WQ0034380_Monitoring - 06-2023_20230727

Monitoring Report Submittal
...................................................
Permit Number#* WQ0034380
Name of Facility:* Sanderson Farms LLC Kinston Processing Facility
Month: * June Year: * 2023
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Upload Document*
NDAR NDMLR NDMR June 2023.pdf
PDF Only
1.73MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Joseph Franklin
Signature:
�%i*✓�FrF �lJjta��ir
Date of submittal: 7/27/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0034380
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 8/7/2023

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page / of
No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
i
Did irrigation
FieldPermit
occur
this facility?
Area (acres)-1
Area (acres):,
at
Cover Crop:
PIYES ONO
I VA
Hourly Rate (in):
i
Annual Rate (in):
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FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page z_ of
Permit No.: WQ0034380
Facility Name: Sanderson Farms-Kinston.unty:
Lenoir
Month:Did
irrigation occur
this facility?
Area (acres):
at
gip•- ..
I p= -
- ..
-
- ..
:- ..
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Hourly Rate (in):
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Field Irrigated?'
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FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ✓ of 5
Permit No.: WQ0034380Sanderson
• irrigation occur
at this facility.?
..
■ ■ •
■Field Irrigated?■
p •
logo...
•
m
=m0
m
Om0Monthly
Loading:l
12 Month Floating Total (iny
County: Lenoir Month
Field Name: 6'
Area (acres): 1 30
June
. Year:
2023
Field Name:
7
Area (acres):
29.6
Cover Crop:
Pines
Hourly Rate (in):
0.2
Annual Rate (in):
99
Field Irrigated?
[DYES
[:]NO
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i Q
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£ rn
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gal
min
in
in
586,097
502
0.73
0.09
702,051 1 607 1 0.87 1 0.09 1
552,013 1 537 1 0.69 1 0.08 1
695,375 1 595 1 0.87 I 0.09 1
660,237 1 566 1 0.82 1 0.09 1
392,137 1 378 1 0.49 1 0.08 1
570,636 1 544 1 0.71 1 0.08 1
MWO�������iii

FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page LI of
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
•irrigation•
•iField
Name.
.�
this facility?
at
Cover Crop:
i
PIYES ■ •
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FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
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? (]Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? QCompliant ❑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: Joseph H. Franklin
Permittee:
Sanderson Farms, Inc
Certification No.: WW1012108T/S11012364
signing Official: Jared Lowe
Grade: 3 Phone Number: 252 522 9145 ext. 4127
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑Yes ❑� No
Phone Number: 252-522-9145 ext 4105 Permit Exp.: 12/31/26
'-7z Z4ZIel;�`x'
-?le7/
%
7_ 3
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I e"fy, 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
Raleigh, North Carolina 27699-1617

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of &/
Permit No.: W00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: June
Year: 2023
Field Name:
1A
Field Name:
1B
Field Name:
2A
Field Name:
2B
Field Name:
3A
Area (acres):
22.4
Area (acres):
8.81
Area (acres):
22.4
Area (acres):
10.4
Area (acres):
24
Cover Crop:
Rye Grass
Cover Crop:
Rye Grass
Cover Crop:
Rye Grass
Cover Crop:
Rye Grass
Cover Crop:
PINES
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑� YES ❑NO
Field Loaded?
EYES ❑NO
Field Loaded?
❑YES []NO
Field Loaded?
EYES ' ` ❑NO''
Field Loaded?
AYES [:]NO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
lbs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July 3,880,430
6.26
9.0
9.0
0
6.26
0.0
0.0
2479229
6.26
5.8
5.8
1151071
6.26
5.8
5.8
3,907,353
6.26
8.5
8.5
August 2,791,022
9.92
10.3
19.4
0 ` -
9.92
0.0
0.0
3296113
9.92
12.2
18.0
1530337
9.92
12.2
18.0
4,025,857
9.92
13.9
22.4
September 3,047,946
8.26
9.4
28.7
498,910
8.26
3.9
3.9
3592580
8.26
11.0
29.0
1667984
8.26
'11.0 '
29.0
3,832,851
8.26
11.0
33.4
October 4,052,881
11.81
17.8
46.5
1,594,012
11.81
17.8
21.7
1312401
11.81
5.8
34.8
609330
11.81
5.8 `
" 34.8
4,156,199
11.81
17.1
50.4
November 3,523,095
21.4
28.1
74.6
602,814
21.4
12.2
33.9
2404349
21.4
19.2
53.9
1116304
21A
19.2
53.9
3,625,160
21.4
27.0
77.4
December 4,180,599
14.61
22.7
97.4
0
14.61
0.0
33.9
3049565
14.61
16.6
70.5
1415869
14.61
16.6
70.5 '
3,267,391
14.61
16.6
94.0
January 3,110,401
17.23
20.0
117.3
0
17.23
0.0
33.9
3377527
17.23
21.7
92.2
1568109
17.23
21.7
' 92.2''
3,618,714
17.23
21.7
115.7
February 3,216,573
15.44
18.5
135.8
0
15.44
0.0
33.9
2569910
15.44
14.8
107.0
984585
15.44
12.2
.104.4
2,753,475
15.44
14.8
130.4
March 3,985,014
14.78
21.9
157.7
742,492
14.78
10.4
44.3
3663593
14.78
20.2
127.1
0
14.78
0.0
104.4
3,925,282
14.78
20.2
150.6
April 1,600,510
14.05
8.4
166.1
629,486
14.05
8.4
52.7
1997173
14.05
10.4
137.6
0
14.05
0.0
104.4
3,824,770
14.05
18.7
169.3
May 4,174,963
17.69
27.5
193.6
11,642,028
1 17.69
27.5
80.2
3683784
17.69
24.3
161.8
0
17.69
0.0
104.4
4,525,776
17.69
27.8
197.1
June 3,299,166
12.29
15.1
1 208.7
111,297,5731
12.29
1 15A
1 95.3 '1
3842546
12.29
17.6
179.4
0
12.29
0.0
104.4
4,117,013
12.29
17.6
214.7
12 Month Floating PAN Load
(Ibs/ac/yr):
2087
95.3
179.4
104.4
Annual PAN Load Limit
IM
(Ibs/ac/yr):
8318

