NCG060020_MONITORING INFO_20190607

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
� MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

0
Tyson
June 3, 2019
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. - Wilkesboro Complex
COC NCG060020
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.
'IN a 7 29tJ
` &J T1RHt. Fll,ES
GW? SEG7lom
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of May 2019.
Due to mostly dry 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- 651- 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.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water ualit)( General Permit No. NCG060000
Date submitted: June 3. 2019
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
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'. or 0 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
500
WILK -01
NA
NA
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 ryes, 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 504
6.0 — 9.0
-
l 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 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 ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Maff 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
Fry
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."
I
(Signature of Permittee)
4-3 45
(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

(.T-.)
Tyson
.tune 3, 2019
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. - Wilkesboro Complex
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of May 2019.
Due to mostly dry 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- 651- 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:33.65a_3867 www.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: June 3, 2019
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Tyson Farms_I_n_c. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkes_6bro Complex ® 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 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
WILK -01
-
—
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.
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/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 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 Z
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriciinal 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 of Permittee)
L3
(Date)
Additional copies of this form may be downloaded at: httE.//portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

(T-0)
Tyson
May 7, 2019
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. - Wilkesboro Complex
COC NCG060020
Wilkes County
Dear Madam or Sir:
REdgive-E)
MAY 14 2019
CENTRAL FILES
1)WR 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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of April 2019.
Due to mostly dry and weekend rain events 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- 651- 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.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: May 7, 2019
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
® use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall 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 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
WILK -01
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? E 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.
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.
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 11REQUIREMENTS. 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
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) to: ^T
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICA TION FOR AN r INFORMA TION 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/wcl/ws/su/npdessw#tab-44
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

T
ri
Tyson
March 11, 2019
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. - Wilkesboro Complex
COC NCG060020
Wilkes County
Dear Madam or Sir:
RECEIVED
MAR 18 2019
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms, Inc. Storm water monthly sampling monitoring for February. Data receive for Statesville
labs indicated Wilk — 01 fecal parameters above the benchmark.
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- 651- 2871 should you have any questions.
Sincere[
cj".�
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: February 6. 2019
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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 .47 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
pH,
Standard units
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
kOD,
30
1000
500
WILT( -01
2-22-19
>6000
NA
NA
' 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
Now 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.
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.
SWU-249 Last Revised: October 18, 2012
Pagel 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 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 resultslor 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."
7K m
(Signature of Permittee) (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

Wilkesboro Storm Water Calu. Sheet
Date 02/22/2019
Rain Begin: 8:00 AM light on and off
Grab Samples: 11::45 AM
Rain at end of
Storm Event: 0.47
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = .47 " (Total)
C = 1.0
Q = 1.0(.47/12)(140.800`7,5)/1,000,000
0.041 MG

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http_//portal.ncdenr.org/web Jwq /ws/su/npdessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 2/22/2019
Time of Inspection: i I A 5 Vko
Total Event Precipitation (inches): 0.47
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes [VNo
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. r Structure (pipe, ditch, etc.) :T
Receiving Stream: -i
Describe the industrial activities that occur within the outfall drainage area: ;Ue_ AActUL 4\cr.�A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ L., 5k+
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Y\ b h L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and
5 is very cloudy:
6 2 3 4 5
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:
D2 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:
6 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 4S
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
tr
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

Analytical Results STATESVILLE
ANALYTICAL
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 02/22/2019
Reported: 02/25/2019
For:
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190222-13-01 Fecal Coliforms WILK 01 >6000 CFUIml IDEXX cou1ert 48 MPN 02/22/2019 WC
Respectfully submitted,
lop,-wUl, j'111t,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 e 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 190222-13-01 Temp on Arrival: 3.2
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

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IzxcStalsvwl r`r 97 zit<
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Custody Record
Address ; 4 , C` �� f G4r.`i
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`' - 4 _ r �j
. f e 5 �7cf c 6&I 1
lL.Y_..�
Contact Person: �CkMeLll Phone a 3 S� FARO
PO # Requisitioned by: Bmo Mawr
cuslem l
swn*
L&AD r
TimO Sampw
(Grab 0*)
D'85e Sampw
(rmb only)
!•
Parameters regveslad for anarysis
1a0222. 13
y
11 qr, I�IT
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\/
Carl
Relinquished by:
�I
Received by:
- ­ i(/ '26,
Relinquished by:
Received by:
fggMR9site Sampling 1i1:
Time begin am, pm Date �
'lime end am, pm Date _I_J—
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0
Tyson
February 4, 2019
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. - Wilkesboro Complex
COC NCG060020
Wilkes County
Dear Madam or Sir:
REC IVVED
-a
FEB 12 2019
CENTRAL FILES
OWR 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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of January 2019.
Due to mostly weekend rain events 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- 651- 2871 should you have any questions.
Sincerelty,
/-U
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
Y
For North Carolina Division of Water Quality General. Permit No. NCG060000
Date submitted: February 4, 2019
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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 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 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
500
WILK -01
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 gny 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.
z The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge ate 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

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 11REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER z 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 o
monitoring period in the case o "No Discharge" reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
IL 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 Perm
(Date)
Additional copies of this form may be downloaded at: htt : ortal.ncdenr.or web w ws su n dessw#tab-4
Last Revised: October 18, 2012
Page 2 of 2

o
Tyson
January 7, 2019
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 RECEIVED
AN 14 Z019
Subject: General Permit No. NCG060000 CENTRAL FILES
Tyson Farms, Inc., Wilkesboro Complex DWR SECTION
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of December 2018.
Due to mostly weekend rain, snow events and holidays 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- 651- 2871 should you have any questions.
Sincerely,
�U'
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: January 7.2019
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
_Wilkesboro Complex_ ® 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 roinfoll I 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 501
Within 6.0 —9.0
120
30
1000
Soo
WILK -01
NA
NA
' Only applies to facilities that use/ meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
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/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.
'The 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
Page i of 2

45ee 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li 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 for 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."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgZws/suZnpdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

:T),.(
Tyson
January 7, 2019
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. - Wilkesboro Complex
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01-for the parameter -of fecal coliform- -- --
__._.__--IXson-Earms-nc.-Did-not-meet-stQmi-uater--samptingcr�teria for the month of December 2018.
Due to mostly weekend rain, snow events and holidays 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- 65 1- 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- 33.651.3867 www.tysonfoods.com

i
EMI -ANNUAL STOR WATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Pefrnit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro -Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert, It 402
Part A. Storm water Benchmarks and Monitoring Results
submitted: January 7, 2019
SAMPLE COLLECTION V
FACILITY ACTIVITIES IN
® use/process n
DISCHARGING TO SALT
PLEASE REM
Total event
12018
DE (check all that apply):
:s ❑ use animal fats/Byproducts
TERS? OYES ®NO
R TO SIGN ON THE REVERSE 4
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 Coliform"
[colonies per 100 ml
Enterococcll,
Colonies per 100 ml
Benchmark
-
100 or 50"
Within 6!0 — 9.0
1120
30
1000
WILK -01
I
NA
NA
I
i
I
i
I
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site r in gauge.
3 For sampling periods with no discharge at anv outfalls. You must still ubmit this discharge monitoring report with checkmark here.
"See General Permit text,Table 3 identifying the especially sensitive rec iving water classifications where the more otective benchmark applies.
Did this facility perform Vehicle Maintenance Activities 1 sing ore than 55 gallons of new motor oil p r month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for acilities averaging > 55 gal of new mot r 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 1
15
100 or 50"
6.o — 9.0
I
1
!
i
I
i
i
l
a
I
1 Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site ra n gauge.
3 For sampling periods with no discharge at any outfalls, you must stills bmit this discharge monitoring report with checkmark here.
S W U-249 it i
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 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."
(Signature of Permittee)
( Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwg/ws/­su/­npdesswtttab-4
SWU-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: December 5, 2018,
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Tyson_ Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro CompleRECEIVED
x Ouse/process meats ❑use animal fats/byproducts
COUNTY Wilkes DEC 13 wa DISCHARGING TO SALTWATERS? []YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402 CENTI�Ar` FRES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
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 Coliforml,
Colonies per 100 ml
Enterococcii,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0-9.0
120
30
1000
500
WILK -01
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.
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 ves, 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 SO"
6.0 — 9.0
-
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 any outfalis, 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 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 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 (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, 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."
(Signature of Permittee)
/d -h -1
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wsjsu/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

kw
0
Tyson
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. - Wilkesboro Complex
Storm Water Sampling Period 2 - semi-annual monitoring
COC NCG060020
Wilkes County
Dear Madam or Sir:
RIFC-ElVeD
IVO V 2 0 2018
CENTRAL FILE;:
OWR SECrION
Enclosed are two copies of the required storm water sampling results for the outfalls covered
under the above subject permit and certificate of coverage.
Although the facility has made significant improvements to reduce the concentrations of the
parameter of concern, data received from PRISM labs indicated Outfall Wilk — 01 was above the
benchmark for fecal. Since OutfalI Wilk-OI has failed two consecutive monitoring periods for 2018, the
facility will institute monthly analytical and qualitative monitoring until three consecutive sample results
are below the benchmark value or within benchmark range.
Please contact me at 336- 651- 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.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: November 13, 2018
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Tyson Farms Inc, FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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
Part A: Storm water Benchmarks and Monitoring Results
Total event rainfall z 1.90 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 501
Within 6.0-9.0
120
30
1000
500
WILK - 01
10/26/2018
18
6.84
50
5.0
6000
NA
WILK - 02
10/26/2018
72
6.80
82
5.0
130
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
- 1
30
15
100 or 504
6.0 — 9.0
-
WILK - 01
10/26/2018
5.0
5.0
18
6.84
630
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 a--_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.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 3REQUIREMENTS. 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:
" p the lab results (or at end of
Mai ,an orrpma and one, copy o this DMR,, including all No Discharge re orts, within 3D da s of receipt 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 of Permittee)
/Z�z -i�e_
(Date)
Additional copies of this form may be downloaded at: http:Hportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
i
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 10/26/2018
Rain Begin: 9:30 AM light on and off
Run off started 10:15 AM
Grab Samples: 10:45 AM
Rain at end of
Storm Event: 1.90
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = 1.90 " (Total)
C = 1.0
Q = 1.0(1.90112)(140,800*7.5)/1,000,000
0.167 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 1.90 " (Total)
C = 1.0
Q = 1.0(1.90/12)(578,250*7.5)/1,000,000
0.687 MG

tAm" 6;- L-A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: half /portal.ncdennorg/web/wq /ws/su/nndessw#tab-4
Permit No: N C G 0 6 0 0 0 0 or Certificate of Coverage No. NIC/G/0/610/01210
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 10/26/2018
Time of Inspection: 10'•LA 5 PoN
Total Event Precipitation (inches): 1.90
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 as to rm 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)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. ik -bi Structure (pipe, ditch, etc.) _ Y�aniQlr 'Qx�
Receiving Stream: Vf fw-taIMCA—kT-00Ukc.'--t-;ca CXb Q,Se.c_l
Describe the industrial activities that occur within the outfall drainage area: L, XC
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L,SIN k
3. Odor: Describe any distinct odors that the discharge may have (i.e„ smells strongly of oil,'weak
chlorine odor, etc.): (\0C1
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
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 0 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
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrantfurther investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

A�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. h—ttp:llportal.ncdenr.orizlweblwQ/ws/su/npdessw#tab-4
Permit No: WC/G/0/6/0/0/0/0 or Certificate of Coverage No. NIC/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: lames Brown
Date of Inspection: 10/26/2018
Time of Inspection: Jp: 55 tarn
Total Event Precipitation (inches): 1.90
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 "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.
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:
.r. 1
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
0utfall No. V3--%K - Structure (pipe, ditch, etc.) � � p e--
Receiving Stream: U 1` t�GYri ec� "�t'.Sn gsy�- io CAaro be e—kk
Describe the industrial activities that occur within the outfall drainage area: &Irm L Wma-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L--SN"e
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): in bn C
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 f 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
B. Is there an oil sheen in the stormwater discharge? Yesp
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 warrantfurther investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

)71RISM
� LABORAMRIEs, INC
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 10/26/2018
Prism Work Order: 8100479
Case Narrative
11 /0912018
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
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: 704152"409 Pagel of 5

a
t R♦ Full -Service Analytical &
R ISM I Environmental Solutions
Sample Receipt Summary
11 /09/2018
Prism Work Order: 8100479
Client Sample ID Lab Sample ID Matrix DateMme Sampled DatelTime Received
SW Wilk-01
8100479-01 Water 10/26/18 10:45 10/26/18 14:50
SW Wilk-02 8100479-02 Water 10/26/18 10:55 10/26/18 14:50
Samples were received in good condition at 3.6 degrees G 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: 1-8001529-6364 - Fax: [phone] Page 2 of 5

P RiqM Full -Service Analytical 8
Laboratory Report
Environmental 9o[utfons 11l0912018
Tyson Farms, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: SW Wilk-01
Attn: James Brown Prism Sample ID: 8100479-01
704 Factory Street Prism Work Order: 8100479
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 10/26/18 10:45
Time Submitted: 10/26/18 14:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mg1L
50
17 1 5M5220 D
1112118 14:00
SLS
P81<0034
Oil & Grease (SGT-HEM)
BRLor,
mg1L
5,0
1.1 1 1664B
1118118 9:07
SLS
P81<0155
Total Suspended Solids
18
mg/i_
5.0
0.40 1 'SM2540 D
1111118 13:08
CBP
P8K0011
Microbiological Parameters
Fecal Coliforms
6000
CFUr100 ml
4
1 'SM9222 D
10/26/18 15:21
BMS
P8J0552
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 3 of 5

•,\ Laboratory Report
P R S M Fuu-Service al Solutions
8
LJ I V' Environmental Solutions 191091201 g
'7usaurawv, iwc
Tyson Farms, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: SW Wilk-02
Attn: James Brown Prism Sample ID: 8100479-02
704 Factory Street Prism Work Order: 8100479
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 10/26/18 10:55
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
82
mg1L
50
17 1 "SM5220 D
1112118 14:00
SLS
PSK0034
Oil & Grease (HEM)
BRL
mg/L
5.0
1.4 1 '1664B
1118/18 9:07
SLS
P81<0154
Total Suspended Solids
72
mglL
10
0.40 1 'SM2540 D
11/1118 13:08
CBP
P8K0011
Microbiological Parameters
Focal Coliforms
130
CFU1100 ml
4
1 'SM9222 D
10/26/18 15:21
BMS
P8J0552
This report should not be reproduced, except in its entirety, without the written consent or Prism Laboratories, Inc,
449 Springbrook Road - P.D. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 5

CHAIN O CUSTODY RECORD
� .R I S� n I Full -Service Analytical 8
F
v � Environmental Solutions PAGE OF _ OUOTE /t TO ENSURE PROPER BILLING:
%u�BOPAU MIes IW_
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone 704I529-6364 Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Client Company Name:n�arnz.'in� *Please ATTACH any project speck reporting (QC LEVEL 1 11 111 IV)
_
provisions and/or qC Requirements
Report To/Contact Name: _ ScLnA,�S �ra..t►• Invoice To:
R�epporting Address: kak [t Address:
W%IVA-S) rt .gt• Itp.-I
YES NO I
Samples INTACT upon arrival? ��
Received ON WET ICE?
PROPER PRESERVATIVES indicated? _G
Received WITHIN HOLDING TIMES? �G CUSTODY SEALS INTACT?
VOLATILES reed WJOUTHEADSPACE?PROPER CONTAINERS used?TEMP: Them fD: j T'� Observed: -_ "C I Carr.
Phone:?{ [.51. &gas. Fax (Yes) (No): ',3�" V-46t, Uloq Purchase Order No.IB(Iling Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: Ju limb -`- L Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DOD
FL NC
EDD Type: PDF__jeExcel_.,, Other 'working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Pre -Approved W� dust Be
Site Location Name: L.. Samples received after 14:00 will be processed next business day -
SC OTHER
NIA
Site Location Physical Address S1 t Turnaround time is based on business days, exGuding we and holidays.
Water Chlorinated- YES NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) I
Sample Iced Upon Collection: YES
NO
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
TtlItL17ARY
MATRIX
WATER OR
ITER
SAMPLE CONTAINER i
PRTIVFS -
LIVES!D
ANALYSIS REQUESTED
REMARKS
/////Z/....
p�sM
LAB
'TYPE
NO.
SIZE
NO.
HOURS
SLUDGE)
SEE BELOW"15b
u1
o0
Q
IIwo
M,-ftf-
1-
I
I
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W%+q
t
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►�C�-
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"i�6
I
aeIll
k
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k I,•.
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1
4b
VeApliL
I1
.•agggalgg
Sampler's Signature Sampled By (Print Name) Affiliation
Upon relinquishing, this(Main of Custody is your authorization for Prism to roceed with the analyses as requested abpve. Any changes must be
submitted In writing to the Prism Project Manager. There will be charge r any changes after analyses have been I _ olixed.
�!S!
f5+pnacual PAMV
IS nature) i Date
IftiarytHours Additional Comments:
Se Time!
elp,gvi y
y:(Slgna ) ate
Site DepartureT
m
Roll nq - is 'gnaturel �y - Roowowl For Prism ebo Hy, Hate
Field Tech Fee:
i—
—
! "'So
Mileage:
SAMPLEMidbiff�� NOTE: ALL COOLERS SHOULD BE TAPED SHUT
CUSTODY 89ALS FPR TRANSPO TI N T THE LABORATORY A No
,
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC
UNTIL RECEIVED THE LABORATORY. r
V
I�
O Fed Ex LI UPS O Handdelvered O Prism FieW Service U Other
NPQES: UST: CiROUNDWATi=R:- DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL II
OTHER;
'
WER
❑❑NC75Cl ❑SC� QSC I oNC ISC
0NC ❑SC I NC SC ONC 11SCI0NC ❑SC!
[INC ❑SC
r
ONC ❑❑NC
J `CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Tefton-Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

0
Tyson
June 7, 2018
North Carolina Department of Environment, Health and Natural Resources
���;�
Division of Water Quality
Attn: DWQ Central Files
� a ��1�
1UN
ervice Center
CTION
Raleigh,1617 NCil
27694 1617
Subject: General Permit No
Tyson Farms, Inc.
COC NCG060020
Wilkes County
Dear Madam or Sir:
NCG060000
- Wilkesboro Complex
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 Wilk — 01 and Wilk — 02 fecal 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.
Sincerely,
� i&Q"�\'
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 08 2018
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
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 21.66 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 50'
Within 6.0 — 9.0
120
30
1000
Soo
WILK - 01
05/16/2018
21
6.69
55
5.0
7000
NA
WILK - 02
05/16/2018
84
6.85
110
5.0
6000
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 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 ail/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
-
WILK - 01
05/16/2018
5.0
510
21
6.69
630
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 1.8, 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:
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
monitorina 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)
/8?
--- (� - K (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

