NC0024333_Tax Certification_20221216

Tyson
December 15, 2022
NC Division of Water Resources
Surface Water Protection Section
1617 Mail Service Center, Raleigh NC 27699-1617
Sir or Ma'am:
The assets in this application differ in asset name from the current permits due to
the fact that the permit combines assets and has named assemblies rather than
individual assets from our fixed asset register.
Regards,
U4Alliji/T441 RECEIVED
Charley Terrell 16 2022
Senior Tax Manager, DEC
Tyson Farms, Inc NpQES
2200 Don Tyson Parkway, CP 131 NCDEQIDWJ►
Springdale AR 72765
Phone: [phone]
Email: [e-mail]
Tyson Foods 2200 W.Don Tyson Parkway Springdale,Arkansas 72762
1800-643-3410 479-290-7275 Fax:[phone]

DIVISION OF WATER RESOURCES s ( ? TCN:
APPLICATION FOR TAX CERTIFICATION This application is to be used only for waste treatment systems and equipment Rev.
& EXEMPTION FORM TC-WQ under the authority of the NC Division of Water Resources (DWR) 01/29/2016
DIRECTIONS:Complete and mail signed copies of the application form and all supporting information to both: 1)the County Tax Administrator for the County in which the facility is located(one copy)
AND 2)to the NC Division of Water Resources,Surface Water Protection Section, 1617 Mail Service Center,Raleigh, NC 27699-1617(two copie ®e or print in blue or black ink. A separate
application package is required for each facility where property proposed for tax certification is located.
THIS APPLICATION WILL NOT BE PROCESSED WITHOUT COMPLETE AND ACCURATE INFORMATION. If you have any question •Nin his application, please call the local tax office or the
NC Division of Water Resources at 919/807-6300 or their web site at https://ox.deq.prod.nc.gov/about/divisions/water-resources/wa e •1 -permiss/wastewater-branch/npdes-wastewater/tax-
certification for more specific contact information. -
Please Note:
a)Tax Certifications will only be processed for facilities under the authority of the DWR and only if the DWR has found that the d cribettipp rty: tvi0
1. Has been or will be constructed or installed;
2.Complies with or that plans therefore which have been submitted to the DWR indicate that it will comply with the requirements of the E. '4' = al Management Commission;
3. Is being effectively operated or will,when completed,be required to operate in accordance with the terms and conditions of the pew icate of approval, or other document of approval
issued by the DWR;and Uv
4. Has or,when completed,will have as its PRIMARY rather than incidental purpose the reduction of water pollution;
5.Is being used exclusively(100%)for waste treatment.
b)If approved,the Tax Certification issued will incorporate all requested assets at the facility that meet the criteria for Tax Certification by DWR. Therefore this application must include any new assets
for which Tax Certification is being requested,as well as any assets previously receiving Tax Certification from DWR for which Tax Certification is still needed.
A.Applicant(Applicant is the owner of,and taxpayer for,the property described in this application for tax certification.)
Name of Applicant: Name of Facility:
Tyson Farms,Inc. Tyson Farms,Inc.,Monroe
Address of Applicant,if different from facility where property located: Physical Address of Facility where property located(no P.O.Box):
2200 Don Tyson Parkway 233 South Secrest Monroe 28111
(address)AR (city)Springdale, (zip) (street address) (city) (zip)
72762
Business Relationship of Applicant to facility where property located: County where property located: Union
Tyson Farms, Inc.owns the Monroe NC Facility
Name of Contact Person at Facility where property located:
Katelyn Stroud
Does the Applicant hold any NC Division of Water Resources Permits? 704-296-4959
xx❑Yes / ❑ No Title: Complex Environmental Manager Phone Number:
If yes,please list 04823R27 NC0024333
Permit No(s):
If approved,will this be the first Tax Certification issued for this Facility? If no,attach any previously issued
x❑ Yes / ❑ No tax certifications
B.Complete this Section only if the Operator/User of the facility and equi ment is different from the Owner of the facility.
Name of Operator/User: i� Dh FArW+1 LyrC. 0 Af o U n
Operator/User Address: 2 r O•.. ? I *Ay 4 P Wild gilt t.,` �'Z76 Z,
(addres 1 (city) (zip)
Operator/User Contact Name: _ (VI (trf 11'
Relationship between Operator/User of facility and equipment and applicant: cN.45 0? I totecti4ory44 LivEI44K
***ATTACH A PROCESS SCHEMATIC TO YOUR APPLICATION The number of each item for which Tax Certification is being requested must be shown on the schematic*** Application continues on
Next page

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 2
Waste Treatment Systems & Equipment: Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rev.09/01/2013
For DWR We Was asset listed in Asset Number, %of time item is Is this asset
For Coonty only A• How is this equipment used for pollution Year of Original Historical
yApproved•D" Description of Waste Treatment Systems or Equipment the permit(Yes/No) Vehicle Identification used for pollution replacing a prior
Use Only abatement? Acquisition Cost"
Disapproved Number(VIN) abatement asset?
1 WASTEWATER PIPING Yes 1000770050 Used to transport Waste Water 100 1991 15,753.29 No
2 WASTEWATER PIPING Yes 1000770070 Used to transport Waste Water 100 1991 6,910.07 No
3 MATTIE PRESSON PROPERTY FOR WASTE WATER Yes 1000770090 Land for Waste Water facility 100 1978 74,945.00 No
4 WASTE TREATMENT 320-329 Yes 1000770110 Mechanical Unit to treat waste water prior to release 100 1978 315,589.38 No
5 WASTEWATER TREAT SLUDGE PIT AND FENCE Yes 1000770230 Holds sludge from treatment process 100 1986 30,386.96 No
6 METERING PUMPS-PNUCOR AT WWTP MONROE Yes 1000770270 Used to pump raw wastewater and return activated sludg 100 1987 12,601.30 No
7 PNUCOR METERING TANKS-MONROE WWTP Yes 1000770290 Ferric Tank on Application 100 1987 18,475.03 No
8 PHILAD POLYMER MIXER S/N 87BBK0343-0344 Yes 1000770330 Mixes water with polymers in the treatment process 100 1987 9,813.36 No
9 2 FLOWMETERS PTFE TEFLON 180 C MAX TEMP Yes 1000770350 measures the flow of waste water 100 1987 8,669.57 No
to WASTE WATER TREATMENT EQUIPMENT MONROE Yes 1000770390 Mechanical Unit to treat waste water prior to release 100 1987 1,060,277.80 No
11 2 20,000 GAL SLUDGE STORAGE TANKS MONROE Yes 1000770460 Tank to hold sludge 100 1987 31,886.35 No
12 ELECTRICAL SERVICE&METER TO SLUDGE FARM Yes 1000770790 provides electricity 100 1993 13,828.90 No
13 JOHN DEERE 8630 TRACTOR Yes 1000770870 Transports waste water material as needed 100 1991 25,330.80 No
14 BADGER 3350 SLUDGE INJECTOR Yes 1000770980 Pressurizes waste water to aid in pumping 100 1994 15,800.50 No
1s SPATCO FIBERGLASS STG TANK(1000 GL)-LIME SLURRY Yes 1000771060 Holds lime chemicals for slurry**On application 100 1995 5,414.87 No
Attach additional pages if necessary
•If the asset is listed in the DWQ permit,the description must be identical as listed on the current permit. If the asset is not specifically listed in the DWQ permit,the applicant must attach detailed information as to why the asset should qualify for Tax Certification.
••When certifying systems or equipment,DENR is not certifying the cost of the equipment or the year of acquisition.
Facilities: To qualify for tax certification,the building or section of building being applied for,must be used exclusively for water pollution prevention. A sketch of the building,square footage
along with details as to how the building is used for water pollution prevention, is required.
Land: To qualify for tax certification,the land must be used exclusively for water pollution prevention. A schematic diagram of the facility detailing the land being applied for is required. The
amount of land(acreage)is required and how this land is being used to prevent water pollution. For wastewater treatment and irrigation system list separately the acreage used for actual
treatment from the acreage required by the facility's water quality permit for buffers and setbacks.
SIGNATURE:
I hereby certify that the above equipment,facilities and/or land are used for the purpose stated,and that the information presented in this application is accurate. Furthermore, I certify that any
portable or mobile equipment listed is application will be used exclusively in the state of North Carolina.
Applicant 74;"Signature: Charley Terrell Title: Sr Manager Date: 12nerz022
(print name also)
NOTICE: The penalty for false statement,repres ntation or certification Of: Tyson Farms,Inc.
herein includes imprisonment and/or the assessment of civil penalties. (Name of Applicant Business Entity) TC-WO

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 3
Waste Treatment Systems&Equipment: Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rev09/01/2013
For DWR use
Only"a" Was asset listed in Asset Number,Vehicle %of Use for Is this asset
For-County Approved"D" the permit(Yes/No) Identification Number Pollution Year of Original Historical replacing a prior
use only Disapproved Description of Waste Treatment Systems or Equipment • (VIN) How is this equipment used for pollution abatement? Abatement Acquisition Costa* asset?
tc SPATCO MIXER(MPT MOD 5MF130A62)-FOR LIME SLURRY Yes 1000771080 Mixer for slurry 100 1995 3,146.15 No
t> WARREN RUPP EB1SM PUMP FOR LIME SLURRY Yes 1000771120 Pump to control slurry 100 1995 389.50 No
18 BUILDING FOR PUMP REPAIR&STORAGE(12X26) Yes 1000771140 Storage for Waste Water Equipment 100 1995 9,400.00 No
19 CONSTANT FLOW CONTROLLERS W/PUMPS-WASTEWATER Yes 1000771200 Pump and controllers for waste water monitoring 100 1999 21,108.63 No
2a MONROE PLANT DRY OFFAL SYSTEM Yes 1000820070 Dries OFFAL 100 1985 5,533.55 No
>1 TANK STAND&LOAD-OUT PIPE FOR OFFAL Yes 1000820090 Holds tank 100 1985 2,549.08 No
>> BLOOD TANK IN OFFAL ROOM Yes 1000826820 Tank to hold blood 100 1991 29,924.80 No
13 E SUCTION LINES FOR OFFAL ROOM Yes 1000834210 Transports Offal 100 1993 47,236.00 No
11 ROOF FOR WASTEWATER BUILDING Yes 1001368870 Roof of waste water building 100 2001 15,300.00 No
, SAMPLE PIT(SFT X 8FT X4FT)OVER MAIN SEWAGE LINE Yes 1001439420 Concrete Pit to hold waste water 100 2001 4,900.00 No
16 FLOW EQUALIZTION BASIN(WASTE WATER UPGRADE) Yes 1002130260 Large reservoir holding waste water 100 2003 277,147.58 Yes
>> FEB EFFLUENT PUMP STATION(WASTE WATER UPGRADE) Yes 1002130290 Pump Effluent 100 2003 60,000.00 Yes
>R WASTE WATER TREATMENT SYSTEM-INSTALLATION Yes 1002130320 Installation costs 100 2003 180,968.25 No
>9 24X20 CONCRETE PAD FOR SLUDGE BELT PRESS Yes 1002188080 Supports sludge belt press 100 2004 20,349.05 No
ao 24X20 CONCRETE PAD-INSTALLATION Yes 1002188090 Installation costs 100 2004 7,304.79 No
31 CONCRETE CONTAINMENT AT WW Yes 1002468130 Tank to hold Waste Water 100 2005 2,500.00 No
32 CONCRETE CONTAINMENT AT WW-LABOR Yes 1002468140 Labor for tank 100 2005 2,200.00 No
33 SHAKER STYLE DUST COLLECTORS Yes 50000139600 Removes particulates from air 100 2006 82,345.52 No
+a SHAKER STYLE DUST COLLECTORS INSTALLATION Yes 50000139601 Installation costs 100 2006 26,580.00 No
CS ABOVE GROUND VERTICAL SLUDGE TANK 20000 GAL Yes 50000342750 Tank to hold sludge 100 2007 34,510.00 No
Attach additional pages if necessary
• If the asset is listed in the DWR permit,the description must be identical as listed on the current permit.If the asset is not specifically listed in the DWR permit,the applicant must attach detailed information as to why the asset should qualify for Tax Certification.
••When certifying systems or equipment,DENR is not certifying the cost of the equipment or the year of acquisition.
Applicant Charle Terrell Title:Sr Manager Tax Date: 12/15/2022
Signature /i
(print name also) Of: Tyson Farms,Inc.
(Name of Applicant Business Entity) TC-WQ
NOTICE: The penalty for false statem t,representation or certification herein includes
imprisonnment and/or the assessment of civil penalties.

