HomeMy WebLinkAboutWQ0005681_Monitoring - 11-2021_20211228Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
Type *
GW-59
wg0005681
Pilgrims
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Staley Nov signed.pdf 214.82KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
tina.pedley@pilgrims.com
Tina Pedley
9 "i
Reviewer: Zhong, Vivien
12/28/2021
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:
1 /5/2022
GW-59A COMPLIANCE REPORT FORM Permit # WR D005�
(Submit one each monitoring period with GW-59 forms.)
Enter date monitoring results were due. ) Will this monitoring report (GW-59 and GW-59A)
YES
O
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms?
YES
O
1F the answer to question I or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
O
identification plate, area overgrown, etc.)? If the answer is "Yes" contact the Regional Office for guidance
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is NO" skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below
MW ! H 5•'N PkW 3 PH 4APS
KW7, ?H 3• bo
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
YES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO', skip to section 8
If the answer to question 5 is "YES'; list in the space provided below. each well with constituent(s) exceeding
standards. concentrations; reported, and sample collection date for each occurrence (for the last two years;
6
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YES
GNDF
If the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be Improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
YES
N
groundwater quality problem?
If the answer to question 7 is "YES', describe those actions in the space provided below.
If the answer to question 7 is "NO" contact the Regional Office within 90 days; an evaluation may be
ulred to determine the im act the waste disposal s stem is having at the review and compliance
boundaries surrounding this facility. Failure to do so may sub'ect the permittee to a Notice of Violation
fines. and/or Penalties.
g
The person completing this portion (G W-59A) of the monitoring report should sign below and submit this
form with GW 59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above Information was evaluated and the information submitted in this
report (Compliance Report GW-69A) is true and complete to the best of my knowledge.
Z-Z7-2-
Signature of Permittee TorAuthorked Agent) Date
GW-59A 12/8/2003
SJBMIT FORM ON YELLOW PAPER ONLY
ROUNDWATER QUALITY MONITORING:
OMPLIANCE REPORT FORM
\!`II 1TV 11JCn0UATle'hK1 Please Print Clearly or
Facility Name: Pilgrim's Pride Corporation
Permit Name (if d fferent)
Facility Address 2607 Old Hwy 421
Staley iS°`""" NC 27355 County Randolph
act Person Tina Ped'ey Telephone# 919-774 7333
Locat on/Site Name- Staley No of wells to be sampled: 3
L ID NUMBER (from Permit):
Depth: 30.0 ft.
MW-1
h to Water Level E7546 12.5 ft below measuring point
luring Po°nt is ft. above land surface
ne of water pumped+bailed before sampling 90
ales for metals were collected unfiltered: ❑ YES C
Date sample collected: 11/16/21
Well Diameter 2 in.
Screened Interval: ft.
Relative M.P Elevation
gallons
NO and field acidified. ❑ YES I
IEPARTMENT OF ENVIRONMENT 5 NATURAL RESOURCES
IIVISION OF WATER QUALITY -INFORMATION
PROCESSING UNIT
617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: (919) 733-3221
tERMIT Number: W00005681
Expiration Date- 11/30/2026
Jon -Discharge
UIC
JPDES
Other
•YPE OF PERMITTED OPERATION BEING MONITORED
❑■ Lagoon
❑ Remediation. Infiltration Gallery
❑■ Spray Field
❑ Remediation
❑ Rotary D.stributor
❑ Land Application of Sludge
to _ft
ft.
❑ Water Source Heat Pump ❑ Other,
FIELD ANALYSES:
pH omoo 5 29 units
Spec Cond. 00094
Odor 00085
Appearance
Temp 000lo. 15.8 °C
µMhos
ate samp a analyzed 11 el6-23/2021
Laboratory Name:
Cameron Testing Services
Certification No 654
kRAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD oo335
mg/L
Nitrite (NO2) as N oo615
mg/L
Pb - Lead oio51 ug/L
Coliform: MF Fecal 31616 < 1
/100mL
Nitrate (NO,) as N 00620
1.47 mg/L
Zn - Zinc 01092 mg/L
Coliform MF Total 31504
/100mL
Phosphorus Total as P 00665
0 303 mg/L
iNote Lse MPN method for highly turbid samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units):
solved Solids:Total 7o3oo 81.0
mg/L
Ai - Aluminum oil06
mg/L
pH (Lab) 00403
units
Ba - BanUm 01007
ug/L
TOC oos8o < 1
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 4•98
mg/L
Cd - Cadmium 01027
ugIL
Arsenic 01002
ug/L
Chromium: Total oio34
ug/L
Grease and Ol s 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron o1o4s
ug/L
(Specify test and method #. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 71900
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
ecific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia oomo < 0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
A".,�h a "drogen NH,as N. Anrrtr..a ""`°°e" To1ai:,
Mn - Manganese 01055
ug/L
method #
TKN as N 00625
mg/L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs• mg/L Effluent Total VOCs: mg/L VOC Removal%
�ja.._.A 12-27-
Permittee for Authorized Agent) Name and Title - Please print or type Signature of Permittee ' & Authorized Agent) (Date)
GW-59 Rev 2/2010
WAS
DRY at
time of
sampling,
check
here ❑
SUBMIT FORM ON YELLOW PAPER ONLY
, �,
DEPARTMENT OF ENVIRONMENT 3 NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
• •
:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733.3221
FACILITY INFORMATION
Please PrintCleadyorType
PERMIT Number: W00005681 Expiration Date 11/3012026
Facility Name: Pilgrim's Pride Corporation
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 2607 Old Hwy 421
TYPE OF PERMITTED OPERATION BEING MONITORED
Staley (su-q NC
27355 County Randolph
❑A lagoon ❑ Remediation Infiltration Gallery
(Cdy) (Stater
425p)
❑■ Spray Field ❑ Remediation:
Contact Person: Tina Pedley
Telephone#: 919-774-7333
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Staley
No. of wells to be sampled: 3
❑ Water Source Heat Pump ❑ Other:
tram Perim
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected: 11/16/21
FIELD ANALYSES:
WAS
Well Depth: 44.0 ft.
