WQ0005681_Monitoring - 09-2023_20231027

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
WQ0005681
Pilgrim's Staley
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*
Staley.pdf 876.67KB
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
10/27/2023
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: 10/31/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Fage-j- of 5'
Permit No.: WQ0005681
Facility Name: Pilgrim's Corporation - Staley
County: Randolph
Month: September
Year: 2023
Did irrigation occur
at this facility?
Field Name:
y
Field Name:
> Field Nae:
Field Name:
Area (acres):
Area {acres):
6.27
Area (acres):
Area (acres):
_ _
Cover-Cro
Cover Crop: p:
Cover Crop:
Cover Crop:
0 YES C NO
Hourly Rate (in):
0.3
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
35.88
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
0 Yes ❑ NO
Field Irrigated?
❑ YES ENO
Field Irrigated?
YES ❑ NO ',
Field Irrigated?
C YES NO
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1
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=131
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a 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?
❑� Compliant ❑ Non -Compliant
❑J Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Q Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
ORC: Tina Pedley
Certification No.: 997617/994534
Grade: SI/WW4 Phone Number: 919-895-3457
Has the ORC changed since the previous NDAR-1? ❑ Yes 0 No
lc--Z7-Z)
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Pilgrim's Corporation
Signing Official: Daniel Shaw
Signing Officials Title: Complex Manager
Phone Number: 9198953455 Permit Exp.: 11/30/26
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 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 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
Permit No.: WQ0005681
Facility Name: Pilgrim's Pride - Staley WWTP
PPI: 001
Flow Measuring Point: Influent 0 Effluent No flow gene
F —1
Parameter Code 050050
00310
00940
50060
31616
CU
❑
Z
E
Ir
0
0
CD
P
cc
0
LO
0
to
M
0
E
LL 0
Q
24-h r
hrs
mg/L
mg/L
#/100 mL
2
3
4
11:30
2
5
6
1,744, -
7
07
8
12:30
2
9
X6
10
357ft
11
10:30
2
121
11,55
1 2
13
12:15
2
14
773777
15
"77
16
7,387
17
238-
18
10:45
2
19
AM
20
21
0
22
-to
23
24
25
09:30
2
MOM
26
3inm
27
3,095M
281
1
_&540','
29
30
311
1
2,179
County: Randolph Month: September
Year: 2023
Parameter Monitoring Point: El influent Effluent [] Groundwater Lowering ❑ Surface Water
00610
6 2�
00620
��**
00400
"
00931
00929
70300
Cz
C
to
0
E . 20
E
CL
(5 is
o
E
0
U) 0
T) (n
mg/L
g/L
I mg/L
rno/L
7.68
7.42
7.46
7.32
Daily Maximum:
1173
7.6
Daily Minimum:
1;7'03­
7.32
Sampling Type:
Grab
Grab
Grab
j_ Grab,,:';;
Grab J�nGrab�"'�­
Grab
Calculated,
Grab
Calculated
Grab",
Grab
Monthly Avg. Limit:
Daily Limit:
Sample Frequency. 1
3XYear
3 X Year,f
Annually
Weniekly,s
3 X Year
:,'3' Y
, 'Xn
3 X Year
:_'_�)(Year`,,
3 X Year
Weekly
3XYear
UYeir,.
Annually

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (Il Page of S
Permit No.: W00005681
Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph
Month: September
Year: 2023
PPI: 001
Flow Measuring Point: [Z influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code --►
00530
O
a
�
• y
E
�
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n
yr
f=cn
F Ufa
Cc
U
O
O
tq
24-hr
hrs
mg/L
1
2
3
4
11:30
2
5
6
7
,
8
1 12:30
2x
9
10
11
10:30
2
12
11:55
2
Y'
Yp
13
12:15
2141
15
16
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17
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18
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2
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t
19
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4
21
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'{•,r..r'�-.
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Sampling Type
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page S of 5
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? [Z 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
aww . r.0 1 auuw VUQI 011VVLJ Ir
Opeiatui iu Respuitsible Charge (ORC) Certificatlon
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 D No
Phone Number: 9198953455 Permit Expiration: 11/30/2026
3
27 2-
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