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 4
Waste Treatment Systems&Equipment: Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rev 09/01/2013
For DWR Use
Only"a„ Was asset listed in Asset Number,Vehicle %of Use for Is this asset
For County Approved"D" the permit(Yes/No) Identification Number Pollution Year of Original Historical replacing a prior
Use Only Disapproved Description of Waste Treatment Systems or Equipment * (VIN) How is this equipment used for pollution abatement? Abatement Acquisition Cost" asset?
36 ABOVE GROUND VERTICAL SLUDGE TANK 20000 GAL INST Yes 50000342751 Installation costs 100 2007 7,700.00 No
37 MIXER MOTOR Yes 50000603350 Mixer to process waste water 100 2008 4,117.42
38 MIXER MOTOR INSTALL Yes 50000603351 Installation costs 100 2008 2,450.00
39 GEAR BOX ASSEMBLY WITH PROPELLAR Yes 50000603360 Grinds solid waste 100 2008 10,764.64
40 WASTEWATER EFFLUENT FLOWMETER Yes 50000998600 Used to meter flow of treated discharge 100 2010 24,033.49
41 AQUATURBO 2OHP EQ TANK MIXER-WW N2 UPGRADE Yes 50001473950 Mixes chemicals into waste water 100 2009 9,992.76
42 (WW)WATER MANAGEMENT VALVE Yes 50001528200 Controls water flow 100 2013 17,720.00
43 REBUILD GORMAN RUPP PUMP Yes 50001779810 Pumps waste water 100 2008 9,256.83 Yes
44 GORMAN RUPP PUMP Yes 50001779840 Pumps waste water 100 2008 1,927.96
4s DAF PUMP Yes 50002153770 separate suspended solids and emulsified oils from waste 100 2018 14,015.00
46 PIT DRAIN PUMP Yes 50002157440 Removes water from pit 100 2018 9,058.38
47 SECONDARY SCREEN INFLUENT PUMP Yes 50002157450 Pump to filter particles from incoming waste water 100 2018 15,548.97
48 SECONDARY SCREEN INFLUENT PUMP Yes 50002157460 Pump to filter particles from incoming waste water 100 2018 15,548.97
49 SECONDARY SCREEN INFLUENT PUMP Yes 50002157470 Pump to filter particles from incoming waste water 100 2018 15,548.97
so DAF SLUDGE PUMP Yes 50002242630 separate suspended solids and emulsified oils from waste 100 2018 14,015.00
si CAT PUMP Yes 50002246600 Reciprocating pump for waste water 100 2018 5,766.75
52 SUMP PIT W/PUMP-DRAG FREEZER-INSTALL Yes 50002299251 Installation costs 100 2017 4,200.00
53 FECL3 SAFE TANK Yes 50002299700 Tank to hold waste 100 2018 45,878.36
54 DAF SYSTEM Yes 50002299710 separate suspended solids and emulsified oils from waste 100 2018 615,102.24
ss DAF SYSTEM-INSTALL Yes 50002299711 Installation costs 100 2018 59,556.05
Attach additional pages if necessary
• If the asset is listed in the DWR permit,the description must be identical as listed on the current permit.If the asset is not specifically listed in the DWR permit,the applicant must attach detailed information as to why the asset should qualify for Tax Certification.
"When certifying systems ore ui ment,DENR is not ce�ify nggtthe cost of the equipment or the year of acquisition. ] �( �7r�
Applicant fir4f kreL , ¶c' n r 1 4/� izjV, 2GZ.
` Title: �p�i Date:
rf IJ• I'
Signature • Of: *S1D kiln - J1*
(print name also) (Name of Applicant Business Entity) TC-WQ
NOTICE: The penalty for false statement,representation or certification
herein includes imprisonnment and/or the assessment of civil penalties.
4

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 5
Waste Treatment Systems&Equipment: Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rev 09/01/2013
For MR Use
Only"A, Was asset listed in Asset Number,Vehicle %of Use for Is this asset
For County Approved^D" the permit(Yes/No) Identification Number Pollution Year of Original Historical replacing a prior
One Only Disapproved Description of Waste Treatment Systems or Equipment • (VIN) How is this equipment used for pollution abatement? Abatement Acquisition Cost** asset?
56 DAF PUMP Yes 50002335150 separate suspended solids and emulsified oils from waste 100 2018 16,410.00
57 SCREENER WALKWAY SUPPORT STRUCTURE Yes 50002359500 allows access to facility 100 2018 24,300.58
58 SUPPORT STRUCTURE-AUGERS Yes 50002359510 Moves solid waste 100 2018 33,839.05
59 PREMIUM CONVEYOR Yes 50002359550 Moves solid waste 100 2018 34,046.13
so SECONDARY SCREENER SUPPORT Yes 50002359590 Pump to filter particles from incoming waste water 100 2018 24,857.07
61 CENTERLINE 2100 MOTOR CONTROL CENTER Yes 50002361470 Controls motors 100 2018 133,291.87
62 SWITCH GEAR Yes 50002361480 Controls motors 100 2018 57,330.00
6 WASTEWATER UPGRADES Yes 50002361580 Upgrading mechanical equipment 100 2018 120,483.75 Yes
s: WASTEWATER UPGRADES-INSTALL Yes 50002361581 Install costs 100 2018 134,244.57 Yes
6s MECHANICAL WORK-WASTEWATER UPGRADES Yes 50002361640 Pump and tubing for waste water processing 100 2018 9,192.60 Yes
66 MECHANICAL WORK-WASTEWATER UPGRADES-INSTALL Yes 50002361641 Install costs 100 2018 4,849.99 Yes
67 HIGH SPEED KIT-VACUUM SYSTEMS Yes 50002361660 Speeds up waste water treatment process - 100 2018 21,017.55
68 WASTEWATER PIPING Yes 50002361740 Used to transport waste water 100 2018 63,943.07
69 ELECTRICAL WORK AEREATION BASIN Yes 50002361870 provides electricity 2018 588,838.80
no CO2 DETECTION SYSTEM Yes 50002361920 Detects harmful levels of CO2 100 2018 43,263.68
el OFFAL FEED CONVEYOR Yes 50002362020 Transports dry offal 100 2018 8,809.44
n PUMP Yes 50002367270 Pumps wate water 100 2018 10,675.59
73 PUMP Yes 50002367280 Pumps wate water 100 2018 20,060.00
no STATIC MIXER Yes 50002374050 Mixes polymors 100 2018 19,314.60
is " CYCLONE Yes 50002385470 Separates solid materials 100 2018 17,372.49
Attach additional pages i/necessary
• If the asset is listed in the DWR permit,the description must be identical as listed on the current permit.If the asset is not specifically listed in the DWR permit,the applicant must attach detailed information as to why the asset should qualify for Tax Certification.
••When certifying systems or i meet,DENR is not cerr leg the cost of the equipment or the year of acquisition. /
Applicant P►rlt ,/ 4!r€1) Title: St'. y r OWDate: JZh.r12/zZ
Signature 1441
Of: ,/gor y(11' _ t
(print name also) ( e of Applicant B siness Entity TC-WO
NOTICE: The penalty for false statement,representr certification
herein includes imprisonnment and/or the assessment of civil penalties.

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 6
Waste Treatment Systems&Equipment: Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rev 09/01/2013
For DWR Use
Only"A" Was asset listed in Asset Number, %of Use for Is this asset
For county Approved^o" the permit(Yes/No) Vehicle Identification Pollution Year of Original Historical replacing a prior
Use Only Disapproved Description of Waste Treatment Systems or Equipment • Number(VIN) How is this equipment used for pollution abatement? Abatement Acquisition Costa• asset?
76 GRIT BARGE CONVEYOR Yes 50002499540 Transports Grit 100 2018 29,370.36 No
n DAF PIPING Yes 50002507400 Pipes to separate suspended solids and emulsified oils from waste 100 2018 394,285.44 No
78 WASTE WATER SAMPLER 50002623460 Tests waste water 100 2015 5,650.78 No
29
80
81
82
83
84
85
80
87
88
89
90
91
92
93
94
95
Attach additional pages if necessary
• If the asset is listed in the DWR permit,the description must be identical as listed on the current permit.If the asset is not specifically listed in the DWR permit,the applicant must attach detailed information as to why the asset should qualify for Tax Certification.
••When certifying systems or equipme t,DENR is not certifying ost of the equ' mentor the year of acquisition.
Applicant C o-r1 Title: S�. 41 ( Date: Z zZ
Signature Of: V S 1�1 Al Mt C
�'n�1/ j,
(print name also) (Name of pplicant Business Entity) TC-WQ
NOTICE: The penalty for false staten{ent,representation or certification
herein includes imprisonnment and/or the assessment of civil penalties.