Wilkesboro Storm Water Calu. Sheet
Date 05/16/2018
Rain Begin: 8:30 AM
Run off started 9:00 AM
Grab Samples: 9:00 AM
Rain at end of
Storm Event: 1.66
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = 1.66 " (Total)
C = 1.0
Q = 11.66/12)(140,800-7.5)11,000,000
0.146 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 1.66 " (Total)
C = 1.0
Q = 1.0(1.66112)(578,250"7.5)11,000,000
0.600 MG

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit:bttp:.I./12grtal.nLAUr.org/`web/wq/wa/sulnpdessw#tab-4
Permit No: N C G 6 0 0 0 0 or Certificate of Coverage No. NLC/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 05/16/2018
Time of Inspection: q'.bo lam
Total Event Precipitation (inches): 1.66
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
LJ 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.
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
I 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:
J � _ () !fin n
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No.%�j t LV,- Dl Structure (pipe, ditch, etc.) Receiving Stream. \-XA 1201eJ --
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: , U, csh
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ At) 1%1(- _
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 b2 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
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"Na�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http:.Z jport l�s r.org/web/wq/wsl�uinpdessw#tab-4
Permit No: N/C/G/0/6/0101010 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: OS/16/2018
Time of Inspection: 9', to Farb
Total Event Precipitation (inches): 1.66
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
M11"Y'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.
t
f
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
Irepresentative 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:
K j�z_ 04-1�L"
(Signature of Permittee or Designee)
Pagel of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
outfall No. %01- 0!1 Structure (pipe, ditch, etc.)
Receiving Stream: u 1\ Sta MuJ -Tc "AbkVc:j a C,&b_i_c Gem.
Describe the industrial activities that occur within the outfall drainage area: CL—gL11 W W't
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L' - t
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ IN04c,
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 [ 3 4 5
7. Is there any foam in the stormwater discharge? Yes
a. Is there an oil sheen in the stormwater discharge? Yes lL�
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

.PRISM
��.�l.ABORAioRIE$ INC.
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
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: 8050295
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.
o'�/vu-�ce���✓
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Jackie Ziner For 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] - Toll Free Number: 1-8001629.6364 - Fax: [phone] Page 1 of 571

AP —RI S M I Full -Service Analytical a
Environmental Solutions
�lusow�msies iryc
Sample Receipt Summary
06/01 /2018
Prism Work Order: 8050295
Client Sample ID
Lab Sample ID
Matrix
Date Sampled
Date Received
Stormwater Wilk-01
8050295-01
Water
05/16/18
05/16/18
Stormwater Wilk-02
8050295-02
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.
"9 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 5

ISM Laboratory Report
t1-'a..._l Fulleg Analytical &
Environmental Solutions 0610112018
'Ji.�mn�TOAiES. iHc
Tyson Farms, Inc. -Wilkesboro, NC Project: Stonmwater Client Sample ID: Stormwater Wilk-01
Attn: James Brown Prism Sample ID: 8050295-01
704 Factory Street Prism Work Order: 8050295
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/16/18 09:00
Time Submitted: 05/16/18 16:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
General Chemistry Parameters
Chemical Oxygen Demand
55
mg1L
50
17 1
"SM5220 D
5125118 13:38
SLS
P8E0541
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.1 1
'1664B
5129118 11:42
SLS
P8EO568
Total Suspended Solids
21
mg1L
8.3
0,40 1
'SM2540 D
5122118 15:11
CBP
POE0469
Microbiological Parameters
Fecal Coliforms
7000
CFU1100 ml
2
1
`SM9222 D
5116118 16:56
BMS
PBE0375
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: 1.800/529-6364 - Fax: [phone] Page 3 of rJ

Laboratory Report
APEJR ISM Full -Service Analytical06/01/2018
1\..71 V 1Environmental Solutions=✓L4aONAToalu inn
Tyson Farms, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-02
Attn: James Brown Prism Sample ID: 8050295-02
704 Factory Street Prism Work Order: 8050295
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/16/18 09:10
Time Submitted: 05/16/18 16:40
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis
Analyst
Batch
Limit
Factor
DateMme
ID
General Chemistry Parameters
Chemical Oxygen Demand
110
mg1L
5o
17
1
"SM5220 D
5125118 13:38
SLS
P8E0541
Oil & Grease (HEM)
BRL
mg1L
5.0
1.8
1
16646
5129118 11A2
SLS
P8E6567
Total Suspended Solids
84
mg1L
8.3
0.40
1
'SM2540 D
5122118 15:11
COP
P8Eo459
Microbiological Parameters
Fecal Coliforms
6000
CFU1100 ml
2
1
"SM9222 D
5116118 16:56
BMS
P8E0375
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240S43 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.800/529-6364 - Fax: [phone] Page 4 of 5

Ris M Full -Service Analytical 8
Environmental Solutions
,n
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] Fax: �70WS254409
Client Company Name. YQsti+rLS , INC—
Report To/Contact Name: tYLG t tv�✓ n
ReportingAddressr'iat{ t�RL-1et•"�ttc•{
CHAIN OF CUSTODY RECORD
PAGE OF _ QUOTE 0 TO ENSURE PROPER BILLING:
Project Name:
Short Hold Analysis: (Yes) (No) LIST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions andlor QC Requirements
Invoice To:
Address:
Samples INTACT upon arrival?
Received ON WET ICE?
PROPER PRESERVATIVES Indicated?
Received WITHIN HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLATILES rec d WlOUT HEADSPACE?
PROPER CONTAINERS used?
TEMP: Therm 019_ Observe
YES NO
{-Z
u7
O
u,
Phone: • & i_.51-1JS_gJ- Fax (Yes) (No): 4•�t.34b�
Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: - n.
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days El Days ❑ 5 Days
Certification: NELAC DOD FL NC
EDD -- GExc l :-Other
Type: PDF
"Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ P� Work Be
Site Location Name :
�.Sd�La� Samples received after 14:00 will 6e processed next business day.
SC OTHER NIA
Site Location Physical Address: fibKe r y S'�I tat Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES— NO
(SEE REVERSE FOR TERNS E CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sampte Iced Upon Collection: YES— NO
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PR -
ANALYSIS REQUESTEDGLI!
PRISM
'TYPE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
ARY
WATER OR
TNES
REMARKS
ID NO.
HOURS
SLUDGE)
SEE BELOW
NO.
SIZE
// /J/ ///
5W t,J:lk- m
15-It,- li
I a-x f m
,�
I�
so
> .so4
4D
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LIwo
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SDbb
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bii�
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G��1.�f (,•�GT-tls.ra
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W;Ik-d.
15-Ib�l$
q� {0 am
w
1
50
� I�aso►�
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-
—
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IDou
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jfSS
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f
I
I
I
I
Sampler's Signature Sampled By (Print Name) 7Q me-C. h Affiliation
Upon relinquishing, this Chiln of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be PRISM USE ONLY
syMpitted In writing X the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Additional Comments: Site Arrival Time:
eunqui y: (Sr9n io Rwei
By: (Signature) Data Site Departure Time:
Field Tech Fee:
ROW14uKhed by. (Srg ) R0CatVGd_fer1Msrn Lab=io[ eR BY. Dale
Mileage:
Mebr d of Shipmenl: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPFUSHUrWITH
WSTODYFORTRAN RTATION TO THE LABORATORY. C C G No.
• SAMPLES ARE NOTACCEPTED AND VERIFIED AGAINST COC
UNTIL RECEIVED AT THE LABORATORY. q r [1 r
❑ Fed Fx ❑ UPS O Hand -delivered Field Service ti Other
�r�
J L�I1J
I/lJl
TER. DRINKING❑ E LANDFILL❑
f
CATER:
0 NC ❑ SC 0 NC 0 SC I a❑ NC ❑ SCI t] N
❑ NC ❑ SCSOLID
I ❑ NBC 0 SC l NC ❑ SC ❑ NC SC NC ❑ SC
l n
`CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Limed Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

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
Lvov �Jv z
Subject: General Permit No. NCG060000 CCU 72017
Tyson Farms. Inc. - Wilkesboro Complex C��� �
COC NCG060020 �1
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 Period 2 semi-annual monitoring. Data receive for
PRISM labs indicated Wilk — 01 fecal parameters was above the benchmark.
Tier 2 requirements has been met for Wilk -02. Based on our records three consecutive sample
results are below the benchmark values or within benchmark range monthly monitoring.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
^wrwmatPr^.f ce::cern
Y � '
Please contact me at 336- 838- 2171, extension 2871 should you have any questions.
Sincerely,
1�
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. NCG060020 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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 roinfoll z .15 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
-
100or504
Within 6.0 — 9.0
120
30
1000
500
W I LK - 01
10/13/2017
27
7.12
50
5.0
2000
NA
W I LK - 02
10/13/2017
54
7.17
50
5.0
1000
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 2ny 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.
(ides, 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
-
WILK - 01
10/13/2017
5.0
5.0
27
7.12
630
f 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 AAND 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 on 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) ta:
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 Perm
/0-10-/7
(Date)
Additionai copies of this form may be downloaded at: http!Hportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

A�A
NCDENR
Stormwater Discharge Outfall
(SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:/Iportal.ncdenr.orgZweb/wq/ws/su/ni2dessw#tab-4
Permit No: NICIG10161010/010 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: Tames Brown
Date of Inspection: 10/13/2017
Time of Inspection: Q'. av -AM
Total Event Precipitation (inches):.15
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the
permit? (See information below.)
21"Yes - ❑ No
Please verifij 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 signatuW, I certify that this r ort 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 Description:
Outfall No.\l J& a f Structure (pipe, ditch, etc.)
Receiving Stream: LIr11 Gl1?1eA c- wAnN -o � Qxee-V-,
Describe the industrial activities that occur within the outfall drainage area: •VkauL ACC.*
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L.ShA
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ (]br• _ _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 69 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 (50
8. Is there an oil sheen in the stormwater discharge? Yes &
9. Is there evidence of erosion or deposition at the outfall? Yes
Ia. 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

YA
NCDENR
Stormwater Discharge Outfall
(SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://12ortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: Tames Brown
Date of Inspection: 10/13/2017
Time of Inspection: C1". 10 Asn
Total Event Precipitation (inches):.15
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the
permit? (See information below.)
LEI 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
0.1 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)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. lC,- b Structure (pipe, ditch, etc.) _q "Pe-
Receiving Stream: \Vlamea�' �'A-o C�:O, CCc.c*,
Describe the industrial activities that occur within the outfall drainage area:�Q��
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �--� SV\ 4-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): \N`t)INt
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 2� 3 4 5
G. 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 15' 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. Is there an oiI 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: V
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 10/25/20I2

Wilkesboro Storm Water Calu. Sheet
Date 10/13/2017
Rain Begin: 8:30 AM
Run off started 9:00 AM
Grab Samples: 9:00 AM
Rain at end of
Storm Event: 0.15
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = .15 " (Total)
C = 1.0
Q = 1.0(.15112)(140,800-7.5)11,000,000
0.013 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .05 " (Total)
C = 1.0
Q = 1.0(.15112)(578,250*7.5)11,000,000
0.054 MG

Case Narrative
R ISM
®QLABORATGAIES, INC.
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Storrrlwater
Lab Submittal Date: 10/13/2017
Prism Work Order: 7100273
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. 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 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 1 of 5

n,
Full -Service Analytical a
- ISM I Environmental solutions
.N VLM)004 IEa INC.
Sample Receipt Summary
10/27/2017
Prism Work Order: 7100273
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk-01
7100273-01 Water 10/13/17 10/13/17
Stormwater Wilk-02 7100273-02 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.
"9 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 5

cal
IEB, Full-$Brviea s
Laboratory Report
Einmental Solutions
�SM 10/27/2p17
ING
Tyson Farms, Inc. -Wilkesboro, NC
Attn: James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater Client Sample ID: Stormwater Wilk-01
Prism Sample ID: 7100273-01
Prism Work Order: 7100273
Sample Matrix: Water Time Collected: 10/13/17 09:00
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
mg/L
50
17 1 'SM5220 D
10/18/17 10:00
BMS
P7J0302
Oil 8 Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.1 1 '1664B
10/23/17 10:09
SLS
137J0434
Total Suspended Solids
27
mg/L
8.3
0.40 1 `SM2540 D
10/17117 11:44
SLS
P7J0295
Microbiological Parameters
Fecal Coliforms
2000
CFU/100 ml
2
1 'SM9222 D
10/13117 12:29
EGC
P7J0261
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 3 of 5

Lc:.
Full -Service Analytical &
Environmental Solutions
vL'E%'�
Laboratory Report
10/27/2017
Tyson Farms, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-02
Attn: James Brown Prism Sample ID: 7100273-02
704 Factory Street Prism Work Order: 7100273
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 10/13/17 09:10
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
mg/L
50
17 1 "SM5220 D
10/18/17 10:00
BMS
P7J0302
Oil & Grease (HEM)
BRL
mg1L
5.0
0.98 1 '1664B
10/23/17 10:09
SLS
P7J0433
Total Suspended Solids
54
mg1L
8.3
0.40 1 'SM2540 D
10117/17 11:44
SLS
P7J0295
Microbiological Parameters
Fecal Coliforms
1000
CFU1100 ml
2
1 'SM9222 D
10/13117 12:29
EGC
P7J0261
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 4 of 5

Full -Service Analytical &
On I S M I Environmental Solutions
�i vLASOSATORILS, INC-
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] • Fax: 704152"409
Client Company Name
Report To/Contact Name:
Reporting Address:'iA bt �tr1D
,Z:CKcdbotvAC, SI$barl
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 11 III IV)
provisions andlor QC Requirements
Invoice To:
Address:
Phone: 34. Fax (Yes) (No): 1Zt. 3%,11
Purchase Order No.lBiiling Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: Agmc,6. S
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DoD
FL NC
EDD type: PDF__Z Excel4 Other
"Working Days" ❑ 5-9 Days ❑ Standard 10 days ❑ Pre RushMust Be
Site Location Name: Sr
Samples received after 14:00 will be processed next business day.
SC OTHER
N/A
Site Location Physical Address:lbitk r_-Omm Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO —
(SEE REVERSE FOR TERMS & CONDrrIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
on Collection: YES
Sample 1 Iced Upon
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
111Z
ID NO.
HOURS
SLUDGE)
SEE BELOW
b pJ0 t G`
to-ts- Vill
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VoLAru
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t,UobNlt;
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10_15-vlk�%Iblkm
VA44
W�ku
1
W00
Sampler's Signature Sampled By
(Print Name) Affiliation
Upon relinquishing, thit Chain of Custody is your authorization for PrIsr546`p`rdveed with the analyses as requested above. Any changes must be
submit;sd riting to the Prism Project Manager. There wilt be charg for any hanges after analyses have been initialized.
Re inq shed By: SignatureRecell By: (Signatur) 01e Military/Hours Additional Comments:
! ^�ISB ArrlGal Tlme
Relinquishe y: (Signature) Recei
d By: ISi azure Da a
F1.,:j:'<
_Slte�taepBriUTe�71fY19,i
:_
Relinquished By: Ignaturo ecP
For m be or as By: Date
Field fedhfee ` 7
ih t Y u
eti ad of Shipment; N : ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODYSEALS FOR TRAN§PORTATION TO THE LABORATORY. COG
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC
UNTIL RE IVED AT THE LAB RATORY.
❑ Fed Ex ❑ UPS 0 Hand -delivered ❑ Prism Field Service OOther
L �,G 73
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
• '
ONC❑SC ❑NC ❑SC El NC El SC ❑NC LISC
❑NC ❑SC ❑NC❑SC ❑NC ❑SC El NC ❑SC ❑NC ❑SC
. .
❑ I a ❑ ❑ Cl
❑ ❑ ❑ ❑ ❑
n:�IC�IIVaI
"CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

0
Tyson Foods, Inc.
October 9, 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
RECEIVED
Subject: General Permit No. NCG060000 OCT 17 2017
Tyson Farms Inc. EN RAL FILES
COC NCG060020 SECTION
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month of September 2017 due
to dry weather.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should 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 9, 2017,
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
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 o 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 mi
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0-9.0
120
30
1000
500
WILK -02
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.
(ff 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.
2The 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 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 FAOLITY 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, includinq 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: '
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 2762Li1 7
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 I
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." I
-KNll-�� -
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
r
I
SWU-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: September 8, 2017
CERTIFICATE OF COVERAGE NO`NCG06002Q SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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
TotoI event roinfo 11 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 Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
WILK -02
NA
NA
'Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies
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.
1.;
!
cn -
Z� :V
(ifyes con�ete
as -�
aP rt B)
L3
y ,
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.
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.
SWU-249 Last Revised: October 18, 2012
Page I of 2

i
I
'See Generial Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR, T A AND PART B MONITORING RESULTS:
• NBENCHMARK 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:
i
i
Mail an!ori inal and one co of this DMR including all "No Discharge' reports, within 30 days ot receipt of the lab results Lor at end of monitoring
period in the case of "No Discharae" rer)orts) to:
Division of Water Quality
Attm 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. 1 am aware that there are significant penalties for submitting false information,
includifng the possibility of fines and imprisonment for knowing violations."
(Signalure of Permittee)
I
q- 5-17
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsu/npdessw#tab-4
i
SVVU-249
I
Last Revised: October 18, 2012
Page 2 of 2

Sept 8, 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.
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Project for the Co2 tank placement contractors found storm drain that has partly collapsed so
they have been in the process of replacing the Storm water pipe that feeds Wilk- 02 therefore no
sample has been collected for month of August. Project should be completed by mid — Sept
2017.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should 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

4
1 Tyson Foods, Inc.
July 28, 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. 'IF/ V
COC NCG060020�
Wilkes County CF OF Z01Z
DwR k F/LES
Dear Madam or Sir: d�
Enclosed are two copies of the required storm water sampling results for the outfalls covered
under the above subject permit and certificate of coverage.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
During a project involving CO2 tank placement, contractors found a storm drain that had
partially collapsed. We are in the process of replacing the storm water pipe that feeds Wilk- 02;
therefore, no samples have been collected for month of June and July. The project should be
completed by mid — August 2017.
Tyson has made significant improvements to reduce the concentrations of the parameters of
concern.
Please contact me at 336- 838- 2171, extension 3836 should you have any questions.
Sincerely,
h4 ul-��
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: July 31, 2017
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? DYES ®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' 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
WILK -02
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
is
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.
SWI "249 Last Revised: October 18, 2012
Page 1 of 2

rj
°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 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 DMRt 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 of Permittee)
_1
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sulnpdessw#tab-4
S WIJ-249
Last Revised: October 18, 2012
Page 2 of 2

10 Tyson Foods, Inc.
June 5, 2017
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center RECEIVED
Raleigh, NC 27699-1617
J�IR� i f CU17
Subject: General Permit No. NCG060000 CENTRAL FILES
Tyson Farms Inc. DV11R SECTION}
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria for the month of May 2017 due to
excessive storms and weekend rain events. '
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should 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: June 5, 2017
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2027
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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' 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
WILK -02
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.
(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
1S
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 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 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 DM& 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 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

