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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
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Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* wq0014565
Name of Facility:* Pilgrims
Month:* September Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR sept signed.pdf 327.85KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* tina.pedley@pilgrims.com
Name of Submitter:* Tina Pedley
Signature:
Date of submittal: 10/26/2021
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Mokashi, Poorva
Is the project number correct?* WQ0005681
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 11/9/2021
FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page ( of
Permit No.:W l]0005681 Facility Name: Pilgrim's Pride-Staley WWTP
I county: Randolph I Month: September I veer: 2021
PPI: 001 I Flow Measuring Point: ❑Influent ❑Effluent ❑No flow generated I Parameter Monitoring Point: ❑Irdlue11 0 Effluent ❑Groundwater Lowering ❑surtace water
Parameter Code 50050 00310 00916 00940 j50060 31616 00927 00610 00625 00620 00600' 00400 ;.00665 00931 00929: 70300
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1 10:30 3 4,279 ;.
2 09:15 3 6,717 0.06 6.97
3 09:15 3 9,582 35-
4 2,012
5 1,498 13
6 10:00 3 8,604 <0.01 7.12
7 09:00 3 7,188
8 09:00 3 4,821
9 10:15 3 4,976
10 10:00 3 5,383
11 5,384
12 2,409 ..
13 10:00 3 r. 4,761
14 9.336 0.02 7.43
15 6,800
16 8,045 r.
17 4,002
18 3,810
19 3,211
20 i, 7,609
21 13:30 3 9,379
22 13:30 3 ;.12,479 ...
23 13:30 3 13,269
24 6,467 0.04 : 6.89
25 2,273
26 1,441.,. -
27 15:15 3 7,237 0.04'..., 7.26
28 10:30 3 7,472
29 14:00 3 3,280
30 10:30 3 6,741
31
Average: 6,015 0.03
Daily Maximum: 13,269" (.0.06 :: 7.43
Daily Minimum: 1,441 :+0.01-' 6.69
Sampling Type: Recorder Grab Grab :. Grab Grab Grab Grab Grab I, Grab Grab Calculated Grab Grab Calculated Grab Grab
Monthly Avg.Limit: 13,000=. I
Daily Limit:
Sample Frequency: Continuous 3 X Year 3 X Year Annually :Weekly 3 X Year '3 X Year 3 X Year 3 X Year 3 X Year 3 X Year Weekly 3 X Year 3 X Year 3 X Year; Annually
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FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page �-of
Permit No.:W p0005681 Facility Name: Pilgr m's Pride-Staley WWTP CounTy: Randolph Month: September year:
2021
PPI: 001 Flow Measuring Point: 0Influent ElEffluent ❑No now generated Parameter Monitoring Point: ❑inn ❑�Enlum[ ❑Groundwater Lowering ❑Surface Water
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FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 3 of 5
Sampling Person(s) Cedifisd Laboratories
Name: Dennis Sumpter Name: Pilgrims Field Lab
Name: Don Kidney Tina Pedley Name: Cameron Testing
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Comp'ani ❑4"c""'mpliant
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: Tina Pedley Permittee: Pilgrim's Corporation
Certification No.: 997617/994534 Signing Official: Dan Shaw
Grade: SI/WW4 Phone Number: 919-895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? Vey �'�::NO Phone Number: 9198953455 Permit Expiration: 11/30/2026
��P� )o/t �C�l �k�-- Yee)i n ICiIb121
Signature Date Signature Date
By than signature.i ceniiy that this report n accurrate anti compiete to the bout of my knowledge 1 teddy,under penalty of law,that Iltls document and all attachments were prepared under my drection or supervision in
ccordawe with a system designed 10 assure That all qualified personnel properly gathered and evaluated the iMomraien
subsn,tted.eased on my irpui:y of the person or persons who manage the system,or nose persons omcon responsule for
gathemy the.intormation,the information cubnined is,to the best of my knowledge and baliel,Inge,accurate,and mmyele.I am
aware that there am sgniicant penalties for submitting false iMonnakcn,including the possibilay of fines aM impesenment for
5mar09 vmlatxrls,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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FORM:NOAR-t 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page.., �r
Permit No.: WQ0005681 Facility Name: Pilgrims Corporation-Staley County: Randolph Month: September Year: 2021
?.Field Name: 1 Field Name: - Field Name:.
Did irrigation occur
Area(acres): '6.27 Area(acres): Area(acres): """ Area(acres):
at this facility? Cover,Crop: Cover P Crop: Cover Crop:l Cover Crop:
0 YES 0 No "-Hourly Rate(in): " - ,0.3' Hourly Rate(in): Hourly Rate(in): Hourly Rate(in):
Annual Rate(ii): ': 35.88 Annual Rate(in): Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? ,"BYES ❑NO II Field Irrigated?' ❑YES ❑�No Field Irrigated? ❑vEs ONO ❑Yes DNO
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FORM:NDAR-1 08-11 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? ❑Compl nt ❑ran-comp ant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑canptunl ❑Non-Comp)ant
Was a suitable vegetative cover maintained on all sites as specified in your permit? p comprent ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Complant ❑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 reasons) •the facility was not in compliance. Provide try your explanalion the dates)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: Tina Pedley Permittee:
Pilgrim's Corporation
Certification No.: 9 9761 7/994 534 Signing Official: Daniel Shaw
Grade: SI/W W4 Phone Number: 919.895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDAR-l? y� I` No Phone Number: 9198953455 Permit Exp.: 11/30/26
, �u It'Ir 2l � (,� l0 18 zl
Signnature Date Signature Date
ay ihs sgnalum,I certify that this report is accunrate and rymplete to lne best d my knowledge i easily,lMer penalty of law,tool finis tlocumenl and an attardxnenis were prepared uxler my tlireckon or supervision in accordance
wile a system designed to assure that ah quaieed parsamel properly gathered and evaluated the Information submitted.Based on my
inquiry ut the persona persons beet
manage the system,or Rase persons directly responsibe for gathering the inlonnation,the
information submitted is,to the test of my knowledge and belief,true,accurate,and complete.I am aware that there are signdicaie
penables for submating raise icremation,include g the possibility ut tines and impnsonmem for knovnng vldatlons
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
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