WQ0005681_Monitoring - 01-2023_20230214

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
Report Information
WQ0005681
Pilgrims Staley
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Staley 1-2023 sign.pdf 255.75KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dennis Sumpter
40�W-Krly m��
Reviewer: Wanda.Gerald
2/14/2023
This will be filled in automatically

Is the project number correct?* WQ0005681
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 2/14/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _+. of
Permit No.: W00005681
Facility Name: Pilgrim's Corporation -Staley
County: Randolph
Month: January
Year: 2023
Did irrigation occur.
at this facility?
YES f] NO
Weather Freeboard
Field Name:
1
Field Name:
Field Name:
Field Name:
Area (acres):
6.27
Area (acres):
Area (acres):
Area (acres):
Cover Crop:: ,
Hourly Rate (in):
0.3
Cover Crop::
Hourly Rate (in):
Cover Crop:
Hourly Rate (in):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
35.88
DYES ❑ No
Annual Rate (in):
Field Irrigated?
❑ YES [A NO
Annual Rate (in):
Field Irrigated?
❑ YES ❑ No
Annual Rate (in):
Field Irrigated?
❑ YES ❑r NO
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in
ft
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gal
min
in
in
gal
min
in
in
gal
min
In
In
gal
min
in
in
i
CL
45
10,069
180
us
0.02
2
CL
55
2
2,749
90
0.02
0.01
3
CL
62
2.2
2,948
90
0.02
0.01
4
CL
61
0.05
2.4
16,809
90
0,10
0.07
5
0.23
2.3
0
0.00
6
CL
50
2.3
16,938
90
0.10
0.07
7
CL
40
15,473
90
0.09
0.06
8
CL
41
0.47
3,117
22
0.02
0.02
9
2.2
0
0.00
10
CL
45
2.3
14,353
90
0.08
0.06
11
PC
49
2.3
580
10
0.00
0.00
12
C
56
0.02
2.2
296
10
0.00
0.00
13
0
0.00
14
0
0.00
15
0
0.00
16
1
1 1.8
0
0.00
17
0.09
1.8
0
0.00
18
CL
64
0.01
1.8
21,228
90
0.12
0.08
19
CL
65
0.01
2
17,332
90
0.10
0.07
20
CL
56
1.9
17,102
90
0.10
0.07
21 ICL
1
41
1
1
17,092
90 1
0.10
0.07
22
1
0
0.00
23
1.6
0
0.00
24
0
0.00
25
0.42
0
0.00
26
27
28
C
C
39
60
0
17,712
16,740
90
90
0.00
0.10
0.10
0.07
0.07
29
CL
46
0.1
10,376
90
0.06
0.04
30
31
0.2
1.81
0
0
0.00
0.00
Monthly Loading:
12 Month Floating Total (in):
200,914
1. 88
13.26
0
0.00
0
0,00
0
0.00

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Z of S
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?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑� Compliant ❑ Non -Compliant
❑✓ Compliant ❑ Non -Compliant
I]✓ Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
❑✓ 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: Tina Pedley Permittee:
Pilgrim's Corporation
Certification No.: 997617/994534 Signing Official: Daniel Shaw
Grade: SI/WW4 Phone Number: 919-895-3457 Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes I] No Phone Number: 9198953455 Permit Exp.: 11/30/26
a-�-a3 Z -(0-7.3
Signature Date Signature Date
By this sngnalure I certify that Ms report is accurrate and complete to the best of my knowledge I certity, under penally 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 persofts directly responsible for gathering Me ifdolfllatim, ilia
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 knowng violations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

281 14:30 1 2
29 10:30 2
30 10:00 2
31

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 4 of S
Permit No.: W00005681
Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph
Month: January
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent :_ Groundwater lowering ❑ Surface water
Parameter Code
50050
00310
00916
00940
50060
31616
00927
00610
00625
00620
00600
00400
00665
00931
00929
70300
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24-hr
hrs
GIRD
mg/L
mg/L
mg1L
mW1
#1100 mL
m
mg/L
mg&
mg/L
mg/L
su
mg1L
Ratio
mg&
mg/L
1
2,136
2
09:15
2
4.115
3
9,411
0,08
7.49
4
7,607
5
11,165
6
7,993
71
6,289
a
5,781
9
11:00
2
2,097
10
9,774
11
6,929
12
8,668
131
11,101
t0.1
755
14
6,685
15
3,960
16
11:30
2
6,486
17
9,061
a0.01
8.33
18
3,559
191
5,934
20
7,926
21
6,846
22
1.782
23
5,112
24
7,187
a0.1
6.98
251
7,463
26
09:45
2
12,534
27
5,528
28
5,242
29
9.382
30
6,571
311
8,913
Average:
6,879
0.02
Daily Maximum:
12,534
0.10
8.33
Daily Minimum:
1,782
0.01
6.98
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Calculated
Grab
Grab
Calculated
Grab
Grab
Monthly Avg. Limit:j
13,000
Daily Limit:
Sample Frequency:
Continuous
3 X Year
3 X Year
Annually
Weekly
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
Weekly
3 X Year
3 X Year
3 X Year
Annually

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Name: Dennis Sumpter Name: Pilgrims Field Lab
Name: Don Kidney Tina Pedley Name: Cameron Testing
Certified Laboratories
Page —L of —5
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0' 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 Perm ittee Certification
ORC: Tina Pedley Permittee: Pilgrim's Corporation
Certification No.: 9976171994534 signing official: Dan Shaw
Grade: SI/WW4 Phone Number: 919-895-3457 Signing Official's Title. Complex Manager
Has the ORC changed since the previous NDMR? 0 Yes El No Phone Number: 9198953455 Permit Expiration: 11 /30/2026
a - � - z3 OA4.6,j 7_412.2 3
Signature Date
Signature Date
By this signature. I certify that this report is accurrale and complete to the best of my knowledge I certify, under penally of law, that this document and all attachments were prepared under my direction or su
pervision 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 o1 my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of lines 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