WQ0020793_Monitoring - 07-2021_20210721

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0020793
Name of Facility:*
Month:* July
Report Information
Type *
GW-59
Tyson Farms Inc. Hays Hatchery
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
July 2021.pdf 4.11 MB
FDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
James Brown
Reviewer: Lloyd, Chloe D
7/21 /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: 7/23/2021

('TI-*)
Tyson
July 21, 2021
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER,
RALEIGH, NC 27699-1617 Phone: [phone]
Subject: Ground Water Quality Monitoring
Tyson Farms, Inc. Hays Hatchery
Compliance Report July. 2021
To whom it may concern:
Enclosed is the quarterly Groundwater Compliance 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
336-651-3836 336.838.2171 Fav 33.651.3867 www.tysonfoods.com

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GW-59A COMPLIANCE REPORT FORM Tyson Farms, Inc. Permit # WQ0020793
(Submit one each monitoring period with GW 59 forms.)
1
Enter date monitoring results were due. () Will this monitoring report (GW-59 and GW-59A)
YES
NO
be submitted after the established due date?
2
Was any required information missing on the GW-59 report forms'
YES
NO
IF the answer to question I or 2 is "YES", list in the space provided below the well identification number(s) and
explain the problems encountered in obtaining the required information.
3
Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing
YES
kNO
identification plate, area overgrown, etc.)? (fthe unsiaer is ")`es", contact the Regional Office for guidance,
4
Are any monitored constituents equal to or above the established standards?
YES
NO
If the answer to question 4 is "NO", skip to section 8.
If the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentration(s)
exceeding standards in the space provided below
7/1 t21 PH 6.5- 8.5 Ammonia 1.5 Nitrate 10 Fecal
Mw- 1 PH- 6.0
MW-2 PH-6.3 5.6mg11 8
Mw-3 PH-4.9
MW -4 PH - 5.4
5
For the constituents identified in question 4 above, have standards been exceeded previously for the
ES
NO
same constituent(s) in the same well(s) in the last two years?
If the answer to question 5 is "NO" skip to section 8.
If the answer to question 5 is "YES", list in the space provided below, each well with constituent(s) exceeding
standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years).
GW Standards Nitrate 90 GW Standards ammonia 1.5
MW-2 7-1-21 5.60mg/1
MW-2 3-4-21 4.82 mg11
MW-2 11-5-20 4.14 mgR
MW-2 7-16-20 4.7 mgR
MW-2 3-26-20 4.90 mgR
MW-2 11-7-19 5.04 mgR
Are the monitoring wells listed in section 5 located at or beyond the review boundary?
YE
NO
It the answer is "YES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE. If the answer is "NO", monitoring wells may be improperly
located; contact the Regional Office.
7
Is the permittee implementing previously approved actions required by the Division involving this
kj!j
NO
groundwater quality problem?
If the answer to question 7 is "YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days: an evaluation max breguired to determine the imi2act the Walte disposal system is having at the reviewand comalianc
boundaries surroundina this facility. Failure to do so may subiect the aermittee to a Notice of Violation.
fines. and/or penalties.
g
The person completing this portion (GW-59A) of the monitoring report should sign below and submit this
form with G W-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report (Compliance Report GW-59A) is -true andl omplete to the best of my*nowledge.
5igna a of Permittee (or Authorized Agent) Date

Works heet # 4b
Tyson Farms, Inc.
Completed by:
James Brown
Title :
GEM
Date :
21-Jul-21
No. of Wells to be Sampled 41
Hays Hatchery
GroundWate Water sampling data Hays Hatchery Compiiance Data
Constituents equal to or above the established Standards
Has
1 per 100ML
500 Mg/1
250 m I
1.5 m 11
10 m 11
NA
6.5-8.5
Date
Wells ID;
Fecal
TDS
Chloride
Total NH3
Nitrate
Phos hours
PH
July-11-2019
MW-1
<1
179
<10
<0.5
7.90
0.5
6.0
MW-2
<1
71
<10
4.14
1.72
0.7
6.5
MW - 3
<1
176
19
<0.5
5.70
0.9
5A
Nov-7-2019
MW - 1
<1
178
<10
<0.5
4.30
<0.1
6.2
MW-2
<1
182
<10
5.04
0.68
<0.1
6.4
MW - 3
<1
73
<10
<0.5
4.14
<0.1
5.0
Mar-26-2020
MW - 1
<1
161
10.6
<0.5
7.07
0.6
5.9
MW-2
<1
69
20.4
4.90
1.19
0.3
6.5
MW-3
<1
92
<10
<0.5
6.00
0.5
6.1
MW- 4
<1
170
18.6
<0.5
2.83
0.5
5.7
July-16-2020
MW - 1
<1
188
<10
<0.5
6.21
0.2
6.9
MW-2
<1
176
16.2
4.70
1.83
0.1
7.1
MW-3
<1
79
<10
<0.5
5.76
0.5
5.6
MW-4
<1
112
19.6
<0.5
3.78
0.1
6.0
Nov-5-2019
MW - 1
<1
206
<10
<0.5
6.43
0.1
6.2
MW- 2
<1
181
17.9
4.14
1.35
0.1
6.3
MW - 3
<1
63
11.0
<0.5
6.10
D.1
5.3
MW-4
<1
106
20.4
<0.5
2.17
0.1
5.7
Mar-4-2021
MW - 1
<1
212
<10
<0.5
7.05
<0.1
6.3
MW-2
<1
187
14.5
4.82
2.00
<0.1
6.4
MW - 3
<1
69
<10
<0.5
6.19
<0.1
5.0
MW-4
<1
118
19.6
<0.5
6.17
0.1
5.3
July-1-2021
MW- 1
<1
265
<10
<0.5 1
5.45
<0.1
6.0
MW-2
8
162
19.6
5.60
1.78
<0.1
6.3
MW-3
<1
64
<10
<0.5
6.06
<0.1
4.9
MW-4
<1
134
19.6
<0.5
7.17
<0.1
5.4
Maximum
0
435
43
6
8
2
7
Minimum
<1
53
11
4
1
0
5

