WQ0007521_Monitoring - 02-2021_20210407

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U— :co 0-
P.O. Box 10009 • Goldsboro, NC 27532
Phone [phone] • Fax [phone]
March 30th, 2021
Division of Water Resources
Attn: Information Processing Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Maxwell Foods, LLC
Livestock Truck Wash Station
Permit # WQ0007521
Ladies and/or Gentlemen:
Please find enclosed herewith the original and 2 copies of the NDAR, NDMR and
IRR-2 forms for Maxwell Foods Livestock Truck Washstation. If any further
information is needed, or if you have any questions about the enclosures, do not hesitate
to contact me at your convenience.
Respectfully Submitted,
?imH. Lynch C.C.A., C.I.D.
Environmental Manager
Maxwell Foods
P O Box 10009
Goldsboro NC 27532
919 778 3130 ext.1526

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 of Z
Permit No.: W 000075ZI
Facility Name: Mk�.el� F,6
County:
Month:
• irrigation occur
L_ Area (acres)
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover
M/Y E S NO
Hourly Rate (in):
HourlyRate(in):
Hourly Rate (in):
Annual Ra� (in)-.-
�■�
.
Annual Rate
.
Annual -
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l�1 ■ •Field
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z 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?
I�Compliant ❑ Non -Compliant
[F Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? UCompliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 7Compliant ❑ 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: J;MM. Ly�tL
Certification No.:
Grade: J L Phone Number: � -7� o 3130
Has the ORC changed since the previous NDAR-1? ❑ Yes dNo
Permittee Certification
Permittee: rl�a�y. ((( F o VJ j L(—(_
_ L i
Signing Official: M f 1. L Inc
Signing Official's Title:
Phone Number: 9]1 77�' 3i jG PermitExp.: ( 3VF3
3 d/ ZI
Signature Date U Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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 qualified personnel properly 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. 1 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _�_ of 2-
Permit No.: W pa o752k
Facility Name: yVG1� f 604J L,Vcj b , (L f,) C �\ Y✓AS 3 �hTId,
County: WnQ
Month: {�
Year: 20 Z
PPI:
Flow Measuring Point: El Influent El Effluent El flow generated
Parameter Monitoring Point: ❑ Influent ❑Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code —s
50050
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❑
2
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Q E
~
O
E
£ .�
~ (n
W
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LL
SRN
I�VVM'
J '�
24-hr
hrs
GPD
1
:�o
2
3
3�4
4
5
6
7
8
9
10
11
jo
12
13
14
15
16
17
11:3a
18
19
20
21
22
23
241
9 : G 0
25
(7:)v
y
26
27
28
S 3
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
�41
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of 2-
Sampling Persons) C Certified Laboratories
Name: D a� G✓ I(—� Name: NC,DN y C J
Name: Name:
A —X :an 177liant n Nnn-C—li—t
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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: J km
Ii7
Permittee:
Certification No.: j Z
Signing Official: J , w,
1
Grade: S� Phone Number:
q I�( Lit ��� I
_
M
Signing Official's Title: n�,�ahf�c��uljq*��er
Has the ORC changed since the previous NDMR?
❑ Yes Q No
Phone Number: q 7 ? 13Q Permit Expiration: 1 i1
0 `
3 13 o Z
Signature
Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 qualified personnel properly 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. 1 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

NP13ES FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field # 1
4.19
Maxwell Foods Inc.
P.O. Box 10009
Goldsboro, NC 27532
919-778-3130
Facility Number W00007521 -
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, NC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small grain Recommended PAN 100
Loading (lb/acre) = (B)
(1) (21 (3) (4) (5) (6) (71 (8) (9) (10) (11)
Lagoon ID
Date
(mm/dd/yr)
Irrigation
Waste
Analysis
PAN
(Ib/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance
(lb/acre)
(B) - (10)
Weather
code*
Inspections
(Initials)**
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 56.3614702
Lagoon 2
01/29/21
11:00
12:00
60
32
12.8
24576
5865.39
0.43
2.52
53.84
PC
ji
Lagoon 2
02/03/21
14:00
15:00
60
1 32
12.8
24576
5865.39
0.53
3.11
50.73
PC
ji
Lagoon 2
02/11/21
8:00
9:00
60
32
12.8
24576
5865.39
0.53
3.11
47.62
PC
ji
Lagoon 2
02/17/21
12:00
13:00
60
32
12.8
24576
5865.39
0.53
3.11
44.51
PC
ji
Lagoon 2
02/24/21
10:00
11:00
60
32
12.8
24576
5865.39
0.53
3.11
41.40
PC
ji
Lagoon 2
02/25/21
7:00
8:00
60
32
12.8
24576
5865.39
0.53
3.11
38.30
PC
ji
crop cycle Iotalsl 14(40b I 1 -1b.u( I
Owner's Signature Operator's Signature
Certified Operator (Print) Jim H Lynch Operator's Certification No. 991752
* Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy
** Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes.

