NCG060022_MONITORING INFO_20141013

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V UC2 O QUO
DOC TYPE
0 HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 9 b 1 y I o I'1
YYYYMMDD

O
Tyson
April 15, 2019
Department of Environment and Natural Resources
Division of Water Quality, Central Files
1617 Mail Service Center
Raleigh, NC 27699 -1617
RE: Tier Two Monthly Discharge Report
Tyson Farms, Inc.
Monroe, Union County, North Carolina
General Permit Number: NCG06000
Dear Sir/Madam: ,
Per the requirements of General Permit No. NCG060000, enclosed are two copies of the
monthly discharge report for outfall #007.
Outfall #7, which is the discharge from the on property stormwater pit, was above the COD and
TSS benchmarks for two consecutive sampling periods placing this location in Tier Two.
Monthly sampling for COD and TSS is being conducted at outfall #7.
If you have any questions, please contact me at [phone] or via email at
[e-mail].
Sincerely,
ChOisHarrington, CHMM
Complex Environmental Manager
Tyson Farms, Inc. Monroe, NC Complex 233 S. Secrest Ave., Monroe NC 28112
(704) 296-490o Fax: [phone] www.tysortfoods.com

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0 0 2 3
FACILITY NAME Tyson Farms, Inc.
COUNTY Union
PERSON COLLECTING SAMPLES Chris Harrington
LABORATORY PAR tabs Lab Cert. # 20
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted REIVED
APR 2 4 Z019
qO00N YEAR 2019
QWPP RIOD i❑ Jan -June ❑ July -Dec
or 0 Monthly' AAaISC�� (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
■❑ use/process meats a use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z or 0 No discharge this period3
Outfa111Vo.
Sample
Date Sam
Collected, ma/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
0i1 and Grease,
mg/L
-Fecal Coliform;
Colonies per 100 ml
Enterococd,
Colonies per.100 ml
Benchmark _ _ _.
_ -
100 or SW
Within 6.0 — 9.0
120
30
10001
5001
Parameter -Code
-. ......... ...
C0530
00400
00340
005S6
31616
61211
007
no flow
no flow
no now
no flow
no flow
no flow
no flow
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aM outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? NO yes ❑ no
Permit Date: 11/1/2018-05/31/2021
(ifyes, complete Part 8)
SWU-244, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfali No.
Oate=Sample Collected
(m6/dd/yrj
24-hour rainfall amount,
Inchesz
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/O
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCE£DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES []NO[]
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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
imprisonrp4t for knowing violations."
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2of2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
Date submitted 1-25-2019
CERTIFICATE OF COVERAGE NO. NCG060 0 2 2
FACILITY NAME Tyson Farms
COUNTY Iredell
PERSON COLLECTING SAMPLES Kevin Haynes
LABORATORY Par Labs Lab Cert. # 20
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
RECF IVED
JAN 81 2019
;L FILES
OWR SECTION
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑� use/process meats X use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES ■❑NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall 2 or D No discharge this period3
' Oiitfali Nod
"Sample!Gollected,
31'11�S; 'i
t
rk
I ,p pH,
i ra,r
Standardlunits
"" CO",se,
+ Iv
m L
m.rrrm,��,,
:i� g/L
Fecal"Califor"m ,
„Iu'arrusurtrrirr�mg/1
Calonlesi er 100jm1
1WE16R66
ocI�
.Colonies� er,,iDD;'mI.
SW-101
Did not meet reporting criteria
SW-301
Did not meet reporting criteria
SW-401
Did not most reporting criteria
SW-501
Did not meet reporting criteria
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at and! outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [—] yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
6 `6utfalliNo'
ti11� �� ii � i�
r Sample'Collected;!? t10...
hma%dd/, Ir,� t�li
1}OII'anif Grease,
(l.. mmgl
TSS,
h:rnB/L
, r A
, :S andaHil nits.
New,Matar°O#I'llsage;` %!
Annual aye age gla#%rtio�,l
�8en"cli`ma"rk4iiP�llll�f,'1�Il�filff��f�1��tN�=llld��l��fi!illflll
i�f!#I"�i?�C��3Q
i'QO.,or�50 '�
('�l�t=:�x�'6?�0��`,9�0 "I�`
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 for sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(1yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PARTA AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION S.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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-,_Nouctrig the possibility of fines and imprisonment for knowing violations."
ature
-2�l'f
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwg/ws/­`sulnr)dessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