COVER PAGE
Company Name:Tyson Farms,Inc..
Name of responsible person on site at the facility authorized to represent the Name of alternative on site person familiar with the day to day operations,
company in official dealings with the Sewer Authority and/or the City. environmental permitting requirements, monitoring, record keeping, and
data management..
Title Complex Environmental Manger Years with firm 10 Title Ronald Bell Years with firm 8
Phone#[phone] Fax#[phone] Phone#[phone] Fax#[phone]
Physical street address of facility Official mailing address,if different. Note if same.
233 S.Secrest Ave. Same
City Monroe State NC Zip 28112 City State Zip
The information provided by you on this questionnaire serves two functions:
1. The information is used to determine if your facility needs an Industrial
User Pretreatment Permit(IUP) for the discharge of wastewater to the local
sewer.
2. If an. Industrial User Pretreatment Permit (IUP) is required, this survey
serves as the application for an Industrial User Pretreatment Permit (IUP).
Requests for confidential treatment of information provided on this form shall be governed by procedures
specified in 40 CFR Part 2. In accordance with Title 40 of the Code of Federal Regulations Part 403,
Section 403.14 and the Local Sewer Use Ordinance (SUO), information and data provided in this
questionnaire which identifies the content, volume and frequency of discharge shall be available to the
public without restriction.
This is to be signed by an authorized official of your firm,as defined in the Local Sewer Use Ordinance or the NC Model
Sewer Use Ordinance, Section 1.2,after completion of this form.
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 upon 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
info
7226 ( 7 ation, including the possibility of fine and/or imprisonment for knowing violations.
‘71
Sature of Authorized Representative
p Date
listed above (seal if applicable)
Title: iU Wastewater Survey & Permit Application
File name: S:\Safety\Environmental1Wastewatcr\Permit\Application for permit renewal 1 Wastewater Permit Application:docx
Revision date: 12/30/97 Page I of 19

1. Provide a brief narrative description of the type of business, manufacturing
processes,or service activities your firm conducts at this site.
Poultry processing consisting of slaughter,cut up,debone and packaging.
Hatching of chicks.
Processing poultry feed.
2. List the primary products produced at this facility:
Processed poultry
3. List raw materials and process additives used:
Brine solution marinade
4. Are biocides added to any water discharged to the POTW,
if yes describe:
Parasitic Acid(PAA) Yes X
No
5. Describe weekly production schedule, including shifts worked per day,
employees per shift, and primary operation during shift
Twenty four hour operation five to six days a week consisting of three shifts. Shifts
one and two are processing shifts consisting of 750 employees each. Third shift is
sanitation and consists of 120 contracted employees.
6. Production process is: Check, if all continuous X
Check, if all batch
If both please enter, %continuous= % % Batch=
'title: IU Wastewater Survey & Permit Application
File name: S:\safcty1Environmental1Wastewater\Perminnpplication for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 2 of 19

7. Does production vary significantly (+-20 %) by season. Describe.
Yes
No x
8. Are any significant (+- 20 %) changes in production that will affect wastewater
discharge expected in the next 5 years. If yes,please describe.
Yes
No x
9. List all current waste haulers. Give name, address, phone numbers, volume and
materials hauled off.
Attached
10. Attach a copy of laboratory analyses performed in the last year on the wastewater
discharge(s) from your facilities. Summarize data on the attached Data Summary
Form.
On file with the City of Monroe.
11. Attach sketch or schematic showing sampling points and all connections to the sewer.
Attached
12. Complete the Wastewater Pollutants Checklist attached to this Survey.
Title: Ri Wastewater Survey & Permit Application
File name: S:\Safcty\Environnrental\wastewater\Permit\Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 3 of 19

13. Do you have, or have you ever applied for, been issued, or been denied
an NPDES permit to discharge to the surface waters or storm sewers of
North Carolina? If yes, list all other NPDES permits, permit numbers,
dates,and names used to apply for them,or reason denied.
Ifycs: Permit,#,date,applicant name X
NCG060023, December 01,2012 Tyson Foods,Inc. Yes
If yes: Permit,#,date,applicant name No
14. Do you have, or have you ever applied for or been issued an Industrial
User Pretreatment Permit (IUP) to discharge wastewater to the sewer
collection system. If yes, list all other IUP permits, permit numbers,
dates,and names used to apply for them.
If ycs: Permit,#,date,applicrnt name Yes X
CM-11, May 25,2011 Tyson Foods,Inc.
If yes: Permit,#,date,applicant name No
15. Do you have, or have you ever applied for or been issued any other
Environmental . Permits (for example; air, RCRA, groundwater,
stormwater, general, Non-Discharge, septic tank, etc.). If yes, list all
other permits,permit numbers, dates,and names used to apply for them.
If yes: Permit type,#,dale,applicant name X
Land Application,WQ0000029 December 10,2010 Tyson Foods,Inc. Yes
If yes:Permit type,#,date,applicant name NO
Air Permit,048231125 July 03,2012 Tyson Foods,Inc.
If yes:Permit type,#,date,applicant name
Stormwater, NCG060023 December01,2012 Tyson Foods,Inc.
16. Is a Spill Prevention Control and Countermeasure (SPCC) Plan
prepared for this facility?
Yes X
No
17. Is a Spill /Slug Control Plan required by the POTW, prepared for this
facility?
Yes X
No
Title: IU Wastewater Survey & Permit Application
Revision dale: 12/30/97 Page 4 of 18

18. Do you have any underground storage tanks at your facility? If yes,list
contents and volume of each tank.
One(1) 10,000 gallon diesel fuel tank.
Yes X
No
19. Do you have any above ground storage tanks at your facility? If yes,for
each tank, list the contents, volume, whether the tank has any spill
prevention or containment devices, such as dikes, and procedures for
draining any containment devices.
Yes X #of Tanks
No
One(1)Waste oil: 1,200 gallons
One(1)Diesel fuel: 1,000 gallons
Two(2)#2 Fuel oil: 10,000 gallons(each)
One(1)Animal fat(oil): 10,000 gallons
One(1)Chlorine chloride: 10,000 gallons
One(1)Lysine: 10,000 gallons
One(1)Alimet: 10,000 gallons
Three(3)Diesel fuel:250 gallons (each)
Three(3)Diesel fuel: 2,000 gallons(each)
One(1)Lime slurry tank—wastewater:5600 gallons
Two(2)Sludge holding tanks—wastewater:20,000 gallons(each)
Two(2)Ferric chloride tanks—wastewater: 5,000 gallons(each)
Two(2)Polymer mix tanks—wastewater: 4,000 gallons(each)
* One(1)Equalization tank—wastewater: 750,000 gallons
Most tanks have secondary containment.Any accumulated water is drained by gravity from the
containment structure.If any contamination is detected,the appropriate vendor is contacted to
have the containment pumped out and treated per applicable regulations.
*E ualization tank has no secondarycontainment.
9
Title: fU Wastewater Survey & Permit Application
Revision date: 12/30/97 Page 5 of 18

Industrial User Wastewater Survey & Permit Application
PART II, Water Supply, Use, & Disposal Worksheet:
Water Used for: Water Avg. Max. M E Disposal Avg. Max. M E
gal/day gal/day e st Method(s) gal/day gal/day e st
Source(s) a
a i
S m s m
u at u at
re e re e
d d d d
(see Source.List below) (see Disposal List below)
1. Process water #1 City of Monroe 100% 1,057,165 X #1 1,331,655 X
2. Washdown water 278,976 X #2 27,328 X
3. Water into product 29,366 X #3 2733 X
4. Air Quality Permitted units #5 52,621 X
5. Domestic-toilets,drinking,cafe 29,366 X #6 13,664 X
6. Cooling water,Process NON-Contact 35,239 X #9 River Valley(offal) 17,763 X
7. Boiler/Cooling tower blowdown 11,746 X #10 22,533 X
8. Cooling water,HVAC 26,439 X
9. Other:
Totals=> 1,468,297 Totals=> 1,468,297
Typical Water Sources: Possible Water Disposal Methods
1. City/Public supply 1. Sanitary sewer,with pretreatment
2. Private wells,drinking 2. Sanitary sewer, without pretreatment
3. Groundwater remediation wells 3. Storm sewer
4. Private ponds 4. Surface waters of NC
5. Surface waters of NC,please identify 5. Evaporation
6. Include others if applicable 6. Land applied
7. To groundwater
8. Septic Tank
9. Waste Haulers(identify)
10. Water into Product
Title: IU Wastewater Survey & Permit Application
File name: S:\SafetylEnvironmental\Wastewater\Permit\Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 6 of 19

PART III, PRETREATMENT FACILITIES:
Are there any pretreatment devices or processes used for treating wastewater
before being discharged to the sewer? Check all that are present,and describe.
No pretreatment facilities=>
1. Flow equalization Aerated equalization=> 750,000 gal
NON-Aerated equalization=>
Total volume of equalization (million gal.)=> 750,000 gal
2. Activated Carbon Yes No X Describe any, if present.
3. Activated Sludge Yes No X
4. Air Stripping Yes No X
5. Centrifugation Yes No X
6. Chemical Precipitation Yes No X
• 7. Chlorination Yes No X
8. Cyanide Destruction Yes No _X
9. Cyclone Yes No X
10. Dissolved Air Floatation Yes X No
11. Filtration Yes No X
12. Flocculation Yes X No
13. Grease Trap Yes X No
14. Grit Removal Yes X No
15. Ion Exchange Yes No X
16. Neutralize,pH adjust Yes X No
17. Other Biological Treatment Yes No X
18. Ozonation Yes No X
19. Reverse Osmosis Yes No X
20. Screening Yes X No
21. Sedimentation Yes No X
22. Septic Tank Yes No X
23. Silver Recovery Yes No X
24. Solvent Separation Yes No X
25. Spill protection Yes X No
List any others.
Title: JU Wastewater Survey & Permit Application
Revision date: 12/30/97 Page 7 of 18

PART IV, CATEGORICAL INFORMATION:
1. When were operations started at this facility Facility start up date 1966
2. List all Standard Industrial Classification(SIC)codes for your facility.
These may be found on State Unemployment forms,tax forms,
accounting records,or from the Chamber of Commerce.
311615
112340
311119
3. Has this facilityever been considered a Categorical Industrial User
g
(CIU)as described by the Code of Federal Regulations(40 CFR)?
If yes,give complete 40 CFR number=>
No X
4. Are any other facilities owned and/or operated by your company
permitted as Categorical Industrial Users(CIUs)as described by the
Code of Federal Regulations(40 CFR)?
If yes please give name(s),location,and 40 CFR number. Yes
No X
Title: IU Wastewater Survey & Permit Application
Revisinn date: 12/30/97 Page 8 of 18

