WQ0020793_Monitoring - 11-2022_20221203

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0020793
Tyson Farms, Inc. Hays Hatchery
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
NDMR November signed 1.75MB
2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
James Brown
Reviewer: Gerald, Wanda
12/3/2022
This will be filled in automatically

Is the project number correct?* WQ0020793
Is the monitoring report accepted?* - Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/6/2022

December 2, 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 F"arms, Inc.
Hays Hatchery
Evaporation/Infiltration.Pond
Non- Discharge Monitoring Report
NDMR Report — November 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,
James Brown
Complex Environmental Manager
Tyson Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C. 28697
336-651-2871 336.651-3836 Fax: 33.6,5t,3867 N�,ww.tysonfoods.com

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of a
Sampling Person(s)
Name: James Brown
Name: Max Byers
Name
Name:
Certified Laboratories
Statesville Analytical 122 court Street Statesville, NC 28687
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? U compliant D 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
Permlttee: Tyson Farms, Inc. days 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 changer) since the previous NDMR? L] Yes LIJ No
Phone Number: 336-651-3764 Permit Expiration: 713112026
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Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, tinder 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 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. 1 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. Ni)MR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0020793 =
Facility Name: Tyson Farms, Inc. Hays Hatchery
County: Wilkes
Month: November
Year: 2022
PPI:
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1, 11C, A "'11A CA I.
0=0 AMW
704 Factory Street
Wilkesboro, NC 28697
11/03/2022
11/10/2022
Hays Effluent
Sample Number Parameter
Sample ID Result Unit Method Analyzed Analyst
221103-21-01 Chloride
Hays Eff 15,6 mg/L SM4500=-2011 11/0812022 MD
22111,03-21-01 Total Dissolved
Hays Eff 1259 mgIL SM 2540 C 1 Sth Edition 11/07/2022 MD
Solids
Respectfully submitted,
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 e Statesville, NC 28687 o 704/872/4697
Page 1 of 3

Sample Number 221103-21-01 Temp on Arrival: 3.0
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: Chloride
Received on Ice
PO Box 228 e Statesville, NC 28687 * 704/872/4697
Page 2 of 3

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