NCG060020_2022 DMR_20221021

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
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. NCG060020 Person Collecting Samples:James Brown
Facility Name:Tyson Farms, Inc.Wilkesboro Complex Laboratory Name:Statesville North Carolina
Facility County:Wilkes Laboratory Cert. No.:440
Discharge during this period: ✓❑Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑✓ Yes ❑ No
If so,which Tier(I, II,or III)?Tier II
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ✓❑Yes ❑ No
Date Uploaded:10/21/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class Wilk-01 Wilk-02
N/A Date Sample Collected MM/DD/YYYY 09/30/2022 09/30/2022
46529 24-Hour Rainfall in inches 2 Inches 2 Inches
CO530 TSS in mg/L(100 or 50*) 82 mg/I 92 mg/I
00400 pH in standard units(6.0—9.0) 6.6 6.5
00556 Oil&Grease in mg/L(30) <5.0 9.8
31616 Fecal Coliform per 100 ml of >6000 >6000
freshwater(if required)(1000)
61211 Enterococci per 100 ml of saltwater NA NA
(if required)(500)
00340 `20)ical Oxygen Demand in mg/L 389 379
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil 630
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L(15) <5.0
*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
Notes(optional):
"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
false information,including the pos ibility of fines and imprisonment for knowing violations."
10/21/2022
Signature Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 336.651.3836