WQ0005681_Monitoring - 09-2024_20241031

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
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 581.76KB
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
10/31/2024
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: 11/21/2024

FORM: NDAR•1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I of 5
Permit No.: W00005681 Facility Name: 0 1 County: Randolph I Month: September I Year: gngA
Field Name:
Did irrigationoccur
at this fArea
Cover Crop:
❑✓ YES ❑ NO Hourly I"Qn):
Annual Rate (in):
1
Field Name:
Field Name:
Field Name:
627
Area (acres):
re
Area (acme)-
Area (acres):
Cover Crop:
Cover Crop:
Cover Crop:
CO
Hourly Rate (in):
Hourly Rate an):
Hourly Rate (in):
35.88
Annual Rate (in):
Annual Race (in):
Annual Rate (in):
Weather
Freeboard Field Irrigaie44
YES No
Field Irrigated?
❑ YES 0 NO Field Irrigated?
C YES [] NO
Field Irrigated? YES NO
❑
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0
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0
0
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0.00
12
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0
0
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0.00
13
0.5
0
0
0.06
0.00
14
15
16
CL
76
0
0.04
0
0
10,928
0
0
179
0
0 60
0.11
0.00
0.00
0.04
0.00
17
0
1.2
0
0
0.00
0.00
18
19
PC
C
87
80
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0
70,767
571,425
360
:360
0.42
0.34
0,07
0.06
20
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85
0
53,825
360
6.32
0.05
21
CL
83
0.09
6,722
45
0.04
0.04
22
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86
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6,722
45
0.04
0.04
23
24
25
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CL
87
77
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0.93
0.04
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6,719
6,711
0
. 45
45
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0.04
0.00
0.04
0.04
0.00
26
PC
78
0.36
1.5
6.721
45
0.04
0:04
27
0.02
1.3
6
0
0.00
0.00
28
C
82
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4,341
45
0.03
0.03
29
30
CL
CL
78
79
0
0
1
4,092
14,066
45
45
0,02
0.08
0.02
0.08
31
Monthly
Loading: 327,550
1.92
0
0.00 0
0.00
0
0.00
12 Month Floating Total (in):.
21.69

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ez, of S
Did the application rates exceed the limits in Attachment B of your permit? Q Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? p 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? p Compliant ❑ Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p 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
aliuvi k.j lanoll. nlLIMAI ODUIIIVIItII JIICCIJ II
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 F No
Phone Number: 9198953455 Permit Exp.: 1 1 /30/26
to - -L
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. I am aware that there are significant
penalties for submitting false information, inducting 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 S
Permit No.: Ir110
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Month: Septembe
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of S
Permit No.: WQ0005681 Facility Name: Pilgrim's Pride - Staley WWTP
County: Randolph
Month: September
MMEAUR721
pill III lli

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page � 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? El 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. aatacn additional sneets It 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
J1 No
Has the ORC changed since the previous NDMR? ElYeaF
Phone Number: 9198953455 Permit Expiration: 11 /30/2026
Signature Date
Signature Date
By this signature, I cerlify 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 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 beliel, true, accurate and complete am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing vidations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617