NCG060021_DMR_20201231

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water QualitV General Permit No. NCG060000
Date submitted: 12-31- 2020
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Statesville N.0 Lab Cert. # 440
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Total event rainfall 2 0. 83or []No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
Soo
RRIV-01
12/14/2020
5.055
6.56
<25
<5.03
NA
NA
RRIV-02
12/14/2020
4.865
6.59
30
<5.05
NA
NA
RRIV-04
12/14/2020
3.867
6.61
<25
<5
NA
NA
1 Only applies to facilities that use/process meats. JA N 2 fi 7 L
z The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring:report with a checkmark here.
"See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yeS complete Part B) -
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV-04
12/14/2020
<5
<5
3.867
6.61
215
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate 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."
re of Permittee)
161-3/ - aZ5 16
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

WKAJ
.w r
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htto://portal ncdenr.org/web/wq/ws/su/nndessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 12 14 2020
Time of Inspection: • 30 Arn
Total Event Precipitation (inches): 0.83
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
VYes ❑ No
Please verify whether Qualitative Monitoring must he performed during a "representative storm event"or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this nature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
sWU-242, Lastmodified 10/25/2012

1. Outkall Description: nn
Outfall No. a\J —I Structure (pipe, ditch, etc.)
Receiving Stream: \-LfVZLM9A `rep IAM4&tI\Y-- V': V cc
Describe the industrial activities that occur within the outfall drainage area: + ��
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LZ ak}
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ko t4`''
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
4 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? 9 No
10. Other Obvious Indicators of Stormwater Pollution:
List and describeaY►^ e_ �t bS b �'��'on� �he�A : n5 . ma`s �1 1ar-
,' C�[Js c s �► t�i : k1n So M c.�
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http•//oortal.ncdenr org/web/wq/ws/su/nndessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 12 14/2020
Time of Inspection: a I-i (b AFn
Total Event Precipitation (inches): 0.83
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
tQ/ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event' or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge
of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Oujfall Description: ..Q
Outfall No. V-T-q "A Structure (pipe, ditch, etc.)
r--
Receiving Stream:umbkea 0,6t --�h� �`• n `re f
Describe the industrial activities that occur within the outfall drainage area: Di
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N0 ft't--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes N&
8. Is there an oil sheen in the stormwater discharge? Yes 6B
9. Is there evidence of erosion or deposition at the outfall? 60 No
10. Other Obvious Indicators of Stormwater Pollution:
List nd d scribe St>%*A .. �r VIS va 4r` �- �c o
VA �A .� :fit e,�aci�t 4Aw\. W 0,a 1K.r
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

WA
�:0 0
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out thisform, please visit., hUp://oortal.ncdenr.org/web/wq/ws/su/nndessw#tab-4
Permit No: iV C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 12/14/2020
Time of Inspection: a , 5o yk+
Total Event Precipitation (inches): 0.83
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
VYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event" However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Descri lion: `
Outfall No. -� ~ Structure (pipe, ditch, etc.)0QW\'
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ' 1
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
d
(light, medium, dark) as descriptors: `
3. Odor: Describe any distinctodors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): V.AD 1`tt--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
6 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
V 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes V
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012