HomeMy WebLinkAboutWQ0005681_Monitoring - 02-2024_20240322Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * February
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:* 2024
Upload Document*
Staley Report.pdf 652.82KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
daniel.shaw@pilgrims.com
Daniel Shaw
Reviewer: Wanda.Gerald
3/22/2024
This will be filled in automatically
Is the project number correct?* W00005681
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 3/26/2024
FORM: NDARA 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 1 01 �
Permit No.: W00005681
Facility Name: 0 County: Randolph
Month: February
Year: 2024
Did irrigation occur
Field Name:
1
Field Name:
Field Name:
Field Name:
at this facility?
Area (acres):
8,27
Area (acres):
Area (acres):
Area (acres);
Cover
Crop.-
Cover p:
Cover Crop:
Cover Crop:
0 YES ❑ No
Hourly Rete,(In):
0.3
Hourly Rate (in): Hourly. Rate (In):
Hourly Rate (in):
Annual RWte (in):
35.88
Annual Rate (in): Annual Rate On):
Annual Rate (In):
Weather Freeboard
Field irrigated?
EYES ❑ No
Field Irrigated? ❑ YES ❑ No Field Irrigated;<
❑ YEs Q No
Field Irrigated?
❑ YES ❑ No
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Total
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19.97
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?
❑� Compliant
❑ Non -Compliant
❑✓ Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
Q✓ Compliant
❑ Non -Compliant
❑J 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/W W4 Phone Number: 919-895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes P1 No Phone Number: 9198953455 Permit Exp.: 11/30/26
r
Signature Date Signature Date
By tNs signature, f certify that this report is accurrale 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
wile 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 impnsorvnenl 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 S_
Permit No.: w011 .'
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __q_ of _5,__
Permit No.; Q111 .:
• •- Randolph
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Daily Maximum:'
Daily Minimum:,
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page - 5_ of S
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? I] 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 El No Phone Number: 9198953455 Permit Expiration: 11 /30/2026
F
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 diredion 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 personsdirecdy 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