WQ0007521_Monitoring - 03-2021_20210504 (2)

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MAXWELL' •�• DS, LLC
P.O. Box 10009 •Goldsboro, NC 27532
Phone[phone] •Fax [phone] 020
April 30th, 2021 lc\ �.,Division of Water ResourcesJ��
Attn: Information Processing Unit -2 ���
1617 Mail Service Center , `yo
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 along with GW-59 and GW-59a 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,
Jim H. Lynch C.C.A., C.I.D.
Environmental Manager
Maxwell Foods
P O Box 10009
Goldsboro NC 27532 •
919 778 3130 ext.1526

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of Z
Permit No.:1/Qp60752` Facility Name: MatYFc If Fc��� Lcf4-r.c k Tr✓c k W4)� � ;o,s County: W.yh� onth: MG,,.xt, Year: •i021
PPI: Flow Measuring Point: ❑Influent CJ%,Effluent ElNo flow generated Parameter Monitoring Point: ❑Influent Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code —► 50050
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24-hr hrs GPD
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Average:
Daily Maximum:
Daily Minimum:
Sampling Type: ' c
Monthly Avg.Limit:
Daily Limit:
Sample Frequency:

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT (NDMR) Page Z of L.
Sampling Person(s) Certified Laboratories
Name: Er;L q pps Name: (JC P A d- CS
Name: r Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? L1 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 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 Int\ • Lri\CL Permittee: MAy(Ut l( Fo 0 J) / (,L
Certification No.: 1 1 17 5 L Signing Official: J ry H. L tc
Grade: S� 1 Phone Number: Ci(1 1 o (3U Signing Official's Title: L hv,•Or%rn Z.NI7V1 M4."Si-1
Has the ORC changed since the previous NDMR? ❑Yes rvo Phone Number: 9(1 7 7r 313o Permit Expiration: )
tiNjt--- - 1/9072( �i�v12,
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 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 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:NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 1 of
Permit No.: v0660752 1 1 Facility Name:1lic1wcq f , , L:vt. .cc(c Ti,„k vitol„f.,tkon ' County: 1A/4y,,c Month: M4,(1% Year: 7,11
Field Name: ' Field Name: ... Field Name: Field Name:
Did irrigation occur Area(acres): 4 '1 Area(acres): 6. C Z Area(acres): Area(acres):
at this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop:
J $»,41I 6.4,'i1 ,SM[A�� Cfrq,�
,[d YES ❑NO Hourly Rate(in): S Hourly Rate(in): , S Hourly Rate(in): Hourly Rate(in):
Annual Rate(in): 1'1 Annual Rate(in): J (llcl Annual Rate(in): Annual Rate(in):
Weather Freeboard Field Irrigated? yu YES ❑NO Field Irrigated? IV(YES ❑NO Field Irrigated? ❑YES ❑NO Field Irrigated? ❑YES ❑NO
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w E N N Q fC > Q J 2 J > a _ J 2 J > a _ J 2 J > Q _ J 2- J
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FORM: NDAR-1 10-13 NON-DISCHARGE APPLICATION REPORT(NDAR-1) Page 2 of 2
Did the application rates exceed the limits in Attachment B of your permit? Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? vCompliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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 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; M. Lock Permittee: MAxlv(t1 FFe I,, (LC
Certification No.: q ��5 Z G Signing Official: J 1.1 VI.
Grade: J, . Phone Number: (9 /? 1 3 13o Signing Official's Title: �.�✓��a"%M(4'k /�A I / i. )C_—
Has the ORC changed since the previous NDAR-1? ❑Yes Q No Phone Number: I(c.t -7?p 7110 Permit Exp.: I/2 7/2,3
J3o/21 `� 3 0 Z 1
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.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

•
NPDES FORM IRR-2 Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Tract# Field# 1 Facility Number WQ0007521 -
Field Size(acres)=(A) 4.19
Farm Owner Maxwell Foods Inc. Irrigation Operator Maxwell Foods Inc.
