HomeMy WebLinkAboutWQ0000484_Monitoring - 10-2023_20231102Monitoring Report Submittal
.....................................................
Permit Number#* WQ0000484
Name of Facility:* Mountaire Farms Inc
Month: * October Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR DMR's for October.pdf 10.27MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * rjackson@mountaire.com
Name of Submitter: * Robert Jackson
Signature:
Date of submittal: 11/2/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00000484
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 11/7/2023
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page A of .1
Permit No.: WQ 0000484
Facility Name: Mountaire Farms Inc.
County: Robeson
Month: October
Year: 2023
Field Name:
A
Field Name:
B
Field Name:
C
Field Name:
D
Field Name:
E
Area (acres):
8.25
Area (acres):
6.75
Area (acres):
13.6
Area (acres):
3.5
Area (acres):
4.7
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES 0 NO
Field Loaded?
i_ YES (-_J NO
Field Loaded?
❑ YES 0 NO
Field Loaded?
YES I: No
J>
Field Loaded?
E YES NO
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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
Ibs/ac
November
900,000
14.13
12.9
12.9
945.000
14.13
16.5
16 5
1,980,000
14.13
17.2
17.2
14.13
14.13
December
882,000
17.77
15.8
28.7
882.000
17.77
19.4
35.9
1.512.000
17.77
16.5
33.6
17.77
17.77
January
625,000
12.59
8.0
36.7
625.500
12.59
9.7
45.6
1.710,000
12.59
13.2
46.8
12.59
12.59
February
535,500
12.85
7.0
43.6
733,500
12.85
11 6
572
2.016,000
12.85
15.9
62.7
12.85
12.85
March
337,500
15
5.1
48.7
481,500
15
8.9
66.2
2.664.000
15
24.5
87.2
15
15
April
688,500
14.02
9.8
58.5
760.500
14.02
13.2
79.3
1,296,000
14.02
11.1
98.4
14.02
1
14.02
May
468,000
12.26
5.8
64.3
544,500
12.26
8,2
87,6
2.268,000
12.26
17.1
115.4
12.26
12.26
June
553.500
17.48
9.8
74.1
441,000
17.48
9-5
97.1
1,044,000
17.48
11.2
126.6
17.48
17.48
July
859,500
13.33
11.6
85.6
760,500
13.33
12.5
109.6
1.638,000
13.33
13.4
140.0
13.33
13.33
August
531,000
15.29
8.2
93.9
621.000
15.29
11.7
121.4
2.052.000
15.29
19.2
159.2
15.29
15.29
September
814,500
17.17
14.1
108.0
657.000
17.17
13.9
135.3
2,088,000
17,17
22.0
181.2
17.17
17.17
October 544,500 21.49
12 Month Floating PAN Load (lbslac/yr):
Annual PAN Load Limit (Ibs/ac/yr):
11.8
119.8
350
119.8
513,000
21.49
13.6
148 9
350 00
148.9
1.926,006
21.49
25.4
206.6
264.00
206.6
21.49
0.0
350.00
21.49
0.0
350.00
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of__q_
Permit No.: WQ 0000484
Facility Name: Mountaire Farms Inc.
County: Robeson
Month: October
Year: 2023
Field Name:
F
Field Name:
G
Field Name:
H
Field Name:
I
Field Name:
J
Area (acres):
26.53
Area (acres):
47A89
Area (acres):
14.19
Area (acres):
1358
Area (acres):
58.22
Cover Crop:
Coastal/Oats
Cover Crop:
CoastallOats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES EINO
Field Loaded?
YES NO
Field Loaded?
❑ YES 0 NO
Field Loaded?
YES l No
Field Loaded?
❑YES (] NO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg1L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
November
3,956,000
14.13
17.6
17.6
6,300,000
14.13
15.6
15.6
978,000
14.13
8.1
8.1
2,075,000
14.13
180
18.0
5,684,000
14.13
11.5
11.5
December
4,853,000
17.77
27.1
44.7
7,440.000
17.77
23.2
38.9
1,116.000
17.77
11.7
19.8
1,712,500
17.77
18.7
36.7
6,296,500
17.77
16.0
27.5
January
4,048,000
12.59
16.0
60.7
5,010,000
12.59
11 1
49.9
756,000
12.59
5.6
25.4
1.650,000
12.59
128
49.5
6,076,000
12.59
11.0
38.5
February
3,496,000
12.85
14.1
74.8
5,460,000
12.85
12.3
62.3
984,000
12.85
7A
32.8
1,525,000
12.85
12.0
61.5
4,018,000
12.85
7.4
45.9
March
4,209.000
15
19.8
94.7
6,690,000
15
17.6
79.9
1,218.000
15
10.7
43.5
2,075.000
15
19.1
80.6
4,067,000
15
8.7
54.6
April
3,289,000
14.02
14.5
109.2
4,650,000
14.02
11.4
91.3
1,182,000
14.02
9.7
53.3
1.875,000
14.02
16.1
96.7
5,635,000
14.02
11.3
65.9
May
3,726,000
12.26
14.4
123.5
4,875,000
12.26
10.5
101.8
894,000
12.26
6.4
59.7
1,862,500
12.26
14.0
110.8
5,341,000
12.26
9.4
75.3
June
3,059,000
17.48
16.8
140.3
5,700,000
17.48
17.5
119.3
912,000
17.48
9.4
69.1
850,000
17.48
9.1
119.9
5,586,000
17.48
14.0
89.3
July
2,760,000
13.33
11.6
151.9
5.490,000
13.33
12.9
132.2
1,566,000
13.33
12.3
81.4
2,000,000
13.33
16.4
136.3
6,174,000
13.33
11.8
101.1
August
3,496,000
15.29
16.8
168.7
6,930,000
15.29
18-6
150.8
1,326,000
15.29
11.9
93.3
2,200,000
15.29
20-7
156.9
7,350,000
15.29
16.1
117.2
September
3,588,000
17.17
194,188.16,99
0000
17.17
211
171.9
1.140,000
17.17
11.5
104.8
2,037,500
17.17
21.5
178.4
5,365,500
17A7
13.2
130.4
October 2,369.000 21.49
168,070,000
21.49
305
202.3
1,254.000
21.49
15.8
120.6
1237500
21.49
16.3
194.7
7472500
2149
230
153.4
12 Month Floating PAN Load (Ibs/ac/yr):
20
202 3
120.6
194.7
1531
Annual PAN Load Limit (Ibs/ac/yr):
3
350 00
350.00
350.00
350.00
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3- of_�l
Permit No.: WQ 0000484
Facility Name: Mountaire Farms Inc.
County: Robeson
Month: October
Year: 2023
Field Name:
K
Field Narne:
L
Field Name:
M
Field Name:
N
Field Name:
O
Area (acres):
9.86
Area (acres):
24.94
Area (acres):
23.07
Area (acres):
7887
Area (acres):
19.9
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES Q NO
Field Loaded?
_ YES U NO
Field Loaded?
❑ YES ❑ NO
Field Loaded?
U YES U NO
Field Loaded?
