WQ0020793_Monitoring - 03-2022_20220614 (2)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * March
Report Information
WQ0020793
Tyson Farms, Inc. Hays Hatchery
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2022
Upload Document*
NDMR March 2022.pdf
PDF Only
2.05M B
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: 6/14/2022
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: 12/7/2022

April 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 Farms, Inc.
Hays Hatchery
Evaporation/Infiltration Pond
Non- Discharge Monitoring Report
NDMR Report — March 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
1son Farms Inc. Fresh Retail Division 704 Factory Wilkesboro, N.C, 28697
336-651-2871 336.651-3836 F= 33,651,3867 www.tysonfoodsxom

FORM: NI)MR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of —2,
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? SKCompliant Q 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? L1 Yes No Phone Number: 336-651-3836 Permit Expiration: 7/31/2026
s
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 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 into; 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 o:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:NDMR t NON -DISCHARGE ! !. REPORTD
Permit No.: WQ0020793
Facility Name: Tyson Farms, Inc. days Hatchery County: Wilkes
Month: Marcia Year: 2022
PP'I:
Flaw Measuring Point: ❑ Influent ❑ Effluent ❑ No Flow generated Parameter Monitoring Point: ❑ Infiuont ❑ Effluent ❑ Groundwater Lowering ❑ Surface Water
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Analytical Results ,I E m V, ,,,p L F
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Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 03/03/2022
Reported: 03/23/2022
For: Hays
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
220303-29-01
Ammonia Nitrogen
Hays Eff
4.59
mg/L
SM450®NH3C-2011
03/07/2022
LE/CE
220303-29-01
BOD
Hays Eff
476
mg/L
sM521tl0-2011
03/04/2022
CE
220303-29-01
Chloride
Hays Eff
23.9
mg/L
SM4.500CIO-2011
03/09/2022
MD
220303-29-01
Fecal Coliforms
Hays Eff
>2419.6
MP'N/100 ml
IDEXx Cohlert 18 MPN
03/03/2022
WC
220303-29-01
Nitrate
Hays Eff
<0.1
mg/L
SM450ONO3F-2011
03/14/2022
CL
220303-29-01
T. Phosphorous
Hays Eff
1.4
mg/L
SM450OPE-2011
03104/2022
CL
220303-29-01
TKN
Hays Eff
64.40
mg/L
8M4500NOrg6-2011
03/07/2022
CE
220303-29-01
Total Dissolved
Hays Eff
238
mg/L
SM 2540 c 131h EdMon
03/0712022
MD
Solids
220303-29-01
TSS
Hays Eff
181.7
mg/L
SM254OD-2011
03104/2022
LE/CE
Respectfully submitted,
Melissa Myers
NC Cert #4440,
CDW Cert #37755,
EPA, #NC00909
PO Box 228 ® Statesville, NC 28687 • 704/872/4697
Pave 1 of 3

I
Sam le Number 220303-29-011 , I Tea on Arrival: 3.0
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: Total Dissolved Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Nitrate
Sulfuric Acid Chemicals in containers, lab
Received on Ice
Parameter Schedule: Nitrate/Nitrite
Sulfuric Acid Chemicals in containers, lab
Received on Ice
Parameter Schedule: TKN
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: T. Phosphorous
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Chloride
Received on Ice
PO Box 228 a Statesville, W 28687 - 704/872/4697
Page 2 of 3

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