WQ0002857_Monitoring - 12-2021_20220202

of.
DWR - NonDischarge Monitoring Report Submittal •4 ..
NORTH CAROLINA
E Mranmenlcl Quaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0002857
Name of Facility:* Piedmont Custom Meats WWTF
Month:* December Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Piedmont 1.32MB
Custom_December.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Jessica Mize
Signature:
je?(a 4 n.
Date of submittal: 2/2/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 3/16/2022

Page 1 of 3
NON-DISCIIARCE WASTE WATER MONITORING REPORT
PERMIT NE\IBER: W00002857 MONTI!: December YEAR: 2021
FACILITY NAME: Piedmont Custom leats WWII; COUNTY: Caswell
Flow Monitoring Point Effluent t—i If nfiuent: U
Parameter Monitoring Paint: Effluent: LI Influent: I--i I Surface Water(SW): 1 U SW Code/Name: _
Was There Effluent Fiow for this Month Generated At This Facility: Yes: U No: Li
Operator 50050 00400 - 50060 00210 00610 60530 31,616 70300 00620 00625 1.--7577 00000 00665
I) Arrival Daly Rate Fecal
A Time Operator ORC (Haw)M10 rolli'orr.
T 2461) rime en an Treatment RCM dud 1101)-3 IINen-rneric lotall "total
L clock Sit.: Slte S,steni iril Chlonvw 2,0'I" Nil-LIS 145 Mem') DS Na,.,,,,!•4 1K s. Cloknotk. Ni6,1s..6 111,,rholw,
IIRS ---YN I GAI I ONS I.Nil) 1 rust M(I I ',MI I. Nil L Ill Nil Nil I, ‘16 I, NIII 1. Stir 1.. MI.,,I I Olin I,
...
' ...........—.._ ...— ..... ------...- . --.....--
II 531
2 j 531
3 1204 0.25 Y 531 6.30 <0„01 — _
587
5 •
6 587 .....
7 587
--s 587
. —
0 0950 0.25 10, 587 64 <0.01
to 882 1 ,
II 882
' .
12 882
13 882
14 1 I 882 1 ,
15 882 r,
6 V 882
_._
17 1122 0.25 Y 882 6.4 <0.01
18 316
4
19 316 ,
_
00 i 000 2.00 Y 316 6.4 <0.01 .
II 620
22- 0730 0.75 Y 620
Lt 620
24 620 1
25 620
26 1 620 1
, 1. .
27 620
26 620 II
29 1120 9.25 Y 620 6.3 <0.01
30 620 1 I 7
ii 620 ,.
AYerne 643 tion3114 <1461 f
_ . . .
Daily Nlaxinnim 882 6.40 <0.01 II,
Daily Minimum 316 6„30 <0.01 I
_ s
Monthly Limits(AN g 1 5000 11
----m .
Composite, Y Crab(C) 1
- .
Operator in Responsible Charge(ORC): Glenn Price Grade: SI Phone: [phone]
Check Box if ORC Das Changed: ORC Certification Number: 987931/20771
Certified Laboratories(1): Pace Analytical Services (2): .
Person(s)Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN:Non-Discharge Compliance L nit X ---
, ..._
DENR (SIGNATURE OF OPERATOR IN RESPONSilliTT CIIA
Division of in Qualit!, By this signature,1 certify that this report is accurate and
1617 Mail Service Center complete to the best of my knots ledge.
R.U.E1G11,NC° 27694).1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant(Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? 'r
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."
