HomeMy WebLinkAboutWQ0005681_Monitoring - 12-2020_20210122Parmit No'.: W00005681
Facility Name: Pilgrim's Pride Corporation - Staley
County: Randolph
Month: Decernkb
influent No flow generated
-] Effluent
L] Influent
Parameter Monitoring Point: E Effluent L] (-,roundwater Lowering Surface water
Parameter ..•son
i4 a
�� /
ii
:.. :
/� ��
.�•
�.•
i�•
i�•
�i.
�/.
ii.�
•
•
FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of
Sampling Person(s) Certified Laboratories
Name: Name: Pace Labs
Name: Glenn Price Name:
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.
Melissa is out on medical leave, during this time the backup ORCs were visiting the
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tina Pedley
Permittee: Pilgrim's Corporation
Certification No.: 997617/994534
Signing Official: Mohammed Jamal
Grade: SI/WW4 Phone Number: 919-895-3457
Signing Officials Title: Sanford Complex Manager
Has the ORC changed since the previous NDMR? [2] Yes ❑ No
Phone Number: 9197747333 Permit Expiration: 11/30/2026
Signature Date
Signature Date
I
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
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of
Permit No.: 11111 .:
•rim's Corporation - Staley
C. •• •
. DecemberYES
1 1
Did irrigation
oc cur
at this facility?
Cover Crop�
0 •
•
f i
• '.
•
. ',
.:Annual
Rate
Annual Rate (in):
...
I !
Irrigated?Field
�. ,III ..��
®Field
Irrigated?0
•
__--
Monthly Loadin III
FINE=
12 Month Floating Total (in):1121=
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __q 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? ❑✓ 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.
Melissa is out on medical leave
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Tina Pedley
Certification No.: 997617/994534
Grade: SI/WW4 Phone Number: 919-895-3457
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
1-1-1-1
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Pilgrim's Corporation
Signing Official: Mohammed Jamal
Signing Official's Title: Sanford Complex Manager
Phone Number: 9197747333 Permit Exp.: 11/30/26
o
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