NCG060023_Tier 2 Monitoring Report_20220617

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T
Tyson
Tune 13, 2022
Department of Environment and Natural Resources
Division of Water Quality, Mooresville Reginal Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
RE: Tier Two Monthly Discharge Report
Tyson Farms, Inc.
Monroe, Union County, North Carolina
General Permit Number: NCG060023
Dear Sir/Madam:
RECEIVED/NCDEO/DWR
J U N 1 I C0'(2
WOROS
MOORESVILLE REGIONAL OFFICE
Per the requirements of General Permit No. NCG060000, enclosed is the original signed
monthly discharge report for outfall #007. A copy is also being submitted electronically to the
Stormwater NPDES Permit Discharge Monitoring Report (DMR) Upload site on 6/13/2022.
Outfall #7, which is the discharge from the on property stormwater pit, was above the COD and
TSS benchmarks for two consecutive sampling periods placing this location in Tier Two.
Monthly sampling for COD and TSS is being conducted at outfall #7.
If you have any questions, please contact me at [phone] or via email at
[e-mail].
Sincerely,
40,
Katelyn Stroud
Complex Environmental Manager
Tyson Farms, Inc. Monroe, NC Complex 233 S. Secrest Ave., Monroe NC 28112
(704) 296-490o Fax: [phone] wwwAysonfoods.com

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DIVIR) dorm for N00060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0023
Person Collecting Samples: Katelyn Stroud
Facility Name: Tyson Farms, Inc
Laboratory Name: Par Labs
Facility County: Union
Laboratory Cert. No.: 20
Discharge during this period: 1:1 Yes EZ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? EZ Yes [:] No
If so, which Tier (I, II, or III)? II
A copy of this DMR has been uploaded electronically via https:Hedocs.deg.nc.goy/Forms/SW-DMR ® Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 SW)
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
Enterococci per 100 ml of saltwater
61211
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional): No Flow
"I certify by my signature below, 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 qualified personnel properly gather and evaluate 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
f4lse information, incluking toe possibility of fines and imprisonment for knowing violations."
6/13/2022
Signature of Permittee or Delegated Authorized Individual Date
[e-mail]
Email Address
[phone]
Phone Number

LIMIT VIOLATION DISCHARGE MONITORING REPORT (DMR) — WASTEWATER -
SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG140000
JUN 17 2022
*Use this form if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any t�a,,rrameter. WOROS
Send sample results to the DEMLR Regional Office within 30 days of receipt from the /abjN .. SVILLE REGIONAL OFFICE
Certificate of Coverage No. NCG14 [_01F21
Facility Name: Monroe Plant Sample Collection Period: Qtr 1 ❑ Qtr 2 0 Qtr 3 ❑ Qtr 4 ❑ Calendar Year 2022
County: Union If Monthly Monitoring: Month April
Phone Number: (704 ) 529-6364 Person Collecting Samples: David Morris
Certified Laboratory: Waypoint Analytical Lab # 402
Lab #
Discharge to HQW or ORW waters? Yes ❑ No [_01]
Discharge to SA waters? Yes ❑ No ❑✓ Discharge to Tr (Trout) waters? Yes ❑ No ✓❑
Discharge to SIB or PNA waters? Yes ❑ No ❑✓ If HQW, what is the 7Q10 flow rate? or Tidal, 7Q10 not available ❑
1A1nc+nxAin+nr Mnni+nrinn Parmirpmantc
Outfall
No.
Date Sample
Collected
Daily Flow
Rate, cfs
pH,
Su
Total Suspended
Solids (TSS), mg/1
Settleable
Solids,
ml/I
ifapplicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/l
mo/dd/yr
or "NO FLOW"
HQW or ORW
50% of 7Q10
Indicate NO FLOW if
applicable
freshwater
6.0-9.0
saltwater
6 8-8.5
v v
Standard
30
HOW
20
HOW / ORIN and Tr, or PNA
10
HOW, ORIN, SA, SB, PNA, or
any Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
001
4/18/22
8.41
111
2540D-2015
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 1 of 3

Certificate of Coverage No. NCG14 0VI®R
Wastewater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Daily Flow
Rate, cfs
pH,
SU
Total Suspended
Solids (TSS), mg/I
Settleable
Solids,
ml/I
if applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/l
'
mo/dd/yr
or "NO FLOW"
HOW or ORIN
50% of 7Q10
Indicate NO FLOW if
applicable
freshwater
6.0-9.0
saltwater
6 8-8 5
Standard
30
HOW
20
HOW I ORW and Tr, or PNA
10
HOW, ORW, SA, SB, PNA, or
any Trout
5
No Limit
Sam les above Benchmark
p
subject to Tiered Responses
15
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017
Page 2 of 3

Certificate of Coverage No. NCG14 120 4 1❑
CERTIFICATION
"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 qualified personnel properly gather and evaluate 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 knowinfiviolationys." [Required by 40 CFR §122.22]
Signature
Date G lr y /,2c,
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICEMOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL
CENTRAL OFFICE
OFFICE 1Questions for The Central Office
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103 Stormwater Permitting Program?
[phone] [phone]
Askevill
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 3 of 3

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