NCG060021_DMR_20220323

NC Department of
Environmental Quality
Received .
MAR 2 3 2022
Winston-Salem ,
Tyson Regional Office
March 14, 2022
DEQ Winston-Salem Regional Office
Attn: DEMLR Stormwater Program
450 West Hanes Mill Road Suite 300
—Winston-Salem,N.C. 27105
Subject: General Permit No.NCG060000
Tyson Foods,Inc. - Wilkesboro Complex
COC NCG060021
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336.651.3836 should you have any questions.
Sinc ly,
J Brown
Complex Environmental Manager
Tyson Foods,Inc. Fresh Retail Division 704 Factory Wilkesboro,N.C.28697
336-651-3836 336.838.217i Fax:[phone] www.tysonfoods.com

•
NCDEQ Division of Energy, Mineral and Land Resources NC Department of
Environmental Quality
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 Received
Food and Kindred MAR 2 3 2022
Click here for instructions
Wirrston-Salcm
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR)gI and fcy O thin'
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DE egiona ice.
Certificate of Coverage No. NCG060021 Person Collecting Samples: Raymond Nichols
Facility Name: Tyson Farms Inc. Roaring River Feed Mill Laboratory Name: Statesville Analytical
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 2/No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ® Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in (Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class RRIV 01 RRIV 02 RRIV 04
N/A Date Sample Collected MM/DD/YYYY 02/23/2022 02/23/2022 02/23/2022
46529 24-Hour Rainfall in inches 1.20 1.20 1.20
C0530 TSS in mg/L(100 or 50*) 27.33 29.78 34.5
00400 pH in standard units(6.0-9.0 FW,
6.8-8.55W) 6.85 6.85 6.83
31616 Fecal Coliform per 100 ml of
freshwater(if required)(1000) NA NA NA
61211 Enterococci per 100 ml of saltwater
(if required)(500) NA NA NA
00340 Chemical Oxygen Demand in mg/L
(120) 25 >25 <25
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
Usage in gal/month 215
00552 Non-Polar Oil&Grease in mg/L(15) <5.0 <5.0 <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
FW(Freshwater)SW(Saltwater)
Notes(optional): QC,t:od X
"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 possibility of fines and imprisonment for knowing violations."
,gsfyr44-,-) 3- Iy- aoaa
Signature of ermittee or Delegated Authorized Individual Date
Jcw i rg . 5. brown®+45 Yt.Com '3 (o to 51- 3$3(0
Email Address Phone Number

Roaring River Storm Water Calu. Sheet
Date 02-23-2022
Rain Begin: 8:00 AM light on and off
Runoff Begin: 8:30 AM
Grab Samples: 8:50 AM
Rain at end of
Storm Event: 1.20
Sampling Point RRIV-01 Drainage Area= (150 acres *43560) Ft 2
Q= CIA
I = 1.20" (Total)
C = 0.35
Q = 0.35(1.20/12)(6,534,000*7.5)/1,000,000
= 1.715 MG
Sampling Point RRIV-02 Drainage Area=(96485) Ft 2
Q= CIA
I = 1.20" (Total)
C = 0.95
Q = 0.95(1.20/12)(96485*7.5)/1,000,000
= 0.069 MG
Sampling Point RRIV-04 Drainage Area=(75,085)Ft 2
Q= CIA
I = 1.20" (Total)
C = 0.95
Q = 0.95(1.20/12)(75,085*7.5)/1,000,000
= 0.053 MG

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G/0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0/6 /0 /0 /2 /1 /
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes Phone No. 336-696-2741
Inspector: Raymond Nichols
Date of Inspection: 02/23/2022
Time of Inspection: $'.Sp Atv
Total Event Precipitation(inches): `i°,Q
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
‘4411"*"-)
(Signature o ermittee or Designee)
1. Outfall Description:
Outfall No. ttlini 0 I Structure(pipe,ditch,etc.): C u,i V e r A "P:P r
Receiving Stream:
'At\4Mec4 —TO,v.-karM {e -c t \*4 rt Q.:uir
Dpfcribe the industrial activities that occur within the outfall drainage area: rY\a.k;h S 0 V
V0v3 11 cued
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: L:511k
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes ciNo.
8. Is there an oil sheen in the stormwater discharge? °Yes m'No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes O'�Io.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242.Last modified 06/01/2018