❑ YES 0 NO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
m /L
g
Ibslac
Ibslac
gal
mg/L
Ibslac
Ibslac
November
1.232,500
14.13
14.7
14.7
2,457,000
14.13
11.6
11., 1,265,000
14.13
17.77
6.5
15.7
6.5
22.2
10,989.000
9,207.000
14 13
17.77
16.4
17.3
16A
337
2,460,000
2,340,000
14.13
17.77
14.6
17.4
14.6
32.0
December
1.207.000
17.77
18.1
32.9
1.833,000
17.77
109
22 2,447,500
32A 1,155.000
January
1,377,000
12.59
14.7
47.5
2,353,000
12.59
9.9
12.59
5.3
27.4
11,121.000
12.59
148
485
2,496,000
12.59
13.2
45.2
February
1.071,000
12.85
11.6
59.2
1.664,000
12.85
7.2
39.6
2,970.000
12.85
13.8
41.2
9.207,000
12.85
12.5
610
2,268,000
12.85
12.2
57.4
March
1.555,500
15
19.7
78.9
1,911,000
15
9.6
49.1
3,217,500
15
17A
58.7
10,362,000
15
16.4
77.5
2,700,000
15
17.0
74.4
April
1.207,000
14.02
14.3
93.2
2.249,000
14.02
10.5
59.7
3,135,000
14.02
15.9
74.6
11,715.000
14.02
17.4
94.8
2,784,000
14.02
16.4
90.7
May
867,000
12.26
9.0
102.2
2,301,000
12.26
9A
69.1
2,200,000
12.26
9.8
84.3
1 10,494,000
12.26
13.6
108.4
2,640,000
12.26
13.6
104.3
June
1.343,000
17.48
19.9
122.1
2,080,000
17.48
12.2
81.3
2,695,000
1.4
12,540,000
17.48
23.2
131.6
3,024,000
17.48
22.2
126.4
July
1,071,000
13.33
12.1
134.1
1,950,000
13.33
8.7
90.0
2.365,000
2.8
10,494,000
13.33
14.8
146.4
3,000,000
13.33
16.8
143.2
August
1,734,000
15.29
22.4
156.6
3,042,000
15.29
15.6
105.5
0
M19.
.8
12,342,000
15.29
20.0
166.4
3,528,000
15.29
22.6
165.8
September
1,309,000
17.17
19.0
175.6
2,717,000
17.17
15.6
121.1
1.457.500
1.8
13,134,000
17.17
23.8
1902
3,216,000
17.17
23.1
188.9
October
1,300,500
21.49
23.6
199.2
2,600,000
21.49
18.7
139.8
2,530,000
1.5
9,207,000
91.,
20.9
211.1
2,520,000
21.49
22.7
211.6
12 Month Floating PAN Load (Ibs/ac/yr):I 199.2
139.8 141.5
211.1 211.6
Annual PAN Load Limit (Ibs/ac/yr):l 350 350.00 JR 350.00 350.00 350.00
FORM: NDMLR 10-13
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page LV of
Permit No.:
WQ 0000484
Facility Name:
Mountaire Farms Inc.
County:
Robeson
Month:
October
Year:
2023
Field Name:
P
Field Name:
Q
Field Name:
R
Field Name:
S
Field Name:
T
Area (acres):
28.64
Area (acres):
238
Area (acres):
19.16
Area (acres):
1274
Area (acres):
6.25
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES
Q NO
Field Loaded?
I YES
[J rJ0
Field Loaded?
[I YES
E]NO
Field Loaded?
❑ YES
U NO
Field Loaded?
❑ YES
❑� NO
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibslac
gal
m /L
g
Ibslac
Ibslac
gal
mg/L
Ibs/ac
Ibslac
November
4,716,000
14.13
19.4
19.4
3,330,000
14.13
16.5
16.5
2,640,000
14.13
16.2
16.2
2,697,000
14.13
24.9
24.9
576,000
14.13
10.9
10.9
December
3.600,000
17.77
18.6
3&0
3,030.000
17.77
18.9
35.4
2.184,000
17.77
16.9
33.1
1,798.000
17.77
20.9
45.9
549,000
17.77
13.0
23.9
January
3,438,000
12.59
12.6
50.6
3,330,000
12.59
14.7
50-0
2.448.000
12.59
13.4
46.5
2,247,500
12.59
18.5
64.4
603,000
12.59
10.1
34.0
February
3,690,000
12.85
13.8
64.4
3,375.000
12.85
15.2
65.2
2,376,000
12.85
13.3
59.8
2,464,500
12.85
20.7
85,1
387,000
12.85
6.6
40.6
March
3,924,000
15
17.1
81.6
2,550.000
15
13.4
78.6
1,284.000
15
8.4
68.2
2,294,000
15
22.5
107.6
396,000
15
7.9
48.6
April
2.808.000
14.02
11.5
93.0
3.390.000
1402
167
953
2 568 000
1409
15 7
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sRa snn
lam
93 A
13 d
Q13 Snn
1d n9
17 1
RS 7
May
3,384,000
12.26
12.1
105.1
358,500
12.26
15
96.8
2,472,000
12.26
13.2
97.1
1.240,000
12.26
10.0
141.4
607,500
12.26
9.9
75.6
June
4,464,000
17.48
22.7
127.9
3,840,000
17.48
23.5
120.4
2,568,000
17.48
19.5
116.6
1,317,500
17.48
15.1
156A
873,000
17.48
20.4
96.0
July
2,736,000
13.33
10.6
138.5
3,480,000
13.33
16.3
136.6
2,784,000
13.33
16.2
132.8
1,612,000
13.33
14.1
170.5
729,000
13.33
13.0
108.9
August
4,590,000
15.29
20.4
158.9
3,945,000
15.29
21.1
157.8
3,564,000
15.29
23.7
156.5
2,495.500
15.29
25.0
195.5
778,500
15.29
15.9
124.8
September
4,824,000
17.17
24.1
183.0
3,615,000
17.17
21.8
179.5
2,640,000
17.17
19.7
176.2
2,805,500
17.17
31.5
227.0
499,500
17.17
11.4
136.3
October
3,870,000
21.49
24.2
207.2
3,465,000
1 21.49
261
205.6
2,316,000
21.49
21.7
1 197.9
713,000
1 21.49
10.0
237.0 11
580,500
1 21.49
16.6
152.9
12 Month Floating PAN Load (Ibslac/yr):1 207.2 205.E 0 197.9 237.0 152.9
Annual PAN Load Limit (Ibs/ac/yr):l 350 350.00 350.00 350.00 M M 350.00
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page � of F1
Permit No.: WQ 0000484
Facility Name: Mountaire Farms Inc.
County: Robeson
Month: October
Year: 2023
Field Name:
U
Field Name:
V
Field Name:
W
Field Name:
Xi
Field Name:
X2
Area (acres):
3.65
Area (acres):
14.7
Area (acres):
11.08
Area (acres):
25-83
Area (acres):
11.55
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES NO
Field Loaded?
❑ YES LINO
Field Loaded?
❑ YES 0 NO
Field Loaded?
YES ❑ NO
Field Loaded?