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Permit No.: W00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: June
Year: 2023
Field Name:
3B
Field Name:
4A
Field Name:
4B
Field Name:
5A
Field Name:
5B
Area (acres):
3.51
Area (acres):
19.7
Area (acres):
8.14
Area (acres):
28.5
Area (acres):
1.4
Cover Crop:
PINES
Cover Crop:
Rye Grass
Cover Crop:
PINES
Cover Crop:
Rye Grass
Cover Crop:
Rye Grass
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
OYES ❑NO
Field Loaded?
OYES EINO
Field Loaded?
OYES EINo
Field Loaded?
DYES []NO
Field Loaded?
OYES E:1NO
ID
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Month
gal
571,451
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
lbs/ac
gal
mg/L
Ibs/ac
lbs/ac
gal
mg/L
Ibs/ac
lbs/ac
gal
mg/L
Ibs/ac
Ibs/ac
July
6.26
8.5
8.5
1,656,453
6.26
4.4
4.4
684,443
6.26
4.4
4.4
4,038,859
6.26
7.4
7.4
202,666
6.26
7.6
7.6
August
448,697
9.92
10.6
19.1
3,304,558
9.92
13.9
18.3
1,365,437
9.92
13.9
18.3
5,085,291
9.92
14.8
22.2
255,176
9.92
15.1
22.6
September
0
8.26
0.0
19.1
2,604,478
8.26
9.1
27.4
1,076,165
8.26
9.1
27.4
3,693,466
8.26
8.9
31.1
111,215
8.26
5.5
28.1
October
0
11.81
0.0
19.1
2,913,301
11.81
14.6 '
41.9
1,203,770
11.81
14.6
41.9
5,048,006
11.81
17.4
48.5
0
11.81
0.0
28.1
November
0
21.4
0.0
19.1
2,975,654
21.4
27.0
68.9
11229,534
21.4
27.0
68.9
4,388,1391
21.4
27.5
76.0
0
21.4
0.0
28.1
December
0
14.61
0.0
19.1
2,681,984
14.61
16.6 '
85.5
1,108,190
14.61
16.6
85.5
4,526,9311
14.61
19.4
95.4
0
14.61
0.0
28.1
January
0
17.23
0.0
19.1
2,970,362
17.23
21.7
107.2
1,227,347
17.23
21.7
107.2
3,874,1141
17.23
19.5
114.9
0
17.23
0.0
28.1
February
0
15.44
0.0
19.1
2,260,143
15.44
14.8
121.9
933,887
15.44
14.8
121.9
4,006,2711
15.44
18.1
133.0
0
15.44
0.0
28.1
March
0
14.78
0.0
19.1
2,758,371
14.78
17.3
139.2
1,139,754
14.78
17.3
139.2
4,963,476
14.78
21.5
154.5
0
14.78
0.0
28.1
April
150,483
14.05
5.0
24.1
844,591
14.05
5.0
144.2
348,983
14.05
5.0
144.2
4,951,777
14.05
20.4
174.8
0
14.05
0.0
28.1
May
565,539
17.69
23.8
47.9
3,714,908
17.69
27.8
172.0
1,534,992
17.69
27.8
172.0
2,086,851
17.69
10.8
185.6
0
17.69
0.0
28.1
June
602,114
12.29
17.6
65.5
3,379,383
12.29
17.6
189.6
988,944
12.29
12.5
184.5
4,128,300
12.29
14.8
200.5
0
12.29
0.0
28.1
12 Month Floating PAN Load
65.5
189.6
184.5
200.5
28.1
(Ibs/ac/yr):
Annual PAN Load Limit
(Ibs/ac/yr):