C
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G/0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0/6 /0 /0 /2 /1 /
Facility Name: Tyson Farms Inc. Roaring River Feed Mill
County: Wilkes Phone No. 336-696-2741
Inspector: Raymond Nichols
Date of Inspection: 02/23/2022
Time of Inspection: S.,55 Am
Total Event Precipitation(inches): 1 . tO
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
082crue^--
(Signature ermittee or Designee)
1. Ou all Description:
Outfall No. D Structure(pipe, ditch,etc.): 'A1v ef4
Receiving Stream:
11.1►raw eci ` -T1 i kart' -+ o -eke \ 4k W.:n Q.;utr
scribe the i dustrial activities that occur within the outfall drainage area: r Aw-k1A:1,i
Oti 14't'1 PCea
Page 1 of 2
SWU-242.Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: l.:jlnk,
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.): (v b v1
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes GeS1o.
8. Is there an oil sheen in the stormwater discharge? °Yes Celo.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 9 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fbrin,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G/0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0/6 /0 /0 /2 /1 /
Facility Name: Tyson Farms Inc.Roaring River Feed Mill
County: Wilkes Phone No. 336-696-2741
Inspector: Raymond Nichols
Date of Inspection: 02/23/2022
Time of Inspection: CV.00 AM
Total Event Precipitation(inches): I ,"Xi0
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
4efrA714#,--
(Signature o ermittee or Designee)
1. Outfallpp Description:
Outfall No.P.Lt t 0 4 Structure(pipe,ditch,etc.): S IN,q`Low S War t t ;4 t.k
Receiving Stream:
L.I1Wt.Mtci --CM,Ltksatif -khe. 14d1 A -. -
Describe the industrial activities that occur within the outfall drainage area: ma kt,- 0 F - 04 tkry
Vegas Stcu:cc. C em t'
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: L.;511N4
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.): f`b Rt
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
I (2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes teNo.
8. Is there an oil sheen in the stormwater discharge? 0Yes Nl�Io.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes P'No.
10. Other Obvious Indicators of Storntwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Analytical Results STATESVILLE
ANALYTICAL
Tyson Foods - Feed Mill
179 Roaring River Rd
Roaring River, NC 28669
Receive Date: 02/23/2022
Reported: 03/07/2022
For: Stormwater
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
220223-28-01 Chemical Oxygen RRIV-01 25 mg/L HACH8000 02/25/2022 CL
Demand
220223-28-01 Oil and Grease RRIV-01 <5 mg/L EPA1664RevB 03/04/2022 CE
220223-28-01 TSS RRIV-01 27.33 mg/L SM25400-2011 02/25/2022 LE
220223-28-02 Chemical Oxygen RRIV-02 <25 mg/L HACH8000 02/25/2022 CL
Demand
220223-28-02 Oil and Grease RRIV-02 <5 mg/L EPA1664RevB 03/04/2022 CE
220223-28-02 TSS RRIV-02 29.78 mg/L 5M25401-2011 02/25/2022 LE
220223-28-03 Chemical Oxygen RRIV-04 <25 mg/L HACH8000 02/25/2022 CL
Demand
220223-28-03 Total Petroleum RRIV-04 <5.0 mg/L EPA1664RevB 02/28/2022 MT
Hydrocarbons
220223-28-03 TSS RRIV-04 34.5 mg/L SM2540D-2011 02/25/2022 LE
Respectfully submitted, 11
i?�7G1l.Q4i 2. iZ�a�l )
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 5