Owner's Address P.O. Box 10009 Irrigation Operator's P. O. Box 10009
Goldsboro, NC 27532 Address Goldsboro, NC 27532
Owner's Phone# [phone] 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)
Irrigation
Volume Waste PAN Applied Nitrogen
Lagoon ID Date Start End Total #of Flow Total Volume per Acre Analysis (lb/acre) Balance Weather Inspections
(mm/dd/yr) Time Time Minutes Sprinklers Rate (gallons) (gal/acre) PAN (8)x(91 (lb/acre) code* (Initials)**
(3)-(2) Operating (gal/min) (6)x(5)x(4) (7)/(A) (lb/1000 gal) 1000 (B)-(10)
B= 100
Lagoon 2 10/07/20 12:30 13:30 60 32 12.8 24576 5865.39 - 0.5 2.93 97.07 c tp
Lagoon 2 10/14/20 13:00 14:00 60 32 12.8 24576 5865.39 0.5 2.93 94.13 c tp
Lagoon 2 10/21/20 8:00 9:00 60 32 12.8 24576 5865.39 0.5 2.93 91.20 c tp
Lagoon 2 10/28/20 9:00 10:00 60 32 12.8 24576 5865.39 0.5 2.93 88.27 c tp
Lagoon 2 11/06/20 8:00 9:00 60 32 12.8 24576 5865.39 0.5 2.93 85.34 pc jl
Lagoon 2 11/11/20 8:00 9:00 60 32 12.8 24576 5865.39 0.5 2.93 82.40 pc jl
Lagoon 2 11/24/20 8:00 9:00 60 32 12.8 24576 5865.39 0.5 2.93 79.47 pc jl
Lagoon 2 11/30/20 8:00 9:00 60 32 12.8 24576 5865.39 0.5 2.93 76.54 pc jl
Lagoon 2 12/03/20 12:00 13:00 60 32 12.8 24576 5865.39 0.43 2.52 74.02 pc jl
Lagoon 2 12/08/20 13:00 14:00 60 32 12.8 24576 5865.39 0.43 2.52 71.49 pc jl
Lagoon 2 12/18/20 11:00 12:00 60 32 12.8 24576 5865.39 0.43 2.52 68.97 pc jl
Lagoon 2 12/22/20 7:00 8:00 60 32 12.8 24576 5865.39 0.43 2.52 66.45 pc jl
Lagoon 2 01/05/21 14:00 15:00 60 32 12.8 24576 5865.39 0.43 2.52 63.93 pc jl
Lagoon 2 01/06/21 14:00 15:00 60 32 12.8 24576 5865.39 0.43 2.52 61.41 pc jl
Lagoon 2 01/14/21 14:00 15:00 60 32 12.8 24576 5865.39 0.43 2.52 58.88 pc jl
Lagoon 2 01/21/21 10:00 11:00 60 32 12.8 24576 5865.39 0.43 2.52 56.36 pc jl
Crop Cycle Totals 393216 43.64 �, /
Owners Signature Operator's Signature ly
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# 1 Facility Number WQ0007521 -
Field Size(acres)=(A) 4.19
Farm Owner Maxwell Foods Inc. Irrigation Operator Maxwell Foods Inc.
Owner's Address P.O. Box 10009 Irrigation Operator's P. O. Box 10009
Goldsboro, NC 27532 _ Address Goldsboro, NC 27532
Owner's Phone# [phone] 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)
Irrigation
Volume Waste PAN Applied Nitrogen
Lagoon ID Date Start End Total #of Flow Total Volume per Acre Analysis (lb/acre) Balance Weather Inspections
(mm/dd/yr) Time Time Minutes Sprinklers Rate (gallons) (gal/acre) PAN (8)x(91 (lb/acre) code* (Initials)**
(3)-(2) Operating (gal/min) (6)x(5)x(4) (7)/(A) (lb/1000 gal) 1000 (B)-(10)
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 jl
Lagoon 2 02/03/21 14:00 15:00 60 32 12.8 24576 5865.39 0.53 3.11 50.73 pc jl
Lagoon 2 02/11/21 8:00 9:00 60 32 12.8 24576 5865.39 0.53 3.11 47.62 pc jl
Lagoon 2 02/17/21 12:00 13:00 60 32 12.8 24576 5865.39 0.53 3.11 44.51 pc jl
Lagoon 2 02/24/21 10:00 11:00 60 32 12.8 24576 5865.39 0.53 3.11 41.40 pc jl
Lagoon 2 02/25/21 7:00 8:00 60 32 12.8 24576 5865.39 0.53 3.11 38.30 pc jl
Lagoon 2 03/05/21 12:00 13:00 60 32 12.8 24576 5865.39 0.53 3.11 35.19 pc jl
Lagoon 2 03/17/21 14:00 15:00 60 32 12.8 24576 5865.39 0.53 3.11 32.08 pc jl
Lagoon 2 03/23/21 9:00 10:00 60 32 12.8 24576 5865.39 0.53 3.11 28.97 pc jl
Lagoon 2 03/25/21 8:00 9:00 60 32 12.8 24576 5865.39 0.53 3.11 25.86 pc jl
Crop Cycle Totals 245760 1 30.50
Owner's Signature Operator's Signature
Certified Operator(Print) Jim H Lynch Operator's Certification No. 1752
*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# 2 Facility Number W00007521 -
Field Size(acres)=(A) 6.62
Farm Owner Maxwell Foods Inc. Irrigation Operator Maxwell Foods Inc.
