NCG060021_COMPLETE FILE - HISTORICAL_20140609

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C� D�pD'Oa I
DOC TYPE
CY HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
p
YYYYMMDD

t �F. Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
NCDENRNational Pollutant Discharge Elimination System
OE.= PERMIT NAMEIOWNERSHIP CHANGE FORM
Ewv�rvorv��rvr .uo N•n�•� aesar+cca
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
J
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I G 15 10 16 10 10 0 0 N 10 10 6 10 10 z
I1. Permit status VjjQLto requested change. Tyson Farms Inc.
a. Permit issued to (company name):
b. Person legally responsible for permit: Ravmond
RECEIVED
SUN092014
DENR-LAND QUALITY
"MWATER PERMITTING
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
First
Comolcx M
E Johnson
MI Last
Title
179 Roaring River Road
Permit Holder Mailing Address
Roaring River
N.C. 28669
City
State Zip
336-838-2171
336-651-3845
Phone
Fax
Tvson Farms Inc.
179 Roaring River Road
Address
Roaring River
N.C. 28669
City
State Zip
James S. Brown
(336-828-2171)
First 1 MI I Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
© Name change of the facility or owner
Legal department has advised that it is critical that the proper
legal entity appear on all permits and government
If other please explain:
correspondence
b. Permit issued to (company name):
Tyson Farms Inc.
c. Person legally responsible for permit:
Raymond E
Johnson
First M l
Last
Complex Manager
Tide
704 Factory Street
Permit Holder Mailing Address
Wilkesboro N.C.
28697
City State
Zip
(336-838-2171) Ra,ti
Johnsonntvson.com
d.
Phone I: -mail
Address
Facility name (discharge):
Tyson Farms Inc.
e. Facility address:
704 Factory Street
Address
Wilkesboro N.C. 28697
City State
Zip
f Facility contact person:
James S Brown
First MI
Last
(336-838-2171)
_Phone James. S.Brownntyson.com
E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: James S Brown
First Ml Last
Complex Environmental Manger
Title
704 Factory Street
Mailing Address
Wilkesboro NC 28697
City State Zip
(336-838-2171) James.S.brownntvson.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
V1I. ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is reoUiLed for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by bath the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
i, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Date
APPLICANT CERTIFICATION
I, Raymond Johnson, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this
7appZl1aon package will be returned as incomplete.
3 Zun e o?d 14-
5i ature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

t f��
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
December 4, 2012
Raymond Johnson
Tyson Foods Inc
704 Factory St
Wilkesboro, NC 28697
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Tyson Foods Inc - Roaring River Feedmill
COC Number NCG060021
Wilkes County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG060000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCGO60000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013, Your facility must sample a "measureabie
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/web/wq/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http:/Zportal.ncdenr.org/web/wq/ws/su/npdessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone]" 1 FAX: [phone]
Intemet www.ncwac , uali .o
An rqual Opportunity i t r :Dative:^.c8on Employer
(Inc
NorthCarolina
;i�ati-arall

Raymond Johnson`
December 4, 2012
Page 2 of 2
Some of the changes include:
Part II:
• Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical Stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/I for HOW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections 8, C: The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at [phone].
Sincerely,
%17�uI .�v� 7�
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060021
STORMWATE R
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Tyson Foods Inc
is hereby authorized to discharge stormwater from a facility located at:
Tyson Foods Inc - Roaring River Feedmill
179 Roaring River Rd
Roaring River
Wilkes County
to receiving waters designated as YADKIN RIVER, a class WS-V waterbody in the Yadkin River
Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, I1, III, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 41h day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
JIMMY MARDIS
TYSON FOODS INC - ROARING RIVER
PO BOX 2020
SPRINGDALE, AR 72765
Subject: NPDES Stormwater Permit Renewal
Tyson Foods Inc - Roaring River
COC Number NCG060021
Wilkes County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG060000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCG060000
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
NCDENR
Customer Service
1-800-623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060021
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,'and the
Federal Water Pollution Control Act, as amended,
TYSON FOODS INC
is hereby authorized to discharge stormwater from a facility located at
TYSON FOODS INC - ROARING RIVER
HWY 268 EAST
ROARING RIVER
WILKES COUNTY
to receiving waters designated as a UT to the Yadkin River, a class WS-IV stream, in the Yadkin - Pee Dee River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
1I, III, IV, V, and VI of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective September 1, 2002.
This Certificate of Coverage sliall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
/Ley fJ1'� tom' 1
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

