WQ0005681_Monitoring - 07-2023_20230828

Monitoring Report Submittal
..................................................
Permit Number#* WQ0005681
Name of Facility:* Pilgrim's Staley
Month: * July
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
Xerox Scan_08282023150544.pdf 823.86KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Daniel Shaw
Reviewer: Wanda.Gerald
8/28/2023
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: 9/12/2023

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page t of 5
Permit No.:
WQ0005681
Facility Name:
Pilgrim's Corporation - Staley
County: Randolph
Month:
July
Year: 2023
Pield Name
7
Field Name:
Field Name
Field Name:
Did irrigation
occur
Area (acres)
6 27
Area (acres):
Area {acres)
Area (acres):
at this
facility?
CoverCrnp
Cover Crop:
Cover Crop
Cover Crop:
❑✓ YES
NO
Hourly Rate (m)
w 0-3,: _
Hourly Rate (in):
Hourly Rate (in)
Hourly Rate (in):
Annti al Rate (in)
35 88
Annual Rate (in):
- Annual Rate (fin}
Annual Rate (in):
Weather
Freeboard
Feel d lrn
9 a#gd�
YES ❑ No „'
Field Irrigated?
El YES ❑� No
Feld 1rr�gateii?
❑YES Q No ".;
Field Irrigated?
El YES NO
d
y °'
d•o
rncm
�oo
W
E
E
�-°o
EE
vo
a
a
Q
f-
>
o
o
o
o
>a
oEXm
CL
_
OF
in
ft
tt
„gal
min„
=in , -
m "-:"'
gal
min
in
in
gal ;-
-"min,..
-..., in
tn...
gal
min
in
in
1
0.57
3
0
1.8
0:..
0 00 -.
5
C
83
0
1.8
24",369..
270„
... "0;14,
. ".,< 003 ,
6
C
71
0
2
;:28;894
7
0
2.2
8
0.91
0> :.....
,.0` .
0:00..,;
101
1
01
1.7
0. ".
11
C
86
0
1.8
3fi,458 ,
.:.:300
12
C
92
0
�- 30, 678
;300,
=;" 0,1-8-
13
0.25
2.4
0...:i .
7 _:"0-, . ,
0_o0..,.
14
0.21
0 _:.
r 70"..
, ., 0:00 ..
. 70 00 "
15
0
00
17
C
88
01
2.1
18
C
84
0,41
2.1
„6,876. -.
19
0
2.1
:,0 -..
0
0,.00 . .
20
CL
86
0
1.9
6,264
60
0,04 ,
"," 0 04
21
0
1.9
0...
0,
22
0
0,."
. , ., 0 .....
b.00 "..
0.00 :.
0" QO
240
86
0
1.8
7797F
" ""
25
C
70
0
2.2
18A22..
26
C
95
0
"13,420,
.. ,"1.15 ..
... "0".OB...
"""i 0 04..",
27
C
74
0
2.5
10;6$9,
.:71 ..
28
C
1 93
0
2.4
6;255 ..
44 .
30
0
_.,..Q:..
31
01
2.4
Monthly Loading:
207;745 ?
1:22
-_
0
!
0.00
0, ::" ,.'
0;00:
0
0.00
12 Month Floating Total (in):
1712;
r «7:
YR ' ,'WOM

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 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?
Q Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
Q Compliant ❑ Non -Compliant
Q 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 Official's Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes Q No
Phone Number: 9198953455 Permit Exp.: 11/30/26
its z - ZZ—Z,3
"N l� 2-
Signdfure Date
Signature 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. 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 3 of Y
Permit No.: W00005681 -]-Facility
Name:
Pilgrim's Pride - Staley WWTP
PPI: 001
Flow Measuring Point:
El influent [] Effluent El No flow generated
Parameter Code P
50050
00310
�1'6
00940
,�56066
31616
0
4L
E
< E
E
J
0
n0
CD
LL
0
0
24-hr
hrs
mg/L
mg/L
#/100m L
2
3
4
,,7.942`
6
_7 7
7
8,694 "Iii
8
2,009
10
11 :15
2
11
17.7
jl 93
317
7040
12
14:30
2
13
14
14:15
2
0,0621"
16
171
14:30
2
-,7;697'
18
02T
19
14:45
2
20
13:45
2
,003j""'_ji_
21
22
231
24
13: 15
2
67i'
25
8; 632
26
13:45
2
27
i. ijgCon,
7 j
28
14:00
2
9,1'8�jj i i
%
291
301
311
13:35
2
9,536
Average
6,203
17.70
9 , .30
317.00
0 0 8
7,040.00
Daily Maximum:
10"498-
17.70
317.00
7,040.00
Daily Minimum:
17.70
9"30
317.00
0� 0
7,040.00
Sampling Type:
Grab
i,n,"j�jGiat�i,""
Grab
Grab
Monthly Avg. Limit:
3,00,0"
Daily Limit:
1
Sample Frequency:
xiC6htihu6ui`,`j
3 X Year
0,x Y66�ni
Annually
Wee ij
Weekly"
3 X Year
County: Randolph
Month: July
Year: 2023
Parameter Monitoring Point: El influent 21 Effluent Ej Groundwater Lowering F-1 Surface Water
00610
00625
00620
()666
00400
b 0 6 65
00931
70300
-E
0
a,
E .2 0
0.
>
E
E
0
CL
in
C) 0 U)
F- '4 0
-0 (n
mg/L
mg/L
5 u
m
Ratio
7,44
9.25 2.07 l-, 14'.9"I'_1 7,5 17.6 823
7
7.58
9.25
12.80'."' 1
2.07
14.'90':']
1,
2,29,;A
17.60 ji',
269.10U,i]
823.00
9.25
!',,12.'Bo,�_
2.07
4'.90,
7.58
'229 -
17.60
1�169.0&
823 .00
9.25
'�12.`80'1
2.07
7.00
17.60
269.00:1'i
823.00
Grab
Grab
-C -al6ulated,
Grab
Calculated
Grab
3XYear 3XYear j,'1AXiYedr`j Weekly j"3,kY,*6f,`j 3XYear

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Dennis Sumpter Name: 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? ❑✓ 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: Dan Shaw
Grade: SI/WW4 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
Signature Date
Signature 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. 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