WQ0002857_Monitoring - 04-2021_20210524

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0002857
Name of Facility:*
Month:* April
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 April.pdf 1.35MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Jessica. [e-mail]
Jessica Mize
jus l oil
Reviewer: Williams, Kendall N
5/24/2021
This will be filled in automatically

Is the project number correct? * WQ0002857
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 5/24/2021

Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: WQ0002857 MONTH: April YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Flow Monitoring Point:
'Parameter MonitodnqEffluent;Surface _ _
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Time on
Site
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fl•11
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11 1
11. 1
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DailyRate
Treatment
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Operator in Responsible Charge (ORC): Glenn Price Grade: SI 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�RESPON�SIBLEHA
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.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (512003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility isnon-comp
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
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."
(Signature ofPermitee)* 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 Analytical Services)
171m iIpy0a] Zels)0) n
31504
Coliform, Total
00094
Conductivity
01042
Copper
.00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
(Position or Title)
336-582-8247
(Phone Number)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 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 Quality 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 hermit for reporting data.
* If signed by other than the Permittee, delegation of signatory authority must be on file with the slate per 15A NCAC 28.0506 (b) (2) (D).

Page 2 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITES)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W 0002857 MONTH: April YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfool)) I [Area Sprayed (acres) x 43,560 (square feet/acre) or
= [Volume Applied (gallons) I (Area Sprayed (acres) x 27.152 (gal€omlacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) t [Time irrigated 1160 (minutes/hour)] Monthly Loading (inches) =Sum of Deify 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 (inrheslmonth) I Number of days in the month (days/month )1 x 7 (daysAveek)
■. •
. I e
I,
■. Irrigation r •
•. • On
t.
Area Sprayed (acres):
Ral
• ■ •
Wealher Coder. C-cle■r, PC-p•rlly cloudy} CI -cloud), R-raln, Snanow, SFsleel
Spray Irrigation Operator in Responsible Charge (ORC}: Glenn Price Phone: [phone]
ORC Certification Number: 987931120771 Check Box if ORC Has\Changed:0
Mail ORIGINAL and Two COPIES to:
ATCN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By this signature,) certify that this report is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (512003)

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).
T
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
Elp
4. All buffer zones as specified in the permit were maintained during each application.
EIR
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
r
If the facility is non-comnttant , 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 taw, 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 Aeent
(Permittee-Please print or type)
9683 Keres 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 I SA NCAC 2B4O506 (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: WQ0002857 _ MONTH: April YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied {gallons) x 0.1336 (cubic feet'ga6on) x 12 (inchesAoot)l / (Area Sprayed (acres) x 43,660 (square feetlacre) or
= [Volume Applied (gallons)! [Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) l [Time irrigated (minutes)! 60 (minuteslhourl) 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 (dayslmonth )) x 7 (daystweek)
Did yes�Irrigation
R ■
■
■ R
.. .G=Irr—1
MT
Permitted Yearly R8tW(i(1rh
1
-weather Coder: C-clear, PC -partly cloudy, CI -cloudy, R-rate, Sn-mow, Sl-sleet
Spray Irrigation Operator In Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931120771 Check Box if O 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, 1 certify that this report is accurate and
1617 Mail Service Centtr complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR--1 (5/2003)

FACELITY 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.)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Compliant (Y,N)
2Adequate 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.
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 non -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."
. B W'd -, �—d l Baron Neal McDuffie
(Signature of Pennitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent) Field Services Director ( Pace Analytical Services
(Permittee-Please print or type) (Position or Title)
9683 Kerr's Chapel Road 336-582-8247 03/31/21
Gibsonville. NC (Phone Number) (Permit Exp. Date)
(Permittee Address)
* 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)