�� ot 2 )— Baron Neal McDuffie
(Signature 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)
PARAMETER CODES
01002 Arsenic 31504 Coliform,Total 00600 Nitrogen,Total 00929 Sodium
01022 Boron 00094 Conductivity 00630 NO2 & NO3 00931 SAR
00310 BOD5 01042 Copper 00620 NO3 00745 Sulfide
01027 Cadmium 00300 Dissolved Oxygen 00556 Oil&Grease 00515 TDS
00916 Calcium 31616 Fecal Coliform WQ09 PAN(Plant Available) 00010 Temperature
00940 Chloride 01051 Lead 00400 pH 00625 TKN
50060 Chlorine,Total 00927 Magnesium 32730 Phenols 00680 TOC
Residual 71900 Mercury 00665 Phosphorus,Total 00530 TSS/TSR
01034 Chromium 00610 NH3 as N 00937 Potassium 00076 Turbidity
00340 COD 01067 Nickel 00545 Settleable Matter 01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at(919)733-5083,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 I5A NCAC 2B.0506(b)(2)(D).

Page 2 of 3
NON-DISCIIARGE APPLICATION REPORT
SPRAY IRRIGATION SEIE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE.USE ADOIDTIONAL PAGES AS NEEDED
PERMEr NUMBER: W00002857 MON'Ell: December YEAR: 2021.
FACILITY NAME: Piedmont Custom Meats NVNIVTE COUNTY: Caswell
Formulas:
Danly Loading(inches) e(Volume Applied(gallons)x 01336(cubic feet/galton)x 12(inches/foot [Area Sprayer:1(acres)x/3,56)(square feetincre)or
.[Volume Applind(gallons)/[Area Sprayed(acres)x 22152()allon0/aaminch3
Maxtmum Hourly Loading(etches) .e Dandy Loather)(inches11[Time irrtgated(rninu1es)(PS(minugesulhmuMI monthly Loadtng gnr2hes) Our of Daily Loading(inches)
12 Monte Pouting Total(niches) .Sum of thus month's Monthly Loud rip 1tnch es)and previous 11 month's Monthly Loadlngs(inches)
Average Weekly Loading tetch es) er[Monthly Loadang(inches/month)(Number of days un the month(days(mon1h',VI x'7(days(weeK
Did IrrugaOrt Occur At This Pudgy Dtd Imgrat on Occur On'This Etetd: 1Did ltrugatiun Occur OU Thi5 Fetdu
Yesu No:I I Yes: No fl
I Yes: I No 171
".. X
Feld Numg(m 1 Fital.21 Number. 2 _AY ea Sprayed 1acresL 1 Area Sprayed(detest- 1
Cover Cropu FesCi.un Cc CUM Eescite
Permated Howdy Rate nrigneus): 02 Permuned HourVyAate Onenes). l 0.2
—
WEATHER COND1ITUONS Pe rim qed Yearly Rate(tnches): (32 Permutted bonny Rate(inchegy [52
1)
A WcoRler Temperatum .Surarld, Si.E,..t I %I.,,,1111.11
T Codo. a! Ppecrpa, .1 di' V,,:o.a", In, 01'11:.. 1 P.,. 0.1.11, H01/A1,
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El
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14
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17 PC 52 0 2.2
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21 :
22 C 38 0 2.1 12528 348 :, 0.46 0.08 12528 348 0.46 0.08
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12 241.1106 FIVAlitr4 TOI,BI XigH1110/ ilitittli#1111111011 4.78 .1111111351110111MMENEINUM 114 31111111111I',IIHNI1111111111,111,111,111,1111 1545 1 d 445455r e 45455\4.54 05444455. .yug.utu/ ,L„.LJ A.,,,, , ,4 A,i .
,,,,,,,,,,,,,,„„rk,,,I,,,,„,„,,,„0„, istiagglogulso 0.09 Bassompasormagnming 0.09 giscappaup
ru%Stuurr(lert-Cottog(r•-1(rtir,PC-partly cloud?,(11-cloudy„if-ran:,So-mom,skim
Spray Irrigation Operator-in Responsible Charge)ORC'): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Cheek Box if ORC l' as Changed-1
Mail ORIGINAL and Two COPIES to: _
ATTN:Non-Discharge Compliance Unit X
DEN1Z (SI(;NAft RE OF OPERAT'OR IN RESPONSIBI.E ClIARGE)
Division of MI/acct.Quality 13,,y this signature,1 certify that this report is accurate and
1617 Mail Service Center complete to the hest of ins knowledge:
RALEIG11,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). II
3. A suitable vegetative cover was maintained on the site(s)in accordance with the permit. I
4. All buffer zones as specified in the permit were maintained during each application. I
5. The freeboard in the treatment and/or storage lagoon(s)was not less than the I
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."
