HomeMy WebLinkAboutWQ0014565_Monitoring - 12-2016_20170201,.rL„ FC;RM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of190
Permit No.: WQ0014565 F
J �
PPI:
001
Flow Measuring Point:
Parameter Code --1.
50050
c
O
d
E "
_
C
O
_
V~
,_
V cn
_
LL
0
O
O
24 -hr
hrs
GPD
1
06:00
10
0 ,.
2
06:00
- 10
240,009
3
0
4
06:00
10
240,116
5
06:00
10
0
6
06:00
10 ..
0
7
06:00
10
0
8
06:00
10.
0 v
9
06:00
240,11 J
10
06:00
10
240,128
11
.240,'115
121
06:00
10
0
13
06:00
10
240,112 ..
14
06:00
10
400,-110
15
06:00
10
200,'105 '
16
06:00
10' ,
'' 0
17
06:00
10
0
18
19 06:00
20 .06:00
21 06:00
22 06:00
23 06:00
24
25
26 06:00
27 06:00
28 06:00
29 06:00
30 06:00
31 06:00
Maximum
Minimum
Month
Dai
Sample Fre
Name: Pilgrim's Pri
s rfa�P I County: Lee I Month: December Year: 2016
Parameter Monitoring Point:
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ILofIQ ()
Permit No.: WQ0014565
Facility Name:
Pilgrim's Pride Sanford Facility
county:
Lee
Month:
December
Year: 2016
PPI: 001
Flow Measuring Point:
EI Influent ❑ Effluent [:]No flow generated
Parameter Monitoring Point:
❑ influent
❑� Effluent
❑ Groundwater Lowering ❑ Surface Water
Parameter Code —►
00310
00916
00680
31616
00927
00630
00610
00625
00400
WQ09C
00931
00929
00530
M
c
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E::
a E 1= CO
Q' ~ U
0 0
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O
m
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?
V
U
u
� c
�.0
O
.�+ U
E
c1°i°
m
LL U
in
c
A
+ 07
°'M
=-
Z Z
c
o
E
Q
° aci
dm
Y w
r Z
moo,
a
.� � aci
cern
a f0 w
Q Z
E 0
Via._
o
N 'y0
a
E
o
fA
� H
iacv
to— $' o
a)
24 -hr hrs
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
Ratio
mg/L
mg/L
1
06:00 10
2
06:00 10
3
4
06:00 10
5
06:00 10
6
06:00 10
7
06:00 10
8
06:00 10
9
06:00 10
10
06:00 10
11
12
06:00 10
131
06:00 10
14
06:00 10
3.36
64
13.241
3.46
6.28
7.38
15.8
<5
15
06:00 10
16
06:00 10
17
06:00 10
18
191
06:00 10
20
06:00 10
21
06:00 10
22
06:00 10
23
06:00 10
24
25
26
06:00 10
27
06:00 10
28
06:00 10
29
06:00 10
30
06:00 10
311
06:00 1 10
Average:
3.36
64.00
13.24
3.46
6.28
15.80
0.00
Daily Maximum:
3.36
64.00
13.24
3.46
6.28
7.38
15.80
5.00
Daily Minimum:
3.36
64.00
13.24
3.46
6.28
7.38
15.80
5.00
Sampling Type:
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Calculated
Calculated
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
3 -Xy-ear
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
3 x Year
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of 4�?D
Sampling Person(s) Certified Laboratories
Name: Virgil Watson Name: Research and Analytical Laboratories
Name: Don Kidney Name:
Compliant [:] Non -Compliant
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
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 ❑ Yes D No
permittee: Dan Moreno
Certification No.: 997617
Signing Official: Dan Moreno
Grade: SI Phone Number: 919-895-3457
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR?
Phone Number: 9197747333 Permit Expiration: 7/31/2019
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, 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
FARM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of aD
Permit No.: W00014565
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
Field Name:
01 North
Field Name:
01 South
Field Name:
02 North
Field Name:
02 South
Field Name:
03 North
Area (acres):
2.1
Area (acres):
2.3
Area (acres):
2.5
Area (acres):
2.3
Area (acres):
2.8
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
[dYES No
Field Loaded?
IDYe 4� No
Field Loaded?
[YYEf4. +Vo
Field Loaded?
I? YE "No
Field Loaded?
CYE o
W
Z C
o
z m
m Z C
a <. o
Z m •o
Q
m Z c
a Q• o
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N Z
o
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Q
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a
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a >
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a >
0
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a
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;,
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0 7
Z
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Co
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im C
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3 J
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CD
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0
e2
3 a
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>
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>
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>
Month
gal
mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac
lbs/ac
gal mg/L
lbs/ac lbs/ac
January
52,876
9.77
2.1 2.1
58,751 9.77
2.1 2.1
64,626 9.77
2.1 2.1
58,751 9.77
2.1
2.1
70,502 9.77
2.1 2.1
February
94,675
27.6
10.4 12.4
105,194 27.6
10.5 12.6
115,713 27.6
10.7 12.8
105,194 27.6
10.5
12.6
126,233 27.6
10.4 12.4
March
195,938
29.9
23.3 35.7
217,709 29.9
23.6 36.2
239,480 29.9
23.9 36.6
217,709 29.9
23.6
36.2
261,251 29.9
23.3 35.7
April
139,292
23.4
12.9 48.6
154,769 23.4
13.1 49.3
170,246 23.4
13.3 49.9
154,769 23.4
13.1
49.3
185,723 23.4
12.9 48.6
May
74,374
4.19
1.2 49.9
82,638 4.19
1.3 50.6
90,902 4.19
1.3 51.2
82,638 4.19
1.3
50.6
99,166 4.19
1.2 49.9
June
105,585
4.73
2.0 51.9
117,317 4.73
2.0 52.6
129,048 4.73
2.0 53.2
117,317 4.73
2.0
52.6
140,780 4.73
2.0 51.9
July
261,776
5.87
6.1 58.0
290,862 5.87
6.2 58.8
319,948 5.87
6.3 59.5
290,862 5.87
6.2
58.8
349,034 5.87
6.1 58.0
August
26,112
10.6
1.1 59.1
29,013 10.6
1.1 59.9
31,914 10.6
1.1 60.6
29,013 10.6
1.1
59.9
34,816 10.6
1.1 59.1
September
60,111
14.1
3.4 62.4
66,790 14.1
3.4 63.3
73,470 14.1
3.5 64.1
66,790 14.1
3.4
63.3
80,149 14.1
3.4 62.4
October
158,869
2.03
1.3 63.7
176,521 2.03
1.3 64.6
174,173 2.03
1.2 65.3
176,521 2.03
1.3
64.6
211,825 2.03
1.3 63.7
November
0
5
0.0 63.7
0 5
0.0 64.6
0 5
0.0 65.3
0 5
0.0
64.6
0 5
0.0 63.7
December 11
37,071
15.8
2.3 66.0
41,19D 15.8
2.4 67.0
45,309 15.8
2.4 67.7
41,190 15.8
2.4
67.0
49,428 15.8
2.3 66.0
12 Month Floating PAN Load
66.0
.
