HomeMy WebLinkAboutWQ0034380_Monitoring - 01-2024_20240423Monitoring Report Submittal
...................................................
Permit Number#* WQ0034380
Name of Facility:* Sanderson Farms LLC, Kinston Processing Facility
Month: * January Year: * 2024
Report Information
Type *
Revised - NDMR, NDAR-1, NDAR-2, NDMLR
Upload Document*
NDAR NDMLR NDMR -Jan. 2024.pdf
PDF Only
7.51 MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * joseph.franklin@waynesanderson.com
Name of Submitter: * Joseph H. Franklin
Signature:
�/itl�pF W. 11"AA11 r
Date of submittal: 4/23/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0034380
Is the monitoring report accepted?* Yes No
Regional Office* Washington
Reviewer: _anonymous
Review Date: 6/7/2024
FORM: NDAR-1 07-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page _L_ of S
Farms-KinstonCounty:
®Month:
January
1
Permit No.:
1100:•
Facility Name:
Sanderson
• irrigation
at this
•
facility?
Areaov
Cover
Crop:
Cover
6rop
Hourly Rate
(in):
Hourly Rate
(in):,
ly Rae
in
Annual Rate
c:
Annual Rate
(in):
Field Irrigated?
rigate
d?
Field Irrigated?
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oom®mom
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Monthly Loading::
12
Month
Floating Total
(in):
FORM. NDAR-1 07-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
S
Page L of
Facility•Field
Permit
Name:
-®�-
• • • •Area
(acres):
Cover Crop:
Cover Crop:!
Hourly Rate (in)Y:
(in):
Hourly Rate (in):
Hourly Rate (in)::
Annual Rate (in):
••■
Annual Rate (in):
_
Annual ate (in)
... •
Field Irrigated
■
• Irrigated?!
Field Irrigated
Field Irrigated?■
■ •
...:,
��
, •:
����
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.: •
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moms®�
Monthly Loading:
12 Month Floating Total (in):l
FORM: NDAR-1 07-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of S
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
• irrigation occur
i
at this facility?
-
[21YES EINO
Hourly Rate (in):
Hourly Rate (in):
..
..
... .
..Field
Irrigated?0
•Field
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FORM: NDAR-1 07-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page � of S
Facility Name: Sanderson Farms-Kinston•unty:
Lenoir
Month:1
'
.�
•-�-
Did irrigation occur
Area (acres):
Area (acres):
Area (acres):!
at this facility?
li, bpi
Hourll Fate to
Hourly Rate (in)::
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in)
Annual Rate (in):
Annual Kate (irlr
....Field
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Field ..
■ ■.Field
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■.Field
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m
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FORM: NDAR-1 07-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .5 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?
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
❑� Compliant
❑Non -Compliant
❑� 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: Joseph H. Franklin
Permittee: Sanderson Farms, Inc
Certification No.: WW1012108T/S11012364
signing Official: Jared Lowe
Grade: 3 Phone Number: 252 522 9145 ext 4127
Signing Official's Title: Divison Manager
Has the ORC changed since the previous NDAR-1? ❑yes ❑� No
Phone Number: 252-522-9145 ext 4105 Permit Exp.: 12/31/26
1,4 d. ""�fi I _Lh?l 2 (.1
OJY 212- A
Signature Da a
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I ce , under pfaltylaw, 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: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page / of-y-_
Permit No.: WQ0034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
Year: 2024
Field Name:
1A
Field Name:
1 B
Field Name:
2A
Field Name:
2B
Field Name:
3A
Area (acres):
22.4
Area (acres):
8.81
Area (acres):
22.4
Area (acres):
10.4
Area (acres):
24
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Cover Crop:
PINES
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
AYES ❑NO
Field Loaded?
E]YES [:]NO
Field Loaded?
❑YES [-]NO
Field Loaded?
AYES ❑NO
Field Loaded?