❑ YES L]NO
n
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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
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
November
270,000
14.13
8.7
8.7
2,584,000
14.13
20.7
20.7
2,280,000
14.13
24.2
24.2
3.399,000
14.13
15.5
15.5
1,493.500
14.13
15.2
15.2
December
126,000
17.77
5.1
13.8
1,292,000
17.77
130
33.7
1,110,000
17.77
14.8
39.1
3,036,000
17.77
17.4
32.9
1,334,000
17.77
17.1
32.4
January
310,500
12.59
8.9
22.8
2.771.000
12.59
198
535
2.745.000
12.59
26.0
65.1
2.706,000
12.59
11.0
43.9
1,189.000
12.59
10.8
43.2
February
207,000
12.85
6.1
28.8
2,278,000
12.85
16.6
70 1
1,860,000
12.85
18.0
83.1
3.366,000
12.85
14 0
57.9
1.508.000
12.85
14.0
57.2
March
144,000
15
4.9
33.8
1,326,000
15
11.3
81.4
870,000
15
9.8
92.9
7.029,000
15
340
91.9
2,726,000
15
29.5
86.7
April
193,500
14.02
6.2
40.0
3,791.000
14.02
30.2
111.6
2.835,000
14.02
29.9
122.8
1.188,000
14.02
5.4
97.3
522,000
14.02
5.3
92.0
May
229.500
12.26
6.4
46.4
3,604,000
12.26
25.1
136.6
2.460,000
12.26
22.7
145.5
2,805,000
12.26
11.1
108.4
1,522,500
12.26
13.5
105.4
June
263,250
17.48
10.5
56.9
2,057,000
17.48
20.4
157.0
1,665,000
17.48
21.9
167.4
3.234,000
17.48
18.3
126.7
1,421,000
17.48
17.9
123.4
July
207,000
13.33
6.3
63.2
1.768,000
13.33
13.4
170.4
900,000
13.33
9.0
176.5
3.498,000
13.33
15.1
141.7
1,276,000
13.33
12.3
135.7
August
315,000
15.29
11.0
74.2
2.737,000
15.29
23.7
194.2
0
15.29
0.0
176.5
2,904,000
15.29
14.3
156.1
1,276,000
15.29
14.1
149.8
September
261,000
17.17
10.2
84.5
2,720,000
17.17
26.5
220.7
930.000
17.17
12.0
188.5
4.323,000
17.17
24.0
1800
1.899,500
17.17
23.6
173.3
October 198,000 21.49
12 Month Floating PAN Load (Ibs/ac/yr):
9.7
94.2
94.2 408.000 21.49 5.0
225 6
225.6
2,040,000
21.49
33.0
221.5
221.5
2,574.000
21.49
17.9
197.9
197.9
11131,000 21.49
17.6
190.9
190.9
Annual PAN Load Limit (Ibs/ac/yr):
350
350.00
350.00
350.00
350.00
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page v of-\
Permit No.: WQ 0000484
Facility Name: Mountaire Farms Inc.
County: Robeson
Month: October
Year: 2023
Field Name:
Y
Field Name:
z
Field Name:
Field Name:
Field Name:
Area (acres):
3.21
Area (acres):
7,1
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Cover Crop:
Coastal/Oats
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑ YES i] NO
Field Loaded?
[ YES [_ NO
Field Loaded?
❑ YES EINO
Field Loaded?
❑ YES 0 NO
Field Loaded?
❑ YES 0 NO
¢LN
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>
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Month
gal
mg/L
Ibs/ac
Ibslac
1 gal
mg/L
Ibslac
Ibslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibslac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
November
157,500
14.13
5.8
5.8
14.13
14,13
14.13
17.77
14.13
17.77
December
345,000
17.77
15.9
21.7
17.77
17.77
January
307,500
12.59
10.1
31.8
12.59
12.59
12.59
12.59
February
322,500
12.85
10.8
42.5
12.85
12.85
12.85
12.85
March
536,250
15
20.9
63.4
15
15
15
15
April
135,000
14.02
4.9
68.4
14.02
14.02
14.02
14.02
May
311.250
12.26
9.9
78.3
12.26
12.26
12.26
12.26
June
367,500
17.48
16.7
95.0
17.48
17.48
17.48
17.48
July
330,000
13.33
11.4
106.4 1
13 33
1-4 az I
I
I
1� qz
August
330,000
15.29
13.1
119.5
15.29
15.29
15.29
15.29
September
412,500
17.17
18.4
137.9
17.J�d
17.17
1717
1717
October
225,000
21.49
12.6
150.5
21.
21.49
21.49
21.49
12 Month Floating PAN Load (Ibslac/yr):
150.5NJ
_�,�a
0 0
0.0
0.0
I 350.00
Annual PAN Load Limit (Ibs/ac/yr):I 350 350.00 I ( 350 001
f 00 Emma,I
FORM: NDMLR 10-13 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page rz of rl
Did the mass loading rates exceed the limits in Attachment B of your permit? El 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: Robert Jackson
Certification Number: 1008145
Grade: IV OIT Phone Number: 910-359-5275
Has the ORC changed since the previous NDMLR? ❑ Yes 0 No
v Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Mountaire Farms Inc
Signing Official:
David Kirby
Signing Official's Title: Senior Director of Processing
Phone No.: 910-359-5275 Permit Exp.: 9/30/30
11/1/23 J 11/1/23
Date Signature r Date
I certify, 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 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
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of
Permit No.: WQ0000484
Facility Name: Mountalre Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
A
Field Name:
B
Field Name:
C
Field Name:
D
facility?
Area (acres):
8.2
Area (acres):
6.75
Area (acres):
13.6
Area (acres):
3.5
at this
Cover Crop:
P:
Coastal/Rye e
Y
Cover P�
Coastal/Rye e
Y
Cover P:
Coastal/Rye e
Y
Cover P�
Coastal/Rye
Y e
YES ; no
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
78
Annual Rate (in):
78
Annual Rate (in):
78
Annual Rate (in):
78
Weather
Freeboard
Field Irrigated?
YES [, No
Field Irrigated?
L]' YES j j No
Field Irrigated?
YES NO
Field Irrigated?
[] YES 0 NO
T
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U
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�XE oca0
J
°F
a,
ft
ftv
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
90,000
600
0.40
0.04
90,000
600
0.49
0.05
360,000
600
0.97
0.10
3
C
83
8
4
C
81
8
5
C
82
8
6
CL
77
0.5
7
7
CL
75
7
8
C
68
7
9
C
74
7
72,000
480
0.32
0.04
72,000
480
0.39
0.05
10
C
82
7
396,000
660
1.07
0.10
11
CL
75
7
12
R
70
0.7
7
1
396,000
660
1.07
0.10
13
C
78
6
108,000
720
0.49
0.04
108.000
720
0.59
0.05
14
CL
77
6
15
C
67
6
16
C
64
6
17
C
69
6
18
C
71
6
19
C
74
6
20
R
75
0.25
6
21
C
70
6
22
C
73
6
23
C
69
6
24
C
73
6
81,000
540
0.36
0.04
81,000
540
0.44
0.05
25
C
79
6
99.000
660
0.44
0.04
396,000
660
1.07
0.10
26
C
80
6
67,500
450
0.37
0.05
27
C
82
6
94,500
630
0.42
0.04
94.500
630
0.52
0.05
378.000
630
1.02
0.10
28
C
86
6
29
C
85
6
30
C
86
6
31
C
60
6
Monthly Loading:
544,500
2.45
513.000
2.80
1,926,000
5.22
0
0.00
12 Month Floating Total (in):
31.48
43.46
60.10
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -.)--of_
Permit No.: WQ0000484
Facility Name: Mountaire Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
E
Field Name:
F
Field Name:
G
Field Name:
H
Area (acres):
4.7
Area (acres):
26.53
Area (acres):
47.489
Area (acres):
14.19
at this facility?