O
Tyson
July 24, 2018
RECEIVED
JUL 31 2018
CENTRAL FILES
N.C. Division of Water Quality DWR SECTION
Attn: Central Files
1617 Mail Service Center, Raleigh, NC 27699-1617
Dear Sir or Madam:
Enclosed are 2 copies or the required storm water sampling for the outfalls covered
by General Permit No. NCG060000 — Tyson Farms NCG060022
Please contact me if you have any questions at 704-546-2602 ext. 232.
Reg rds,
Kevin Haynes — Environmental Manager, Tyson Farms — Harmony, NC
Tyson Foods, Inc. RVAF- Harmony 5o1 Sheffield Road, liarniom, NC 28634
Soo-568-9607 704-546-2602 Fax:[phone] -'%'-.tysonfoods.com
9

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted ^ 7-49i4-/ G
CERTIFICATE OF COVERAGE NO. NCG06
FACILITY NAME .s. '✓
COUNTY /
PERSON COLLECTING SAMPLES 15tVIA )Lrle"�
LABORATORY_ NJA _ Lab Cert. # N
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o30/ y
FACILITY ACTIVITIES INCLUDE (ch k all that apply):
se/process meats se animal fats/byproducts
DISCHARGING TO SALTWATER ? []YES [2rNO
!LEAz—C R21A EMi3ER �rD S1�,NI ONE 4 t'11E
Total event rainfoli2 or I Ato discharge this period3
Outfail No.
Sw- rfC l
Sample Collected,
mo/dd/yr
TSS, PH, `
mg/L Standard units I
COD,
mg/L
Oil and Grease, �
mg/L
Fecal Colifor
Colonies per 100 ml
Enterococci
Colonies per 100 mi
Benchmark
-
100 or 50' j Within 6.0 — 9.0
120
30 j
1000
500
DID AJ&
MtRZJS(" A
P02 1
-
I
i
j
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark
�aapplplies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Sao
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfalE No. Sample Collected, Oil and Grease, 755, pH, i New Motor Oil Usage,
mo/dd/yr rng/L ms/L Standard units Annua[ average gal/m.o
Benchmark I - i 30 j 100 or 5o` 6.0 — 9.0
Only aoDlies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an. on -site rain: gauge.
3 i discharge r i still
I this discharge i --i
'or sampling periods with no discharge at any outialls, you• must, sti sub:mii this discharge monitoring report wits, a C:�eckmark here.
r i } i, a e: ' n}t' o
See Gene. a. Permit next, able 3, icenti"yir:g Yee especially ser,sitiv� rec_'�vi�.g Water c:assir:catier�s where the more protec.iv� benchmark applies.
(if yes, complete Part B)
SW a-2=9

"FOR PART A AND PART B MONiT©RiNG RESULTS:
• A BENGHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PER -MIT PART II SECT101\1 R.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUT FALL TRIGGER TIER 2 REQUIREMENTS, SEE ?ERMIT ?ART li SECTION
Ia-
TIER 3: HAS YOUR FACILI T Y HAD 4 OR MORE BENCHMARK EXCEEDENCES Fq�^THE SAME PARAMETER AT ANY ONE OUT FALL? YES 'E] NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [—]NO
IA•?
REGIONAL OFFICE CONTACT NAME: /&
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t ot the fob results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central i:iles
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or these 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 c dingthe possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(Date)
Additional copies of this form may be downloaded at: nttq:�` ortai.ncdenr.�r�/� e� o :rs; su!^wessrita
SWU-249
Las! Revised: C per 18, 2012
Pabe oil 7