` 670
®
67.7
67.0
66.0 /
(lbs/ac/yr):
O
i
Annual PAN Load Limit
(lbs/ac/yr):
�
�� j
j //
/ 111U
�/
e
sV///
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 5 ofao
Permit No.: WQ0014565
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
Field Name:
03 South
Field Name: 04 North
Field Name:
04 South
Field Name:
05 North
Field Name:
05 South
f
�rWt jcres):
NO
F;OUI(fires): J , No
l: rte( es):
1.8
Area (acres):
2.1
Area (acres):
1.8
Cover Crop:
Grass
Cover Crop: Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Load Type:
PAN
Load Type: PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
41 Z=
Z
N Z= Z
2 Z C
Z
a1 Z=
Z
4D Z=
Z
G ¢
a
¢ > @
a
Q. ¢ O ¢ j •O
d Q,
'�
.a ¢ w
°'
¢ y •a
Q. •�
.a ¢ w
a
¢
a
j a
.Q ¢ 2
a
¢ j •C
a
`
G
¢ a7 w
•o O
T lC J
`
Q
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¢ d >• l3 J
a cyo
¢ N
•a 0
7. t9 J
a
L
¢ d +,
;• td
o
J
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¢ a)
=
-o � o
T t6 J
Q
a) N N
L O Z
J
m N w o Z
J
E `m
N N
E V
L O
w J E Z
y=
E i
L O
." J
3
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a)
E V
t o
" J E Z
m`
¢
v a
= = ¢
U
m =
_ ¢
a
a) _
_
¢
a
_ ¢
a
¢ v
> ¢ V �' a
> ¢ v
0 v
-6 Q 0
v
; ¢ U
v
Month
gal mg/L
lbs/ac lbs/ac
gal mg/L lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac
lbs/ac
gal mg/L
lbs/ac lbs/ac
January
70,502 9.77
2.1 2.1
52,876 9.77 2.1 2.1
47,001 9.77
2.1 2.1
52,876 9.77
2.1
2.1
47,001 9.77
2.1 2.1
February
126,233 27.6
10.4 12.4
94,675 27.6 10.4 12.4
84,155 27.6
10.8 12.9
94,675 27.6
10.4
12.4
84,155 27.6
10.8 12.9
March
261,251 29.9
23.3 35.7
195,938 29.9 23.3 35.7
174,167 29.9
24.1 37.0
195,938 29.9
23.3
35.7
174,167 29.9
24.1 37.0
April
185,723 23.4
12.9 48.6
139,292 23.4 12.9 48.6
123,815 23.4
13.4 50.4
132,292 23.4
12.3
48.0
123,815 23.4
13.4 50.4
May
99,166 4.19
1.2 49.9
74,374 4.19 1.2 49.9
66,110 4.19
1.3 51.7
74,374 4.19
1.2
49.2
66,110 4.19
1.3 51.7
June
140,780 4.73
2.0 51.9
105,585 4.73 2.0 51.9
93,853 4.73
2.1 53.8
105,585 4.73
2.0
51.2
93,853 4.73
2.1 53.8
July
349,034 5.87
6.1 58.0
261,776 5.87 6.1 58.0
232,690 5.87
6.3 60.1
261,776 5.87
6.1
57.3
232,690 5.87
6.3 60.1
August
34,816 10.6
1.1 59.1
26,112 10.6 1.1 59.1
23,210 10.6
1.1 61.3
26,112 10.6
1.1
58.4
23,210 10.6
1.1 61.3
September
80,149 14.1
3.4 62.4
1 60,111 14.1 3.4 62.4
53,432 14.1
3.5 64.7
60,111 14.1
3.4
61.8
53,432 14.1
3.5 64.7
October
211,825 2.03
1.3 63.7
158,869 2.03 1.3 63.7
141,217 2.03
1.3 66.1
158,869 2.03
1.3
63.1
141,217 2.03
1.3 66.1
November
0 5
0.0 63.7
0 5 0.0 63.7
0 5
0.0 66.1
0 5
0.0
63.1
0 5
0.0 66.1
December
49,428 15.8
2.3 66.0
37,071 15.8 2.3 66.0
32,952 15.8
2.4 68.5
37,071 15.8
2.3
65.4
32,952 15.8
2.4 68.5
12 Month Floating PAN Load
66.0
66.0
68.5 ®
65.4
®�
68.5
(lbs/ac/yr):
!i
i
a
Annual PAN Load Limit
%
1
(lbs/ac/yr):��/�
- M
FDRM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 4, of _-�0
Permit No.:
W00014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year:
2016
Field Name:
06 North
Field Name:
07 North
Field Name:
07 South
Field Name:
08 North
Field Name:
08 South
Area (acres):
3.4
Area (acres):
2.3 s
Area (acres):
2.3
i
Area (acres):
2.3
Area (acres):
2.3
WUW ..
