WQ0020793_Monitoring - 12-2021_20220103

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0020793
Tyson Farms, Inc. Hays Hatchery
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2021
Upload Document*
NDMR December 2021.pdf 1.89MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * James Brown
Signature:
Date of submittal: 1/3/2022
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0020793
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
3/7/2022

O
Tyson
January 3, 2022
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 Pond
Non- Discharge Monitoring Report
NDMR Report — December 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,
��1�H.2d �2.eGufL
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-2871 336.651.3836 Fax! 33.651.3867 www.tysonfoods.com
L

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of
Sampling Person(s) Certified Laboratories
Name: Jaynes 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? Ll 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: 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 0 No
Phone Number: 336-651-3836 Permit Expiration: 7/31/2026
L2�zo &el� 1 -3 -_)_Q
/",?._:�,�,
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 ali attachments were prepared under my direction or supervision is
accordance with a system designed to assure that all qualified personnel property 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 Ak of -1-
Permit No.: WQ0020793
Facility Name: Tyson Farms, Inc. Hays Hatchery
County: Wilkes
finonth: December
Year: 2021
PPI:
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ influent ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code - P.
50050
00310
00940
31616
00610
00625
00620
00600
00400
00665
70300
00530
82546
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N CLN
CA
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24-hr
hrs
GPD
mg/L
I mg/L
91100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
ft
1
08:00
08:15
3,960
2
10:55
11:01
8,328
12.2
>2419.8
3.7
70
0.3
4
7
1
246
4.4
3
08:00
08:15
8,648
4
08:16
08:21
5,948
7.1
4-4
5
08:00
08:15
4,390
61
08.00
08:15
1 11,132
7
08:00
08:15
8,706
8
08:00
08:15
3,904
9
08:00
08:15
10,912
10
08:00
08:15
10,128
11
08:18
08:23
1,216
1
7.1
4.4
12
0800
08.15
4,284
13
08:00
08:15
12,320
14
08:00
081-15
7,940
15
08:00
08:15
4.346
16
08100
08:15
11,161
171
08:00
1 08:15
9,753
181
08:22
1 08:27
1,619
7
4.4
19
08:00
08:15
4.399
20
08:00
08:00
5,012
21
08:00
08:15
8,911
22
08:00
08:15
3,722
23
08:00
08:15
8,865
241
08:00
08:15
8,929
25
08:15
08:20
1,568
7.
4.4
26
08:00
08:15
3,299
27
0800
08:15
12.546
28
08:00
0815
7,668
29
08:00
0815
3,256
30
08:00
08:15
9,718
311
08:00
1 08:15
10.260
Average:
6,995
12,20
1.00
3.70
70.00
0.30
4.00
1.00
246.00
4.40
Daily Maximum:
12,546
12.20
0.00
3.70
70.00
0.30
4.00
1 7.10
1 00
246,00
4.40
Daily Minimum:
1,216
12.20
0.00
3.70
70.00
0.30
4.00
7A0
1.00
246.00
4.40
Sampling Type:
Recorder
Monthly Avg. Limit:
13,524
Daily Limit:
Sample Frequency:
Dai#y

Analytical Results
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 12/02/2021
Reported: 12/22/2021
For: Hays Hatchery
Comments:
STATESVILLE
ANALYTICAL
Sample Number Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
211202-31-01 Ammonia Nitrogen
Hays Eff
3.70
mg/L
SM450ONH36-2011
12/07/2021
LE/CE
211202-31-01 BOD
Hays Eff
12.2
mg/L
SM521OB-2011
12/03/2021
CE
211202-31-01 Fecal Coliforms
Hays Eff
>2419.8
MPN/100 mt iDFXX Colilert 18 MPN
12/02/2021
WC
211202-31-01 Nitrate/Nitrite
Hays Eff
0.3
mg/L
SM450OF-2011
12/06/2021
CL
211202-31-01 T. Phosphorous
Hays Eff
1
mg/L
SM450OPE-2011
12/13/2021
CL
211202-31-01 TKN
Hays Eff
70.00
mg/L
SM450oNorgB-2011
12/17/2021
CE
211202-31-01 TSS
Hays Eff
246
mg/L
SM254OD-2011
12/03/2021
LE
Respectfully submitted,
Melissa 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 211202-31-01 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: Fecal Conforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: TKN
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate/Nitrite
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

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