Tyson Foods, Inc.
April 24, 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
Tyson Farms. Inc.
COC NCG060020
Wilkes County
Dear Madam or Sir:
NCG060000
- Wilkesboro Complex
REEC EiVED
MAY 01 Z017
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 Foods, Inc. Storm water sampling 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
parameter of concern.
Please contact me at 336- 838- 2171, extension 2817should you have any questions.
Sincerely.
/�• �%�
lam"
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: April 24, 2017
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
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 1.35 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 50"
Within 6.0 — 9.0
120
30
1000
500
WILK - 01
4/3/2017
35
6.3
56
5.0
10
NA
WILK - 02
4/3/2017
60
6.2
50
5.0
10
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.
Km, complete Part 8)
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
-
WILK - 01
4/3/2017
5.0
5.0
35
6.3
630
' 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 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 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 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 co o this DAM including all "No Dischar e" reports, within 30 days of receipt of the lab results tor at end o
monitoring period in the case o "No Dischar e" 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)
.4-au-Il
(Date)
Additional copies of this form may be downloaded at: http:l/portal.ncdenr.org/web/wq/­`ws/sulni)dessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 4/3/2017
Rain Begin: 1:00 PM Lightoffandon
Run off started 3:00 PM
Grab Samples: 3:30 PM
Rain at end of
Storm Event: 1.35
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = 1.35 " (Total)
C = 1.0
Q = 1.0(1.35/12)(140,800"7.5)/1,000,000
0.119 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 1.35 " (Total)
C = 1.0
Q = 1.0(1.35/12)(578,250"7.5)/1,000,000
0.488 MG

AQ=
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: http /Iportal.ncdenr.or2/web/w!jf wsisu/nl2dessw#tab-4
Permit No: NC/G/016/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/01012/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 4/3/2017
Time of Inspection: 3. So Pm
Total Event Precipitation (inches): 1.35
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" (req uiremen ts 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,'] certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
5Wu-242, Last modified 10/25/2012

1. Outfall Description:
0utfaII No. 11 - D 1 Structure (pipe, ditch, etc.) q�
Receiving Stream: UAarneZ -Ct-.64A oy4v CQsrtu
Describe the industrial activities that occur within the outfall drainage area: r-'Aaul- Aran
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L:cti,k
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Y%onf-
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 �7 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
B. Is there an oil sheen in the stormwater discharge? Yes 1�
9. Is there evidence of erosion or deposition at the outfall? �4 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

LIT W-V WA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http:,((portal,ncdenr.org/web/wgf wsf su/nRdessw#tab-4
Permit No: iy CJG/0/6/0/0/0/0 or Certificate of Coverage No. N C G 0 6 0 0 2 0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 4/3/2017
Time of Inspection: 3:45,9rn
Total Event Precipitation (inches): 1.3S
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
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, Iicertify that this repaft is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Cast modified 10/25/2012

1. Outfall Description:
Outfall No. W.IK- to Structure (pipe, ditch, etc.) -Plpr,
Receiving Stream: 11n4xmrri Zr ;bu}Lr� +r, C:, b Cjgt & IL _
Describe the industrial activities that occur within the outfall drainage area: OfFa,L , W1+T 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.): _ . (W At
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 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
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, East modified 10/25/2012

n�
RR I S M
QLAeORATORiES, ING
Full -Service Analytical &
Environmental Solutions
Tyson Farms, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 04/04/2017
Prism Work Order: 7040063
Case Narrative
04/ 1912017
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:
" ('0 66a_-.�
Reviewed By Terri W. Cole
Project Manager
HT Sample received and analyzed outside of the hold time.
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: 1-800IS29.6364 - Fax: [phone] Page 1 of 5

P�,"R— I C ^ /� I EunviService Analytical
J' V' Environmental Solutions
'��+eawaoniu irlc.
Sample Receipt Summary
04/19/2017
Prism Work Order: 7040063
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk-01
Stormwater Wilk-02
7040063-01 Water 04/03/17 04/04/17
7040063-02 Water 04/03/17 04/04/17
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 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 704152M364 - Toll Free Number: 1-8001529-0364 - Fax: [phone] Page 2 of 5

Full -Service Analytical &
Ell P R I S M I Environmental Solutions
g�.00n..rweiEa inc
Tysan Farms, Inc. -Wilkesboro, NC Project: Stormwater
Aftn: James Brown
704 Factory Street
Wilkesboro, NC 28697 Sample Matrix: Water
Laboratory Report
04119t2017
Client Sample ID: Stormwater Wilk-01
Prism Sample ID: 7040063-01
Prism Work Order: 7040063
Time Collected: 04/03/17 15:30
Time Submitted: 04/04/17 13:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/-Nme ID
General Chemistry Parameters
Chemical Oxygen Demand
56
mg1L
So
14 1
'SM5220 D
4110117 9:20
BIJIS
P7D0117
Oil & Grease (SGT-HEM)
BRLOG
mg1L
5.0
1.1 1
'1664B
4/12117 10:26
TJY
P7D0187
Total Suspended Solids
35
mg1L
8.3
0.80 1
'SM2540 D
416117 11:18
SLS
P7D0079
Microbiological Parameters
Fecal Colitorms
BRLHT
CFU1100 ml
10
1
SM9222 D
414117 14:24
EGC
P71D0108
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 5

e
�.\ Laboratory Report
FPR I S M Fun -Service Analytical Environmental Solutions 04/19/2417
vueauronica 1 c
Tyson Farms, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-02
Attn: James Brown Prism Sample ID: 7040063-02
704 Factory Street Prism Work Order: 7040063
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 04/03/17 15:45
Time Submitted: 04/04/17 13:40
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
4/10/17 9:20
BMS
P7D0117
Oil & Grease (HEM)
BRL
mg1L
5.0
1.0
1
'1664B
4112J17 10:50
TJY
P7D0186
Total Suspended Solids
60
mg1L
6.0
0.80
1
'SM2540 D
416117 11:18
SLS
P71D0079
Microbiological Parameters
Fecal Coliforms
BRLHT
CFUI100 ml
10
1
'SM9222 D
414117 14:24
EGC
P7D0106
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 4 of 5

,'{:rf;•}r•4}}}Yf9L .,_X1Xe-2:...,,,X...��......�.-..,..........._..._. _........... ...._....-..._..._.. �..�._...__ _.......:=.t_v_....._.__..._: d:.._u�a__...0 �......�.......
Full -Service Analytical &
CHAIN OF CUSTODY RECORD
;: Pow
AR
Ism Environmental Solutions PAGE_ OF _ OUOTE 0 TO ENSURE PROPER SILUNOr
. ffi
YLABMATOn1E5. 1NC
Project Name: _
449 Springbrook Rqad • Charlotte, NC 28217
Short Hold Analysis: (Yes) (No) UST Project. (Yes) (NO)
)Phony7041529-6364 - Fax:[phone]
Client Company Name-.1Y1 'Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV)
provisions and/or QC Requirements
Report To/Contact Name: r_rdwri Invoice To:
Reporting Address: a r Address:
wi /I 19 I.,q rI
Phone; .1o5j.;6t5&& Fax (Yes) (No): 3J4s-,-5tr 3n`J
purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: Aaffics .5, ewln O
►sn
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC_ DOD FL NC
EDD Type: PDF -Excel Other
"Working Days" U 6-9 Days ❑ Standard 10 days U PreSApproveMdusl Be
Fa,r
SC OTHER NIA
Site Location Name: w s.., :ItiC.
Samples received after 14:00 will be processed next business day.
Site Location Physical Address: -1bq
It 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
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA-
ANALYSIS REQUESTED
PRISM
`TYPE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
REMARKS
LAB
[D NO.
HOURS
SLUDGE)
SEE BELOW
NO.
51ZE
t M W44 of
01 q-3-11 t5:30 w, ., I aso 41-5.4 UCA
? ! too b nbnG TS5
WaL�u C 5 i doh 1�C (.. it G nrri�-t°�ok l �r.� - i�cm �1� A"
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►has-��i
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jACI`
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n�sv
6COL�e
L
I!
�jal1115
Sampler's Signature
Sampled By (Print Name) iJCb."M
Affliation
Upon relinquishing, this khain of Custody is your authorization
for Prism to proceed with the analyses as requested above. Any changes must be
:?
'i
submitted in writing to the Prism Project Manager. There will be chyme es-ie c es after analyses have been initialized.
%5
Reln uis a y: nature
ve y: a
Date
k4liarylHour9
Additional Comments:
AI
Relinquished By: (Signature) f
(Signalurel
Date
�,Relinquishegyr(Signature)
=or
P bor s By
oe
Date
;G
fir
f3 i10
;t
Metho ipment: OTE: ALL SAMPLE COOLERS SHDULD BE
TAPED SHUT W STOOY SEA —IS FOR TRANSPORTATION TO THE LABORATORY, COC Group Na.
SAMPLES ARE NOT ACCEPTED AND VERIFIED
AGAINST UNTIL RECEIVED AT THE LABORATORY.
❑ F ❑ UPS ❑ Nand -delivered 1 Prism Field Service
❑ Other
NPDES: ' UST: GROUNDWATER:
DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
❑NC❑SC� ❑NC El SC QNC ❑SC
❑NC ❑SC ❑NC ❑SC
❑NCUSC ❑NC El SC ❑NC ❑SC ❑NC ❑SC
r-1f;1af r es. i+ A t v
Site Arrival lime "y ;
+Slta,QepartcrresTirne �'� ° ` - �,
I=rgld Tech Fee, f
Mileage , r n
ORIGINAL
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

100 Tyson Foods, Inc.
April 10, 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.
COC NCG050020 ����1V�®
Wilkes County
APR 18 2017
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria for the month of March 2017 due to
mostly dry weather and weekend rain events.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should 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. NCGO6000O
Date submitted: April_1.0, 2017
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
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 'or ONo 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
Enterococci',
Colonies per 100 mi
Benchmark
-
100 or 504
Within 6.0 —9.0
120
30
1000
500
WILK -02
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.
' 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
-
' 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 air 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 iREQUIREMENTS. SEE PERMIT PART it 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 on inal and one copv of this DMR including all "No Dischar e" 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)
Ay-10-I-?
(Date)
Additional copies of this form may be downloaded at: htti)://portal.ncdenr.-Qrg/web/wq/ws/su/npde.ssw#tab-4
. -SV'U-249
Last Revised: October 18, 2012
Page 2 of 2

Tyson Foods, Inc.
March 6, 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
RECEIVED
Subject: General Permit No. NCG060000
MR 2 1 20V
Tyson Farms Inc.
COC NCG060020 CENTRAL FILES
Wilkes County DWR SECTION
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month of February 2017 due to
dry weather.
Tyson Foods. Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should you have any questions.
Sin�cJer�elly,
f- C
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
a Date submitted: March 6.2017
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
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' or D o 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 mi
Enterococcii,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
WILK -02
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.
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/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 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 aN "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 of Permittee)
S-4-C7
(Date)
Additional copies of this form may be downloaded at: http://partal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
r.j
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

STORMWATER DISCH
MONITORI
Permit Number: NC !�' 1) (' 1)0,0 o or
Certificate of Coverage Number: NCG Q (o 0 n Z 4
FACILITY NAME
PERSON COLLECTIN SAMPLES)
CERTIFIED LABORATORY(S) Gin. Lab # 2,0
Lab #
Part A: Specific Monitoring Requirements
ARGE 0UTFALL (SDO)
NC REPORT
SAMPLES COLLECTED DURING CALENDAR YEAkR: a2�%S
(This monitoring report shall be received b}'the Divisio o later tha days from
the date the facility receives the sa pling resu is from the laboratory.)
COUNTY _
PHONE NO. cST - r'Zlo D Z
(SIGNATURE OF, L-OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
DDp
'Total
Flow
P
S.
moldd/yr
MG
F
D
L.
V7 RAl ;zn
uv
rK �EC:Ttr'ini'
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes veno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
Oil and
Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
m g/l'
m ,/l
unit
gallmo
D
•o-z � �
D
lD-.2 - /u
f
Az Ur-0
/f -.Z �/�
Form SWU-246-051100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 4! �r
Total Event Precipitation (inches): 1,70
Event Duration (hours): �cs
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the s ilit of fines and imprisonment for knowing violations."
- . 1
Si nat ermittec (Date)
Form SWU-246-051100
Page 2 of 2

P�
PROM PT•ACCURATE• RELIABLE
LABORATORIES, INC
WWW.PARLABS.COA1
REPORT OF ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: OCT 15
DATE: 11/04/15
SAMPLE NUMBER- 121170 SAMPLE ID- TYH STORMWATER
DATE SAMPLED- 10/27/15
DATE RECEIVED- 10/30/15 SAMPLER- MC
TIME RECEIVED- 1215 DELIVERED BY- CM
Page 1 of 1
SAMPLE MATRIX- WW
TIME SAMPLED- 1350
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSES
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VAIUE
SM 450OH-B
10/27/15
1550
MC
6.31
units
CHEM.OXY.DEMAND
EPA 410.4
11/02/15
1220
CT
52
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
11/02/15
0820
DJ
7.2
mg/L
LABORATORY DIRECTOR �?
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

PAR CHAIN OF CUSTODY
L4BORArORrEs.1NC. PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is essential that all information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources.
Company Name (billing) TYSON FOODS CommentslSpecial Instructions
Address
501 Sheffield Road
City, State & Zip Code
Harmony, NC 28634
Point of Contact & Telephone Number
Mike Campbell 704-546-2602 ext:236
.70111PIG Ld RCII Ujf. 1 rW442—
IS THIS FOR STATE or EPA REPORTING? YES _X_ NO
*Sample type: DW WW _ X GWMW HW Soil Other _SW
Sample Temp upon receipt: °C
"Preserved: Yes _X_ No Teflon Liner/ Zero Headspace: Yes ____ No _ N/A
Client Sample I.D.
(Sample Location 1 Number) { Temp Degree)
Comp
Grab
Preserv,
Set Up
Date/Time
Collection
Daterrime
Analyses
Requested
Stormwater
X
/Q--I 7-iS
T55
X
H2504r
la- 27-/S
Cod
Ph
I
Relinquished by: Date/ I ime Received by: Date/Time
D—
MDatelTime Received by: DatelTime �
�c Agr^3D` ' & /j" GD --�'o l 5—/ /Z( 5
C=Composite CPGrab DW=Drinking Water WW=Wastowater GWMW=Groundwater Monitoring Wpfl HW=Hazardous Waste **See
Other Side

ATT : Central Files
D.E.H.N.R.
N.C. Division Of Water Quality
1617 Mail Service Center
Raleigh ,N.C. 27699-1617
Subject : General Permit No. NCG 060000
Tyson Foods NCG 060022
Iredell County
Dear Madam or Sir
11-11-15
RECEIVE[)
NOV I $ 2t
CENTRAL FILE,
DWR SECTION
RECEIVED
Nov 18 Z015
L FILES
E)WR F-NTSECTION
Enclosed are two copies of the required storm water sampling results for the outfall
Har-301 covered under the above subject permit and certificate coverage.
Please contact me at 704-546-2602 ext. 236, should you have any questions.
Sincerely,
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

Rain began : 1509 PM 10-27-15
Rain Guage @ 0.01 : 1524 PM
Grab sample = # 3 outfall : 1540 PM
Rain at end of storm event : 1.70 inches
Rain stopped at 0630 AM 10-28-15
Sampling Point # 3 : Drainage Area = 1.0
Q = CIA
I = 1.70 in.
C = 1.0
Q = 0.074 mg

IV Tyson Foods, Inc.
January 7, 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.
COC.NCG060020 ��C
Wilkes County 2017
VEB
Tom'-" V4
Dear Madam or Sir: �WR 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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month'of January 2017
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3836 should 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 Qualitv General Permit No. NCG060000
Date submitted: February 7.2017
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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 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
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
WILK -02
NA
NA
1 Only applies to facilities that use/process meats. F �'
2 The total precipitation must be recorded using data from an on -site rain gauge. �� 6 2d!%
aFor sampling periods with no discharge at anyoutfalls. You must still submit this discharge monitoring report with a checkm . Fl
See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective I djl"q t�efss.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no (if M, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
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.
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.
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 EXCEEDANCE TRIGGERS TIER 11REQUIREMENTS. 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 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 (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 of Permittee)
- �2 -?,/�
(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

4
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: January 9, 2017
CERTIFICATE OF COVERAGE NO. NCG060020 RECEIVED
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex _ JAN I Z(J
COUNTY Wilkes` `" CENTRAL FILES
PERSON COLLECTING SAMPLES James Brown DWR SECTION
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
W DISCHARGING TO'SALTATERS? [—]YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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 Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or So"
Within 6.0 — 9.0
120
30
1000
500
WILK -02
5
1
r----
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.
(ff 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 501
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
'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 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 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 lob results Lr 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."
(Signature of Permittee)
/-i0-/2
(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

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Qualitv General Permit No. NCG060000
Date submitted: December 6, 2016
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson_ Farms Inc.
Wilkesboro Complex RECEIVED
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown i- l• 12 ZU16
LABORATORY Prism Labs Lab Cert. # 402 C.-ENTIAL FILES
E�'R SECTION
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 -->
Total event rainfall' or RrNo 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
WILK -02
-. �.
NA
i `� v l "L
ILEs
' Only applies to facilities that use/process meats. — ..' ` o =V l i0N
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.
(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
-
' 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] 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 it 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 or at end o
monitoring period in the case of "No Discharge" reportsl 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."
14a
(Signature of Permittee)
/;;L-6-&
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wciLwsLsu/npdessw#tab-4
S W U-249 -
Last Revised: October 18, 2012
Page 2 of 2

%.Crs.1r`Ir-U IVIAILmi H M k
'
(Domestic Mail Only; No Jnsurance C
�I
For deffvery informalion visit our i4ebsite;
;i j... ; ;il}, I
r
Provided)
sps.comi'
r =1 r'q
ci o-------------
arpo
'1 S-- c
-.. �a
+...ni� ----
:,See Reverse for 1"sirocfion-�
■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front Itspace permits.
1 Article Addressed to:
V�i•rJ.bYi Cr- Wav a(ACv4 i�
i QX1 "',L 5u04:c-C C-e.VO,,Cr
Q'6te"Sr,)A '. az(jga-- <<.Iq
A. Signature
X El Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery '
D. Is deliveryaddress dWerent from Item 1? ❑ Yes
If YES, enter delivery address below: M No
3. Type ,
MterMed Mal" o Mail Express'
❑ Reglstetw! VIUWM Receipt for Merchandise
4. R Insured� A�Aaliivery? (Extral�) n Delivery❑ Yes
7011 0470 0001 0463 1797
Ps Form 3811, July2013 Domestic Return Receipt