Cover Crop:Coastal/Rye
Y e
Cover Crop:
p�
Coastal/Rye e
Y
Cover Crop:
P�
Coastal/Rye e
Y
Cover Crop:
P�
Coastal/Rye
Y e
YES t10
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
91
Annual Rate (in):
91
Annual Rate (in):
91
Annual Rate (in):
91
Weather
Freeboard
Field Irrigated?
Yes NO
Field Irrigated?
YES ❑ rvo
Field Irrigated?
` Yrs No
Field Irrigated?
YES No
>
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°Q.
°F
in
ft
ft`
gal
min
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
144,000
720
0.37
003
3
C
83
8
660,000
660
0.51
0.05
4
C
81
8
368,000
480
0.51
0.06
600,000
600
0.47
0.05
5
C
82
8
6
CL
77
0.5
7
368,000
480
0.51
0.06
600.000
600
0.47
0.05
7
CL
75
1
1 7
8
C
68
7
9
C
74
7
368.000
480
0.51
0.06
660,000
660
0.51
0.05
132.000
660
0.34
0.03
10
C
82
7
11
CL
75
7
540,000
540
0.42
0.05
108,000
540
0.28
0.03
12
R
70
0.7
7
506,000
660
0.70
0.06
600,000
600
0.47
0.05
13
C
78
6
630,000
630
0.49
0.05
126.000
630
0.33
0.03
14
CL
77
6
15
C
67
6
16
C
64
6
660,000
660
0.51
0.05
132,000
660
0.34
0.03
17
C
69
6
181
C
1 71
1 6
1
1
1
540.000
540
0.42
1 0.05
108,000
540
0.28
0.03
19
C
74
6
20
R
75
0.25
6
600.000
600
0.47
0.05
21
C
70
6
22
C
73
6
23
C
69
6
241
C
73
6
414.000
540
0.57
0.06
660,000
660
0.51
0.05
132,000
660
0.34
0.03
25
C
79
6
26
C
80
6
345,000
450
0.48
0.06
600,000
600
0.47
0.05
120,000
600
0.31
0.03
27
C
82
6
28
C
86
6
720,000
720
0.56
0.05
144.000
720
0.37
0.03
29
C
85
6
30
C
86
6
108,000
540
0.28
0,03
311
C
60
6
Monthly Loading:
0
0.00
2,369,000
3.29
8,070.000
6.26
1.254,000
3.25
12 Month Floating Total (in):
A
0.00
59.49
57.08
34.58
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ' of
Permit No.: WQ0000484
Facility Name: Mountaire Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
I
Field Name:
J
Field Name:
K
Field Name:
L
Area (acres):
13.58
Area (acres):
58.22
Area (acres):
9.76
Area (acres):
24.94
at this facility?
Cover Crop:Coastal/Rye
Y e
Cover Crop:
p�
Coastal/Rye e
Y
P-
Cover Crop:
Coastal/Rye e
Y
Cover Crop:
P�
Coastal/Rye
Y e
YES (_] No
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
91
Annual Rate (in):
91
Annual Rate (in):
91
Annual Rate (in):
91
Weather
Freeboard
Field Irrigated?
YES No
Field Irrigated?
Yes NO
Field Irrigated?
YES NO
Field Irrigated?
YES NO
T
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in
ft
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min
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gal
min
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in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
588.000
720
0.37
0.03
312,000
720
0.46
0.04
3
C
83
8
187,000
660
0.71
0.06
4
C
81
8
200,000
480
0.54
0.07
490,000
600
0.31
0.03
5
C
82
8
6
CL
77
0.5
7
200,000
480
0.54
0.07
490,000
600
0.31
0.03
7
CL
75
7
8
C
68
7
9
C
74
7
187,000
660
0.71
0.06
10
C
82
7
275,000
660
0.75
0.07
588,000
720
0.37
0.03
312,000
720
0.46
0.04
11
CL
75
7
441,000
540
0.28
0.03
12
R
70
0.7
7
490,000
600
0.31
0.03
260,000
600
0.38
0.04
13
C
78
6
300,000
720
0.81
0.07
514,500
630
0.33
0.03
178,500
630
0.67
0.06
14
CL
77
6
151
C
67
1 6
16
C
64
6
539,000
660
0.34
0.03
17
C
69
6
637,000
780
0.40
0.03
221,000
780
0.83
0.06
338,000
780
0.50
0.04
18
C
71
6
19
C
74
6
490,000
600
0.31
0.03
260,000
600
0.38
0.04
20
R
75
0.25
6
170,000
600
0.64
0.06
21
C
70
6
22
C
73
6
23
C
69
6
588.000
720
0.37
0.03
24
C
73
6
286.000
660
0.42
0.04
25
C
79
6
26
C
80
6
27
C
82
6
262,500
630
0.71
0.07
539,000
660
0.34
0.03
187,000
660
0.71
0.06
286,000
660
0.42
0.04
28
C
86
6
588,000
720
0.37
0.03
312,000
720
0.46
0.04
29
C
85
6
30
C
86
6
234.000
540
0.35
0.04
31
C
60
6
490,000
600
0.31
0.03
170,000
600
0,64
0.06
Monthly Loading:
1,237,500
3.36
7,472,500
4.73
1,300,500
4.91
2,600,000
3.84
40,35
12 Month Floating Total (in):
57.19
43.69
1
1
57.88
_., _
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I -A of , j
Permit No.: WQ0000484
Facility Name: Mountalre Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
M
Field Name:
N
Field Name:
O
Field Name:
P
this facility?
Area (acres):
23.07
Area (acres):
78.87
Area (acres):
19.9
Area (acres):
28.64
at
Cover Crop:Coastal/Rye
Y e
Cover Crop:
P�
Coastal/Rye e
Y
Cover Crop:
p�
Coastal/Rye e
Y
Cover Crop:
P�
e
Coastal/Rye
Y
'IYES
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
52
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Weather
Freeboard
Field Irrigated?
, -' Y1 s , NO
Field Irrigated?
M YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
. 'YES I NO
t
E
C:
°
a a
N�c
"
d a
ED
>
m
~E
1
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'
E
=
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i
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E rn
-
E
M 2
Ed
i Q
~
O
E o)
=
ET
-6 CL
J Q
~
E
�E c�
-'
E
=_
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
627,000
570
0.29
0,03
228.000
570
0.42
0.04
3
C
83
8
594,000
540
0.28
0.03
4
C
81
8
528,000
480
0.25
0.03
288,000
480
0.37
0.05
5
C
82
8
6
CL
77
0.5
7
792,000
720
0.37
0.03
288,000
720
0.53
0.04 1
432,000
720
0.56
0-05
7
CL
75
7
8
C
68
7
9
C
74
17
10
C
82
7
660,000
720
1.05
0.09
264,000
660
0.49
0.04
11
CL
75
7
858.000
780
0.40
0.03
468,000
780
0.60
0.05
12
R
70
0.7
7
131
C
78
6
561,000
510
0.26
0.03
204,000
510
0.38
0.04
141
CL
77
6
15
C
67
6
16
C
64
6
360.000
900
0.67
0.04
540,000
900
0.69
0.05
17
C
69
6
715,000
780
1.14
0.09
792,000
720
0.37
0.03
18
C
71
6
726,000
660
0.34
0.03
264.000
660
0.49
0.04
396,000
660
0.51
0.05
19
C
74
6
201
R
75
0.25
6
726,000
660
0.34
0.03
396,000
660
0.51
0.05
21
C
70
6
22
C
73
6
23
C
1 69
1
6
660,000
720
1,05
0.09
1
1
288,000
1 720
0.53
0.04
24
C 1
73
6
792,000
720
0.37
0.03
432,000
720
0.56
0.05
25
C
79
6
726,000
660
0.34
0.03
264,000
660
0.49
0.04
26
C
80
6
27
C
82
6
693,000
630
0.32
0.03
378,000
630
0.49
0,05
28
C
86
6
792,000
720
0.37
0.03
29
C
85
6
30
C
86
6
495,000
540
0.79
0.09
311
C
60
6
360,000
900
0.67
0.04
540,000
900
0.69
0.05
Monthly Loading:
2,530,000
4.04
9,207,000
4.30
2,520,000
4.66
3,870,000
4.98
12 Month Floating Total (in):
40.61
61.08
61.03
59.21
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page `- of
Permit No.: W00000484
Facility Name: Mountaire Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
Q
Field Name:
R
Field Name:
S
Field Name:
T
Area (acres):
23.8
Area (acres):
19.16
Area (acres):
12.74
Area (acres):
6.25
at this facility?
Cover Crop:Coastal/Rye
Y e
Cover Crop:
P�
Coastal/Rye e
Y
Cover Crop:
P�
Coastal/Rye e
Y
Cover Crop:
P�
e
Coastal/Rye
Y
YES fjo
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Weather
Freeboard
Field Irrigated?
Yi s NO
Field Irrigated?
YES ` NO
Field Irrigated?
I YES NO
Field Irrigated?
I,] YES NO
0
0
c
°
Q
o
y m
v
',
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rn
o
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Ee T c
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=
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•
rn
M
J
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T m
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=JE
F
in
ft
ftv
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
285,000
570
0.44
0.05
228,000
570
0.44
0.05
85,500
570
0.50
0.05
3
C
83
8
4
C
81
8
240,000
480
0.37
0.05
72,000
480
0.42
0.05
5
C
82
8
6
CL
77
0.5
7
360,000
720
0.56
0.05
288,000
720
0.55
0.05
7
CL
75
7
8
C
68
7
9
C
74
7
10
C
82
7
330,000
660
0.51
0.05
264,000
660
0.51
0.05
11
CL
75
7
12
R
70
0.7
7
13
C
78
6
14
CL
77
6
15
C
67
6
16
C
64
6
450,000
900
0.70
0.05
360,000
900
Q69
0.05
17
C
69
6
108,000
720
0.64
0.05
18
C
71
6
330,000
660
0.51
0.05
264.000
660
0.51
0.05
19
C
74
6
20
R
75
0.25
6
330.000
660
0.51
0.05
99,000
660
0.58
0.05
21
C
70
6
22
C
73
6
23
C
69
6
360,000
720
0.56
0.05
288,000
720
0.55
0.05
24
C
73
6
108,000
720
0.64
0.05
25
C
79
6
330.000
660
0.51
0.05
264,000
660
0.51
0.05
341,000
660
0.99
0.09
26
C
80
6
27
C
82
6
28
C
86
6
372,000
720
1.08
0.09
108,000
720
0.64
0.05
29
C
85
6
30
C
86
6
31
C
60
6
450.000
900
0.70
0.05
360,000
900
0.69
0.05
Monthly Loading:
3.465.000
5.36
2,316,000
4.45
713,000
2.06
580,500
3.42
12 Month Floating Total (in):
64.65
57,37
70.17
1
44.15
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page L of 3
Permit No.: VVQ0000484
Facility Name: Mountalre Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
U
Field Name:
V
Field Name:
W
Field Name:
X1
facility?
Area (acres):
3.65
Area (acres):
14.7
Area (acres):
11.08
Area (acres):
25.83
at this
Cover Crop:
P�
Coastal/Rye e
Y
Cover P�
Coastal/Rye e
Y
Cover P�
Coastal/Rye e
Y
Cover p�
e
Coastal/Rye
Y
YES ( ] w
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Weather
Freeboard
Field Irrigated?
YES _I NO
Field Irrigated?
0 YES NO
Field Irrigated?
Yes NO
Field Irrigated?
l YES NO
T
o
a
U
rE
a�i
y
(6
Q
F
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d
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7 �' C
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c0 = J
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°
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-
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T .0
= a
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=
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7 C
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J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
I in
in I
gal
min in
in
1
C
81
8
2
C
84
8
3
C
83
8
40,500
540
0.41
0.05
4
C
81
8
240,000
480
0.80
010
5
C
82
8
792,000
720
1.13
0.09
6
CL
77
0.5
7
7
CL
75
7
8
C
68
7
9
C
74
7
10
C
82
7
11
CL
75
7
390,000
780
1.30
0.10
12
R
70
0.7
7
131
C
78
1 6
594,000
540
0.85
0.09
14
CL
77
6
15
C
67
6
16
C
64
6
17
C
69
6
360,000
720
1,20
0.10
18
C
71
6
19
C
74
6
594,000
540
0.85
0.09
20
R
75
0.25
6
49,500
660
0.50
0.05
330.000
660
1.10
0.10
21
C
70
6
22
C
73
6
23
C
69
6
54,000
720
0.54
0.05
24
C
73
6
360,000
720
1.20
0.10
25
C
79
6
26
C
80
6
594.000
540
0.85
0.09
27
C
82
6
28
C
86
6
54,000
720
0.54
0.05
408,000
1 720
1.02
0.09
360,000
720
1.20
0.10
29
C
85
6
30
C
86
6
311
C
1 60
1
1 6
Monthly Loading:
198,000
2.00
408,000
1.02
2.040.000
6.78
2.574.000
3.67
12 Month Floating Total (in):
27.49
68.49
65.47
57.12
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: W00000484
Facility Name: Mountaire Farms Inc
County: Robeson
Month: October
Year: 2023
Did irrigation occur
Field Name:
X2
Field Name:
Y
Field Name:
Z
Field Name:
this facility?
