NCG060021_MONITORING INFO_20181120

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Q (o GUg7
DOC TYPE
❑HISTORICAL PILE
Pi'MONITORING REPORTS
DOC DATE
❑ an
YYYYMMDD

No FrV,�®
C4 2 d 20/,
Tyson °w�FS
November 13, 2018
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. Roaring River Feed Mill
Storm Water Sampling Period 2 — semi-annual monitoring
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling Period 2 semi-annual monitoring. Data receive for
PRISM labs indicated parameters was below the benchmark.
9
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 2871 should you have any questions.
Sincerely,
Kirk Church
Complex Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-3836 336.838.2171 Fax:[phone] www.tysonfoo&.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000_
T Date submitted: 11-13- 2018
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River_Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 21.50 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50"
Within 6.0 — 9.0
120
30
1000
Soo
RRIV - 01
10-26-2018
46
6.55
69
5.0
NA
NA
RRIV - 02
10-26-2018
46
6.64
94
5.0
NA
NA
RRIV - 04
10-26-2018
49
6.65
64
5.0
NA
NA
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50"
6.0 — 9.0
-
RRIV - 04
10-26-2018
5.0
5.0
49
6.65
215
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results jor at end of
monitaring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
It Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/e-/-7 ice
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sutnpdessw#tab-44
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Date 10-26-2018
Rain Begin: 10:45 AM light
Grab Samples: 11:30 AM
Rain at end of
Storm Event: 0.50
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = .50 " (Total)
C = 0.35
Q = 0.35(.50/12)(6,534,000"7.5)/1,000,000
= 0.715 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = .50'* (Total)
C = 0.95
Q = 0.95(.50/12)(96485-7.5)/1,000,000
0.029 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = .50 " (Total)
C = 0.95
Q = 0.95(.50/12)(75,085-7.5)/1,000,000
= 0.022 MG

-A."i �;- 7�-A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http;//portal.ncdenr,org/webfwq/ws,Lu/npdessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696,2741
Inspector: Raymond Nichols
Date of Inspection: 10126/2018
Time of Inspection: I1'.S0 AM
Total Event Precipitation (inches):.5
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
Yes No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: `
Outfall No. M\i- b k Structure (pipe, ditch, etc..)`4�e+`k_�T�
Receiving Stream: Mop meC'.b -to 4hc- Vc C.+L Lgtf
cribe the industrial activities that occur within the outfall drainage area: Mgy ih•A AG
1j"' �-d
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ^Lz
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): V�'C)11y
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 % 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 �l 3 4 5
l
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10, Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

FA
NCDENR
Storm water Discharge Outfall (SDO)
. Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: httl2://oortal.ncdenngrg/web/wq./,ws/su/nndessw#tab -4
Permit No: NLC/G/0l6f0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond, Nichols
Date of Inspection: 10/26/2018
Time of Inspection: „1 1. Liu) RM
Total Event Precipitation (inches):.5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
26es No
Please verify whether Qualitative Monitoring must he performed during a "representative storm event"or
"measureahlestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from,the permitted.
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or D
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: L
Outfall No. UL14'0Structure (pipe, ditch, etc.)
Receiving Stream: MkMWl as • V-.,q ef
Describe the industrial activities that occur within the outfall drainage area:-'
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L.." 'n4
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 1j0At,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 0 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
v
a0
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: r al. ncdenr,org Jweb JwQ./ws Isu /np dessw#tab-4
Permit No: N_/C/Gj0/6LO-10/0/0 or Certificate of Coverage No. N C G 0 6 0 0 2 1
Facility Name: Tyson Farms Inc. Roaring River Feed ,Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 10126/2018
Time of Inspection: W- S�5A'm
Total Event Precipitation (inches):.5
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
IV/Yes [� No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual,discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Ou apll_,Descri tion:
Outfall No. :'1 Structure (pipe, ditch, etc.) Sz'r-o
Receiving Stream: ua ~t't' t- . Vc-f
Describe the industrial activities that occur within the outfail drainage area: t
2. Color, Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L., Sh
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 9IDrm
4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 D 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes 1
8. Is there an oil sheen in the stormwater discharge? Yes li
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

LFRAR\�
Full-Service Analytical 8
M E Environmental Solutions
7LABOaaroalM INe
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
NC Certification No. 402
NC brinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 10126/2018
Prism Work Order: 8100480
Case Narrative
11 /09/2018
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report,
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Jackie Ziner For Terri W. Cale
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 8

&hB I S M Full -Service Analytical 8
Environmental Solutions
Sample Receipt Summary
11 /09/2018
Prism Work Order: 8100480
Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received
Stormwater RRIV-01 8100480-01 Water 10/26/18 11:30 10/26/18 14:50
Stormwater RRIV-02
8100480-02 Water 10/26/18 11:40 10/26/18 14:50
Stormwater RRIV-04 8100480-03 Water 10/26/18 11:55 10/26J18 14:50
Samples were received in good condition at 3.6 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone:[phone]-Toll Free Number: 1-800IS29-6364 - Fax: [phone] Page 2 of 8

4
Laboratory Report
--IP R 1 S M EnviroFult-Snmenvicetal
al Solutions
8
Environmental SoluUona 111091201 B
%LA i PE6 JN
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols Prism Sample ID: 8100480-01
179 Roaring River Rd. Prism Work Order: 8100480
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/26/18 11:30
Time Submitted: 10/26/18 14:50
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis
Analyst
Batch
Limit
Factor
DateMme
ID
General Chemistry (Parameters
_
Chemical Oxygen Demand
69
mg1L
s0
17
1
•SM6220 D
1112/18 14:00
SLS
P8K0034
Oil & Grease (HEM)
BRL
mg/L
5.0
1.4
1
'l684B
1118118 9:07
SLS
PSK0154
Total Suspended Solids
46
mg1L
9.3
0.40
1
'SM2640 D
1111118 13:08
CBP
P8K0011
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc,
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number: 1-8001629.6364 - Fax: [phone] Page 3 of 8

Full -Service R
Laboratory Report
RRISM Environmental Solutions
1 t10912018
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols
Prism Sample ID: 8100480-02
179 Roaring River Rd.
Prism Work Order: 8100480
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 10/26/18 11:40
Time Submitted: 10/26/18 14:50
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor DateMme
ID
General Chemistry Parameters
Chemical Oxygen Demand
94 mglL
50
17 1 'SM5220 D 1112118 14:00 SLS
P8K0034
Oil & Grease (HEM)
BRL mg1L
5.0
1.4 1 '1664B 1118118 9:07 SLS
PBK0154
Total Suspended Solids
46 mglL
8.3
0.40 1 "SM2540 D 1111r18 13:08 CBP
PSK0011
This report should not be reproduced, except in its entirety, without the written consent of Prrsm Laboratories, Inc.
449 Spring brook Road - P.D. Box 240643 - Charlotte, NC 28224-0543
Phone: 704t529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 704152"409 Page 47 8

- Ll 0�1 13,iqM i serviceAnalyticalEnvironmental Solutions
lEB ING
Laboratory Report
11 /09/2018
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-04
Attm Raymond Nichols Prism Sample ID: 8100480-03
179 Roaring River Rd. Prism Work Order: 8100480
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/26/18 11:55
Time Submitted: 10126/18 14:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
General Chemistry Parameters
Chemical Oxygen Demand 64 mg1L 60 17 1 'SM5220 D 11018 14:00 SLS PBK0034
Oil & Grease (SGT-HEM) BRLOG mg/L 5.0 1.1 1 '1664B 11/8118 9:07 SLS PBK0155
Total Suspended Solids 49 mg1L 8.3 0.40 1 'SM2640 D 11/1118 13:08 CBP PBK0011
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springb►ook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800M29-6364 - Fax: [phone] Page 5 of 8

elln.\ }
-PRISM I ,unvlService a golutio 8
Ertvironmentel $olutlons
'7�'eon+comes w
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch POK0011 - NO P
Project: Stormwater
Level 11 QC Report
11l9I18
Prism Work Order: 8100480
Time Submitted: 10/26/2018 2:50:OOPM
Reporting Spike Source %REC RPO
Result Limit Units Level Result %REC Limits RPD Limtt Notes
Blank(P8KOO11-BLK1) Prepared &Analyzed: 11/01/18
Total Suspended Solids BRL 5.0 mg1L
LCS (P8K0011-BS1) Prepared &Analyzed: 11/01/18
Total Suspended Sorids 460 5.0 mg1L 477.0 97 90-110
Batch P8K0034 - NO PREP
Blank (P81<0034-BLK1) Prepared & Analyzed: 11/02/18
Chemical Oxygen Demand BRL 50 mg1L
LCS (P8K0034-BSI)
Chemical Oxygen Demand
Batch P8KO154 - NO PREP
Prepared &Analyzed. 11/02/18
512 51 mg/1- 505.1 101 90-110
Blank (P81<0154-BLK11) Prepared & Analyzed: 11108/18
Oil & Grease (HEM) BRL 5.0 mg1L
LCS (P8K0154-BS1) Prepared &Analyzed: 11/08/18
Oil & Grease (HEM) 33.1 5.0 mg1L 40,00 83 78-114
Batch P811<0155 - NO PREP
Blank (1281<0155-BLK1
Oil & Grease (SGT-HEM)
&Analyzed:. 11/08/18
BRL 5.0 mglL
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 6 of 8771

Full
&274R I S M Environmental
Analytical s
EnvlronmentaF Solutions
Tyson Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
11/9118
Prism Work Order: 8100480
Time Submitted: 10/26/2018 2:50:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P81K0155 - NO PREP
LCS (PBK0155-BS1) Prepared &Analyzed: 11/08118
Oil 8 Grease (SGT HEM) 14.4 5.0 mglL 20.00 72 64-132
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704/62M409 F Page 7 of 8

..r _
' CHAIN OF CUSTODY RECORD
�P�R ISM I Fullironmen Analytical 8 Environmental Solutions PAGE_ OF — QUOTE # TO ENSURE PROPER BILLING:
�--J RATOAIEi ING
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone [phone] Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Client Company Name: r y '-t" 'Please ATTACH any project specific reporting (QC LEVEL 1 11 III IV)
Report To/Contact Name �l L provisions andfor QC Requirements
Re
pp41 N t.1�t�4- Invoice To:
porting Address: 1`'L41 F-DAt;r.z k-U{,;3a+M Address:
Samples INTACT upon arrival?
Received ON WET ICE?
PROPER PRESERVATIVES indicated?
Received WITHIN HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLATILES rec'd WIOUT HEADSPACE?
PROPER CONTAINERS used.)
TEMP. Therm ID. (El --A Observe
YES' NO
N/A
�
o
L
�
ca
d
l Corr. HOC
Phone: Fax (Yes) (No):
Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: .n.,rJ ASLEACAS
e� m
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DoD FL NC
EDD Type:. PDF cel-.�- Other
"Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rushdust Be
A Work
i
Site Location Name: ��( � &
re
l Samples received after 14:(10 will be processed next business day.
SC OTHER NIA
Site Location Physical Address: in ' rt ft
•Vtar Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
ISEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO
CLIENT
DATE
TIME
COLLECTED
MATRIX
.
SAMPLE CONTAINER
PRTIVI -
ANALYSIS REQUESTED
J / `
PRISM
SAMPLE DESCRIPTION
COLLECTED
MILITARY
TER
WATER
TIVE
REMARKS
LAB
ID NO.
HOURS
SLUDGE)
SEE BELOW
NO.
SIZE
/ / JJ //
sari oti
l 1:3t� R
w
�G-
z�
urc AM
2
ow
to
I
I
Z
.�
f
16 ie `
p1+tiC:�Gm
n
Sampler's Signature!:�LA?1&g3MAJSampled
By (Print Name) 1CgAr-& Ql_ !.d-Affiliation
Upon relinquishing, this dAnIn of Custody is your authorization
for PrIaW to proceed with the analyses as requ above. Any changes must be
submitted in writing to the Prism Project Manager. There will be eh
esyor any changes after analyses have initialized.
)
L-Rr4Z-7
a , (Sigre 0) ate Additional Comments: Site- Arrival Time'%
V' _le/ �1Relin
ish y:lignaturn)
vea By (Signature) Dale SIIe Departure Time:
Rolinp B . Sgymttav)
aeoived Fr Prism Ladatstad' Datq r Field Tech Fete:
K' - S u
%
f Mileage:
Iffefliodbl'Shipment: L SAMPLE COOLERS ZHOUL BE T
D
GUST uy SEALS PqitTRANSPORTATION TOIWE LABORATORY,CDC CdTP.No.
SAMPLES ARE NOT ACCEPTED AND V RIFIED AGAINST CDC
UNTIL RECEIVED/A/Tf1T{E LABORATORY. I
%
❑ Fed Ez ❑ UPS ❑ Handdelivered ❑ Prism Field Service 0
Other
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
Gt NC ❑ SC 0 NC ❑ 5C I❑ NC El ❑
NC ❑ 5C
1 0 NC 0 SC � El ❑ Sr -SC El ❑ SC � ❑ NC 0 SC ❑ NC ❑ SC
I
❑ 13 n ❑
n rin jjj n n
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 4 -.1 q-18
CERTIFICATE OF COVERAGE NO. NCG06 6 D SAMPLE COLLECTION YEAR l8
FACILITY NAME Pcc�u'_ov'js FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Su r �ECffI V se/process meats [✓ use animal fats/byproducts
PERSON COLLECTING SAMPLES c I� DISC�ING TO SALTWATERS? ❑YES gNO
LABORATORY ::5Ian\),'/ e Ad Lab Cert. # J?7575_ JUN 19 2o18
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION Total event rainfall z /• 6— or ❑ No discharge this perlod3
Outfall_No.
Sam_ple,Collected,
rno/dd%yr"
TSS,
mg/L
pH,
Standard units
-COD,
rng/L
oil and Grease,
mg/L
,Coli
Fe ,.U.:
Colonies per.-100.m1 `
�.,Enterococcil,
Colonies per.,Too ml ..
Benchmark
/i,`- Po 18
100 or 504
Witkin' 6.0 - 9.0
120
30
1000 ' `
'500 `
1 Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
-Clutfall'N'o:
-`
'` Sarriple Collected,-
.mo%dd/yr,. -
Oil and'Grease,'
mg/L.
TSS,
mg/L
pH,
Standard units.
New Motor Oil Usage,
Annual.average:gal/mo:
Benchmark
-
30
100 or 504
6.0 — 9.0
-
Al
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anY outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pate 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIONS
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO Z
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature 80Permittee)
(Date)
Additional copies of this form may be downloaded at: httl2://portal.ncdenr.org/webZwq/ws/`su/n2dessw#tab-4
SWU-249. --k� Last Revised: C�)er 18, 2012
Page 2 of 2

(T.- -)
Tyson REcE,vFQ
JUN 15 2018
CENTIRf\L FILES
June 7, 201 S DWR SECTION
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No, NCG060000
Tyson Foods, Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling Period 1 semi-annual monitoring. Data receive for
PRISM labs indicated RRIV -- 04 TSS, COD parameters was above the benchmark.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 2871 should you have any questions.
Sincerei< ly,
av`--
Kirk Church
Complex Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-3836 336.838.2171 Fax:[phone] www.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: June 8,2018
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 1.50 or ❑ No discharge this perio&
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
05-16-2018
22
6.65
50
7.0
NA
NA
RRIV - 02
05-16-2018
53
6.64
70
5.0
NA
NA
RRIV - 04
05-16-2018
160
6.64
210
5.0
NA
NA
1 Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,.
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50'
6.0 — 9.0
-
RRIV - 04
05-16-2018
5.0
5.0
160
6.35
215
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 mast Revised: October 18, 2012
Pamve 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• -TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
_K _ & -9?- /f
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: httgLportal.ncdenr.orglweb/wa/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Date 05-16-2018
Rain Begin: 7:30 AM light
Grab Samples: 8:00 AM
Rain at end of
Storm Event: 1.50
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 1,50" (Total)
C = 0.35
Q = 0.35(1.50/12)(6,534,000*7.5)/1,000,000
= 2.144 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.50 " (Total)
C = 0.95
Q = 0.95(1.50/12)(96485-7.5)/1,000.000
= 0.086 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.50 " (Total)
C = 0.95
Q = 0.95(1.50/12)(75,085*7.5)/1,000,000
= 0.067 MG

AGA
NCDENR
Storm water Discharge 4utfall (SDQ)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: httR//portal.ncdenr.orgfweb/wgjws/su/nl2dessw#tab-A
Permit No: N C�G/O/610101010 or Certificate of Coverage No. N/C/G/O/6/0/0/2 j1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 05/16/2018
Time of Inspection: 'J'.Do PkYn
Total Event Precipitation (inches): 1.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event " or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not 1
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the {
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
5Wll-242, Last modified 10/25/2012

1. Outfall Description:
V�1
Outfall No. Structure (pipe, ditch, etc.) 1-11Cr{
Receiving Stream: 1A c ' TT ;6 -�o jrltz,
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ L,ckt
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ 1f1O
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwaterdischarge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids. Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. is there an oil sheen in the storm water discharge? Yesb
9. Is there evidence of erosion or deposition at the outfall? Yes 11�
to. Other Obvious Indicators of Stormwater Pollution:'
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

���
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: tt ortal. cd n . r we w/ws./su./tipdessw#tab:4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. NIC/G/016/0/0/2/1
Faciiity Name: meson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336,696.2741
Inspector: Raymond Nichols
Date of Inspection: OS/16/2018
Time of Inspection: TAD Am
Total Event Precipitation (inches): 1.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
VY"es No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
i
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
i 1 . 11 M\ n
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Ou all Description: _o
Outfall No. Structure (pipe, ditch, etc.) _ , Cfl Vie.
Receiving Stream: k V1 AAMIJT ' ar h a
Describe the industrial activities that occur within the outfall drainage area: i n .4 C14�ceC�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L; k
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ 4.10rir
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 4 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes Il
9. is there evidence of erasion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
$WU-242, Last modified 10/25/2012

A"
J;A�
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit:httl2:/112or.tal.ncdenr.orglweb/wq/ws/su./apdgssw#tzib-A
Permit No: 6 0 0 0 0 or Certificate of Coverage No. 1/C/G/0f6�0401211
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696,2741
Inspector: Raymond Nichols
Date of Inspection: 05116/2018
Time of Inspection: 4t1. i 5 P^
Total Event Precipitation (inches): LSO
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below,)
MYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
i
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
x �k 6a4LLJV--,--.
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: ` t
Outfall No. �— Structure (pipe, ditch, etc.)
Receiving Stream:�lAY►,f<0.MgA.Xr;buVat!A- -Vo
Describe the industrial activities that occur within the outfall drainage area: 4101 Of- Ve"!4A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Lc Sh -�r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): hOAC,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 t 3 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 t 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall? Yes l�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

/P*RISM
%LA90RATORIES INC.
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 05/16/2018
Prism Work Order: 8050294
Case Narrative
06/01 /2018
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Jackie Ziner For Terri W. Cole
Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit- All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc
449 Spring brook Road - P.O. Box 240543 - Charlotte, NIC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 1 of 8

Affl-RISM I Sample Receipt Summary
Full -So mee Analytical & 06/01/2018
Environmental Solutions INC
Prism Work Order: 8050294
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01
8050294-01
Water
05/16/18
05/16/18
Stormwater RRIV-02
8050294-02
Water
05/16/18
05/16/18
Stormwater RRIV-04
8050294-03
Water
05/16/18
05/16/18
Samples were received in good condition at 3.0 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Sox 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 2 of 8

PRISM FulliService al SM do 8
Laboratory Report
Environmental So3utiona 06/01/2018
AA rLA90nATQAIE% INC
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols Prism Sample ID: 8050294-01
179 Roaring River Rd. Prism Work Order: 8050294
Roaring River, NC 28669 Sample Matrix; Water Time Collected: 05/16/18 08:00
Time Submitted: 05/16/18 16:40
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DatelTme
ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mg1L
50
17
1
'SM5220 D
5/25118 13:38 SLS
PBE0541
Oil 81 Grease (HEM)
BRL
mg1L
7.0
1.8
1
"1664B
5/29/18 11:09 SL5
PSE0567
Total Suspended Solids
22
nI
6.2
0.40
1
'SM2540 D
5122118 15:11 CEP
PBE0459
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, tnc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toil Free Number: 1-8001529-6364 • Fax: [phone] Page 3 of 8

Fult-S
�P R I S M Environmental
Analytical s
Environmental Solutions
=7�Twwl ..c
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater
Sample Matrix: Water
Laboratory Report
06/01/2018
Client Sample ID: Stormwater RRIV-02
Prism Sample ID: 8050294-02
Prism Work Order: 8050294
Time Collected: 05/16/18 08:10
Time Submitted: 05/16/18 16:40
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Date/Time
ID
General Chemistry Parameters
Chemical Oxygen Demand
70
mg1L
SO
17
1
"SM5220 D
5125118 13:38 SLS
PBE0541
Oil & Grease (HEM)
BRL
mg1L
5.0
1.8
1
*1664B
5/29118 11:09 SLS
PBE0567
Total Suspended Solids
53
mg1L
8.3
0.40
1
"SM2540 D
5122118 15:11 CBP
P8E0459
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road • P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] • Toll Free Number: 1.8001629-6364 • Fax: [phone] Page 4 of 8

