HomeMy WebLinkAboutWQ0020793_Monitoring - 10-2021_20211102 (2) DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0020793
Name of Facility:* Tyson Farms, Inc. Hays Hatchery
Month:* October Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR NDMR October 2021.pdf 1015.35KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* James.s.brown@tyson.com
Name of Submitter:* James Brown
Signature:
[ ,111 Orr.
Date of submittal: 11/2/2021
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Mokashi, Poorva
Is the project number correct?* WQ0020793
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 12/2/2021
0
Tyson
November 2, 2021
North Carolina Department of Environment, Health and Natural Resources
Division of Water resources
Information Processing Jnit
1617 Mail Service Center
Raleigh,N.C. 27699-1617
Subject: Permit No. WQ0020793
Tyson Farms, Inc.
Hays Hatchery
Evaporation/Infiltration Pond
Non- Discharge Monitoring Report
NDMR Report—October 2021
To whom it may concern:
Enclosed is the Monthly Non- Discharge Monitoring report for Flays Hatchery.
Please contact me at 336- 651-3836, should you have any questions.
Sincerely,
54-e9c-u-e.
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 7(4 Factory Wilkesboro,N.C.28697
336-651-2871 336.651.3836 Fax:33.651.3867 IA t•,WA:,SOnibOdS.Coln
FORM: NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page 1 of _.)
.. __
Sampling Person(s) Certified Laboratories
Name: James Brown Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers Name:
1
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ,J,compliant • 1 Nor-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? LI Yes i,' No Phone Number: 336-651-3836 Permit Expiration: 7/31/2026
-2
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..-.',/ Signature Date ii-.if
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 impnsonment 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
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