TART IV, CATEGORICAL INFORMATION:
(continued)
5. Check any activities listed below that are performed at your facility:
Check 40 Industrial Activity Check �� Industrial Activity
below CFR4 below CFR#
467 Aluminum Forming X 432 Meat products
427 Asbestos Manufacturing 433 Metal finishing
46I Battery Manufacturing 464 Metal molding and casting
431 Builders paper&board mills 436 Mineral mining and processing
407 Canned&preserved fruits&veg. 471 Nonferrous Metal,Form&Powders
408 Canned&preserved seafood 421 Nonferrous Metals Manufacturing
458 Carbon black Manufacturing 414 OCPSF,Organic Chemicals,Plastics,
411 Cement Manufacturing &Synthetic Fiber Manufacturing
437 Centralized Waste Treatment 435 Oil&gas extraction
434 Coal Mining 440 Ore mining and dressing
465 Coil Coating 446 Paint formulating
468 Copper Forming 443 Paving and roofing materials Mfg.
405 Dairy products processing 455 . Pesticide Manufacturing
469 Electrical,electronic components 419 Petroleum Refining
413 Electroplating 439 Pharmaceutical Manufacturing
457 Explosives Manufacturing 422 Phosphate Manufacturing
412 Feedlots 459 Photographic supplies
424 Ferro allay Manufacturing 463 Plastics molding and forming
418 Fertilizer Manufacturing 466 Porcelain enameling
464 Foundries,Metal Mold&Casting 430 Pulp,paper,and paperboard
426 GIass Manufacturing 428 Rubber Manufacturing
406 Grain mills 417 Soap&Detergent Manufacturing
454 Gum&Wood Chemicals Mfg. 423 Steam Electric power Generation
460 Hospitals 409 Sugar processing
447 Ink formulating 410 Textile Mills
415 Inorganic chemical Manufacturing 429 Timber products processing
420 Iron&Steel Manufacturing 442 Transportation Equipment Cleaning
425 Leather Tanning&Finishing Others
•
Title: IU Wastewater Survey & Pennit Application
Revision dale: 12/30/97 Page 9 of 18

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/i)
Acid Extractable Organics
2-Chlorophenol 34586 X X
2,4-Dichlorophenol 34601 X X
2,4-Dimethvlphenol 34606 X X
2,4-Dinitrophenol 34616 X X
2-Methyl-4,6-dinitrophenol 34657 X X
4-Chloro-3-methylphenol 34452 X X
2-Nitrophenol 34591 X X
4-Nitrophenol 34646 X X
Pentachlorophenol 39032 X X
Phenol 34694 X X
2,4,6-Trichlorophenol 34621 X x
Base Neutral Organics
1,2,4-Trichlorobenzene 34551 X X 1
1,2-Dichlorobenzene 34536 X X I
1.2-Diphenylhydrazine 34346 X X
1,3-Dichlorobenzene 34566 X X
1,4-Dichlorobenzene 34571 X X
2,4-Dinitrotoluene 34611 X X
2.6-Dinitrotoluene 34626 X X
2-Chloronaphthalene 34581 X X
3,3-Dichlorobenzidine 34631 X X
4-Bromophenyl phenyl ether 34636 X X
4-Chlorophenyl phenyl ether 34641 X X
Acenaphthene 03405 X X
Acenaphthylene 34200 X X
• Anthracene 34220 X X
Benzidine 39120 X X
Benzo(a)anthracene 34526 X 1 X
Benzo(a)pyrene 34247 X X
Benzo(b) fluoranthene 34230 X X
Benzo(ghi) perylene 34521 X X
Benzo(k)fluoranthene 34242 X X
Bis(2-chloroethoxy)methane 34278 X X
Bis(2-chloroethyl)ether 34273 X X
Bis(2-chloroisopropyl)ether 34283 X X
Bis(2-ethylhexyl)phthalate 39100 X X
Butyl benzyl phthalate 34292 X X
Chrysene 34320 X X
1Di-n-butyl phthalate 39110 X X
Title: 1U Wastewater Survey & Permit Application
Revision date: 12l30197 Page 10 of 18

""1, -4
Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge,
Code Facility Facility Discharge Discharge if Known
(mg/1)
Base Neutral Organics (continued)
Di-n-octyl phthalate 34596 X X
Dibenzo(a,h)anthracene 34356 X X
Diethyl phthalate 34336 X X
Dimethyl phthalate 34341 X X
Fluoranthene 34376 X X
Fluorene 34381 X X
HexachIorobenzene 39700 X X
Hexachlorobutadiene 34391 X X
Hexachlorocyclopentadiene 34386 X X
Hexachloroethane 34396 X X
Indeno(1,2,3-cd)pyrene 34403 X X
Isophorone 34408 X X
N-nitroso-di-n-propylamine 39428 X X
N-nitrosodimethylamine 34438 X X
•
N-nitrosodiphenylamine 34433 X X
Naphthalene 34696 X X
Nitrobenzene 34447 X X
Phenanthrene 34461 X X
Pyrene 34469 X X
Metals
Aluminum 01104 X X
Antimony 01097 X
Arsenic 01002 - X
X X
Beryllium 01012 X X
Cadmium 01027 X X <DL
Chromium 01034 X X
Copper 01042 X X
Lead 01051 X X
Mercury 71900 X X
Molybdenum 01062 X X
Nickel 01067 X X
Selenium 01147 X X
Silver 01077 X
Thalium 00982 X
X X
Zinc 01092 X , X
Title: Ill Wastewater Survey& Permit Application
Revision dale: 12/30/97 Page 11 of 18

Wastewater Pollutant Checklist
Chemical Name EPA Check if Check if Check if Check if Concentration
Storet Present at Absent at Present in Absent in in Discharge.
Code Facility Facility Discharge Discharge if Known
(mg/1)
Other Inorganics
Barium 01007 X X
Chloride 00940 X X
Cyanide 00720 X X
Fluoride 00951 X X
Purgeable Volatile Organics
1,l,1-Trichloroethaue 34506 X X
I,1,2,2-Tetrachloroethane 34516 X X
1,1,2-Trichloroethane 34511 X X
1,1-Dichloroethane 34496 X X
1.1-Dichloroethylene 34501 X X
12-Dichloroethane 34531 X X
1.2-Dichloropropane 34541 X X
2-Chloroethyl vinyl ether 34576 X X
Acrolein 34210 X X
Acrylonitrile 34215 X X
Benzene 34030 X X •
Bromodichloromethane 32101 X X
•Bromoform 32104 X X
Bromomethane 34413 X X _
Carbon tetrachloride 32102 X X
Chlorobenzene 34301 X X
Ch l oroethane 343E] X X
Chloroform 32106 X X
Chloromethane 34418 X X
cis 1,3-Dichloropropenc 34704 X X
Dibromochloromethane 32105 X X
Ethylbenzene 34371 X X
Methylene chloride 34423 X X
Tetrachloroethylene 34475 X X
Toluene 34010 X X
trans 1,3-Dichloropropene 34699 X _ X
trans-1,2-Dichloroethylene 34546 X X
Trichloroethylene 39180 X X
Trichlorofluoromethane 34483 X X
,Vinyl chloride 39175 X X
Others
Xylene X X
j
Title: IU Wastewater Survey & Permit Application
Revision date: 12130/97 Page 12 or 13

Data Summary Form
<= Receiving POTW
<= Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name, IUP#, and/or pipe#
BOD TSS Ammonia
Lab => Laboratory performing analysis=>
MDL=> Laboratory Method Detection Limits=>
Notes=> Notes =>
Q = Flow
Sample Date Notes about Sample M=Metered Conc. Results Conc. Results Conc. Results
ID, or Sample E=Estimated from Lab from Lab from Lab
Count Collected
mgd gal/day <? mg/1 <? mg/1 <? mg/I
1
2 On file with city
3
4
5
6
7
9
10
11
12
etc
TNS => Total number of samples=>
Max. value=> Maximum data value(mg/1)_>
Avg. (use 1/2 BDL)_> Avg. data value, Include BDL values as 1/2 detection limit=>
Title: IU Wastewater Survey & Permit Application
File name: S:\Safety\Environmental\Wastewater\Permit\Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 14 of 19

Data Summary Form
<= Receiving POTW
<=Receiving NPDES #
<=Specific Sample Location!
i.e., Give IU Name,IUP#, and/or pipe#
Arsenic Copper Chromium Cadmium COD Copper
Lab=>
MDL=>
Notes=>
Sample Date Sample Conc. Results Conc. Results Conc. Results Conc. Results Conc. Results Cone.Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/I <? mg/1 <? mg/1
1
2
3
4 On file with city
5
6
7
8
9 .
10
11
12
etc
TNS =>
Max. Value=>
Avg. (use1/2 BDL)=>
Title: IU Wastewater Survey & Permit Application
File name: S:1Safety\Environmental\WastewaterWermit1Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 15 of 19

Data Summary Form
<=Receiving POTW
<= Receiving NPDES#
<= Specific Sample Location!
i.e.. Give IU Name, IUP#, and/or pipe#
Cyanide Lead Mercury Nickel Silver Zinc
Lab=>
MDL=>
Notes=>
Sample Date Sample Conc. Results Cone. Results Conc.Results Cone. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
mg/1 <? mg/1 <? mg/I <? mg/1 <? mg/1 <? mg/1
1
2
3 On file with city
4
5
6
7
8
9
10
11
12
etc
TNS =>
Max. Value=> _
Avg. (use1/2 BDL) =>
Title: IU Wastewater Survey & Permit Application
File name: S:\Safety\Environmental\wastewaterpermit\Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 16 of 19

Data Summary Form
<= Receiving POTW
<=Receiving NPDES #
<= Specific Sample Location!
i.e., Give IU Name,IUP#, and/or pipe#
Other Other Other Other Other Other
Lab=>
MDL=>
Notes=>
Sample Date Sample Conc. Results Cone. Results Conc. Results Conc. Results Conc. Results Conc. Results
ID or Collected from Lab from Lab from Lab from Lab from Lab from Lab
Count
<? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1 <? mg/1
1
2
3 On file with city
-
4
5
6
7
8
9
10
11
12
etc
TNS=>
Max. Value=>
Avg. (use1/2 BDL)=>
Title: IU Wastewater Survey & Permit Application
File name: S:\Safety\Environmental\Wastewater\Pemiit\Application for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 17 of 19

Part V, Waste Reduction Information :
State Pretreatment Rule I5A NCAC 2H.0916 (c)(1)(M) requires Significant Industrial
Users to include a description of current and projected waste reduction (pollution
prevention) activities. The codes listed are standard EPA codes found on Toxic Release
Inventory and other environmental forms. Please check all applicable codes for your
facility related to wastewater discharge.
Current Projected Code Description
W13 Improved maintenance scheduling recordkeeping, or procedures
W 14 Changed production schedule to minimize equipment and feedstock
changeovers
WI9 Other changes in operating practices(explain briefly in comments)
W21 Instituted procedures to ensure that materials do not stay in inventory
beyond shelf-life
W22 Began to test outdated material-continue to use if still effective
W23 Eliminated shelf-life requirements for stable materials
W24 Instituted better labeling procedures
W25 Instituted clearinghouse to exchange materials that would otherwise
be discarded
W29 Other changes in Inventory control (explain briefly in comments)
X W31 Improved storage or stacking procedures
X W32 Improved procedures for loading, unloading and transfer operations
W33 Installed overflow alarms or automatic shutoff. valves
X W34 Installed secondary containment
W35 Installed vapor recovery systems
W36 Implemented inspection or monitoring program of potential spill or
leak sources
W39 Other spill and Ieak prevention (explain briefly in comments)
W41 Increased purity of raw materials
W42 Substituted raw materials
W49 Other raw material modifications (explain briefly in comments)
W51 Instituted recirculation within a process
Title: Ill Wastewater Survey&Permit Application
File name; S:`safctyrEnvironrucntaRwastewater\Permit\npplication for permit renewal\Wastewater Permit Application.docx
Revision date: 12/30/97 Page 18 of l8