LpI
ll�
t Full-So"ice Analytical &
ISM I Environmental Solutions
ILAeM�TOR�Ea CMG
Laboratory Report
0610V2018
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample Ii Stormwater RRIV-04
Attn: Raymond Nichols Prism Sample 1 8050294-03
179 Roaring River Rd. Prism Work Order: 8050294
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 05J16/18 08:15
Time Submitted: 05/16/18 16:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor l ie/Time 1D
General Chemistry Parameters
Chemical Oxygen Demand 210 mg1L 50 17 1 'SM5220 D 5125118 13:38 SLS P8E0541
Oil & Grease (SGT-HEM) BRL mg1L 5.0 1.1 1 `1664B 5129118 11:42 Si PBE0568
Total Suspended Solids 160 ni 50 0.40 1 'SM2540 D 5122118 15:11 Cii P8E0459
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 5 of 8

<P� j` Full -Service Analytical &
' �I:—.R i S M V Environmental Solutions
., JLASOnATOAIE8 mn
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch P8E0459 - NO PREP
Project: Stormwater
Reporting
Result Limit Units
Level II QC Report
611118
Prism Work Order: 8050294
Time Submitted: 5/16/2018 4AMOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P8E0459-BLK1) Prepared & Analyzed: 05/22/18
Total Suspended Solids BRL 5.0 mg1L
LCS (P8E0459-BS1) Prepared & Analyzed: 05/22/18
Total Suspended Solids 460 5.0 mglL 477.0 97 90-110
Batch P8E0541 - NO PREP
Blank(PBE0541-BLK1) Prepared &Analyzed:05125118
Chemical Oxygen Demand BRL 50 mg1L
LCS (P8E0541-BS1) Prepared & Analyzed: 05/25/18
Chemical Oxygen Demand 526 5t mg1L 505.1 104 90-110
Matrix Spike (PSE0541-MS1) Source: 8050294-02 Prepared &Analyzed: 05/25/18
Chemical Oxygen Demand 573 51 mglL 505.1 69.7 100 80-120
Matrix Spike Dup (P8E0541-MSD1) Source: 8050294-02 Prepared & Ana lyzed: 05/25/18
Chemical Oxygen Demand 622 51 mglL 505.1 69.7 109 80-120 8 20
Batch PBE0567 - NO PREP
Blank (P8E0567-BLK1) Prepared & Analyzed: 05/29/18
Oil & Grease (HEM) BRL 5.0 mg1L
LCS (PSE0567-BS1) Prepared & Analyzed: 05/29/18
Oil & Grease (HEM) 34.3 5.0 mg/L 40.00 86 78-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001629.6364 - Fax: [phone] Page 6 0f 8

I-'-,R I S M FulliT orvice al Solueal s
Environmental Solutions
✓u ATanies INC
Tyson'Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
611118
Prism Work Order: 8050294
Time Submitted: 5/16/2018 4:40:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %RLC Limits RPD Limit Notes
Batch P8E0568 - NO PREP
Blank (P8E0568-BLK1) Prepared &Analyzed; 05/29/18
Oil & Grease (SGT-HEM) BRL 5.0 mglL
LCS (PSE0568-BS1)
Oil 8 Grease (SGT-HEM)
Prepared & Analyzed: 05/29/18
15.4 5.0 mg/L 20.00 77 64-132
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbroak Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 7 of 8

_,_P,RISM
T__ ZZ=• Leeman ORIEs urC
Full -Service Analytical &
Environmental Solutions
449 Springbrook Road • Charlotte, NC 28217
Phone T041529-6364 Fax: [phone]
Client Company Name: :T"�j �;Cnt�G
Report To/Contact Name:
Reporting Address: I `-it{ bSinC,_�j,y�e(
J, L?�i�t M G
CHAIN OF CUSTODY RECORD
PAGE_ OF _ QUOTE # TO ENSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
'Please ATTACH any project specific reporting (QC LEVEL 1 II Ill M
provisions andlor QC Requirements
Invoice To:
Address:
YE$
NO NIA co
Samples INTACT upon arrival?
_/
o
Received ON WET ICE?
cp
PROPER PRESERVATIVES indicated?
cU
Received WITHIN HOLDING TIMES?
t0)
CUSTODY SEALS INTACT?
VOLATILES reed WIOUT HEAASPACE?
PROPER CONTAINERS used?
Ztl
_
_TEMP:
Therm ID.i ObservedC
I Com _(L°CI
Phone: 3)UL, JgrJ_` 3l`i Fax (Yes) (No):334, Vi4. 380 Purchase Order NoJBiliing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address-1PyrA" , N;I.-VoLs 0-JcMG11,Caly% Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
EDD Type: PDFRush
"working Work Mdust Be
Certification: NELAC DOD FL NC
�Exce%Other Days" CI 6-9 Days ❑ Standard 10 days ❑
Site Location Name:�6ni;' •.sit �
SC OTHER NIA
Samples received after 14:00 will be processed
next business day.
Site Location Physical Address: 1��u�1 1� Tumamund time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS 6 CONDITIONS REGAR09NO SERVICES
RENDERED BY PRISM LABORATORIES, INC- TOCLIENT)
Sample Iced Upon Collection -YES NU
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
MATRIX
{SOIL,
WATER OR
SAMPLE CONTAINER
PRESERVA-
T1VE5
ANALYSIS REQUESTED
1
REMARKS
PRISM
LAB
ID NO.
•TYpE
NO.
SIZE
HOURS
SLUDGE)
SEE BELOW
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Sampler's Signature Sampled By (Print Name) Aamra &bWn
Affiliation 1 tip'
Upon relinquishing, this C&6n of Custody is your authorization for Prism to proceed with the analyses
as requested above. Any changes must be PRISM USE ONLY
sub_nW,8d in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
e qus By': (Signature) Ro:eiv Y• ( ignature)' 7'
�•'
03 MU'laiyMwr. Additional Comments: Site Arrival Time:
/ /� W
RO UIs 5y:(i aruto R y; t rgnoarre)
Uata Site Departure Time:
Reh . hed y: S3i a urej ed F Prism Laboratww% BY:
Dale Field Tech Fee:
92 Mileage:
Method orShipoerd: NOTE: ALL LE COOLERS SHOULD BE TAPED SHUT WITH USTODY SEALS FOR TRANSPORTATION
up rao.
TO THE LABORATORY. CMS
SAMPLES ARE ND CCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
1] Fed Ex O UPS O Hand-dolivered ❑ Field Service ❑ Ott—
RCLA
aNC Cl SCI ©NC C3 5C C3 /C 0 SCTER: I ILl f C 0 SCATER: f Q NC ❑ SCE I I NC ©5C O0ENC Li SC + O LANDFILL O SC a NC 0 5C
"CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL

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.Tune 7, 2018
North Carolina Department of Environment, Health and Natural Resources
is
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
i
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
i
"Tyson Farms, Inc. Storm water sampling Period 1 semi-annual monitoring. Data receive for
PRISM labs indicated RR1V — 04 TSS, COD parameters was above the benchmark.
i
I
'Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern. �€ i
i
Please contact me at 336- 838- 2171, extension 2871 should you have any questions,.
i
' I
Sincerely, pf
Kirk Church
IL I
Complex Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-3836 336.838.2171 Fax:[phone] www.tysonfoods. om

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
- 'Date submitted: June8,2018
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. a# 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES NNO
PLEASE REMEMBER TO SIGN ON THE REVERSE a
Total event rainfall z 1.50 or ❑ No discharge this period
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
Soo
RRIV - 01
05-16-2018
22
6.65
50
7.0
NA
NA
RRIV - 02
05-16-2018
53
6.64
70
5,0
NA
NA
RRIV - 04
05-16-2018
160
6.64
210
5.0
NA
IAA
2 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
9 For sampling periods with no discharge at any outfalls_ You must still submit this discharge monitoring report with a check 'mark here.
QSee General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part 8)
Outfall Now
=_Sample Collected,!
Mo./dd./yr.
Oil and Grease,
mg/L
Non.P_oiar-_Oil
&Grease/TPH
mg/L
�TS 5,�- --
, �
Standard units
New_M_ot.o._.r_OiE.Usage, A
Annual average gal/mo
mg/L
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV - 04
05-16-2018
5.0
S.
160
6.35
215
' Only applies to facilities that use/process meats.
7The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Devised: October 18, 2012
4 Paae I of 2

*FOR PART A AND PART B MONITORING RESULTS:
u A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" re►oorts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU M_UST_SIGN_ THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: htti2://portal.ncdenr.org/web/wp/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18.2012
Page 2 oF2

Roaring River Storm_ Water Calu, Sheet
Date 05-16-2018
Rain Begin: 7:30 AM light
Grab Samples: 8:00 AM
Rain at end of
Storm Event: 1.50
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 1,50 " (Total)
C = 0.35
Q = 0.35(1.50/12)(6,534,000"7.5)/1,000,000
= 2.144 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.50 " (Total)
C = 0.95
Q = 0.95(1.50/12)(96485-7.5)/1,000,000
= 0.086 MG
Sampling Point RRIV- D4 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.50 " (Total)
C = 0.95
Q = 0.95(1.50/12)(75,085'7.5)/1,000,000
= 0.067 MG

Storm water Discharge ®utfall (SOO)
Qualitative Monitoring Report';
Forguidance on filling out this form, please visit: ]r�tl portal.nccleiu•.urgzweb/i-vrl/w<;f si.i rrpcic ,. w4 t;ilr-j
Permit No: B-LC&/ }/6/0/0/0/0—or Certificate of Coverage No.
Facility Name: ys:on Farms Inc. llto;.rring. River. Vocci Mill- h
County: Wilkes �€
Phone No: 336.696.2 %/1-:I
Inspector: Raymond Nichols f
Date of Inspection: 05 1.6 'L01f3 I
Time of Inspection: T.vu Alan
Total Event Precipitation (inches): LSO
i
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.) IE=
i
[V yes F] No I
Please verify wh ether Qualito tive Monitoring mustbe performed during a "represenihtivestorm event"or
"measurerrblestorm event" (requirements vary, depending on the permit). 4'
i
Qualitative monitoring requirements vary. Most permits require qualitative moni____..._._____.
toying to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
i
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greate rthan {
0.1 inches has occurred. A single storm event may contain up to 10 consecutive ho rs of no l}
precipitation. i
,
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permitt e obtains approval from the
local DWQ Regional Office.
i -
By this signature, I certify that this report is accurate and complete to the best of my knowledge
(Signature of Permittee or Designee)
Page 1 of 2 i
d
SWU-242, Last modified 10/25/2012

I. Outfall Description:
0UtfaII No. 5�5���1 _ Structure (pipe, ditch, etc.) L4 1 �1,r
Receiving Stream: ;biAC, L4 !o A4hr- cn i2Ale—Y
Describe the industrial activities that occur within the outfall drainage area:_
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors. L h4
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A C _ Y
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 1� 3 4 5
u
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 03 tf 5
7. is there any foam in the stormwater discharge? Yes Mo
B. Is there an oil sheen in the stormwater discharge? Yesfo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Storinwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

f•
Storm water Discharge Outfall (SIDO)
Qualitative Monitoring ReporC
Forguidance on filling out this forth, please visit:]ttlL:�/l�ort�il.€icdenr.ori;fwel d�wvcl �vs su re ulessw#tah l
Permit No: N C G Uj)/00 r3 0_or Certificate of Coverage No. N/(:/(i/O/r')/0/0/7/'l
Facility Name: Tyson Farms Inc. Roaring River reed Mill n
1(
County: Wilkes
Phone No::336.696.174'l
Inspector: Raymond Nichols
€. I
Date of Inspection: lr51 l(V`1.018
Time of Inspection: 15*�1D rxm j
Total Event Precipitation (inches): 1.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)'
®�s ❑ No
Please verify whether Qualitative Monitoring must be pei formed during a "representativestorm event"or
"measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed —
during a "representative storm event" or during a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.
1
€ A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greater` Chan
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no 1
precipitation. j
' 1
I
A "measurable storm event" is a storm event that results in an actual discharge...from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to docurAnt that a shorter interval is i
representative for local storm events during the sampling period, and the permittee obtains approval from the
local DWQ Regional Office.
� I
I
i
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of 1 ermittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Ouftf!all Description: / r�
Outtall No. Structure (pipe, ditch, etc.) l_+a \ kir—
Receiving Stream: A-11 _ v:: v r
Describe the industrial activities that occur within the outfall drainage area: i`( C'V-t,N car %."- '1 Ve S
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L" '0n. t
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 4AVi\r
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 1 3 4 S
6. Suspended Solids: Choose the num her which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes lyo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

�1
v 4�o j�i
Storm water Discharge ®utfalI (SDO)
Qualitative Monitoring Report 1:
iorguidanc•e on filling out this form, please visit. i1t1: /�portal.nc.rlr,,cr.or web r;y[l �vs/sn/rr���le5 ,w ktab �I
Permit No: N C/G/I)/60/(l/{l�_or Certificate of Coverage No. N/C/G/O/6/0/0/2/1
Facility Name: 'Vyson Inc. 1Zoarin r Rivcr Feed Mill i
County: Wilkes.
Phone No: 336.696-271-1
Inspector: iLay and NiChols
Date of Inspection: QS/L L> 201H
Time of Inspection: '�-A`. S P^
Total Event Precipitation (inches): 1.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
Yes No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"rrreasureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be pe.rforrned
during a" representa tive storm event" or ditring a "measureable storm event." However, some permits do not
have this requirement. Please refer to these definitions, if applicable.; '
I f
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is
preceded by at least 72 hours (3 days) in which no storm event measuring greatenthan
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharg)from the permI itted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is
representative for local storm events during the sampling period, and the permitt e obtains approval from the
local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
,
(Signature of Permitter or Designee)
l
,
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. f t.LVL -L4 Structure (pipe, ditch, etc.) � V\" 1k ow-siz':-kk b 1 � h
Receiving Stream: U V\)V 1'6 TV . �C'��'tk4i�1. •�o V1V-' v r�C�_i�i+� V—i'1Jci• _
Describe the industrial activities that occurwithin the outfall drainage area: 1)AcL'V :1V§ tr
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L- Sh l`
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ix90,C-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy: ff
1 `I_Z' 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 'b) 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes !-o
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NC Certirrcation No. 402
(� I u� I f=ull-tirnvice Anniytic;tt `� NC Drinking Water Cert No 37735
r {G�� IIII II l'nvirutunCatal Sulntiow; SC Certification No. 99012
:.AIXMATOME!y MG.
r
1
Case Narrative
06101 /2018
Tyson Farms, Inc. -Roaring River Project: Stormwater
Raymond Nichols }�
179 Roaring River Rd. Lab Submittal Date: 05/16/2018
Roaring River, NC 28569 Prism Work Order: 8050294 h
I�
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
i
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MOIL Method Detection Limit
Reviewed By Jackie
Project Manager
For Terri W. Cole
I
I
i
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J. ;t !
r
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc,
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 2B224-0543
Phone: [phone] - Toll Free Number; f-800f529.6364 - Fax: [phone] Page 1 of 8
I

Sample Receipt Summary
06/01 /2018
Prism Work Older- 8050294
Client Sample ID
Lab Sample ID
Matrix
Date Sampled
Date Received
Stormwater RRIV-01
8050294-01
Water
05/16/18
05/16/18
Stormwater RRIV-02
8050294-02
Water
05/16/18
05/16/18 .
Stormwater RRIV-04
8050294-03
Water
05/16/16 t
05/16/18
Samples were received in good condition at 3.0 degrees C unless otherwise noted
This report should not be reproduced, except in its entirety, without the written consent of Prisin Laboratories, Inc,
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone]
Page 2 of 8

BS M �irll-Scroi rc Au:d;•iir.;rl .5
L-rrvironmrtrrtal Loh diun:;
f
: Laboratory Report
06101 /2018
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols
Prism Sample ID: 8050294-01
179 Roaring River Rd.
Prism Work Order: 3050294
Roaring River, NC 28669
Sample Matrix: Water
Time Cokected: 05/16/18 08:00
Time Stlhmitted: 05/16/18 16:40
Parameter
ReWl Units
Report
MDL Dilution r Method Analysis Analyst
Batch
Limit
Factor f DatelTrne
ID
General Chemistry Parameters
sl
Chemical Oxygen Demand
BRL mg1L
50
17 1 '#SM5220 D 5125/18 13:38 SLS
PBE0541
Oil & Grease (HEM)
BRL mg1L
7.0
1.8 i ji'1664B
5129118 11:09 SLS
PBE0567
i
This report should not be reproduced, except in its entirety, without the wr1ten consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.05431
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone]
i
i
Page 3 of 8

,f
fff��� d Laboratory Report
P R 4I S pq g� I"oil-Sal di�:n Wool ytir.�.�l 74 �' E
lAI �V r:�,���;�:�����:���:�1::<>i:�w:�,:; 06/01/2018
Tyson Farms, Inc. -Roaring River
Project: Stormwater
1.
Client Sample ID: Stormwater RRIV-02
Attw Raymond Nichols
Prism Sample ID: 8050294-02
179 Roaring River Rd.
Prism Work Order: 8050294
Roaring River, NC 28669
Sample Matrix: Water
Time Callected: 05/16/18 08:10
Time Submitted: 05/16/18 16:40
Parameter
Result Units Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor Datef-l-ime
ID
General Chemistry Parameters
_ f�
Chemical Oxygen Demand
70 rngfL 50
17 1 i'SM5220 D 5125113 13:38 SLS
PBE0541
Oil & Grease (HEM)
BRL mg1L 5.0
1.8 1 '1664B 5129/18 11:09 SLS
P8E0567
I

PRSIM
, a,uu mrnnu ,rx:
Laboratory Report
06/01/2018
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols
Prism Sample ID: 8050294-03
179 Roaring River Rd.
Prism Work Order: 8050294
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 05/16/18 08:15
Time Submitted: 05/16/48 16:40
Parameter -
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
t.imit
Factor iF DatefTiime
ID
General Chemistry Parameters
:
�I
Chemical Oxygen Demand
210 mg1L
50
17 1 SFA5220 D 5125118 13:38 SLS
PBE0541
it
Oil & Grease (SGT•HEM)
BRL mg/L
5.0
1.1 1 "1664B 5129118 11:42 SLS
P8ED568
Total Suspended Solids
160 mg1L
50
it
0.40 1 'SM2540 0 5122118 15:11 CBP
P8E0459
11

NA
rlln-:. Iv tel: nllaty f;:d x
� ! & ZII VIf{I ll lllllflr:l� ��1 ��I I�If ISI::
/J
Inrl;wnn uvr:U:+c
T
t
Level II QC Report
' 611118
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Prism Work Order: 8050294
Attn: Raymond Nichols
Time Submitted: 5l16/2018 4:40:OOPM
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Reporting
Spike Source t %REC RPD
Analyte
Result Limit Units
Level Result %REC, Limits RPD Limit Notes
Batch P8E0459 - NO PREP
`!
Blank (PBE0459-BLK1)
It
Prepared & Analyzed: 05/22/18
Total Suspended Solids
BRL 5.0 mglL
LCS (P8E0459.BS1)
Prepared &Analyzed: 05/22/18
Total Suspended Solids
460 5.0 mg1L
477.0 97 It 90-110
I
Batch P8EO541 - NO PREP
f'
rE
Blank (P8E0541-SLK1)
---- - -_ _ --- - --
Prepared & Analyzed 05/25/18 - — _ — —
— -- -- -- _ -- - - ----- - ._
Chemical Oxygen Demand
.... - ------
BRL 50 m 1L
g
-- -- —
LCS (P8E0541-BS1)
Prepared &Analyzed: 05/25/18
_
Chemical Oxygen Demand ----- --
_ _
--526 — - --51 mg1L�
_
505.1 - - - -- - 104---
Matrix Spike (PBE0541-MSi)
Source: 8050294-02
Prepared & Analyzed: 05/25/18
Chemical Oxygen Demand
_
573 51 mg1L 505.1 69,7 100 1. 80-120 -
Matrix Spike Dup (PBE0541-MSD1)
Source: 8050294-02
I
Prepared &Analyzed: 05125I18 i
Chemical Oxygen Demand
622 51 mg1L
505.1 69.7� 109
11
1 80-120 8 20
Batch PBE0567 - NO PREP
j
Blank (P8E0567-BLK1)
Oil & Grease (HEM) -
LCS (P8E0567-BS1)
Oil & Grease (HEM)
_ 8RL 5.0 mg/L
Prepared & Analyzed: 05/29/18
_ _Prepared & Analyzed: 05/2911_8_ _
- - - 34.3- - - 5.0 mg1L 40.00 - - 86 1
I1 78-114 - �- --- -
�
I
` I
This report should not be reproduced, except in its entirety, without the written consent of Prisrr
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone](
I
4
1
I
I
Laboratories, Inc.
Page 6 771

Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
611118
II
Project: Stormwater Prism Work Order: 8050294
Time Submitted: 5/16/2018 4:40 OOPM
I
1�
d
It
9' i
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Ine.l
it i
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0643 ,1;
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 7 of 8

