WQ0020793_Monitoring - 05-2020_20200603

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Tyson
June 2, 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 — May 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,
AVVA--)
.lames 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
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) !f Certified Laboratories
Name: James Brown 11 Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers II 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 date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: James Brown
Permittee: Tyson Farms, Inc. Hays Hatchery
Certification No.: 1001810
Signing Official: Kevin Taylor
Grade: 2 Phone Number: 336-651-3836
Signing Official's Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ yes 0 No
Phone Number: 336-651-2871 Permit Expiration: 7/31 /2026
Signature Date
Sign ure 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
MailOriginal 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 —,I, of
Permit No.: W00020793
Facility Name: Tyson Farms, Inc.
Flays Hatchery
County: Wilkes
Month: May
Year: 2020
PPI:
Flow Measuring Point:
Q Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent
Q Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code —i�
00310
31616
00625
00600
00665
00530
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#l100 mL
mg/L
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mg/L
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08:15
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2
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08:17
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08:00
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4
08:00
08:15
5
08:00
08:15
6
08:00
08:15
7
08:00
08:15
8
08:00
08.15
9
08:10
08:15
10
08:00
08:15
11
08:05
08:11
12
08:00
08:15
13
08:00
08:15
14
08:06
08:11
15
08:00
08:15
16
08:08
08:13
17
08:00
08:15
18
08:00
08:15
19
08:00
08:15
mom
IMEM
20
08:00
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21
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22
08:00
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23
08:12
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24
08:00
08:15
MOM
25
08:09
08:15
26
08:00
08:15
27
08:00
08:15
28
08:00
08:15
29
08:00
08:15
30
08:14
08:19
31
08:00
08:15
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑ Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
�rixr vlu,k:er �C6aCa6 tr'�y r #
D. Is delivery address different from item 1? ❑ Yes
If YES, enter defvery address below: ❑ No
Service Type
❑ Priority Mail Express
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❑ Certified Mail Restricted Delivery
Delivery
P<PtUrn Receipt for
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Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
n Insured
❑ Signature Confirmation"'
CJ Signature Confirmation
Mail
Restricted Delivery
7 019 0140 0001 1357 472 0
Restricted Delivery
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PS Form 3811, July 2015 PSN 7530-02-000--9053
Domestic Return Receipt
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