Owner's Address P.O. Box 10009 Irrigation Operator's P. O. Box 10009
Goldsboro, NC 27532 Address Goldsboro, NC 27532
Owner's Phone# [phone] 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)
Irrigation
Volume Waste PAN Applied Nitrogen
Lagoon ID Date Start End Total #of Flow Total Volume per Acre Analysis (lb/acre) Balance Weather Inspections
(mm/dd/yr) Time Time Minutes Sprinklers Rate (gallons) (gal/acre) PAN (8)x(91 (lb/acre) code* (Initials)"
(3)-(2) Operating (gal/min) (6)x(5)x(4) (7)/(A) (lb/1000 gal) 1000 (B)-(10)
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 tp
Lagoon 2 10/14/20 14:15 15:15 60 50 12.8 38400 5800.60 0.5 2.90 94.20 c tp
Lagoon 2 10/21/20 9:30 10:30 60 50 12.8 38400 5800.60 0.5 2.90 91.30 c tp
Lagoon 2 10/28/20 10:30 11:30 60 50 12.8 38400 5800.60 0.5 2.90 88.40 c tp
Lagoon 2 11/06/20 9:15 10:15 60 50 12.8 38400 5800.60 0.5 2.90 85.50 pc jl
Lagoon 2 11/11/20 9:15 10:15 60 50 12.8 38400 5800.60 0.5 2.90 82.60 pc jl
Lagoon 2 11/24/20 9:15 10:15 60 50 12.8 38400 5800.60 0.5 2.90 79.70 pc jl
Lagoon 2 11/30/20 9:15 10:15 60 50 12.8 38400 5800.60 0.5 2.90 76.80 pc jl
Lagoon 2 12/03/20 13:15 14:15 60 50 12.8 38400 5800.60 0.43 2.49 74.30 pc jl
Lagoon 2 12/08/20 14:15 15:15 60 50 12.8 38400 5800.60 0.43 2.49 71.81 pc jl
Lagoon 2 12/18/20 12:15 13:15 60 50 12.8 38400 5800.60 0.43 2.49 69.31 pc jl
Lagoon 2 12/22/20 8:15 9:15 60 50 12.8 38400 5800.60 0.43 2.49 66.82 pc jl
Lagoon 2 01/05/21 15:15 16:15 60 50 12.8 38400 5800.60 0.43 2.49 64.33 pc jl
Lagoon 2 01/06/21 15:15 16:15 60 50 12.8 38400 5800.60 0.43 2.49 61.83 pc jl
Lagoon 2 01/14/21 15:15 16:15 60 50 12.8 38400 5800.60 0.43 2.49 59.34 pc jl
Lagoon 2 01/21/21 11:15 12:15 60 50 12.8 38400 5800.60 0.43 2.49 56.84 pc jl
Crop Cycle Totals 614400 43.16
Owner's Signature Operator's Signature
Certified Operator(Print) Jim H Lynch Operator's Certification No. 991 52
*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# 2 Facility Number WQ0007521 -
Field Size(acres)=(A) 6.62
Farm Owner Maxwell Foods Inc. Irrigation Operator Maxwell Foods Inc.
Owner's Address P.O. Box 10009 Irrigation Operator's P. O. Box 10009
Goldsboro, NC 27532 Address Goldsboro, NC 27532
Owner's Phone# [phone] 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)
Irrigation
Volume Waste PAN Applied Nitrogen
Lagoon ID Date Start End Total #of Flow Total Volume per Acre Analysis
y (lb/acre) Balance Weather Inspections
(mm/dd/yr) Time Time Minutes Sprinklers Rate (gallons) (gal/acre) PAN (8)x(9) (lb/acre
)) code* (Initials)**
(3)-(2) Operating (gal/min) (6)x(5)x(4) (7)/(A) (lb/1000 gal) 1000 (B)-(10)
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 jl
Lagoon 2 02/11/21 9:15 10:15 60 50 12.8 38400 5800.60 0.53 3.07 48.20 pc jl
Lagoon 2 02/17/21 13:15 14:15 60 50 12.8 38400 5800.60 0.53 3.07 45.13 pc jl
Lagoon 2 02/24/21 11:15 12:15 60 50 12.8 38400 5800.60 0.53 3.07 42.05 pc jl
Lagoon 2 02/25/21 8:15 9:15 60 50 12.8 38400 5800.60 0.53 3.07 38.98 pc jl
Lagoon 2 03/05/21 13:15 14:15 60 50 12.8 38400 5800.60 0.53 3.07 35.90 pc jl
Lagoon 2 03/17/21 15:15 16:15 60 50 12.8 38400 5800.60 0.53 3.07 32.83 pc jl
Lagoon 2 03/23/21 10:15 11:15 60 50 12.8 38400 5800.60 0.53 3.07 29.75 pc jl
Lagoon 2 03/25/21 9:15 10:15 60 50 12.8 38400 5800.60 0.53 3.07 26.68 pc jl
Crop Cycle Totals 384000 30.16
Owner's Signature Operator's Signature
Certified Operator(Print) Jim H Lynch Operator's Certification No. 1752
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.