HAPH OF CUSTODY RECORD , x,2 di .�. r3�. �.
� roll^.�,3rirlC� Art�lytrC�l x � �.. �., � '. F�:.i
Y� NO NIA Co
r1 �� EnviConrnent34 Solutions PAGE— of Samples INTACT upon arrv.l? —
� ! �_ it — QUOTE � TO ENSURE PROPER BILLING:
r-- -------
Project d
f Name: Rsceived ON WETICE?
449 Sgrin� rook Road, Cnesiu::a, NC 28217 - -- 0
-a P*,pw 7041sie-5554 Fax: 7u4i525-0402 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) PROPER PRESERVATIVcS indicat7 _
'Please ATTACH any project specific reporting (QC LEVEL l I{ Ili M Rsceived WITHIN HOLDING TIMES? Q5
Ch:Dnt Con. pany Nama. CUSTODY 1NiAC? % a
l t provisions and/or QC Requirements
To/Contact IN1. arIe: '. \1 ii i 1 1 �l C i1 r, i L YGtJ417L# S iBC'd 4VlGUT i?64DSPACE?
z—� Invoice To
:S-iJci :mg Addi-css: ; 4 i : at ; r,.c. 'i' k:: A %
<1 Address:PROPER GG•"CI',1`;Ef:S User?
_ L �----
c. '�TEMP; '17:em 1i1: 'r� clt�:'_ .,.I �N vi.^.rir.%C�..'�
?hCnc: .y.. L I '� r l' 1 Fax (Yes) (No): -: I- Eyrt(.. ,i t I Purchase Order No./Billing Reference — TO BE FILLET] IN BY CLIENT/SAMPLING PERSONNEL
EnnEii Address:' IU: L �w . C� �If��(1i , t��t1 Requested Due Date Q 1 Day Q 2 Days 0 3 Days ❑ 4 Days ❑ 5 Days Certification: NELAC DoD FL NC
EDID -Type-: PDF - irxC2{� Other _ "Working Days" ❑ 6-9 Days Q Standard 10 days ❑ Ruesh Work �Mdust Be
Slf2 LocafiO�I Alarne r;� ti s'e C i e Cci k t t Samples received after 14:00 will be processed next business day. $C OTT ER NSA
Si4e I_oc #ion o- hysical �lddres5: l _'( [� � y , P�,,j, �C } Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated YE5 NO
^'""^"" ------•--------(SEEREVERS'cFQRTERMS'BCQNDiTiQNSREGAFtDINCaSERYICE5�"-`- — •� � "a•�='�''""`-
RENDERED BY PRISE? LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES_ ND
TIME j MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED i
CLiENT I DATE COLLECTED j (SOIL, PRESERVA- REl1AARttS PRISM
3Ah3?! = DESCRIPTION � COLLECTED I MILITARY j WATER OR � *Type TIVES
LAB
HOURS j SLUDGE) I gee BELOW i NO. i SIZE ID NO.
flbAm
r3s
�.a! ht� i $ • dam IKc? �1"A i
+3
t
I el f V I I I Y I I I tA ®�r I J
eA
�.-9,r
��;i 't�ed.+"+� Sampled By (Print Name) C�1� ,_,�'Ri�3j'1-_- - � Affiliation ) �� - -
Upon rnii7culzhing, t;3is aain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be ,
sr33z„ " ted in :vri:ing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
n;iic:au, y (S�ygmhre} / O&Q iHouts I111la
� ry Additional Comments: $a, A,-ri+rl7-1me:
a :. �•: - � Site D? Rure Time: I pa
Field Tech Fee:
Rrairi7;rrtic:'y:13:�1._!_•ey �.�.•c�'etFrt?❑ mCa!x,:aIr"C ay Date
II . �: ,,,�-:r._ fir;=- -f G r C� • �:1��_�:
fLeL.cci a! SF.ip:�enC NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. GA GrrUp Ncl
r SAMPLES ARE No
CCEPYED AND VERIFIED AGAINST CQC UNTIL RECEIVED AT THE LABORATORY. �29�
0 Fed =x ❑ UPS 0 Hard-daliverec! ❑ , Fiald Service ❑ Olhnr
NPyE_; I LTC; I r_-P"ILdGiAtA7ER: DR!NKING WATER: -SOLID WASTE. RrRA: I CERCLA LANDFILL i OTHER:
T.
Qi`iCU�SC QNtC ❑SC ❑i'71—.0 S­
❑SC ❑NC QSC ❑NC ❑SC C]NC6SC ❑NC ❑SC ❑NC ❑SC; LING ❑SC
01 ❑ ❑ " ❑ ❑ _ ❑ a Q i +❑
'COili TAiNER TYPE_ CODES: A =Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

1 Tyson Foods, Inc.
October 30, 2017
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
•� -rz
�_
�
Enclosed are two copies of the required storm water sampling results.
O r"
' cmn
�'
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling for Period 2 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 2871 should you have any questions.
Sincerel�,
�_
Kirk Church
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: Oct 30, 2017
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? ❑YES '®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE —)
Total event rainfall' 1.00 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease, mg/L
Fecal Coliform1,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
10-13-2017 1
12
6.40
50
5.0
NA
NA
RRIV - 02
10-13-2017
13
6.40
50
5.0
NA
NA
RRIV - 04
10-13-2017
14
6.35
50
5.0
NA
NA
1 Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
oil and Grease,
mg/L
-
Non Polar Oil
&Grease/FPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 5W
6.0 — 9.0
-
RRIV - 04
10-13-2017
5.0
5.0
14
6.35
215
' Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including oil "No Discharge" reports, within 30 do s of receipt of the lob results or of end of monitoring
period in the cose of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/d
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

AN'tV
NCDENR
Storm water Discharge Outf all
(SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htt2:1112ortal.ncdenr.or web/wcwslsu/npdessw#tab-4
Permit No: N/C/G10/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 10/13/2017
Time of Inspection: 01
Total Event Precipitation (inches): 1.00
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
" ineasureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do
not have this requirement. Please refer to these definitions, if applicable. €
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee obtains
approval-from-the-local-DWQ-Regional-Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
e i
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. OUXWI Descri tion: t
Outfall No. Structure (pi e, ditch, etc.) 1 p['[4 --tL-
Deceiving Stream: 111ktQ1� �v C
Describe the industrial activities that occur within the outfall drainage area: MqVi
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: %-- ��'�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): �N'0 V%r-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: �2
1 (/2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids
in the stormwater discharge, where 1 is no so ids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes �o
8. Is there an oil sheen in the stormwater discharge? Yes 0
9. Is there evidence of erosion or deposition at the outfall? Yes 1
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall
(SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:l112ortal.ncdenr.org/weblwq/wslsu/n2dessw#tab-4
Permit No: N/C/G/,016/0/0/01 or Certificate of Coverage No. N/C/G/016/010/211
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 10/13/2017
Time of Inspection: q D RM
Total Event Precipitation (inches):1.00
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
ro"Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed r
j during a "representative storm event" or during a "measureable storm event." However, some permits do
not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
i site outfall. The previous measurable storm event must have been at least 72 hours
I prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee obtains
approval-from-the-local-DWQ-Regional-Office.
By this signature I certify that this yeport is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Out11 Description:
Outfall No. u_G1V-b� Structure (pipe, ditch, etc. �S
Receiving Stream: un41Qt1� ; C: �cu4 k a �V%i VitC _
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: k-'4X4 _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): jNtlt%xL
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids
in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes �2
8. Is there an oil sheen in the stormwater discharge? Yes �Vj6
9. is there evidence of erosion or deposition at the outfall? Yes N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outf all
(SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:1/12ortal.ncdenr.org/web/­wq/ws/`suLnl2dessw#tab-4
Permit No: N C G 0 6 0 Q 0 0 or Certificate of Coverage No. N C G 0 6 0 0 2 1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 10 13 2017
Time of Inspection: Ct'—ss P.M
Total Event Precipitation (inches): 1.00
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
inform ion below.)
Yes []No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed
during a "representative storm event" or during a "measureable storm event." However, some permits do
not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.I inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee obtains
' -approval•from-the-local-DWQ•Regional-Offi ce.
By this signature,�l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Descr�iytivn:
Outfall No. - `'1 Structure ( ipe, ditch, etc.)
Receiving Stream: .A 44\ ;
Describe the industrial activities that occur within the outfall drainage area
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ^�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): K-oAr,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: Il
1 f2j 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids
in the stormwater discharge, where 1 is no sol
ids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes �l¢
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes (Nq�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Roarinq River Storm Water Calu. Sheet
Date 10-13-2017
Rain Begin: 9:00 AM light
Grab Samples: 9:30 AM
Rain at end of
Storm Event: 1.00
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
I = 1.0 " (Total)
C = 0,35
Q = 0.35(1.0112)(6,534,000*7.5)/1,000,000
= 1.429 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0.95
Q = 0.95(1.0/12)(96485*7.5)/1,000,000
= 0.057 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0,95
Q = 0.95(1.0/12)(75,085-7.5)/1,000,000
= 0.045 MG

/a°
EiRRISM
AN 0L>30RATORIE3� INC.
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
NC Certification No. 402
NC Drinking Water Cen No, 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 10/13/2017
Prism Work Order: 7100274
Case Narrative
10/27/2017
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toil Free Number: 1-8001529.6364 - Fax: [phone] Page 1 of 7

n�
Full -Service Analytical &
GPRR M I Environmental Solutions
i9'NE1EM=V'LAW9AI0RTEa I
Sample Receipt Summary
10/27/2017
Prism Work Order: 7100274
Client Sample ID
Lab Sample ID
Matrix
Date Sampled
Date Received
Stormwater RRIV-01
7100274-01
Water
10/13/17
10/13/17
Stormwater RRIV-02
7100274-02
Water
10/13/17
10/13/17
Stormwater RRIV-04
7100274-03
Water
10/13/17
10/13/17
Samples were received in good condition at 2.5 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] - Toll Free Number, 1-8001629-6364 - Fax: [phone] Page 2 of 7

/�'.d.\ Laboratory Report
PRR ISM Full -Service AnSolutiol &Environmental Solutions 1t}127120i7
I 11AT011ILD, INC,
Tyson Farms, Inc. -Roaring River
Attm Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater Client Sample ID: Stormwater RRIV-01
Prism Sample ID: 7100274-01
Prism Work Order: 7100274
Sample Matrix: Water Time Collected: 10/13/17 09:30
Time Submitted: 10/13/17 12:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
General Chemistry Parameters
Chemical Oxygen Demand BRL mglL 50 17 1 "SM5220 D 10/18/17 10:00 BMS P7J0302
Oil S Grease (HEM) BRL mglL 5.0 0.98 1 '1664B 10/23/17 10:09 SLS P7J0433
Total Suspended Solids 12 mglL 3.1 0.40 1 'SM2540 D 10/17/17 11:44 SLS P7J0295
Ir
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: T041525-0409
Page 3 of 7

N \ Laboratory Report
ar � Full -Service Analytical 8
P , ISM I Environmental Solutione 1012712017
.r!LABOl ATd1iE$ iHG
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols Prism Sample ID: 7100274-02
179 Roaring River Rd. Prism Work Order: 7100274
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/13/17 09:40
Time Submitted' 10/13/17 12:25
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Daterrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mg/L
s0
17
1
`SM5220 D
10118/17 10:00 BMS
P7J0302
Oil & Grease (HEM)
BRL
mg/L
5.0
0.98
1
'166413
10123/17 10A4 SLS
P730433
Total Suspended Solids
13
mg1L
4.2
0.40
1
•SM2540 D
10/17117 11:44 SLS
P7J0295
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 4 of 7

Laboratory Report
A&RI S M Full -Service al Soluti l &
Environmental Solutions
10127/2017
�PI1Bp1AiDnIE$ ING
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols
Prism Sample ID: 7100274-03
179 Roaring River Rd.
Prism Work Order: 7100274
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 10/13/17 09:55
Time Submitted: 10/13/17 12:25
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL mg/L
50
17 1 "SM5220 D 10118/17 10:00 BMS P7J0302
Oil & Grease (SGT-HEM)
BRLOG mg/L
5.0
1.1 1 1664B 10123/17 10:44 SLS P7J0434
Total Suspended Solids
14 mg1L
4.2
0.40 1 'SM2540 D 10/17117 11:44 SLS P7J0295
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 5 of 7

\ Level II QC Report
Full -Service Analytical 8 10/27/47
aP R I S M Environmental Solutions
�uaoa.�a�E4
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch PIJ0295 - NO PREP
Project: Stormwater
Reporting
Result Limit Units
Prism Work Order: 7100274
Time Submitted: 10/13/2017 12:25:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P7J0295-BLK1) Prepared & Analyzed: 10/17/17
Total Suspended Solids BRL 5.0 mg1L
LCS (P7J0295-BS1) Prepared & Analyzed: 10/17/17
Total Suspended Solids 500 5.0 mg1L 477.0 104 90-110
Batch MOM - NO PREP
Blank (PTJ0302-BLK1) Prepared & Analyzed'. 10/18/17
Chemical Oxygen Demand BRL 5o mg1L
LCS (P7J0302-BSI) Prepared & Analyzed: 10/18/17
Chemical Oxygen Demand 506 51 mg1L 505.1 100 90-110
Batch P7JO433 - NO PREP
Blank (P7J0433-BLK1) Prepared & Analyzed: 10/23/17
Oil & Grease (HEM) BRL 5.0 mg/L
LCS (P7J0433-BSI) Prepared & Analyzed: 10/23/17
Oil & Grease (HEM) 37.9 5.0 mg1L 40.00 95 78-114
Batch P7JO434 - NO PREP
Blank (P74434-1911-K1) Prepared & Analyzed: 10/23/17
Oil & Grease (SGT-HEM) BRL 5,0 mg1L
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 6 of 7

Full -Service Analytical &
•� SMEnvironmental Solutions
R
449 Springbrook Road • Charlotte, INC 28217
Phone 704152M364 • Fax: [phone]
Client Company Name: M1
Report To/Contact Name:
porting Address:
CHAON OF CUSTODY RECORD
PAGE- OF _ QUOTE # TO ENSURE PROPER BILLING: -
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions and/or QC Requirements
Invoice To•
Address:
Phon 8l Fax (Yes) (No):'3U.. %t�l 415`1! Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: �i}tlYlbfl A . ")1 Vryk Q V41oR-C2_It Requested Due Date ❑ 1 Day ❑ 2 Days 0 3 Days C7 4 Days ❑ 5 flays
Certification: NELAC DOD
FL NC
EDD Type: PDF Excel/ _Ot er "Working Days" O 6-9 Days 0 Standard 10 days fl Rush Work Must Be
Site Location Name: C4 f Samples received after 14:00 will be processed next business day.
SC OTHER
NIA
Site Location Physical Address: WTI Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES— NO_
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
'-:
Sample Iced Upon Collection: YES_
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED C'1 M
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
'TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES�
V�
`
ID NO.
HOURS
SLUDGE)
SEE BELOW
0
W
Itwo
ftbynt
G
t
1l>00
w
1b�13���
°i:�s
w
a5o
a
w
!
A boo
i
JCL
Iwsti o 6-Cr `I4
--woo
By Name) JKI V''� 'r'' �~ Affiliation.---
Sampler's Signature Sampled (Print
Upon relinquishing, this Chai of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
subm9 n writing to the P Project Manager. There will be charges c ge fter analyses have been initialized.
Relin shed t. (Signature} ReceflFed y: (Si ) Date
MilitarylHours Additional Comments:
SlteArhvalT+met
A01
z
Relinquis(Signature) Received 9y: Sig re) Date
S4ie`pBpartur tift7le'
uis od'
q (Signs re) Recei or sm a tortes ey: Date
FIe3d Tech Fee �,1 f..!
I
l U /� �
f Z,z�
JNlleage
of hipme t' NOTE: ALL SAMPLE GOOLERS SHOULD BE TAPED SHUT WITH GUSTOD S FORT PO TATION TO TH LABORATORY. COC Group No.SAMPLES
Ed
ARE NOT ACCEPTED AND VERIFIED AGAINST COG UNTIL RE EIVED AT THE LA ORATORY.
`
UPS C] Hand -delivered ❑Prism Field Service Q Othar
NPOES: USTGROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA jj LANDFILL I OTHER:
o NC ❑ SC ❑ IVC ❑ SC ❑ NC ❑ SC O NC ❑ SC ❑ NC ❑ SC I ❑ NC ❑ SC❑ NC ❑ SC j ❑ NC ❑ SC❑ NC ❑ SC
I
,,,,t,,IRlel
Uniu.
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

1 Tyson Foods, Inc.
July 17, 2017
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files �������®
1617 Mail Service Center
Raleigh, NC 27699-1617 JUL 26 2011
CENTRAL FILE'S
Subject: General Permit No. NCG060000 DWR SECTI�rk
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling for Period 1 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sincerc�y,
� rj" .
Kirk Church
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina_ Division of Water Quality General Permit No. NCG060000
Date submitted: Julv 18. 2017
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? []YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 0.19 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fetal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50"
Within 6.0 — 9.0
120
30
1000
Soo
RRIV - 01
06-30-2017
25
6.19
50
5.0
NA
NA
RRIV - 02
06-30-2017
31
6.20
120
5.0
NA
NA
RRIV - 04
06-30-2017
31
6.2S
120
5.0
NA
NA
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV - 04
06-30-2017
5.0
5.0
31
6.25
215
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page l of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge"' reports, within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://Portai.ncdenr.org/web/wq/ws/su/nf)dessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Date 6-30-2017
Rain Begin: 7:00 AM
Runoff Begin: 7:30 AM
Grab Samples: 8:00 AM
Rain at end of
Storm Event: 0.19
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 0.19 " (Total)
C = 0.35
Q = 0.35(0.19/12)(6,534,000"7.5)11,000,000
= 0.272 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 0.19 " (Total)
C = 0.95
Q 0.95(0.19/12)(96485*7.5)/1,000,000
= 0.011 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 0.19 " (Total)
C = 0.95
Q = 0.95(0.19/12)(75,085`7.5)/1,000,000
= 0.008 MG

��A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidunce on filling out this form, please visit. htt rtal. dennor web w w su n d w## ab-4
Permit No: N/C/G/OI6/0101010 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: James Brown
Date of Inspection: -6130/2017
Time of Inspection: "KDb -Rim
Total Event Precipitation (inches): 0.19
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
�in rmation below.]
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DW(
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Out 11 Description: If ��}}
Outfall No. ��i y Structure (pipe, ditch, etc.) ukit/4`'lj ; t.
Receiving Stream: unn R : `�4 :V
tribe the industrial activities that occur within the outfall drainage area: of
lk Fced
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: t:Sk+
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Amr-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 S 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 © 3 4 5
7. Is there any foam in the.stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http:/4Portal.ncdenr,org4web/wq/ws/su/npdessw#tab--4
Permit No: N/C/G/0/6/0/0/0,/0 or Certificate of Coverage No. NIC/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: James Brown
Date of Inspection: 0613012017
Time of Inspection: 'VOS Am
Total Event Precipitation (inches): 0.19
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Vyes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. ,
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
. 1 1
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: l o
Outfall No. ,��4�8, Structure (pipe, ditch, etc.) G l{ `� n
Receiving Stream:
Ncribe the industrial activities that occur within the outfall drainage area: 1 dkV,, ^A b v:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: \.--,SK '
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of ail,
weak chlorine odor, etc.): wont- _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 07. 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 U 3 4 5
7. Is there any foam in the stormwater discharge? Yes �Vcj
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes /Ngl
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

XFWA
.A.MIAV
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No: N/C/G/0L610/0/0/0 or Certificate of Coverage No. NIC/G/0/6/_10/2/1
Facility Name: Tyson Farms Inc. Raring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: James Brown
Date of Inspection: 06/3012017
Time of Inspection: S6'_t S P^
Total Event Precipitation (inches): 0.19
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Vyes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DW{
onal Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Out all Description:
Outfall No. QT - 0 Structure (pipe, ditch, etc.) kbw 5 cxtl
Receiving Stream: UMamgA,-�o-;inti'4AAW-rn
DMcribe the industrial activities that occur within the outfall drainage area: t%ik or,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L tshk_ _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): (XcAr-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 6 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

GPI I S M
�O"RA70FiIM uro.
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 06/30/2017
Prism Work Order: 7070015
Case Narrative
07/17/2017
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 1 of 8

aP�RLSM Full -Service Analytical &
Environmental SolUtlons
V
Sample Receipt Summary
07/17/2017
Prism Work Order: 7070015
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01 7070015-01 Water 06/30/17 06/30/17
Stormwater RRIV-02
7070015-02 Water 06/30/17 06/30/17
Stormwater RRIV-04 7070015-03 Water 06/30/17 06/30/17
Samples were received in good condition at 4.0 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240S43 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 2 0f 8

\
Laboratory Report
R
I S
M
Full -Service Analytical
&
L "uauwrasEnvironmental SoWtions
9es, iuc
07/1712017
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols
Prism Sample ID: 7070015-01
179 Roaring River Rd.
Prism Work Order: 7070015
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 06/30/17 08:00
Time Submitted: 06/30/17 14:45
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mg1L
50
14 1 'SM5220 D 715117 9:05 BMS P7Go030
Oil & Grease {HEM}
BRL
mg1L
5.0
0,98 1 '1664B 7/13117 9:42 TJY P7G0198
Total Suspended Solids
25
mg/L
8.3
0.40 1 'SM2540 D 716/17 14:58 SLS P7G0045
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 0f $

.\ Laboratory Report
Full-�P hF": I S M Envir o menvice al SoIuCa! a
Environments! 5olutiana 07/17/2017
''7uo Toms iuc
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols Prism Sample ID: 7070015-02
179 Roaring River Rd. Prism Work Order: 7070015
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 06/30/17 08:05
Time Submitted: 06/30/17 14:45
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Daterrime
1D
General Chemistry Parameters
Chemical Oxygen Demand
120
mg1L
5o
14
1
'SM6220 D
715117 9:05 BMS
P7G0030
Oil & Grease (HEM)
BRL
mg/L
5.0
0.98
1
'16646
7/13/17 10:15 TJY
P7G0198
Total Suspended Solids
31
mg1L
8.3
0.40
1
"SM2640 D
7l5117 14:58 SLS
P7G0045
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 0f 8