Condition of Receipt
Sample Number 220223-28-01 Temp on Arrival: 2.1
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 220223-28-02 Temp on Arrival: 2.1
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 220223-28-03 Temp on Arrival: 2.1
pH on Arrival: <2 Parameter Schedule: Total Petroleum Hydrocarbons
Hydrochloric Acid Chemicals in containers, lab
Received on Ice
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 5

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PO N Requisitioned by: (Tens Dale) Chain or a;
— Custody Record
Customer 5-61 MUM.. to. lime Sampled Date Sampled Matrix
— >
Sample IDS (Grab ONO (Grab Only) 1 S • VII'a.meter.mlyrYaJ hr rwlru.
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Relinquished by: _44,,,,,_, a ,__. _ Time 1130 am,pm Date2-/2 22- Sampled by:
Received by: Time f�jp am,pm Date 2/23 22
`�� Transported by:
Relinquished by: _ Time am,pm Date_/`/__
Holding times met:
Received by: Time am,pm Date / _ /_
Composite SAtnp11Rg1Ml: Compliance work: ✓
Time begin am,pm Date_ / / Non-compliance work:
Time end am,pm Date / /
Lab Comments Samples Trans
Compote Sampling#2: a coned On Ice.
Time begin_ am.pm Date / /
Time end am,pm Date-_ / /_
Initials:

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: C.Little Report Date: 3/4/2022
Client: Statesville Analytical
122 Court St Project: Tyson Foods
Statesville,NC 28677 Date Sample Rcvd: 2/24/2022
Meritech Work Order# 02242245 Sample: 220223-28-03 Grab 2/23/22
Parameters Results Analysis Date Reporting Limit Method
Oil&Grease-SGT HEM <5.0 mg/L 2/28/22 5.0 mg/L EPA 1664B
I hereby certify that I have reviewed and approve these data. 1/4. .nd.QAir-Ce1.)
Laboratory Representative
642 Tamco Road,Reidsville,North Carolina 27320
tel.[phone] fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 5

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MERITECH, INC. Address: Sloyc22g Fax: co
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Reidsville NC 27320 Fax: [phone] P.O.ThAre/). boaco
Email:[e-mail] �j�� ls
Turn Around Time' >
Attentions• l.t�T�- v,
'RUSH work needs prior approval, N
How would you like your report sent? eeSAool v
www.meritechlabs.com S�d(1�a, . sj 24-48H1s L
Circle all that apply: Email(preferred), Fax, Mail t•
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Person Taking Sample(Sign/Print): 00
Sampling Dates&Times Lab Use Only N
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Sample Location and/or ID tt Start End X
Comp? aof Test(s) RequiredpH OK? o
Date Time Date Time Grab? Cont. es Cl OK? CO
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220223-2F-03 212 fr oc o G l 0-i-G SGT-+I-FM c -Ii `t'
Temperatir e Upon
Receipt: ,Nppy C
Method of •"Dechlorination(<0.5 ppm)of Ammonia,Cyanide,Phenol and TKN samples must be done In the field prior to preservation.'•• t V1
Comments: Compositor H
Shipment:
❑ UPS r-� JugI
❑ Fed Ex Are se re ults f r regu o purposes? es L No ❑ Report results in: mg/t ❑ mg/kg Li ugh ❑
Relinquished b �) atLe/ Time: J Received by::� D '/ Time:
U.Hand Delivery ��' N�� �/�r� //�)_ ff—� Y ���b'�
❑ Other Stalin shedby. c �� // t& Time: „s-•v Receiv`by: / Date: Time:
R inquished bc. dale: Time: ReccM by Date: Time:

ft�.ae
12 )\ r.1
1. yson
March 14,2022
Da). Winston-Salem Regional Office
A.ttri: DEMLR Stormwater Program
450 West Hanes Mill I;.oad Suite 300
Winston-Salem,N.C. 27 105
Subject: General Permit No. NCG060000
Tyson Foods,Inc. •- Wilkesboro Complex
COC NCG06002I
Wilkes County
Dear Madam or Sir:
Enclosed are two copies of the required storm water sampling results.
For the outfalls Covered under the above subject permit and certificate of coverage.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameter of concern.
Please contact me at 336.651.3836 should you have any questions.
S incexeiy,
JairielS Brown
Complex Environmental Manager
Tyson Foods,'hie. Fresh Retail Division 704 Factory Wilkesboro,N.C.28697
g36-6inn-33836 336.838.217i Fax:33.6gt.3867 ‘VWW.tv:;onfoods.com

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.NCG060021 Person Collecting Samples: Raymond Nichols
Facility Name: Tyson Farms Inc.Roaring River Feed Mill Laboratory Name: Statesville Analytical
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 Ill)?
A copy of this DMR has been uploaded electronically via https://edocs.dea.nc.gov/Forms/SW-DMR ®Yes ❑No
Date Uploaded:
Analytical Monitoring Requirements for Outfalis with industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class RRIV 01 RRIV 02 RRIV 04
N/A Date Sample Collected MM/DD/YYYY 02/23/2022 02/23/2022 02/23/2022
46529 24-Hour Rainfall in inches 1.20 1.20 1.20
C0530 TSS in mg/L(100 or 50*) 27.33 29.78 34.5
00400 pH in standard units(6.0—9.0 FW,
6.8—8.5 SW) 6.85 6.85 6.83
31616 Fecal Coliform per 100 ml of
freshwater(if required)(1000) NA NA NA
61211 Enterococci per 100 ml of saltwater
(if required)(500) NA NA NA
00340 Chemical Oxygen Demand in mg/L
(120) 25 >25 <25
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
Usage in gal/month 215 _
00552 Non-Polar Oil&Grease in mg/L(15) <5.0 <5.0 <5.0
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS iimit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional): c od
"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 possibility of fines and imprisonment for knowing violations."
0711-1) �� 3-%LI •ava-),
Signature o rmittee or Delegated Authorized Individual Date
.3csMLr.S.S.brown 4-,‘son. eon. 33( - (QS1 - 3236.
Email Address Phone Number
E
it

Roaring River Storm Water Cali'. Sheet
Date 02-23-2022
Rain Begin: 8:00 AM rent on nnc off
Runoff Begin: 8::30 AM
Grab Samples: 8:50 AM
Rain at end of
Storm Event: 1.20
Sampling Point RRIV••0'I Drainage Area=(150 acres *43560) Ft 2
Q= CIA
I = '1.20" (Total)
C = 0.35
Q = 0.35(1.20/12)(6,534,000'7.5)/1,000,000
= 1.715 MG
Sampling Point RRIV•02 Drainage Area_(96485)Ft 2
Q= CIA
1 = 1.20" (Total)
C = 0.95
Q = 0.95(1.20/12)(96485'7.5)/1,000,000
= 0.069 MG
Sampling Point RRIV-1)4 Drainage Area =(75,0E35) Ft 2
Q= CIA
I = 1.20" (Total)
C = 0.95
Cl 0.95(1.20/12)(75,085*7.5)/1,000,000
= 0.053 MG