Area (acres):
11.55
Area (acres):
3.21
Area (acres):
7.1
Area (acres):
at
Cover Crop:
P�
Coastal/Rye e
Y
Cover p�
Coastal/Rye e
Y
Cover P�
Coastal/Rye e
Y
Cover P�
e
Coastal/Rye
Y
YES wo
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Annual Rate (in):
86
Weather
Freeboard
Field Irrigated?
[] YES j NO
Field Irrigated?
' YES NO
Field Irrigated?
I YES No
Field Irrigated?
YES !NO
CL
C
W
m d
U
N
E 0
a
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E
~
@
O0
E
=E
d 'Oa
E C
a-
>
T_
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7a C
EE
M=
J
E d
> Q
T C
:
EETv
C
=
J
E dI
~y
-
J
E�E T� .orn
C J
=
°F
in
ft
ft
gal
min
in
in
gal
I min
in
in
gal
min
in
in
gal
min
in
in
1
C
81
8
2
C
84
8
3
C
83
8
4
C
81
8
5
C
82
8
348,000
720
1.11
0.09
90,000
720
1.03
0.09
6
CL
77
0.5
7
7
CL
75
7
8
C
68
7
9
C
74
7
10
C
82
7
11
CL
75
7
12
R
70
0.7
7
13
C
78
6
261.000
540
0.83
0.09
67.500
540
0.77
0.09
141
CL
77
6
15
C
67
6
16
C
64
6
17
C
69
6
18
C
71
6
19
C
74
6
261,000
540
0.83
0.09
67.500
540
0.77
0.09
20
R
75
0.25
6
21
C
70
6
22
C
73
6
23
C
69
6
24
C
73
6
25
C
79
6
26
C
80
6
261,000
540
0.83
0.09
27
C
82
6
28
C
86
6
29
C
85
6
301
C
86
6
311
C 1
60 1
1
6
Monthly Loading:
1.131,0001
1
3.61
225.000
2.58
0
0.00
0
0.00
12 Month Floating Total (in):
54.83
43.37
0.00
0.00
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page IF
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? QCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? El 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
Permittee Certification
ORC: Robert Jackson
Permittee:
Mountaire Farms
Certification No.: 1008145
Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275
Signing Officials Title: Senior Director Of Processing
Has the ORC changed since the previous NDAR-1? Yes [] No
Phone Number: 910-359-5275 Permit Exp.: 9/30/30
11 /1 /23
11 /1 /23
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 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
Raleigh, North Carolina 27699-1617
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page l of
Permit No.: W00000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 001
Flow Measuring Point: Influent Fffl.ient No tlor: generated
Parameter Monitoring Point: In(we,t ,-_. Effuent ' J Groundwater Lowering Suria.e :Y aer
Parameter Code -►
50050
00400
00927
00310
00610
00530
31616
00625
00620
01051
01027
00665
00929
00916
01067
01092
c9
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d
U F
O
C
O
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H�
U
O
3
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o Z
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z
�
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@
0
V)
2
O Q
O
a
O
v
O
z
N
24-hr
hrs
GPD
su
mglL
mg/L
mglL
mglL
#1100 mL
mglL
mg/L
mg/L
mg/L
mg/L
mglL
rnglL
mglL
mglL
1
330,000
2
0630
10
2,630,000
7.2
3
0630
10
2,680,000
7.2
4
0630
10
2,830.000
T5
5
0630
10
2.820.000
7.4
4.89
14.8
37.8
16
9600
39.4
1 0.888
<0.001
<0.001
0.644
181
4.62
0.0115
0.00282
6
0630
10
3,050,000
7.3
7
0800
4
580,000
8
210,000
9
0630
10
2,470,000
7.3
10
0630
10
2.850,000
6.9
11
0630
10
2.960.000
7.2
12
0630
10
3.200,000
6.8
11
36.1
24
4500
43.4
3.36
0.701
13
0630
10
2,920,000
6.8
14
0800
4
340,000
15
370,000
16
0630
10
2,630,000
7.4
17
0630
10
2,820,000
7.2
18
0630
10
2,880,000
7.4
19
0630
10
2,810,000
7.2
201
0630
10
3,010,000
6.9
21
0800
4
280.000
22
420.000
23
0630
10
2,690,000
6.9
24
0630
10
2,760,000
6.8
25
0630
10
2,910,000
6.6
261
0630
10
2,750,000
7.2
27
0630
10
2,890,000
7.2.
28
0800
4
210,000
29
330,000
30
0630
10
2,690,000
7.2
31
0630
10
2,830,000
6.9
Average:
2.101,613
4.89
12.90
36.95
20.00
6.572.67
41.40
2.12
0.00
0.00
0.67
181.00
4.62
0.01
0.00
Daily Maximum:
3.200,000
7.50
4.89
14.80
37.80
24.00
9,600.00
43.40
3.36
0.00
0.00
0.70
181.00
4.62
0.01
0.00
Daily Minimum:
210,000
6.60
4.89
11.00
36.10
16.00
4,500.00
39.40
0.89
0.00
0.00
0.64
181.00
4.62
0.01
0.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous I
5xWeekly I
Monthly I
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
Monthly
Monthly
2xMonthly
Monthly
Monthly
Monthly
Monthly
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: VVQ0000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent 0 Effluent ❑ Groundwater Lowering ❑ Surface Neater
Parameter Code -►
50050
01042
00931
WQ09
70300
50060
00940
00600
w
O
c
O
F
W
O
CJ
a
U
c
E o 2
�o o (o
to Q
G c
N
Q 2
G N
0
O
� m
C
0 0
0: U
m
U
`o
U
c
a)
0 0
Z
24-hr
hrs
GPD
mglL
Ratio
I mglL
mglL
mglL
mglL
mglL
1
330,000
2
0630
10
2.630,000
0.57
3
0630
10
2,680,000
0.19
4
0630
10
2.830,000
0.3
5
0630
10
2.820,000
0,00437
13.8
20.11
0.3
40.3
6
0630
10
3.050,000
0.65
7
0800
4
580,000
0
8
210,000
0
9
0630
10
2,470,000
0.58
10
0630
10
2,850,000
0.52
11
0630
10
2,960,000
0.95
12
0630
10
3,200,000
22.7
0.47
46.8
13
0630
10
2,920,000
0
_
141
0800
4
340,000
0
15
370,000
0
16
0630
10
2,630,000
0
17
0630
10
2,820,000
0.51
18
0630
10
2,880,000
0.9
19
0630
10
2,810,000
0.28
201
0630
10
3,010,000
0.68
21
0800
4
280,000
0
22
420,000
0
23
0630
10
2,690.000
0.43
24
0630
10
2,760,000
0.73
25
0630
10
2,910,000
0.2
261
0630
10
2,750,000
0
27
0630
10
2.890,000
0
28
0800
4
210,000
0
29
330,000
0
30
0630
10
2.690,000
0.33
31
0630
10
2,830,000
0.82
Average:
#REF!
#REF!
13.80
21.41
0.31
43.55
Daily Maximum:
#REF!