Laboratory Report
^ \ Full•Sarvlce Analytical &
Environmental Solutions 0711712017
Tyson Farms, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols
Prism Sample ID: 7070015-03
179 Roaring River Rd.
Prism Work Order: 7070015
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 06/30/17 08:15
Time Submitted: 06/30/17 14:45
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor DatelTime
ID
General Chemistry Parameters
Chemical Oxygen Demand
120 mg1L
50
14 1 'SM5220 D 716117 9:06 BMS
PTG0030
Oil & Grease (SGT-HEM)
BRLpG mg1L
5.0
1.1 1 '1664B 7/11/17 13:36 SLS
P7G0146
Total Suspended Solids
31 mglL
12
0.40 1 'SM2640 D 715117 14:53 SLS
P7G0045
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 -Charlotte, NC 28224-0643
Phone: [phone]-ToOFree Number: 1-800/629.6364- Fax: [phone] Page 5 of S

L6R_
I S M Fill -Service Analytical &
Environmental Solutions
7�.aowaon¢a me
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch P7G0030 - NO PREP
Project: Stormwater
Reporting
Result Limit Units
Level II QC Report
7117117
Prism Work Order: 7070015
Time Submitted: 6/30/2017 2:45:00PM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P7G0030-BLK1) Prepared & Analyzed: 07/05/17
Chemical Oxygen Demand BRL 50 mg/L
LCS (P7G0030-BS1) Prepared & Analyzed: 07/05/17
Chemical Oxygen Demand 502 51 mg/L 505.1 99 90-110
Matrix Spike (P7G0030-MS1) Source: 707001"1 Prepared & Analyzed: 07/05/17
Chemical Oxygen Demand 543 51 mg1L 505.1 44.8 99 M120
Matrix Spike Dup (P7G0030-MSD1) Source: 7070015-01 Prepared & Analyzed: 07/05/17
Chemical Oxygen Demand 538 51 mg1L 505.1 44.8 98 80-120 0.9 20
Batch P7G0445 - NO PREP
Blank (P7G0045-BLK1)
Total Suspended Solids
BRL 5.0 mg/L
Prepared & Analyzed: 07/05/17
LCS (P7GD046-BS1) Prepared & Analyzed: 07/05/17
Total Suspended Solids 450 5.0 mg1L 477.0 95 90-110
Batch P7G0146 - NO PREP
Blank (P7G0146-BLK1) Prepared & Analyzed: 07/11/17
Oil & Grease (SGT-HEM) BRL 5.0 mglL
Batch P7G0198 - NO PREP
Blank (P7GO198-SLKi) Prepared & Analyzed: 07/13/17
Oil & Grease (HEM) BRL 5.0 mg/L
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 -Charlotte, NC 28224-0643
Phone: [phone]-Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 6 0f 8

r
aP'R I S M Fun -Service Analyn S
Environmental Sglufltfona
-7�weoraronica ire
Tyson Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level 11 QC Report
7117/17
Prism Work Order: 7070015
Time Submitted: 6/30/2017 2:45MPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch MOM - NO PREP
LCS (P7G0198-BSI) Prepared & Analyzed: 07/13/17
Oil & Grease (HEM) 35.4 5.0 mg1L 40.00 88 78-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-OW
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 7 0f 8

d
CHAIN OF CUSTODY RECORD
�7
I S 1 d 6 ( Full -Service Analytical&
PAGEfa t•' ,lvYESC lU1R co
Environmental Solutions
_ QF _ 0007E # TO ENSURE PROPER BILLING:
I.ABOnATGFIEs, 7NC. $ pies ll�TAC Upon arnVa3?.f 1J'o �It� r � �jf f M4 Q
f Project Name: Received Oi9 WETriC�7 rL.�l c k CID
449 Springbrook Road •Charlotte, NC 28217 Short Hold Analysis: Yes NO UST Pro ' sirT 'm
Phone [phone] Fax: 704I52$-0409 Y (Yes) Project: (Yes) (NO) PROPER PFfESERVATIVES trid atetl7 , a
*Please ATTACH any project specific reporting (QC LEVEL 1 11 III IV) Reveled WITHIN HOLDING TIMES?
Client Company Name:CIL
'A a � 54 I +'iC .
provisions and/or QC Requirements { GUaTODi!SEALS tNTACT4{
Report To/Contact Nae: °
p LS -" VOLATILES rev d WMUT HEADSPACE? r
Invoice To • `
"Porting A dress q y IN , n b
A 9 ( Address: r PRDF ER Cb1VTA{iJ£nR�S used?Y , jr Ia +--
y u s TEMP Therm IC1:,. 1L ::Observed' t'I �.'C 1 Cora""C
Phone: `t9 1 .1 Fax (Yes) (No): irks it Purchase Order No./Billing Reference_ _ TO BE PILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: ��:kzu�d }•t:C��eih Czl't={ri[t}: (`.oitti Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 pays ❑ 4 Days ❑ 5 Days CBrtI#ICatlOn: NELAC DOD FL NC
EDD Type: PDF___.Exct�e�l Oth "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ P sh ork Must Be oved SIC OTHER NIA
;r Site Location Name: ] 4,ixy r sr ti e e,, % Dji tt _ Samples received after 14:00 will be processed next business day.
Site Location Physical Address: i 4jA j.G'ciP r1c�K .iG: Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES^ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED 9Y PRISM LABORATORIES, INC. TO CLIENT) Sample Iced upon Collection: YES NO
TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED
P
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
COLLECTED
MILITARY
HOURS
(SOIL,
WATER OR
SLUDGE)
PRESERVA-
TIVES
REMARKS
RISM
LAB
ID NO.
•TYpE
SEE BELOW
NO.
SIZE
10i
L:3
i
It'�Q
g
r
100ot
Avvit
r
loco
16 AM
i
w`
i
(aoa
TcS
Sampler's Signaturel, bMpA I I Sampled By (Print Name) ,).yt'1e,'A UV ts� tr j Affiliation-1
Upon relinquishing, this`Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted In w ng to the Prism Pr Jett Manager. There will be charges for any changes after analyses have been initialized.
elinquished t3. (Signa re) Received BxJSignalures ate Militaryours Additional Comments
r-1711"1
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIrECEIVED AT THE J.ABORATORY. .�}
❑ Fed Ex ❑ UPS ❑ Hand-deiivered ❑ Prism Field Service_ _ 0 Other 6/ 10 7 0y
NPDES
GROUNDWA
❑❑ NC ❑ SC
O NC UST- 0 SC O NC ❑ SC Cl
I NC DRINKING J SIC
SOLID C ❑ SCE 1 C ❑ 5C O❑ NC L) SC ❑ NC LANDFILL
❑ SC a NC ❑ SC
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Anaiysis (Zero Head Space)
•� Y Bk f 7 J'� b'-
Stte �0.rnvaf Tsme � ,� t
Site Departure Time ��
FEIeItlTecliFea��" -tr' ,
r
ORIGINAL

rR,ISM
��L4BORATOR{E5, LNG
NC Certification No. 402
Case Narrative
Full -Service Analytical & NC Drinking Water Cert No. 37735 10/25/2016
Environmental Solutions SC Certification No, 99012
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater
Lab Submittal Date: 10/07/2016
Prism Work Order: 6100174
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
RECEIVED
Narrative Notes: NOV Q
4 2016
This is a Revised Report and supercedes the original laboratory report dated 10124116.'Correction was CENTRAL FILES
made to the company name per the client's request. DWR SECTION
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
W Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 8

Sample Receipt Summary
r � Full -Service Anal ilcel &
A
PR I S M Environmental Solutions 10/25/2016
1`luaan�roniea iHc
Prism Work Order: 6100174
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01
6100174-01
Water
10/07/16
10/07/16
Stormwater RRIV-02
6100174-02
Water
10/07/16
10/07/16
Stormwater RRIV-04
6100174-03
Water
10/07/16
10/07/16
Samples were received in good condition at 3.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 2 of 8

r')�r Full -Service Analytical &
_�� Environmental Solutions
7ueoiuroMM —
Laboratory Report
10/25/2016
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater Client Sample ID: Stormwater RRIV-01
Prism Sample ID: 6100174-01
Prism Work Order: 6100174
Sample Matrix: Water Time Collected: 10/07/16 11:00
Time Submitted- 10/07/16 17:20
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Datefrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
81
mglL
50
14
1
•SM5220 D
10/11118 13:20 BIVIS
PGJ0179
Oil & Grease (HEM)
BRL
mg/L
5.0
1.0
1
'1664B
10119/16 9:30 TJY
PGJ0337
Total Suspended Solids
23
mg1L
7.1
0.80
1
'SM2540 D
10/13116 15:13 SLS
P6J0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.Q. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] L Page 3 of 8

of
Laboratory Report
nca
NR' ISM I
Environmental Solutions
10/2512016
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols Prism Sample ID: 6100174-02
179 Roaring River Rd. Prism Work Order: 6100174
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/07/16 11:10
Time Submitted: 10/07/16 17:20
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DatelTime
ID
General Chemistry Parameters
Chemical Oxygen Demand
56
mg1L
50
14
1
"SM5220 D
10112/16 14:20 BMS
P6J0198
Oil & Grease (HEM)
BRL
mg1L
5.0
1.0
1
'1664B
10/19/16 9:30 TJY
PGJ0337
Total Suspended Solids
24
mg1L
4.2
0.80
1
'SM2540 D
10113/16 15:13 SLS
P6J0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.Q. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 8

��'RISM
��iAgpq/,TpilE41NC
Full -Service Analytical &
Environmental Solutions
Laboratory Report
10/25/2016
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater Client Sample ID: Stormwater RRIV-04
Prism Sample ID: 6100174-03
Prism Work Order: 6100174
Sample Matrix: Water Time Collected: 10/07/16 11:20
Time Submitted: 10/07/16 17:20
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatefTime ID
General Chemistry Parameters
Chemical oxygen Demand 81 mg1L 50 14 1 *SM5220 D 10/12116 14:20 BMS P6J0198
Oil & Grease (SGT-HEM) BRLOG mg1L 5.0 1.1 1 *1664B 10/19/16 9:30 TJY P6J0336
Total Suspended Solids 28 mg1L 4.5 0.80 1 *SM2540 D 10/13/16 15:13 SLS P6J0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: l-8001529-6364-Fax:[phone] Page 5 of 8

1 Level II QC Report
Full-ServiceAnalytical & 1 D125/16
Environmental Solutions
Juean�raaieq inc.
Tyson Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Prism Work Order: 6100174
Time Submitted: 10/7/2016 5:20:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P6J0179 - NO PREP
Blank (P6J0179-BLK1) Prepared & Analyzed: 4/11116
Chemical Oxygen Demand BRL 50 mg/L
LCS (P6J0179-BSI) Prepared & Analyzed: 10/11/16
Chemical Oxygen Demand 490 51 mg/L 505.1 97 90-110
Batch P6JO198 - NO PREP
Blank (PGJ0198-BLKI) Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand BRL 50 mg/L
LCS (P6J0198-BSI) Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand 457 51 mg/L 505.1 90 90-110
Matrix Spike (P6J0198-MS2) Source: 6100174-03 Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand 497 51 mg/L 505.1 81.1 82 80-120
Matrix Spike Dup (PGJ0198-MSD2) Source: 6100174-03 Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand 492 51 mg/L 505,1 81.1 81 80-120 1 20
Batch P6J0227 - NO PREP
Blank (P6J0227-BLK1) Prepared & Analyzed: 10/13/16
Total Suspended Solids BRL 5.0 mg1L
LCS (P6J0227-BS1) Prepared & Analyzed: 10/13/16
Total Suspended Solids 480 5.0 mg1L 477.0 102 90.110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 6 of 8

a
��01"—B�ISMEnviFull-Service Analytical s Environmental Solutions
6T.G�1%LA9OIUroR1ed tWQ
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch P6J0336 - NO PREP
Project: Stormwater
Level II QC Report
10/25/16
Prism Work Order: 6100174
Time Submitted: 10/7/2016 5:20:00PM
Reporting Spike Source %REC RPD
Result Limit Units Level Result %REG Limits RPD Limit Notes
Blank (P6J0336-BLK1) Prepared & Analyzed: 10/19/16
Oil & Grease (SGT-HEM) BRL 5.0 mg1L OG
Batch PGJ0337 - NO PREP
Blank (P6J0337-BLKI) Prepared & Analyzed: 10/19/16
Oil & Grease (HEM) BRL 5.0 mg1L
LCS (136J0337-13SI) Prepared & Analyzed: 10/19/16
Oil & Grease (HEM) 35.4 5.0 mg1L 40.00 88 78-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 7 of 8

1F
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IFullService Analytical 8
Environmental Solutions
- �I.A6ORa.TORIES INC.
449 Sprfngbrook Road • Charlotte, INC 28217
phone [phone] Fax:[phone]
Client Company Name: 1 6 t !+M1f1rC.
Report To/Contact Name:
g ddress:xrB—
�iA�F,,
CHAIN OF CUSTODY RECORD
PAGE OF — QUOTI_ # TO ENSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
`Please ATTACH any project specific reporting (QC LEVEL 1 11 III IV)
provisions and/or QC Requirements
invoice To:
Address:
YES NO N/A'
Samplds-INTACT upon amval? -
'Received'E3N WET 10E?
PROPER PRESERVATIVES:indlcated7;
Received=lNlTNIhI NOl p1NG TIMES? r
Gp.
LISTODY SEAL S 1N7AC7? �-r'
VOLATiLES reed' W!t]UT (IEApSPACE? !r�
PROPER CONTAINERS used?:.- r
TEMP:'.ThermlD:t — e�t]bserved:.�°ClCarr _vrL':'
001
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Phone: &9La1L1Fax(Yes) (No):33(Ali
purchase -Order No.Biiling Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address i ' .
bLS 96,_'aN, [—Piro
Requested pue Date 111 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DOD FL NC
EDD Type: PDF `= Ex el Other
Yp -
Rush Work Must Be
"Working Days" U 6-9 Days Q Standard 10 days ❑ Pre roved �wp
SC OTHER NIA
Site Location Name: ;: ttYa4 1�C..1LeT
Gc t _["� LL
Samples received after 14:00 will be processed next business day.
" `"'
Site Location Physical Address: j,'•I
q R�r►.>, "1 R:�ue. t?rJi.
Turnaround time is based on business days,
y5, excluding weekends and holidays.
Water Chlorinated: YES_ NO
{SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
TYPE
NO
SIZE
SAMPLE DESCRIPTION
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Sampler's Signature
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Upon relinquishing, this dialn of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
subm
,Ujp,d in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Ref uish y. [Signature)
R
y: (Signature) Date
MltitaryrHours Additional Comments:
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Relinq he By: Signature
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Method of Shipment: NOTE: ALL SAMPLE COOLERS
SHOULD BE TAPED SHE 1T WITH C DY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC
L RECEIVED AT THE LABORATORY.
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o — ❑Leo+t,.• Ti = T nnn_I inar4 (:an V0 A = Volatile Oroanics Analysis (Zero Head Space)

a` Tyson Foods, Inc.
Y.
October 28, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn-. DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject. General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling for Period 2 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sincerely,
Kirk Church
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext:3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: October 28, 2016
CERTIFICATE OF COVERAGE NO. NC6060021 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mil! D use/process meats use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? [—]YES VINO
PERSON COLLECTING SAMPLES J3mes Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 1.00 or [] No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L 11
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Conform',
Colonies per 100 ml
Enterococcif,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
S00
RRIV - 01
10-7-2016
23
6.5
81
5.0
NA
NA
RRIV - 02
10-7-2016
24
6.5
56
5.0
NA
NA
RRIV - 04
10-7-2016
28
6.5
81
5.0
NA
NA
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? M. Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50"
6.0 — 9.0
-
RRIV - 04
10-7-2016
5.0
5.0
28
6.5
215
1 Only applies to facilities that use/process meats-
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO El
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
.41,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Roaring River Storm Water Calu. Sheet.
Date 10-7-2016
Rain Begin: 10:30 AM light
Grab Samples: 11:30 AM
Rain at end of
Storm Event: 1.00
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0.35
Q = 0.35(1.0112)(6,534,000*7.5)11,000,000
= 1.429 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
i = 1.0 " (Total)
C = 0.95
Q = 0.95(1.0/12)(96485-7.5)/1,000,000
0.057 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0.95
Q = 0.95(1.0112)(75,085"7.5)11,000,000
0,045 MG

me
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httw/ n(c i-t�il.nctlenr.L)I•g/web/wq s s n Ddessw# ab
Permit No: N/C/9MW/G/V0_or Certificate of Coverage No. N/CZG/0/6/0/0/211
FacilityName: 'Tyson I',arms Inc. Roarini; ]liver Geed Will
County: Wilkes
Phone No: 336.696.27�1
Inspector: James Brown
Date of Inspection: 10 f 7 2016
Time of Inspection;Al',-op hm
Total Event Precipitation (inches): 1..0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
LKYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours �
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. !.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
$WU-242, Last modified 10/25/N12

I. Outfall Description: Q
Outfall No. �Q1 Structure (pipe, ditch, etc.) �u,�V cry ` Pt' __.....,.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
i
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 121 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 B 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L7. 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes �I��o
10. Other Obvious Indicators of Stormwater Pollution: �VJ
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

A21 117
40
dam �p
MCDE R
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htt Ipo - tal.r cdenr.or r eb we s su n es W
Permit No: N/CJ 0 6/ j()tU0_or Certificate of Coverage No. N C.' G 0 6 0 0 2 1
Facility Name: 'Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: jirmes Brown
Date of Inspection: jW7tZ010
Time of Inspection: ..1 VA'D And _
Total Event Precipitation (inches): 1.,0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
E'Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. - , I • - - V.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
Aj
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Ou 11 Description:
Outfall No. - D Structur ( ipe, ditch, etc.
Receiving Stream: c
t
r"be the ' dustrial activities that occur within the outfall drainage area: ng or
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1_ i .!th4
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 01
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 �? 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 U 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, wher 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes!
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242, Last modified 10/25/2012

II CDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: t(Lpartal.r�cdenr.arg/wcbfwws/ npdessw##tab-4
Permit No: N/ G -!/0/M_or Certificate of Coverage No. N/i:/G/0/6/0/0/2/1
Facility Name: meson farms Inc. ltoarinl� Riyer Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: jLimes Brown
Date of Inspection: 10 7 7.016
Time of Inspection: %V W PA ftj
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or" Measureab I e Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. ;
A "measurable storm event" is a storm event that results in an actual discharge from the
j permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. !
By this signature, l certify hat this report is accurate and complete to the best of my knowledge:
It,
(Signature of Permittee or Designee)
Page 1 of 2
SWU•242, Last modified 10/25/2012

1. Outfall Description: S�a1`QW
Outfall No. - 04 Structure (pipe, ditch, etc.)
Receiving Stream:1AAM4,,n,,t1[ Tj-.b,41.a 4,b 3h
D
Vcr'be the 'ndustrial activities that _ I _
5 UJ c.L,
4, rr
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): itbr4L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 U 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes
) l
8. Is there an oil sheen in the stormwater discharge? Yes
1
9. Is there evidence of erosion or deposition at the outfall?
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

fi7 Full-Servico Analytical &
RSM I Environmental Solutions
IABOHh70HIE5. ING.
Tyson Farms, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
NC Certification No. 402
NC Drinking Water Cart No. 37735
5C Certification No. 99012
Project: Stormwaler
Lab Submittal Date: 10/07/2016
Prism Work Order: 6100174
Case Narrative
10/25/2016
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes;
This is a Revised Report and supercedes the original laboratory report dated 10/24/16, Correction was
made to the company name per the client's request.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cale
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
OG HEM 0&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for T P H (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
w Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 5pringbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number, 1-8001629-6364 - Fax: [phone] Page 1 of 871

Sample Receipt Summary
.ERRry �//]' Full-5arvlca Analyllcal &
S � Y 1 Environmontnl Sol"Honn 10/2Jr' /2016
1 LAlWMATOAWF,--,
Prism Work Order: 6100174
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01
6100174-01
Water
10/07/16
10/07/16
Stormwater RRIV-02
6100174-02
Water
10/07/16
10/07/16
Stormwater RRIV-04
6100174-03
Water
10/07/16
10/07/16
Samples were received in good condition at 3.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.0, Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 . Fax: [phone] Page 2 of $

1 Pram,R I �//i1 Furl•3prvlcoltnplydcul&
.::i1 ,.i1 A 1 Y 1 Environmoottal Solutlona
a Lnnuunr INE4 INC.
Laboratory Report
1012512016
Tyson Farms, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater Client Sample ID: Stormwater RRIV-01
Prism Sample ID: 6100174-01
Prism Work Order: 6100174
Sample Matrix: Water Time Collected: 10/07/16 11:00
Time Submitted: 10/07/16 17:20
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Dateffime
ID
General Chemistry Parameters
Chemical Oxygen Demand
81
mg/L
50
14
1
•SM5220 D
10/11/16 13:20 BMS
P6J0179
Oil & Grease (HEM)
BRL
mg1L
5,0
1.0
1
'1664B
10/19/16 9:30 TJY
PBJ0337
Total Suspended Solids
23
mg1L
7.1
0.80
1
'SM2540 D
10/13116 15:13 SLS
P6J0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P•O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Rage 3 of 8

rd1 ax rull-Sorvico Analytical &
tR I S M Envlronrnontol SOIL11Z ll
' - LAeiunrrOnTR-
Tyson Farms, Inc. -Roaring River
Attm Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Laboratory Report
10/25/2016
Project: Stormwater Client Sample ID: Stormwater RRIV-02
Prism Sample ID: 6100174-02
Prism Work Order: 6100174
Sample Matrix: Water Time Collected: 10/07/16 11:10
Time Submitted: 10/07/16 17:20
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DatelTime
ID
General Chemistry Parameters
Chemical Oxygen Demand
56
mg1L
50
14
1
`SM5220 D
10112/16 14:20 BMS
P6J0198
Oil & Grease (HEM)
BRL
mg/L
5.0
1.0
1
'1664B
10/19/16 9:30 TJY
P6J0337
Total Suspended Solids
24
mg1L
4.2
0.80
1
'SM2540 D
10113/16 15:13 SLS
PSJ0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - toll Free Number: 1-800/529.6364 - Fax: [phone] Page 4 of 8

