WQ0005681_Monitoring - 12-2022_20230126

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
wg0005681
Pilgrims
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Dec signed.pdf 220.72KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Tina Pedley
9 "i
Reviewer: Wanda.Gerald
1 /26/2023
This will be filled in automatically

Is the project number correct?* wg0005681
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: December
Year: 2022
Did irrigation occur
at this facility?
J YES No
Feld blame:
1
Field Name:
Field Name:
Field Name:
Area (acres):
6.27
area (acres):
Area (acres):
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Hourly Rate (€n):
0.3
Hourly Rate (in):
Hourly Rate (€n)-
Hourly Rate (in):
Annual Rate (in):
35.88
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
❑ YES ❑ N0
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES Q No
Field Irrigated?
❑ YES I] NO
°
3
E
a
(a
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C
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a
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j
c
�
d
Wcy'
G
Ee
o
0m
e
_
�Em
W�a
j
dc
E
s
T»
eo
WaP =
g
°F
in
k
k
gal
min
In
in
gal
min
in
in
gal
min
In
in
gal
min
in
in
1
C
53
14,464
100
0.08
0.05
2
C
36
1.3
26,157
179
0.15
0.05
3
0.04
0
0
0.00
0.00
4
PC
39
24,776
179
0.15
0.05
5
CL
41
1.5
24,202
179
0.14
0.05
B
ICL
1 52
0.11
21,909
160
1 0.13
0.05
7
0.01
0
0
0.00
0.00
8
CL
64
23.029
180
0.14
0,05
9
0.46
0
0
0.00
0.00
10
PC
43
19,248
160
0.11
0.04
11
PC
34
18,961
180
0.11
0.04
12
CL
53
1.8
10,370
90
0.06
0.04
13
CL
44
10,631
89
0.06
0.04
14
CL
45
0.53
10,561
90
0,06
0.04
15
0.21
0
0
0.00
0.00
16
0
0
0.00
0.00
17
CL
30
20,869
180
0.12
0.04
18
C
36
21,423
180
0.13
0.04
19
C
42
1.8
21,647
180
0.13
0.04
20
C
45
22,708
180
0.13
0.04
21
CL
37
0.23
7,203
60
0.04
ao4
22
1
0.05
0
0
0.00
0.00
23
0
0
0,00
0.00
24
0
0
0,00
0.00
25
0
0
0.00
0.00
26
1.4
0
0
0.00
0.00
27
j 0
0
0.00
0.00
28
C
33
20,614
180
0.12
0.04
29
C
30
44,902
360
0.26
0.04
30
C 1
56
22,307
180
0.13
0.04
31
C 1
541
0.271
21,232
180
0.12
0.04
Monthly Loading:
407,113
2,39
0
0.00
0
0,00
0
0.00
1
12 Month Floating Total (in):
13.25
]

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L 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?
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?
❑s Compliant ❑ Non -Compliant
FZ] Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
R1 Compliant ❑ Non -Compliant
R] 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
actionfsl taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tina Pedley
Permittee:
Pilgrim's Corporation
Certification No.: 9976171994534
Signing Official: Daniel Shaw
Grade: SIMW4 Phone Number: 919-895-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ yes 0 No
Phone Number: 9198953455 Permit Exp.: 11/30/26
Signature Date
Signature Date
By this signature, I certify that ttds 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of S
Permit No.: W00005681
Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph Month: December
Year: 2022
PPI: 001
Flow Measuring Point: ❑ influent ❑ effluent ❑ No Flow generated
Parameter Monitoring Point: ❑ influent [Z Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code
50050
00310
00916
00940
50060
31616
00927
00610
00625
00620
00500
00400
00665
00931
00929
70300
W
a r
o
O
It
o
E
.
d
°
oo
fi
U.
e
At
y
_6
i
aN
D
5 o
a
arr
_gg
o
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
su
mg/L
Ratio
mg/L
mg/L
1
7,730
2
7,786
<0.01
7.79
3
4,843
4
4,202
5
09:45
2
7,981
0.03
7.03
61
11,616
71
5,781
8
9,842
9
10,883
10
6,361
11
5,713
12
11:00
2
7,006
13
9,946
0.02
7.34
14
7,096
15
14:50
2
11,769
16
10,123
17
9,984
181
8,054
19
11:15
2
7,640
20
13:45
2
10,787
21
5,079
0.04
7.38
22
10,777
23
9,292
24
6,802
25
3,174
26
10:45
2
5,065
27
11,044
28
14:30
2
6,543
<0.01
1
7.22
29
10:30
2
8,587
30
10:00
2
8,228
31
6,680
Average:
7,917
0.00
0.02
Daily Maximum:
11,769
0.00
0.04
7.79
Daily Minimum:
3,174
0.00
0.01
7.03
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Calculated
Grab
Grab
Calculated
Grab
Grab
Monthly Avg. Limit:
13,000
Daily Limit:
Sample Frequency:1
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
I Annually

Flow Measuring Point: [2] influent [—] Effkjent F] No flow generated Parameter Monitoring Point: Influent [2] Effluent [j Groundwater Lowering Surfam Water
•
m ® ©-------_-_-----
ED
EME
1 1 ©--------_-------

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 5 of 5
Sampling Person(s) Certified Laboratories
Name: Dennis Sumpter game: Pilgrims Field Lab
Name: Don Kidney Tina Pedley Name: Cameron Testing
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? u Compliant U 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: Dan Shaw
Grade: SI/W W 4 Phone Number: 919-895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: 9198953455 Permit Expiration: 11/30/2026
J",
Signature Date Signature Date
By this signature. I certify that this report is accurrale and complete to the best of my knowledge. I certity, 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