#REF!
13.80
22.70
0.95
46.80
Daily Minimum:
#REF!
#REF!
13.80
20.11
0.00
40.30
Sampling Type:
Recorder
Grab
Calculated
Calculated
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
Monthly
Monthly
2xMonthly
3xYearly
SxWeeh
3xYear
2x fvlonth
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ I of
Sampling Person(s)
Name: Robert Jackson
Name: Joshua Simmons
Name: Cameron Testing
Name: TBL
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? U 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: Robert Jackson Permittee: Mountaire Farms
Certification No.: 1008145 Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275 Signing Official's Title: Senior Director of Processing
Has the ORC changed since the previous NDMR? Ji yes Elj No Phone Number: 910-359-5275 Permit Expiration: 9/30/2030
"i Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
11/1/2023 {v 11/1/2023
Date 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
Raleigh, North Carolina 27699-1617
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of ;—;,
Permit No.: WQ0000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 002
Flow Measuring Point: J Innuent , ,Effluent ] No flow generated
Parameter Monitoring Point: Influent I Effluent ❑ Groundwater Lov.ennq ❑ surface water
Parameter Code —►
50050
00400
00927
00310
00610
00530
31616
00625
00620
01051
01027
00665
00929
00916
01067
01092
>
E
0
O
c
O
E m
I— in
U
�
O
3
°
=
a
E
N
c
�
p
O
o
E
E
Q
o
U
m �°
o a .o
~ N N
°
N
£
m°
=
LL 0
U
c
a m
Y o
'-'
R Z
O
F
—1
Z
D
ce
J
'
E
D
ro
U
a t
o a
H 0
o
n=.
v
O
6
c9
Y
°
Z
c
N
24-hr
hrs
GPD
su
mglL
mglL
mglL
mg1L
#/100 mL
mglL
mg/L
mglL
mg/L
mglL
mglL
mg/L
mg1L
mglL
1
330,000
2
0630
10
2,630,000
7.2
3
0630
10
2,680,000
7.2
4
0630
10
2,830,000
7.5
5
0630
10
2,820,000
7.4
6
0630
10
3,050,000
7.3
7
0800
4
580,000
8
210,000
9
0630
10
2,470,000
7.3
10
0630
10
2,850,000
6.9
11
0630
10
2,960,000
7.2
12
0630
10
3,200,000
6.8
13
0630
10
2,920.000
6.8
14
0800
4
340,000
15
370,000
16
0630
10
2,630,000
7.4
17
0630
10
2,820.000
7.2
18
0630
10
2,880.000
7.4
19
0630
10
2,810,000
7.2
20
0630
10
3,010,000
6.9
21
0800
4
280,000
221
420,000
23
0630
10
2,690,000
6.9
24
0630
10
2,760,000
6.8
25
0630
10
2,910,000
6.6
26
0630
10
2,750,000
7.2
27
0630
10
2,890.000
7.2.
281
0800
4
210,000
29
330,000
30
0630
10
2,690,000
7.2
31
0630
10
2,830,000
6.9
Average:
2,101,613
Daily Maximum:
3.200,000
7.50
Daily Minimum:
210,000
6.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
5xWeekly
Monthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
Monthly
Monthly
2xMonthly
Monthly
Monthly
Monthly
Monthly
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2,_of
Sampling Person(s)
Name: Robert Jackson
Name: Joshua Simmons
Name: Cameron Testing
Name: TBL
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Robert Jackson Permittee: Mountaire Farms
Certification No.: 1008145 Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275 Signing Official's Title: Senior Director of Processing
Has the ORC changed since the previous NDMR? ❑ Yes 0 No Phone Number: 910-359-5275 Permit Expiration: 9/30/2030
\J 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 Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ) of
Permit No.: WQ0000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 003
Flow Measuring Point: ]Influent LJ Effluent n No flow generated
Parameter Monitoring Point: ❑ Infuent ❑� Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code -►
50050
00400
00927
00310
00610
00530
31616
00625
00620
01051
01027
00665
00929
00916
01067
01092
~U
Q
O
C
E
U
U
0
°
LL3
=
E
F
c
O
ca
p
E
E
Q
'D
'O
o
=(0
vl
9 °
-
U_
`4 c
.LA Z
p7
o
a
J
E
E
U
NO
N
r
a
7
E
U
mP
U
ZY°
U
N
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
1 #/100 mL
mg/L
mg/L
mg/L
mg/L
tng/L
mg/L
mg/L
mg/L
mg/L
1
4,900
2
0630
10
29.500
7.2
3
0630
10
31,600
7.2
4
0630
10
32,00n
7.5
5
0630
10
31110"
7.4
6
0630
10
32,100
7.3
7
0800
4
10,700
8
3,200
9
0630
10
30,000
7.3
10
0630
10
27,800
6.9
11
0630
10
28,100
7.2
12
0630
10
30,200
6.8
131
0630
10
27,600
6.8
14
0800
4
9,800
15
5,500
16
0630
10
26,600
7.4
17
0630
10
28,700
7.2
18
0630
10
27,800
7.4
191
0630
1 10
28,000
7.2
20
0630
10
27,700
6.9
21
0800
4
10,600
22
3,600
23
0630
10
32,000
6.9
24
0630
10
22,800
6.8
25
0630
10
28,100
6.6
26
0630
10
29,400
7.2
27
0630
10
25,500
7.2.
28
0800
4
10,700
291
3,200
30
0630
10
26,400
7.2
311
0630
10
26,800
6.9
Average:
22,323
Daily Maximum:
32,100
7.50
Daily Minimum:
3,200
6.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
5WJeekly
Monthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xr,lonthly
2xMonthly
Monthly
Monthly
2xL1 cthly
Monthly
rvlonthly
Monthly
Monthly
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pageof�
Sampling Person(s)
Name: Robert Jackson
Name: Joshua Simmons
Name: Cameron Testing
Name: TBL
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? El 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: Robert Jackson Permittee: Mountaire Farms
Certification No.: 1008145 Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275 Signing Officials Title: Senior Director of Processing
Has the ORC changed since the previous NDMR? ❑ Yes Ej No Phone Number: 910-359-5275 Permit Expiration: 9/30/2030
�J Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
11 /1 /2023 11 /1 /2023
Date 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
11 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 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of_,�_
Permit No.: WQ0000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 004
Flow Measuring Point: J Influent Effluent [ 1 No flow generated
Parameter Monitoring Point: [ 1 influent [ I Effluent J Groundwater Lowerino [ Surface water
Parameter Code —►
50050
00400
00927
00310
00610
00530
31616
00625
00620
01051
01027
00665
00929
00916
01067
01092
ca
`
U F
O
C
0
E
U
of
O
°
?
c
m
LO
O
on
o
E
Q
0
Q O
Uli
0)U
o
L
d
Y
~ o
lc�
'
Z
J
E
p—
W
°°
16CL
LO
°
a
p
U)
U@
Zw
NU
24-hr
hrs
GPD
su
mg/L
rng/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
trig/L
mg/L
mg/L
mg/L
mg/L
1
9,336
2
0630
10
19,635
T2
3
0630
10
8,560
7.2
4
0630
10
9,143
7.5
5
0630
10
11,438
7.4
6
0630
10
13,759
7.3
7
0800
4
14,159
8
57,499
9
0630
10
22,869
7.3
10
0630
10
33,214
6.9
11
0630
10
75,325
7.2
12
0630
10
109,021
6.8
13
0630
10
49,041
6.8
14
0800
4
0
15
62,451
16
0630
10
22.753
7.4
17
0630
10
266
7.2
18
0630
10
36.952
7.4
19
0630
10
15,000
7.2
20
0630
10
14,486
6.9
21
0800
4
0
22
0
23
0630
10
11.120
6.9
24
0630
10
11,072
6.8
25
0630
10
18,765
6.6
261
0630
1 10
33.814
7.2
27
0630
10
45.875
7.2.
