WQ0005681_Monitoring - 08-2024_20240930 (2)

Monitoring Report Submittal
..................................................
Permit Number#* WQ0005681
Name of Facility:* Pilgrim's Staley
Month: * August
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 592.35KB
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
9/30/2024
This will be filled in automatically

Is the project number correct?* WQ0005681
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 10/16/2024

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page
Permit No.: W00005681
Facility Name: �`
�4 WTP
County: Randolph
Month: August
Year: 2024
Did irrigation occur
at this facility?r
[✓�� YES ❑ No
Field Name:
1
Field Name:
Field Name:
Field Name:
Arwa (scree}.
6.27
Area (acres):
Area (acres):
Area (acres):
gip:
Cover Crop:
Co'Crop:
Cover Crop:
HourlyrRate. (in j,
0.3
Hourly Rate (in):
Hourly Rate (tt);
Hourly Rate (in):
,Pi itual R"ilnj:
35.8E
Annual Rate (in):
Annual Rate (In);
Annual Rate (in):
Weather
FreeboardfeEd
Irrigabedi~
0 ❑ NO
Field irrigated?
El YES [�] No
F1eld IrrigaRed?
El YE5 0 NO
Field Irrigated?
❑ YES ^ Na
W
o
V
`y
r
d
W
a
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F
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oeia
aro
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a 2 p
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a.c
v
p
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L c
E 3a
W= p
J
3
°E
in
ft
ft
apeI_
1R
Irr
in
gal
min
in
in
I`
milk
1lt
in
al
min
in
in
1
C
90
0
1.7
M 511'3$3
39p^
0:.30
10.05
2
C
78
0
1 f,347
taQ
1 6.07
0.02
3
C
90
0
6;319
1W
15.03'
0.01
4
CL
84
0.1
10,
O."a
0;025
CL
78
0
2.4
LL757
a0i
QOt
d.01
6
CL
84
0
2.2
Y.80
0.0fi
0.02
7
0.41
2.4
0
0
:.O..QO
0.60
8
0.4
1.1
0
0
Edo
Ox
9
0
1.2
0
0,
0:00
0.00
10
C
90
0
29,119
360
; . 0;17
0.03
11
PC
86
0
49,515
360
0.29
0.05
12
C
79
0.02
1.5
57,507
060'
0.34,
0.06
13
CL
72
0.01
1.8
2t 158
't
0.12
0.64
14
C
87
0
2
26,W9
180
0116
0.05
15
0
2.1
0
0,
0.00
Too
16
C
94
0
24;244
180
0.14
0,05
17
PC
87
0.3
1.$Q
0,07
0.02
18
C
88
0
_12,00f
4,975
;180•
0.03
0.01
19
C
72
0.4
2.4
3,612
180
6.02
0.01
20
0
2.4
0
0
0.00
0.00
21
0
2.2
0
0
0.00
0.00
22
0
2.2
0
0
0.00
0.00
231
1
0
0
0
0.00
0.00
24
0
0
0
0.00
0.00
25
0
0
0
0.00
0.00
26
C
92
0
2.3
25,243
180
0.15
0.05
27
C
94
0
2.1
25,157
180
0.15
0.05
28
0
2.3
0
0
0.00
0.00
29
0
2.4
0
0
0.00
0.00
301
0
0
0
0.00
0.00
311
1
01
0
0
0.00
0.00
Monthly loading:
368,927
2.17
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
20.87
_

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page `_ 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
I] 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(si taken. Attach additional sheets if necessarv.
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/WW4 Phone Number: 919-895-3457 Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes (1 No Phone Number: 9198953455 Permit Exp.: 11 /30/26
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 n 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, iWuding 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
Permit No.: f1111
• •e
•• •h
Month: August-
�I
riSUM.-MM1111111 I MR MM
0 Effluent [:1 Groundwater Lowering C3 surfam water
•; , •• ,=
•
•
Daily
Taily
Sampling
Monthly Avg.
111
-_----���-�---
Sample

1151

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? ❑� 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
uvuvnt.�r +anon, nuw+,n auumvna+ anccw n
Operator in Responsible Charge (ORC) Certification
Perm ittee Certification
ORC: Tina Pedley
Permittee: Pilgrim's Corporation
Certification No.: 997617/994534
Signing official: Dan Shaw
Grade: SI/W W4 Phone Number: 919-895-3457
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? Yes Ej No
phone Number: 9198953455 Permit Expiration: 11/30/2026
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 personsdirectty responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and L:omplete. I am
aware 1hal there are significant penalties for submitting false information, including the possibi ity 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