F
Current Projected Code Description
X W52 Modified equipment, layout,or piping
W53 Use of a different process catalyst
X W54 Instituted better controls on operating bulk containers to minimize
discarding of empty containers
X W55 Changed from small volume containers to bulk containers to
minimize discarding of empty containers
W58 Other process modifications (explain briefly in comments)
W59 Modified stripping/cleaning equipment
W60 Changed to mechanical stripping/cleaning devices (from solvents or
other materials)
W61 Changed to aqueous cleaners ( from solvents or other materials)
W62 Reduced the number of solvents used to make waste more amenable
to recycling
W63 Modified containment procedures for cleaning units
X W64 Improved draining procedures
W65 Redesigned parts racks to reduce dragout
W66 Modified or installed rinse systems
W67 Improved rinse equipment design
W68 Improved rinse equipment operation
W71 Other cleaning and degreasing operation(explain briefly in comments)
X W72 Modified spray systems or equipment
W73 Substituted coating materials used
W74 Improved application techniques
W75 Changed from spray to other system
W78 Other surface preparation and finishing(explain briefly in comments)
W81 Changed product specifications
W82 Modified design or composition of product
W83 Modified packaging
W89 Other product modifications (explain briefly in comments)
W99 Other(specify in comments)
Comments (Please list corresponding code)
Title: IU Wastewater Survey & Permit Application
File name: S:1SafetytEnvironmeniallwastcwatcr\Permit\Application for permit renewallWastewater Permit Application.docx
Revision date: 12/30/97 Page 19 of 19

(
Wastewater Protreattnent Plow Clagram 8.Paclltty Layout
"%Paon Pooda.Inc.-Monroe.North Carolina
mate:01116N7
L�rMuont horn Plant 8 t4310t+ory
'/ a
I PIpW.1G E??Z .--
'..r.1
Ple.v Mol.ro 71, OOG ite'SIOn*,et '
T I ChM...r n..bp..*t_ I Pump Swoon
PYIIUn t 1 !D �T ) i
..—_�
OVUef PUrnp! 1oom veym rql 7.n k mAF Unit mU ; cee.
yr I
11 Ytii `b rH r s( 1 t1e R J r {�i. j;-'1 r 1 ir.4 r t
f-,Isilaaa kt r 1h} t k s�.Yc llslud ,m 7 3 /'
+ �rry,J(t.oaa�i+ye � '� 4f( ''t+ Y jai .uaa Sryo..Gdp.eltar'l 4 'y,i\ aon'^:"a eop.e:�.,.`
t t _e.t a jle -:rl.+t ;.4 4r•ksi.z .q.vs �i .! \,_ — ,-. Po.,u..... Omeo
DlC�1I1q,�' w,rhb d
41UCgqi�j1' •fj)Kj{b''}}��}t Te e. .91Y,!Mpnrep VWVrp
f �°OQar°h•) Sampling
( � �'Kl Mannolo
file://C:1Documents and Settingslhopperro\My Documents\Old Environmental\WastewaterlDiagrams\Flow Diagram&Facility... 2/19/2013

Tyson Farms, Inc.
Monroe, NC Complex
Waste Haulers
Bio-Medical Waste(Approx.75 Ibs/wk) DAF Sludge(36,000 gal/day)
Sericycle Terra Renewal Services
1419 Lake Cook Rd. 201 S Denver Ave.
Deerfield, IL 60015 Russellville,AR 72801
704-573-0032 479-498-0500
Hatchery Waste-Egg Shells(10,000 lbs/wk)
American Dehydrated Foods, Inc.
1201 Spring Forest Rd
Lillington, NC 27546
910-814-2323
Waste Oil(500 Gal/Mo)
HazMat Transportation and Disposal
PO Box 37392
Charlotte, NC 28237
704-332-5600
Landfill Refuse(8000 lbs/day)
All Points Waste Service, Inc.
PO Box 2458
Indian Trail, NC 28079
704-821-5424
Offal (feathers, meat, blood,700,000 lbs/day)
River Valley By Products
PO Box 158
Harmony, NC 28637
704-546-2602
Universal Waste (fluorescent bulbs, 100 bulbs/mo)
HazMat Transportation and Disposal
PO Box 37392
Charlotte, NC 28237
704-332-5600
Scrap Metal
Metal Recycling Services
150 S Bivens Rd
Monroe, NC 28111
Empty Drums(40/mo)
Precision Industries
Omaha, NE 68103
912-898-8858

\m -r
onro e
North Carolina
May 28,2020
Mr.Chris Harrington
Tyson Farms,Inc.
233 South Secrest Ave.
Monroe,North Carolina 28110
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear Mr.Harrington:
Please find enclosed herein Industrial User Permit CM-11 authorizing Tyson Farms,Inc. to continue to
discharge process wastewater to the City of Monroe sewer system for further treatment at the City of
Monroe Wastewater Treatment Plant through June 30,2023 and specifying the conditions governing this
discharge.Please review this entire permit carefully in order to meet all requirements.
Consistent with the provisions of§52.051 of the City's Sewer Use Ordinance,the terms and conditions of
this permit are binding upon the industrial user.
§52.051 WASTEWATER PERMITS.
(I) Hearings.
(1) Initial Adjudicatory Hearings. An applicant whose permit is denied, or is granted
subject to conditions he deems unacceptable, a permittee/user assessed a civil penalty under§
52.999, or one issued an administrative order under§ 52.120 shall have the right to an
adjudicatory hearing before the POTW Director or other hearing officer appointed by the POTW
Director upon making written demand,identifying the specific issues to be contested,to the
POTW Director within 30 days following receipt of the significant industrial user permit, civil
penalty assessment,or administrative order.Unless such written demand is made, within the time
specified herein, the action shall be final and binding and further appeal is barred. For modified
permits,only those parts of the permit being modified may be adjudicated. The hearing officer
Cityof Monroe •PO Box 69 • Monroe,NC 28111-0069
Tel: [phone] • Fax: (704)213,.E-5764
www.monroenc.org

shall make a final decision on the contested permit penalty, or order within 45 days of the receipt
of the written demand for a hearing. The POTW Director shall transmit a copy of the hearing
Consistent with the provisions of§ 52.051 of the City's Sewer Use Ordinance,the terms and
conditions of this permit are binding upon the industrial user.
Should you require additional information please do not hesitate to contact me at(704)282-4632.
Respectfully, !
Kevin Keesler
Pretreatment Coordinator
C:WWTP IUP file
Mr.Russell Colbath
I:\8040 WWTP and Collection\Pretreatment program\Industries\Tyson

City of Monroe WWTP
Municipality Name
hereafter in this permit to as the
Conant Authority
PERMIT
Industrial User Pretreatment Permit(IUP)
To Discharge Wastewater Under the
Industrial Pretreatment Program
CM-1l - N/A
RIJP Number 40 CFR Category
(if Applicable)
In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable
federal categorical pretreatment regulations, all other lawful standards and regulations promulgated
and adopted by the North Carolina Environmental Management Commission,and the City of Monroe
Sewer Use Ordinance. The following Industry,hereafter referred to by name or as the permittee:
Industry name,permittee:
Tyson Farms,Inc.
Facility Located at Street Address:
233 S.Secrest Avenue
City
Monroe
State,Zip
North Carolina, 28110
is hereby authorized to discharge wastewater from the facility located at the above listed address into
the sanitary sewer collection system and the wastewater treatment facility of the City of Monroe
listed below:
IUP Control Authority WWTP name:
City of Monroe WWTP
NPDES Number.
NC0024333
WWTP Address:
Post Office Box 69
State,Zip
Monroe,NC 28111-0069
in accordance with effluent limitations, monitoring requirements, and all other conditions set forth
in Parts—I,II,—and III of thisTndustnal User Pretreatmeiitrarmit(IUP).
Effective date,this permit and the authorization to discharge shall
become effective at midnight on this date:
July 1,2020
Expiration date,this permit and the authorization to discharge shall
expire at midnight on this date:
June 30,2023
,C7.2 ? . 2d
Date Director of Water Resources
Page:1
Effective Date:July 1,2020
a

IUP, Part I
Industrial User(IU) Specific Conditions
IUP,PART I, OUTLINE:
A) RIP Basic Information
B) RIP Modification History
C) Authorization Statement
D) Description of Discharges
E) Schematic and Monitoring Locations
F) Effluent Limits&Monitoring Requirements
G) Definitions and Limit Page(s)notes
A. IUP Basic Information
Receiving POTW name: POTW NPDES#:
City of Monroe Wastewater Treatment Plant NC0024333
IUP Name: IUP Number.
Tyson Farms,Inc. CM-11
IUP Effective date: Pipe Numbers,list all regulated pipes:
July 1,2020 01
IUP Expiration date: IUP 40 CFR#(if applicable),or NIA:
June 30,2023 N/A
B. IUP History:
Effective Date: Renewal or Modification: Description of modifications:
January 15,1988 - Permit Issued
June 22,1989 Permit Issued
November 8,1989 Permit Limits Changed
November 30,1992 Permit Issued
June 8,1994 Industry Name change;expiration
— change
December 15,1995 Permit Issued
IUP#=>CM-11
Page: 2
Effective Date:July 1,2020
4

Effective Date: Renewal or Modification: Description of modifications:
September 15,1996 Permit Limits Changed
April 30,1998 Permit Issued
June 5,1998 Discharge description corrected and site
diagram added
November 15,1999 Permit Issued;limits changed;Dropped TTO
August 21,2000 Corrected description of discharge, diagrams,
and modification history change
July 1,2002 Permit issued; Changed verbiage PART I 1,
PART II 17,29, PART III 1,(2)4; Dropped
Chromium, Cyanide, Lead, Silver; Changed
limits for BOD; Changed monitoring frequency
of flow;Added PART HI 4.
Permit Issued; Changed limits for BOD, TSS,
July 1,2005 NH3-n; Changed limits for Cd, Cu, Ni, Zn to
monitor only; Changed IU treatment units.
Added PART III 5.,6,7.
February 1,2007 Renewal Permit Issued; Changed limit for NII3-n;
Changed PART I B.heading;changed page 6 F)
to G); changed verbiage in PART I G) 1.,2.,3.;
changed verbiage in PART II 2.a),b); 10.; 13.;
16.;25.;27.30.;changed verbiage in PART III 2.
2.;2.3.;6.;Added PART III 8.;9.
March 1,2010 Renewal Permit issued;Changed limit for NH3-n
June 1,2011 Modification Permit limits modified from weekly avg. to
monthly avg.for BOO,TSS,Ammonia.
- -- —-- -July 1,2013 —Renewal — Permit-issued;changed TSS detection limit.
September 1,2014 Modification Name change.
October 1,2015 Extension/Modification Permit extension;Changed limit on flow.
January 1,2018 Renewal Permit Issued;Changed PART I C 2.Added new
DAF at offal
July 1,2020 Renewal Permit Issued
IUP#=>CM-1 J.
Effective Date:July 1,2020
I

