WQ0020793_Monitoring - 06-2020_20200708

FORM: NDivIR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of -
Sampling Person(s) 11 Certified Laboratories
Name: James Brown I Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers I Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑� 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
r ORC: James Brown
Permittee: Tvson Farms; Inc. Hays Hatchery
Certification No.: 1001810
Signing Official: Kevin Taylor
Grade: 2 Phone Number: 336-651-3836
Signing Officials Title: Complex Manager
Has the ORC changed since the previous NDMR? ❑ yes E�j No
Phone Number: 336-651-2871 Permit Expiration: 7/31/2026
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. Raced on my inquiry of the person or parsons 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 I
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
Permit No.: WQ0020793
Facility Name: Tyson Farms, Inc. Hays Hatchery
County: Wilkes
Month: June
Year: 2020
PPI:
Flow Measuring Point: ✓' Influent _ i Effluent No flow generated
Parameter Monitoring Point: ; `-nfluent Fff!uent �_] Groundwater Lowering ; Surface Water
Parameter Code 0.
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
82546
co
p
Q
U
c
to
U
O
O
d
v
U
_
U.
U
co
c
E
Q
s
a c
m
Y
O Z
w
c
o
:L
Z
CL
W
a
°
^�
0
N NNuN
chi
0
F0-
oZ
Cn
>
•m+
as
'S
24-hr
hrs
GPD
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
ft
1
08:05
08:10
10,085
2
08:00
08:15
6,419
3
08:00
08:15
3,083
4
10:50
10:55
7,503
786
<1
7.73
91.39
0.55
91.9
9.95
2.6
48
2.9
5
08:00
08:15
8,587
6
08:00
08:15
965
8
3
7
08:00
08:15
3,326
8
08:00
08:15
9,792
9
08:00
08:15
6,572
10
08:00
08:15
3,172
11
08:00
08:15
8,162
12
08:00
08:15
9,057
13
08:12
08:15
1,992
7.46
3.2
141
08:00
08:15
3,803
15
08:00
08:15
11,708
16
08:00
nu 15
8 928
17
08:00
08:15
4,493
18
08:10
08:15
11,068
19
08:00
1 08:15
9,006
20
08:25
08:30
533
7.32
3.1
21
08:00
08:15
3,058
22
08:00
08:15
9,013
23
08:00
08:15
7,067
24
08:00
08:15
3,325
251
08:09
1 08:15
8,105
261
08:00
1 08:15
9,370
271
08:15
1 08:30
1,171
7,42
3.2
281
08:10
1 08:15
2,833
291
08:00
1 08:15
10,866
30
08.00
1 08:15
7,66
31
Average:
6,358
786.00
1.00
7.73
91.39
0.55
91.90
2.60
48.00
3.08
Daily Maximum:
11,708
786.00
1.00
7.73
91.39
0,55
91.90
9.95
2.60
48.00
3.20
Daily Minimum:
533
786.00
1.00
7.73
91.39
0.55
91.90
7.32
2.60
48.00
2.90
Sampling Type:
Recorder
Monthly Avg. Limit:
13,524
Daily Limit:
Sample Frequency:
Daily
_I
i
!

Analytical Results�-
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 06/04/2020
Reported: 06/12/2020
For:
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
200604-28-01
Ammonia Nitrogen
Hays Eff
7.73
mg/L
SM4500NH3C-2011
06/08/2.020
CJE
200604-28-01
BOD
Hays Eff
786
mg/L
sM521OB-2011
06/05/2020
CJE
200604-28-01
Fecal Coliforms
Hays Eff
<1
MPN/100 ml
IDEXX Comert 18 MPN
06/04/2020
WC
200604-28-01
Nitrate/Nitrite
Hays Eff
0.55
mg/L
SM450OF-2011
06/05/2020
CL
200604-28-01
T. Phosphorous
Hays Eff
2.6
mg/L
SM450OPE-2011
06/05/2020
CL
200604-28-01
TKN
Hays Eff
91.39
mg/L
SM4500NorgB-2011
06/10/2020
CL
200604-28-01
Total Nitrogen
Hays Eff
91.9
mg/L
CALC
06/10/2020
CL
200604-28-01
TSS
Hays Eff
48
mg/L
S10254OD-2011
06/05/2020
CJE
Respectfully submitted,
Dena Myers
NC Cert #440.
NCDW Cert #37755,
EPA #NC00909
PO Box 228 - Statesville, NC 28687 - 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 200604-28-01 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: TKN
Sulfuric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Nitrate/Nitrite
Sulfuric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 o 704/872/4697
Page 2 of 3

Cl!nT n rmS nC,TATEF,fILF_
'; ANALY I ICAO
I22 Court Sued • P.O. Box 228
44 Shdmwillc, NC 28687
[phone]
_ Chain of
Custody Record
Address, �
�01'D
Contact Person: Phone # FAX#
MeS W h
PO # Requisitioned by: (Time Date)
ample er S
Semple IDA
Lab-ID •
(Grob � led
(Grab OOrdyy)
Metrbr
I'aramelcrs rc r=acd For oulysis
's
G
w3 94146u
Relinquished by.
Received by: % j
Relinquished by:
Received by _
II
Composite Sampling #1:
Time begin am, pm Date �_/_
Time end am, pm Date /_
Composite Sam ling #2•
Time begin am, pm Date _/ 1_
Time end am, pm Date _7!_
Time (J �✓ aid, pm Date r? / Y I % Sampled by
Time '(/ j j &, pm Dateb d l z.J Transported by:
Time am, Date Y J Holding times met:
�oiTime )'� am prr Date/ l
�� Compliance work X
Non-compliance work:
Lab Comments: Transponed on Ice:
Samples
P
Initials:
x
00
1.0
00
N
U
Z
ai
H
N
00
N
N
X
O
CO
0
a