WQ0020793_Monitoring - 04-2020_20200504

Tyson
May 4, 2020
North Carolina Department of Environment, Health and Natural Resources
Division of Water resources
Information Processing Unit
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Subject: Permit No. WQ002079
Tyson Farms, Inc.
Hays Hatchery
Evaporation/Infiltration Pond
Non- Discharge Monitoring Report
(NDMR Report — April 2020
To whom it may concern:
Enclosed is the Monthly Non- Discharge Monitoring report for Hays Hatchery.
Please contact me at 336- 651-3836, should you have any questions.
Sincerely,
9/'V� SV��
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-2871 336.651.3836 Fax.[phone] www.tysonfoods.com

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page t of a
Sampling Persons) 11 Certified Laboratories
Name: James Brown 11 Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers 11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Brown
Permittee: Tyson Farms, Inc. bays Hatchery
Certification No.: 1001810
Signing Official: Kevin Taylor
Grade: 2 Phone Number: 336-651-3836
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ Yes E] No
Phone Number: 336-651-2871 Permit Expiration: 7/31/2026
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S- 4 - o go
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were:prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines, and imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of --;Z_
Permit No.: WQ0020793
Facility Name:
Tyson Farms, Inc.
Hays Hatchery
County:
Wilkes
Month:
April
Year: 2020
PPI:
Flow Measuring Point: 0 Influent E] Effluent E] No flow generated
Parameter Monitoring Point: ❑ Influent
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L1 Groundwater Lowering El Surface Water
Parameter Code 0
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