DYES LINO
o
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Month
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibslac
gal
mg/L
Ibs/ac
Ibs/ac
gal
mg/L
Ibs/ac
Ibs/ac
February 3,216,573
15.44
18.5
18.5
0
15.44
0.0
0.0
2569910
15.44
14.8
14.8
984585
15.44
12.2
12.2
2,753,475
15.44
14.8
14.8
March 3,985,014
14.78
21.9
40.4
742,492
14.78
10.4
10.4
3663593
14.78
20.2
34.9
0
14.78
0.0
12.2
3,925,282
14.78
20.2
34.9
April 1,600,510
14.05
8.4
48.8
629,486
14.05
8.4
18.8
1997173
14.05
10.4
45.4
0
1 14.05
0.0
12.2
3,824,770
14.05
18.7
53.6
May 4,174,963
17.69
27.5
76.3
1,642,028
17.69
27.5
46.3
3683784
17.69
24.3
69.6
0
17.69
0.0
12.2
4,525,776
17.69
27.8
81A
June 3,299,166
12.29
15.1
91.4
1,297,573
12.29
15.1
61A
3842546
12.29
17.6
87.2
0
12.29
0.0
12.2
4,117,013
12.29
17.6
99.0
July 3,265,267
19.84
24.1
115.5
1,284,240
19.84
24.1
85.5
3295956
19.84
24.3
111.6
737528
19.84
11.7
23.9
4,765,695
19.84
32.9
131.9
August 3,715,481
14.02
19.4
134.9
1,461,312
14.02
19.4
104.9
3362660
14.02
17.6
129.1
1561235
14.02
17.6
41.5
3,602,849
14.02
17.6
149A
September 3,827,707
10.83
15.4
150.3
0
10.83
0.0
104.9
2588480
10.83
10.4
139.6
1201794
10.83
10.4
51.9
3,927,872
10.83
14.8
164.2
October 3,331,193
12.38
15.4
165.7
0
12.38
0.0
104.9
3924216
12.38
18.1
157.7
1821959
12.38
18.1
70.0
4,204,518
12.38
18.1
182.3
November 3,654,260
11.13
15.1
180.8
0
11.13
0.0
104.9
3201399
11.13
13.3
170.9
1486364
11.13
13.3
83.3
3,988,612
11.13
15.4
197.7
December 3,081,567
13.71
15.7
196.6
0
13.71
0.0
104.9
3244514
13.71
16.6
187.5
1506382
13.71
16.6
1 99.8
3,476,266
13.71
16.6
214.3
January 41423,258
21.02
34.6
231.2
0
21.02
0.0
104.9
3904396
21.02
30.6
218.0
1812755
21.02
30.6
130.4
4,183,281
21.02
30.6
244.8
12 Month Floating PAN Load
231.2
104.9
218.0
130.4
244.8
(Ibs/ac/yr):
Annual PAN Load Limit
8318
(lb s/ac/yr):
FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _�of _ I
Permit No.: VV00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
Year: 2024
Field Name:
3B
Field Name:
4A
Field Name:
4B
Field Name:
5A
Field Name:
5B
Area (acres):
3.51
Area (acres):
19.7
Area (acres):
8.14
Area (acres):
28.5
Area (acres):
1.4
Cover Crop:
PINES
Cover Crop:
Bermuda
Cover Crop:
PINES
Cover Crop:
Bermuda
Cover Crop:
Bermuda
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
DYES ❑NO
Field Loaded?
DYES []NO
Field Loaded?
DYES [-]NO
Field Loaded?
DYES [:]NO
Field Loaded?
