WQ0005681_Monitoring - 01-2024_20240223

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * January
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.pdf 618.04KB
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
2/23/2024
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: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of
Permit No.: W00005681
Facility Name: Pilgrim's Corporation - Staley
County: Randolph Month: January
Year: 2024
Did irrigation occur
at this facility?
❑ YES ❑ NO
Field Name:
1
Field Name:
Field Name:
Field Name:
Area .(acres):
6.27
Area (acres):
Area (acres_):
Area (acres):
Co Crop,:
� P�
Cover Crop:
p�
Cover Crop:.
p:,
Cover Crop,
p:
Hourly Ra4o #0):
0.3
Hourly Rate (in):
Hourly Hate (in):
Hourly Rate (in):
Ann ' -us) Rate (1n)6
35.88
Annual Rate (in):
Annual Hate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
j] YES ❑ NO
Field Irrigated?
[] YES 0 No
Field Irrigated?
DYES n NO
Field Irrigated?
❑ YES [2] No
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Monthly
Loading:
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12 Month Floating Total (in):
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page __z of __
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
21 Compliant ❑ Nan -Compliant
❑✓ Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ Not -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-f? ❑ yes 0 No
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
kL�/, 7-22-4
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 evatualed the information submitted. Based on my
nquiry of the person or persons who manage the system, or those persons directly responsible for gathering the informal=, 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 iMormation, 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 9
Permit No.: •111 .:
• •c
•• •
1
l i
!iInfluent■Effluent■No flow generatedParameter
■ p _ ■ ■
-
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1 1 r --
t l'
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r 1.!/
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1 1. 1
1 1: r 1
1 1• 1 1
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I r•
r 1.' .:
1 1 1
•
•
laily Maximum:
----------

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page CA of 5
Permit No.: •rrr .:
.-
...h
Month: Januarr
001
■ ■Groundwater Lowering L] Surface Water

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? LI Compliant u 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: SINVW4 Phone Number: 919-895-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 9198953455 Permit Expiration: 11/30/2026
�11 0 as ay
Z-z z-�y
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 evalualed 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 infomralion, 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