Grass Y
' No Cover Cro
YEIR;lss
Ofbp:
Gr
YE '
NO Cover Crop:
Grass
Cover Crop:
Grass
Load Type:
PAN
Load Type:
PAN,
Load Type:
PAN
` Load Type:
PAN `
Load Type:
PAN
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
z
z
m`
z
z
m
z
z
z
z
d
z
z
CL
a
a
Q
a'�
a
;
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a
;
Q
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a
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a
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a
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a
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°
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y
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v
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o
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o
o
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0
c J
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E
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J
E
E
;d
:E 0.J
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°'
vim+
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E z
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o
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U
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o
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U
>
0
a
>
o
a
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>
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>
a�
>
Q,�
>
a�
Month
gal mg/L
lbs/ac
lbs/ac
gal
mg/L
lbs/ac
;lbs/ac
gal
mg/L
lbs/ac
lbs/ac
gal
I mg/L
lbs/ac
lbs/ac
gal
mg/L
lbs/ac
lbs/ac
January
88,127 9.77
2.1
2.1
58,751
9.77
2.1
2.1
58,751
9.77
2.1
2.1
58,751
9.77
2.1
2`.1
58,751
9.77
2.1
2.1
February
157,791 27.6
10.7
12.8
105,1"94
27.6
10.5
12.6
105,194
27.6
10.5
12.6
105,194
27.6
10:5
12.6
105,194
27.6
10.5
12.6
March
326,564 29.9
24.0
36.7
217,709
29.9
216,
36.2 `
217,709
29.9
23.6
36.2
217,709
29.9
23.6
36.2
217,709
29.9
23.6
36.2
April
232,154 23.4
13.3
50.1
154,769
23.4
13.1
49.3
154,769
23.4
13.1
49.3
154,769
23.4
13:1
49.3
154,769
23.4
13.1
49.3
May
123,957 4.19
1.3
51.3
82,638
4.19
1.3
50.6
82,638
4.19
1.3
50.6
82,638
4.19
1.3
50,6
82,638
4.19
1.3
50.6
June
175,975 4.73
2.0
53.4
117,317
4.73
2.0
52.6
117,317
4.73
2.0
52.6
117,317
4.73
2.0
52.6
117,317
4.73
2.0
52.6
July
436,293 5.87
6.3
59.7
290,862
5.87
6.2
58.8 [
290,862
5.87
6.2
58.8
290;862
5.87
6.2
58.8
290,862
5.87
6.2
58.8
August
43,519 10.6
1.1
60.8
29,013
10.6
1.1
59.9
29,013
10.6
1.1
59.9
87,006
10.6
3.3
62.1
87,006
10.6
3.3
62.1
September
100,186 14.1
3.5
64.3
66;790
14.1
3.4
63.3
66,790
14.1
3.4
63.3
66,790
14.1
3.4
65.6'
66,790
14.1
3.4
65.6
October
264,781 2.03
1.3
65.6
176,521
2.03
1.3
64.6
176,521
2.03
1.3
64.6
176,521
2.03
1..3
66.9
176,521
2.03
1.3
66.9
November
0 5
0.0
65.6
0
5
0.0
64.6
0
5
0.0
64.6
95,446
5
1.7
68.6
95,446
5
1.7
68.6
December
F 61,785 15.8
2.4
68.0
41,190
15.8
2.4
67.0
41,190
15.8
2.4
67.0
13,975
15.8
08
69A
13,975
15.8
0.8
69.4
12 Month Floating PAN Load
68.0
67.0:
67.0
69.4
69.4
( Ibslac/ r
Annual
PAN Load Limit
(lbs/ac/yr):
�
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page % of 90
Permit No.: W00014565
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
2.03
Field Name:
09 North
Field Name: 09 South
Field Name:
10 North
Field Name:
10 South -
Field Name:
11 North
64.0 `
Wil"acres):
AL' NO
1'6foWes): I'I AnNO
pjr"Wes):
2.8
Area (acres):
2.5
Area (acres):
3
85,901
Cover Crop:
Grass
Cover Crop: Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
1.8
Load Type:
PAN
Load Type: PAN .
Load Type:
PAN
Load Type:
PAN ;
Load Type:
PAN
75.2
Field Loaded?
1'5.8
Field Loaded?
Field Loaded?
167,730
Field Loaded?
7.9
Field Loaded?
153,752
15.8
a
73.9
$ °
m
8.0
d
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Month
gal mg/L
70,502 9.77
lbs/ac lbs/ac
gal mg/L lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
January
2.1 2.1
52,876 9.77 -2.1 2.1
70,502 9.77
2.1 2.1
64,626 9'77
2.1 2.1
76,377 9.77
2.1 2.1
February
126,233 27.6
10.4 12.4
94,675 27.6 10.4 12.4 `
126,233 27.6
10.4 12.4
115,713 27.6
10.7 12.8
136,752 27.6
10.5 12.6
March
261,251 29.9
23.3 35.7
195,938 29.9 23.3 35.7
261,251 29.9
23.3 35.7
239,480 29.9
23.9 36.6
283,022 29.9
23.5 36.1
April
185,723 23.4
12.9 48.6
139,292 23.4 12.9 48.6
185,723 23.4
12.9 48.6
170;246 23.4
13.3 49.9
201,200 23.4
13.1 49.2
May
99,166 4.19
1.2 49.9
74,374 4.19 1.2 49.9 -
99,166 4.19
1.2 49.9
90,902 4.19
1.3 `51.2.
107,430 4.19
1.3 50.4
June
140,780 4.73
2.0 51.9
105,585 473 -2.0 51.9
87,929 4.73
1.2 51.1
80,601 4,73
52.5
95,256 4.73
1.3 51.7
July
349,034 5.87
6.1 58.0
261,776 5.87 6.1 58.0.
208,280 5.87
3.6 54.8
190,923 5.87E463.1
56.2
225,637 5.87
3.7 55.4
August
104,407 10.6
3.3 61.3
78,306 10.6 3.3 61.3
104,407 10.6
3.3 58.1
95,707 10.659.6
113,108 10.6
3.3 58.7
September
80,149 14.1
3.4 64.6
64,131 14.1 3:4 64.6
80,149 14.1
3.4 61.4
73,470 14.1
86,828 14.1
3.4 62.1
October
155,327
2.03
0.9
65.6
116,496
2.03
0.9
656
155,327
2.03
0.9
62.4
142,383
2:03
1.0
64.0 `
168,271
2.03
0.9
63.1
November
114,535
5
1.7
67.3
85,901
5
1:7
67.3
114,535
5
1.7
64.1
104;991
5
1.8
65.8 _
124,080
5
1.7
64.8
December
167,730
15.8
7.9
75.2
125,797
1'5.8
79
1 75.2 >
167,730
15.8
7.9
72.0
153,752
15.8
8,1
73.9
181,707
15.8
8.0
1 72.8
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page _ of C D
Permit No.: W00014565
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
Field Name:
11 South
Field Name: 12 North
Field Name:
12 South
Field Name:
13 North
Field Name:
13 South
Area (acres):
2.8
Area (acres): 3.2
Area (acres):
3.2
Area (acres):
3,2
Area (acres):
3.2
0lWYPU .