Analytical Results
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 07/01 /2021
Reported: 07/19/2021
For: Hays
Comments:
STATESVIE
ANALYTICAL
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
210701-22-01
Ammonia Nitrogen
MW1
<0.5
mg/L
SM450oNH3C-2011
07/06/2021
CE/MD
210701-22-01
Chloride
MW1
<10
mg/L
SM4500CIC-2011
07/13/2021
MD
210701-22-01
Fecal Coliforms
MW1
<1
MPN/100 ml IDFMCoiilert18MPN
07/01/2021
WC
210701-22-01
Nitrate
MW1
5.45
mg/L
SM450ONO3F-2011
07/19/2021
CL
210701-22-01
T. Phosphorous
MW1
<0.1
mg/L
SM450OPE-2011
07/02/2021
CL
210701-22-01
Total Dissolved
MW1
265
mg/L
SM 2540 C 16th Edition
07108/2021
MD
Solids
210701-22-02
Ammonia Nitrogen
MW2
5.60
mg/L
SM4500NH3C-2011
07/06/2021
CE/MD
210701-22-02
Chloride
MW2
19.6
mg/L
SM4500CIC-2011
07/13/2021
MD
210701-22-02
Fecal Coliforms
MW2
8
MPN1100 ml IDCXXCoillertI$MPN
07/01/2021
WC
210701-22-02
Nitrate
MW2
1.78
mg/L
SM4500NC3F-2011
07/19/2021
CL
210701-22-02
T. Phosphorous
MW2
<0.1
mg/L
SM450OPE-2011
07/02/2021
CL
210701-22-02
Total Dissolved
MW2
162
mg/L
SM 2540 C 18th Edition
07/08/2021
MD
Solids
210701-22-03
Ammonia Nitrogen
MW3
<0.5
mg/L
SM4500NH3C-2011
07/06/2021
GE/MD '
210701-22-03
Chloride
MW3
<10
mg/L
SM45000IC-2011
07/13/2021
MD
a
210701-22-03
Fecal Coliforms
MW3
<1
MPN1100 ml 111"XCohled 1HMPN
07/01/2021
WC
210701-22-03
Nitrate
MW3
6.06
mg/L
SM450ONO3F-2011
07/19/2021
CL
210701-22-03
T. Phosphorous
MW3
<0.1
mg/L
SM450OPE-2011
07/02/2021
CL
210701-22-03
Total Dissolved
MW3
64
mg/L
SM 2540 C 18th Edition
07/08/2021
MD
Solids
210701-22-04
Chloride
MW4
19.6
mg/L
SM4500CIC-2011
07/13/2021
MD
210701-22-04
Nitrate
MW4
7.17
mg/L
SM450ONO3F-2011
07/19/2021
CL
210701-22-04
T. Phosphorous
MW4
<0.1
mg/L
SM4500PE-2011
07/02/2021
CL
210701-22-04
Total Dissolved
MW4
134
mg/L
SM 2540 C 18th Edition
07/08/2021
MD
Solids
PO Box 228 - Statesville, NC 28687 - 704/872/4697
Page 1 of 6

Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
210701-22-04
Ammonia Nitrogen
MW4
<0.5
mg/L SM45CONH342011
07/06/2021
CE/MD
210701-22-04
Fecal Coliforms
MW4
<1
MPW100 ml IDExxColael18 MPN
07/01/2021
WC
210701-22-05
Chloride
HAYS EFF
29.4
mg/L SM46DOCIC-2011
07/13/2021
MD
210701-22-05
Total Dissolved
HAYS EFF
262
mg/L SM 2540 C 18th Edition
07/08/2021
MD
Solids
Respectfully submitted,
2
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 6

Condition of Receipt
Sample Number 210701-22-01 Temp on Arrival: 3.2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Chloride
Received on Ice
Chemicals in containers, lab
Sample Number 210701-22-02 Temp on Arrival: 3.2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3of6

Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Chloride
Received on Ice
Chemicals in containers, lab
Sample Number 210701-22-03 Temp on Arrival: 3.2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Chloride
Received on Ice
Chemicals in containers, lab
Sample Number 210701-22-04 Temp on Arrival: 3.2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 6

Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Chloride
Received on Ice
Chemicals in containers, lab
Sample Number 210701-22-05 Temp on Arrival: 3.2
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Chloride
Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 5 of 6

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