DYES ❑NO
o
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Month
gal
0
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
February
15.44
0.0
0.0
2,758,371
14.78
17.3
17.3
1,139,754
14.78
17.3
17.3
4,006,271
15.44
18.1
18.1
0
15.44
0.0
0.0
March
0
14.78
0.0
0.0
844,591
14.05
5.0
22.3
348,983
14.05
5.0
22.3
4,963,476
14.78
21.5
39.6
0
14.78
0.0
0.0
April
150,483
14.05
5.0
5.0
3.714,908
17.69
27.8
50.1
1,534,992
17.69
27.8
50.1
4,951,777
14.05
20.4
59.9
0
14.05
0.0
0.0
May
565,539
17.69
23.8
28.8
3,379,383
12.29
17.6
67.7
988,944
12.29
12.5
62.6
2,086,851
17.69
10.8
70.7
0
17.69
0.0
0.0
June
602,114
12.29
17.6
46.4
3,911,841
19.84
32.9
100.5
0
19.84
0.0
62.6
4,128,300
12.29
14.8
85.6
0
12.29
0.0
0.0
July
696,983
19.84
32.9
79.2
2,957,340
14.02
17.6
118.1
0
14.02
0.0
62.6
4,067,004
19.84
23.6
109.2
0
19.84
0.0
0.0
August
526,917
14.02
17.6
96.8
2.820,396
10.83
12.9
131.0
0
10.83
0.0
62.6
4,370,263
14.02
17.9
127.1
176,535
14.02
14.7
14.7
September
574,451
10.83
14.8
111.6
2,816,139
12.38
14.8
145.8
0
12.38
0.0
62.6
4,767,545
10.83
15.1
142.2
239,231
10.83
15.4
30.2
October
614,910
12.38
18.1
129.7
3,273,986
11.13
15.4
161.2
0
11.13
0.0
62.6
4,237,145
12.38
15.4
157.6
212,617
12.38
15.7
45.9
November
583,334
11.13
15.4
145.1
2,853,434
13.71
16.6
177.8
0
13.71
0.0
62.6
4,168,109
11.13
13.6
171.2
209,153
11.13
13.9
59.7
December
508,403
13.71
16.6
161.6
2,853,434
13.71
16.6
194.3
0
13.71
0.0
62.6
3.838,202
13.71
15.4
186.6
192,599
13.71
15.7
75.5
January
0
21.02
0.0
161.6
3,433,778
21_02
30.6
224.9
321,791
21.02
6.9
69.5
5,509,325
21.02
33.9
220.4
276,453
21.02
34.6
110.1
12 Month Floating PAN Load
161.6
224.9
69.5
220.4
110.1
(Ibs/ac/yr):VA
Annual PAN Load Limit
11
(Ibs/ac/yr):
FORM: NDMLR 07-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 3 of y
Permit No.: W00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
Year: 2024
Field Name:
6
Field Name:
7
Field Name:
8A
Field Name:
8B
Field Name:
9
Area (acres):
30
Area (acres):
29.6
Area (acres):
22.8
Area (acres):
1.84
Area (acres):
16.2
Cover Crop:
Bermuda
Cover Crop:
PINES
Cover Crop:
PINES
Cover Crop:
PINES
Cover Crop:
Rye
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
❑YES ❑NO
Field Loaded?
❑YES EINO
Field Loaded?
❑' YES ❑NO
Field Loaded?
OYES ❑NO
Field Loaded?