Page: 2B
IUP, Part I
Industrial User (IU) Specific Conditions
jC) Authorization Statement:
1) The Permittee is hereby authorized to discharge wastewater in accordance with the
effluent limitations,monitoring requirements, and all other conditions set forth in this
Industrial User Pretreatment Permit (IUP) into the sewer collection system and
wastewater treatment facility of the City of Monroe.
II
2) The Permittee is hereby authorized to continue operation of and discharge wastewater
from the following treatment or pretreatment facilities. These facilities must correspond
to the treatment units listed on both the application and inspection forms.
IU Treatment Units
List all Treatment Units: Descriptions:
Grit Removal
Grease Trap
Screening
Aerated Equalization 750,000 Gallons
Flocculation
DAF Unit(1)at Offal
DAF Units(2) at WWTP
pH adjustment
3) The Permittee is hereby authorized to, if required by the City of Monroe and after
receiving Authorization to Construct (A to C) from the City of Monroe, construct and
operate additional pretreatment units as needed to meet final effluent limitations.
D) Description of IUP Discharge(s):
1. Describe the discharge(s)from all regulated pipes.
Pipe#of Description of Discharge:
Process Wastewater; Cooling water Blowdown; First flush of stormwater
collection pit(see PART HI 7)
Pipe#02 Description of Discharge:
- - - - IUP#=>CM-11
Effective Date:July 1,2020

Page:3
IUP, Part I
Industrial User (IU) Specific Conditions
E.) Schematic and Monitoring Locations:
The facility schematic and description of monitoring location(s) given below must show
enough detail such that someone unfamiliar with the facility could readily find and
identify the monitoring location(s) and connection to the sewer. Include and identify all
regulated pipes.See pages 4A,4B and 4C.
IUP#=>CM-11
Page:4
Effective Date:July 1,2020

O y, - 4 `...--
LA
IA p
-4 \.. \\,, \cc \..
t ifr 2 * ,...,, \ 7,,,,. 4-._...4,_..-- ,:-.Yr. .
t \ '''.
..\1\:\ -\-\ , •E w
set `g N -::', .1 ------- \ .
bi 1
li,,,' ",/e7:. \\\,, ri 2 E '
o
,.,. ( ....._ \-31 so. .
' ;:i a: 3 '
----X4 , <\.„... 1,..):: " \
; ,.......----1 \ '
j:35 E _,,,,
r ,) -c
\'''
,,, .m - ,... ,. ..
,4-'. @ ,
° a\\C �..... , ,..
*i-, C � ptl8
r.
))'''''.--1.
:7 : c
7 •-•"---%():,..1:----: ill ...: .ri\ /I/
i 411.• i
9/W2. E103S-S` N'
N.\
1 o /I/ .,
P +,'i L-7 : a __cif 0/ ,,,,_ 1\ \ 4 c ;
�j'� ' ii,...1 SI�UD SA GGyy
\ �Q� ; a l\ C f11: N
`ZQ , Nl,-_.i n
-� is - x '' �� ''+
i
fK 0
n m
1,1
\ r, `t
I ,,�
' n
` r _./11
wS
cal
o \c,./. -----_, D�} s 3 0
f - :5 e. �iR Ng tiNs
RO
4

' Wastewater Pretreatment Flow Diagram & Facility Layout
It, f 1 ' , Tyson Foods, Inc. -Monroe, North Carolina
1ri 1
t a
z. '.1 '`f" Effluent from Plant& Hatchery
`.try+' Ns'=ti
®J
•
ti
:.n. J .J�. .CL..
i'-`'?';-v'',V•1&.::.-.:-',..,:. . ..,„
Ali°oaf lri`icap
Rer F!
ti
, .
n nl
Pump Station
r Chemical Food Pumps
Effluent,r1
' •" -
Blower Pumps F ; , .
Room Polymer Mix Tank ` �'•_ DAF Unit DAF Unit 4pie�
•1m�;5 P'' ai,
1.
�`T_ k,soda #1 #2 g
s75.t 8TJ; I }gall ` B Lab
{�j� "tom ";4 , �+110 �1Me rr '£�
��i.a'1"�...:�S",•. a"��i��Ci�,9,.4���)Y� =•��j;_��,�•V,(��.�{irt kifga �3},uy;�.,ei 2`rrA�:z.�,`�.'•sz,�py]a���?/`...•f''}(... .S y�:... v-.1•. (` /y
`�j }V, S� � �.]�'!�1'r� `{" fti '��� �?�\/'i 'y2�t. iA�.l ��R�¢ �y��� ��;�,,-�p r. 1. �Jv�W �.�I.
l r l �4r � z y , 4,ix ' 2 0 0 al .4._11ac Joao. a��
x F t r 0 4.' .�3.i4tt,.eiA A V14<(� :"T{ 34, • -'- , .IF, _ �• 'a'Ar{ RLStlDOl71 Office
i� k•f0 4. . r, '`�' ,h 1; .�L�R�ttls.t+y 4 Ka,r r".><r A { 1a x' i + - r3 l r;,
\ .inl�4,r':ke.,,n tr12.-1 f+`;-J� ,-;, ,„ �. s..; 9*4=K��Ar �. L i ''X'. Y
V r a r'S��Stj�'�`4t' i �-j.�. :ek'pk5��5y! E1<ir�M''x �!���.i�i
:4d q t t.Ti K1 W l3 4r��Y � :IC\Yd #/ k� F.�:} L v
„ 6id ^r.,;, ;ley; .... .:. i'-.,:i ( :).."
To Cit
y of Mo VWYPP
� ,�S(ud $, � : Y nro
•zot on'riiiot;�•• , �bEo�o * Sampling (fig
;
• �capae![y Manhole `1

�h
t z I f y S 9 c 9
us VA 041, I
sit 9.f n u-w as W m•c
W .1 E71! Y'ara L� Mw wr
tldA L t[M1A! r 4VV
.rsr. r.r-'YMu.M tl(Iti.11 Y'�..M..:'�.w. V
.n.-u W.wu 1a1...1... F...0 r...
few«v. .. ,,.re,c
,........;.. , S.".'‘,..
lab:cirri M Rtn
Mona IoMuurau$ri
- (-. n -'t- 1
r- -*:- ------'----t
i
C --- t
B tt
. NDnVTIS.0 Ad t
1
t DLO
'TO LW !
Darnifi ara a. 1 .
.<' _ I •"° < -
t� 1
eru lnor t
laid EEO]al �..,.O.O. O 4
�1 � _ 1 ,_
. ant
1
may_ .-, R !UMW[mJ 734 0
3 I
r I 4 \
a/a - - I / Sd/}!d a33!!
so
ent M% MEWS
EOMI — II 3 r' r rani .w x w
_ •tt [r 111 9
�._ . I 1 . 1 1 I 1 1
I
,1.1,..
1 mw N wbblioa
•tan.w EN.,
z11ru WS THIS4 a.
'a
II-.L-A 1101tr.n9100 W/14 ral \ JO A'''''
y -4d t t '• N
ma Amnia Aar IA v..1
I z f I r s ( s. L ie
erafi')/q7) g)0/0 .

IUP,Part I,Section F: Receiving POTW name=>City of Monroe IU name=>Tyson Farms
Effluent Limits and Monitoring Requirements Receiving POTW NPDES#=>NC0024333 IUP#=> CM-11
Effective date for these Limits=>07/01/20 Pipe#_> 01
The permittee may discharge from this specific pipe Expiration date for these Limits=>06/30/23 40 CFR#=>N/A
number according to these specific dates,effluent if not applicable put N/A
limits,and monitoring requirements. THE LIMITS ON THIS ARE,(Check one below):
LIMITS for ENTIRE permit period=> X
INTERIM Limits for period# 1 =>
INTERIM Limits for period#2=>
FINAL Limits Page=>
•
Conventional Concentration Limits Mass-Based Limits Monitoring Frequency Sample Required
Parameters' Daily Weekly Units Daily Monthly Units by Industry by POTW Collection laboratory
Max Avg. Max Avg. Method Detection
(C or G) Limits
Flow 2.10 MGD MGD Daily* Monthly
BOD mg/1 5004 lbs/day Monthly Monthly C 2.0 mg/1
TSS mg/1 3750 lbs/day Monthly Monthly C 2.5 mg/1
Temperature Deg. C Deg.C G
pH 6 to 11 Std.Units Std.Units Monthly Monthly G
Other Parameters,Please list alphabetically _
Ammonia mg/1 550 lbs/day Monthly Monthly C .5 mg/I
TKN Monitor mg/1 Monitor lbs/day Monthly Monthly C .5 mg/I
Cadmium Monitor mg/1 Monitor lbs/day 1/6 months2 1/6 months C .001 mg/1
mg/1 lbs/day
Copper Monitor mg/1 Monitor lbs/day 1/6 months 1/6 months C .010 mg/1
mg/1 lbs/day I
Nickel Monitor mg/1 Monitor lbs/day 1/6 months 1/6 Months C .010 mg/1
mg/1 lbs/day
Zinc Monitor mg/1 Monitor lbs/day 1/6 months 1/6 months _ C .010 mg/I
Oil&Grease 75 30 mg/1 lbs/day Monthly Monthly G 5 mg/1
mg/1 lbs/day
mg/1 lbs/day
' Parameters and Prohibitions not specified above are regulated and limited by the (See next section,IUP,Part I,Section G.)
City of Monroe Sewer Use Ordinance. for Definitions and Limit Page(s) notes:
2 1/6 months shall be 1 sampling event consisting of one day each every 6 months. 1 IUP,PART I,Page: 5
* The flow meter totalizer shall be recorded each working day with the data submitted as required in PART I(2).
Effective Date:July 1,2020

