator in Responsible Charge (ORC): Glenn Price Grade: SI I Phone: [phone]
Check Box if ORC Has Changed: F-1 ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analvtical Services (2):
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHA
Division of Water Quality By this signature, 1 certify that this report is accurate and
1617 Mail Serviee Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please ansiver the following question: Compliant (Y'N)
1. Does all monitoring data and sampling frequencies meet permit requirements? F1-��
If the facility is non -cony liant , 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
ndditional sheets if necessarv.
if-Y,r./ aT JP
"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
ing
penalties for submitting false information, includthe possibility of fines and imprisonment for knowing violations."
(Signature of Permitee)* Date "
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr's 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 Anal3tical Services)
(Position or Title)
PARAMETER CODES
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
N143 as N
01067
Nickel
336-582-8247
(Phone Number)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W009 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
Turbidity
01092
Zinc
Parameter Code assistance may be obtained by calling the Water`Qu�S'lity 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 Pennittee, delegation of signatory authority must be on Ole with the state per I5A NCAC 213.0506 (b) (2) (D).

Page 2 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: \N'Q0002857 MONTH: January YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Dairy Leading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfool)] 1(Area Sprayed (acres) x 43,560 (square fee!lacre) or
= (Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading {inches) I Crime irrigated {minutes)160 {minutesfheur)] Monthly Loading (inches) =Sum of Daily Loading {inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ (Monthly Loading (inches/nri I Number of days in the month (dayslmonth )I x 7 (dayst eek)
Did Irrigation Occur At This Facility.
w
Did Irrigation Occur On This Field:
YeEL No:0
Did Irrigation Occur On This Field,
YJDINN
MENEEMEM
•11'nlher Cwles: Cilt7r, PC -partly cloudy, CFclouda. a-ra lu, sn-snw.. Sh3lret
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CID
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGII, NC 27699-1617
Check Box if ORC Has Changed
DENR 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)
L 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.
4
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 t:on-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."
"' - Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville, NC
(Permittee Address)
Field Services Director (Pace Analytical Services)
(Position or Title)
336-582-8247
(Phone Number)
03/31/2 1
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of sib aiory 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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00002857 _ MONTH: January YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WNNITF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchesffoot)] 7 [Area Sprayed (acres) x 43,560 (square feet/acre) or
= [Volume Applied (gallons)! [Area Sprayed (acres) x 27,152 (galloris1acretinch).
Maximum Hourly Loading (inches) = Daily Loading (Inches)! [Time irrigated (minutes)160 (minuteslhour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches} = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading (inCheslmonth) I Number of days in the month (daystmonth )] x 7 (dayslweek)
Did Irrigation •
•. thil Occur •
•. lmgation Occur On
Permitted Aouriy Rate (inches):
II
®�
•%feather Codes: C-eltar, PC -parity cloudy, Cktaudr, R-rain. Sn-snug, Skleet
Spray Irrigation Operator in Responsible Charge (011 Glenn Price Phone: [phone]
ORC Certification Number: 987931120771 Check Box if ORC Has Changed:❑
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature,) certify that this report is accurate and
1617 Mail Service Center - complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR 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. CU-7
5. 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-comnlian , 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."
--- 3 �� � l Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent
(Permittee-Please print or type)
9683 Kerr's Chapel Road
Gibsonville. NC
(Permittee Address)
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)