o�oF w�T �RQ�
Michael F. Easley, Governor
Witliam G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
JININ11Y MARDIS
Dccemher 27. 2001
TYSON FOODS INCORPORATED -ROARING RVR
PO BOX 2020
SPRINGDALI, AR 72765
Subject: NPDES Stormwater Permit Renewal
TYSON FOODS INCORPORATED -ROARING RVR
COC Numhcr NCG060021
Wilkcs County
Dear Perrnittcc:
Your facility is currently covered for stormwater discharOc unclear General Permit NCG060000. "['his permit expires
on Au,ust 3I. 2002. The Division staff is currently in the process of rewriting, this permit and is scheduled to have
the permit reissued by laic summer of ?002. Once the permit is rCissucd. your facility would he eliUihle for
continued covcragC under [lie reissuCcl permit.
In order to assure your cemtinucd coverage under thegeneral Permit. you must apply to the Division of Water
Quality (DWQ) for renewal of'yottr permit coverage. "Co make this renewal process easier. we are infotaning ynu in
advance! that yixrr permit will he Cxpiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application Must be completed and returned by Mauch 4. 2002 in order- to assure continued
Covcra�,c under the "Cneral permit.
Failure 10 rCducst renewal within this time period may result in a civil assessment of at least $250.00. Larger
Penalties tray he arsscsscd depending on the delinquency of the rcducsl. Discharge of stormwater from your facility,
without coveraIIu wtdcr a v,did stormwater NPDES permit wnuld constilu[c at vioLrtion of NCGS 143-215.1 .mcl
could result in arsscssmcros of civil penalties of up to $10.000 per day.
Please note that recent federal legislation has extended [lie "no eposurc exclusion" to all operators Of' industrial
facilities in any of the I I catC(Torics of "storm water discharges associated with industrial activity." (except
construction I Aivi[iCs). if you Ice! your Facility can certify it condition of "no exposure", i.e. the facilty industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Stuff meniher listed below or check the Stonnwater & Gcnaral
Permits Unit Web Site at htlpalh2o.cnr.statc.nc.Ers/su/stormwatcr.hunl
If the subject stormwater discharge to waters of the state has been tcrntinatcd. please complete the i nclnscd
Rescission Request Form. Mailing instrrtctions are listed on the hottom elf the form. You will he notified when the
rescission process has hecn completed.
If you have Lilly questions regarding the permit renewal procCdures please: contact Corey Basinger of the
Winston-Salcnt Regional Office at 336-771-4600 or Aisha Lau ref the Central OlTice Storntwater Unit at (919)
733-50S3. ext. 578
Sincerely.
Bradley Bcnnuu. Supervisor
Stormwatcr and General Permits Unit
cc: Central files
Winston-Salem Rc"ional Office
9 -M
NCbENR
N. C- Division of Water ouality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
April 30, 1993
Jimmy Mardis
Tyson Foods, Inc.
P O Box 2020
Springdale, AR 72765
A. Preston Howard, Jr., P. E.
Director
Subject: General Permit No. NCGO60000
Tyson Foods, Inc., Roaring River Feed Mill
COC NCGO60021
Wilkes County
Dear Mr. Mardis:
In accordance with your application for discharge permit received on September 28, 1992, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Steve Ulmer at telephone number 9191733-
5083.
cc:
Sincerely,
priginal s Sullins
A. PrMnoward, Jr., P.E.
Winston-Salem Regional Office
Pollution Prevention Pays
P.D. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
' i_ ! ',. _ �1 ► III--
STORMWATER DISCHARGES
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Tyson Foods, Inc.
is hereby authorized to discharge stormwater from a facility located at
Tyson Foods, Inc., Roaring River Feed Mill
NC Hwy 268 East
Roaring River
Wilkes County
to receiving waters designated as an unnamed tributary to the Yadkin River in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCGO60000 as attached.
This certificate of coverage shall become effective April 30, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 30, 1993.
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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