IUP,PART I
Industrial User (IU) Specific Conditions
G) Definitions and Limit Page(s)notes:
In addition to the definitions in the City of Monroe Sewer Use Ordinance the following
definitions and requirements apply:
1. Composite Sample:
a) A composite sample for the monitoring requirements of this IUP,is defined as the
automatic or manual collection of a series of grab samples of constant volume,not
Iess than 100 ml,collected at equal time intervals during the entire discharge period
on the sampling day. The time interval between grab samples shall be no greater
than once per hour,or
b) a single,continuous sample collected over a 24 hour period proportional to the rate
of flow. Sampling day shall be a typical production,and discharge day.
2. Daily Monitoring Frequency
Daily Monitoring Frequency as specified in this IUP shall mean each day of discharge.
3. Grab Sample
Grab sample for the monitoring requirements of this IUP,is defined as a single"dip and take"
sample collected at a representative point in the discharge stream over a period of time not
exceeding 15 minutes. The grab sample can be taken manually. Grab samples must be
representative of the discharge.
4. Instantaneous measurement
An Instantaneous measurement for the monitoring requirements of this IUP is defined as a
single reading,observation,or measurement.
IUP#�>CM-11
Page: 6
Effective Date:duly 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Outline of PART II,
1. Representative Sampling 16. Federal and/or State Laws
2. Reporting 17. Penalties
3. Test Procedures 18. Need to Halt or Reduce
4. Additional Monitoring by Permittee 19. Transferability
5. Duty to comply 20. Property Rights
6. Duty to Mitigate 21. Severabliity
7. Facilities Operation,Bypass 22. Modification,Revocation,Termination
8. Removed substances 23. Reapplication
9. Upset Conditions 24. Dilution Prohibition
10.Right of Entry 25. Reports of Changed Conditions
11.Availability of Records 26. Construction of Pretreatment Facilities
12.Duty to Provide Information 27. Reopener
13.Signatory Requirements 28. Categorical Reopener
14.Toxic Pollutants 29. General Prohibitive Standards
15.Civil and Criminal Liability 30. Reports of Potential Problems
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume and
nature of the monitored discharge. All samples shall be taken at the monitoring points
specified in this permit and,unless otherwise specified,before the effluent joins or is diluted by
any other wastestream,body of water, or substance. Monitoring points shall not be changed
without notification to,and approval by,the permit issuing authority.
2. Reporting
a) Monitoring results obtained by the permittee shall be reported on forms specified
by the City of Monroe, postmarked no later than the twentieth day of the month
following the month in which the samples were taken. Results based on laboratory
analysis shall include the laboratory report.If no discharge occurs during a reporting
period(herein defined as each calendar month)in which a sampling event was to have
occurred, a form with the phrase "no discharge" shall be submitted under the
signatory requirements of Part II, Section 13. Copies of these and all other reports
required herein shall be submitted to the City of Monroe to the following address:
Pretreatment Coordinator
- - - City-of Monroe
PO Box 69
Monroe,NC 28111
b) If the sampling performed by the permittee indicates a violation,the permittee shall
notify the City of Monroe within 24 hours of becoming aware of the violation. The
permittee shall also repeat the sampling and analysis and submit the results of the
repeat analysis to the City of Monroe within 30 days after becoming aware of the
violation.
IUP#=>CM-11
Page: 7
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
c) Laboratory reports for monitoring by Industry and by POTW shall include the
following:
1. Date(s)of analysis;
2. Results of the analysis;
3. Analytical techniques and methods used;
4. Signature of laboratory analyst or supervisor (person authorized to certify
the accuracy and proper techniques of the analysis);
5. Chain of custody records which contain the following Information
a) Sampling location;
b) Date(s)/time(s)sample(s)taken;
c) Sample type: composite(time or flow)or grab;
d) Container type(glass or plastic);
e) Teflon liner and/or zero headspace,if applicable;
f) Type of preservative used or other sample preparation,if any,and date;
g) If sample was iced upon receipt;
h) Parameters to be run from that particular bottle;
i) Individual(s)who performed the sampling and/or field measurements;
j) Samples relinquished/received by who and when(date&time).
In addition,the laboratory performing the analysis shall maintain on file for up to three
years after the analysis all laboratory data taken and calculations during the analysis,
including dates and times, the analyst performing the work, and the data and
calculations from all quality assurance procedures and testing. This data shall be
available for inspection by personnel of the City of Monroe upon request.
3. Test Procedures
Test procedures for the analysis of pollutants shall be performed by a North Carolina Certified
Wastewater Lab in accordance with the techniques prescribed in 40 CFR part 136 and
amendments thereto unless specified otherwise in the monitoring conditions of this permit. The
laboratory shall be certified by the State of North Carolina for each specific test parameter on
which their results are reported.
4. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated herein more frequently
than required by this permit,using approved analytical methods as specified above,the results
of such monitoring shall be submitted to the City of Monroe. The City of Monroe may require
more frequent monitoring or the monitoring of other pollutants not required in this permit by
written notification.
5. Duty to Comply
The permittee must comply with all conditions of this permit. Any permit noncompliance
constitutes a violation of the City of Monroe Sewer Use Ordinance and is grounds for possible
enforcement action; for Permit termination, revocation, and reissuance, or modification; or
denial of a Permit renewal application.
IUP/I—>CM-11
Page: 8
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit(IUP)
6. Duty to Mitigate-Prevention of Adverse Impact
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation
of this permit which has a reasonable likelihood of adversely affecting human health, the
POTW,the waters receiving the POTW's discharge,or the environment.
7. Facilities Operation,Bypass
The permittee shall at all times maintain in good working order and operate as efficiently as
possible, all control facilities or systems installed or used by the permittee to achieve
compliance with the terms and conditions of this permit. Bypass of treatment facilities is
prohibited except when approved in advance by the City of Monroe. Bypass approval shall be
given only when such bypass is in compliance with 40 CFR 403.17.Treatment facilities shall be
as diagrammed in Figure 2.
8. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or
control of wastewaters shall be disposed of in a manner such as to prevent any pollutants from
such materials from entering the City of Monroe sewer system or the surface waters of the
State of North Carolina. The permittee is responsible for assuring its compliance with any
requirements regarding the generation, treatment, storage, and/or disposal of "Hazardous
Waste"as defined under the Federal Resource Conservation and Recovery Act. The permittee
shall maintain records of disposal of these substances for a minimum of three years.
9. Upset Conditions
An "upset" means an exceptional incident in which there is an unintentional and temporary
noncompliance with the effluent limitations of this permit because of factors beyond the
reasonable control of the permittee. An upset does not include noncompliance to the extent
caused by operational error, improperly designed or inadequate treatment facilities,lack of
preventative maintenance,or careless or improper operations.
An upset may constitute an affirmative defense for action brought for the noncompliance. The
permittee has the burden of proof to provide evidence and demonstrate that none of the factors
specifically listed above were responsible for the noncompliance. Such evidence shall include
operating logs properly signed,orb eli r re evanfevfdence that:
1. An upset occurred and that the permittee can identify the cause(s)of the upset;
2. The permittee facility was at the time being properly operated; and
3. the permittee submitted notice of the upset as required in Part II,Section 30,of
this permit
4. The permittee complied with any remedial measures required under Part II,
Section 5,of this permit
IUP#=>CM-11
Page: 9
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
10. Right of Entry
The permittee shall allow the staff of the State of North Carolina Department of Environment,
and Natural Resources, Division of Water Quality, the Regional Administrator of the
Environmental Protection Agency,the City of Monroe,and/or their authorized representative,
upon the presentation of credentials:
1. To enter upon the permittee's premises where a real or potential discharge is located
or in which records are required to be kept under the terms and conditions of this
permit; and
2. At reasonable times to have access to and copy records required to be kept under
the terms and conditions of this permit; to inspect any monitoring equipment or
monitoring method required in this permit; and to sample any discharge of pollutants.
11. Availability of Records and Reports
The permittee shall retain records of all monitoring information,including all calibration and
maintenance records as well as copies of reports and information used to complete the
application for this permit for at least three years. All records that pertain to matters that are
subject to any type of enforcement action shall be retained and preserved by the permittee until
all enforcement activities have concluded and all periods of limitation with respect to any and
all appeals have expired.
Except for data determined to be confidential under the Sewer Use Ordinance, all reports
prepared in accordance with terms of this permit shall be available for public inspection at the
City of Monroe. As required by the Sewer Use Ordinance,effluent data shall not be considered
confidential.
12. Duty to Provide Information
The permittee shall furnish to the Director of Water Resources or his/her designees,within a
reasonable time,any information which the Director,his/her designee,or the Division of Water
Quality may request to determine compliance with this permit. The permittee shall also
furnish,upon request,copies of records required to be kept by this permit.
—I3 Signatory Requirements
All reports or information submitted pursuant to the requirements of this permit must be
accompanied by the following certification by the Authorized Representative:
"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
IUP#=>CM-11
Page: 10
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit(IUP)
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 fine or imprisonment for knowing violations."
The Authorized Representative shall be as defined by the City of Monroe Sewer Use
Ordinance.If the designation of an Authorized Representative is no longer accurate because a
different individual or position has responsibility for the overall operation of the facility, or
overall responsibility for environmental matters for the company, a new authorization
satisfying the requirements of this section must be submitted to the City of Monroe Water
Resources Director or his/her designee prior to or together with any reports to be signed by an
authorized representative.
14. Toxic Pollutants
If a toxic effluent standard or prohibition (including any schedule of compliance specified in
such effluent standard or prohibition)is established under Section 307(a)of the Federal Clean
Water Act for a toxic pollutant which is present in the discharge and such standard or
prohibition is more stringent than any limitation for such pollutant in this permit,this permit
may be revised or modified in accordance with the toxic effluent standard or prohibition and
the permittee so notified.
15. Civil and Criminal Liability
Nothing in this permit shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance.
16. Federal and/or State Laws
Nothing in this permit shall be construed to preclude the institution of any legal action or
relieve the permittee from any responsibilities,liabilities,or penalties established pursuant to
any applicable Federal and/or State law or regulation.
17. Penalties
The Sewer Use Ordinance of the City of Monroe provides that any person who violates a permit
condition is subject to a civil penalty not to exceed$25,000 dollars per day of such violation.
IUP#=>CM-11
Page: 11
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit (IUP)
Under state law,(NCGS 143-215.6B),under certain circumstances it is a crime to violate terms,
conditions,or requirements of pretreatment permits. It is a crime to knowingly make any false
statement,representation,or certification in any record or other document
submitted or required to be maintained under this permit, including monitoring reports or
reports of compliance or noncompliance. These crimes are enforced at the prosecutorial
discretion of the local District Attorney.
The City of Monroe enforcement response will be in accordance with an Enforcement
Response Plan approved by the North Carolina Division of Water Quality and on file in the
office of the Pretreatment Coordinator
18. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been
necessary to halt or reduce the permitted activity to maintain compliance with the conditions
of the permit.
19. Transferability
This permit shall not be reassigned or transferred or sold to a new owner,new user, different
premises,or a new or changed operation without approval of the City.
20. Property Rights
This permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of
personal rights,nor any infringement of Federal,State or local laws or regulations.
21. Severability
The provisions of this permit are severable and, if any provision of this permit or the
application of any provision of this permit to any circumstance is held invalid,the application
of such provision to other circumstances and the remainder of this permit shall not be affected
thereby.
22. Permit Modification,Revocation,Termination
This permit may be modified, revoked and reissued or terminated with cause in accordance
with the requirements of the City of Monroe Sewer Use Ordinance
and North Carolina General
Statute or implementing regulations.
IUPt=>CM-11
Page: 12
Effective Date:July 1,2020