Laboratory Report
Arj1bR`:1R I S cullir on on id Sukical & iaivtrnnrnoMRl 9uluUonp 10125r'2016
c�• LAUORnrunmr,.."
Tyson Farms, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols Prism Sample ID: 6100174-03
179 Roaring River Rd. Prism Work Order: 6100174
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 10/07/16 11:20
Time Submitted: 10/07/16 17:20
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand 81 mg1L 50 14 1 'SM5220 D 10112/16 14:20 BMS P6J0198
Oil & Grease (SGT-HEM) BRLpG mg1L 5.0 1.1 1 '1664B 10/19/16 9:30 TJY P6J0336
Total Suspended Solids 28 mg1L 4.5 0.80 1 "SM2540 D 10/13/16 15:13 SLS P6J0227
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 5 of 8

�P�. Full-Serviva Analytical &
os M rnvlronmontal Solutions
m
Level II QC Report
10/25/16
Tyson Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Prism Work Order: 6100174
Time Submitted: 10/7/2016 5:20:OOPM
Reporting Spike Source %aREC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P6JO179 - NO PREP
Blank (P6J0179-8LK1) _ Prepared & Analyzed: 10/11/16
Chemical Oxygen Demand BRL 50 Tmg1L _ �- —�
LCS (P6J0179-BS1)
Chemical Oxygen Demand
Batch P6J0198 - NO PREP
_ Prepared & Analyzed: 10/11/16
490 51 mg/L^ 505A 97 90-110
Blank (P6J0198-BLK1) Prepared & Analyzed: 10/12/16 _
Chemical Oxygen Domand BRL W 50 mglL
LCS (P6J0198-BSI) Prepared & Analyzed: 10M2/16
Chemical Oxygen Demand 457 51 mg/L 505.1 90 90-110
Matrix Spike (P6J0198-MS2) Source:-6100174-03 Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand 497 51 mg1L 505.1 81.1 82 80-120
Matrix Spike Dup (P6J0198-MSD2) Source: 6100174-03 Prepared & Analyzed: 10/12/16
Chemical Oxygen Demand 492 51 mg1L 505.1 81.1 81 80-120 1 20
Batch P6J0227 - NO PREP
Blank (P6J0227-BLK1
Total Suspended Solids
BRL 5.0 mg/L
Prepared & Analyzed: 10/13/16
LCS (P6J0227-BSI) _ _ Prepared & Analyzed: 10/13/16
Total Suspended Solids �480 5.0 mg/L 477.0 102 90.110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 6 of 8

�..il fl Full-Servico Analytical &
r[ � V' Envlronrnontnl Solutions
n1ua,AT0 10 Q wr,
Level II QC Report
10/25/16
Tyson Farms, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Prism Work Order: 6100174
Time Submitted: 10/7/2016 5:20:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P6J0336 - NO PREP
Blank (P6J0336-13LK1) Prepared & Analyzed: 10/19/16
Oil & Grease (SGT-HEM) BRL 5.0 mg1L OG
Batch P6J0337 - NO PREP
Blank (P00337-13LK1) Prepared & Analyzed: 10/19/16
Oil & Grease (HEM) BRL 5.0 mg/L
LCS (P6J0337-BSI) Prepared & Analyzed: 10/19/16
Oil & Grease (HEM) 35.4 5.0 mg1L 40.00 88 78-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P,0, Box 240543 - Charlotte, NC 28224-0543 71
Phone: 7D4l5294364 - Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 7 of t3

► tx .
IFu11 Service Analytical1S-MEnvironmental Solutions
LABpnATOBIES, INC-
449 Springbrook Road . Charlotte, NC 28217
Phone 704l529-6364 Fax: [phone]
Client Company Name:7`CiA S a K Vow M S r.C_
Report To/Contact Name: Mend M;
R�nq,ress: q
Phone: s .&R %1Fax (Yes) (No): *U(,. (AL.0 ii
Email Address: + } ' a -�• ncen
EDD Type: PDF Ex elr_Other
Site Location Name:::::. 0f1LeX F,r sd ir1:LL
Site Location PhysieaIAddress: IIIq JLt]I►T1n3 (L, Qic
CHAIN OF CUSTODY RECORD
PAGE —OF— QUOTE 0 TO ENSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
"Please ATTACH any project speck reporting (QC LEVEL 1 11 III Ill)
provisions andlor QC Requirements
Invoice To:
Address:
Purchase -Order NoJBilling Reference
Y
RequostddiDue Dale ❑ 1 Day ❑ 2 flays ❑ 3 Days ❑ 4 Days ❑ 5 Days
"Working Days" ❑ 6-9 Days ❑ Standard 10 days Q Pre -Approved
Work Must Be
Samples received after 14:00 will be processed next business day.
Turnaround 5me is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS g CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATOMES, INC. TO CLIENT)
' Samples. INTACT, upon arr vat?
YES NO N!A" Co
Recelved QN WE T ICE? ...
PROPER PRESERVATIVES Indicated?
.: OD
_,Reeeived'WITHIi f:HejLD3NG TiPJ1ES?
to
:.
CUSTODY:SEALS INTACT?
r-y
VOLATILES rec'd W/OUT HEADSPACE7
PROPER CONTAINERS used?:;'
TEMP.' The,. ID `' _� � ` Observed:
61/
°C 1 Corr ✓L ?C�
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC DoD
FL NC
SC OTHER
NIA
Water Chlorinated: YES_ NO
Sample Iced Upon Collection: YES
NO
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
PRESERVA-
TIVES
ANALYSIS REQUESTED
REMARKS
PRISM
LAD
ID NO.
TYPE
SEE BELOW
NO_
SIZE
1i O1
W
4)
cop
01
U1
t
Lboo
Al:►nic
S
"ASS
W
G
1
toft
C _
VG
OQ'.
Q
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nonz
s5
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w
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1 aco
t# _L
DG
oG
W
�
t
lnoO
�Lon>y
S
"TSS
i o bO
%4cL
Mr
1%.
Sampler's Signature
Sampled By (Print Name) A ptme S
Affiliation
Upon relinquishing, this gain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
sulamplikid in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
By. (signature)
ReCery y: i5gnayre)
Date
Wit2tryfHourS
Additional Comments:
- SiteArrival-.Time:::...:..::..: .:
Site Depatlure.Tirne:':.'
Reiing JheJ!5y- . Signature)
"—
FZCM&ed By: (Signature)
ate
Field;Fech Fee:.-:..
Reli L%hed By: (Sig
Received Far Labors 8
Date
'
Mtfeage.. _
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH C DY SEALS FOR TRANSPORTATION TO THE LABORATORY.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC L RECEIVED AT THE LABORATORY.
O Fed Ex 0 UPS O Hand -delivered 04insm Field Service ❑ Other
COC Group No.
NPDES: UST: I G UNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: S:-
©NG❑SC ANC ❑SCa C El SIC ONC i7SC I ANC ❑SC �NCOSCI ONC ❑SCIONC ❑SC� ANC Cl SC

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: October 28, 2016
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Tyson Farms Inc. � >��v�FAACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill R ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes �QV 0 4 201FDISCHARGING TO SALTWATERS? [—]YES ®NO
PERSON COLLECTING SAMPLES James Brown CENTRAL FILES
LABORATORY Prism Labs Lab Cert. # 402 DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Storm water Benchmarks and Monitoring Results Total event rainfall' 1.00 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
10-7-2016
23
6.5
81
5.0
NA
NA
RRIV - 02
10-7-2016
24
6.5
56
5.0
NA
NA
RRIV - 04
10-7-2016
28
6.5
81
5.0
NA
NA
k—
I
I
I
I
- I
1 Only applies facilities that use/process meats. �
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this dischafelloingreportwith a>checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protectwe benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil,lmonth.
(if yes• complete Part B]
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
i5
100 or 504
6.0 — 9.0
-
RRIV - 04
10-7-2016
5.0
5.0
28
6.5
215
F�
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER iREQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports j to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249'
Last Revised: October 18, 2012
Page 2 of 2

A
��
NCDENR
Storm water Discharge Outfall (SD.0)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http: f 1portal.ncdenr.orE/web/wg/ws/suznl2dessw#tab-4
Permit No: N/C%GIU6/0/0/0/0 or Certificate of Coverage No. 9/C/G/0/6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Lames Brown
Date of Inspection: 10/712016
Time of Inspection: ao
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Q" es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. QM -01 Structure (pipe, ditch, etc.) otkk' -c-' ,P _
Receiving Stream: 1, Iyna ea'Tr►b "K %
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 �2j 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 B. 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 ?�- 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes 01
10. Other Obvious Indicators of Stormwater Pollution: ((//
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR -
Storm water Discharge Outfall ,(SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htW://portal.ncdenr,org/web/`wg/ws/gLiLUpACssw#tab-I
Permit No: N 6 0 0 0 0 or Certificate of Coverage No. N C G 0 6 0 0 2 1
Facility Name: Tyson Farms Inc. Roaring, River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: James Brown `
Date of Inspection: 10/7/2016
Time of Inspection: W,10 AM
Total Event Precipitation (inches): 1.0
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
2Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
I precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
j prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: ` •
Outfall No. Structu�r (I ipe, ditch, etc.
Receiving Stream: c
Ihscrlbe theindust rial activities that occur within the outfall drainage area: .!q or
2. ' Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ 1—; Sh4 _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 'ri()h 4,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: ,�
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 U 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, wher 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? YesI
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm.water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: bU:I/portal.ncdenr org/web/wQ jws jsu/npdessw#tab-4
Permit No: NlC./Gl0/6/0/0/0 f 0 or Certificate of Coverage No. N/C/G/0 f 6/0/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: James Brown
Date of Inspection: 10/7/2016
Time of Inspection: %V W A
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
21"Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
1 Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify hat this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Out 11 Description:
Outfali No. 4 Structure (pipe, ditch, etc.) �hg1`O� S Ubelk
Receiving Stream: Ic v. k
D cr'be the 'ndustrial activities that occur within the outfall drainage area: 'r-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L., Sk 4.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): newt
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
V
9. Is there evidence of erosion or deposition at the outfall?
Yes N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Tyson Foods, Inc.
October 28, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling for Period 2 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sincerely,
Kirk Church
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

Roaring River Storm Water Calu. Sheet
Date 10-7-2016
Rain Begin: 10:30 AM light
Grab Samples: 11:30 AM
Rain at end of
Storm Event: 1.00
Sampling Point RRIV- 01• Drainage Area = (150 acres *43560) Ft 2.
Q = CIA
I = 1.0 " (Total)
C = 0.35
Q = 0.35(1.0112)(6,534,000"7.5)11,000,000
= 1.429 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0.95
Q = 0.95(1.0112)(96485*7.5)11,000,000
= 0.057 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.0 " (Total)
C = 0.95
Q = 0.95(1.0112)(75,085*7.5)11,000,000
= 0.045 MG

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No._NCG060000
Date submitted: June 7, 2016
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
RECEIVED
JUN 14 2016
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES
❑ use/process meats ® use animal fats/byproductpWR SECTION
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' .25 or ❑ No discharge this period'
Outfail No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
5-17-2016
13
6.5
58
5.0
NA
NA
RRIV - 02
5-17-2016
12
6.6
75
5.0
NA
NA
RRIV - 04
5-17-2016
13
6.5
63
5.0
NA
NA
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
{ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV - 04
5-17-2016
5.0
5.0
13
6.5
21S
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an_original and one copy of this DMR, including all "No Discharge" reports, within 30_days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
1-� z '�u
�unc a(�l
(Sign ure of Permittee (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4
S WU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: May 4, 2016
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ®use animal fats/byproducts nu
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil
Colonies per 10 m
Benchmark
-
100 or 504
Within 6.0 —9.0
120
30
1000
500
NA
NA
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes' complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 —9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-244 Last Revised: October 18, 2012
Page I of 2

°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring_ period in the case of "No Discharge" reports) to: T
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
ure of
S' a �? 016
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

A I
0 Tyson Foods, Inc.
May 4, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000 �������®
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021 MAY 10 2016
Wilkes County
CENTRAL FILES
Dear Madam or Sir: DIAIR SECTION
Tier 3 requirements have been implemented for monthly monitoring for-outfall RRIV- 2 and
RRIV-4 for the parameter of COD.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of April 2016.
Due to mostly dry weather and weekend rain events for the month.
Monthly (analytical and qualitative monitoring) will continue for this parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si rely,
Raymond E. John on (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPOI
For North Carolina Division of Water Quality General Permit No. NCG
Date submitted: April 6, 2016
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tvson Farms Inc.
Wilkesboro Complex RECEIVED
COUNTY Wilkes f~
PERSON COLLECTING SAMPLES James Brown APR 11 Z016
LABORATORY Prism Labs Lab Cert. # 402
CENTRAL FILES
L.R SECTION
Part A: Storm water Benchmarks and Monitoring Results
4toln At,
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
® use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
NA
NA
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ice complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil &
Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results_(or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
1� - 10- � (a
(Signature of Permitteep (Date)
Additional copies of this form may be downloaded at: http:lloortal.ncdenr.org/web/wqlws/su/npdessw#tab-4
tnE�.
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water QualitV General Permit No. NCG060000
Date submitted: April 6, 2016
CERTIFICATE OF COVERAGE NO. NCG06002
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
Cop
FACILITY ACTIVITIES INCLUDE (check all that applyj:
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
NA
NA
RECEIVED
AR
I 1
1 Only applies to facilities that use/process meats. CENTRAL FILES
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. �WR SECTION
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(it yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50'
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Page i of 2

4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER iREQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one _copy of this DMR, including all "No Discharge" repot within 30 days of receipt of lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
— - f
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, INC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�O
(Signat re of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwg/ws/su/nr)dessw#tab-4
SWU-249 Last Revised: October IS, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000®
Date submitted: March 10, 2016
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING'TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' .49 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
NA
NA
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(i_f yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Page I of 2

'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy of this DMR including all "No Dischar e" reports, within 30 days of receipt of the tab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
1&1-4�_,1WJ e!r-*
Slenalure of Permit
d. h
/0 %)la r'c a )
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.o[glweblwq/ws/su/­npdessw#tab-4
S W U-249
Last Revised: October 1$, 2012
Page 2 of 2

Tyson Foods, Inc.
March 10, 2016
p lbvvc)
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files MAC
1617 Mail Service Center CENTRAL- FILES
Raleigh, NC 27699-1617 DWR SECTION
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of February 2016.
Due to weekend rain events and snow during the month.
Monthly (analytical and qualitative monitoring) will continue for this parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
F
rely,ond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
r For North Carolina Division of Water Quality General Permit No. NCG060000
FE8112010
Date submitted: February 8, 2016
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
CENTRAL FILES
SAMPLE COLLECTION YEAR Z016 OWR SECTION
FACILITY ACTIVITIES INCLUDE (check all that applyj�
❑ use/process meats ® use animal fats/ibypro`d�ucts
DISCHARGING TO SALTWATERS? []YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE
Total event rainfall z or' ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
NA
NA
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if y_es, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
_ pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50'
6.0-9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCE$ IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORTH - E SAME PARAMETER ATANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
ure of Permi
(Date)
Additional copies of this form may be downloaded at: http://pqrtal.ncdenr.org/web/wqlws/`su/­npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

1
February 8, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of January 2016.
Due to dry weather and snow for the month.
Monthly (analytical and qualitative monitoring) will continue for this parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sin ly,
ayxhond E. John n (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
- Date submitted: December 30, 2015 �.,. —
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. AftoftFACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed MillFILE C U V ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes 1w (DISCHARGING TO SALTWATERS. ❑YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Storm water Benchmarks and Monitoring Results
Total event rainfall' .49 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 02
12-14-2015
6.4
50
NA
NA
RRIV - 04
12-14-2015
6.5
s0
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO []
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy ofthis DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
� G)
re of Perm
31 D s-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wc/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water QualitV General Permit No. NCG060000
Date submitted: December 7 2015
CERTIFICATE OF COVERAGE NO: NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
REtp-NED
DEC 18 ZO15
SAMPLE COLLECTION YEAR 2015 CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 —9.0
120
30
1000
500
RRIV - 02
NA
NA
RRIV - 04
1 Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
a
Z�J
(if yes, complete Part Bj
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
is
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Pagel of 2

4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQU1REMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy of this DMR, including all "No„Discharge" reports within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, -under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signa� to e f Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2412
Page 2 of 2

December 7, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. Storm water sampling criteria was not met for the month of November 2015.
Due to weekend rain events. Monthly (analytical and qualitative monitoring) will continue until
three consecutive sample results are below the benchmark values or within benchmark range.
Based on our records Tyson has meet the three consecutive sample results for RRIV 2 and RRIV
4 for the TSS benchmarks.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si erely,
CJ
Raymond E. Johns n (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality_ General Permit No. NCG060000
Date submitted: December 7, 2015
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? RYES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE —)
Total event rainfall 1 or ❑ No discharge this period,
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
.' Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or SO,
Within 6.0 — 9.0
120
30
1000
Soo
RRIV - 02
NA
NA
RRIV - 04
a Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalis. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50'
6.0-9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
S WU-249 Last Revised: October 18, 2012
Page 1 of 2

"See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCF TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Z NO
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of reKgl]p t of the lab results or at end o
monitoring period_ in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
L
(Signature of Permittee)
-7
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/ntgdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Ato Tyson Foods, Inc.
December 7, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617 RE-' %EIV 'D
DEC 18 2015
Subject: General Permit No. NCG060000 CENT
RA
Tyson Farms, Inc. - Roaring River Feed Mill DVWRL FILES
COC NCG060021 ECrION
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. Storm water sampling criteria was not met for the month of November 2015.
Due to weekend rain events. Monthly (analytical and qualitative monitoring) will continue until
three consecutive sample results are below the benchmark values or within benchmark range.
Based on our records Tyson has meet the three consecutive sample results for RRIV 2 and RRIV
4 for the TSS benchmarks.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
z
ely,
Raymond E. Johns n {Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, IBC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: November 5, 2015
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 12.06 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
500
RRIV - 02
10-27-2015
23
6.5
110
NA
NA
RRIV - 04
10-27-2015
30
6.4
62
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at gny outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME: Sue White
Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the ,
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
inforn}.)tion, including the possibility of fines and imprisonment for knowing violations."
re of Permi
5 Nov adi S
(Date)
Additional copies of this form may be downloaded at: httpJ/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Dale 10-27-2015
Rain Begin: 8:00 AM
Grab Samples: 9:00 AM
Rain at end of
Storm Event: 2.06
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
I = 2.06 " (Total)
C = 0.35
Q = 0.35(2.06112)(6,534,000`7.5)11,000,000
= 2.944 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 2.06 " (Total)
C = 0.95
Q = 0.95(2.06112)(96485"7.5)/1,000,000
= 0.118 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 2.06 " (Total)
C = 0.95
Q = 0.95(2.06112)(75,085-7.5)/1,000,000
= 0.092 MG

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. httn://aortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit Nb: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. Iy C/G/0/6/0/0 2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection:. O/27/2015
Time of Inspection: 9--DD AM
Total Event Precipitation (inches): 2.06
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
dyes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
i performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
j and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
i 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
Iprecipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By th ignature, I certify that this report is accurate and complete to the best of my knowledge:
�CJ
(Sig ture of PermitteWor Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

r
1. Outfall Description:
0utfaII No. '4 D oa Structure (pipe, ditch, etqlr,815't\
V
Receiving Stream: Un A-K,qrr
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �c�h�rRrnwn
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ht^e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 h 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L? 3 4 5
7. Is there any foam in the stormwater discharge? Yes l/
B. Is there an oil sheen in the stormwater discharge? Yes l�
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

CDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit. http:/Lportal.ncdenr.org/web/wglws/su/npde�w#tab--4
Permit No: N C G 0 6 0 0 0 0 or Certificate of Coverage No. N/C/G/0/610/0/2/1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 7 2015
Time of Inspection: Ctb
Total Event Precipitation (inches): 2.06
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[s?yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
' A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
7s�
nature, I certify th this report is accurate and complete to the hest of my knowledge:
of Permitteyr Designee)
Pagel of 2
SWU-242, last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pi e, ditch, etc.) CM A
Receiving Stream: cd r ham- �� c
Describe the industrial activities that occur within the outfall drainage area: i
2. Color: Describe the color of the c
(light, medium, dark) as descriptors: U
using basic colors (red, brown, blue, etc.) and tint
ova n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 116n C-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 V 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
01 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes V�
8. Is there an oil sheen in the stormwater discharge? Yes IV
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
0
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

AR1 7M SM
©LABORATORIES INC.
Full -Service Analytical 8
Environmental Solutions
Tyson Foods, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
NC Certification No. 402
SC Certification No. 99012
NC Drinking Water Cert No. 37735
VA Certification No, 450211
DoD ELAP: L-A-B Accredited Certificate No, L2307
ISOlIEC 17025: L-A-B Accredited Certificate No. L2307
Project: Stormwater
Lab Submittal Date: 10/27/2015
Prism Work Order: 5100495
Case Narrative
11 /03/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-0364 - Fax: [phone] Page 1 Of 6

Full -Service Analytical Environmental
Environmental Sol ufiana
Sample Receipt Summary
11 /03/2015
Prism Work Order: 5100495
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
RRIV-02 5100495-01 Water 10/27/15 10/27/15
RRIV-04 5100495-02 Water 10/27/15 10/27/15
Samples were received in good condition at 2.0 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 5-8001529.6364 - Fax: [phone] Page 2 of 6