� Tyson Foods, Inc.
October 10, 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 E r— D
ppT l 4 2016 General Permit No. NCG060000 CENTRAL FILES
Tyson Farms Inc. pwR SEC-flo''
COC NCG060020
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of September 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 `1-.e
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253 should 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 10, 2016
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
_ ® use/process meats ❑ use animal fats/byproducts
ReC 1 V ED DISCHARGING TO SALTWATERS? [—]YES ®NO
OCT 14 2016
CENTRAL FILES
Part A: Storm water Benchmarks and Monitoring Result),WR SECTION
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 Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
Soo
WILK -02
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 In
A 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
Ndn 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.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2ny 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 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 anginal 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 of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://p!2.rtal.ncdenr.org/web/wqlws/su/npdessw#tab-4
SWU-24y '
Last Revised: October 18, 2012
Page 2 of 2

RECEIVED
14t
Tyson Foods, Inc. OCT o 5 z� �b
CENTRAL FILES
©NCR SECTION
September 20, 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.
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month of August 2016
parameter for Fecal was above the benchmark
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,
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: September 20, 2016
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Tyson Farms Inc. f tn-� FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex MGEI V EV ® use/process meats [] use animal fats/byproducts
COUNTY Wilkes 2016 DISCHARGING TO SALTWATERS? [:]YES ®NO
PERSON COLLECTING SAMPLES James Brown OCT 4
LABORATORY Prism Labs Lab Cert. # 402 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
i]1NR SECTION
Part A: Storm water Benchmarks and Monitoring Results Total event rainfall z .20 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
WILK - 02
8/31/2016
6.6
6400
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 My 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)
Outfali 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
Pale 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 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 ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results tor 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, INC 27699-1617 it
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)
9-a6-14
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
S W U-249
Last Revised: October 13, 2012
Page 2 of 2 -

Date 8/31/2016
Rain Begin:
Grab Samples:
Rain at end of
Storm Event:
Sampling Point # 2
Wilkesboro Storm Water Catu. Sheet
6:30 PM Late afternoon thunder Storm
7:00 PM
0.20
Drainage Area = 578,250 Ft 2
Q = CIA
1 = .20 " (Total)
C = 1.0
Q = 1.0(.20/12)(578,250*7.5)/1,000,000
0.072 MG

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit., http://pQrtal.ncdenr.org/web/wg/­ws/sulnpdessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 8/31/2016
Time of Inspection:
Total Event Precipitation (inches)..20
RECE ED
OCT 05 2016
CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
&r'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:
/ /& „ n
(Signature of Permittee or Designee)
Pagel of 2
r w
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. o' Structure (pipe, ditch, etc.) —
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: QFFoa L cxAA U30- -r
V)CA" cCVL
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: VWV%?-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):y bw%t
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 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, here 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes AVq�
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? YesV'
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

1IV \
PnR I SM
®OLAWRATORIES, INC
Full -Service Analytical &
Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
�)L ('. 0 � b o�;-d
Iv
Project: Stormwater
Lab Submittal Date: 09/01/2016
Prism Work Order: 6090017
Case Narrative
09/ 15/2016
E V E 1 Y E D
OCT 052016
CENTRAL FILES
DWR SECTION
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
HT Sample received and analyzed outside of the hold time.
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: 1-800/529-6364 - Fax: [phone] Page 1 of 4

a
bp
rRISM
UIBOFAPAIES IBG
Full -Service Analytical &
Environmental Solutions
Sample Receipt Summary
09/1 s/2016
Prism Work Order: 6090017
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Slormwater Wilk-02
6090017-01 Water 08/31/16 09/01/16
Samples were received in good condition at 4.8 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
"9 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 2 of 4

aPER ISM
�rTueoniroAeea iec,
Full -Service Analytical 8
Environmental Solutions
Laboratory Report
09/15/2016
Tyson Foods, Inc. -Wilkesboro, NC
Attn: James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater Client Sample ID: Stormwater Wilk-02
Prism Sample ID: 6090017-01
Prism Work Order: 6090017
Sample Matrix: Water Time Collected: 08/31/16 19:00
Time Submitted: 09/01/16 18:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Microbiological Parameters
Fecal Coliforms 6400 HT CFU/100 ml 10 1 'SM9222 D 911116 18:02 EGC P610045
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 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone]
Page 3 of 4

Fu11-Service Analytical &
9 ;K ISM Environmental Solutions
LABORATORIES, INC.
449 Springbrook Road • Charlotte, NC 28217
Phone [phone]rA • Fax: 704152"409
Client Company Name: T-V1C.,
Report To/Contact Name: Vhns&old
Reporting Address: Jr-"c BrA
o"
CHAIN OF CUSTODY RECORD
PAGE_ OF QUOTE 2 TO ENSURE PROPER 81LL13MG;
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 111 III IV)
provisions and/or GIC Requirements
Invoice To:
Address:
Phone:'S �_��f �R'�L Fax (Yes} (No): jb(& .!n 5 i. S7Saa'( Purchase Order No./Billing Reference
Email Address: ��e5 . 5. br°t✓ri t �pA , 't-y1r1 Requested Due Date O 1 Day 0 2 Days ❑ 3 Days ❑ 4 Days 0 S Days
EDD Type: PDF_,�'kxc!q�O er "Working Days" ❑ 6-9 Days 0 Standard 10 days ❑ Pro-ApprovedhWork ust Be
Site Location Name: r G Samples received after 14:00 will be processed next business day.
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC DoD FL NC
SC OTHER NIA
Site Location Physical Address: ftA Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM IASORATORIES, INC. TO CLIENT)
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
LAB
ID NO.
'TYPE
SEE BELOW
NO.
SIZE
av*trt11,041✓(
iliq%0-0
Sampler's Signature Sampled By (Print Name) A(fliation
Upon relinquishing, this aln 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,
e In /shed y: ( Ignature) (Sig re) is
� t�
Military/ ours Additional Comments:
�
Site Arrival Time'..
� � J
J
y
Rettni y. (Sign r Rec ved By: (Signalur r Date
Site Departure TIme:- ,
R131r ed By: (Sigaatu ) Received F Y � Lab rles B '
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY S tS FOR TRANSPORTATION TO THE LABORATORY. C roup No.
'
Fleid'i'ech Fee:
M_ill;agt;:
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C NTIL RECEIVED AT THE LABORATORY. ( , }
�
L
❑ Fed Ex 0 UIIPS LI Hand -delivered risen Field Service ❑ Other _
TER: DRINKING
NPDES: I SOLID LANDFILL
C ❑ SWAYER: El NC ❑ SCE ❑ NRC ❑ SC ❑ NC ❑ SC ID NC EJ SC I
❑❑ NC ❑ SC El NC ❑ SC o N ❑ SC
❑TNC ❑ SC
`{
'CONTAINER TYPE CODES: A = Amher C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) nolr_tnt nI

1 Tyson Foods, Inc.
September 20, 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.
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month of August 2016
parameter for Fecal was above the benchmark
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,
/-�� czml�—
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. NCGO60000
Date submitted: September 20, 2016
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® 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 .20 or ❑ No discharge this period
Outfall No.
Sample Collected;
Mo./dd./yr.
7SS,
mg/L,
pH,
Standard units
COD,
. , m l.
Oil and Grease,
mg/L.
Fecal Collformi;
Colonies per,,100:ml .,
Enterococcil,
Colonies per 100 mi.,.
Benchmark
100 or 504
Within 6.0 - 9.0
.120 . '
30
1000
500
WILK - 02
8/31/2016
6.6
6400
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 )Ees, complete Part B)
Outfali 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 gny 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:
Mail an original -and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the !ab 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."
(Signature of IPermittee)
�-,;26- /6
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.oriz/web/wq/wslsu/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 8/31/2016
Rain Begin: 6:30 PM Late afterwon Thunder Storm
Grab Samples: 7:00 PM
Rain at end of
Storm Event: 0.20
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .20 " (Total)
C = 1.0
Q = 1.0(.20112)(578,250-7.5)11,000,000
0.072 MG

LWKWA
KJFA�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. hap-1 I portalmcdennorg/webJwq jwsIsu inVdeSsw#tab- 4
Permit No: N/CjG/0/6/0/0/0/0 or Certificate of Coverage No. NIfC/G/0/6/0/0/2/0
Facility Name: Tys_on Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 8/31/2016
Time of Inspection:
Total Event Precipitation (inches):.20
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.
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 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)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. :1 - 09 Structure (pipe, ditch, etc.) —�;12 -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: �Ea Lc&P.A l,C}-aslkl�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ytont
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): r b► t
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �1
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:
]� 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, here 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes c
B. 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

r. t
Pit R ISM
�PuBORn'torefES u+G
Full -Service Analytical &
Environmental Solutions
NC Certification No, 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Case Narrative
09/15/2016
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Lab Submittal Date: 09/01/2016
Prism Work Order: 6090017
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
HT Sample received and analyzed outside of the hold time.
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: f-800/529-6364 - Fax: [phone] Page 1 of 4

I I I J- - 1 • Y y 1 1\ V, V V 1. V V V V V I I
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk-02 6090017-01 Water 08/31/16 09/01/16
Samples were received in good condition at 4.8 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.

GFull• AnalyticalORR ISM I EnvironmeneSolutions
L-au%J1 alLv1 y rXtcIJvI L
09/15/2016
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-02
Attn: James Brown Prism Sample ID: 6090017-01
704 Factory Street Prism Work Order: 6090017
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 08/31/16 19:00
Time Submitted: 09/01/16 18:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datefrime ID
Microbiological Parameters
Fecal Coliforms 6400 HT CFU1100 ml 10 1 '5M9222 D 911116 18:02 EGC P610045
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 5pringbroolt Road - P.O. Box 24OW - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number. 1-8001629-6264 - Fax: 704152$-0409 Page 3 of 4

n���'/Ism
Y uaGnaroruEs INC.
Full -Service Analytical R
Environmental Solutions
CHAIN OF CUSTODY RECORD
PAOE_-._ OF _ QUOTE S TO ENSURE PROPER BILL NG:
Project Name: ^ Reeeivep VN YVIwf IGt 7 + Y v
"9 Springbrook Road • Charlotte, NC 28217
Phone 70a529 6364 Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) k PROBER PRESEi2V4TIVt<S Indicafed7 a,
Client Company Name: �nG "Please ATTACH any project specific reporting (QC LEVEL 111 ill N) g Rerelved WITtfIN�HOkt)ING TIl4AE ? : Il
provisions andlor QC Requirements db,st by;Y I ALS.INTACT?
Report To/Contact Name: t fnvolce 70: VC1LATlI &S.tecd W10XJT EiEAgsPACE? '
Reporting Address: c B pF�OPER P.gNTAINERS used?= -_
Address
W ay lrC�,Q��4�� ip� � IEMp .Tim
;observed � ;.'e / Garr��°C
Phone; r l�S t 4g L Fax (Yes) (No)� o Purchase Order No.Bliling Reference TO BE FILLED IN BY CLIENTISAMPLiNG PERSONNEL
Email Addrest3: Requested Due Date O 1 Day O 2 Days ❑ 3 Days 0 4 Days ❑ 5 Days
EDD Type, PDF ce er Rush Work Must Be Certification: NELAC DoD FL NC
Yp "Working nays" ❑ fr9 Days ❑Standard 1 D days ❑ Pre -Approved
Site Location Name: Samples received after 14:00 will be processed next business day. $C OTHER N/A
Site Location Physical Address: r tl Turnaround time Is based on business days, excluding weekends and holidays. Water Chlorfnated: YES_ NO_
(SEE REVERSE FOR TERMS S CONDITIONS REGARDING SER%nCES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
PRESERVA-
TICS
ANALYSIS REQUESTED
PRISM
LAB
ID
1D NO.
`TYPE
SEE BELOW
NO.
SIZE
rwIse3
y1Z e# L
L
C�
IM
Sampler's Signature Sampled By (Print Name) Affiliation
Upon relinquishing, this &aln 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 InWalized.
Railape} { re e iliiary ours Additional Comments:
+ r
Site Arrival Time'.
Relln u Reedyed By: (Signs se
Site Departure Time:' ..
11
� � Jr✓
Reri By: (Ignatu ved s a '
Eiabd:Tech Fee:
Mahod SMpmrtr>T: NOTE; ALL SAMPLE COOLERS SHOULD BE SHUT W DY FORT SP RTATIO TO THE LA60RAT - reap No.
Mileage:
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C NTtL RECEIVED AT THE LABORATORY, � I' !� �
f
7
O Fed Ex ❑ UPS Cl Hend4W1vmed rLsm Field Sexvke a Other V
� �
CO-
NPDES: UST: R NDWATER: DRINKING WATER: SOLID WASTE: I RCRA: CERCLA LANDFILL OTHER:
❑3NI C0SCI ❑0NC ❑SC❑SC I El SC I ❑NC OSC I ❑NCOSC ONC ❑SCIUNC ❑SCI ❑NC ❑SC
171 ❑N
�

PP,�.11 M
,u S
I
�7LABORATORIEs, INC.
Full -Service Analytical &
Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC ,U 2016
James Brown
704 Factory Street CENTRAL. FILES
Wilkesboro, INC 28697 DWR SECTION
NC Certification No, 402
SC Certification No. 99012
NC Drinking Water Cert No. 37735
VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No. L2307
IS011EC 17025: L-A-B Accredited Certificate No. L2307
Project: Stormwater
Lab Submittal Date: 05/19/2016
Prism Work Order: 6050409
Case Narrative
06/02/2016
1VC(' 0600do
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
i
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
A Cap seal was pushed inside lid- possible source of contamination.
HT Sample received and analyzed outside of the hold time.
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 26224-0543
Phone: [phone] - Toll Free Number: 1-6001529-6364 - Fax: [phone] Page 1 of 5

Full -Service Analytical &
Environmental Sotutlons
Sample Receipt Summary
06/02/2016
J'
��'�RISM
'
Prism Work Order: 6050409
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk-01 6050409-01 Water 05/18/16 05/19/16
Stormwater Wilk-02 6050409-02 Water 05/18/16 05/19/16
Samples were received in good condition at 1.9 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 5

Laboratory Report
Full -Service Analytical &
A'b,'R ISM I Environmental Solutions 06/02/2016
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-01
Attn: James Brown Prism Sample ID: 6050409-01
704 Factory Street Prism Work Order: 6050409
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/18/16 17:45
Time Submitted: 05/19/16 13:27
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Dateffime ID
General Chemistry Parameters
Chemical Oxygen Demand
64
mg1L
50
7.3 1 'SM5220 D
5125/16 16:19
BMS
P6E0537
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1,1 1 "1664B
5125/16 9:56
TJY
PBE0525
Total Suspended Solids
BRL
mg/L
10
0.80 1 "SM 2540 D
5124116 12:15
SLS
P6E0522
Microbiological Parameters
Fecal Coliforms
550 A, HT
CFL11100 ml
2
1 `SM9222 D
5119116 16:07
13MS
P6E0457
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: 704/52"409 Page 3 of 5

e
_Lk
Laboratory Report
Full -Service Analyticel &R I S M Environmental Solutions 0610212016
7�:,
Tyson Foods, Inc. -Wilkesboro, NC
Attn: James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater Client Sample ID: Stormwater Wilk-02
Prism Sample ID: 6050409-02
Prism Work Order: 6050409
Sample Matrix: Water Time Collected: 05/18/16 17:55
Time Submitted: 05/19/16 13:27
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatelTime ID
General Chemistry Parameters
Chemical Oxygen Demand 56 mg1L so 7.3 1 *SM5220 D 5/25/16 16:19 BMS PGE0537
Oil & Grease (HEM) 13 mg1L 5.0 1.0 1 *1664B 5125/16 9:56 TJY PSE0524
Total Suspended Solids BRL mg1L 7.1 0.80 1 'SM 2540 D 5/24116 12:15 SLS P6E0522
Microbiological Parameters
Fecal Coliforms 630 A, HT CFU1100 ml 2 1 "SM9222 D 5119116 16:07 BMS P6E0457
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] - Tall Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of FJ

•V
CHAIN OF CUSTODY RECORD
Full -Service Analytical &
/JBIRm ISM I Environmental Solutions PAGE —OF _ QUOTE 0 TO ENSURE PROPER BILLING:
LABORATORIES. INC-
449 Springbrook Road • Charlotte, NC 29217 Project Name:
Phone 704152"3e4 • Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Client Company Name: Selo '�l�G. *Please ATTACH any project specific reporting (QC LEVEL 1 II ill IV)
provisions and/or QC Requirements
Report TolContact Name: X wr% Invoice To:
Reporting Address: -lbq JLzA dR j -°tell
�eYO^(ogrt Address
&Lr:. a
Phone ,Q34gU'Lt_ __Fax (Yes) (No)A445L _NW1
Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address:,A1&m& % S • bftk�n QP:Lrki81ar% . C 0 W1 Requested Due Date ❑ 1 Day ❑ 2 Days 0 3 Days ❑ 4 Days ❑ 5 Days
Certification:
NELAC DOD FL NC
EDD Type: PDF __ ,,Excel_r,� Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Rushdust Be
SC OTHER NIA
Site Location Name: T-Gktrr+61,C Samples received after 14:00 will be processed next business day.
Site Location Physical Address.-14 1 L<A a, r�
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
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
NO.
SIZE
TNES
ID NO.
HOURS
SLUDGE)
SEE BELOW
dr'AM1 W
5-► - t{,
5 �L� Pn
W
I
LD00
W%4c
too
no►asp3
FCCAL
VeCptL
5-t8-tc,
5:�{
toaa
G
C AP tt ti So-z Am.,
1060
N,r.TS5
5",Ss 4y,
w
t
too
_�sao
AL
l oot>,t.,
OG
G
, •
Affiliation VLSt51t �ar
Sampler's`Signatur Sampled By (Print Name) rmAM),- -
Upon relinquishing4thilihain 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.
'
R 1 wished By: (Signature) Received By: (Signatture/) Date ililary/Hours
Additional Comments Sltegrrival Tlnle
Relin glshe y: (Sign to ) Recbived By: (Signa(ure) Data
Re4n4uis By: (Sig-ve)
v-ed r Prism Laboratories By: Da`O j� 1 I
Field Tech Fea:
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SMUT VPFI
CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
--
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC
UNTIL RECEIVED AT THE LABORATORY. r!''�
O red Ex El UPS U Hand delivered ❑ Prism Rekt Service I] Other
i
�0 14 Oil
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
UNCLISC LINC ❑SC 13NC ❑SC 10NC OSC
LING ❑SG I LINC❑5C QNC ❑SG� ❑NC ❑SCI ONC OSC
r
*r•�arrw>I r.tco roc rnerCC• 4 - Amhar (: = raaar r- rylaca P = Plnctir.: TL = Teflon -Lined Cao VOA= Volatile Organics Analysis (Zero Head Space) nlDlr�lni A!