ZYES ❑3NO
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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
February
4551282
15.44
19.5
19.5
4,490.598
15.44
19.5
19.5
3,458,974
15.44
19.5
19.5
279,144
15.44
19.5
19.5
2,326,223
15.44
18.5
18.5
March
3792381
14.78
15.6
35.1
3,741,813
14.78
15.6
35.1
2,882,209
14.78
15.6
35.1
232,599
14.78
15.6
35.1
2,882,019
14.78
21.9
40.4
April
4358974
14.05
17.0
52.1
5,006,474
14.05
19.8
54.9
3,856,339
14.05
19.8
54.9
311,214
14.05
19.8
54.9
2,875,227
14.05
20.8
61_2
May
3044955
17.69
15.0
67.1
5,528,899
17.69
27.6
82.5
4,258,745
17.69
27.6
82.5
343,689
17.69
27.6
82.5
2,061,868
17.69
18.8
80.0
June
4922721
12.29
16.8
83.9
4,857,084
12.29
16.8
99.3
3,741,267
12.29
16.8
99.3
301,927
12.29
16.8
99.3
2,759,961
12.29
17.5
97.5
July
3171652
19.84
17.5
101.4
4,366,518
19.84
24.4
123.7
3,363,397
19.84
24.4
123.7
271,433
19.84
24.4
123.7
2,361,487
19.84
24.1
121.6
August
4610155
14.02
18.0
119.4
4,824,375
14.02
19.1
142.8
3,716,074
14.02
19.1
142.8
299,894
14.02
19.1
142.8
2,891,915
14.02
20.9
142.4
September
4511752
10.83
13.6
133.0
5,141,321
10.83
15.7
158.5
3,960,206
10.83
15.7
158.5
276,721
10.83
13.6
156.4
2,735,521
10.83
15.3
157.7
October
3511145
12.38
12.1
145.1
4,130,368
12.38
14.4
172.9
3,181,501
12.38
14.4
172.9
0
12.38
0.0
156.4
2,829,292
12.38
18.0
175.7
November
4707028
11.13
14.6
159.6
4,644,269
11.13
14.6
187.4
3,082,704
11.13
12.6
185.4
0
11.13
0.0
156.4
2,756,782
11.13
15.8
191.5
December
4198907
13.71
16.0
175.6
4,142,922
13.71
16.0
203.4
3,191,169
13.71
16.0
201.4
0
13.71
0.0
156.4
2,228,6331
13.71
15.7
207.3
January
4521846
21.02
26.4
202.1
4,461,552
21.02
26.4
229.9
3,436,603
21.02
26.4
227.9
0
21.02
0.0
156.4
3,198,963
1 21.02
34.6
241.9
12 Month Floating PAN Load
202.1
229 9
227.9
156.4
241.9
(Ibs/ac/yr):
Annual PAN Load Limit
(Ibs/ac/yr):
FORM: NDMLR 07-11
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Page of
Did the mass loading rates exceed the limits in Attachment B 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: Joseph H. Franklin Permittee:
Sanderson Farms, LLC
Certification Number: WW1012108T/S11012364 Signing Official:
Jared Lowe
Grade: 3 Phone Number: 252 902 8906 Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDMLR? ❑Yes ❑✓ No Phone No.: 252-522-9145 ext 4105 Permit Exp.: 12/31 /26
r �
'tet
Signature Date Signature
ci'
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certi�./,dancentlerpenaof law, that this document and all attachments were prepared under my direction or supervision in
withlty 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 07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 3
Permit No.: W00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
Year: 2024
PPI: 001
Flow Measuring Point: ❑Influent Effluent [:]No flow generated
parameter Monitoring Point: ❑influent ❑Effluent ❑Groundwater Lowering ❑Surface water
Parameter Code -a.
50050
00310
00916
00940
31616
00927
00610
00625
00620
00600
00400
00665
WQ09C
00931
00929
70300
T
m
F41
Q
O
c
O
N
O
O
u
10
O
U
am
O
Us
_
0''- �
u_
U
E
M
C
E
Q
6 c
0
Y 2
«
2
o
c
O O
i- ~
Z
d27
t
CL
o
�Qd oQ7
O
0
>'a
a "
Z
EJ oII
O
iLO o
Q
E
E
tY °
ORS yE
~ertapn
'O
O
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
Ratio
mg/L
mg/L
1
485,000
2
07:00