28
0800
4
0
29
125,696
30
0630
10
57,771
7.2
31
0630
10
0
6.9
Average:
28,678
Daily Maximum:
125,696
7.50
Daily Minimum:
0
6.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
5xWeekly
Monthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
Monthly
Monthly
2xroonthly
Monthly
Monthly
Monthly
Monthly
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2- of
Sampling Person(s) Certified Laboratories
Name: Robert Jackson Name: Cameron Testing
Name: Joshua Simmons Name: TBL
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: Robert Jackson Permittee: Mountaire Farms
Certification No.: 1008145 Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275 Signing Officials Title: Senior Director of Processing
Has the ORC changed since the previous NDMR? ❑ Yes 21 No Phone Number: 910-359-5275 Permit Expiration: 9/30/2030
`J Signature
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
11/1/2023 11/1/2023
Date tgnature 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
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of 3
Permit No.: WQ0000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 005 TFlow
Measuring Point: I Influent _ Effluent NO no ,generated
Parameter Monitoring Point:❑! Influent ❑Effluent ❑Groundwater Lowering Su face t'dater
Parameter Code -►
50050
00400
00927
00310
00610
00530
31616
00625
00620
01051
01027
00665
00929
00916
01067
01092
E
O
c
i
n
U
O
°
u
E
n
ca
O
E
EF
Q
°N
a Q
j(n��
rn
L
6 C
2
o
�
E
E
U
NO
a
o
La
>
o
>z°
G
U
YE
z
c
NQ
24-hr
hrs
GPD
su
mg/L
rng/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg1L
mg/L
mg/L
rnglL
mg/L
mg/L
1
330,000
2
0630
10
2,630,000
7.2
3
0630
10
2,680,000
7.2
4
0630
10
2,830,000
7.5
5
0630
10
2,820,000
7.4
<2.0
0
20
0.211
62.3
<0.001
<0.001
0.056
124
12
0.00113
0.0119
6
0630
10
3,050,000
7.3
7
0800
4
580,000
8
210,000
9
0630
10
2,470,000
7.3
10
0630
10
2,850,000
6.9
11
0630
10
2,960,000
7.2
12
0630
10
3,200,000
6.8
13
0630
10
2,920,000
6.8
14
0800
4
340,000
15
370,000
16
0630
10
2,630,000
7.4
17
0630
10
2,820,000
7.2
18
0630
10
2,880,000
7.4
191
0630
10
2.810,000
7.2
20
0630
10
3.010,000
6.9
21
0800
4
280,000
22
420,000
23
0630
10
2,690,000
6.9
24
0630
10
2,760,000
6.8
251
0630
10
2,910.000
6.6
26
0630
10
2,750,000
7.2
27
0630
10 1
2,890,000
7.2.
28
0800
4
210,000
29
330,000
30
0630
10
2,690,000
7.2
311
0630
10
2,830,000
6.9
Average:
2,101,613
0.00
0.00
20.00
0.21
62.30
0.00
0.00
0.06
124.00
12.00
0.00
0.01
Daily Maximum:
3,200,000
7.50
2.00
0.10
20.00
0.21
62.30
0.00
0.00
0.06
124.00
12.00
0.00
0.01
Daily Minimum:
210,000
6.60
2.00
0.10
20.00
0.21
62.30
0.00
0.00
0.06
124.00
12.00
0.00
0.01
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
5xWeekly
Monthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
2xMonthly
Monthly
Monthly
2xMonthly
Monthly
Monthly
Monthly
Monthly
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page - of -:�_
Permit No.: VV00000484
Facility Name: Mountaire Farms
County: Robeson
Month: October
Year: 2023
PPI: 005
Flow Measuring Point: _ infl.;ent [_J Effluent No Flor+generated
Parameter Monitoring Point: ❑ Influent L_� Effluent [_j Groundwater towering LI Surface Water
Parameter Code --►
50050
01042
00931
WQ09
70300
50060
00940
00600
Ttp
@
E
'(j F0-
c
O
G
E
- (n
O
O
lL
O-
O
C
'O
O
N
Q
O
ru C
L O
co
>
Z
C, In
76Q
p N 6
F, OC
O p
- C) I--
Qf U
'0O
p
L
UO
.fCE
f6
J.
D O
F—
Z
24-hr
hrs
GPD
mg/L
Ratio
I mg/L
mg/L
mg/L
I mg/L
rng/L
1
330.000
2
0630
10
2,630,000
3
0630
10
2,680,000
4
0630
10
2,830,000
5
0630
10
2,820.000
<0.001
62.5
6
0630
10
3,050,000
7
0800
4
580,000
8
210.000
9
0630
10
2,470,000
10
0630
10
2,850,000
11
0630
10
2,960,000
12
0630
10
3,200,000
13
0630
10
2,920,000
14
0800
4
340.000
15
370,000
16
0630
10
2,630,000
17
0630
10
2.820,000
18
0630
10
2.880,000
19
0630
10
2,810,000
20
0630
10
3,010,000
21
0800
4
280,000
221
420.000
23
0630
10
2,690,000
24
0630
10
2,760,000
25
0630
10
2,910,000
26
0630
10
2,750,000
27
0630
10
2,890.000
28
0800
4
210,000
291
330.000
30
0630
10
2,690.000
311
0630
10
2.830,000
Average:
#REF!
#REF!
62.50
Daily Maximum:
#REF!
#REF!
62.50
Daily Minimum:
#REF!
#REF!
62.50
Sampling Type:
Recorder
Grab
Calculated
Calculated
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
2,550,000
Sample Frequency:
Continuous
Monthly
Monthly
2xMonthly
3xYearly
5xWeek
3xYear
2x Month
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pageof
Sampling Person(s) Certified Laboratories
Name: Robert Jackson Name: Cameron Testing
Name: Joshua Simmons Name: TBL
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2] 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: Robert Jackson
Permittee: Mountaire Farms
Certification No.: 1008145
Signing Official: David Kirby
Grade: IV OIT Phone Number: 910-359-5275
Signing Officials Title: Senior Director of Processing
Has the ORC changed since the previous NDMR? LJ Yes ❑Q No
Phone Number: 910-359-5275 Permit Expiration: 9/30/2030
/1 /2023
ZD11 11 /1 /2023
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 complele. 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