1�---� - a'2 1 Baron Neal McDuffie
(Signature of Permitee)* 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-DISCIIARGE APPLICATION REP()RT
SPRAY IRIZIGA'flON SITE(S)
THERE ARE TWO APPLICATION RELDS PER PAGE,USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: WQ0002857 MONTH: 1)eceinber YEAR: 2021
FACILITY NAME: Piedmont Custom Meats WWII' COUNTY: Caswell
Formulas:
Daily Loading(inches) ,,[Volume Apo!oh)gallons)x 0.13736(coin loot/gallon I n 12(inchesloot)]7 Arr,lia Sprayed(acre x 43 fort tore teotiocrrr)or
4.,Nolerre AoWied QgalVons)7[Area Sprayed(acres x 27,152 igaiOlonsiacrirrsiniphip
Mar imum Hourly Loading priches) ="i DalIly Loading(inches)/[Time irrigated(mingles)/60.(rmraTte.,37hourg Monthly Loading(inchusry -Sum of Din y Loothrig(inches)
12 Month Flioat rig loto (riches) ,iii Sum of 1Ns month's Monthly Loading(inches)and previous 11 mooth's MontiMy Loaalingz(inches)
Average Weekly Loathnig Olicheo) iir[Monthly Loadrng(inches/month)/Number of days n the month(daysi/monittli)1x 7 Oaysbareek)
iOh Irvigation Occur At This FacrItty. Did Laigal4on Occur On This 4Seld: the Imgation Occur On Tills hit.
Yes: X No IT Yen No Ye40 ,,,,,,, II
Faoh Number 3 7 r old Monter 4
Area Sprayed Oics70: 1 lAinia Sprayed dapresT. 1
So,fo7 Ci4)p: Fescue Cover Clop Wmcuo
PermaVs1 Hot oly Rate(inches) ipi 2 l' Perrnmed Hoarly-Ralo inchesT Si 2
, -----m4- 11
WEATHER CONDITVONS Perrnined Yi3ally Rate 0 rut fIC)' '52 I Permitted'Nimbi Rate bilichei4T 52
D
A ,,,A,,,o,,,,,,, nmporat,n, S iOi hr qrnox,,mr
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7 1 I 1
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— — — _
9 C 48 0 ! 2.3
to
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15 — ...„....___
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kv.,),,,fe r b Wan 0,40111M1101$'', fat n Ill.M.00010E(vrwn v,,,oinpu AIN t PI ml•misetwimAlopt64,1, 0.00 !1,'!1,1I11,111,1„'ll'iii'l,1,1'111,1,11,11,11,1111:1141
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NN eather Coded:C-11166r,Pt l-parld,ehalKI,,I"1-CIOU(4.K 'ailL Sil-itiON,st-stm
Spray Irrigation Operator in Responsible Charge(ORO: Glenn Price Piton e: 336.99h-2841
ORC Certification Number: 987931/20771 Check Box.if ORC I as Changed:_
Mail ORI GI NM.,aad'hvo C OP I ES to:
ATTN:Non-Discharge Compliance Unit X
DENR 1,,SIGN.VEURE OF OPERATOR IN RI SPONS113.1,E(lIARGE)
Division of NVater Qualit',, By this signature,I certify that this report is accurate and
1617 Alai!Service.Center complete to the best of ms Intim ledge.
RAI,EICII,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). I
3. A suitable vegetative cover was maintained on the site(s)in accordance with the permit. II
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s)was not less than the I /
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."
' a` Baron Neal McDuffie
(Signature of Permitee)* 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)