WQ0020793_Monitoring - 08-2022_20220906

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
Report Information
WQ0020793
Tyson Farms, Inc. Hays Hatchery
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2022
Upload Document*
NDMR Aug 2022.pdf
PDF Only
1.32MB
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: 9/6/2022
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
Reviewer: _anonymous
Review Date: 9/12/2022

September 5, 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 — August 2022
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,
-4,70;
James Brown
Complex Environmental Manager
Tyson Parris Inc. Fresh. Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-2871 336.651-3836 Fax: [phone] www,tysonfoods.com

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) 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? I compliant 0 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: Marty Parsons
Grade: 2 Phone Number: 336-651-3836 signing Official's Title: Sr. Live Production Mamager
Has the ORC changed since the previous NDMR? _] Yes 0 No Phone Number: 336-651-3764 Permit Expiration: 7/31 /2026
f �4— _
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
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

FORD: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0020790
Facility Name: Tyson Farms, Inc. Hays Hatchery
-
County. Wilkes
Month: August
Year: 2022
PPI:
Flow Measuring Point: Influent D Effluent Na flaw generated
Parameter Monitoring Point: L] Influent Effluent ❑ Groundwater Lowering Surface Water
---
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00310
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