Grass Y
No over Cro ' YEI_�-igs
12168vO Ofbp:
Grp Y
No Cover Crop:
Grass
Cover Crop:
Grass
Load Type:
PAN
Load Type: PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
C
c a
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Month
gal mg/L
70,502 9.77
lbs/ac lbs/ac
gal
mg/L lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac
lbs/ac
January
2.1 2.1
82,252
9.77 2.1 2.1
82,252 9.77
2.1 2.1
82,252 9.77
2.1 2.1
82,252 9.77
2.1
2.1
February
126,233 27.6
10.4 12.4
147,272
27.6 10.6 12.7
147,272 27.6
10.6 12.7
147,272 27.6
10.6 12.7
147,272 27.6
10.6
12.7
March
261,251 29.9
23.3 35.7
304,793
29.9 23.8 36.4
304,793 29.9
23.8 36.4
304,793 29.9
23.8 36.4
304,793 29.9
23.8
36.4
April
185,723 23.4
12.9 48.6
216,677
23.4 13.2 49.7
216,677 23.4
13.2 49.7
216,677 23.4
13.2 49.7
216,677 23.4
13.2
49.7
May
99,166 4.19
1.2 49.9
115,693
4.19 1.3 50.9
115,693 4.19
1.3 50.9
115,693 4.19
1.3 50.9
115,693 4.19
1.3
50.9
June
87,929 4.73
1.2 51.1
102,584
4.73 1.3 52.2
102,584 4.73
1.3 52.2
102,584 4.73
1.3 52.2
102,584 4.73
1.3
52.2
July
208,280 5.87
3.6 54.8
242,993
5.87 3.7 55.9
242,993 5.87
3.7 55.9
242,993 5.87
3.7 55.9
242,993 5.87
3.7
55.9
August
104,407 10.6
3.3 58.1
121,809
10.6 3.4 59.3
121,809 10.6
3.4 59.3
121,809 10.6
3.4 59.3
121,809 10.6
3.4
59.3
September
80,149 14.1
3.4 61.4
93,507
14.1 3.4 62.7
93,507 14.1
3.4 62.7
93,507 14.1
3.4 62.7
93,507 14.1
3.4
62.7
October
155,327 2.03
0.9 62.4
181,215
2.03 1.0 63.7
181,215 2.03
1.0 63.7
181,215 2.03
1.0 63.7
181,215 2.03
1.0
63.7
November
114,535 5
1.7 64.1
133,624
5 1.7 65.4
133,624 5
1.7 65.4
133,624 5
1.7 65.4
133,624 5
1.7
65.4
December
167,730 15.8
7.9 72.0
195,685
15.8 8.1 73.5
195,685 15.8
8.1 73.5
195,685 15.8
8.1 73.5
195,685 15.8
8.1
73.5
12 Month Floating PAN Load
72.0
73.5
®
73.5
73.5
73.5
(lbs/ac/yr):
/®
%
Annual PAN Load Limit
(lbs/ac/Yr):
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page 9 of DO
Permit No.:
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
Field Name:
14 North
Field Name:
14 South
Field Name:
15 North
Field Name:
15 South
Field Name:
16 South
(,14C?Kjcres):
yo NO
P?kfCjWres):
YCI NO
jvjrf(Wes):
2.1
Area (acres):
1.8
Area (acres):
3
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Load Type:
PAN
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
m
p
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Month
gal
76,377
mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
January
9.77
2.1 2.1
76,377 9.77
2.1 2.1
52,876 9.77
2.1 2.1
47,001 9.77
2.1 2.1
76,377 9.77
2.1 2.1
February
136,752
27.6
10.5 12.6
136,752 27.6
10.5 12.6
94,675 27.6
10.4 12.4
84,155 27.6
10.8 12.9
136,752 27.6
10.5 12.6
March
283,022
29.9
23.5 36.1
283,022 29.9
23.5 36.1
195,938 29.9
23.3 35.7
174,167 29.9
24.1 37.0
283,022 29.9
23.5 36.1
April
201,200
23.4
13.1 49.2
201,200 23.4
13.1 49.2
139,292 23.4
12.9 48.6
123,815 23.4
13.4 50.4
201,200 23.4
13.1 49.2
May
107,430
4.19
1.3 50.4
107,430 4.19
1.3 50.4
74,374 4.19
1.2 49.9
66,110 1 4.19
1.3 51.7
107,430 4.19
1.3 50.4
June
95,256
4.73
1.3 51.7
95,256 4.73
1.3 51.7
65,947 4.73
1.2 51.1
58,619 4.73
1.3 53.0
95,256 4.73
1.3 51.7
July
225,637
5.87
3.7 55.4
225,637 5.87
3.7 55.4
156,210 5.87
3.6 54.8
138,853 5.87
3.8 56.8
225,637 5.87
3.7 55.4
August
113,108
10.6
3.3 58.7
113,108 10.6
3.3 58.7
78,306 10.6
3.3 58.1
69,605 10.6
3.4 60.2
113,108 10.6
3.3 58.7
September
86,828
14.1
3.4 62.1
86,828 14.1
3.4 62.1
60,111 14.1
3.4 61.4
53,432 14.1
3.5 63.7
86,828 14.1
3.4 62.1
October
168,271
2.03
0.9 63.1
168,271 2.03
0.9 63.1
116,496 2.03
0.9 62.4
103,552 2.03
1.0 64.7
168,271 2.03
0.9 63.1
November
124,080
5
1.7 64.8
124,080 5
1.7 64.8
85,901 5
1.7 64.1
76,357 5
1.8 66.4
124,080 5
1.7 64.8
December
181,707
15.8
8.0 72.8
181,707 15.8
8.0 72.8
125,797 15.8
7.9 72.0
111,820 15.8
8.2 74.6
181,707 15.8
8.0 72.8
12 Month Floating PAN Load
(lbs/ac/yr):72.8
72.8
72.074.6Annual
PAN (oad c/y ):
lbs/ac/ r
'
f
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page I U of o b
Permit No.: WQ0014565
Facility Name: Pilgrim's Pride Sanford Facility
County: Lee
Month: December
Year: 2016
Field Name:
17 South
Field Name:
Field Name:
Field Name:
Field Name:
pI41D Wres):
("I Y(j NO
I- l4f[]( §res):
(""`I YED NO
Area (acres):
Area (acres):
Cover Crop:
Grass
Cover Crop:
Cover Crop:
Cover Crop:
Cover Crop:
Load Type:
PAN
Load Type:
Load Type:
Load Type:
Load Type:
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
Field Loaded?
d
Z c
Z
m c
a
m c
o
m c
a
m c
CL
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C. t
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Month
gal
35,251
mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
gal mg/L
lbs/ac lbs/ac
January
9.77
2.1 2.1
February
63,116
27.6
10.4 12.4
March
130,625
29.9
23.3 35.7
April
92,861
23.4
12.9 48.6
May
49,583
4.19
1.2 49.9
June
43,964
4.73
1.2 51.1
July
104,140
5.87
3.6 54.8
August
52,204
10.6
3.3 58.1
September
40,074
14.1
3.4 61.4
October
77,664
2.03
0.9 62.4
November
57,268
5
1.7 64.1
December
83,865
15.8
7.9 72.0
12 Month Floatin PAN Load
g(lbs/ac/yr):
72.0
0.0 /
j
0.0
0.0
/ e
0.0 j
/
Annual PAN Load Limit
(lbs/ac/yr):
FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page ( I of ,;t6
Did the mass loading rates exceed the limits in Attachmentli� opyournpermit?