NPDES FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field # 1
4.19
Maxwell Foods Inc.
P.O. Box 10009
Goldsboro, NC 27532
919-778-3130
Facility Number IWQ00075271
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, NC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small grain Recommended PAN 100
Loading (lb/acre) = (B)
(1) (2) (3) (41 (5) (6) (7) (8) (9) (1n) (111
Lagoon ID
Date
(mm/dd/yr)
Irrigation
Waste
Analysis
PAN
(Ib/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance
(lb/acre)
(B) - (10)
Weather
code*
Inspections
(Initials)**
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 100
Lagoon 2
10/07/20
1 12:30
13:30
60
32
12.8
24576
5865.39
0.5
2.93
97.07
c
t
Lagoon 2
10/14/20
113.00
14:00
60
32
12.8
24576
5865.39
0.5
2.93
94.13
c
t
Lagoon 2
10/21/20
8:00
9:00
60
32
12.8
24576
5865.39
0.5
2.93
91.20
c
t
Lagoon 2
10/28/20
9:00
10:00
60
32
12.8
24576
5865.39
0.5
2.93
88.27
c
t
Lagoon 2
11 /06/20
8.00
9:00
60
32
12.8
24576
5865.39
0.5
2.93
85.34
PC
ji
Lagoon 2
11/11/20
8:00
9:00
60
32
12.8
24576
5865.39
0.5
2.93
82.40
PC
jI
Lagoon 2
11/24/20
8:00
9:00
60
32
12.8
24576
5865.39
0.5
2.93
79.47
PC
jI
Lagoon 2
11/30/20
8:00
9:00
60
32
12.8
24576
5865.39
0.5
2.93
76.54
PC
ji
Lagoon 2
12/03/20
12:00
13:00
60
32
12.8
24576
5865.39
0.43
2.52
74.02
PC
ji
Lagoon 2
12/08/20
13:00
14:00
60
32
12.8
24576
5865.39
0.43
2.52
71.49
PC
ji
Lagoon 2
12/18/20
11:00
12:00
60
32
12.8
24576
5865.39
0.43
2.52
68.97
p
ji
Lagoon 2
12/22/20
7:00
8:00
60
32
12.8
24576
5865.39
0.43
2.52
66.45
PC
ji
Lagoon 2
01/05/21
14:00
15:00
60
32
12.8
24576
5865.39
0.43
2.52
63.93
PC
ji
Lagoon 2
01/06/21
14:00
15:00
60
32
12.8
24576
5865.39
0.43
2.52
61.41
PC
ji
Lagoon 2
01/14/21
14:00
15:00
60
32
12.8
24576
5865.39
0.43
2.52
58.88
PC
ji
Lagoon 2
01/21/21
10:00
11:00
60
32
12.8
24576
5865.39
0.43
2.52
56.36
pc
jl
L,ropt-ycle (otaisl 3y.5Clq
Owner's Signature Operator's Signature
Certified Operator (Print) Jim H Lynch Operator's Certification No. 991752
Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy
** Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes.

