WQ0002857_Monitoring - 09-2021_20211101

Page 1 of 3
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00002857 MONTH: September YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Monitoring
Point:Flow
Parameter Monitoring
Point:
Effluent:
R
r
Was There Effluent
Flow
for
f
■
.
A
1
D' -'
,.,Treatment
.
s
®
Operator in Responsible Charge (ORC): Glenn Price Grade: SI Phone: [phone]
Check Box if ORC Has Changed, F� ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Services
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, 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 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant (Y,N)
L Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-comnllant, 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 of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Keres 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)
PARAMETER CODES
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 permit for reporting data.
* 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).

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: W 0002857 MONTH: September YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0,1336 (cubic feetigallon) x 12 ('mchesftoeq] l (Area Sprayed (acres) x 43,560 (square feellacre) or
_ (Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-lnchl.
Maximum Hourly Loading {inches) = Daily Loading (inohes)1 [rime irrigated (minl 160 (minuteslhour)] Monthly Loading (inches) =Sum of Daily Loading (incises)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 monlhB Monthly Loadings (inches)
Avetage Weakly Loading (inches) = (Monthly Loading (inchestrnonth)1 Number of days in the month (dayslmonth )] x 7 (daysMeek)
Did Irrigation Occur At This Facility: -
• • •Permitted
1
Did IrAgation Occur On This Field:
Did lmgabonTr On This F ist'l:
YeaMyRate (ll
Permitted yepil Rate (inches):
s
'
•Wcutder CwLLy: C-clear, PC•partly cloudy, 0-cloudy, R-nle, Sn•inow, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed
Mail ORIGINAL and Two COPIES to:
ATTN: 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, I certify that this report is accurate and
complete to the best of my knowledge.
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.
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 h Vo ihililiy of fines and imprisonment for knowing violations."
✓t�. �iI ''�! Baron Neal McDuffie
(S nature of Permiee)* 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)

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•. W 00028'57 MONTH: September YEAR: 2021
FACILITY NAME:Piedmont Custom Meats WWTF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0,1336 (cubic feetlgailon) x 12 (inchesrfoot)] / [Area Sprayed (acres) x 43,560 (square feetlaae) or
= [Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches)! [Time irrigated (minutes)! 60 (minuleslhour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Hoofing Total (inches) = Sum of this month's Monthly Loading (inches) and previous i 1 month's Monthly Loadings (inches)
Average Weakly Loading (inches) = (Monthly Loading (inches/month) I Number of days in the month (days/manlh )] x7 (daystweek)
Did Imigafion Occur At This Fadlily�
Did Irrigation Occur On This Field:
-did Irrigation Occur On This Field:
■ Now I
Yel-IMENNEN
Field Number 13
Field Number.
.. •Permitted
Yearly Rate jinches)!
•1i"eaiher Codes: C clear, PC -partly cloudy, CI -cloudy, R-rain. Sn-snow, Slaleet
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 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, 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 (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.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
I V
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."
12
{Signature of Permitee)* Date
Baron Neal McDuffte (Authorized Agent)
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville. NC
(Permittee Address)
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
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 2B.0506 (b) (2) (D).
DENR Form NDAR-1 (5/2003)