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:
Dan Moreno
Certification Number: 997 617
Signing Official:
Dan Moreno
Grade: SI Phone Number: 919-895-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDMLR?
Phone No.: 919-774-7333 Permit Exp.: 7/31/19
Signature Date
Signat a 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 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: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page � of ab
Permit No.:
lkjhgfdsalOP[
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year:
2016
Did
irrigation
Field Name:
01 North
Field Name:
01 South
Field Name:
02 North
Field Name:
02 South
occur
Area (acres):
2.1
Area (acres):
2.3
Area (acres):
2.5
Area (acres):
2.3
at this facility?
Cover Crop:Grass
cover Crop:
P�
Grass
Cover Crop:
P�
Grass
Cover Crop:
P:
Grass
Q
YES
❑ No
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Hourly Rate (in):
0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
YES
f5 -NO
Field Irrigated?
YEs ' =No
Field Irrigated?
VYES
-E�J-No
Field Irrigated?YEsY
{ANO
a
❑
C
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w=J
°F
in
ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
66
3.5
0
56.5
0.00
0.00
0
56.5
0.00
0.00
0
56.5
0.00
0.00
0
56.5
0.00
0.00
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
R
56
0.05
3.2
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
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1 0.00
6
0.2
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0
0
0.00
0.00
0
0
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0.00
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0
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0.00
0
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1 0.00
7
0.3
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0
0
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0.00
8
3.2
0
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0
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0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
0
55.667
0.00
0.00
0
55.667
0.00
0.00
0
55.667
0.00
0.00
0
55.667
0.00
0.00
10
C
28
3.4
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
11
C
22
3.1
0
55.833
0.00
0.00
0
55.833
0.00
0.00
0
55.833
0.00
0.00
0
55.833
0.00
0.00
121
0.03
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
14
C
45
3.1
0
94.667
0.00
0.00
0
94.667
0.00
0.00
0
94.667
0.00
0.00
0
94.667
0.00
0.00
15
C
33
3.2
0
47.333
0.00
0.00
0
47.333
0.00
0.00
0
47.333
0.00
0.00
0
47.333
0.00
0.00
16
1
2.9
0
0
0.00
1 0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
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1 0.00
0
0
0.00
0.00
0
0 1
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181
1
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
191
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
201
0.1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0 1
0.00
0.00
0
0
0.00
0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
5,294
28
0.09
0.09
5,883
28
0.09
0.09
6,471
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0.10
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28
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24
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45
3
5,294
28.6
0.09
0.09
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28.6
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0.09
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28.6
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0.10
5,882
28.6
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0.09
25
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50
3.1
5,297
28.3
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5,885
28.3
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0.10
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0.09
26
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5,297
28.5
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29
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50
0.08
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5,297
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2529 _ri;�,✓ ._;�O
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 13 of �t)
PermitNo.:
WQ0014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
I Month:
December
Year:
2016
Did
irrigation
Field Name:
03 North
Field Name:
03 South
Field Name:
04 North
Field Name:
04 South
occur
Area (acres):
2.8
Area (acres):
2.8
Area (acres):
2.1
Area (acres):
1.8 -
ElatstUsofticility?
Cover Crop:
140"UN Wate (in):
G
0.3
Cover p:
Hourly RLaPe'�i�
Grass
'Nu 0.3
Cover Crop:
Grass
Cover Crop:
Grass
rry Rate (in): 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
M
0
(D
a)
CL
E
0
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5) U) .0
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0
oF
in
ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
66
3.5
0
56.5
0.00
0.00
0
56.5
0.00
0.00
0
56.5
0.00
0.00
0
56.5
0.00
0.00
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
R
56
0.05 1
3.2
0
54.333
0.00
0.00
0
54.333
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0.00
0
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0.00
0.00
0
54.333
0.00
0.00
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
1 0.00
6
0.2
3.3
0
0
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0
0
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0.00
0
0
0.00
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0
0
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1 0.00
7
0.3
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
0
55.667
0. 00
0.00
0
55.667
0.00
0.00
0
55.667
0.00
0.00
0
55.667
0.00
0.00
101
C
28
3.4
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
111
C
22
3.1
0
55.833
0.00
0.00
0
55.833
0.00
0.00
0
55.833
0.00
0.00
0
55.833
0.00
0.00
12
0.03
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
14
C
45
3.1
0
94.667
0.00
0.00
0
94.667
0.00
0.00
0
94.667
0.00
0.00
0
94.667
0.00
0.00
15
C
33
3.2
0
47.333
0.00
0.00
0
47.333
0.00
0.00
0
47.333
0.00
0.00
0
47.333
0.00
0.00
16
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
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0.00
0
0
0.00
0.00
0
0
0.00
1 0.00
18
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
201
1
0.1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0.00
0.00
0
0
0.00
0.00
22
2.8
0
0
0.00
0.00
0
0
0.00
0.00
-0
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
7,059
28
0.09
0.09
7,059
28
0.09
0.09
5,294
28
0.09
0.09
4,706
28
0.10
0.10
24
C
45
3
1 7,059
28.6
0.09
0.09
7,059
28.6
0.09
0.09
5,294
28.6 1
0.09
0.09 1
4,706
28.6
0.10
0.10
25
C
50
3.1
7,063
28.3
0.09
0.09
7,063
28.3
0.09
0.09
5,297
28.3
0.09
0.09
4,708
28.3
0.10
0.10
261
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
0.09
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
28
CL
50
3.1
7,063
28.5
0.09
0.09
7,063
28.5
0.09
0.09
5,297
28.5
0.09
0.09
4,709
28.5
0.10
0.10
29
CL
50
0.08
3.1
7,063
28.6
0.09
0.09
7,063
28.6
0.09
0.09
5,297
28.6
0.09
0.09
4,709
28.6
0.10
0.10
30
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50
0.5
3.1
7,059
28.6
0.09
0.09
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28.6
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0.09
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0.09
4,706
28.6
0.10
0.10
31
C L
48
2.7
7,063
28.4
0.09
0.09
1 7,063
28.4
0.09
0.09
5,297
28.4
0.09
0.09
4,708
28.4
0.10
0.10
Monthly Loading:
49,428
16&2§L
11M, A;
0.65
11_1��.
1 49,428
0.65
.,;1
37,071
0.65
1,101�0//'///
32,952
0.67
N172"11', 7/77//,
12 Month Floating Total (in):
i1/'
Or: V11
24.93
24.93
24.93
c/
25.84
'OVA/
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A of a6
Permit No.:
W00014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year:
2016
Did irrigation
Field Name:
05 North
Field Name:
05 South
Field Name:
06 North
Field Name:
07 North
Cant[
occur
Area (acres):
2.1
Area (acres):
1.8
Area (acres):
3.4
Area (acres):
2.3
Sofacility?
cover cro p:
Hou ate (in):
Gr s
0.3
Cover p:
Hourly Rae (in .