June 7, 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. - Wilkesboro Complex
COC NCG060020
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 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
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
`Since ely,
Ray and 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: June 7, 2016
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex _
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 z .30 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 501
Within 6.0 — 9.0
120
30
1 1000
500
WILK - 01
5/18/2016
10
6.6
64
5.0
550
NA
WILK-7-02—
_5/.18/2016--
7..1
6.7 _-_
_ 56-
- - _.. _._ 13....- - - --
-----630 -
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.
aSee 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 50"
6.0 — 9.0
-
WILK - 01
5/18/2016
5.0
5.0
10
6.4
630
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.
5WU-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 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 ❑ 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 lob 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."
Q
ure of Perm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdes5w#tab-4
SWU-249 Last Revised: October 18, 20 { 2
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 5/18/2016
Rain Begin: 5:15 PM Late afternoon thunder Storm
Grab Samples: 5:45 PM
Rain at end of
Storm Event: 0.30
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 .30 " (Total)
C = 1.0
Q = 1.0(.30/12)(140,800-7.5)/1,000,000
0.026 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .30 " (Total)
C = 1.0
Q = 1.0(.30/12)(578,250-7.5)/1,000,000
0.108 MG

NCDENR
StormwateriPischarge Outfall (SDO)
Qualitative Monitoring Report
F
Forguidance on filling out this forrn, please visit, littp://Vot,tal.ncdeni-,grg/web/wq/ws/su/nl)dessw#tab-
i
Permit No: N/�C/GL0/fi/-0 0/0 j0 or Certificate of Coverage No. N/(,/G/0/6/0/0Z2/0
Facility Name: TysQD farms Inc. .
County: Wilkes
Phone No: 336.838.2171
Inspector: larnes Brown
Date of Inspection: 5/18/2016
Time of Inspection: 5;a4r>-VTh
Total Event Precipitation (inches):.30
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
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 gnature, I certify that this report is accurate and complete to the best of my knowledge:
11 z az�-- �, (6, �2
(Sign1ure of Permittee or esignee)
i
I
Pagel of 2
SWU-242, Gast modified 10/25/2012

1. Outfall Description:
Outfall No.*LV, - 01 Structure (pipe, ditch, etc.) � D�
Receiving Stream: IA(Nr YYLCrI t O� -� o ��
Describe the industrial activities that occur within the outfall drainage area: )ta&L uttv.,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: U. 5 V17V
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): f\bD �c
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is'very cloudy:
b 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:
Gl 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 S
7. Is thei re any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes 6d
9. Is there evidence of erosion or deposition at the outfall? Yes Co
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

AG
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
i
Forguidance on filling out this form, please isit: http:llportal,ncdeiir.org/wcblwqlws/su/npdcssw#t
Permit No: N C G/0/6 0/0/�OTor Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: 'Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: lames Brown
Date of Inspection: 5/18/2016
Time of Inspection: 5-,5S
Total Event Precipitation (inches):.30
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
k
(See information below.)
� E
R Yes ❑ No
I
Please verify whether Qualitative Monitoring must be performed during a "representative storm
1.
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. 1 �_ 4: r
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 Regfional Office.
i
I
gy t i signature, I certify that this report is accurate and complete to the best of my knowledge:
(/ G(
(Sigr}dure of Permittee or�Designee)
Pagel of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 'LK - 4 Q Structure (pipe, ditch, etc.)
Receiving Stream: -rp
Describe the industrial activities that occur within the outfall drainage area:
area
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: k-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): (\oy1 c
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
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
60
8. Is there an oil sheen in the stormwater discharge? Yes
1V
9. Is there evidence of erosion or deposition at the outfall?
Yes (Noy
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: how 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

NC Certification No. 402
_ SC Certification No. 99012
RED- Full -Service Analytical & NC Drinking Water Cart No. 37735
'90
R SM
Environmental Solutions ( VA Certification No. 460211
LAHORATONIES,, INC DpD ELAP; L-A-l3 Accredited Certificate No, L2307
ISOIIEC 17025: L-A-B Accredited Certificate No. L2307
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Lab Submittal Date: 05/19/2016
Prism Work Order: 6050409
Case Narrative
06/02/2016
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.
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
A Cap seal was pushed inside lid- possible source of contamination.
HT Sample received and analyzed outside of the hold time.
I
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; 7041629-6364 - Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 1 of 5

L I n I Fufl-Sarvlco
n 8
Environmental Solutions
' Lea MRies INQ
Sample Receipt Summary
06/02/2016
Prism Work Order: 6050409
Client Sample ID Lab Sample ID L Matrix Date Sampled Date Received
Stormwater Wilk-01
6050409-01 Water 05/18/16 05/19/16
Stormwater Wilk-02 6050409-02 Water 05/18/16 05/19/16
Samples were received in good condition at 1.9 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, INC 28224-0543
Phone: [phone] - Toll Free Number: 1.8001529-6364 - Fax: [phone] Page 2 of 5

Fult-S
oAnnlyt
Laboratory Report
Envirnmonnl oluflonaR V I
06i02/2016
lA6OMYUIIEf ING �
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-01
Attn: James Brown Prism Sample ID: 6050409-01
704 Factory Street Prism Work Order: 6050409
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/18/16 17:45
Time Submitted: 05/19/16 13:27
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Chemical Oxygen Demand
64
mglL
50
7.3 1
`SM5220 D
5125/16 16:19
BMS
PSE0537
Oil & Grease (SGT-HEM)
BRLOG
mg1L
5.0
1.1 1
'1664B
5125116 9:56
TJY
P6E0525
Total Suspended Solids
BRL
mg1L
10
0,80 1
'SM 2540 D
5124116 12:15
SLS
P6E0522
Microbiological Parameters
Fecal CollForms
550 A. HT
CFU1100 ml
2
1
'SM9222 D
5/19116 16:07
BMS
P6E0457
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: 1-8001529.6364 - Fax: [phone] Page 3 of 5

1•
Laboratory Report
1P❑rs Full-Sorvlco Analytical B
R I S IVl Environmental SDlullona 06/02/2016
- uexnnromn irre I
' I
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wllk-02
Attn: James Brown Prism Sample ID: 6050409-02
704 Factory Street Prism Work Order: 6050409
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/18/16 17:55
Time Submitted: 05/19/16 13:27
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Dateffime ID
General Chemistry Parameters
Chemical Oxygen Demand
56
mg1L
50
7.3 1 'SM5220 D
5125/16 16:19
BMS
PSE0537
Oil & Grease (HEM)
13
mg1L
5.0
1.0 1 '1664B
5125116 9:56
TJY
P6E0524
Total Suspended Solids
BRL
mg/L
7,1
0.80 1 'SM 2540 D
5124116 12:15
SLS
P6E0522
Microbiological Parameters
Fecal Conforms
630 A. HT
CFU1100 ml
2
1 'SM9222 D
5119116 16:07
BMS
PGE0457
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Sprtngbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone] - Tall Free Number: 1.8001529.6364 - Fax: [phone] Page 4 of 5

CHAIN OF CUSTODY RECORD
M�Fullee Analytical R
Environmental Solutions PAGE_ OF _ QUOTE tt TO ENSURE PROPER BILLING:
LASORA70RIE& ING
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone [phone] Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Chen! Company Name: i l " ' 1' ` " —y 1 t `Please ATTACH any project specific reporting (QC LEVEL 111 In IV)
provisions and/or QC Requirements
Report To/Contact Name: _ t`` �' f
invoice To: _
Reporting Address: t
Address:
Samples INTACT upon arrival?
Received ON WET ICE?
PROPER PRESERVATIVES indicated?
Received WITHIN HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLA�E5 reed WIOUT HEADSPACE?
,•PROPER CONTAINERS used?"
TFMP:-Therm ID: Observed:
YES NO NIA
°C 1 Corr: °G
Phone:." '..'-. ! Fax (Yes) (No): m%�- purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING
PERSONNEL
Email Address: `' . _ A
" Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days p 4 Days ❑ 5 Days
Certification: NELAC DOD
FL NC
EDD Type: PDF Excel' Other
"Working Days" ❑ 6-g Days ❑ Standard t0 days ❑ Rush Work Must Be
Site Location Name: L. �.I 1
Pre -Approved
Samples received after 14:00 will be processed next business day.
Sc OTHER
NIA
Site Location Physical Address: 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
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
M[LiTARY
MATRIX
(SOIL,
WATER OR
SAMPLE CONTAINER
PRESERVA-
TIVES
ANALYSIS REQUESTED
REMARKS
Z
PRISM
LAB
'TYPE
HOURS
SLUDGE)
SEE BELOWZ(
NO.
SIZE
ID NO.
•`'•�' Sl+. 4 4 r
l 5
I- 141
1
t-
`- -'� -
Sampler's Signaturd-..-_ i ;- 1 ; - •'-
Sampled By (Print Name) 1 - ,Vi ; _ I Affiliation S °•; _ . T
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.
Relinquished By: (Signaturep
1.
Received By: (Signature Date Mllitaey/Hours Additional Comments:
Site Arrival Time:
f
v
�,- s,,l.
Relinquished By: (Signature)
Received By: (Signature} Date
Site Departure Time:
Relinquished By: (Signature)
Received For Prism Laboratories By: Date
Field Tech Fee:
Mileage:
Method of Shipment: ROTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY.
❑ Fed Ex ❑ UPS D Hand -delivered ❑ Prism Field Service Q
Other
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
,�
❑NC ❑SC ❑NC ❑5C ANC ❑SC ANC OSC oNC❑SCI ❑NC ❑SC O❑NC ❑SC oNC CSCll
I
�❑NG❑SC
♦I+^.MRI\ICf] T MC !•An CC. A A....I.n. P - �l..... fl— !_I....r n — nl_,,:... Ti _'r-94 - I :-ra P __ lf^A - An..1. 1, f7o r-1 4 Cn-.nn\

Term and Conditions
L,
The Terms & Conditions set forth below shall be deemed to be incorporaled into the ,
ai;reements and understandings by and between Prism Laboratoi•ies.add the Client t
identified on.the facing! -page hereof. The Terms and Conditions of this Agreement shall
not be modified, without prior written consent of Prisrn Laboratories: N 1
Confidentiality: All «fort: .will be,I)erforined in strict
'confidence. ResUlts.are released only to the client or his
designated agent.- Prisiirnlusti'eceivc:a•'vritteii request
from our client to release;olata to in independent third
pai-ty. Coiitidentiality tigreerncnts will be gladly pro-
vided and executed upon request.,
Killings: There is a minimuni rep'd'(ting fee of S5$.00. ;
All fees are billed.direct�ly to.ili'e client. if billing.is:tu a
go to a third party, Prism regi�iics a` stateillent signed
the third pai'tyaccepting respa, fisibility of paymcrit.� r�
Litigation Support: All costs associated with coinpli-
ance to any subpoena for docurneiits for testimony
Payment Terins; We recluire a credit aipplication Gem
cacli'custonler. For our clients with credit approved
by our company, payment terms are Net 10 Days upon
receipt ofthe invoice. An interest charge —of I.Si+, per
month applies to all'overslrle balances.,Pay�ment'in ad-
vance is required if credit has not been established or if
payment terms have not been [net. We reserve the right
to Wi lifiold laberatory results on accounts past 60 days
overciue or if credit limit is cXcccded. Fiditirc to make
payment in accordance with the Terries acid Conditions
set Furth llerCin May t'esult in refusal by Prism Laho-
raiories in its sole discretion to perfor, In any further
services by Prism l :aboratorics on behal f'of rife Client.
in a court of law, or for any othel'`pilrpose relating to
work performed by Prism Laboratories, in connection
of work performed for that clieni;5hal€ be paid by that I':
client. These costs piny include, brit are not limited to
hourly charges for persons iiivolyec,_in tcspouclirig to
Sttbj10el1ti5, travel and accomritodations, nlileagc,.at-
torney's prepni-ation of testifier and advice of cotlrisel
Hi connection 4N'ith response to Subpoenas, and other
expenses associated with such litigation. ;
Retention of Samples: Excess'sjnipless not :tised:in: t `;
analysis will be retained at the labi;ratoiy aver report ;
of analysis accordin4g.,to-the following schectule unless ,
IV oilier arrangements can be made -Potable [[later' Dis- '
1\'arrants and Limits of Liability: Our warranty is
limited to the accurricy of the analysis of.samplcs as
received. We assume no responsibility for the purposes
for which the client rises the test results nor liability
,Or anwother 11'�irraittles, express or. implied, including
Nvnrranties of the fitness for particular purpose ur .for
merchantability Whole by the client. These terms and
conditions Shall supersede any conflicting terms and
conditions stated on any purchase order Or other order'
of work submitted by the client.
caroled imiricdiately. All other Sam' 1s: 30 clays.
Retention of Reports: After results Dave been reported,. '
to the client, Prism Will retain copes fair a period of
at least three years, after whicli sticli reports may be
destroyed. i 1'
Special Reports: All standard prices rellect Level I
11 Quality Control Program Reports..Level Ill And
above QC Reports, and' additionalleopies of'reports are:
available upon request at au additional charge.
Indemnification and Hold Harmless: Client hereby
agrees to iridcinnif'y and hold Prisrlt Laboratories
harnless front any and all :.lets anti/or omissions to act
undertaken by Prism Laboratories in good faith pursu-
ant to the `f ernis and Conditions of this Agrecnlont.
This incicinnification'and holed harmless provision shall
apply to Prism Laboratories, its einployees, officers and
directors and shall survive the terms of illis Agreement.
Prism Laboratories shall not be responsible: for any
misrepresentations by Clicnt,and/or, any breach of these
'I"er117s and Conditions by Client as set forth hereill.
(. ,overning Law: This'Agreeinent•shail be governed in
accordance with theA.la.wS of the State of North Caro-
lina.
Fee Discounts: Fcc discounts-apl-+ly ts1 long -terns con-
tractual work, special 1-irojects and quotations, and larac
voluine resluests.: Di,,.. unts do not apply to RUSI 1
.work. - f;
Hazardous Wastes: Prisrn Labo"rator'res reserves the
right to return to be hazardous,
acutely toYie. O[ k'8di0aCtlVe. It will he the clients re-
sponsibility -'to dispose of thesc,sampies in accordance
with federal ret datturis`. A sarnplc disposal fee may he
charged by Prism, Laboratories, lne.:'
Rush Turnaround: Available with'tprior approved from ,
Prism. The following; price prellituiil multipliers will
apply unless quoted otherwise ih a Prism Analytical
Quotation: Less than l Day = A /11 Day - 2.25x /:2 day,
- 1.75x / day - 1.5x / q day - 1.25x / 5 day - 1.2x / 6-9
days - 1.15x. Rush TCLP Atialysus;are priced higher.
Turnaround time is based on business days excluding
weekends and holidays. -Samples received ai'ter 2:00
pin uviil be considered received thejiiext business-day.---t
Force Nlajeure: Neither party to this agreelllent Will
be liable to the other party for delays in performance of
services nor for the director indirect cost(s) resulting
from such delays, that imay,result from labor strikes,
Plots; war. extraordinary ,.ale ithcr conditions, terrorism
or any natural catastrophe or any other cause beyond
the reasonable control of'eithcr party,
- 1
_l rt .

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. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
r, �S�AMP LE COLLECTION YEAR 2016
RE 1 j�EA(RILITY ACTIVITIES INCLUDE (check all that apply):
JUN 14 2U1 ® use/process meats ❑ use animal fats/byproducts
CENTRAL FILESCHARGING TO SALTWATERS? [—]YES ®NO
D1NR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Total event rainfall' .30 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
Soo
WILK - 01
5/18/2016
10
6.6
64
5.0
550
NA
WILK - 02
5/18/2016
7.1
1 6.7
56
13
630
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.
(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
-
WILK - 01
S/18/2016
5.0
5.0
10
6.4
630
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 fast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reporter within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reportsj_ 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."
(Sigrfature of Permi
_0
(Date)
Additional copies of this form may be downloaded at: http://Rortal.ncdenr.o[g/web/wq/ws/su/nodessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

qOO Tyson Foods, Inc.
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
�m
-4
m
ad
0
Tyson Farms Inc.
m�
COC NCG060020
Wilkes County
p m
z
rn
u,
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
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 ZV
consecutive sample results are below the benchmark values or within benchmark range.
liq
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.
Sin erely,
Ra mond 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 REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: February 8, 2016
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
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' 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 Coliform1,
Colonies per 100 ml
Enterococcii,
Colonies per 100 ml
Benchmark
-
100 or 501
Within 6.0 - 9.0
120
30
1000
500
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.
°See General Permit text,Tabie 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.
(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
-
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.
S W U-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 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 Discharrc e" reportsLwithin 30 days of receipt of the lab results (or at end
monitoring period in the case of "No Discharge" reportsl 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
informAion, including the possibility of fines and imprisonment for knowing violations."
/-
Wir)0ure of Permitt
9 b aG/�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/w-qlws/suln1)dessw#tab•.4
..
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT4-
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: March 14, 2016 '00,0
CERTIFICATE OF COVERAGE NO. NCGO60020 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes DISCHARGING'TO SALTWATER$? []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 roinfoii 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
S00
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.
(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
1s
100 or 504
6.0 — 9.0
-
' 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 Cast Revised: October 19, 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 ANYONE OUTFALL? YES [-]NOLA
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) 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
informatipn, including the possibility of fines and imprisonment for knowing violations."
a s~c
(Sign ure of Permittee (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sulnpdessw#itab-4
r
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

q4z Tyson Foods, Inc.
RECEIVED
MAR 1 8.2016
CENTRAL FILES.
DWR SECTION
March 10, 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.
COC NCG060020
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
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 3253 should you have any questions.
Sine. ely,
Raymond E. Johns nY ( (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

I= Tyson Foods, Inc.
December 30.2015
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 3AN 4 6 N"
Tyson Farms Inc. CENTRAL FILES
COC NCG060020 DWR SECTION
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. Storm water sampling criteria was met for the month of December 2015.
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. Storm water monthly monitoring. Data receive for PRISM labs indicated
parameter were below the benchmark values for Wilk-OI our records show we have meet the
three consecutive sample results for that outfall. Wilk-02 benchmark indicated parameter was
above the benchmark value. Monthly monitoring for outfall Wilk-02 will continue for the
parameter offPcal coliform.
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.
T
ely,
(/�C' q
G
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: December 30, 2015
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
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? DYES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 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
500
WILK - 01
12/14/201S
6.6
480
NA
WILK - 02
12/14/2015
6.7
2600
NA
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.
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.
(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-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 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 copv of this DMR including all "No Discharge"' reports, within 30 days o recei 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
—11
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."
f
re of Permitte
460
-3i Dew �o s
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.o[glweb/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 12/14/2015
Rain Begin: 9:00 AM Light Rain
Grab Samples: 10:25 AM
Rain at end of
Storm Event: 0.50
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = .50 " (Total)
C = 1.0
Q = 1.0(.50/12)(140,800"7.5)/1,000,000
0.044 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .50 " (Total)
C = 1.0
Q = 1.0(.50/12)(578,250-7.5)/1,000,000
0.181 MG