Laboratory Report
�ntlISM
Futl-Service Analytical s
Environmental Solutions
11/0312015
Tyson Foods, Inc. -Roaring River
Project: Stormwater
Client Sample ID: RRIV-02
A#tn: Raymond Nichols
Prism Sample ID: 5100495-01
179 Roaring River Rd.
Prism Work Order: 5100495
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 10/27/15 09:00
Time Submitted: 10/27/15 15:50
Parameter Result
Units Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor Date/Time
ID
General Chemistry Parameters
Chemical Oxygen Demand 110
mg1L s0
7.3 1 'SM5220 D 10/28/16 12:40 CDL
P5J0528
Total Suspended Solids 23
mg1L 5.0
0.90 1 'SM 2640 D 10/30/16 10:20 EGC
PSJO590
This report should not be reproduced, except in its entirety, without the written consent of F`Nsm Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of G

AnPijRISM Full -Service Analytical 8Laboratory Report
Environmental Solutions 11I03I2015
�ueaw,roaice we
Tyson Foods, Inc. -Roaring River Project: Stormwater
Client Sample ID: RRIV-04
Attn: Raymond Nichols
Prism Sample ID: 5100495-02
179 Roaring River Rd.
Prism Work Order: 5100495
Roaring River, NC 28669 Sample Matrix: Water
Time Collected: 10/27/15 09:05
Time Submitted: 10127/15 15:50
Parameter Result
Units Report
MDL Dilution
Method Analysis Analyst
Batch
Limit
Factor
DatefTime
ID
General Chemistry parameters
Chemical Oxygen Demand 62
mg/L 50
7.3 1
'SM622p D 10128/15 12:40 COL
P6J0528
Total Suspended Solids 30
mg/L 5.0
0.80 1
'SM 2540 D 10/30/15 10:20 EGC
PSJ0590
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: 704152M409 Page 4 of 6

Full-S
PAR I S M Environmental
Analytical s
Environmantel Solutions
�LAffoO TpmFA iNG
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
1113I15
Prism Work Order: 5100495
Time Submitted: 10/27/2015 3:50:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch 135J0528 - NO PREP
Blank (PSJ0528-li Prepared & Analyzed: 10/28/15
Chemical Oxygen Demand BRL 50 mglL
LCS (P5J0528-BS1) Prepared & Analyzed: 10/28/15
Chemical Oxygen Demand 514 50 mg1L 500.0 103 90-110
Batch P5J0590 - NO PREP
Blank (P5J0590-BLK1) Prepared & Analyzed: 10/30/15
Total Suspended Solids BRL 5.0 mg1L
LCS (PSJ0590-BS1) Prepared & Analyzed: 10/30/15
Total Suspended Solids 470 5.0 mg/L 477.0 99 90-110
This report should not be reproduced, except In its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240W - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number; 1$001529-6364 - Fax: [phone] Page 5 of 6

F Ism I c���n� ®� cusp®®� R�c��a®
a � - Full -Service Analytical 8
.'•fa Environmental Solutions PAGE_ OF _ QUOTE A TO ENSURE PROPER BILLING:
LABORATORIES. INC.
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone [phone] Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
f_ *Please ATTACH any project specific reporting (QC LEVEL 111111 IV)
Client Company Name: F provisions andlor QC Requirements
Report To/Contact Name: o Invoice To:
ReporRe orting Add ss: i Q ikC�
ting ACL �+q8( �C, 14g%L9 Address:
Phone . (9'(1C,R741 Fax (Yes) (No):
Purchase Order No./Billing Reference
TO BE FILLED 1N BY CLIENT/SAMPLING PERSONNEL
Email Address: kwc,6 6 00 hSON.Ltrl
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC []oD
FL NC
EDD Type: PDF cal ,_Oth "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rush Work Must Be
r
Site Location Name: At'� ex! � Ux-
Pre -Approved
"i"I l Samples received after 14:00 wilt be processed next business day.
SC OTHER
NIA
Site Location Physical Address: Ock 00.YSn�f
RDumaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
_
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample iced Upon Collection: YES
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED
/
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
*TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
ID NO.
HOURS
SLUDGE)
SEE BELOW
10-91-K
q rod 4A
asp
*4o"A
COD
C
i
b
�l a7`!S
q��51
W
asp
saq
GOB
V1
i
C
%ash
Sampler's Signature
Sampled By (Print Name) >� Affiliation
Upon relinquishing, thisYhain of Custody is your authorization
for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges fora changes after analyses have been initialized.
Rali ish By: (Signature)AVelv
' (Si turel Date
ilitaryHours Additional Comments:
'Site Arrival7ime; - _: .
-'
Reli ad y: (Signature)
Rac4ed By: ( tgnature) Date
.SitB Oeparlure Time: -
Rel' i y: (Sgnaty
Remivad F rism La at 'es By: Date
: ield TechFee
.Mileage:
Method Df S ipment: NO E: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WrT USTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COG Group No.
SYMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CybuTIL RECEIVED AT THE LABORATORY. ``,,(�(�
b ��
7 Fed Ex CI UPS ❑ Hand -delivered ❑ Prism Field Service U
Other _
t
DRINATER: SOLID CERCLA OT
1❑ FD
NC O SCI S I ❑ NC ❑SCE ❑ NC O SC ❑ NC El ❑ NC 5C I ❑ NC ❑ SC
❑❑ NC ❑ SC ❑❑ NC ❑ SCTER. ❑ NC
t❑
i
*CONTAINER TYPE CODES: A= Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL

November 5, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc, - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. Storm water sampling criteria was met for the month of October 2015.
Monthly (analytical and qualitative monitoring) will continue until three consecutive sample
results are below the benchmark values or within benchmark range.
Tyson Farms, Inc. Storm water sampling monitoring data receive for PRISM labs indicated
parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sin ly,
7
Gh,
Rayan i d E. Johnso {Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

U(TEySjo7]n..,
Z�A
Tyson Foods, Inc.
RECEIVE
Nov 12 2015
CENTRAL FILES
DN/R SECTION
November 5, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 3 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. Storm water sampling criteria was met for the month of October 2015.
Monthly (analytical and qualitative monitoring) will continue until three consecutive sample
results are below the benchmark values or within benchmark range. `'
Tyson Farms, Inc. Storm water sampling monitoring data receive for PRISM labs indicated
parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
4Sin ly,
Ray and E. Johnso {Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

`z SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
For North CarolinaDivision of Water Quality General Permit No. NCG060000
Date submitted: October 12, 2015
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc, FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? OYES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE —)
Total event rainfall 2 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0-9.0
120
30
1000
500
RRIV - 02
NA
NA
RRIV - 04
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
.3TDr sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
rR
_e
SWU-249 Last Revised: October 18, 2012
Page I of 2

'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an on final and one co o this DMR including all "No Dischar e" re orts within 30 da s o recei t o the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
j��4� 1��,
(Signat a of Perrnittee)
(Date)
Additional copies of this form may be downloaded at: http:l/portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
J
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

1 Tyson Foods, Inc.
October 12, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
RECEIVED
OCT 2015
CEN17'R,gL FILES
D WR SECTION
Tier 2 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Dear Madam or Sir:
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of September 2015.
Due to dry weather for most of the month. The rain event for the last week of September started
late that night and the grab sample could not be collected within the first 30 minutes.
Monthly (analytical and qualitative monitoring) will continue for these parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Sincerely,
Raymond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: September 15 2015
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event roinfoll' 1.0 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliformi,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 -- 9.0
120
30
1000
S00
RRIV - 02
8-24-2015
77
6.s
480
NA
NA
RRIV - 04
8-24-2015
62
6.5 1450
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at and+ outialls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Sue White
Mail an original and one copy of this DMR including aH "No Discharge" reports, within 30 days of receipt of the lab results or of end o
monitoring period in the cased "No Discharge" reporter to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
inforrgAtion, including the possibility of fines and imprisonment for knowing violations."
(Sigpoture of Permittee)
�v h) 15' S,e 94 moo) s
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 20112
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Date 8-24-2015
Rain Begin: 3:30 PM
Grab Samples: 4:05 AM
Rain at end of
Storm Event: 1.00
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA ,
1 = 1.00 " ;(Total)
C = 0.35
Q = 0.35(1.0/12)(6,534,000�7.5)/1,000,000
= 0.715 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.00 " (Total)
C = 0.95
Q - 0.95(1.0112)(96485"7.5)11,000,000
= 0.029 MG
Sampling -Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.00 " (Total)
C = 0.95
Q = 0.95(1.0112)(75,085*7.5)11,000,000
= 0.022 MG

A�A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http,//oortal.ncdenr.org/web/wq/ws/su/npdes5w#tab-4
Permit No: NIC/G/0/6/0/0/0/0 or Certificate of Coverage No. N C G 0 6 0 D 2 1
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 8/24/2015
Time of Inspection: LVAS-pm
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
s i nature, I certify that this By thieport is accurate and complete to the best of my knowledge:
Signa,t/re of Permittee or De ' nee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. 0 fall Description:
Outfall NO. " y Structure (pipe, ditch, etc.) �A
Receiving Stream: A : eA-
DUcribe the industrial activities that occur within the outfall drainage area: „Mc V . rt$ ti-V
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: k -ti ShAr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): L
E t.
4. Clarity: Choose the number which best describes the clarity of thie discharge, where 1 is
clear and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 a 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes 6
9. Is there evidence of erosion or deposition at the outfall? Yes WO
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

A
�Mjr
_.
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:j/portal.ncdenr.org/webjwq/ws/su/nudessw#tab-4
Permit No: NIC/G/0%6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/211
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 8/24/2015
Time of Inspection: .D5 Pm
Total Event Precipitation (inches): 1.0'
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
F/Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results,in an actual discharge from the
,r�
permitted site outfall. The previous measurable storm event must have been at least 72 hours
I prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Reizional Office.
By thii1s' nature, I certify that this report is accurate and complete to the best of my knowledge:
(Sign ure of Permittee or , signee)
Pagel of 2
SWU-242, Last modified 10/25/2012

r
1. Outfall Description:
Outfall No. Q Q q- Structure (pipe, ditch, etc.)
Receiving Stream: 1i1nA_CkVYt'ftA `t"c.lo cry--"- 'V.xr
Descrit e the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ L : !�h+
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AyAt-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy-
2 3 4 5
h
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
U 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
D 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall? Yes (N)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

d\
R.,lSM
./�`,uwfwomm wc,
NC Certification No. 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Cert No. 37735
Environmental Solutions VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No. L2307
ISOIIEC 17025: L-A-B Accredited Certificate No, L2307
Tyson Foods, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater
Lab Submittal Date: 08/25/2015
Prism Work Order: 5080445
Case Narrative
09/09/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
E
Reviewed By Terri W. Cole
Project Manager
3 I .'e ..$
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report shoutd not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springb►ook Road • P.O, Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of fi

°.\ Sample Receipt Summary
0-15 Full -Service Analytical &
ISM q!r EnvironmentalSolutions 09/09/2015
taaurawca +.c
Prism Work Order: 5080445
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-02 5080445-01 Water 08/24/15 08/25/15
Stormwater RRIV-04 5080445-02 Water 08/24/15 08/25/15
Samples were received in good condition at 1.0 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road • P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 2 of 6

e,
N `\
►PR ISM FunAnalytical
.+ Environmental Solutions
-%i-.eoA4raaea we
Laboratory Report
09/09/2015
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols Prism Sample ID: 5080445-01
179 Roaring River Rd. Prism Work Order: 5080445
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 08/24/15 16:05
Time Submitted: 08/25/15 13:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
General Chemistry Parameters
Chemical Oxygen Demand 480 mg/L 50 5.3 1 'SM5220 D 912115 13:16 CDL P510037
Total Suspended Solids 77 mg1L 17 0.80 1 'SM 2540 D 8127116 11:56 EGC P5H0492
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of 6

�P R I S M Full-Sarvlce Analytical &
Environmental Solutions
�LAaopaTME1 v,c
Tyson Foods, Inc. -Roaring River
Attn: Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
Laboratory Report
09/09/2015
Project: Stormwater Client Sample ID: Stormwater RRIV-04
Prism Sample ID: 5080445-02
Prism Work Order: 5080445
Sample Matrix: Water Time Collected: 08/24/15 16:15
Time Submitted: 08/25/15 13:50
Parameter Result
Units
Report
MDL Dilution
Method Analysis Analyst
Batch
Limit
Factor
Date/Time
ID
General Chemistry Parameters
Chemical Oxygen Demand 460
mglL
50
5.3 1
'SM5220 D 912116 13:16 CDL
P610037
Total Suspended Solids 62
mg1L
12
0.80 1
'SM 2640 D 8/27116 11:55 EGC
PSH0492
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 4 of 6

\ Level II QC Report
MFun -Service Analytical s Envir ervice Ai Solutions919115
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Prism Work Order: 5080445
Time Submitted: 8/25/2015 1:50:00PM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P5H0492 - NO PREP
Blank (P5H0492-BLK1
Total Suspended Solids
BRL 5.0 mg/L
& Analvzed: 08/27/15
LCS (P5H0492-BS1) Prepared & Analyzed: 08/27/15
Total Suspended Solids 480 5.0 mg1L 477.0 101 90-110
Batch P510037 - NO PREP
Blank (P510037-BLKI) Prepared &Analyzed: 09/02/15
Chemical Oxygen Demand BRL 50 mg/L
LCS (P510037-BSI) Prepared & Analyzed: 09/02/15
Chemical Oxygen Demand 499 50 mglL 500.0 100 90-110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1.800/529-6364 - Fax: [phone] Page 5 of fi

----- - - —_ - - --
CHAIN OF CUSTODY RECORD
rDj�0:.Y i S n n I i=uviService Analytical &
e,�s � V � Environmental Solutions PAGE— OF „ QUOTE # T8 ENSUR>=PROPER t31>LLING:
`r•' iAaoRATORIES, J"Q
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone [phone] • Fax: 704f525.0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Client Company Name Q �ur 1 Y1C *Please ATTACH any project specific reporting (QC LEVEL 1 It III IV)
provisions and/or OC Requirements
Report To/Contact Name: Mtrn C o
Invoice To:
Report' g Address: A r :V C � r�
Address:
i Il
YES ' NO
.,:-'.NIA
Samples INTACT upon amvaly I
r—
Receroed ONWET ICE?
—-_
ca
PROPER pR19' E&VATIVES Indicated?`
Received WITF4IN HOLDING TlMES�
CUSTQDY-SEALS INT�iCT� =I
d
VOLATILES recd W/O UT HEADSPACE7
.41
PROPER CONTAINERS usedZ,
�
TEMP.., Therm ID fi tr1 .Obseived:�_
Phone: q' 7LI1Fax (Yes) (No); t ( Purchase Order No.fBilling Reference
TO BE FILLED IN BY CLIENUSAMPLING PERSONNEL
Email Address: . -►- _ _ �t�koIs 6'b5e+r Smrnn Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
EDD Type: PDF�Excel-"— Othe ust Be
Certification: NELAC 'DOD
FL NC
"Working Days" ❑ 6.9 Days ❑ Standard 10 days ❑ Pre-ApproveduhWork
SC OTHER
NIA
Site Location Name:a� �L�t� FG�C�hn; I i received after 14:00 will be processed next business day.
Site Location Physical Address: E...1 Aet •\16--y fTumaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS 8. CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon
p on Collection: YES
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
'TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
///Z
/Z
I O
y m > Z,t er-
HOURS
SLUDGE)
SEE BELOWi
D)D
ISO n%L
kkk5o4
a
W
►
loon mL
AJJA
ss
r
SP
W
50 mL
NasoL!
COD
(J k
r i t
Sampler's Signature Sampled By (Print Name) 5 S Affifration�� n
• -
Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Relin y: ( ignatureJ Race' By: (SI nature) Date
Military! ours Additional Comments
Site Arnval Time
Relin 's y: Sign to RediAM By: (Signature) Date
Site Departure Time:
-
elinquished By: Signat re Received For m Laboratories Dat^e7
r Fieid;Tech bee:: -
'G� `
f e
Mileage:
Maihod of Shiprnent: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH S OD SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC U RE IVED AT THE LABORATORY.
` ))'
� o tit
f S
❑ Fed Ex ❑ UPS ❑ Nand -delivered m Field Service ❑ Diher O "f
.NPDES: UST: GR DWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLANDFILL OTHER:
'
'NC
CI NC❑SC ❑NC ❑SC I C ❑SC I ©NC ❑SC ❑SC El NC ❑NC ❑SC ALA
❑SCI ❑NC ❑SC
❑❑NC
❑❑
n El
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL

Tyson Foods, Inc.
September 15, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 2 requirements have been implemented for monthly monitoring for outfail RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. did meet storm water sampling criteria for the month of August 2015. Monthly
(analytical and qualitative monitoring) will continue until three consecutive sample results are
below the benchmark values or within benchmark range.
Tyson Farms, Inc. Storm water sampling monitoring data receive for PRISM labs indicated
parameters for COD were above the benchmark values for RRIV 2 and RRIV 4.
Base on the Permit requirements RRIV 4 has trigger the tier 3 response for COD.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
PIease contact me at 336- 838- 2171, extension 3253should you have any questions.
S, cerely, J904
'-'e ;F. 94'"
Raymond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext. 3476 Fax: [phone] www,tyson.com

ff
100
Tyson Foods, Inc.
September 15, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality Attn: DWQ Central Files RECEIVED
1617 Mail Service Center SEP 2 4 2015
Raleigh, NC 27699-1617
CENTRAL FILES
DWR SECTION
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir;
Tier 2 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. did meet storm water sampling criteria for the month of August 2015. Monthly
(analytical and qualitative monitoring) will continue until three consecutive sample results are
below the benchmark values or within benchmark range.
Tyson Farms, Inc. Storm water sampling monitoring data receive for PRISM labs indicated
parameters for COD were above the benchmark values for RRIV 2 and RRIV 4.
Base on the Permit requirements RRIV 4 has trigger the tier 3 response for COD.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si cerely, jg:�-Z)
Raymond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

Tyson Foods, Inc.
July 28, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Farms, Inc. - Roaring River Feed Mill
COC NCG060021 RECEIVED
Wilkes County AUG 0 4 Z015
Dear Madam or Sir: CENTRAL FILES
DWR SECTION
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Farms, Inc. Storm water sampling for Period 2 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension3should you have any questions.
S
RayZ:iely,
nd E. Johnson ( ob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060021
FACILITY NAME Tyson Farms Inc.
Roaring River Feed Mill
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
Date submitted: JULY 28, 2015
SAMPLE COLLECTION YEAR 2015
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use anima! fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 1 1.0 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
7-13-2015
34
6.4
73
5.0
NA
NA
RRIV - 02
7-13-2015
41
6.5
110
5.0
RRIV - 04
7-13-2015
36
6.5
50
5.0
' Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if M, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV - 04
7-13-2015
5.0
5.0
36
6.5
178
' Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 F& sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SV;��-249 Last Revised: October 18, 2012
Page l of 2

��
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one colt y of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
r - 4,
re of Permitte (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 + Last Revised: October 18, 2012
Page 2 of 2

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit: htt&//portal.ncdenr.rglweb jwgf w� j�/npdessw#tab-4
Permit No: N/C/G/.O/6/0/0/010 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: ilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 7/1312015
Time of Inspection: L5
Total Event Precipitation (inches): 1.0 0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit_?�
(See information below.) �
[Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
t performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
i A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
i prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
13y this s''gnature, I certify that
(Sig tore of Permittee e:
SWU-242, Last modified 10/25/2012
is report is accurate and complete to the best of my knowledge:
Pagel of 2

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

��A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://aortal.ncdennorg/web1wq,/ws/su/nodessw#tab-4
Permit No: N/C/G/0/6 0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 7/13/2015
Time of Inspection: Ck"So pm
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
IVYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thsi nature, I certify that this report is accurate and complete to the best of my knowledge:
Sig tore of Permittee Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: n
Outfall No. \1" Structure (pipe, ditch, etc.) k 4 Gt t `C
Receiving Stream: '"v 1C.r-L ,4r-r
DV�crie the industrial activities that occur within the outfaIl drainage area:
nU 1r„ ,o
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: tS1�E
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): IN o r%L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes V�
8. Is there an oil sheen in the stormwater discharge? Yes pV
9. Is there evidence of erosion or deposition at the outfall? Yes N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation,
Page 2 of 2
SWU-242, Last modified 10/25/2012

R
�
*A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:l/nortal.ncdenr,org/web/wq/ws/su/npdessw#tab-4
Permit No: Iy C/G/0/6/0Z0/0/0_ or Certificate of Coverage No. NIC/G/0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: Raymond Nichols
Date of Inspection: 7/13/2015
Time of Inspection- q*A5 An'!
Total Event Precipitation (inches): 1.0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
VYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
Iprecipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thdsi nature, I certify that t ' report is accurate and complete to the best of my knowledge:
(Sig ure of Permittee oignee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: n
Outfall No. -Tq " 4 Structure (pipe, ditch, etc.) 1- mer 7b.t it-b
Receiving Stream: Y : he Q` r'r
[Scribe the industrial activities that occur within the outfall drainage area: _ Ms IS.* rt q o t-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: U$hj'
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): VRD+11-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 W 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfali? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

r
RL - 3
GSM
Q=t ABORATORIEa lNG
NC Certification No. 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Cent No. 37735
Environmental Solutions VA Certification No. 460211
Do[) EtAP: L-A-B Accredited Certificate No. L2307
ISO/IEC 17025: L-A-B Accredited Certificate No. L2307
Tyson Foods, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater
Lab Submittal Date: 07/13/2015
Prism Work Order: 5070214
Case Narrative
07/27/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
' aD ac-C-1)
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-OW
Phone: [phone] - Toll Free Number: 1-8001629.6364 - Fax: [phone] Page 1 of 8

