WQ0005681_Monitoring - 11-2021_20211210

Monitoring Report Submittal
Permit Number #* wg0005681
Name of Facility:* Pilgrims
Month: * November
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
nov 2021 signed.pdf 316.06KB
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: Zhong, Vivien
12/10/2021
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:
12/20/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __i of
Permit No.: W00005681
Facility Name: Pilgrim's Corporation - Staley
County: Randolph
Month: November
Year: 2021
Did irrigation occur
at this facility?
p YES no
Field Name:
1
Field Name:
Flab Name:
Field Name:
Area (acres):
6.27
Area (acres):
Areal(acree):
Area (acres):
Cover Crop:
Cover Crop:
Co4r Crop:
Cover Crop:
Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rats (in):
Hourly Rate (in):
Annual Rate (€n),
35.88
Annual Rate (in):
Annual Rats (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
YES ❑ NO
Field Irrigated?.
❑ YES 0 NO
Field Irrigated?
❑ YES 0 NO
Field Irrigated?
[]YES 0 NO
e
m
3
0
m
a
n
w
a
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a
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4
w
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s
s-'an
m_c
=
o°
13_
�m
cE
°F
in
ft
ft
gal
min
In
In
gal
min
in
in
I
min
in
In
gal
min
in
in
1
C
56
2.9
20,524
160
0.12
0.05
2
2.9
3
0.01
2
4
0.03
9
5
C
42
2.9
22,192
120
0.13
0.07
6
3.8
7
3.8
8
3.8
9
3.8
10
3.8
11
0.02
3.8
12
3.8
13
3.8
14
3.8
15
3.8
16
C
52
3.8
157
10
0.00
0.00
17
lei
1
3.8
19
3.8
20
3.8
21
3.8
22
0.12
3.8
23
3.8
241
1
3.8
25
3.8
26
0.06
3.8
27
3.8
28
3.8
29
3.8
3a
3.8
31
Monthly Loading:
42,873
0.25
0
!
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
13.20
_

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of 5
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?
❑� Compliant
❑ Non -Compliant
0 Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p compliant ❑ Non -compliant
If the facility is iron -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 ca rrectiv e
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
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 P/1 No
Signature Date
By this signature, I certify that lies report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Pilgrim's Corporation
Signing Official: Daniel Shaw
Signing Official's Title: Complex Manager
Phone Number: 9198953455 Permit Exp.: 11 /30/26
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 quareried 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. 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) age -3- of .S _
Permit No.: W00005681
Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph
Month: November
Year: 2021
PPI: 001
Flow Measuring Point: ❑ influent ❑ effluent ❑ No flow generated
50050 00310 00918 1 00940 50060 31616 00927
Parameter Monitoring Point: ❑ influent 0 Effluent ❑ GrourrdwaDer tAwering ❑ Surface Water
Parameter Code
00610
00825
00620
00600
00400
00665
00931
00929
70300
y
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is y s
Q 0P
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c
a
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v¢1
F-
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a
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0
e
a
r>Ct� c.�
r°aa¢
24-hr
hrs
GPD mq'L rn m91L m ff1100 mL m g1L
m g/L
mg1L
mglL
m
su
mgn
Ratio
m
mg1L
1 1
10.970 9.25 46.8 271 0.12 7000 12.4
4.24
5.86
0.757
6.62
7.1
1.31
44.5
242
767
2
12.342
3
6,440
4
12.548
5
9,660
6
7,081
7
5,808
8
15:30
3
9,964
9
11,609
10
6,726
11
09:00
3
11,437
<0.1
6.93
12
14:00
3
9,638
13
4,476
14
4,263
151
10,713
16
10:15
3
10,352
17
6,262
18
09:00
3
1 9,365
19
10,514
0.01
7.6
20
5.453
211
6,081
221
11,785
231
10,678
a0.01
7.52
24
6,086
25
9,236
26
09:00
3
9,018
27
6,018
28
5,891
29
15:30
3
9,687
30
11:30
3
11,347
31
Average:
8,778
9.25
46.80
271.00
0.03
7,000.00
12.40
4.24
5.86
0,76.
6.62
1.31
44.50
242.00
767.00
Daily Maximum:
12,50
9.25
46.80
271.00
0.12
7,000.00
12.40
4.24
5.88
0.76
6.62
7.60
1.31
44.50
242.00
767.00
Daily Minimum:
4,283
9.25
40,80
271.00
0.01
7,000.00
12.40
4.24
5.86
0.76
6.62
6.93
1.31
44.50
242.00
767.00
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
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

Facility Name: PilgHm's Pride - Staley WWTP

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page T of S
Sampling Person(s) 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? O Gompliant ❑ 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
CLUMA RW 1CM011. rurQl311 GW111UrhA1 .21IWOM 11
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/W W4 Phone Number: 919-895-3457
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? "Yes No
Phone Number: 9198953455 Permit Expiration: 11/30/2026
Signature Date
Signature Date
By this signature i certify that the report 1s amurrale and complete to tlhe best of my knowledge
I certify, under penalty of law, that tNs 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 the information
submitted. Based on my inquiry of the person or persons who manage the system, or Chase persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and oomplete. 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617