. : i;k i
;)ndrorr,rr.•;N u;
c2','hai y
St{o::r«aWMilter Discharge Outran (S1)0)
Qualitative tative "Monn;iltoir ing Report
For guidance on filling out this form.please visit laps://deq.nc.gov/about/divisions/t:nergy-mineral-land-resource,/
at-,des-storinwaler-„ps
Permit No.: N/C/G/0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0/6 /0 /0 /2 /I /
Facility Name: Tysun FartL Inc, Roaring River Feed Mill
County: Wilkes Phone No. _336-696-274II. _ _.-_. __._
Inspector: Raymond Nichols
Date of Inspection: __. 02/23/2022
Time of Inspection: :f_ 'h L4.'rr',l
Total Event Precipitation(incites):__1,.t_,,'•L'? ___
All permits require qualitative monitoring to be performed during a"(measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permit.tee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMC,I:
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my.knowledge:
(Signature ofh'ermittee or Designee) --- 4—� .....
I. Outfall Descri::►tion:
�O '
utfallNo. _,,;C1 c) 1 Structure(pi�c ditch,etc.): (,.,� , ‘ft ••t• LIP1,0
Receiving Stream:
LI LAM M.''::._......1_L.,)<!t i Lks'j_t__t•'' - ;,1' \f A c11' t1_ '____ -;::5"__ _0\c _-- -----
D Bribe the industrial activities that occur within the outfall drainage area: c,;L31 . _
Page I of 2
SWVIb•244.2_,Last mcuti tied 06/OI!tO I 8

2. Color: Describe the color of the discharge using basic colors(red,brown, blue, etc.) and tint
(light, medium,dark)as descriptors: _± 11';
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge. where 1 is clear
and 5 is very cloudy:
1 �? 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 l? 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
(2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes Q No.
8. Is there an oil sheen in the stormwater discharge? °Yes ©'No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No. _
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/0i 20IS

.,a t is 4,
('!.'rally
Sito2"lrrawatter Discharge Ouutls ;ll (S]D>,O)
'Q►un.ll[�ttattnve M[o niitolriing Report
Forgrddance on filling ow this Ann,please ti'isit has://deq.nc.gov/about/divisions/energy-mineral-land-nsaurccs/
ntrdcs-stormwater-gps
Permit No.: N/C/G/0 /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/t:_/G/ 0/6 /0 /0 /2 /1 /
Facility Name: _rys4)n-1-'arms Tnc_1�t�aring Itiyer Feed Mill .-------
County: Wilkes---.•-________._-_--_. Phone No. _ 336-696-27�41._____ _-_--- —_-
Inspector: a no:L . Nichols
Elate of Inspection: 02/23/2022
Time of Inspection: _..._r.' : ?':• 't,;i,3, _--.
Total Event Precipitation(inches):.._!,_.'A,1`•• _
All permits require qu &litative monitoring to be performed during a"measurable storm event."
A "measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfali. The previous„ieassurablc storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMUR.
Regional Office.
:By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature o'�f ennitteu or Designee)
�—
1. Outfall Description: t'')
Outftil No..,i, �,i {^,_.i. Structure:(pipe,ditch,etc.): ��---u. b+'4 r-t= ^) .r>-r
Receiving gq ))Stream: ` 'f(+�- -- — -
l//t3scribe the industrial activities that occur within the outfali drainage area: _I�'f\, ,� ;.,, _,,;�: �-
Page I of 2
SW1.1-2.1?..Lest modified W V/NIS

2. Color: Describe the color of the discharge using basic colors(red, brown. blue, etc.) and tint
(light, medium,dark)as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e.,smells strongly of oil,weak
chlorine odor,etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge. where 1 is clear
and 5 is very cloudy:
12 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating.solids:
1 ;2; 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
(2, 3 4 5
7. Is there any foam in the stormwater discharge? O Yes o'No.
8. Is there an oil sheen in the stormwater discharge? OYes 0-No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No._
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of'pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242.Last modi fled 06%01)20I