Grass
0.3
Cover Crop:
Grass
Cover Crop:
Grass
IF F0 Urry Rate (in): 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
m
°
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min
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min
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gal
min
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gal min
in
in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0 0
0.00
0.00
2
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66
3.5
0
56.5
0.00
0.00
0
56.5
0.00
0.00
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56.5
0.00
0.00
0 56.5
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3
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0
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56
0.05 1
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54.333
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9
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32
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55.667
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0 55.667
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10
C
28
3.4
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0
54.333
0.00
0.00
0 54.333
0.00
0.00
11
C
22
3.1
0
55.833
0.00
0.00
0
55.833
0.00
0.00
0
55.833 1
0.00
0.00
0 55.833
0.00
1 0.00
121
0.03
3.1
0
0
0.00
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0
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13
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40
3.3
0
54.333
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0 54.333
0.00
0.00
14
C
45
3.1
0
94.667
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0
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15
C
33
3.2
0
47.333
0.00
0.00
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47.333
0.00
0.00
0
47.333
0.00
0.00
0 47.333
0.00
0.00
16
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0 0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0 0 1
0.00
0.00
181
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0 0
0.00
0.00
19
0.7
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1 0.00
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20
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21
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22
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23
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2.8
5,294
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0.09
4,706
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0.10
8,824
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0.10
5,883 28
0.09
0.09
241
C
1 45
3
1 5,294
1 28.6
0.09
0.09
4,706
28.6
0.10
0.10
8,824
28.6
0.10
0.10
5,882 28.6
0.09
0.09
25
C
50
3.1
5,297
28.3
0.09
0.09
4,708
28.3
0.10
0.10
8,828
28.3
0.10
0.10
5,885 28.3
0.09
0.09
26
3.1
0
0
0.00
0.00
0
0
0.00
1 0.00
0
0
0.00
0.00
0 0
0.00
0.00
27
0.09
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0 0
0.00
0.00
28
CL
50
3.1
5,297
28.5
0.09
0.09
4,709
28.5
0.10
0.10
8,829
28.5 1
0.10
0.10
5,886 28.5
0.09
0.09
29
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50
0.08
3.1
5,297
28.6
0.09
0.09
4,709
28.6
0.10
0.10
8,829
28.6 1
0.10
0.10
5,886 28.6
0.09
0.09
30
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50
0.5
3.1
5,294
28.6
0.09
0.09
4,706
28.6
0.10
0.10
8,824
28.6 1
0.10
0.10
5,882 28.6
0.09
0.09
311
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1 48
2.7
5,297
28.4
0.09
1 0.09
4,708
28.4
0.10
0.10
8,828
28.4
0.10
0.10
5,886 28.4
0.09
0.09
Monthly Loading:
37,071
✓//yam;
0.65
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32,952
-
0.67
. „ i :
61,785
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41,190 /i o %.
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25.84
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25.67
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page JS of Q0
Permit No.:
W00014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year:
2016
Did
irrigation
Field Name:
07 South
Field Name:
08 North
Field Name:
08 South
Field Name:
09 North
occur
oafstCisafacility?
Area (acres):
2.3
Area (acres):
2.3
Area (acres):
2.3
Area (acres):
2.8
Cover Crop:Grass
Hou ate (in):
J
0.3
Cover Crop:
P�
✓
Hourly Rae (in .
Grass
J
0.3
Cover Crop:
P�
Grass
Cover Crop:
P�
Grass
rly Rate (in): 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual
Rate (in):
69.5
Annual Rate (in):
69.5
Annual
Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
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min
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min
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1
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0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
66
3.5
0
56.5
0.00
0.00
11,595
56.5
0.19
0.19
11,595
56.5
0.19
0.19
13,914
56.5
0.18
0.18
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
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4
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56
0.05
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54.333
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0.00
11,600
54.333
0.19
0.19
11,600
54.333
0.19
0.19
13,920
54.333
0.18
0.18
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6 1
1
0.2
3.3
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
0.3
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
0
55.667
0.00
0.00
11,600
55.667
0.19
0.19
11,600
55.667
0.19
0.19
13,920
55.667
0.18
0.18
10
C
28
3.4
0
54.333
0.00
0.00
11,600
54.333
0.19
0.19
11,600
54.333
0.19
0.19
13,920
54.333
0.18
0.18
11
C
22
3.1
0
55.833
0.00
0.00
11,600
55.833
0.19
0.19
11,600
55.833
0.19
0.19
13,920
55.833
0.18
0.18
121
0.03
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
0
54.333
0.00
0.00
11,600
54.333
0.19
0.19
11,600
54.333
0.19
0.19
13,920
54.333
0.18
0.18
14
C
45
3.1
0
94.667
0.00
0.00
19,324
94.667
0.31
0.20
19,324
94.667
0.31
0.20
23,188
94.667
0.31
0.19
15
C
33
3.2
0
47.333
0.00
0.00
9,667
47.333
0.15
0.15
9,667
47.333
0.15
0.15
11,600
47.333
0.15
0.15
16
2.9
1 0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
20
0.1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0 1
0.00
0.00
0
0
0.00
0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
5,883
28
0.09
0.09
5,883
28
0.09
0.09
5,883
28
0.09
0.09
7,059
28
0.09
0.09
24
C
45
3
5,882
28.6
0.09
0.09
5,882
28.6
0.09
0.09
5,882
28.6
0.09
0.09
7,059
28.6
0.09
0.09
25
C
50
3.1
5,885
28.3
0.09
0.09
5,885
28.3
0.09
0.09
5,885
28.3
0.09
0.09
7,063
28.3
0.09
0.09
261
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00 1
0.00
0
0
0.00
0.00
27
0.09
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0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
1 0
0.00
0.00
28
CL
50
3.1
5,886
28.5
0.09
0.09
5,886
28.5
0.09
0.09
5,886
28.5
0.09
0.09
7,063
1 28.5
0.09
0.09
29
CL
50
0.08
3.1
5,886
28.6
0.09
0.09
5,886
28.6
0.09
0.09
5,886
28.6
0.09
0.09
7,063
28.6
0.09
0.09
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50
0.5
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5,882
28.6
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0.09
5,882
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7,059
28.6
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31
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1 1
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Pageof aD
Permit No.:
W00014565
Facility Name:
Pilgrim's Pride Sanford Facility
County: Lee
Month:
December
Year:
2016
Did
irrigation occur
Field Name:
09 South
Field Name:
10 North
Field Name:
10 South
Field Name:
11 North
oast[��facility?
