WQ0007521_Monitoring - 04-2022_20220531

.FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __L_ of z
Permit No.: 111/17521
Facility Name: Laughlin Washstation,.
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1
irrigation
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oArea
(acres):
Area (acres):
Area (acresy.
Area (acresy.
at this facility?
Cover Crop:
Cover Crop.
Cover Crop:
p Ll NO
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1
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1
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Annual Rate (in):
■Annual
Rate (in):
••. •Field
Irrigated?
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I 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? 0 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 21 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: Jim H Lynch
Permittee:
Laughlin Washstation, LLC
Certification No.: 991752
Signing Official: James J. Laughlin
Grade: SI Phone Number: 919 222 4791
Signing Official's Title: Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
Phone Number: 919 778 6566 Permit Exp.: 10/31/28
5L-L C7z
Signature Date
SI nat 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 _L of Z
Permit No.: W00007521
Facility Name: Laughlin Washstation, LLC
County: Wayne
Month: April
Year: 2022
PPI:
Flow Measuring Point: ❑ Influent O Effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code —i
50050
WQ09C
M
o
y
a E
�~
O
E 2
U c
�p
O
o
�'
m h o
aQz
24-hr
hrs
GPD
mg/L
1
2
3
4
08:30
1
5
6
7
8
9
10
11
08:00
1
12
13
14
15
16
17
181
07:30
1.5
19
20
21
22
23
24
25
08:00
1
26
27
28
29
301
0 07
31
Average:
#DIV/01
0.07
Daily Maximum:
0
0 07
Daily Minimum:
0
0 07
Sampling Type:
Estimate
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2- of 2-
Sampling Person(s) Certified Laboratories
Name: Eric Capps Name: NCDA & CS
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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: Jim H Lynch
Permittee: Laughlin Washstation, LLC
Certification No.: 991752
Signing Official: James J. Laughlin
Grade: SI Phone Number: 919 222 4791
Signing Officials Title: Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 919 778 6566 Permit Expiration: 10/31/2028
t
Signature Date
li
ign u Date
this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penaltyQ.7 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
Tract #
Field Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field #
4.19
Lau hlin Washstation, LLC
212 Rifle Range Road
Goldsboro, NC 27534
919-778-6566
Crop Type Small grain
Lagoon Liquid Irrigation Fields Record
One Form for Each Field per Crop Cycle
Facility Number IWQ00075211
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, INC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Recommended PAN 97.48
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) - (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= 97.48
Lagoon 2
03/18/22
9:00
10:00
60
32
12.8
24576
5865.39
0.09
0.53
96.95
PC
cb
Lagoon 2
04/01/22
11:00
12:00
60
32
12.8
24576
5865.39
0.07
0.41
96.54
p c
cb
Crop Cycle Totalsi 49152 0.94
� JII
Owner's Signature Operator's Signature fJ
Certified Operator (Print) Jim H 6nch Operator's Certification No. 9 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 Size (acres) = (A)
Farm Owner
Owner's Address
Owner's Phone #
Field #
4.19
Laughlin Washstation, LLC
212 Rifle Range Road
Goldsboro, INC 27534
919-778-6566
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) (51 (6) (71 (q� (1(n r11�
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) - (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=
L.rop cycie i otaisl
Owner's Signature
Certified Operator (Print) Jim H Lynch
I U.UU
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

WDES 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 #
6.62
Laughlin Washstation, LLC
212 Rifle Range Road
Goldsboro, NC 27534
919-778-6566
Facility Number JWQ0007521 -
Irrigation Operator Maxwell Foods Inc.
Irrigation Operator's P. O. Box 10009
Address Goldsboro, INC 27532
Operator's Phone # [phone]
From Waste Utilization Plan
Crop Type Small grain Recommended PAN 97.51
Loading (lb/acre) = (B)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (111
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) - (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)
6= 97.51
Lagoon 2
03/18/22
10:15
11:15
60
50
12.8
38400
5800.60
0.09
0.52
96.99
PC
cb
Lagoon 2
04/01/22
1215
13:15
60
50
1 s'
38400
5800.60
0.07
0.41
96.58
PC
cb
crop cycle i otalsl i uouu
Owner's Signature
Certified Operator (Print) Jim H L ch
I u.y3
Operator's Signature
Operator's Certification No. 752
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
Laughlin Washstation, LLC
212 Rifle Range Road
Goldsboro, INC 27534
919-778-6566
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) (81 (91 (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) - (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=
crop Lycle I oiaisl
Owner's Signature
Certified Operator (Print) Jim H L
l u.uu l
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