A,
i 1R Full-Sarvica Analytical 6 Sample Receipt Summary
MEnvironmental Solutions 07/27/2015
�„-,,�t✓LA80r 'PORIE%WC
Prism Work Order: 5070214
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01 5070214-01 Water 07/13/15 07/13/15
Stormwater RRIV-02
5070214-02 Water 07/13/15 07/13/15
Stormwater RRIV-04 5070214-03 Water 07/13/15 07/13/15
Samples were received in good condition at 3.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704IS26-0409 Page 2 of 8

� • Full -Service Anal lica! & Laboratory Report
Environmental Solutions 07/27/2015
`�uaon,"oR�ea n+c
Tyson Foods, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols
Prism Sample ID: 5070214-01
179 Roaring River Rd.
Prism Work Order: 5070214
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 07/13/15 09:15
Time Submitted: 07/13/15 15:35
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor Dateffime
ID
General Chemistry Parameters
Chemical Oxygen Demand
73 mg/L
50
5.3 1 'SM6220 D 7123/16 13:00 CDL
PSG0426
Oil & Grease (HEM)
BRL mg/L
5.0
0.48 1 '1664B 7124M6 9:40 ARC
P5G0478
Total Suspended Solids
34 mg1L
6.2
0.80 1 'SM 2640 D 7115115 14:60 EGC
PSG0266
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: 704l629-6364 - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of 8

&i'M I S M FullService AnalyticalLaboratory Report
[ nvironmantal Solutionss07/27/2015
\���eon�ronie4 �wc
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols Prism Sample ID: 5070214-02
179 Roaring River Rd, Prism Work Order: 5070214
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 07/13115 09:30
Time Submitted: 07/13/15 15:35
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Date/Time
ID
General Chemistry Parameters
Chemical Oxygen Demand
110
mg1L
60
6.3
1
"SM5220 D
7123115 13:00 CDL
PSG0426
Oil & Grease (HEM)
BRL
mglL
5.0
0.48
1
'1664B
7/24/15 9:40 ARC
P5G0478
Total Suspended Solids
41
mg1L
7.1
0.90
1
"SM 2540 D
7115116 14:60 EGC
PSG0266
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 8

•ni� ISM
n Full -Service Analytical d
rL� J I V' Environmental Solutions
l—---��ueaumn�a vac
Laboratory Report
07/27/2015
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols Prism Sample ID: 5070214-03
179 Roaring River Rd. Prism Work Order: 5070214
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 07/13/15 09:45
Time Submitted: 07/13/15 15:35
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DaterTime ID
General Chemistry Parameters
Chemical Oxygen Demand BRL mglL 50 5.3 1 'SM522D D 7124/15 14:30 CDL P5G0459
Oil & Grease (SGT-HEM) BRLOG mglL 5.0 0.59 1 '1664B V24115 9:04 JAB P5G0473
Total Suspended Solids 36 mg1L 6.2 0.80 1 "SM 2540 D 7115116 14:50 EGC PSG0266
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 5 of 8

�veoA..anea Full-ServiceAnalytical&
©0PR ISM I Environmental Solutions INa
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
7/27115
Prism Work Order: 5070214
Time Submitted: 7/13/2015 3:35:00PM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P5G0256 - NO PREP
Blank (P5G0256-BLK1
Total Suspended Solids
BRL 5.0 mg1L
& Analvzed: 07/15/15
LCS (P5G0256-BSI) Prepared & Analyzed: 07/15/15
Total Suspended Solids 490 5.0 mg1L 477.0 102 90-110
Batch P5130426 - NO PREP
Blank (P5G0426-BLK1)
Chemical Oxygen Demand
BRL 50 mg1L
& Analvzed: 07123115
LCS (P5G0426-121SI) Prepared & Analyzed: 07/23/15
Chemical Oxygen Demand 497 50 mg1L 500.0 99 90-110
Batch P5130459 - NO PREP
Blank (P5G0459-BLK1) Prepared &Analyzed: 07/24/15
Chemical Oxygen Demand BRL 50 mg1L
LCS (P5G0459-BSI) Prepared & Analyzed: 07/24/15
Chemical Oxygen Demand 508 50 mg1L 500.0 102 90-110
Matrix Spike (PSG0459-MS1) Source: 5070214-03 Prepared & Analyzed: 07/24/15
Chemical Oxygen Demand 521 50 mg1L 500.0 24.5 99 80-120
Matrix Spike Dup (P5G0459-M5131) Source: 5070214-03 Prepared & Analyzed: 07/24/15
Chemical Oxygen Demand 517 50 mg1L 500.0 24.5 98 80-120 0.9 20
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: 704t525-0409 Page 6 of 8

n �
Full Service Analytical 8
GP R 1 S M Environmental Solutions
��-yD'ueon.roniea ��c
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Analyte
Batch PSG0473 - NO PREP
Reporting
Result Limit Units
Level II QC Report
7127/ 15
Prism Work Order: 5070214
Time Submitted: 7/13/2015 3:35:00PM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P5G0473-BLK1)
Prepared & Analyzed: 07/24/15
Oil & Grease (SGT-HEM)
BRL 5.0 mg1L
LCS (P5G0473-BS1)
Prepared & Analyzed: 07/24/15
Oil & Grease (SGT-HEM)
14.6 5.0 mglL
20.00 73 64-132
Batch P5G0478 - NO PREP
Blank (135G0478-131-K1)
Prepares! & Analyzed: 07/24/15
Oil & Grease (HEM)
BRL 5.0 mg/L.
LCS (P5G0478-BS1)
Prepared & Analyzed: 07/24/15
Oil & Grease (HEM)
35.3 5.0 mg/L
4a,0o 68 78-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.Q. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1.8001629.6364 - Fax: [phone] Page 7 of 8

, Full -Service Analytical &
i p ISM I Environmental Solutions
LAWRATORIF$ INC.
449 Springbrook Road - Charlotte, NC 28217
Phone [phone] • Fax: [phone]
Client Company Name: 4'W1 V(tv
Report TolContact Name: G
Re orting Address: lea1411at:.1c
�biil'tL1r( �i11rI }�G �SS_��
CHAIN OF CUSTODY RECORD
PAGE_ OF - QUOTE 9 TO ENSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
'Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV)
provisions and/or QC Requirements
Invoice To:
Address:
Vt(c+ `i LI I_ Fax (Yes) (No): 33lo. fOlf. '! 91
(. Ri
Purchase Order No./BillingReference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: ISS°. •Gh41s t71�
Requested Due Date ❑ 1 Day❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 pays
Certification: NELAC DOD FL NC
EDD Type: PDFJGEXGBI.,-Oth�er
"Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rush Work Must BePre-pproved
SC OTHER NIA
Site Location Name: SS {fit . ruy ><y_Z er Fee(A lIV it
Samples received attar 14:00 will be processed next business day.
Site Location Physical Address: 1 ,1qRpr; , uei
Turnaround time is rased on business days, excluding weekends and holidays.
water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS R CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT} I
Sample Iced Upon Collection: YES NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL, -
PRESERVA-
REMARKS
LAB
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
NO.
SIZE
TIVES
ID NO.
HOURS
SLUDGE)
SEE BELOW
S Ui rr �Pq Cr
.�- f
No Ne,
-13- 15
Q-.I wt
I
iCoo
JAC L
b4C
0A G
ti
9JULN-'
�-ti 5 15
q`• c Al")
i�iCL +
I
M, b
_..►-�rm � rr
-f� ►']
q`.i 'S Ahl
0
TS
G,i/D
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Ca t-
G
1
4rJS6
1 U%b
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i�ivk-pp Ime V- r -rp tA
� 74-156/1_
Sampler's Signature 1., Sampled By
(Print Name) 7 OtLj7 Affiliation
Upon relinquishing, this hain of Custody Is your authorization for Prism to proceed-w-ithIthe analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for aqvIchangey after analyses have been initialized.
Relinq ad . (Signature) Received ture) Date
Military ours
> Additional Comments Site Arnvai -me
Relirpuis By: (Signet R
By: nature) a
Site Departure Time:
Relinquished y: (SIgnatu7f Recely d For ratories By: Dat
Field -Tech Fee
��
.
1 4 I
Mileage:.
Method S ipmen' NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH C ST SEALS FOR TRANSPORTATION TO THE LABORATORY. C Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC
UN ECEIVED AT THE LABORATORY.
❑ x Q UPS U Hand -delivered Prism Field Service ❑ Other
SOLIDWASCERCLA
I❑
SWAYER:
❑P1VDC El SC ❑ NIT.0 ❑ SC ❑ NC ❑ SCTER. ❑ NC
.,.
❑ NC ❑ SCTE I El iR 6 SC I n NC ❑ SC p N CFU SILL C� ❑ NC ❑ SC
❑ ❑ ❑ El❑
El
'CONTAINER TYPE CODES: A =Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
'' ncrir;Il\t❑I

Roaring River Storm Water Calu. Sheet
Date 7-13-2015
Rain Begin: 8:40 AM
Grab Samples: 9:10 AM
Rain at end of
Storm Event: 1.00
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 1.00 " (Total)
C = 0.35
Q = 0.35(1.0112)(6,534,000"7.5)11,000,000
= 1.429 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 1.00 " (Total)
C = 0.95
Q = 0.95(1.0112)(96485"7.5)l1,000,000
= 0.057 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 1.00 " (Total)
C = 0.95
Q = 0.95(1.0112)(75,085-7.5)l1,000,000
= 0.045 MG

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
1 For North Carolina Division of Water QualitV General Permit No. NCG060000
Date submitted: June 4, 2015
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. RECF:,V •1RITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill use/process meats ® use animal fats/byproducts
COUNTY Wilkes JON'l i 20!$CHARGING TO SALTWATERS? DYES ®NO
PERSON COLLECTING SAMPLES James Brown DWR SECTION
LABORATORY Prism Labs Lab Cert. # 402 1NFORWTIONPROCESSING UNIT PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Storm water Benchmarks and Monitoring Results Total event rainfall' or ® No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
X
X
NA
NA
RRIV - 04
X
X
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
is
100 or 504
6.0 — 9.0
-
RRIV - 04
X
178
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO JZ
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of recei t of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."..
(Si&Kature of Perm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wg/ws/su/npdessw#tab-4
t
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

A
140 Tyson Foods, Inc.
June 4, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Ann. DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Tier 2 requirements have been implemented for monthly monitoring for outfall RRIV- 2 and
RRIV-4 for the parameter of COD and TSS.
Tyson Farms Inc. did not meet storm water sampling criteria due to the dry weather for the
month of May 2015. Monthly (analytical and qualitative monitoring) will continue until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si e ely,
a and E. John (Bob)
a/
Complex Manag
Tyson Foods, Inc. Fresh Retail Division 744 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

Tyson Foods, Inc.
06 May 4, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files RECEIVED
1617 Mail Service Center RECEIVED
Raleigh, NC 27699-1617 MAY 11 2015
CENTRAL FILES
Subject: General Permit No. NCG060000 DWR SEGTIOPl
Tyson Foods, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. Storm water sampling for Period 1 for the semi-annual monitoring. Data
receive for PRISM labs indicated two parameter was above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sin ely,
�J f �,BG6)
Ray onf nd Johnso ob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www,tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: May 4, 2015
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? ❑YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z .50 or ❑ No discharge this perio&
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
4-15-2015
37
6.3
50
5.0
NA
NA
RRIV - 02
4-15-2015
120
6.4
300
6.9
RRIV - 04
4-15-2015
1600
6.4
2800
5.0
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 504
6.0 — 9.0
-
RRIV - 04
4-15-2014
5.0
5.0
2800
6.4
178
r
1 Only applies to facilities that use/process meats.
Zi`he total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page i of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitorina period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
X40 6
(Sign$ure of Perm
1a
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

1q,
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Fargurdance on filling out this form, please visit: htto: //oortal.ncdenr.orgf web/wq f ws /suLnpdessw#tab 4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0 6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: —MN J&Aas
Date of Inspection: 4/15/ 015
Time of Inspection: �'t'•SD Pm
Total Event Precipitation (inches):.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined rby tthhe permit?
(See information below.) V
❑ Yes © No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoringto be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ R
Office.
By tl} signature, I certify that this report is accurate and complete to the best of my knowledge:
re of Permitte#A r Designee)
Page 1 of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description: n 4
Outfall No. W\�. 1 Structure (pipe, ditch, etc.)
Receiving Stream:
DescrMe the industrial activities that occur within the outfail drainage area: olar
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ecx,3h 1 MX6:qW%
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 V 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes�N¢
10. Other Obvious Indicators of Stormwater Pollution: VV
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

ALIT3-;WA
r��rr
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr2rg/web/wg/ws/sulnpdessw4tab-4
Permit No: NIC/G/016/0/0/0/0 or Certificate of Coverage No, N/C/GL0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: ►�l ye(S
Date of Inspection: 4/15/2015
Time of Inspection: WAD p ,\
Total Event Precipitation (inches):.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
i
❑ Yes ©No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thjgignature, I certify that this report is accurate and complete to the best of my knowledge:
h
re of Permitteor Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: (�
Outfall No. QU\I- a Structure (pipe, ditch, etc.) (�Lt \kr
Receiving Stream:
Describe the indus�sial activities that occur within the outfall drainage area: ArtsklacLtr, Hell
2. Color: Describe the color of the discharge u ng basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: MttA.km 40fown _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 0A t-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 V 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes N
CN9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq/ws/su/npdes�w#tab-4
Permit No: N C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/GI0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: mA1- &ACY-S
Date of Inspection: 4/15/2015
Time of Inspection: 10 = tie Arn
Total Event Precipitation (inches):.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes ® No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
r interval is representative for local storm events during the sampling period, and the permittee
obtains aDuroval from the local DWO Rezional Office.
By thAignature, I certify that this report is accurate and complete to the best of my knowledge:
of Permitteyfir Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Out all Description:
Outfall No. Structure (pipe, ditch, etc.) 0-f—YMU4 T) Ac'�
Receiving Stream:
Describe the in 1U1,Strja1l activities that occur within the outfall drainage area: kadl&'raUeLl
'S�wKt�ad'�rauc.�.
2. Color: Describe the color of the discharge us W,,,
asic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: mtc -:'tmA _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): W01n G
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 0 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 G 5
7. Is there any foam in the stormwater discharge? Yes (Nd,
8. Is there an oil sheen in the stormwater discharge? Yes 60
9. Is there evidence of erosion or deposition at the outfall? Yes N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

A
Roaring River Storm Water Calu. Sheet
Date 4-15-2015
Rain Begin: 8:40 AM
Grab Samples: 9:50 AM
Rain at end of
Storm Event: 0.50
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
I = 0.50 " (Total)
C = 0.35
Q = 0.35(0.50/12)(6,534,000"7.5)/1,000,000
= 0.715 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 0.50 " (Total)
C = 0.95
Q = 0.95(0.50/12)(96485`7.5)/1,000,000
= 0.029 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 0.50 " (Total)
C = 0.95
Q = 0.95(0.50/12)(75,085"7.5)11,000,000
= 0.022 MG

ReCEIV00
2014 �
DEC 12 D
Tyson Foods, Inc. CiENTPA
DwR sF —0eer 4
December 8, 2014
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. Storm water sampling for Period 2 for the semi-annual monitoring. Data
receive for PRISM labs indicated one parameter was above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
WSirely,
Ray and E. Johns (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: December 8, 2014 ~
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2014
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? []YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. 4 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z .2 or ❑ No discharge this period'
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
11-17-2014
19
6.3
50
5.0
NA
NA
RRIV - 02
11-17-2014
20
6.4
50
5.0
RRIV - 04
11-17-2014
24
6.4
160
5.0
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at awn y outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes" complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50
6.0 — 9.0
-
RRIV - 04
11-17-2014
5.0
5.0
24
6.4
178
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Pagel of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR,_including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
10
gn,pture of Pe
(Date)
Additional copies of this form may be downloaded at: httr)://gortal_ncdenr.ore/web/wcl/ws/su/nrdessw#tab-4
SWU-249 Last Revised: October 18, 202
Page 2 of 2

Roaring River Storm Water Calu. Sheet
Date 11-17-2014
Rain Begin: 8:30 AM
Grab Samples: 10:00 AM
Rain at end of
Storm Event: 0.20
Sampling Point RRIV- 01 Drainage Area = (150 acres *43560) Ft 2
Q = CIA
1 = 0.20 " (Total)
C = 0.35
Q = 0.35(0.20112)(6,534,000"7.5)/1,000,000
= 0.286 MG
Sampling Point RRIV- 02 Drainage Area = (96485) Ft 2
Q = CIA
1 = 0.20 " (Total)
C = 0.95
Q = 0.95(0.20112)(96485*7.5)/1,000,000
= 0.011 MG
Sampling Point RRIV- 04 Drainage Area = (75,085) Ft 2
Q = CIA
1 = 0.20 " (Total)
C = 0.95
Q = 0.95(0.20112)(75,085*7.5)/1,000,000
= 0.009 MG

'A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr.org/wd2l-)mqlws/su/­npdessw#tab-A
Permit No: NICIG/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector-.'T��M-Ad 0;L6U,
Date of Inspection: 11/17 j2014
Time of Inspection: jQ:Db AM M
Total Event Precipitation (inches):. a
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
ff Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be k
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By th}-s�ignature, I certify that this report is accurate and complete to the best of my knowledge:
2!Lk"�d (""gob
(Sigrvture of Permittee Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: 9.
Outfall No.RRIQ-- � Structure (pipe, ditch, etc.) CgItLp v '-
Receiving Stream: UA -,. L QLCi7
D�s�ribe the industrial activities that occur within the outfall drainage area: tl of 'd f
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L—�S h4-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 0t,Av-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater dischargN11
re 1 is no solids and 5 is extremely muddy:
2 3 45
7. Is there any foam in the stormwater discharge? Yes �o
B. Is there an oil sheen in the stormwater discharge? Yes l�
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http:/4Portal.ncdenr-org4weblwd4za4iu/`npdessw_#tab--4
Permit No: N/C/G/0/6/0/010/0 or Certificate of Coverage No. N/C/G/0/6/010/2/1
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: isb
Date of Inspection: 11�17/2014
Time of Inspection: jQ; 05 Am
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
gYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
! A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DW(
Office.
By UA signature, I certify that this report is accurate and complete to the best of my knowledge:
of PermitteAr Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. OutWI Description:
Outfall No. U- Structure (pipe, ditch, etc.) Cc{.Laa4 P,,M
Receiving Stream: T : �r A, . is AA%k,,.R ;
Desgibe the industrial activities that occur within the outfall drainage area-.7f 08 u
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Lt'sh!-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): (\t,Ar-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: V) 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
di 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge' where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7.
Is there any foam in the stormwater discharge? Yes
CNo
B.
Is there an oil sheen in the stormwater discharge? Yes
rj
No
9.
Is there evidence of erosion or deposition at the outfall?
Yes V
10.
Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit. httpm//portal.ncdenr.org/weblwqlws/su/npdes5w#tab-
Permit No: N/C/G/0/610/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/OJ2/1
Facility Name: Tyson Foods Inc. Roaring iver Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: _QAc1MoAci 0,.W5
Date of Inspection: 11/1712014
Time of Inspection: 1O : k0A M
Total Event Precipitation (inches):.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
21"Yes ❑ No
Please verify whether Qualitative Monitoring must he performed during a "representative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By t ignature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitteer Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. OutGLll Description: r� —
Outfall No. Structure (pipe, ditch, etc.) 0,0—gx� ]) t
Receiving Stream: raeA M-;: '4' G'- + he K:n Luer
Describetheindustrial activities that occur within the outfall drainage area: cd� " u� ry
ft �CX . —
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L-4Shk V)so,.,>rN
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): UN-QAL
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 �7 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 ( J 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes V
8. Is there an oil sheen in the stormwater discharge? Yes V
9. Is there evidence of erosion or deposition at the outfall? Yesi
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Ism
�/lABORATORIM INC.
NC Certification No, 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Cert No. 37735
Environmental Solutions VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No, L2307
ISO/IEC 17025: L-A-B Accredited Certificate No. L2307
Tyson Foods, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
Project: Stormwater
Lab Submittal Date: 11/1712014
Prism Work Order: 4110347
Case Narrative
12/03/2014
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cale
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240W - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 8

iP R I S M Funce Analytical
Environmental Solutions
~' %uaoaAToniea inc
Sample Receipt Summary
12/03/2014
Prism Work Order: 4110347
Client Sample ID
Lab Sample ID
Matrix
Date Sampled
Date Received
Stormwater RRIV-01
4110347-01
Water
11/17/14
11/17/14
Stormwater RRIV-02
4110347-02
Water
11/17/14
11/17/14
Stormwater RRIV-04
4110347-03
Water
11/17/14
11/17/14
Samples were received in good condition at 1.1 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc_
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 8

Laboratory Report
Fuii-Service &
al Solutions
Environmental Solutions
12/03/2014
✓L�BORATCIRIE41NG
Tyson Foods, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols
Prism Sample ID: 4110347-01
179 Roaring River Rd.
Prism Work Order: 4110347
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 11/17/14 10:00
Time Submitted: 11/17/14 14;10
Parameter Result Units
Report
MDL Dilution Method Analysis Analyst Batch
Limit
Factor DatelTime ID
General Chemistry Parameters
Chemical Oxygen Demand BRL
mg1L
50
5.3 1 'SM5220 D 12/1/14 13:15 CDE P41_0026
Oil & Grease (HEM) BRL
mg1L
5.0
0.37 1 '16648 11/26114 8:55 JAB P41<0465
Total Suspended Solids 19
mg1L
6.2
1.0 1 'SM 2540 D 11/19114 16:15 CDE P4K0339
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 • Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 3 of 8