10
831,000
6.82
3
07:00
10
649,000
3
11.9
1
6.4
2.23
5
26.2
31.3
6.78
17.6
28.2
11.9
205
4
07:00
10
617,000
2
1
2,23
5.6
9.02
14.7
6.80
19.6
11.2
5
07:00
10
585,000
6
859,000
7
754,000
8
07:00
10
628,000
6.81
9
OTOO
10
766,000
2
1
223
7.2
7.47
14.7
6.80
17.3
10.1
10
07:00
10
633,000
6.93
11
07:00
10
713,000
3
1
1.12
4.5
6.22
10.8
6.81
18
7.8
12
OTOO
10
1,018,000
1
6.84
131
07:00
10
923,000
14
1.111.000
15
1,058,000
16
07:00
10
488,000
4
1
0.56
2.8
2.2
5.13
6.89
15.1
3.3
17
OT00
10
521.000
6.84
18
07:00
10
765,000
3
1
4.49
9
1.34
10.3
6.83
15
5
191
OTOO
10
711,000
6.79
20
07:00
10
1,342,000
6.80
21
1,753,000
22
07:00
10
358,000
7.09
23
07:00
10
798,000
6.88
24
07:00
10
866,000
8
2
3.93
1 T8
58.1
69.2
6.68
19.2
64.5
251
07:00
10
1 914,000
14
1
1 9
3.93
14.6
39.5
59.8
6.65
22.8
50.4
26
07:00
10
890,000
6.78
27
995,000
28
1,104,000
29
07:00
10
656,000
7.03
30
07:00
10
709,000
4
1
2.24
5
6.75
11.8
6.88
14.6
8.7
311
07:00
1 10
750,000
1
1 6.77
Average:
814,516
4.78
11.90
1.38
6.40
2.55
6.83
17.42
25.30
17.69
21.02
11.90
205.00
Daily Maximum:
1,753,000
14.00
11.90
9.00
6.40
4.49
14.60
58.10
69.20
7.09
22.80
64.50
11.90
205.00
Daily Minimum:
358,000
2.00
11.90
1.00
6.40
0.56
2.80
1.34
5.13
6.65
14.60
3.30
11.90
205.00
Sampling Type:
Recorder
Composite
Composite
Composite
Grab
Composite
Composite
Composite
Composite
Composite
Grab
Composite
Calculated
Calculated
Composite
Composite
Monthly Limit:
1,400,000
Daily Limit:
Sample Frequency:
Continuous
2 X Week
Monthly
3 X Year
2 X Week
Monthly
1 2 X Week
12 X Week
1 2 X Week
1 2 X Week
1 5 X Week
1 2 X Week
2 X Week
Monthly
Monthly
t3 X Year
FORM. NDMR07-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of
Permit No.: W00034380
Facility Name: Sanderson Farms -Kinston Facility
County: Lenoir
Month: January
Year: 2024
PPI: 001
Flow Measuring Point: ❑Influent ❑Effluent [:]No flow generated
Parameter Monitoring Point: ❑Influent DEffluent ❑Groundwater Lowering ❑Surface water
Parameter Code 0
00530
N
0
i
F
O
c
O
N
£N
_ .-
fn
U
�10 y
M C 'O
F j fn
to
24-hr
hrs
mg/L
1
2
07:00
10
3
07:00
10
3.4
4
07:00
10
3.3
5
07:00
10
6
7
8
07:00
10
9
07:00
10
2.5
10
07:00
10
11
07:00
10
3.3
121
07:00
10
13
07:00
10
14
15
16
07:00
10
7.1
17
07:00
10
181
07:00
10
4.1
19
07:00
10
20
07:00
10
21
22
07:00
10
23
07:00
10
24
07:00
10
17.8
25
07:00
10
34.3
26
07:00
10
27
28
29
07:00
10
30
07:00
10
5.9
31
07:00
10
Average:
9
Daily Maximum:
34
Daily Minimum:
3
Sampling Type:
Composite
Monthly Limit:
Daily Limit:
Sample Frequency:
2 X Week
FORM: NDMR 07-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page J of 3
Sampling Person(s) Certified Laboratories
Name: Joseph Franklin Name: Environmental Chemists, Inc
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? l.'JCompliant LJNon-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: Joseph H. Franklin Permittee: Sanderson Farms, Inc
Certification No.: WW1012108T/S11012364 Signing Official: Jared Lowe
Grade: 3 Phone Number: 252 522 9145 ext 4127 Signing Official's Title: Divison Manager
Has the ORC changed since the previous NDMR? Dyes [ZNo Phone Number: 252-522-9145 ext 4105 Permit Expiration: 12/31/2026
z Z %.2,
r
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. 1 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