WQ0020793_Monitoring - 12-2022_20230102

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
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
NDMR Dec 2022.pdf 1.86MB
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
1 /2/2023
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: 1/24/2023

January 2, 2023
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 — Remember 2022
To whom it may concern:
Enclosed is the Monthly Non- Discharge Monitoring report for I -lays 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 704Factor-yWill(e,,iboro,N.C.28697
336-651-2871 336.651-3836 Fax:[phone] www.tysonfoods.corn

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ` of --),—
Sampling Person(s) 11 Certified Laboratories
Name: James Brown 11 Name: Statesville Analytical 122 court Street Statesville, NC 28687
Name: Max Byers 11 Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? E] compliant ❑ Non-Compfiant
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 No
Phone Number: 336-651-3764 Permit Expiration: 7131/2026
C
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 al[ 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page . of
Permit No.: WQ0020793
Facility Name: Tyson Farms, Inc. Hays Hatchery
County: Wilkes
Month: December
Year: 2022
PPI:
Flow Measuring Point: 21 influent 0 Effluent No flow generated
Parameter Monitoring Point: Influent 1!71 Effluent [I Groundwater Lowering Surface Water
Parameter Code — s
00390#I
31615
U(1&?5
OO6Q0
QD665
3
00530
-
t
_
yx
iK
v
O
N
ti o
02
«
16 COL.
Q q
()
m
mag
Q
0
Q
24-hr
hrs
� ,:;
mgfL
#l100 mL
rye,
mglL
a_��i,Y, mglL
`�`
m IL
m FL
1
12:40
12:46�
..
2031
>2419,fi
y.,
45 47
, , 16.67
...
3,6.,
_ d
10 33
_.
2
08:00
08:15
58
a
3
08:33
08:39
ti
4
08:00
08:15
'
08:00
08:15
5
6
08:00
08:15
v
r
7
08:00
08:15
x
�N
v
8
08:00
08:15
_
"...
v
9
08:00
08:15
4
08:37
10
08:31
9�
11
08:00
08:15
_
12
08:00
08:15
13
08:00
08:15
14
08:00
08:1534
15
08:00
08:15
7��tam
mom
16
08:00
08:15
17
08:34
08:40
18
08:00
08:15
19
08:00
08:15
�a
20
08:00
08:15
.. '
21
08:00
08:15
9, x
22
08:00
08:15$
Y
23
-08:00
08A5
u
24
08:25
08:31�
z
25
08:00
08:15
F�
26
08:00
08:15
-
27
08:00
08:15
28
08:00
08:15
29
08:00
08:15
4
a
w�
Y
w
30
08:00
08:15
31
08:30
08:35
Average
2:O31.00
fi1€�...
Daily Maximum
�.,,
2,031.00
0.00
`'t
45.47
16.67
3.60
A
1033
`
Daily Minimum
2,031.00
0.00
45 47
1 16.67
3.60
_._ < ,,.-
Sampling Type
Monthly Avg. Limit
Daily Limit
Sample Frequency
1y

Analytical eisults � r
NAL'Y"N.1 AL
u�
Tyson Foods -Wilkesboro
704 Factory Street
Wilkesboro, NC 28697
Receive Date: 12/01/2022
Reported: 12/12/2022
For: Hays Effluent
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
'Method
Analyzed
Analyst
221201-25-01
Ammonia Nitrogen
Hays Eff
15,57
mg/L
SM450ONH30-2011
12/05/2022
LE
221201-25-01
BOD
Hays Eff
2031
mg/L
SM521OB-2011
12/02/2022
TP
221201-25-01
Fecal Conforms
Hays Eff
>2419.6
MPN/100 ml IDEXX coWert 16 WIN
12/01/2022
WC
221201-25-01
Nitrate
Hays Eff
1.1
mg/L
SM450OF-2011
12/09/2022
MD
221201-25-01
T. Phosphorous
Hays Eff
3.6
mg/L
SM450OPE-2011
12/0912022
MD
221201-25-01
TKN
Hays Eff
45.447
mg/L
SMa5o0NorgS-2011
12/06/2022
LE
221201-25-01
TSS
Hays Eff
10.33
mg/L
SM2540D-2611
12/02/2022
LE
Respectfully submitted,
Melissa Myers
INC 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 221201-25-01 Temp on Arrival: 2.0
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: BOD
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
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
Parameter Schedule: TKN
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 - 704/872/4697
Page 2 of 3

t�
o
�w C"
a
�3
I
PO Box 228 - Statesville, NC 28687 o 704/872/4697
Page 3 of 3