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of L/
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: June
Year: 2023
Field Name:
6
Field Name:
7
Field Name:
8A
Field Name:
8B
Field Name:
9
Area (acres):
30
Area (acres):
29.6
Area (acres):
22.8
Area (acres):
1.84
Area (acres):
16.2
Cover Crop:
Rye Grass
Cover Crop:
PINES
Cover Crop:
PINES
Cover Crop:
PINES
Cover Crop:
Rye Grass
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
OYES ONO
Field Loaded?
DYES ONO
Field Loaded?
OYES ONO
Field Loaded?
OYES ONO
?
Field Loaded?
OYES ONO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
lbs/ac
July
3434820
6.26
6.0
6.0
4,835,733
6.26
8.5
8.5
1 3,724,821
6.26
8.5
8.5
218,625 1
6.26
6.2
-6.2
2,033,044
6.26
6.6
6.6
August
2402913
9.92
6.6
12.6
4,371,134
9.92
12.2
20.7
3,366,954
9.92
12.2
20.7
0<`
9.92
0.0
6.2
3,382,512
9.92
17.3
23.8
September
2598058
8.26
6.0
18.6
5,565,219
8.26
13.0
33.7
4,286,723
8.26
13.0
33.7
0"
8.26
-0.0
6.2
1,293,405
8.26
5.5
29.3
October
2465897
11.81
8.1
26.7
5,335,402
11.81
17.8
51.5
4,109,700
11.81
17.8
51.5
0
11.81
0.0
6.2
2,931,102
11.81
17.8
47.1
November
3409616
21.4
20.3
47.0
4,708,581
21.4
28.4
79.8
3,626,881
21.4
28.4
79.8
70,922 -`
21.4
6.9
13.1
2,547,952
21.4
28.1
75.2
December
3991809
14.61
16.2
63.2
3,938,584
14.61
16.2
96.1
3,033,775
14.61
16.2
96.1
244,831
14.61
16.2
29.3
3,023,468
14.61
22.7
98.0
January
3986467
17.23
19.1
82.3
3,933,316
17.23
19.1
115.2
3,029,715
17.23
19.1
115.2
244,503
17.23
19.1
48.4':
2,249,486
17.23
20.0
117.9
February
4551282
15.44
19.5
101.8
4,490,598
15.44
19.5 `
134.7
3,458,974
15.44
19.5
134.7
279,144 -
15.44
19.5
67.9'
2,326,223
15.44
18.5
136.4
March
3792381
14.78
15.6
117.4
3,741,813
14.78
15.6
150.3
2,882,209
14.78
15.6
150.3
232,599
14.78
15.6
83.5
2,882,019
14.78
21.9
158.3
April
4358974
14.05
17.0
134.4
5,006,474
14.05
19.8
170.1
3,856,339
14.05
19.8
170.1
311214
14.05
19.8
103.3`
2,875,227
14.05
20.8
179.1
May
3044955
17.69
15.0
149.4
5,528,899
17.69
27.6
197.6
4,258,745
17.69
27.6
197.6
343,689
17.69
27.6
130.9
2,061,868
17.69
18.8
197.9
June
4922721
12.29
16.8
166.2
4,857,084
12.29
16.8 `
'214.5
3,741,267
12.29
16.8
214.5
301,927
12.29
16.8
147.7
2,759,961
12.29
17.5
215.4
12 Month Floating PAN Load
(Ibs/ac/yr):
166.2
214.5
214.5
147.7
215.4
Annual PAN Load Limit
(Ibs/ac/yr):
W,&�AAWIIIEA

FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of
Did the mass loading rates exceed the limits in Attachment B of 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: Joseph H.
Franklin
Permittee:
Sanderson Farms, LLC
Certification Number:
WW1012108T/S11012364
Signing Official:
Jared Lowe
Grade: 3
Phone Number: 252 522 9145 ext. 4127
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMLR? DYes 0✓ No
Phone No.: 252-522-9145 Permit Exp.: 12/31/26
/�
IL Z/Z?Z-Z 3
�:,
7/Z
/ Signature Date
Signature Date
By this signature,
I certify that this report is accurrate and complete to the best of my knowledge.
I cerfify, 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of 3
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: June
Year: 2023
PPI: 001
Flow Measuring Point: ❑Influent Effluent ❑No flow generated
Parameter Monitoring Point: ❑Influent QEffluent ❑Groundwater Lowering ❑Surface water
Parameter Code -►
50050
00310
00916
00940
31616
00927
00610
00625
00620
00600
00400
00665
WQ09C
00931
00929
70300
O
R
°'
E
c
Q
1—2
O
U
U
=
oO
E
l6
L
O
.O
m C
Z
o
z
=
O.
y
O
a
m
mo
s
_
F &
Q
C
O
O
O
O
.
mj v
QN
!/ O
COO
24-hr
hrs
GPD
mg/L
mg/L
mg/L
1 #/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
Ratio
mg/L
mg/L
1
07:00
10
850,000
2
10.9
1
5.92
8.6
13.2
7.05
20.3
6.86
20.6
12.8
10.9
181
2
07:00
10
961,000
7,1
3
977,000
4
994,000
5
07:00
10
956,000
7.57
6 1
07:00
10
866,000
9
1 1
14.9
16.6
4.71
21.4
7.04
17.7
12.7
7
07:00
10
805,000
6.85
8
07:00
10
961,000
3
1
3.44
7.4
7.59
15
6.86
18.4
10.5
9
07:00
8
980,000
6.75
10
838,000
11
919,000
121
07:00
10
902,000
7.07
13
07:00
10
994,000
3
1
6.31
6.9
3.54
10.5
6.97
16.7
7
14
07:00
10
1,086,000
7.03
15
07:00
10
998,000
5
1
1.15
20.6
2.36
23
6.99
20.5
8.8 `
16
07:00
8
1,236,000
7.01
17
1,168,000
181
1
756,000
19
07:00
10
1,204,000
7
20
07:00
10
1,228,000
5
4
2.29
2.9 1
1.3
4.4
6.94
16.3
2.9
21
07:00
10
1,057,000
6.92
22
07:00
10
978,000
5
1
11.5
14.9
14.9
29.9
7.25
16
21.8
23
07:00
8
- 678,000
1
6.87
241
701,000
25
783,000
26
07:00
10
1,183,000
7.25
27
07:00
10
805,000
5
6
17.8
24.1
0.6
24.8
7.04
22.5
11.5
28
07:00
10
1,548,000
6.97 _
29
07:00
10
1,608,000
6
19
18.3
21.8
12.2
199
6.98
22.2
22.6
30
07:00
8
1,499,000
6.94
31
Average:
1,017,300
4.78
10.90
1,97
5.92
9.37
14.27
6.03
38.70
18.99
12.29 '
10.90
181.00 f-
Daily Maximum:
1,608,000
9.00
10.90
19.00
5.92
18.30
24.10
14.90
199.00
7.57
22.50
22.60
10.90
"181.00
Daily Minimum:
678,000
2.00
10.90
1.00
5.92
1.15
2.90
0.60
4.40
6.75
16.00
2.90
10.90
" 181.00
Sampling Type:
Recorder
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Composite
Composite
Grab
Composite
Calculated
Calculated
Composite
Composite
Monthly Limit:
1,400,000
-
Daily Limit:
Sample Frequency:
Continuous
2 X Week
Monthly
3 X Year
2 X Week
Monthly
2 X Week 1
2 X Week
2 X Week
2 X Week 1
5 X Week
2 X Week
2 X Week
Monthly
Monthly
3 X Year

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 7 of 3
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: June
Year: 2023
PPI: 001
Flow Measuring Point: [:]Influent[:]Effluent❑No Flow generated
Parameter Monitoring Point: ❑Influent ❑� Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code ►
00530
T
�a
>CD
Q E
of
O
c
O
''
V
v
_ a y
8 m a
C 0
tp
24-hr
hrs
mg/L
1
07:00
10
2.5
2
07:00
10
3
4
51
07:00
1 10
6
07:00
10
7.8
7
07:00
10
8
07:00
10
4.2
9
07:00
10
10
11
12
07:00
10
13
07:00
10
5.6
14
07:00
10
151
07:00
10
9.4
161
07:00
10
17
18
19
07:00
10
20
07:00
10
5.4
21
07:00
10
22
07:00
10
8.1
231
07:00
10
24
25
261
07:00
1 10
27
07:00
10
7.2
-
28
07:00
10
29
07:00
10
9.7
30
07:00
10
31
Average:
7
Daily Maximum:
10
Daily Minimum:
3
Sampling Type:
Composite
Monthly Limit:
Daily Limit:
Sample Frequency:
2 X Week

FORM: NDMR 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of �✓
Sampling Person(s) Certified Laboratories
Name: Joseph Franklin Name: Environmental Chemists, Inc
Name: I Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? (]Compliant ❑Nan -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: Joseph H. Franklin Permittee: Sanderson Farms, Inc
Certification No.: WW1012108T/S11012364 Signing official: Jared Lowe
Grade: 3 Phone Number: 252 522 9145 ext. 4127 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑Yes ❑� No Phone Number: 252-522-9145 ext 4105 Permit Expiration: 12/31/2026
z 3
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge-
-'-'Signature Signature Date
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
Raleigh, North Carolina 27699-1617