-A�A
12 �
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. httRf /portal.ncdenr.org/web/wq/w5ls, Inndessw#tab- 4
Permit No: NIC/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: lames Brown
Date of Inspection: 12/14/2015
Time of Inspection: 10,'t6.grn
Total Event Precipitation (inches):.50
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
�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.
By thil ),nature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee op�Oesignee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 1 - Ok Structure (pipe, ditch, etc.) , Z
ReceivingStream: McLnlc-8 6klz_ah -�
Describe the industrial activities that occur within the outfall drainage area: _; u C� V%0j, L C11'cp,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L, y-,'�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): f\0A f.
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
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 60
n
8. Is there an oil sheen in the stormwater discharge? Yes EV
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

ALIT
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. hUp://aortal.ncdenr,orgJweb/wo/w5/su.japdessw#tab-4
Permit No: N/C/G/0/610/0/0/0 or Certificate of Coverage No. N C/G/0/6/0/0/2j0
Facility Name: Tyson Farms Inc.
County. Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 12/14/2015
Time of Inspection: 1.a :3o Ant
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
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
BZthignature, I certify that this report is accurate and complete to the best of my knowledge:
�C, l�>
(Sig, i/ture of Permittee gr esignee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. L - a Structure (pi e, ditch, etc.)
Receiving Stream: C ' rA-1) Cub CLe.�--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, hr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): I(VA,r _ r
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:
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:
6 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes (N�
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes Q
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

N
�RE ISM
-©LABORATORIES, INC
NC Certification No. 402
SC Certification No. 99012
Full -Service Analytical & NC Drinking Water Can No. 37735
Environmental Solutions VA certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No. L2307
IS011EC 17025: L-A-B Accredited Certificate No, L2307
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Lab Submittal Date: 12/14/2015
Prism Work Order: 5120250
Case Narrative
12/23/2015
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 Spring brook Road - P.O. Box 240643 - Charlotte, NC 28224.0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 5

&RISM
Environmental
Full -Service al Solution s
Envlrpnmgntal Solutions
Sample Receipt Summary
12/23/2015
Prism Work Order: 5120250
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk-01
Stormwater Wilk-02
5120250-01 Water 12/14/15 12/14/15
5120250-02 Water 12/14/15 12/14/15
Samples were received in good condition at 3.4 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 240543 -Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: 704162"409 Page 2 of 5

a
mwarowFull-Servea udPRD'uI S M � Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC
Attn: James Brown
704 Factory Street
Wilkesboro, NC 28697
Laboratory Report
Project: Stormwater Client Sample ID: Stormwater Wilk-01
Prism Sample ID: 5120250-01
Prism Work Order: 5120250
Sample Matrix: Water Time Collected: 12/14/15 10:20
Time Submitted: 12/14/15 15:40
1212312015
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Microbiological Parameters
Fecal Colilorms 480 CFU1100 ml 10 1 'SM9222 D 12/14116 16:58 EGG PSL0239
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240S43 - Charlotter NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 3 of 5

� Fu11-Serviee Analytical & Laboratory Report
LPRlM Environmental Solulione 12/23/2015
OAATORIEe, INC
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk-02
Attn: James Brown Prism Sample ID: 5120250-02
704 Factory Street Prism Work Order: 5120250
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 12/14/15 10:30
Time Submitted: 12/14/15 15:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateFrime ID
Microbiological Parameters
Fecal Coliforms 2600 CFU1100 ml 10 1 'SM9222 D 12/14/16 16:58 EGC P61-0239
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 4 of rJ

.• :•r{; ;rrs; ?U'fS7t'Sb?S:v?i •:•Y. rP:
:.: CHAIN OF CUSTODY RECORD
l S 1! M i I Full -Service Analytical 8
Environmental Solutions PAGE__ OF, QUOTE # TO ENSURE PROPER BILLING:
LABORATORIES, INr.
Project Name:
449 5pringbrook Road Charlotte, NC 26217
Phonn 704I529-6 64 • Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 111 ill IV)
Client Company Name: Alt
provisions and/or OC Requirements
Report To/Contact Name: A LA A 4. "��� Invoice To:
Rep rting Address: '-10 A -A Sic,—i Address'
one r :� t� Fax (Yes) (No): Purchase Order No.lBilling Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL.
Email Address: i;7ki111��s;S . 1S�wyt'�iL54 ri "� r.rn Requested Duo Date ❑ 1 Day ❑ 2 Days Cl 3 Days ❑ 4 Days ❑ 5 Days Certification: NELAC -DOD FL INC
EDD Type: PDF___.,ExceL.- _Other "Working Days" ❑ fi-9 Days U Standard 10 days O Pfe Work dust Be
SC OTHER NIA
Site Location Name'. mS , j S 1,ivc. Samples received after 14:00 will be processed next business day.
Site Location Physical AddreSS: 1:' - L7 Turnaround time Is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_
(SEE REVERSE FOR TERMS A CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) k Sample Iced upon Collection: YES NO
TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED
CLIENT DATE COLLECTED (SOIL, PRESERVA- PRISM
SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR *TYPE NO SIZE [D NO.
TIVES REMARKS LAB
HOURS SLUDGE} SEE BELOW
;1�1�MnI
Iw L• i I ' � . � i' ram` i ► EGG iA �;7 a "� ' � d-
Sampler's Signature ASampled By (Print Name) , A-u-, "ii Affiliation, R4A
Upon relinquishing, this dhain 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.
Relt ish By: (Signature Race By: (Signature) ale Mllltary! ours additional Comments: Site ArrivaI Timo: -
„. ..
[RRe!1inMc;ui,:
y: Sigrmtare// Rece Signature Date 'Site_.DepartureTlme:
' L� C� -,, ...... ... .....
toSignature Received For P' Labora s B Date
Field :Tech Fee:...:
0 —/-/-c I /SAC. Mileage:
Method of Shipment: NOT ; ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY SEALS FOR TRANSPORTATION TO THE LABORATORY, COC Group No,
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CO NTIL RECEIVED AT THE LABORATORY.I CI 1
Fed EX U UPS Cl Hand -delivered sm Field Service U Other ! ��
NPDES: UST: GRPDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
❑NC❑5C ❑NC ❑SC ❑❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SC 3NC ❑SCII=INC US C ❑NC ❑SC
❑ ❑ Cl 1 ❑ ❑ ❑ ❑ f7 m
*CONTAINER TYPE CODES: A= Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA= Volatile Organics Analysis (Zero Head Space)
ORIGINAL
*CONTAINER TYPE CODES: A= Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA= Volatile Organics Analysis (Zero Head Space)
ORIGINAL

r:
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water
Date submitted
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
,uality General Permit No. NCG060000
October 12 2015
SAMPLE COLLECTION YEAR 2015 r9l"l
FACILITY ACTIVITIES INCLUDE (check all that apply): C-1)
® use/process meats ❑ use animal fats/byp o��urts
DISCHARGING TO'SALTWATERS? ❑YES ®NO `®
MOC
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event roinfoll 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 501
Within 6.0 — 9.0
120
30
1000
500
WILK - 01
NA
WILK - 02
NA
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
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.
{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
-
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 I of 2

ti
'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 iREQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER 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 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."
R
(Signature of Permittee)
lb -1_2-- is
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orgZweb/wq s/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

I Tyson Foods, Inc.
RECEIVED
OCT 20&,
CENTRAL FILES
DWR SECT1%
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 Farms Inc.
COC NCG060020�
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 and Wilk-02 for the parameter of fecal coliform.
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

1
Tyson
Tyson Foods, Inc.
RECENED 1
AUG 0 4 2015Ju y 28, 2015
North Carolina Department of Environment, Health a�d�Naturallffe-9ources
Division of Water Quality pWR SECTION
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
Tyson Foods, Inc. - Wilkesboro Complex
COC NCG060020
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 Period 2 for the semi-annual monitoring. Data receive
for PRISM labs indicated parameters were above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sic rely, cb)
C-
Raymond 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

A 1L SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: July_28, 2015 — -
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
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 1.30 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
WILK - 01
7/13/2015
41
6.35
120
5.0
1400
NA
WILK - 02
7/13/2015
110
6.38
140
9.4
3300
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.
'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
-
WILK - 01
7/13/2014
5.0
5.0
41
6.38
630
F-
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.
&6-241
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 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 resultsLr 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."
(Sigy6ture of Permit e)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wsZsu/npdessw#tab-4
bast Revised: October 18, 2012
Page 2 of 2

1'1C6�oo 00 2�
S 14j
t
Wilkesboro Storm Water Calu. Sheet
Rate 7/13/2015
Rain Begin: 8:30AM Thunderstorm
Grab Samples: 9:10 AM
Rain at end of
Storm Event: 0.30
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = .30 " (Total)
C = 1.0
Q = 1.0(.30/12)(140,800*7.5)/1,000,000
0.026 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .30 " (Total)
C = 1.0
Q = 1.0(.30/12)(578,250-7.5)/1,000,000
0.108 MG

w
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htLp.//portal.ncdenL.Qrg4web/wq/ws/su/nl2dessw#tab-4
Permit No: N/C/G/0/6/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Foods Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 7/13/2015
Time of Inspection: CA. W KM
Total Event Precipitation (inches):.30
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 th)9jignature, I certify that this report is accurate and complete to the best of my knowledge:
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. w'tV--OS Structure (pipe, ditch, etc.)
Receiving Stream: \Lpd\ .inCI�ab
Describe the industrial activities that occur within the outfall drainage area: tAL CLrtA
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.): 'Rof\e-
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:
17 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 �Z 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?
10. Otheir Obvious Indicators of Stormwater Pollution:
List and describe
V
Yes No
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

Yr
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit: htt !/nor_tal.ncdenr Urrg we$/wgfws/su/nlydessw#tab-4
Permit No: N/C/G/016/0/0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Foods Inc.
County: Wilkes
Phone No: 336.838,2171
Inspector: James Brown
Date of Inspection: 7/13/2015 _
Time of Inspection: cj ',1 G p+rm
Total Event Precipitation (inches):.30
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
DKYes ❑ 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 thi ignature, I certify that this report is accurate and complete to the best of my knowledge:
I l/ (g, A)
of Permittee g/Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: n
0utfalI No. 1 K- ti Structure (pipe, ditch, etc.)
Receiving Stream: c' b
Describe the industrial activities that occur within the outfall drainage area: (0�L weq
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L -Ahr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): M,w%J-A
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 2 6 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 (�
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

ip--, RA ISM
171LABORATORIE$ 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
ISOAEC 17025: L-A-6 Accredited Certificate No, L2307
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, INC 28697
Project: Stormwater
Lab Submittal Date: 07/13/2015
Prism Work Order: 5070210
Case Narrative
07I2712015
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:
'(,0 66a-.11
Reviewed By Terri W. Cole
Project Manager
A Parameter reported with possible low bias. SGT-HEM LCS recovery below the QC limit. HEM recovery is within
limits.
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: 1-8001529-6364 - Fax: [phone] Page 1 of 5

%
Full -Service Analytical &
PRISM
.. Envlranmantal Solutions
.r VuSc— oaiea we
Sample Receipt Summary
07/27/2015
Prism Work Order: 5070210
Client Sample ID
Lab Sample I❑
Matrix
Date Sampled
Date Received
SW Wilk-01
SW Wilk-02
5070210-01
5070210-02
Water
Water
07/13/15
07/13/15
07/13/15
07/13/15
Samples were received in good condition at 2.8 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 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 2 of 5

n
P R ISM Full -Service Analytical &
Laboratory Report
� Environments! Solutions 0712712015
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater
Client Sample ID: SW Wilk-01
Attn: James Brown
Prism Sample ID: 5070210-01
704 Factory Street
Prism Work Order: 5070210
Wilkesboro, NC 28697 Sample Matrix: Water
Time Collected: 07/13/15 09:10
Time Submitted: 07/13/15 15:35
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Datefrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
120
mg1L
50
5.3
1
'SM5220 D
7123115 13:00
COL
P5G0426
Oil & Grease (SGT-HEM)
BRLA
mg/L
5.0
0.59
1
'1664B
7/20115 14:15
MJO
P5GO420
Total Suspended Solids
41
mg1L
7.1
0.80
1
'SM 2540 D
7115/16 14:5o
EGC
PSG0266
Microbiological Parameters
Fecal Coliforms
1400
CFU1100 ml
2
1
'SM9222 D
7113/16 16:25
EGC
PSG0213
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: 1-800152"364 - Fax: [phone] Page 3 of 5

Laboratory Report
�R R ISM Full -Service al Solutions
8
L� Environmental Solutions 07127l2015
%C�ueowa.on�a n+c
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater
Client Sample ID: SW Wilk-02
Attn: James Brown
Prism Sample ID: 5070210-02
704 Factory Street
Prism Work Order: 5070210
Wilkesboro, NC 28697 Sample Matrix: Water
Time Collected: 07/13115 09:15
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
140
mg1L
50
6.3
1
'SM5220 D
7123/15 13:00 CDL
PSG0426
Oil & Grease (HEM)
9.4
mg1L
6.0
0.48
1
'1fi64B
7124/15 9:40 ARC
P5G0478
Total Suspended Solids
110
mg1L
10
0.80
1
'SM 2540 D
7/15/15 14:60 EGC
PSG0256
Microbiological Parameters
Fecal Colifonns 3300 CFti1100 ml 2 1 'SM9222 D 7113116 16:26 EGG PSG0213
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: 1-0001529-6364 - Fax: [phone] Page 4 of 5

.�.. 17'... . ,.. 71
CHAIN OF CUSTODY RECORD
A.* . Ii Full -Sere -ice Analytical &
ISM Environmental Solutions PAGE- OF _ QUOTE # TO ENSURE PROPER BILLING:
LAaORATOMES INC -
449 Springbrook Road • Charlotte, NC 28217 Project Name: _
Phone [phone] • Fax: [phone] Short Hold Analysis: (Yes) (NO) UST Project: (Yes) (NO)
Client Company Name:'Llfii?1C
'Please ATTACH any project specific reporting (QC LEVEL 1 II lil IV)
provisions and/or QC Requirements
Report To/Contact Name: 'tile it
Reporting A dress: .0t. Cei Invoice To:
&C11 Address:
LO
U")
Phone:' (��`3., Mi Fax (Yes) (No): SSLrz 1p51, i purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address:. - - 'S, Eh, a 44�a'L 6,t, _ Requested Due Date ❑ 1 Day ❑ 2 Days U 3 Days rJ 4 Days G 5 Days
Certification: NELAC DOD] FL NC
Be
EDD Type: PDF --Excel f Other 'working Days" ❑ 6-9 Days ❑ Standard il} days ❑Pre
Pro -Approved
Site Location Name: t" Samples received after 14:00 will be processed next business day.
Sc OTHER NIA
Site Location Physical Address: o i bE 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
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PR£SERVA•
REMARKS
LAS
*TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
1Z.
ID NO.
HOURS
SLUDGE)
SEE BELOW
worn r
�t=i0AM
W,1,
NtAc
sS
;
-1 '.1
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�. 1� tin
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�D�
,�
--
Sampler's Signature Sampled By (Print Name) 3 1' ` . -n-a- ` Affiliation L1 1j
Upon relinquishing, this 9hain of Custody is your authorization for Prism to pmceed with the analyses as requested above. Any changes must be
submitted in writing tot a Prism Project Manager. There will be chargesIpf any hanger after analyses have been Initialized.
Rellnqu ; ( ignalure) Receive : (signature) M Additional Comments: SiteArcivai Time - -
Relinqulsh y: (Signature) R ived By: (Signatur siteDepanure Tinto t]
fut
i,
Relinquish y; (Sign!pro) Received For P m boratarl Field TEch i=ee: r
:Mileage
Mel of shipm : NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUST SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No. -
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UN7 ECEIVED AT THE LABORATORY.
�} 7
Fe ❑ UPS ❑Hand -delivered rism Field Servico G Other
-"DES: UST: G NDWA7ER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
ah1C❑SC� ❑NC ❑5C� oNC ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SC ❑NC ❑5CI ❑NC CSC❑NC ❑SC r r
`CONTAINER TYPE CODES: A= Amber C = Clear GmGlass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

Tyson Foods, Inc.
July 10, 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.
COC NCG060020
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria due to late afternoon and weekend
rain events for the month of June 2015. 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. Sampling results for the last two storm events were below benchmark
values for Wilk -02.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Si;nce ely,
% �ee'
Raymond E. Johnson (Bob)
Complex Manager
(11,96r 0
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

40 Tyson Foods, Inc.
June 4, 20.1,5�
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.
COC NCG060020
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
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. 'Tyson sampling results for the last two events was below benchmark
values for Wilk -02.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Sly, in,
Raymond 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

f'
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted: June 4, 2015
CERTIFICATE OF COVERAGE NO. NCG060020 ��f� i MPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. �� ++ FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex JUN' ] 1 2015 ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes James Brown ON
DISCHARGING TO SALTWATERS? []YES ®NO �JA
PERSON COLLECTING-SAMPLE1.S RS CTi
LABORATORY Prism Labs Lab Cert. # 402 INFO RANTlONPRO ES$��,��,�'ii PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Storm water Benchmarks and Monitoring Results 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
WILK - 02
X
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.
(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
is
100 or 504
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.
45ee 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:
Mail an original and one copy of this DMR including all "No Dischar e" reports within 30 days o receipt o the lab results or at end o
monitoringperiod in the case o "No Discharge' re orts 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
informati n, including the possibility of fines and imprisonment for knowing violations."
re of Pe
r une chi 4l S-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orglwgb/.wq/ws/­­su/ni2dessw#tab-4
S,W U-249
Last Revised: October 18, 2012
Page 2 of 2

r
-1
1j
1 Tyson Foods, Inc.
May 4, 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. - Wilkesboro Complex
COC NCG060020 RECEIVED
Wilkes County
MAY I I Z015
Dear Madam or Sir: CENTRAL FILES
Enclosed are two copies of the required storm water sampling results. DWR SECTION
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. Storm water sampling Period i 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
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Sin rely, /,a b)
d
Ray 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
For North Carolina Division of Water Quality_ General Permit No. NCG060000
Date submitted: May 4, 2015
CERTIFICATE OF COVERAGE NO. NCGO60020
FACILITY NAME Tyson Farms Inc.
Wilkesboro, Complex
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 11.10 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
Soo
W ILK - 01
4/15/2015
68
6.39
82
5.0
580
NA
W ILK - 02
4/15/2015
56
6.35
110
13
410
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
-
WILK - 01
4/15/2014
5.0
5.0
68
6.39
630
1 Only applies to facilities that use/process meats.
'TheVhl precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S WU-249
Last Revised: October 18, 2012
Page 1 of 2

*FOI,PART A AND PART B MONITORING RESULTS:
• 'A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART it SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER 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 c2py of this DMR including all "No Dischar e" re orts 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."
"6
G
re of Pe
a�1 s�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-44
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