Area (acres):
2.1
Area (acres):
2.8
Area (acres):
2.5
Area (acres):
3
Cover Crop:Grass
J
Hou ate (in):
J
0.3
Cover Crop:
P�
✓✓
Hourly Ra a (in .
Grass
0.3
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
rly Rate (in): 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
]CL
E
am.
a
mu�
m m
d m
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in
ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
266
3.5
10,435
56.5
0.18
0.18
13,914
56.5
0.18
0.18
12,754
56.5
0.19
0.19
15,073
56.5
0.19
0.19
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
456
0.05
3.2
10,440
54.333
0.18
0.18
13,920
54.333
0.18
0.18
12,760
54.333
0.19
0.19
15,080
54.333
0.19
0.19
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6
1
0.2
3.3 1
0
0
0.00
0.00
0
1 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
0.3
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
10,440
55.667
0.18
0.18
13,920
55.667
0.18
0.18
12,760
55.667
0.19
0.19
15,080
55.667
0.19
0.19
10
C
28
3.4
10,440
54.333
0.18
0.18
13,920
54.333
0.18
0.18
12,760
54.333
0.19
0.19
15,081
54.333
0.19
0.19
11
C
22
3.1
10,440
55.833
0.18
0.18
13,920
55.833
0.18
0.18
12,760
55.833
0.19
0.19
15,080
55.833
0.19
0.19
12
0.03 1
3.1
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
10,440
54.333
0.18
0.18
13,920
54.333
0.18
0.18
12,760
54.333
0.19
0.19
15,079
54.333
0.19
0.19
141
C
45
3.1
17,391
94.667
0.31
0.19
23,188
94.667
0.31
0.19
21,256
94.667
0.31
0.20
25,121
94.667
0.31
0.20
15
C
33
3.2
8,700
47.333
0.15
0.15
11,600
47.333
0.15
0.15
10,634
47.333
0.16
0.16
12,567
47.333
0.15
0.15
16
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
201
1
0.1 1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
j 0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
5,294
28
0.09
0.09
7,059
28
0.09
0.09
6,471
28
0.10
0.10
7,648
28
0.09
0.09
24
C
45
3
5,294
28.6
0.09
0.09
7,059
28.6
0.09
0.09
6,471
28.6
0.10
0.10
7,647
28.6
0.09
0.09
25
C
50
3.1
5,297
28.3
0.09
0.09
7,063
28.3
0.09
0.09
6,474
28.3
0.10
0.10
7,651
28.3
0.09
0.09
261
3.1
0
1 0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
0.09
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
CL
50
1 1
3.1
5,297
28.5
0.09
0.09
7,063
28.5
0.09
0.09
6,474
28.5
0.10
0.10
7,651
28.5
0.09
0.09
29
CL
50
0.08
3.1
5,297
28.6
0.09
0.09
7,063
28.6
0.09
0.09
6,475
28.6
0.10
0.10
7,652
28.6
0.09
0.09
30
CL
50
0.5
3.1
5,294
28.6
0.09
0.09
7,059
28.6
0.09
0.09
6,471
28.6
0.10
0.10
7,647
28.6
0.09
0.09
31
CL
48
2.7
5,297
28.4
0.09
0.09
7,063
28.4
0.09
0.09
6,474
28.4
0.10
0.10
7,651
28.4
0.09
0.09
Monthly Loading:
1 125,797
�
167730
2.21
ii
153,752
2272.23
-y/
81,7072.21
12 Month Floatm Total ( m).24.29
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22.27
21.97ii ....
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 11 of aD
Permit No.:
WQ0014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
IMonth:
December
Year:
2016
Did
irrigation occur
Field Name:
11 South
Field Name:
12 North
Field Name:
12 South
Field Name:
13 North
oafstl��facility?
Area (acres):
2.8
Area (acres):
3.2
Area (acres):
3.2
Area (acres):
3.2
Cover Crop:Grass
J
Hou ate (in):
J
0.3
Cover Cro p:p:
J
Hourly Rae (in .
�Grass
J
Cover Crop:
'Rate
Grass
Cover Crop:
p:
Grass
rly 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
❑
o
U
41
L
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H
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a
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ar o
E
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O G
i
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of 9b
Permit No.:
WQ0014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year:
2016
Did
irrigation
Field Name:
13 South
Field Name:
14 North
Field Name:
14 South
Field Name:
15 North
oastGisofacility?
occur
Area (acres):
3.2
Area (acres):
3
Area (acres):
3
Area (acres):
2.1
Cover Crop:Grass
J
Hou ate (in):
J
0.3
Cover Crop:
P�
✓
Hourly Rae (in .
Grass
J_
0.3
Cover Crop:
P�
Grass
Cover Crop:
P�
Grass
rty Rate (in): 0.3
Hourly Rate (in): 0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
❑
m
o
U
m
•M
�,
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my
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o
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E m
67
m
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2 0
rL J
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a
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> Q
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E m
°1
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T C
❑ o
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7_ C
E 5
s° o
°F
in
ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
66
3.5
16,232
56.5
0.19
0.19
15,073
56.5
0.19
0.19
15,073
56.5
0.19
0.19
10,435
56.5
0.18
0.18
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
R
56
0.05
3.2
16,240
54.333
0.19
0.19
15,080
54.333
0.19
0.19
15,080
54.333
0.19
0.19
10,440
54.333
0.18
0.18
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6 1
1
0.2
3.3
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
0.3
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
16,240
55.667
0.19
0.19
15,080
55.667
0.19
0.19
15,080
1 55.667
0.19
0.19
10,440
55.667
0.18
0.18
10
C
28
3.4
16,241
1 54.333
0.19
0.19
15,081
54.333
0.19
0.19
15,081
54.333
0.19
0.19
10,440
54.333
0.18
0.18
11
C
22
3.1
16,240
55.833
0.19
0.19
15,080
55.833
0.19
0.19
15,080
55.833
0.19 1
0.19
10,440
55.833
0.18
0.18
121
0.03
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
16,239
54.333
0.19
0.19
15,079
54.333
0.19
0.19
15,079
54.333
0.19
0.19
10,440
54.333
0.18
0.18
14
C
45
3.1
27,053
94.667
0.31
0.20
25,121
94.667
0.31
0.20
25,121
94.667
0.31
0.20
17,391
94.667
0.31
0.19
15
C
33
3.2
13,534
47.333
0.16
0.16
12,567
47.333
0.15
0.15
12,567
47.333
0.15
0.15
8,700
47.333
0.15
0.15
16
2.9 1
0
1 0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
1 0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
20
0.1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
221
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
8,236
28
0.09
0.09
7,648
28
0.09
0.09
7,648
28
0.09
0.09
5,294
28
0.09
0.09
24
C
45
3
8,235
28.6
0.09
0.09
7,647
28.6
0.09
0.09
7,647
28.6
0.09
0.09
5,294
28.6
0.09
0.09
25
C
50
3.1
8,240
28.3
0.09
0.09
7,651
28.3
0.09
0.09
7,651
28.3
0.09
0.09
5,297
28.3
0.09
0.09
26
3.1 1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
0.09
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
CL
50
3.1
8,240
28.5
0.09
0.09
7,651
28.5
0.09
0.09
7,651
28.5
0.09
0.09
5,297
28.5
0.09
0.09
29
CL
50
0.08
3.1
8,240
28.6
0.09
0.09
7,652
28.6
0.09
0.09
7,652
28.6
0.09
0.09
5,297
28.6
0.09
0.09
30
CL
50
0.5
3.1
8,235
28.6
0.09
0.09
7,647
28.6
0.09
0.09
7,647
28.6
0.09
0.09
5,294
28.6
0.09
0.09
31
CL
48
2.7
8,240
28.4
0.09
0.09
7,651
28.4
0.09
0.09
7,651
28.4
0.09
0.09
5,297
28.4
0.09
0.09
Monthly Loading:
195,685
Jf„;
2.25
/�///%l
181,707
��yi;;
2.23
i,/�,r
181,707
/
2.23
/�%//„1,;
125,797
Vii, '
2.21
,//,.i....