PART II
General Conditions
Industrial User Pretreatment Permit(IUP)
23. Re-Application for Permit Renewal
The permittee is responsible for filing an application for reissuance of this permit at least 120
days prior to its expiration date. The permittee is not authorized to discharge after the
expiration date of this permit if this re-application deadline has not been met.
24. Dilution Prohibition
The permittee shall not increase the use of potable or process water or in any other way attempt
to dilute the discharge as a partial or complete substitute for adequate treatment to achieve
compliance with the limitations contained in this permit.
25. Reports of Changed Conditions
The permittee shall give notice to the City of Monroe of any planned significant changes to the
permittee's operations or system which might alter the nature, quality, or volume of its
wastewater at least 60 days before the change. Such changes,however,do not stay any
condition of this permit. If the changes require additions or modifications to pretreatment
facilities to comply with this permit,all such modifications shall be approved and constructed
before planned changes are made. The permittee shall not begin the changes until receiving
written approval from the City of Monroe.Also see PART II,30 below for additional reporting
requirements for spill/slug issues.
26. Construction
No construction of pretreatment facilities or additions thereto shall be begun until Final Plans
and Specifications have been submitted to the Cityof Monroe and written approval and an
P PP
Authorization to Construct has been issued.
27. Reopener
The permit shall be modified or, alternatively, revoked and reissued to comply with any
applicable effluent standard or limitation for the control for any pollutant shown to contribute
to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the POTW
discharge permit. The permit as modified or reissued under this paragraph may also contain
any other requirements of State or Federal pretreatment regulations then applicable.
IUP#i >CM-11
Page: 13
Effective Date:July 1,2920

PART H
General Conditions
Industrial User Pretreatment Permit(IUP)
28. Categorical Reopener
This permit shall be modified, or alternatively, revoked and reissued, to comply with any
applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C)and
(D),304(b)(2), and 307(a)(2) of the Clean Water Act,if the effluent standard or limitation so
issued or approved:
1) contains different conditions or is otherwise more stringent than any effluent
limitation in this permit;or
2) controls any pollutant not limited in this permit.
The permit as modified or reissued under this paragraph shall also contain any other
requirements of the Act then applicable.
29. General Prohibitive Standards
The permittee shall comply with the general prohibitive discharge standards in 40 CFR
403.5(a)and(b)of the Federal pretreatment regulations,and shall comply with the prohibitive
discharge standards in §52.020 and §52.023 of the City Sewer Use Ordinance except as
specifically stated otherwise in this permit.
30. Reports of Potential Problems
The permittee shall provide protection from accidential and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall also notify the
City of Monroe immediately of any changes at its facility affecting the potential for spills and
other accidential discharge,discharge of a non-routine,episodic nature,a non-customary batch
discharge,or a slug load as defined in the City of Monroe Sewer Use Ordinance.
Additionally, the permittee shall notify by telephone the City of Monroe immediately of all
discharges that could cause problems to the POTW including any slug loadings as defined in
the Sewer Use Ordinance. If the permittee experiences such a discharge,they shall inform the
City of Monroe Pretreatment Coordinator,telephone number(704)282-4632,if no answer,the
Wastewater Treatment Plant, telephone number [phone] and [phone], if no
anwer, the Wastewater-Treatment-Plant-Superintendent, telephone number [phone]
immediately upon the first awareness of the commencement of the discharge. Leaving a
message will not be acceptable until all phone numbers listed above have been attempted.
Notification shall include location of the discharge,type of waste,concentration and volume if
known and corrective actions taken by the permittee.A written follow-up report thereof shall
be filed by the permittee within(5)days,unless waived by the City of Monroe.
IUP#=>CM-11
Page: 14
Effective Date:July 1,2020

PART III
Special Conditions
Industrial User Pretreatment Permit(IUP)
1. Slug/Spill Control Plan
The permittee shall provide protection from accidental and slug discharges of prohibited
materials and other substances regulated by this permit. The permittee shall develop and
update,as required,a written slug/spill plan including procedures for preventing a slug or spill
which could cause a violation of the discharge standards of this permit. Any revision of this
plan shall be submitted to the City of Monroe no more than 60 days after the change(s) are
made.If no changes are made to the plan,a written statement to that effect must be submitted
to the City of Monroe on or before January 31, of each year throughout the duration of the
permit.The plan shall include the following at a minimum:
1) identification of all chemicals,by name,quantity,and storage location which would
cause a violation of this permit in the event of a spill and the means at each location to
prevent the spill from entering the City sewer system or surface waters of the State of
North Carolina.
2) who has the authority to halt production and/or wastewater discharge in the event
of a spill or upset condition(include phone numbers)
3) who is responsible for implementation and updating of the plan
4) the personnel that should be familiar with the plan
5) the person(s) responsible for notifying the City of Monroe immediately upon
discovery of a problem affecting the characteristics of the wastewater
2. Flow Measurement
1. The Permittee shall provide and operate monitoring facilities for the inspection,
sampling and flow measurement of the permittee's process wastewater discharges.
2. The permittee shall maintain appropriate discharge flow measurement devices and
methods consistent with approved engineering and scientific practices to ensure the
accuracy and reliability of measurements of the volume of monitored discharges.
------ - Devices installed.shall-be-a-continuous-r-ecording flow meter capable of measuring flows
with a maximum deviation of less than 5% from true discharge rates throughout the
range of expected discharge volumes.
3. The approved wastewater meter shall be installed,maintained,and calibrated once
every six months.
4. The wastewater meter must have a non-resettable mechanical totalizer that reads
in gallons.
IUP#>`>CM-11
Page: 15
Effective Date:July 1,2020

PART III
Special Conditions
Industrial User Pretreatment Permit(IUP)
5. Flow monitoring equipment and sampling point should be located in an area
accessible to the City of Monroe personnel without prior notification. The City of
Monroe must be supplied with any keys and/or other tools necessary to perform
the aforementioned.
6. There shall be no by-pass capability of the wastewater metering devices or the
sampling point.
7. The permittee shall maintain flow, maintenance, and calibration records for a
minimum of three years.
8. In the event of temporary unintentional failure of the flow meter,the permittee shall
notify the Pretreatment Coordinator as soon as possible,but in no case beyond 24
hours after first becoming aware of the failure. Repair shall be under taken as
quickly as possible.
3. High Strength Surcharges
Notwithstanding any concentrations permitted for total suspended solids, 5 day BOD or
nitrogen ammonia stated in Part I,Section F of the Permit,the permittee shall be responsible
for the payment of high strength surcharges at rates that may be established in the future by
the Monroe City Council.
4. Additional Fees or Charges
The City of Monroe shall,with the direction from the Director of Water Resources,assess fees
or charges to recoup the additional costs incurred by the City of Monroe for any additional
sampling, inspections, etc. deemed necessary when the Permittee's discharge may be in an
upset or noncompliance condition.
5. Sampling Frequency
The sampling frequency as required in page 5 of this permit is the minimum sampling required
in this permit,the City of Monroe reserves the right to sample more frequently than is required
—--by this permit, and reserves-the-right-to-request-the permittee to conduct-more sampling than
is required in this permit as deemed necessary.
6. Special Reopener
The City of Monroe reserves the right to reopen and modify/change limits and or sampling
frequency as deemed necessary.
IUP#=>CM-11
Page: 16
Effective Date:July 1,2020

PART III
Special Conditions
Industrial User Pretreatment Permit(IUP)
7. First Flush of Stormwater Pit
This permit includes in the description of discharge the first flush of the stormwater collection
pit at the Tyson Complex.This stormwater pit shall include an hour meter or meters to record
the actual run time of the pump(s).The permittee shall also maintain a daily log to include the
hour meter(s) readings, the daily weather to include any rainfall, and time rain started and
ended,and the time(s)the stormwater pit pumps were running and stopped.This data shall be
submitted as required in PART II (2). Maximum time the stormwater pumps back to offal
building shall not exceed 1 hour during any rain event.
8. Sludge Management Plan
Within sixty days of the effective date of this Industrial User Permit,the permittee shall submit
a sludge management plan to the City of Monroe.
9. Certified Operator
Pursuant to Chapter 90A-44 of North Carolina General Statutes,and upon classification of the
facility by the Certification Commission, the permittee shall employ a certified wastewater
pretreatment plant operator in responsible charge (ORC) of the wastewater treatment
facilities. Such operator must hold a certification of the type and grade equivalent to, or
greater than the classification assigned to the wastewater treatment facilities by the
Certification Commission. The permittee must also employ a certified backup operator of the
appropriate type and grade to comply with the conditions of Title 15A,Chapter 8A.0202. The
ORC of the facility must visit the wastewater facility as required; must properly manage and
document daily operation and maintenance of the facility; and must comply with all other
conditions of Title 15A,Chapter 8A.0202. The permittee shall submit a letter designating the
operator in responsible charge to the Certification Commission or their designee within thirty
days after facility classification.
IUP#=>CM-11
Page: 17
Effective Date:July 1,2020

otsu,
w
.,
a ie�
✓ .,
o
ib;•ate x a"«-<<.�.srta�
sA ,
i.
i 6 f!;};!
271/
yy
JJ

S 1 f 1 a I S 1 - 1 Y 1 i I • I G 1 i 1 i I t I a 1 4 1 I I 1 • J - I - 1 - 1 - III • I " I » I -
Omwcr n "
tet il ®emKrn
0t _Fig :tow:
1
®lr rhrp
Er-
n^
-
- � ti �e It
m1mLi $rig � •
_ NE -
Li "
al* +_ LN. gi -
a
r
a 1 ..........-L c.,
3.
AP c
_ --% -gir----414'
- : -a,--a e' -
•
- NO NM
NM = Et -
- iv ®wnrM
Er p n�
4
E. al
8 yryyy ���+' I N
tnlli � l=ai
-
-
i 1 _
~ n nun an WI
— -
[EDqu.unFE
`
Ai i.I
Lf11!3t . J"'
- ®�44 to•�3. —► �!�- 4: -
R i Mu II. Monroe, NC Feed Mill DI ~
U ' Monroe Complex x n
I
1 1 si 1 f MC I 1 `a Q
I I , , Process Flow Diagram l I I
V
---- — 1age 5