/-�q cG D�oo C')�
Wilkesboro Storm Water Calu. Sheet
Date 4/15/2015
Rain Begin: 9:00 AM Light Mist
Grab Samples: 11:00 AM
Rain at end of
Storm Event: 1.10
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
I = 1.10 " (Total)
C = 1.0
Q = 1.0(1.10/12)(140,800-7.5)/1,000,000
0.097 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 1.10 " (Total)
C = 1.0
Q = 1.0(1.10/12)(578,250*7.5)/1,000,000
0.398 MG

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http:.Ilportal.ncd�nr.org/web/wq/w5/su/npdessw#tab-4
Permit No: N/CIG10j6j0/0/0/0 or Certificate of Coverage No. N/CjGj0j6/0j0/2L0
Facility Name: Tyson Foods Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 4/15/2015
Time of Inspection: i k% bGhm
Total Event Precipitation (inches): 1.10
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 outfali. 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 annroval from the local DWO Reeional Office.
By thi,3Vgnature, I certify that this report is accurate and complete to the best of my knowledge:
'6h)
re of Permittee geAesignee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. t :1 - 0 l Structure (pipe, ditch, etc.) ��.
Receiving Stream: i��cn mein T� ;1,�, L�r.� -1-0 'A 0_.r-ec.y.
Describe the industrial activities that occur within the outfall drainage area: .LA t_ A,n6kL iwz n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L. Qb I-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Nci%t
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:
3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes 01)
9. Is there evidence of erosion or deposition at the outfali? 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

�fly
�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: httR//nortal.ncdenr.org/web/wq/ws fsu/nodessw#tab- 4
Permit No: N/C/G/0/6/0/010/0 or Certificate of Coverage No. N/C./G/0/6/0/0/2/0
Facility Name: Tyson Foods Inc.
County. Wilkes
Phone No: 336.838.2171
Inspector: James Brow
Date of Inspection: 4/15/2015
Time of Inspection: »"-i5 prrn
Total Event Precipitation (inches): 1.10
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 the Vgnature, I certify that�his report is accurate and complete to the best of my knowledge:
of Permittee goesignee)
Pagel of 2
SWU-242, Last modified 10/25/7012

1. Outfall Description:
Outfall No. W" 1K -0 Structure (pipe, ditch, etc.)
Receiving Stream: �tnctl -V'f;txi-Vear lly zc•k. _
Describe the industrial activities that occur within the outfall drainage area: cicep, -
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1—; :�h}
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): M Drve—
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 Cz 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:
rt } 1 l23 4 5
7. Is there any foam in the stormwater discharge? Yes l&
8. Is there an oil sheen in the stormwater discharge? Yes 6N
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

14'�i' F�ISM
VUBORATQRIE$ 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 FLAP: L-A-B Accredited Certificate No. l_2307
ISOIIEC 17025: L-A-B Accredited Certificate No. L2307
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Lab Submittal Date: 04/15/2015
Prism Work Order: 5040279
Case Narrative
04/27/2015
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:
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 Spring brook Road - P.O. Box 240643 - Charlotte, NC 282244-0643
Phone: 704r529-0364 - Toll Free Number: 1-800/529-0364 - Fax: [phone] Page 1 of 5

v.
I S M FW 6$erviAnalytical
Envlronmenenfal Solutions
.��I►Siu�rnroniEa i�c
Sample Receipt Summary
04/27/2015
Prism Work Order: 5040279
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
SW Wilk-01 5040279-01 Water 04/15/15 04/15/15
SW Wilk-02 5040279-02 Water 04/15/15 04/15/15
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 240W - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1.8001629.6364 - Fax: [phone] Page 2 of 5

�, Laboratory Report
GP�R I S Full -service Analytical a
j Environmental 5ofutlans 04/27/2015
�y�eon.rvwiea,wc
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater
Client Sample ID: SW Wilk-01
Attn: James Brown
Prism Sample ID: 5040279-01
704 Factory Street
Prism Work Order: 5040279
Wilkesboro, NC 28697 Sample Matrix: Water
Time Collected: 04/15/15 11.00
Time Submitted: 04/15/15 17:15
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Datelrme
ID
General Chemistry Parameters
Chemical Oxygen Demand
82
mg1L
5o
6.3
1
'SM5220 D
4120115 14:20 COE
PSD0283
Oil & Grease (SGT-HEAR)
BRL
mg/L
5.0
0.59
1
*16646
4122115 14:17 JAB
P5D0338
Total Suspended Solids
68
mg1L
8.3
1.0
1
'SM 2540 D
4120115 10:50 EGC
PSD0278
Microbiological Parameters
Fecal Coliforrns 580 CFU1100 ml 2 1 'SM9222 D 4115116 17:32 EGC PSD0237
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 28224-0543
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of 5

Laboratory Report
Full -Service Analytical b
Lptn�R_ !SM I Environmental solutions 0412712t)15
®queau,ol,�a n.c
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: SW Wilk-02
Attn. James Brown Prism Sample ID: 5040279-02
704 Factory Street Prism Work Order: 5040279
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 04/15/15 11:15
Time Submitted: 04/15/15 17:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datefrime ID
General Chemistry Parameters
Chemical Oxygen Demand
110
mg1L
50
5.3 1 'SM6220 D
4/20115 14:20
CDE
PSD0283
Oil & Grease (HEM)
13
mg1L
5.0
0.37 1 '1664B
4122115 11.10
MJO
PSD0337
Total Suspended Solids
66
mg1L
6.7
1.0 1 'SM 2640 D
4120115 10:60
EGC
PSD0278
Microbiological Parameters
Focal Collforms
410
CFU1100 ml
2
1 'SM9222 D
4116116 17:32
EGG
PSD0237
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240S43 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 of 5

•�f
CHAIN OF CUSTODY RECORD
a I S � %� Environmental
Analytical &
'-�" I � I Environmental Solutions PAGE_ OF _ OIIOTB 0 TO ENSURE PROPER Bn11N0:
CLABORATORI ES, INC.
449 Springhrook Road • Chariotto, NC 28217 Project Name:
Phone [phone] • Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
"Please ATTACH any project specific reporting (OC LEVEL 1 II 111 IV)
Client Company Name: � _�6 � ' �n'� ���-' provisions and/or QC Requirements
Report TolContact Name: Mc '<b4J h
Invoice To:
Reporting Address.:` 'I Oq '- C: oA rj
Address:
Ln
O
ui
Phoni. `,: ,'( it L Fax (Yes) (NO):,MLL. b 5 t. 61L, I Purchase Order No.113illing Reference
J i%Jrcy
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: R h"tcS�S. t 41Sc'!�=L•c1?L Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days G 4 pays ❑ 5 Days
Certification:
NELAC DOD
FL NC
EDD Type: PDF__,,Excelr Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ RUsh ork Must Be
Pre-ASite Location Name: `�-T
� f ms ved
SC OTHER
NIA
.
Samples received after 14:04 will be processed next business day.
Site Location Physical Address: �TQ 4 V J%(, ^prLi Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO„
(SEE REVERSE FOR TERMS A 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.
lA8
_
*TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
/*REMARKS
ID NO.
HOURS
SLUDGE)
SEE BELOW
,SW V� ij -ol
4 -1 S- k
1 � oc)
Wa4C:
�
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Dan
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it bo1'
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1
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,meal
�ecp'1
Sampler's Signature (::b1d6 Sampled By (Print Name)—1i�I�{' i_J�%tt' h Affiliation 5� __
Upon relinquishing, this gain 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 char es for any changes after analyses have been initialized.
I naure} By')natu rio
Relin uis e tReceiv I
Additional Comments
+ -
lte Arrival Tme ,�1 s -
S-
n
Relinquished : (Signature) •-- Receive By: SignmturoDate
Site DeparturevTime _, R,
" t
�Fteld Tech Fee Z
Relinquished By, (Signature) Received
!ram
1`0 % Lmboratodeys]��H/•,p/�
/
Method of Shipment: NOTE: ALL SAMPLE C90L RS SHOULD BE TAPED SHUT WITH CU ODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COG Group No.
_
- SAMPLES ARE NOT AND VERIFIED AGAINST COC
UN 1. RECEIVED AT THE LABORATORY.
rCEPTEO
` r}
Cl Fed Ex Q UPS O Hand -delivered t3Prism Field Service ❑ other
GROUNDWATER: 1ATER E LANDFILL
I
ONCOSC❑NC ❑SC ONCOONC❑SC
I
NC ❑SC INC
❑ NC Lt SCO $ ❑NC ❑S❑ NC ❑ SC
NCC C`
r
"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: March 19, 2015
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
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 1.70 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
Enterococcll,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
WILK - 02
3/5/2015
NA
6.5
NA
NA
620
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.
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 ei, 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
-
NA
NA
NA
NA
NA
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.
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:
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 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."
(SigjAature of Perm
aP6 /' 14 r c
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/­`wq/­ws/su/npdessw#tab-4
fts
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Ty[s::aon,
Tyson Foods, Inc. ��
RE CEIV
MAR 23Z015
C,PNTRAl_ FILES
63 ]R SECTION
March 19, 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.
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did meet storm water sampling criteria for the month of March 2015 parameter
for Fecal was below the benchmark
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.
;Sin rely,
J�
Raymond E. Joh son (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

Wilkesboro Storm Water Calu. Sheet
Date 3/5/2015
Rain Begin: 10:00 AM Light Mist
Grab Samples: 11:30 AM
Rain at end of
Storm Event: 0.70
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 0.70 " (Total)
C = 1.0
Q = 1.0(0.70112)(578,250`7.5)11,000,000
0.253 MG

A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http_//portal.ncdenr.org/weblwqlws/su/ni2dessw#tab-4
Permit No: N/C/G/016/0/0/0/0 or Certificate of Coverage No. NIC/G/0/6/0/012/0
Facility Name: Tyson Foods Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 3/5/2015
Time of Inspection: i l'.3o RhI
Total Event Precipitation (inches):.70
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:
A � �
(Signature0of Permittee or besignee)
Pagel of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 'IZ - 09, Structure (pipe, ditch, etc.) P Receiving Stream-. �Ae-V"b r4 .4 o CO3 C: C'e'
Describe the industrial activities that occur within the outfall drainage area:
W-A cf <V'C"k
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L: 5�, �-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N cr c-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
5. 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:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes G
8. Is there an oil sheen in the stormwater discharge? Yes IV�
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
5WU-242, Last modified 10/25/2012

1 P' ISM
'7"B0RAT0PoE$ ING
Full -Service Analytical &
Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
SC Certi5cabon No, 99012
NC Drinking Water Cert No. 37735
VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No, L2307
ISOAEC 17025: L-A-B Accredited Certificate No. L2307
Project: Stormwater
Lab Submittal Date: 03/05/2015
Prism Work Order: 5030108
Case Narrative
03/18/2015
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.
C'�" ('03 ar-C-11
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: 1.800/529-6364 - Fax: [phone] Page 1 of 4

P I I SLM Full -Service Analytical a
Environmental Solutions
u�eoa•r
Sample Receipt Summary
03/18/2015
Prism Work Order: 5030108
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Stormwater Wilk - 02 5030108-01 Water 03/05/15 03/05/15
Samples were received in good condition at 2.7 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
"9 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 2 of 4

L6�-'B"Lq1M Full_Se"ice AnalyticalEnvironmental Solutions
Laboratory Report
03/18/2015
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: Stormwater Wilk - 02
Attn: James Brown Prism Sample ID: 5030108-01
704 Factory Street Prism Work Order: 5030108
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 03/05/15 11:30
Time Submitted: 03/05/15 15:55
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Dateffime ID
Microbiological Parameters
Fecal Coliforms 620 CFUI100 ml 10 1 'SM9222 D 315116 16:13 EGC PSCO140
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: 1-80016291364 - Fax: [phone] Page 3 of 4

':fI1� :fir': s�J„ ::• rr.:
I
i
t GAIN ®F CUSTODY RECORD
"
RCif Full -Service Analytical $
M S m I Environmental Solutions PAGE_ OF- QUOTE # TO ENSURE PROPER BILLING:
�; �LASORATORILS mc.
449 Springbrook Road • Charlotte, NC 28217
Phone [phone] • Fax: [phone]
Client Company Name: E1501A1 4 S'hAS, 10x(L
Report To/Contact Name: brG'wi1
Re�po{rtinng, Addross: Jb 4- rrB�Ab i 5A-re#.
`1
,V,`\�L 51) CPC7 is C.• a�viq
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:
R7l:MiVeU-ViV, YYLS ll,C(� --� _
PROPER:PRESERVATIV;;S indicated_?
Rey ived WITHIN HOLDING TIMES?
.CUSTOt7Y;SEALSIIVTAC:'i"�
VOLATILES recd WlOUTH-AD$PACE?:' r
,, -
PROp.ER CONTAINERS used?' 'T
TEMP:1T6erm 1p (/�T,:.�J ,_,Ob'served: *j }_: °C I Corr:_�_�.
V
Q
t1
Phone:_ ? s, ;3�5, ° I Z ( Fax (Yes) (No): Purchase Order No./Billing Reference
Email Address: � s. S. down ySOt� C� " Requested Due pate ❑ 1 Day ❑ 2 pays ❑ 3 Days U 4 Days ❑ 5 Days
EDD Type: PDF__,-Excel d Other "Working Days" ❑ 6-9 Days U Standard 10 days QRush
e Must Be
-AWork
Site Location Name: 7t-t tOf\ [fa r rA5, .'_n C Samples received after 14:00 wi0 be processed next business day.
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC Dod FL NC
SC OTHER NIA
Site Location Physical Address: ' 704 S�rcx`i Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS B CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
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
LAB
ID NO.
'TYPE
SEE BELOW
NO.
SIZE
SA G T tv� r✓r
'ilk . 0a
�T 5- l S
lit aD Ism
1,�xk-r
1�
I
too
Nn1S•z3
oc_nL
Sampler's Signature alyft.03 Sampled By (Print Name) A1\ Wn5_ w_ Gail n Affiliation
Upon relinquishing, this C ain of Custody is your authorization for Prism to proceed with the analyses as requested above, Any changes must be cll r
submitted In writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Relin y: eceiv By: ( tune) M&M ours Additional Comments: Si Arrival Time:...,: '
�s�ignnatur
Reli ui ad By: (Signature) Rec6ived By: (signature/ Date Siip, Departure:Cime: ..
tI
R611pqffshed y. Sign ure) Received FpYPdsm La to By: Data
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WIT C STODY SEALS FOR TRANSPORTATION TO THE LABORATORY. CO roup No,
SAMPLES ARE NO ACCEPTED AND VERIFIED AGAINST C 'UNTIL RECEIVED AT THE LABORATORY. log)
❑ Fad Ex ri UPS p Hand -delivered m Field Service O Other
ILL
, ❑❑ NC ❑ 5CI U❑ NC ❑ SC ❑ bfOCU ❑ SCTER: DRINKING
{❑SWAYER: ❑ NC ❑SCE O NBC O 5C CI NC ❑ SC 0 NCE❑ SC I ❑❑ NC ❑ SC
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (zero Head Space)
ORIGINAL

t = — Terin and Conditions
w e The Terms & Conditions set forth' below shall be deemed to be incorporated into the
agreements and understandings by and between Prism Laboratories and the Client
� _� , ? ,idcntified'on�tl>e facing page hereof. The Terms and Conditions of this Agreement. shall
c e not :be' moditied:without prior written consent of Prism Laboratories.
_ - Cogfidentiality: All work will be•perforrmed in strict
Billings: There is a minimum repgrting fee of S5$.00. _
confidence. Results arc released only to the client or his
All fees are billed directly to,the"ciient.,lf billing is' -to
designated agent. Prism;.must.receive'a ,,written -request
go to a third party, Prism requites` a statement signed by .;
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the third party accepting responsibility of payincn.
parfy�Confideniiality agreements will be gladly pro-
vided -and executedFupon request.. -
Litigation Support: All costs associated with corrtplt- l;
ance to any subpoena for docut rcnts, for testimony
Payment "terms: We require a credit application from
in a court of law, or for any other -purpose relatin'ta
eachrcustomcr.� For our clients with credit approved
.pork performed h.v Prism C.abo_i'atortcs, in connection '�
} _ by our coinpany, payment terns are Net 10 Days upon
of work performed for that client -shall be paid by that '
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client. These costs may incl `ode; but are not limited_to
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subpoenas, travel and accommodations, mileage,:at,
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torney's preparation of testifier and advice of counsel
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overdue or if credit limit is exceeded. FiiilUre to make
cxpcnses associated with su_Di litigaEioti.
payrrient tin aceordance with the Terns andi'Conditions
set forth herein may -result in refusaf;by Prism Labo-
Retention of Samples: ExcessFsarilples not used in=
ratories+im its sole discretion -to perform any further
analysis will be retained' at the laboratory after report ,
services by Prism Laboratories on behalf of the Client.
of analysis according; to the following schedule unless
other arrangements can be madet?otable water: Dis- '
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carded immediately. All other Samples: 30 days. =.
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received. We assume no responsibility for'the purposes
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tner`chdntability made by the client. These tenors and
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& 11 Quality Control Program Reports, Level III and
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Rush Turnaround: Available with prior approval from:
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Prism. The following price.prernium multipliers will
undertaken by Prism laboratories in good faith pursu-
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ant.t0 the Terms and Conditions o(,this Agreement.
Quotation: Less than 1 Day = 3x / 1 Day - 2.25x / 2 day
This -indemnification and hold harmless provision shall
- 1.75x / 3 day - 1.5x / 4 day - 1.25x / 5 day - 1.2x / 6-9 ,
apply to Prism LaUorat©ries, its employees. officers and
days - 1.15x. Rush TCi-P Analyses are priced higher. =_
'rT
directors and shall'survive the terms:of this Agreement.
Turnaround time is based on business days excluding
Prism Laboratories shall not be responsible for any
weekends and holidays. Samples received after 2:00
misrepresentations by Client andlor,any breach of these
pin will be considered received the.ttext business day. _
Terms-antl Conditions tiv Client asset forth herein.
G , t '
Force Majeure: Neither party to this agreement will
�+
Governing La%,O This Agreement shall be governed in
be liable to the other party for delays in performance of
accordance with the laws of the State of North Caro-
services nor for the director indirect cost(s) resulting
ling. _ `' � _ '
from such delays, that may result from labor strikes,
Fee Discounts: Fee discounts,aliply to long-term con-
tractual work, special projects and quotations, and large
volume requests. ' DAcounts do not apply to RUSH
work.
Hazardous Wastes' Prism, Laboratories reserves the
right to return any samples determined to be hazardous,
acutely toxic, or radioactive. It will be the clients re-
sponsibility to dispose of these samples in accordance
with federal reguldtions.,A sample disposal fee may he
charged by Prism Laboratories, Ind.
riots, war. extraordinary -weather conditions, terrorism
or any natural catastrophe "or any other cause beyond
the reasonable control of dither party.