12 Month Floating Total (m)
i/i riff. ' ,:
22.21nr
.$
!
22.00
<r:.
%//i
22.00
',%
�i i,,;;
21.75 ,.;,:✓
FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I`( of aO
Permit No.:
WQ0014565
Facility Name:
Pilgrim's Pride Sanford Facility
County:
Lee
Month:
December
Year: 2016
Field Name:
15 South
Field Name:
16 South
Field Name:
17 South
Field Name:
Did irrigation occur
Area (acres):
1.8
Area (acres):
3
Area (acres):
1.4
Area (acres):
oast[sofacility?
Cover Crop:Grass
JHou ate (in):
J 0.3
Cover Crop:
P�
Hourly Rae (in .
Grass
0.3
Cover Crop:
P�
Grass
cover Crop:
P:
rly Rate (in): 0.3
Hourly Rate (in):
0.3
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Annual Rate (in):
69.5
Weather
Freeboard
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
p
y
v
°
V
-C
a
m
"'
d
°
E
E
r
c
°
M
=
p.
0
y
L
a
w
=-
m m °'
N
rn
Q cf0i
y ._
° Ta
fA M Q.
16
Ln
m a
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° -
O a
7 Q
a
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m„
E �o
m
°
-
rn
> c
o
0 M
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m
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r2 J
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1- 61
a. C
m
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7 �` C
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�= o
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a) V
d
E. d.
° - E
O d O1
> Q
a
Q •O
o �= o
J J
°F
in
ft ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal min
in in
1
0.1
3.4
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
2
CL
66
3.5
9,276
56.5
0.19
0.19
15,073
56.5
0.19
0.19
6,957
56.5
0.18
0.18
3
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
4
R
56
0.05
3.2
9,280
54.333
0.19
0.19
15,080
54.333
0.19
0.19
6,960
54.333
0.18
0.18
5
0.8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
6
0.2
3.3
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
7
0.3
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
8
3.2
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
9
C
32
3.2
9,280
55.667
0.19
0.19
15,080
55.667
0.19
0.19
6,960
55.667
0.18
0.18
10
C
28
1
3.4
9,280
54.333
0.19
0.19
15,081
54.333
0.19
0.19
6,960
54.333
0.18
0.18
11
C
22
3.1
9,280
55.833
0.19
0.19
15,080
1 55.833
0.19
0.19
6,960
55.833
0.18
0.18
12
0.03
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
13
C
40
3.3
9,280
54.333
0.19
0.19
15,079
54.333
0.19
0.19
6,960
54.333
0.18
0.18
14
C
45
3.1
15,459
94.667
0.32
0.20
25,121
94.667
0.31
0.20
11,594
94.667
0.31
0.19
15
C
33
3.2
7,734
47.333
0.16
0.16
12,567
47.333
0.15
0.15
5,800
47.333
0.15
0.15
16
1 1
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
17
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
18
2.9
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
19
0.7
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
20
0.1
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
21
2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
22
1
1 2.8
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
23
C
39
2.8
4,706
28
0.10
0.10
7,648
28
0.09
0.09
3,530
28
0.09
0.09
241
C
45
3
4,706
28.6
0.10
0.10
7,647
28.6
0.09
0.09
3,529
28.6
0.09
0.09
25
C
50
3.1
4,708
28.3
0.10
0.10
7,651
28.3
0.09
0.09
1 3,531
28.3
0.09
0.09
26
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
27
0.09
3.1
0
0
0.00
0.00
0
0
0.00
0.00
0
0
0.00
0.00
28
CL
50
3.1
4,709
28.5
0.10
0.10
7,651
28.5
0.09
0.09
3,531
28.5
0.09
0.09
29
CL
50
0.08
3.1
4,709
28.6
0.10
0.10
7,652
28.6
0.09
0.09
3,532
28.6
0.09
0.09
30
CL
I 50
0.5
3.1
4,706
28.6
0.10
0.10
7,647
28.6
0.09
0.09
3,529
28.6
0.09
0.09
31
CL
48
2.7
4,708
28.4
0.10
0.10
7,651
28.4
0.09
0.09
3,531
28.4
0.09
0.09
Monthly Loading:
111,820
///i
g, 1,
2.29
" ,. , /i%%
% t.,
181,707/,,,.
% .; ;iii
2.23
i/'O/
;,,�////Q
83,865
% :%%%/
/,.,,//
2 21
i,
0.00 %
12 Month Floating Total m
,/,, ,., . ,/ r, % /
22.54
/ �:..,
%/%�/�/� �,..��/
22.00
,...���/,
����,x�� �,�,�,.,
21.75
• FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page a of a0
Did the application rates exceed the limits in Attachment B of your permij]nmplian❑ Non-
(] Complian❑ Non -
Were adequate measures taken to prevent effluent ponding in or runoff fpm,�h &qs?
Was a suitable vegetative cover maintained on all sites as specified in y0%F0ftgfl; -
❑� Complian❑ Non -
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?
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.
❑ YeSE No
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Tina Pedley
Permittee:
Dan Moreno
Certification No.: 997617
Signing Official: Dan Moreno
Grade: SI Phone Number: 919-895-3457
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDAR-1?
Phone Number: 919-774-7333 Permit Exp.: 7/31/19
&\04— N&Qg�r(
���� a7�/7
f
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 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