:-=•,'I
...:Yil :!!.•i::•171:!i
(1!!ttiliy
�� u'or rt w{rt:er'� 'Discharge Outran (S1010)
!Q ulallaltative Monitoring Report
Fbr+,uidance on filling out tliis form,please visit htps://deq.nc.gov/about/clivisions/energy-mineral-land-resources/
npdes-stormwater-r ps
Permit No.: N/C/G/O /6 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0/6 /0 /0 /2 /I /
Facility Name: Tvsc�n Farms_Inc, RoaringRiver Feed Mill
County: Wilkes ___._._._____ ______... Phone No. 336_696-2741..__ _____
Inspector:Inspector: Raymond Nichols
Date of Inspection: ._.... 02/23/202 _Time of Inspection: '1 ,010 i:.\;ru\
Total Invent Precipitation(inches): "t , ' -,i'))
All permits require qualitative monitoring to be performed during a"measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the perinit tee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEPvILIt
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of'Permittet:or Designee) -- ---__.
I. Otttfall Description:
Outfit!!No. iti� it .04 C.. 1 S,J,, ,t ..:,�. Structure(pipe,ditch,etc.): .� , c{ , o,�a .�1 �,��t �}.;t.."1,;!?-1,*,.
Receiving Stream: ( -- f -- �- �— ---
Describe the industrial activities that occur within the outfall drainage area�''j\,�a,!a,..,,� t, • ?1,,,`.;.i'!,
l
Page 1 of2
SIVIJ-2417•Last modified 06/01/?O 13

2. Color: Describe the color of the discharge using basic colors(red, brown. blue,etc.) and tint
(light,medium, dark)as descriptors: _,,; --
3. Odor: Describe any distinct odors that the discharge may have(i.e.. smells strongly of oil, weak
chlorine odor, etc.): t'v nr\e_
4. Clarity: Choose the number which best describes the clarity of the discharge. where I is clear
and 5 is very cloudy:
I (L` 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where i is no solids and 5 is the surface covered with floatine solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
(2+ 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stonnwatcr discharge? OYes 0-No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids,and/or the presence of foam, oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242.Last modified 06i01i201S

1 II
;�,Ifll�c ii! ii:il'3aail Resuiuts , 1.'`, '�''I '..1.f.
11ii':9:C2-d111C.C1-C11aCC10.1:a11=.1IYYLW 1116C"11211 III'3/IT:V7M101 Vra nttt1111:1:IF.li Ci,,1J�'lR1tl.'»9imza 09Wl di 11 ILMVI 16111M11WJ1/NaZC I I •• `• '' �, ! 1 11
'Tyson Foods - Fe1eal DiIi9II r 7:
-179 Roaring River Rd
Roaring River, NC 28Ei69
Receive Date: 02/23/2022
Reported: 03/07/2022
For: Storrnwater
Comments:
Sample Number_ Parameter _ Sample ID Result Unit Method Analyzed Analyst
220223-28-01saw,y- Chemical Oas xyg'VII:n l rRRIV-•01 25 arrial ma .._•_._...m rurava HACH8C O m.»a.,. ,..o
9• g L e....���.....»02/25/2022. C:I_
Demand
220223-28-0'! Oil and Grease RF:IV-01 •:5 mg'L W1'A1OWRos 03/04/2022 CIE
220223-28-01 TSS RRIV-01 27.33 mgll_ AhM254OO-201I 02/25/2022 LE
220223-28-02 ChemicalOxyg•_:n RRIV-02 <25 mg/L 1+Acuncco 02/25/2022 CI.
Demand
220223-28-02 Oil and Grease RRIV•-02 <5 mg/L IEPA1GG.1Rev° 03/04/2022 CE
220223-28-02 TSS RRIV-02 29.78 mg/1_ s m25400.2011 (12/25/2022 LE
220223-28-03 Chemical Oxygen RRIV-044 <25 mgil_ nncHaoco 02/25/2022 Cl.
Demand
220223-28-03 Total Petroleum RRIV-04 <5.0 mgiL E:PA1G611I2ev13 02/28/2022 MT
Fiyclrocarbons
22.02.23:28-03 TSS RRI\/-04 34.5 mgiL sMzs4ol)-2011 02/25/2022 LE
Respectfully submitted,
Melissa Myers
NC Cert#440,
NCDW Cort#37755,
EPA:i/NC00909
PO 13ox 223 0 Statesville, NC 28687 O 704/872/4697
Page'1 of 5

