WQ0002857_Monitoring - 09-2022_20221025

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * September
Report Information
WQ0002857
Piedmont Custom Meats WWTF
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Piedmont Custom_Sept.pdf 1.32MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
jwd rA lip
Reviewer: Gerald, Wanda
10/25/2022
This will be filled in automatically

Is the project number correct?* WQ0002857
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 11/14/2022

Page I _ of 3
NOVDISCHARGE WASTE WATE'R MONITORING REPORT
PERNIFFNIJIMBER: NVO0002&K MONTH: September YEAR: 2022
FACILITYNAME: Piedmont Custom Meats \NIAVIT COUNTY: Cas-well
. . ... .......... . ........... .. . . .. . . ...
Flow Monitoring Point: Effluent 0 influent: OR
'Parameter Monitoring Point: Effluent: Ej lnfkient� F—I
Was There Effluent Flow for this Month Generated At This Yes� No�
Opei-iitoi-iiiltcsponsil)IcCti;tt,-,C,(OIZC): Clenn Price Grade: SI Phone: [phone]
Check Box it"ORCIlas Chanlyed: 9 F ORC Cei-tifil N caurnbei--. 879,31/20771
Cez-fified La boratoHes (1): Pace Analvtical Set -vices (2):
Person(s) Collecting Samples: Glenn PHee
Mail ORIGINAL and Yowl CC PIFS un
AJ FN; Noll -Discharge Compliance Unit X_
DENR (SIGNATURE OFOPLRATOR IN REISPONSIBI +(11A
DiN Won Ili' Water Quall 11 , N this sigmature, I cerfil that this rq)ort is accurate nand
1617 MaC Mail Service enter Coullf)i to the best of nn knowledge.
RALEIGII—NX " 27699-1617

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Com liant ,N)
I. Does all monitoring data and sampling frequencies meet permit requirements?
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 'nformation, including the possibility of fines and imprisonment for knowing violations."
o ' y,5' �1 Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
9683 Kerr's Chanel Road
Gibsonville NC
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
Field Services Director (Pace Analytical Services)
PARAMETER CODES
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
(Position or Title)
336-582-8247
(Phone Number)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
03/31 /21
(Permit Exp. Date)
00929
Sodium
00931
SAR
00745
Sulfide
00515
TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
00076
Turbidity
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone], 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 Permince, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).

Page _ 3 -.- of 3 ---
NON -DISCHARGE APPLICATION REPORT
SPRANARRIGAT ION SITE(S)
THERE ARE TWO APPLJCATICN RELDS PER PAGE. USE ACDIDTIONAL PAGES AS NEEDED
PER-MITNUINIBER: N1'Q0002857 INIONTII: September YEAR: 2022
FACILITYNANIE: Med niont Custo in Meats WWTF COUNTY: Casvvell
Fi
Daily Loiling (och� --sy = [V6,uiro Applied (9allonS) X 0,1336 (CUblC fecLgMon( X 12 (inchumfout)] / (Area Sprayed (3CreS) X 43 560 (SqUare feevacite) or
= Nolurne Ali (g',i I iArua Sprayed facres) x 27.152 4qullovsi`acre-inch)
i I iourliy Loading (inches) = Da My Loxhng 4,nches) I [Time irvigated drnuourtosal 160 (rninutes/houi)]j Monthly Loading =Sum of DWy Loading (inches)
12 MoMih Foating Totall (inches; = Sum of ihis MQMWS MonfHy Loading Qinches) and previous 11 morilin's Monihl�y Loadings (arches')
Average Weakly Leading Qinchus) = jMonthly Loading (=hesmionlh) I Nurnbw 0 days uri the ricinth (dap/month )i x 7 {days/wpek)
---- -- -----
This FeU
No Ej
INN
EM
ME
. . . . . . . . . . . . . . . . .
. ..... .. . . . . . . . . . . . . . . . . .
it
I . -, IM ]I-Wtit
Spray Irrigation Operator in Responsible Charge (ORC): Cktun Price Phone: [phone]
ORC Certirt"ition Number: 987931/20771
Mail ORIGINAL COPIES to:
A I-I'N: Noit-Discharge Compliance Unil X-
1) EN K (SIGNA-FURE 0F OPERA -FOR IN RESPONS1131,E CHARGE)
Division of Water QullhtyB) this signature, I certify (b.,r( this 1`eporj is accurate and
1617NInil Service Center complete to the best of tit% knowledp
RAIAAC;II,NC 27699-1617
Check Box ifORCHas ged.
❑
'd
DENT 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.
f
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
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
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 info on, including the possibility of fines and imprisonment for knowing violations."
Baron Neal McDuffie
(Signature of Permitee)* jV Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville. NC
(Permittee Address)
Field Services Director ( Pace Analytical Services)
(Position or Title)
336-582-8247
(Phone Number)
03/31/21
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per I SA NCAC 2B.0506 (b) (2) (D).
DENR Forst NDAR-1 (5/2003)

Page - 2 of 3
NON -DISCHARGE APPLICATION REPORT
SPRAIV IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PEIRN[ITNUMBER: NV000028-57 NIONT11: Septembet- — YEAR: 2022
FACILITY' NAME: Pictiniont Custom Meats NNAN"TF COUNTY: Caswell
Formulas:
Daily Loading (inches) = [Voluire., Applied (gallons) x 0.1336 (cubic Ivougallm) x 12 (Inchitslfoot)j i [Aroa Sprayed (acres), x 43,560 (SqLEWO fodUacre) or
= Nolurnp Applipt! (gallons) I [Area sprayed lacres) x 27 152 (galons/acre-inch�
Ma MILIM HouiIy L,.",,ading (inchcs) = DaOy Loriding (mchas) )' (Tirne irrigated frriinutes) f 60 (minutez/hcurpl Ma' niffly Loading iinches) =Sum 0 Daily Loading (Inchfis)
12 klonlh Floating Total (inches) = Som of this rnonith'd Monthly Loading (Inches) and previous 11 munth's Monthly Loadings (irchef)
AvLrage Weekly Loading Qiriches) - [Murthly Loading / Number of days in Vie wonith (day,5ftontln )i x 7 (days/weLkp
'Did higation Occiii At This Famhty�
Yps: N
IDid Irrigat)o
cup On Thi, Fed�
o
elm=
MIMMM
Spill I rrigalion Operator in Responsible Change (ORC): Glenill Price 11honfe; 336-996-2841
ORC Celf,tification Number: 987931/20771 Check Box if ORC 1p S clianged:E]
Mail ORIGINA1, and'hNcp (1*011ES to:
Al TN: Noo-Discharge Compliance III
DENR
J)i%rjsjojj of NN ttVa Qn];tlit%1
1617 Mail Service Center
RA1,1VIGH, N(27699-1617
(SIC�NATURI-,: OF OPERATOR IN RESPONSIBI.E (4
13s this signatore, I cerfliI that this report is acciii-alcand
complete to the best of loy k00%k ledge,

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).
[P
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
ET
d. All buffer zones as specified in the permit were maintained during each application.
4
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
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 f info ation, including the possibility of fines and imprisonment for knowing violations."
/3 l(% f -f -'� J­ Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aaent
(Permittee-Please print or type)
9683 Keres Chapel Road
Gibsonville. NC
(Permittee Address)
Field Services Director (Pace Analytical Services)
(Position or Title)
336-582-8247
(Phone Number)
03/31 /21
(Permit Exp. Date)
* 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)