NPDES FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field # 2
6.62
Maxwell Foods Inc.
P.O. Box 10009
Goldsboro, NC 27532
919-778-3130
Facility Number WQ0007521 -
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, NC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small grain Recommended PAN 100
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Lagoon ID
Date
(mm/dd/yr)
Irrigation
Waste
Analysis
PAN
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance
(lb/acre)
(B) - 00)
Weather
code*
Inspections
(Initials)**
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 100
Lagoon 2
10/07/20
14:00
15:00
60
50
12.8
38400
5800.60
0.5
2.90
97.10
c
t
Lagoon 2
10/14/20
14:15
15:15
60
50
12.8
38400
5800.60
0.5
2.90
94.20
c
t
Lagoon 2
10/21/20
9:30
10:30
60
50
12.8
38400
5800.60
0.5
2.90
91.30
c
t
Lagoon 2
10/28/20
10:30
11:30
60
50
12.8
38400
5800.60
0.5
2.90
88.40
c
t
Lagoon 2
11/06/20
9:15
10:15
60
50
12.8
38400
5800.60
0.5
2.90
85.50
PC
ji
Lagoon 2
11/11/20
9:15
10:15
60
50
12.8
38400
5800.60
0.5
2.90
82.60
PC
ji
Lagoon 2
11/24/20
9:15
10:15
60
50
12.8
38400
5800.60
0.5
2.90
79.70
PC
ji
Lagoon 2
11/30/20
9:15
10:15
60
50
12.8
38400
5800.60
0.5
2.90
76.80
PC
ji
Lagoon 2
12/03/20
13:15
1415
60
50
12.8
38400
5800.60
0.43
2.49
74.30
PC
ji
Lagoon 2
12/08/20
14:15
15:15
60
50
12.8
38400
5800.60
0.43
2.49
71.81
PC
ji
Lagoon 2
12/18/20
12:15
1315
60
50
12.8
38400
5800.60
0.43
2.49
69.31
PC
ji
Lagoon 2
12/22/20
8:15
915
60
50
12.8
38400
5800.60
0.43
2.49
66.82
PC
ji
Lagoon 2
01/05/21
15:15
16:15
60
50
12.8
38400
5800.60
0.43
2.49
64.33
PC
ji
Lagoon 2
01/06/21
15.15
16:15
60
50
12.8
38400
5800.60
0.43
2.49
61.83
PC
ji
Lagoon 2
01 /14/21
1515
16:15
60
50
12.8
38400
5800.60
0.43
2.49
59.34
PC
i
Lagoon 2
01/21/21
11:15
12:15
60
50
12.8
38400
5800.60
0.43
2.49
56.84
pc
jl
Grop Gycle Totals) b144UU
Owner's Signature
Certified Operator (Print) Jim H Lynch
I 43.1b
Operator's Signature
Operator's Certification No.
* Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy
** Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes.
991752

NPDES FORM IRR-2
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field # 2
6.62
Maxwell Foods Inc.
P.O. Box 10009
Goldsboro, NC 27532
919-778-3130
Facility Number W00007521 -
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, NC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small grain Recommended PAN 100
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Lagoon ID
Date
(mm/dd/yr)
Irrigation
Waste
Analysis
PAN
(lb/1000 gal)
PAN Applied
(lb/acre)
(8) x (9)
1000
Nitrogen
Balance
(lb/acre)
1 (B) - (10)
Weather
code*
Inspections
(Initials)**
Start
Time
End
Time
Total
Minutes
(3) - (2)
# of
Sprinklers
Operating
Flow
Rate
(gal/min)
Total Volume
(gallons)
(6) x (5) x (4)
Volume
per Acre
(gal/acre)
(7) / (A)
B= 56.8435045
Lagoon 2
01 /29/21
12:15
13:15
60
50
12.8
38400
5800.60
0.43
2.49
54.35
PC
ji
Lagoon 2
02/03/21
15:15
16:15
60
50
12.8
38400
5800.60
0.53
3.07
51.27
PC
ji
Lagoon 2
02/11/21 1
9:15
10:15
60
1 50
12.8
38400
5800.60
0.53
3.07
48.20
PC
ji
Lagoon 2
02/17/21
13:15
14:15
60
50
12.8
38400
5800.60
0.53
3.07
45.13
PC
ji
La oon 2
02/24/21
11:15
12:15
60
50
12.8
38400
5800.60
0.53
3.07
42.05
PC
ji
Lagoon 2
02/25/21
8:15
9:15
60
50
12.8
38400
5800.60
0.53
3.07
38.98
PC
ji
crop cycie i otaisi /_3U4UU
Owner's Signature
Certified Operator (Print) Jim H Lynch
"I /.t5/
Operator's Signature
Operator's Certification No.
* Weather Codes: C-Clear, PC -Partly Cloudy, CL-Cloudy, R-Rain, S-Snow/Sleet, W-Windy
** Persons completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes.
991752