•
C..alildill: on of Re co B'rM1
GI9W1a:21111atat 1t211 I Ita1IIQYit97xCW111uutu9lacaal Rl1 l:l:tlia':::N'1 Y IPI 1214 2111111:1W lrl S1:17'I9tt1A1111113a itttinl!nmttta77 rtlatul It.C.t.19114 T.atltxis_11=11I11W1u1C9tti132.1110II•7C9117-:tl
Sample plumber 220223-28-01 Temp on Arrival: 2.1
7:7111ii91151111[C11:Fi 11aT 1112•13=1t7SL=tilluri PHrtluil x!t Pit 111,t1nl:•.tll9rlltmilln.N:7:'71191:1114-5'a1WT iliiClI11111S4WT!IItxilxr C::1NI7 L 177II.d Iiltl=t¢f121193C1T91,91aawu:AltaHia7ztl=t11T1CKa1A7:11:111
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
lrIn9111:ts1!li91tD7t1N ftit!unman W¢AulmllpII¢1 WIti¢l,liirl.41u17A,u:11111_51 117717JII/Su7t#¢l art 1.at1S71oA mr7a1i¢•IGMt11712WaYtUtualt!WNt=11L'¢111,91919191f 3 it tll
Sample Number 220223-28-02 Temp on Arrival: 2.1
1 RSlu1C1!1aa1!tI.11'7111W11aVMULYEMCSIDAVIIIM 91Afl7 lui111.1,39712MMMRl sim Vi7x1u111'179axJi:{WWaisse=ca^^ttII7a(7y111fu1C7f9SZralil1W:F«aD19afZINutlT.GV:S71Itu:111:911:ixS911kSi17¢Mil 1=23:Ziu
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric;Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
t.L"I111:1::AL7171ui:talily i1:11LLL:[iY71Sg1ARtaxluuSaal LII llcu997999VIVPISir,0:7MIlliuttlife i901ip1/1=1=1111=VillAr9¢lAfiTal76D7 1 90 3 1=111ti1WaWlu1¢Ia1G7uW11111111MGIIi293.11=7/71:1t1WSW.'23f
Sample Number 220223-28-03 Temp on Arrival: 2.1
1:NMI;IzA17111CAta Hasa lA291:1====t¢pla®111211191/7W111MI'40 WD7s1M t:H11 S11i71:1 11¢GSJ77t9:271= 111717i1iW19NERR7II11L:14isfHI¢.SZSftI 997Wiay;ulx171¢C!M2121x11Hmtt7Uti/at7
pH on.Arrival: <2 Parameter Schedule: Total Petroleum Hydrocarbons
Hydrochloric Acid Chemicals in containers, lab
Received on Ice
Parameter Schedule: 'TSS
Received on Ice
pH on Arrival: <<2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO I3ox 228 <1 Statesville, NC 28687 a 704/87 /44697
Page 2 of 5

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l`rkrexited% Thr o
rlf1ill•tcRlllril aatal Laibo4ratlny
•
laboratory!Cer•tiftcation No.165
Contact: C.L.ittle Report Date: 3/4/2022
Client:Statesville Analytical
122 Court St Project: Tyson Foods
S+.ntesville,NC 28677 Date Sample Rcvd: 2/24/2022
Meritech Work Order at 02242245 Sample: 220223-28-03 Grab 2/23/22
ara=tea. itsgmitti £inaly.�5 Date R::»nt�tir t irni� iVlgt oc(
Oil Sz Grease-SGT HEM <5.0 nag/L 2/28/22 5.0 mg/L EPA 166413
I hereby certtfr that I have reviewed and approve these data. +. f n.', i i S tf ,c;,,I'...t..a Laboratory Reprr eserttatave
642 Tamco f;c:ail.,Reidsville,North Carolina 27320)
te1.[phone] fax.[phone]
PO 13ox 223 Statesville, NC 28687 a 704/872/4697
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