°\
Laboratory Report
'R I M
Fun-Service Analytical &
Environmental Solutions
12/03/2014
.�Pl
jueonhTonies me
Tyson Foods, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols
Prism Sample ID: 4110347-02
179 Roaring River Rd.
Prism Work Order: 4110347
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 11/17/14 10:05
Time Submitted: 11/17/14 14:10
Parameter Result
Units
Report
MDL Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand BRL
mg/L
50
5.3 1 'SM5220 D 1211114 13:15 CDE P41_0026
Oil & Grease (HEM) BRL
mg/L
5.0
0,37 1 '1664B 11/26/14 8:55 JAB P41<0465
Total Suspended Solids 20
mg/L
5,0
1.0 1 'SM 2540 D 11/19114 16:16 CDE P4K0339
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 8

Laboratory Report
�P R I S M Full -Service Analytical B
Environmental Solutions 12/0312014
'7uaon�TORlra inc
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-04
Attn: Raymond Nichols Prism Sample ID: 4110347-03
179 Roaring River Rd. Prism Work Order: 4110347
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 11/17/14 10:10
Time Submitted: 11/17/14 14:10
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Datefrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
160
mglL
50
6.3
1
`SM5220 D
1211114 13:15 CDE
P4L0026
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.2
1
'1664$
11126114 9:30 JAB
P41<0466
Total Suspended Solids
24
mglL
5.0
1.0
1
ISM 2540 D
11/19/14 16:15 CDE
P41<0339
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0643
Phone: [phone] - Toll Free Number: 1.8001529.6364 - Fax: [phone] Page 5 0f 8

a'
"'PRISM I S M Eu ironmee al Solution 8
Environmental Solutions
f�pppn�TOR1Eq IrrC
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level it QC Report
1213114
Prism Work Order: 4110347
Time Submitted: 11/17/2014 2:10:OOPM
Reporting Spike Source %REC RPD
Anatyle Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P411<0339 - NO PREP
Blank (P4K0339-8LK1)
Prepared & Analyzed: 11/19/14
Total Suspended Solids
BRL 5.0 mglL
LCS (P4KO339-BSI)
Prepared & Analyzed: 11/19/14
Total Suspended Solids
480 5.0 mglL
468.0 102 90-110
Batch P41<0465 - NO PREP
Blank (P4KO465-BLKI)
Prepared & Analyzed: 11/26/14
Oil & Grease (HEM)
BRL 5.0 mg/L
LCS (P4KO465-BSI)
Prepared & Analyzed: 11/26/14
Oil & Grease (HEM)
35.5 5.0 mg/L
40.00 89 7B-114
Batch P411<0466 - NO PREP
Blank (P4K0466-BLK1) Prepared & Analyzed: 11/26/14
Oil & Grease (SGT-HEM) BRL 5.0 mglL
LCS (P4K0466-BSI) Prepared & Analyzed: 11/26/14
Oil & Grease (SGT-HEM) 16.7 5.0 mg/L 20.00 84 64-132
Batch P4L0026 - NO PREP
Blank (P41-0026-61LKI) Prepared & Analyzed: 12/01/14
Chemical Oxygen Demand BRL 50 mg/L
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] L Page 6 of 8

n
PRISM Funironmeo Analytical &
Environmental! Sol utiona
✓��eoa�*a�ws. l +
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
12/3114
Prism Work Order: 4110347
Time Submitted: 11/17/2014 2:10:00PM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P41L0026 - NO PREP
LCS (P4L0026-BS1 ) Prepared & Analyzed: 12/01/14
Chemical Oxygen Demand 500 50 mg/L 500.0 100 90-110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 7 of H

.0 - -
CHAIN OF CUSTODY RECORD lam
5- 00
nn Full -Service Aral tical &
f 1 Y 1 y, ` YES NQ_rN!
Environmental Solutions ppGE�, OF QUOTE 0 TO ENSURE PROPER GILLING: - -
$amples 1NTACT upon arr{va19 l .
449 Springhtook Road • Charlotte, NC 28217
r Phone [phone] •Fax: [phone]
'r Client Company Name:-::ti�iCt'1lurftA -:CAC.
>A Report To/Contact Name:'
Reporting Address: J 9'e
:s
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II Ill IV)
provisions and/or QC Requirements
Invoice To:
Address:
P h o ne &1490`I it Fax ( )( Yes No)3 ✓vtlo.y3i!
purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: Sl a={mcw�.l�:cltcl+(
�L�.�JI•[�o�Y1 _
Requested Due Date [3 3 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DOD
FL NC
EDD Type: PD F---ExcelOther
"Working Days" ❑ 6-9 Days Cl Standard 10 days 0 Rush Work
dust BePre-App
SC OTHER
NIA
Site Location Name
i Samples received after 14:00 will be processed next business day.
Site Location Physical Address:
[Turnaround time is based on business days, exdudfng weekends and holidays.
Water Chlorinated: YES^ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES. INC. TOCLIENT)
Sample Iced Upon Collection: YES-
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
'TYPE
NO.
SIZE
TIVES
Ib NO.
HOURS
SLUDGE)
SEE BELOW
Iq
I D: bt-„r'
A)
1
Jsv
M,!5C.4
coo
i
j I7 Iq
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Nt"Je-
TS6
'ASS
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part
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t:f cy5
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Ts
"CSC
io'Arn
I
N1500
Gt�
Sampler's Signature d
Sampled By
(Print Name) _ }FkVAc�, AfFlliation"� _,
Upon relinquishing, this 06in of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submiri d in writing to the Prism Project Manager. There will be charges foyAny changes after analyses have been initialized.
Rellnlshed yc (Signature)
R
y: natun;) pate
MllilatylHoursAdditional-
Comments:
`Site AMYal T)me
r��l
�t �t��
Relinqui By: (Signature)
" 1' { • jLi
ceived B : [Sig ature) Date
1325'T
�
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gnqtu
elfin ed :: Srrj
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or sm atodes By: Date
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f teld Tech Feej lr<f�s
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� ��'�r,,,j' ,irk, l�"�'7'��
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Mdea9e::,
Method of ipment. N E: ALL AMPLE COOLERS SHOULD BE TAPED SHUT W
CUS ODY SEALS F T 5 RTA71 N Et B ORY. COC Group No.
BORATORY.
S MPLESARE NOT ACCEPTED AND VERIFIED AGAINST CUNTI
RECEIVEDAT-HE
•�
❑ Fed & O UPS Hand -delivered ❑ Prism
Field Service rJ Other
_
TER: DRINKING E CERCLA LANDFILL
❑ NC ❑ SC
❑ NC Cl SCI I ❑ NC U
SCNC El SCATEii:
I
❑ NC L1 SCSOLID
I ❑❑ NC Q SC ❑❑ NC ❑ SC Q NC Q SC I o NC 6 SCTERMS
&CONDITION
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL

C f f TL6
.gh
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr.org/web/wq.lwsjsu/npdCssw#tab-I
Permit No: iy C./G/0/6/0/0/0J0 or Certificate of Coverage No. N/C/G/0/610/0/2/1
Facility Name: Tyson Fgds Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: .�A�'Y1e5 RECEIVED
t,-,on
Date of Inspection: 5 - 5 -1q - JUN 0 9 2014
Time of Inspection: Q'•3a A
CENTRAL FILES
Total Event Precipitation (inches): DWQIBOG
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
0/yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the I
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
F
obtains approval from the local DWQ Regional Office. 1
BWthiisignature, I certify that this report is accurate and complete to the best of my knowledge:
(Signakure of Perm itte r Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

I
1. Out 11 Description: (�
Outfall No. � Structure (pipe, ditch, etc.)`ae��r
Receiving Stream: XAN" un'tied she- y adY!,,01 •iU of
DesMbe the indystrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the disch
(light, medium, dark) as descriptors: ( i
g basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): n'
4. Clarity: Choose the number which, best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 6 3 4 5
5. floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1'is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes do
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

��A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http://portal.nc,denr.org/web/wa/wsf,su/npde5sw#tab-4
Permit No: IV C/G/016/0/0%0/0 or Certificate of Coverage No. N/CfG/0/610/0/211
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: 1 to W\C 5 �hCo..yn
Date of Inspection:
Time of Inspection: ►n
Total Event Precipitation (inches): ; , to s
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
(Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DW(
onal Office.
By thi s gnature, I certify that this report is accurate and complete to the best of my knowledge:
Signaore of Permittee olpesignee)
Pagel of 2
SWU-242, Last modified 10/25/2012

r
0
1. Outf ll Description: jj
Outfall No. 1 \ - b9. Structure pipe, ditch, etc.) 'L1U*4-
Receiving Stream: 1`1 Q e o b r e_ m - er
Describe the industrial activities that occur within the outfall drainage area: jAV-, ,% i r4
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
a (light, medium, dark) as descriptors: �: sl��
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): t'to►Irc-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 �L 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes �o
8. Is there an oil sheen in the stormwater discharge? Yes d G
9. Is there evidence of erosion or deposition at the outfall? Yes
V"
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

-A.";x5A
NCDENR
Storm water Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit; h o tal r r w w w s n de w tab-4
Permit No: N/CjGj0/6/0j01010 or Certificate of Coverage No. UC/G/Oj6j�j0j211
Facility Name: Tyson Foods Inc. Roaring River Feed Mill
County: Wilkes
Phone No: 336.696.2741
Inspector: 3ame_ �f>rowrl
Date of Inspection: S_ t5 -11
Time of Inspection: 1D,.DD_An1
Total Event Precipitation (inches): . La 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
.VYes [-]No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DW(
al Office.
By thi ignature, I certify that this report is accurate and complete to the best of my knowledge:
(Sign ure of Permittee 11
esignee)
Pagel of 2
SWU-242, East modified 10/25/2012

1. Outfall De cri tion:
Outfall No. Structure (pipe, ditch, etc.)► i
Receiving Stream: I n
Describe the industrial activities that occur within the outfali drainage area:
2. Color: Describe the color of the d
(light, medium, dark) as descriptors: L
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): (\oY1't-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 6 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
�1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes pIb
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: June 03.2013
CERTIFICATE OF COVERAGE NO. NCG060021 SAMPLE COLLECTION YEAR 2014
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Roaring River Feed Mill ❑ use/process meats ® use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? ❑YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Storm water Benchmarks and Monitoring Results
Total event rainfall 2 1. 65 or ❑ No discharge this period
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
RRIV - 01
05-15-2014
20
6.2
50
5.0
NA
NA
RRIV - 02
05-15-2014
18
6.2
50
5.0
RRIV - 04
05-15-2014
22
6.1
50
5.0
'1Vi
i Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
JUN 0 9 2014
CENTRAL FILES
DWQ/BOG
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil
&Grease/TPH
mg/L
T55,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
15
100 or 50
6.0 — 9.0
-
RRIV - 04
05-15-2014
5.0
5.0
22
6.1
178
F-
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cols_ of this DMR, including all "'No_Dischar-ge"reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
re of Permi
3 o2O !4-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of

100
Tyson Foods, Inc.
June 3, 2014
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Inc. - Roaring River Feed Mill
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. Storm water sampling for Period 1 for the semi-annual monitoring. Data
receive for PRISM labs indicated parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sin rely,
f
Ray and E. Johnso (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

r1
d,
LLP�ISM
JLABORATORIE$ 1NG
NC Certification No. 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Cert No. 37735
Environmental Solutions VA Certification No. 460211
DOD ELAP: L-A-B Accredited Certificate No. L2307
ISOREC 17025; L-A-B Accredited Certificate No. L2307
Tyson Foods, Inc. -Roaring River
Raymond Nichols
179 Roaring River Rd,
Roaring River, NC 28669
Project: Stormwater
Lab Submittal Date: 05/15/2014
Prism Work Order: 4050406
Case Narrative
05/30/2014
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cale
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc,
449 5pringbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-8001529-b364 - Fax: [phone] Page 1 of 8

AkRISM Full -Service Analytical &
Sample Receipt Summary
Environmental So3utlons 0513012014
iaeaurowcs iwc
Prism Work Order: 4050406
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater RRIV-01 4050406-01 Water 05/15/14 05/95/14
Stormwater RRIV-02
4050406-02 Water 05/15/14 05/15/14
Stormwater RRIV-04 4050406-03 Water 05/15/14 05/15/14
Samples were received in good condition at 1.4 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240M - charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-0364 - Fax: [phone] Page 2 of S

If
lP'RLqM Full -Service AnalyticalEnvironmental Solutions
LIES LNG
Laboratory Report
05/30/2014
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-01
Attn: Raymond Nichols Prism Sample ID: 4050406-01
179 Roaring River Rd, Prism Work Order: 4050406
Roaring River, NC 28669 Sample Matrix: Water Time Collected: 05/15/14 09:30
Time Submitted: 05/15/14 15:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
General Chemistry Parameters
Chemical Oxygen Demand BRL mg1L 50 3.5 1 'SM5220 D 5/29114 11:35 JAB P4E0604
Oil & Grease (SGT-HEM) BRLOG mg/L 5.0 1.2 1 `1664A 5129/14 12:43 JAB P4E0612
Total Suspended Solids 20 mg1L 5.0 1.0 1 'SM 2640 D 6121114 16:10 JAB P4E0435
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springb►ook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800152M364- Fax: [phone] Page 3 of8

\
Laboratory Report
:JP R I S M I Full -Service Analytical 6
Environmental Solutions
%ueon..rae�s n+c
05/30/2014
Tyson Foods, Inc. -Roaring River
Project: Stormwater
Client Sample ID: Stormwater RRIV-02
Attn: Raymond Nichols
Prism Sample ID: 4050406-02
179 Roaring River Rd.
Prism Work Order: 4050406
Roaring River, NC 28669
Sample Matrix: Water
Time Collected: 05/15/14 09:45
Time Submitted: 05/15/14 15:45
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst Batch
Limit
Factor Daterrime ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL mg1L
50
3.5 1 SM5220 D 5129/14 11:35 JAB NE0604
Oil & Grease (5GT-HEM)
BRLOG mg1L
5.4
1.2 1 '1664A 5129114 12:43 JAB P4E0612
Total Suspended Solids
18 mg/L
5.0
1.0 1 "SM 2640 D 6121114 16:10 JAB P4E0436
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Sprfngbrook Road - P.O. Box 240543 - charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.800/529-0364 - Fax: [phone] Page 4 0f 8

°P\ Laboratory Report
J,L._4R I S M EnvironmentalFull-Service &
Environmental
al Sol Sotutlotlons 0513012014
7i�sonrnaFq ac
Tyson Foods, Inc. -Roaring River Project: Stormwater Client Sample ID: Stormwater RRIV-04
Attm Raymond Nichols Prism Sample ID: 4050406-03
179 Roaring River Rd. Prism Work Order: 4050406
Roaring River, NC 28669 Sample Matrix: Water Time Collected. 05/15/14 10.00
Time Submitted: 05/15/14 15:45
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Daterrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mglL
50
3.5
1
'SM5220 D
5/29/14 11:35 JAB
NE0604
Oil & Grease (SGT-HEM)
SRLOG
mglL
5.0
1,2
1
'1664A
5129/14 12A3 JAB
NE0612
Total Suspended Solids
22
mglL
5.0
1.0
1
'SM 2640 D
6/21114 16:10 JAB
P4E0435
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: 704l629-6364 • Toll Free Number: 1-800IS29-6364 - Fax: [phone] Page 5 of 8

/1��"RISM
FuII aervlce Anslytical a
Environmental Solutions
%.eon�romEa wlc
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
5130/14
Prism Work Order: 4050406
Time Submitted: 5/15/2014 145:00PM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P4E0435 - NO PREP
Blank (P4E0435-BLK1) Prepared & Analyzed: 05/21/14
Total Suspended Solids BRL 5.0 mglL
Blank (P4E0435-BLK2) Prepared & Analyzed: 05/21/14
Total Suspended Solids BRL 5.0 mglL
Blank (P4E0435-BLK3) Prepared & Analyzed: 05/21/14
Total Suspended Solids BRL 5.0 mglL
Blank (1134E0436-81-M) Prepared & Analyzed: 05/21/14
Total Suspended Solids BRL 5.0 mg/L
LCS (P4E0436-BS1) Prepared & Analyzed: 05/21/14
Total Suspended Solids 460 5.0 mg/L 468.0 98 90-110
LCS (P4E0435-BS2) Prepared & Analyzed: 05/21/14
Total Suspended Solids 460 5.0 mglL 468.0 97 90-110
LCS (P4E0436-BS3) _ Prepared & Analyzed: 05/21/14 _
Total Suspended Solids 460 5.0 mg/L 468.0 ~� 98 90-110
LCS (P4E0435-BS4) Prepared & Analyzed: 05/21/14
Total Suspended Solids 500 5,0 rng/L 468.0 106 90-110
Batch P4E0604 - NO PREP
Blank (P4E0604-BLK1) Prepared & Analyzed: 05/29/14
Chemical Oxygen Demand BRL 50 mg/L
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 6 of 8

R I S M Full -Service al Solutions
&
� Environmental Solutiane
�mNumn nac
Tyson Foods, Inc. -Roaring River Project: Stormwater
Attn: Raymond Nichols
179 Roaring River Rd.
Roaring River, NC 28669
General Chemistry Parameters - Quality Control
Level II QC Report
6/30114
Prism Work Order: 4050406
Time Submitted: 5/15/2014 3:45:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P4EO604 - NO PREP
Blank (P4E0604-BLK2)
Prepared & Analyzed: 05/29114
Chemical Oxygen Demand
BRL 50 mg1L
LCS (P4E0604-8S1)
Prepared & Analyzed: 05/29114
Chemical Oxygen Demand
479 50 mg/L 500.0 96 90-110
LCS (P4E0604-BS2)
Prepared & Analyzed: 05/29/14
Chemical Oxygen Demand
481 50 mg1L 500.0 96 90-110
Batch P4EO612 - NO PREP
Blank (134E0612-BLK1) Prepared & Analyzed: 05l29/14
Oil & Grease (SGT-HEM) BRL 5.0 mg/L OG
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-8001629-6364 - Fax: 7MS25-0409 Page 7 of 8

_—>L. _._-..__._..�......�.�.......-,-.�.,,.......�....�..c.........-._.......��.�. ...yam. .....-.�...., ..�.. ..... _�.�_.....�..,iu�.. u,����_..u�...•. �__i-�. ._.__... ,...�aa__r ..'�...� �._. :�J .r.. -i. .. �J .- .-.�-... .. ...-� �i'J.��. �..ti. ::L���
■ CHAIN OF CUSTODY RECORD
LA
f� AFull-Service Analyticai &YES NO N/A`:� i S ! i• � I Environmental Solutions PAGE_ OF QUOTE 0 TO Er15URE PROPER BILLING: - - - -
Samples INTAC
C.
T upon arnvai
rARORATORiES IN.
449 Springbraok Road • Charlotte, NC 28217
Phone [phone] • Fax:[phone]
Client Company Name: * I "Snn 'r—or
Report To/Contact Name: P nciA -L►�o�-'
Reporting Address: 1`%cl P.1-'• titc�Qom►Lf 1�iD
Project Name.•
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II Ill IV)
provisions andlor QC Requirements
Invoice To:
Address:
Phone: 'Afa' 1e,,1v- 1 Fax (Yes) (No)AU,: Vi�J:k3'I Purchase Order No.lBilling Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: Requested Due Bate ❑ 1 Day LI 2 Days U 3 Days Q 4 Days ❑ 5 Days
Certification: NELAC •DoD FL NC
EDD Type: PDF.-.--�-Exceh Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rush Work Be
Site Location Name: 2ral. i1i;r Fe%elk 1W. \ 1 Samples received after 14:00 win be processed next business day.
SC OTHER NIA
Site Location Physical Address: o ` =Er' Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO_
_
(SEE REVERSE FOR TERNS 3 CONDITIONS REGARDING SERVICES
' RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS REQUESTED
PRISM!
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
COLLECTED
MILITARY
(SOIL,
WATER OR
PRESERVA-
TIVES
/ REMARKS
LAB
'TYPE
HOURS
SLUDGE)
SEE BELOW
NO.
SIZE
ID NO,
r�xu . e j
5 i�-�
q'.
►a
,5fl
sta
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i
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Sampler's Signature Sampled 13y (Print Name) JYY1C , psl�I�n Affiliation 1'1
Upon re linq ulsh Ing, this C ain of Custody is your authorization for Prism to oc d with the analyses as requested above. Any changes must be
submitted In writing to the Prism Project Manager. There will be charges f9illany 9hanges after analyses have been initialized.
cunqu' : (Signature) Recet - (SignaRi Date (( M41tery/Hours Additional Comments: ,Site R.riiva(Tlma
l
Relinquishe y: (Signalure) Race iv (Sign ) Date Sile gepaLtu=e Time =
i Field T6di Fee: "
ReAnqu' y: (Signet re) R eiv Prism L tories By:
i ��P %) �J
Mileage:
Method hfpme NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY EALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC ONTIL RE EIVED AT THE LABORATORY.
U i..�
C;
Q Fed E: ❑UPS ❑ Hand -delivered sm Feld Service ❑ Other ` iU�
NPDES: UST: G OUNDWATER: DRINKING WATER: SOLID WASTE: RCRA; CERCLA LANDFILL OTHER: •�
❑NC❑SC ❑NC ❑SC NC ❑SC ❑NC ❑SC ❑NC ❑SC 0NC05C ❑NC QSC ONC ❑SC LINC ❑SC
n U 1-1 rT FI 171 rT r11 rT
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL