WQ0020793_Monitoring - 11-2016_20161212 (2)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) . Certified Laboratories
Name: James Brown Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Compliant ❑r Non -Compliant
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Brown.
Permittee: Tyson Farms, Inc. Hays Hatchery
Certification No.: 1001810
Signing Official: Kirk Church
Grade: 2 Phone Number: 336-838-2171
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑Yes DNo
Phone Number: 336-838-2171 Permit Expiration: 11/30/2020
aA-" 9.0 O10- 1
�"'�
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: W00020793
Facility Name:
Tyson Farms, Inc. Hays Hatchery
County:
Wilkes
Month:
November
near: 2016
PPI:
Flow Measuring Point:
❑� Influent ❑Effluent El No flow generated
Parameter Monitoring Point:
❑influent
DEffluent
❑Groundwater Lowering ❑Surface water
Parameter Code --0
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
82546
C
E
U
O
0
V
U
V`
o
Q
r
dZrn
o
F-
m
Z
-rn
Z
°
.-
L
a
-- ?v
y
0F
D
av
°~
p~
pm
`
U)
d
�s
24 -hr hrs
GPD
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
ft
1
2
3
4
5
08:30 8:45
6,875
4.6
6
7
8
10:42 10:44
7,138
1278
185
>2419.6
9.86
141.12
1.12
142.24
10.1
1.8
1478
196
4.6
9
10
11
12
08:30 8:45
7,138
4.6
13
14
15
16
17
18
19
08:30 8:45
7,616
4.6
20
21
22
23
24
25
26
08:30 8:45
8,895
4.5
27
28
29
30
311
1
Average:
7,532
1,278.00
185.00
1.00
9.86
141.12
1.12
142.24
1.80
1,478.00
196.00
4.58
Daily Maximum:
8,895
1,278.00
185.00
0.00
9.86
141.12
1.12
142.24
10.10
1.80
1,478.00
196.00
4.60
Daily Minimum:
6,875
1,278.00
185.00
0.00
9.86
141.12
1.12
142.24
10.10
1.80
1,478.00
196.00
4.50
Sampling Type:
Recorder
Monthly Avg. Limit:
Daily Limit:
2,100
Sample Frequency:
7 Day ave