Well Diameter: 2 in.
pH oo400: 3.60 units Temp. 000lo: 15.6 °C
DRY at
Depth to Water Level 92546: 26.5 ft. below measuring point Screened Interval: ft. to
—
ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation: ft.
Odor 00085:
check
Volume of water pumped/bailed before sampling:
9.0
gallons
Appearance
here. ❑
Samples for metals were collected unfiltered: ❑
YES
❑ NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed 11+16.2312021
Laboratory Name Cameron Testing Services Certification No 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N 00615
mg/L Pb - Lead D1051 ug/L
Conform. MF Fecal 31616 1
/100mL
Nitrate (NO.) as N 00620 1.85
mg/L Zn - Zinc 01092 mg/L
Coliform MF Total 31504
1100mL
Phosphorus. Total as P oo665 < 0.050
mg/L
.Note .Ise MPN metnoa for NgNy wrdd sampes;
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units)-
Issolved So° Ids:Total 70300 350
mg/L
AI - Aluminum o11os
mg1L
pH (Lab) D0403
units
Ba - Barium =07
ug/L
TOC 00680 < 1
mg/L
Ca - Ca cium oog16
mg/L
Chloride oos40 547
mg/L
Cd - Cadmium 01027
ug/L
Arsenic 01D02
ug/L
Chromium- Total 01034
ug/L
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron 01045
ug/L
(Specify test and method A ATTACH LAB REPORT.)
Sulfate o0945
mg1L
Hg - Mercury 71900
ug1L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
.Specific Conductance ooD95
µMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia oo610 < 0100
mg1L
Mg - Magnesium W927
m91L
method #
;Amnoria Nitrogen NH,as N, Ammonia nitrogen. ' aai i
Mn - Manganese D1055
ug/L
method #
TKN as N ODS25
mg1L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
GW-59 Rev.2/2010
SUBMIT FORM ON YELLOW PAPER ONLY
- �•
DEPARTMENT OF ENVIRONMENT t£ NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
, :
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: (919) 733-3221
FACILITY INFORMATION
Please Print Clearly or Type
PERMIT Number: W00005681 Expiration Date: 11/30/2026
Facility Name Pilgrim's Pride Corporation
Non -Discharge UIC
Permit Name (if different)
NPDES Other
Facility Address 2607 Old Hwy 421
TYPE OF PERMITTED OPERATION BEING MONITORED
Staley 'l''°"et; NC
27355 County Randolph
❑■ Lagoon ❑ Remed'ation: Infiltration Gallery
:irtri irtmei
20
❑r Spray Field ❑ Remedlation:
Contact Person rina Pedley
Telephone#: 919-774-7333
❑ Rotary Distributor ❑ Land Application of Sludge
Well Locat:on+Site Name: Staley
No. of wells to be samp;ad
3
❑ Water Source Heat Pump ❑ Other
T'U' Permin
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW4
Date sample collected 11116/21
FIELD ANALYSES:
WAS
Well Depth 30.0 ft.
Well Diameter 2
in
pH o0400- 4.65 units Temp om1c 16.3 °C
DRY at
Depth to Water Level 82546: 12.0 ft. below measuring point Screened Interval:
ft. to —
ft. Spec. Cond. 00094 µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M P. Elevation:
ft.
Odor 000e5
check
Volume of water pumped/bailed before sampling:
9.0
gallons
Appearance
here ❑
Samples for metals were collected unfiltered: ❑ YES
❑ NO and field acidif-ed: ❑ YES
❑ NO
LABORATORY INFORMATION
Date sample analyzed sins-2312021
Laboratory Name Cameron Testing Services Certification No. 654
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg/L
Nitrite (NO2) as N o0615
mg/L Pb - Lead oio51 ug/L
Coliform- MF Fecal 31616 < 1
/100mL
Nitrate (NO3) as N o062o 354
mg/L Zn - Zinc 01092 mg/L
Coliform, MF Total 31504
/100mL
Phosphorus Total as P 00665 0 D76
mg/L
;Na(e Use MPN method for highly tudxd samples)
Orthophosphate 70507
mg/L
Other (Specify Compounds and Concentration Units)
;ssolved Solids'Total 703oo 73.0
mg/L
Al -Aluminum oit05
mg/L
pH (Lab) oo4o3
units
Ba - Barium 01007
ug/L
TOC o066o < 1
mg/L
Ca - Calcium 00916
mg/L
Chloride oo94o 4.11
mg/L
Cd - Cadmium 01027
ug/L
Arsenic o1oo2
ug/L
Chromium: Total mom
uglL
Grease and Oils 00552
mg/L
Cu - Copper 01042
mg/L
ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
ug/L
Fe - Iron oio4s
ug/L
(Specify test and method It. ATTACH LAB REPORT.)
Sulfate oo945
mg/L
Hg - Mercury 7190D
ug/L
Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg/L
VOC 78732 method #
Total Ammonia 00610 < 0.100
mg/L
Mg - Magnesium 00927
mg/L
method #
iAmmona Nitrogen NH,as N, Ammonia Nitrogen Total)
Mn - Manganese 01055
ug/L
,method #
TKN as N omm
mg1L
Ni - Nickel 01067
ug/L
method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
Permidee (or Authorized Agent) Name and Tille - Please print or type
Signature of Permittee (or Authorized Agent)
12-L-) -z
GW-59 Rev 212010