WQ0005681_Monitoring - 03-2024_20240423

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
wg0005681
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 614.18KB
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
4/23/2024
This will be filled in automatically

Is the project number correct?* wg0005681
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 5/15/2024

FORM: NDMA 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ _ of

FORM; NDMR 03-12 NON -DISCHARGE MONITORING REPORT {NDMR) Page - of

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page __:L 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? E] 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
artinnla% takan Attach additional sheets If necessary.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC- Tina Pedley Permittee: Pilgrims Corporation
Certification No.: 9976171994534 Signing Official: Dan Shaw
Grade: SI/WW4 Phone Number: 919-895-3457 Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDMR? Yes FYI No Phone Number: 9198953455 Permit Expiration: 11 /30/2026
­311sy /} jj
Signature Date Signature Date
By this signature, I certify that this report is amurrate 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 signiticanf penalties for submitting false anformation, 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 __q_ of S
Permit No.: W00005681 Facility Name: 0 County: Randolph Month: March
Year: 2024
\Fb1tl Naffs 1 ` Field Name:
Did irrigation occur
\\ Ilrei3i acresS \\\ Area acres :
at this faCliit ( \ ( )
Y� \\ \\\�\ p=\corer
Cover Crop:
\
❑ YE ❑ \Hourly (ln)Hourly Rate (in):
�t
Mnual Rais(in�. z\�35��\�\\ Annua! Rate (in):
\�IeEd iie\
\\j\
Field Name
\\ �� (�}��
\\a \\\\\
Area (acres):
cro
� � �'
\\\\
�-t���\�
Cover Crop:
HOB y i O (in}
\
�
Hourly Rate (in):
Ann Rate in
�\\\\\\�\��\
Annuai Rate in
Weather
\\
Freeboard slr� ii7 [ N Field Irrigated?
❑ ve5 ❑ No d �rrigatad7
ie \
Field irrigated?
❑ YES ❑ NO
16
V
m
w
r
C.
E
L
m
1a
«
m y m\ar m a
w $\\ c �""_ E m
Q ld E :. o\�_
s
D Q O Q
a s\\\\\ \, as
\ \ \
'a
m m
f'
E m
-
of
c
m a
�cr#_
p m
E as \ \ \
?� c\\
\ ..
a a\
o l0 O \\ t-
m�� \
�'�
v
`;
c\
\ \
'a
\ \\\
�^ :
S:.C�:
\s a
\ A
a
m
E .�
o a
p a
>a
m
E m
H
=
o►
7+ c
W
p m
E or
3 C
x o �°
m=�
°F
in
ft
n \ insi\�
rl� n al
min
in
m � , � \min\�\\,
-in��.�
�itt\�
gal
min
in
in
1
01
2
3
0\
\�\\\
4
0
1.4
5
C
70
0
1.52
i O'is004
6
0.5
\00000rQ0mzp\`
\\�
�\ \\
\\ \\
\\ \
8
CL
63
0
OQY \ Q2$ \005
9
0.5
\\Q t±\` 60y npw000\,
101
1
0.13
11
C
50
0
1.3
12
C
fib
0
2182\ fBQ 013\0.04s\,
\\\\\
\�\ \\`\-.
\z\
\ `\
\\y\_ \\\
13
C
73
0
1.8
421-£00 O.Q431
14
C
66
0
2
21R544'f80 \Q i3 004\\
v,. A
y �N
\\`'\\\`
2.1
\\ \
16
0
2.4
\ti 0\\\0U
\�\
17
a
00__ 00\
\`\\\\\0
1s
0
2.1
\. \\0'0 0' `\
\ \ \
\ \ \
19
C
47
0
2:'7556
�\Q 04
Alm. \.
20
C
67
0
2.2
`21`534VF BQ, 0137777, 7Q.Q4`7
21
C
60
0
2.4
\ 021 6111,qu
\\ \\\ \
23
0
2.3
0` \0\ \OOD\ \ 0 \
�, :.� � ..� 00..E
\ \\ \
������. \ �\ \
Q r `
�� o\ \\
25
C
66
0
2.2
\10773 r'890 Ab.06\ 00.04L
`` \ `
\\
26
C
48
0
2.3
2059 _, 14, �_ . 0.01a gv0.01
\`
271
1
1.5
2.1
`
`0 ` � 000000 It"o-1777
777 \
28
0
1.5
y;.. 0 ` 0.00 * 000 `
A`
29
C
42
0
1.5
,:21;564 180u.",0`13M
777777777
30
C
79
0
2
2439fi 180.. , _; Q 14 0 05
., \>,
31
C
76
0
~26804780 i0.164 r0.05
_AIM
12-
Monthly Loading ` 305,649 0
_
0.00
0.
Q 00..,_
0
0.00
12 Month Floating Total(in): �w20331

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �> of 51
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? ❑� Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑� Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑e 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($) of the non-compliance and describe the corrective
p,4LLVI1tJ� 1U1L011. AL1a411 QUVIl1Uf1a1 JIIOOIJ 11
IOperator in Responsible Charge (ORC) Certification I Permittee Certification I
ORC: Tina Pedley
Certification No.: 997617/994534
Grade: SI/WW4 Phone Number: 919-895-3457
Has the ORC changed since the previous NDAR-1? ❑ Yes F11 No
Signature Date
By this signature. I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Pilgrim'$ Corporation
Signing Official: Daniel Shaw
Signing Official's 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 sutxnitted is, to the hest 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