WQ0005681_Monitoring - 09-2021_20211112 (2)

Monitoring Report Submittal
Permit Number #* wg0005681
Name of Facility:* Pilgrims
Month: * September
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2,
NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
sept wg0005681 signed.pdf 340.28KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Tina Pedley
9 "i
Reviewer: Lloyd, Chloe D
11 /12/2021
This will be filled in automatically

Is the project number correct?* WQ0005681
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
11 /24/2021

FORM: NDMR 03.12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __L of .S
Permit No.: W00005681
Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph
Month: September Year: 2021
PPI: 001
Flow Measuring Point: E] Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent 2] Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code
50060
00310
00916
00940
50060
31616
00927
00610
00625
00620
00500
00400
00665
00931
00929
70300
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3
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� ot,aRn
24-hr
hrs
QPD
m L
mg/L
mg/L
mg/L
#/100 mL
mg&
mg/L
mg/L
mglL
mglL
su
mGOL
Ratio
mg&
mg/L
1
10:30
3
4,279
2
09:15
3
6.717
0.06
6.97
3
09:15
3
9,582
4
2,012
5
1,498
6
10:00
3
8,604
t0.01
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
2.408
13
10:00
3
4,761
14
9,336
0.02
7.43
15
6,800
16
8,045
17
4.002
18
3,810
19
3,211
20
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
27j
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
6.89
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Calculated
Grab
Grab
Calculated
Grab
Grab
Monthly Avg. Limit:
13,000
Daily Limit:
Sample frequency:
Continuous
3 X Year
3 X Year
Annua ly
Weekly
3 X Year
3 X Year
9 x veer
3 X Year
3 X Year
3 X Year
weekly
3 X Year
3 X Year
3 X Year
Annually

FORM: NDMR 03.12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 3 of S
Sampling Person(s) 11 Certified 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? E Compliant ❑ Non -Compliant
11 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 dale(s) of the non-compliance and describe the corrective
carry to
at:uvntsf ierasn. naacn auumunnr anoora n
Operator in Responsible Charge (ORC) Certification Permittee Certification I
ORC: Tina Pedley
Certification No.: 997617/994534
Grade: SVWW4 Phone Number: 919-895-3457
Has the ORC changed since the previous NDMR? ❑ Yes Q No
5
tam
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: Dan Shaw
Signing Official's Title: Complex Manager
Phone Number: 9198953455
Permit Expiration: 11/30/2026
Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my directwn or supervision in
accordance with a system designed to assure that all qualified personnel property 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 inlonnation, including the possibility of fines and mprisonmerf for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --q- of
Permit No.: W00005681
Facility Name: Pilgrim's Corporation
- Staley
county: Randolph Month: September
Year: 2021
Did irrigation occur
at this facility?
Q YES No
Field !Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
6.27
Area (acres):
Area (acres):
Area (acres):
Cover Cra •
P•
Cover Crop:
P�
Cover Crop;
P�
Cover Crop:
P:
Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
35.88
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES Q No
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
a
A�
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ya =_�
❑ YES NO
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$
°F
in
ft
ft
al
min
In
In
I
min
in
In
gal
min
In
in
al
min
in
in
1
0.42
2
0
3.4
3
0
4
01
3.4
5 i
0
1_
6
C
69
0.02
3.1
10,606
135
0.06
0.03
7
C
70
0
3.11
11,364
135
0.07
0.03
--
$
0.92
91
i
0
10
0
3.1
11
0
12
0
13
0
3.1
14
C
86
0
3
15,157
175
0.09
0.03
15
CL
85
0
3.1
14,005
175
0.08
0.03
16
CL
71
0
16,140
175
0.09
0.03
17
CL
76
0
3.5
7,155
100
0.04
0.03
18
0
19
0.03
3.5
TOCL
84
0
3.5
163
25
0.00
0.00
21
1.21
22
2.3
3.4
23
0
2.4
24
C
78
0
2.2
7,219
90
0.04
0.03
25
0
26
0
27
C
82
0
2.2
4,481
45
0.03
0.03
28
C
74
0
19,159
235
0.11
0.03
_
29
0
30
C
751
01
2.61
1 13,460
74
0.08
0.06
31
Monthly Loading:
118,909
0.70
0
n
0.00
0
0.00
0
0.00
12 Month Floating Total (in :
14.24
M1

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _S_ of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
❑r Compliant ❑ Non -Compliant
Q Compliant ❑ Nan -Compliant
Q 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 dale(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
12 month total was
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Tina Pedley
Permittee:
Pilgrim's Corporation
Certification No.: 997617/994534
Signing Official: Daniel Shaw
Grade: SI/WW4 Phone Number: 919-895-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes El No
Phone Number: 9198953455 Permit Exp.: 11/30/26
{� t- 1-,XN
Signature Date
Signature Date
By this signature. I certify [hat this report is accurrate and complete to the best of my knowledge.
I certify, under penally 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 property gathered and evaluated fhe 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 lines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Duality
Information Processing Unit
1617 Mail Service Center