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: February 28 2015
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? DYES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402 PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Storm water Benchmarks and Monitoring Results
Total event rainfall2 or n No discharge this Deriod3
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
Soo
WILK - 02
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.
(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
-
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.
5WU-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 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 DMA, 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 of Permittee)
3' S- � ,S-
(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

Tyson Foods, Inc.
March 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 RECEIVED
Tyson Farms Inc.
COCNCGo60020 MAR 01 Zm
Wilkes County CENTRAL FILES
DWR SECTION
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria for the month of February 2015 due
to snow during the month.
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,
z � C 16t)
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: January 31, 2015
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME lyson Farms Inc.
Wilkesboro Complex
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? DYES ®NO
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 Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
W I LK-02
NA
NA
i 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.
aSee 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
-
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 anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
aSee General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 I.ast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this MR, 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
jr Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, uncixpenalty of law; -that this document and all attachments were prepared under my -direction -or -supervision in accordance with a
-._ system designt-d"to assure iharqualified 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."
.. Bpi. Q
C 56b 1 ve-h . at)15
(Signattre of Permitte (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/­apdessw#tab-4
:i
SWU-249 Last Revised: October 18, 2012
Page 2'of 2

1 Tyson Foods, Inc.
February 9, 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.
COC NCG060020
Wilkes County
Dear Madam or Sir:
RECEIVED
Enclosed are two copies of the required storm water sampling results for the outfalls
Covered under the above subject permit and certificate of coverage.
FEB 12 2015
CENTRAL FILES
DWR SECTION
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria for the month of January 2015 due
to a Storm water project that started in January 2015.The old exiting storm water lines that feeds
these outfalls was replaced. Project was completed February 7, 2015.
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,
'�a4'rm� e- C.Bob)
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. NCGO60000
Date submitted: December 31, 2014
CERTIFICATE OF COVERAGE NO. NCG060020 RECEIVED SAMPLE COLLECTION YEAR 2014
FACILITY NAME Tyson Farms Inc. r�G FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex JAN 2 0 2015 ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes CENTRAL FILES DISCHARGING TO SALTWATERS? ❑YES ®NO
PERSON COLLECTING SAMPLES James Brown DWR SECTION
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 z or ❑ No discharge this period'
Outfali 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
S00
WILK-02
------------
------------ ------
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.
4See General Permit text,Tabie 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
(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
-
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.
S W U-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 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 ❑ 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 o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
11
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."
.F � a015
(Date)
Additional copies of this form may be downloaded at: httn://aortal.ncdenr.org/web/wq/ws/sulnpdessw#tab-4
S W U-249 f Last Revised: October 18, 2012
Page 2 of 2

Tyson Foods, Inc.
January 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.
COC NCG060020
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.
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. did not meet storm water sampling criteria for the month of December 2014
due to limited days of flow and Holidays.
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

� Tyson Foods, Inc.
RECEIVED
DEC 15 2014
CENTRAL FILES
ON&690T,IM 4
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. - Wilkesboro Complex
COC NCG060020
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 Period 2 for the semi-annual monitoring. Data receive
for PRISM tabs indicated one parameter for fecal was above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si rely,
ICJ G L1
Ray o�ohnso (Bob)l
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. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
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 2.91 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 I,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
WILK - 01
11/17/2014
55
6.5
SO
5.0
460
NA
WILK - 02
11/17/2014
1 11
6.4
77
5.0
1400
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/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
-
WILK - 01
11/17/2014
5.0
5.0
55
6.5
630
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be retarded 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] 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 Il 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 lob 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."
on
(Sign4fure of Pe
Dec :W/7/
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsuZnpdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 11/17/2014
Rain Begin: 8:30 AM Light Mist _
Grab Samples: 9:30 AM
Rain at end of
Storm Event: 0.91
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = 0.91 " (Total)
C = 1.0
Q = 1.0(0.91/12)(140,800*7.5)/1,000,000
0.080 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = 0.91 " (Total)
C = 1.0
Q = 1.0(0.91 /12)(578,250-7.5)/1,000,000
0.329 MG

In/PRISM
Q�UepfInTORIES lNG
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. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Lab Submittal Date: 11/17/2014
Prism Work Order: 4110346
Case Narrative
12l0312014
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:
r�
Reviewed By Terri W. Cole
Project Manager
EV All dilutions are outside the ideal range. Result is an estimated value.
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.Q. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 1 of 5

RIS�M
Full -Service Analytical &
Environmental Solutions
Sample Receipt Summary
12/0312014
Prism Work Order: 4110346
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
SW Wilk-01 4110346-01 Water 11/17/14 11/17/14
SW Wilk-02 4110346-02 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 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Totl Free Number: 1-8001629-6364 - Fax: 704IS25-0409 Page 2 of 5

.PPRS M I Funiro n on al Solution s
Envlronmantal Solutions
'�ueon�raa,ea ��+o
Tyson Foods, Inc. -Wilkesboro, NC
Attn: James Brown
704 Factory Street
Wilkesboro, NC 28697
Project: Stormwater
Sample Matrix: Water
Laboratory Report
12/03/2014
Client Sample ID: SW Wilk-01
Prism Sample ID: 4110346-01
Prism Work Order: 4110346
Time Collected: 11/17/14 09:30
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
mg/L
50
5.3 1
'SM5220 D
12/1/14 13:15
CDE
P41-0026
Oil R Grease (SGT-HEM)
BRLOG
mgtL
5,0
1.2 1
'1664B
11/26/14 8:15
JAB
P4KO466
Total Suspended Solids
65
mg1L
8.3
1.0 1
'SM 2640 D
11119114 16:15
CDE
P411(0339
Microbiological Parameters
Fecal Coliforms
"0
CFU1i00 ml
2
1
`SM9222 D
11/17114 14:40
MES
P41{0330
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 5

Laboratory Report
I C 1► /I Fuvironmoe a„ oluti l s 121a312014
/"P—�'Ri V �/ Environmsntal Solutions
�'rwaon.*onrea ire
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater
Client Sample ID: SW Wilk-02
Attn: James Brown
Prism Sample ID: 4110346-02
704 Factory Street
Prism Work Order: 4110346
Wilkesboro, NC 28697 Sample Matrix: Water
Time Collected: 11/17/14 09:35
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
77
mg1L
5o
6.3 1 "SM5220 D
1211114 13:15
COE
1341-0026
Oil & Grease (HEM)
BRL
mg/L
5.0
0,37 1 '1664B
11/26114 8:15
JAB
P41<0465
Total Suspended Solids
11
mg1L
2.8
1.0 1 'Sf1R 2540 D
11/19114 16:15
COE
P41C0339
Microbiological Parameters
Fecal Coliforms
1400 EV
CFU1100 ml
2
1 'SM9222 D
11117/14 14:40
MES
P4K0330
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: 1-800/529-6364 - Fax: [phone] Page 4 Qf 5

1CV��SL ._ ..,_ s::,'�SaY,: :,�:;::,5. ' - , r�� r, � ..'TT•: - , , .. , . , , ,� .:, � ter, , 1�.� u, , .aF, usu�..s: ,...�. „ .�, ,., 1.,,,
CHAIN! OF CUSTODY RECORD
Full -Service Analytical &
�. I S � Environmental Solutions PAOE�OF_ QUOTE N To ENSURE PROPER BILLING:
LAIIOHITOpIEs, INC.
449 Springbrook Road • Charlotte, NC 28217 Project Name:
Phone [phone] • Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
--r , *Please ATTACH any project specific reporting (QC+LEVEL 1 11 I11 IV)
Client Company Name: provisions and/or QC Requirements "
Report To/Contact Name:. I Dt �r1 Invoice To:
Reporting Address: Cit} foc4or!, Address:
r
0
Phone .'i3io,<S'3`6_.aI q J Fax (Yes) (No):65(P- 495 t-?,V&J Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL_
Email Address: Qdvri, 6, iN`bi,;A I& -+ LPca- (IL-11 Requested Due Date ❑ 1 Day ❑ 2 Days U 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DOD
FL NC
EDD Type: PDF_____,Excel L%-Other
Working Days" ❑ 6-9 Days ❑ Standard 10 days p Rush WPre-Apork Be
Sc OTHER
NIA
Site Location Name: 1~ t�1L
Samples received after 14:00 will be processed next business day.
Site Location Physical Address: ]_EA �.,� Skuu )' 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) I
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/////Z/
ID NO.
HOURS
SLUDGE)
SEE BELOW
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Sampler's Signature Sampled By
(Print Name) !'tiS t>7`1 Affiliation�j(Yt
Upon relinquishing, this Whafn 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 f r any changes after analyses have been Initialized.
Ralyr w5 e ay ignatura Re
signat�mJ Dale
MillterylHours Additional Comments
SiieAnivalTlme
Resin n 8y: (SfgnaturI
Site Departuro'T1me:=
Flnld TBCh FPB!g
ali shed By: (Si lure) ceiv
�Malhu
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(
t y
Mileage f
of Shipmo t: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SH I
CU bDY SEA S F T 5 TATION E LABORATORY. COC Group No.
' SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAIN C CUNT
RECEIVE THE SORATORY.
+ r'�'
( 0
+J
�
0 Fod Ex ❑ UPS U Hand-delNered U Prism Feld Ser ico CI Other
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1
NPUEo: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE; RCRA: CERCLA LANDFILL OTHER:
law
'�
C1 NC ❑ SC 0 NC CI SC U NC Q SC 0 NC ❑ SC
❑t] NC SC ❑ NC ❑ SC I ❑ NC ❑ SC ❑ NC ❑ SC
❑ NC ❑ SC
r
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastir- - Son -Lined Cap VOA =Volatile Organics Analysis (Zero Head Space) ORIGINAL.

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http:J/12ortal.ncdenr.or2lweb/wg/ws/su/nl2dessw#tab-4
Permit No: NICIG/0/6/0/0/0/0 or Certificate of Coverage No. N C G 0 6 0 0 2 0
Facility Name: Tyson Eoods Inc. REcFNtLj
County: Wilkes
Phone No: 336.838.2171 3UN 0 g 2914
Inspector: James Brown CENiRA�-FIDES
Date of Inspection: S 15 -14 DW0jB0G
Time of Inspection: k V.Do AM
Total Event Precipitation (inches): 1, tS
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 thgnature, I certify that this report is accurate and complete to the best of my knowledge:
(Signdture of Permittee/r Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. W;1L n A Structure (pipe, ditch, etc.)
Receiving Stream: UA --a
Describe the industrial activities that occur within the outfall drainage area: ",Ie Setq:ce co"ALr
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �,,kl
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:
10 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 bi 3 4 5
7. Is there any foam in the stormwater discharge? Yes /jo
8. Is there an oil sheen in the stormwater discharge? Yes 00
9. Is there evidence of erosion or deposition at the outfall? ge 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

4�
,.;A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: bitU:LLnortal.ncdenr.orgjweb/wg/ws/sujn,pd?,ssw#tab-4
Permit No: N/C/Gj0/6/0/0/010 or Certificate of Coverage No. N C G 0 6 0 0 2 0
Facility Name: Tyson Foods Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection:
Time of Inspection: kV- tb pvy^
Total Event Precipitation (inches): 1,
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.
71,signature, I certify that this report is accurate and complete to the best of my knowledge:
1cj f' � �. 1'do h)
of Permittee it Designee)
Pagel of 2
5WU-242, Last modified 10/25/2012

�1 I
1. Outfall Descri tion:
Qutfall No. �� ' Structure (pipe, ditch, etc.) +-
ReceivingStream: Y e- T : L
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 S k
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): tKjoc
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:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes eo
8. Is there an oil sheen in the stormwater discharge? Yes 6I0
9. Is there evidence of erosion or deposition at the outfall? Yes 00
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

1` 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. -.Wilkesboro Complex
COC NCG060020
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 Period 1 for the semi-annual monitoring. Data receive
for PRISM labs indicated parameters for fecal were above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
Si erely,
.
Ray and E. Johnsoneob)
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: June 03, 2014
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc. RECEIVE
Wilkesboro Comdex 1/
COUNTY Wilkes JUN 0 9 2014
PERSON COLLECTING SAMPLES James Brown CENTRAL FILES
LABORATORY Prism Labs Lab Cert. #I 402 DWQ/BQG
Part A: Storm water Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
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 3
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 Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
10DO
500
WILK - 01
05/15/2014
16
6.6
50
5.0
30000
NA
WILK - 02
05/15/2014
12
6.5
66
5.0
60000
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/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
-
WILK - 01
05/15/2014
5.0
5.0
16
6.6
630
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.
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 li 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" re,�arts, 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."
d C•
(Signatidre of Permittee)
0
3 3 tAvrc_ of 014
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

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. - Wilkesboro Complex
COC NCG060020
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 Period I for the semi-annual monitoring. Data receive
for PRISM labs indicated parameters for fecal were above the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336- 838- 2171, extension 3253should you have any questions.
4Si erely, � 690
Ray and 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

Ar
Pi ISM
7LMMATOME3, INC.
Full -Service Analytical 8
Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
SC Certification No. 99012
NC Drinking water Cert No. 37735
VA Certification No, 460211
DoD ELAP: L-A-B Accredited Certificate No. L2307
ISOIIEC 17025: L-A-B Accredited Certificate No. L2307
Project: Stormwater
Lab Submittal Date: 05115/2014
Prism Work Order. 4050405
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.
o-) 661,11
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
EV All dilutions are outside the ideal range. Result is an estimated value.
MV All dilutions are greater than the ideal range. Result is a minimum value.
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 29224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 4f 5

'PAR_LqM Full-8ervlce Anaiocal &
L i— IEnvironmental Solutlons
-
Sample Receipt Summary
05/30/2014
Prism Work Order: 4050405
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
SW Wilk-01
4050405-01
Water
05/15/14
05/15/14
SW Wilk-02
4050405-02
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 l.aboralches, Inc_
449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 5

P; \ Laboratory Report
- IPII-.l LqM FullService Analytical&
Environmental Solutions D5l3Dl2014
uwra Inc
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: SW Wilk-01
Attn: James Brown Prism Sample ID: 4050405-01
704 Factory Street Prism Work Order: 4050405
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 05/15/14 11:00
Time Submitted: 05/15/14 15:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatefTime ID
General Chemistry Parameters
Chemical Oxygen Demand
BRL
mg/L
50
3.5 1
'SM5220 D
5/29f14 11:35
JAB
P4E0604
Oil & Grease (SGT-HEM)
BRLpG
mgfL
5.0
1.2 1
'1664A
5129114 11:38
JAB
P4E0612
Total Suspended Solids
16
mg1L
5.0
1.0 1
'SM 2640 D
5121/14 16:10
JAB
P4E0435
Microbiological Parameters
Fetal Colitorms
30000 Ev
CFU1100 ml
200
100
'SM9222 D
5/15114 17:20
ME$
P4E0387
This report should not be reproduced, except in its entirety, without the wntten 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 5

Laboratory Report
LOU,
IS M IEnviro men Analytical &
Envlranmental Solutions 0513412014
.BOn.rOR.& —
Tyson Foods, Inc. -Wilkesboro, NC
Project: Stormwater
Client Sample ID: SW Wilk-02
Attn: James Brown
Prism Sample ID: 4050405-02
704 Factory Street
Prism Work Order: 4050405
Wilkesboro, NC 28697
Sample Matrix: Water
Time Collected: 05/15/14 11!10
Time Submitted: 05/15/14 15:45
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor Datefrime
ID
General Chemistry Parameters
Chemical Oxygen Demand
66 mg1L
so
3.6 1 "SM5220 D 6129/14 11:36 JAB
P4E0604
Oil & Grease (SGT-HEM)
BRLOG mglL
5.0
1.2 1 "1664A 5/29114 11:36 JAB
P4E0612
Total Suspended Solids
12 mg1L
6.0
1.0 1 "SM 2640 D 5121114 16:10 JAB
P4E0435
Microbiological Parameters
Fecal Coliforms 60000 mv CFU1100 ml 20 10 'SM9222 D 6/15114 17:20 MES P4E0387
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: 704152"364 -Toll Free Number: 1-8001529.6364 -Fax: [phone] Page 4 of 5

rr
0.
CHAIN
CUSTODY RECORD
P#Fa Full -Service Analytical 8
R 1 S M Environmental Solutions PAGE___,_ OF , QUOTE 4 TO ENSURE PROPER BILLING:
�TF LAOOAATORIES, INC,
449 Springbrook Road • Charlotte, NC 28217
Phone 7D41529.6364 Fax:[phone]
Client Company Name:. V SD y=ocJ .Ic.
Report To/Contact Name: rSAFACS
Reporting Address: 'To 4 'Ar-A-rtt SAtc4A
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
'Please ATTACH any project specific reporting (QC LEVEL 111111 IV)
provisions and/or QC Requirements
Invoice To:
Address:
lYE5 u7
Samples #NTACT upon arrlvak� ✓ -
Received ON WEf ICE? ' u7
P
PROPER,PR SERVATIVES1nd#cated� f
ReWved WITHIN HOL6i�1G TIMES T (o
=?GDSTODY-SEALS,INTACT?"
VOI:ATILES rec d WIOUT HEADSPACE9
PROPER CONTAINERS used? ,`-
TEMP ,.Thed'rm tD �_ Observer. °C 1 Corr _ W°C
Phone: ti?ji h311i t i Fax (Yes)(No):�-
A
Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: 3y;IriC; , 5. (�roW n & Li9on. Clam Requested Due Date ❑ 1 Day U 2 Days O 3 Days LJ 4 Days U 5 Days
Certification
NEL,4C DoD FL NC
EDD Type: PDF_.,- Excel a Other
"Working Days" ❑ 6-9 Days ❑ Standard 10 days D Rush WPre-Apporkst Be
SC OTHER NIA
Site Location Name: ay'�t21�ne[S
Samples received after 14:00 will be processed next business day.
Site Location Physical Address: -1c4 Strict{ 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 I
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
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SEE BELOW
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Sampler's Signature J Sampled By (Print Name) _} I�1Ytrs� rpt + n Affiliation 7 �O h.
Upon relinquishing, this Nain 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 an anges after analyses have been initialized.
Rallnq ed y: (Signature) ReCeivW y;(Sign a t1 M1 11 y{�jr{ou�rs
Additional Comments: . Site Arrival Time:'
Relinquish By:(Sig natu Ratei ed ; (S%na re) nato
,Site Departure Timei -
.I'leld36ch Fee
Relirpuist�ed B Signature a
Or oratories By: - Da
Method of Shi on • OTE: ALL SAMPLE COOLERS SHOULD BETA ED SHUT
CU ODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No,
- =
/ SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C C
U L RECEIVED AT THE LABORATORY. ►N} j� rLL
❑ F - ❑ UPS X] Hand-dolivorod ❑ Prism Reid Service ❑ Other
NPDES: UST: { GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
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'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAI

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. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Com lex
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 -->
Totol event rainfoll 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 Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
1000
Soo
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 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(ifyes, complete Part g)
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 My 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:
Mail an original and one copy of this DM& 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, 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."
(Signifture of Pe
S dla,4aQ16
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/n_pdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2