HomeMy WebLinkAboutWQ0020793_Monitoring - 05-2021_20210607Monitoring Report Submittal
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Permit Number #* WQ0020793
Name of Facility:* Hays Hatchery
Month:* May
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
May NDMR 2021.pdf 1.24MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
james.s.brovm@tyson.com
James Brown
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Reviewer: Williams, Kendall N
6/7/2021
This will be filled in automatically
Is the project number correct? * WQ0020793
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 6/8/2021
June 7, 2021
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. WQ0020793
Tyson Farms, Inc.
Hays Hatchery
Evaporation/Infiltration Fond
Non- Discharge Monitoring Report
(NDMR Report — May 2021
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,
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-2871 336.657.3836 Fax:33.651.3867 www.tysoJzfoods.coM
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page f of 1
Sampling Person(s) 11 Certified Laboratories
Name: James Brown Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 7�1 Compliant C 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: James Brown
Grade: 2 Phone Number: 336-651-3836
Signing Official's Title: Complex Environmental Manager
Has the ORC changed since the previous NDMR? yes �7 No
Phone Number: 336-651-3836 Permit Expiration: 7/31/2026
06/07/2021
06/07/2021
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 'a-- of S_
Permit No_: VVQ0020793
Facility Name:
Tyson Farms, Inc. Hays Hatchery
PPI:
Flow Measuring Point: Influent ❑ Effluent
❑ Noflow generated
Parameter Code
b. , t3
00310
31616
00625
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