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted %' i'g _
CERTIFICATE OF COVERAGE NO. NCG06 SAMPLE COLLECTION YEAR —D 1 2
FACILITY NAME TvSb In Ri mz FACILITYACTIVITIES CTIVITIES INCLUDE (che is all that apply):
COUNTY _� 1�� .� ��se/process meats se animal fats/byproducts
PERSON COLLECTING SAMPLES '1_W n ftG��lF?�
LABORATORY N) A Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
.=HEASE R=:Y'=,�elc� WO SIGG i ON TA R V_R��
Total event rainfall z or o discharge this period
Outfall No.
Sample Collected, i
mo/dd/yr
TSS, i pH,
mg/L Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Fnterococcil,
Colonies per 100 ml l
Benchmark
l;
100 or 504
Within 6.0 — 9.0
120
30
1000
500
i
I
i
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 11 yes 4;o (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. Sample Collected, I Oil and Grease,
mo/dd/yr ; mg/L
TSS,
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark -
30
100 or Be
6.0 -- 9.0 ; -
1
I I
i
t
un y appuea LU WLJHL es LnaL use/pi OCESS MleaLa.
2The total precipitation must be recorded using data from an on -site rain gauge.
I For sampling periods wit# no disc:-harge at env outfalls, you must stili submit this discharge monitoring report with a checkmark here.
'See Gererai Permit text, Table 3, identifying the espedaiiy sensitive receiving water classifications where the more protective benchmark applies

=FOR PART A AND PART 3 MONITORING RESULTS:
• A BENCHMIARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. 5EE PERMIT PART li SECT!ON S.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTF-ALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I! SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES F R --, `E SAME PARAMETER AT ANY ONE OUT FALL? YES 'Ell NO.,rS,,T
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO l
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end
monitoring period in the case of "No DischaLge" reports) to:
Division of Water Qu2-iity
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699--1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l 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 qualirried personnel properly gather and evaluate the information submitted. Based on my inquiry of the r
person or persons who manage the system, orthose 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
informationsytiOudipg the possibility of fines and imprisonment for knowing violations."
(Date)
Additional copies of this form may be downloaded at::tt tiorrai.r;�c2:; orar'v�eo/l:u `:�lsls l N Ss r stab-'—
swJ-1^9 Last Revised: C ')er 18. 2 0 12
Pave 2 of-2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -7 A4- iB
CERTIFICATE OF COVERAGE NO NCG066 Q ; ? SAMPLE COLLECTION YEAR Ja12
FACILITY NAME l FACILITY. ACTIVITIES INCLUDE (check all that apply):
COUNTY use/process meats mouse animal fats/byproducts
PERSON COLLECTING SAMPLES •O DISCHARGING TO SALTWATERS. MYES [:]NO
LABORATORY NIP Lab Cert. #
Part A: Storrnwater Benchmarks and Monitoring Results
PL EASE REZMEM1P-E:R TG SIGN ON THE REVEcRS
Total event rainfall or I6o discharge this period
Outfall No.
�; _
Sample Collected, TSS,
moJdd/yr ! mgJL
pH,
Standard units
COD,
mg/L
Oil and Grease, —I—Coll
mg/L
Coliform ,
Colonies per 100 ml
Enterococci`,
Colonies per 100 ml
Benchmark
I 100 or 50`
Within 6.0 — 9.0
120
30 1
1000
500
I
i
inn sa
ij6;
inl '
{
I
i
I
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site .rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oif per month? ❑ yes 2!�o
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected, i Oil and Grease, T55, ? pH, New Motor oil usage,
mo/dd/yr I mg/L I mg/L Standard units Annua[ average gal/mo j
Benchmark
30 i 100 or 5e i 6.0 — 9.0 i -
i I
I
I
(ify es, complete Part B)
Uniy appues to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 r r r i €I ill - n' e m i r+ i
For sampling periods with no discharge at a^:v o.��a. s, you must still submi:.�,;s a�scharg,. �t.on.toring repo.: with a check:�ar< Here.
nor 'n ` T h l r '�r , i•. .1w n a
See Gene ai . er, ..it text, able 3, tdentiFying t. e esaec:a 3y se, sitive receivi ng water -,iris,-:cat,o:,s where the mo, e protective benchmark applies.
SW -?_;

'FOR PART A AND ?ART B MONITORING RESULTS:
A BENCHMARK EXCEEDAMCE RIGGERS TIER 1 REQUIREMENTS. SEE PERMIT ?ART it SECT ION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL T RIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION S,
• i IER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FO THE SAME PARAMETER AT ANYONE OUT FALL? YES I ND
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ 1VQ'
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end o
monitorinq12eriod in the case of "No Discha[ge" reports) to:
DIVislon of `A/2ter Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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 responsibie for gathering the information, the information submitted is,
to the best of my kngwledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting False
information, !,DeXdiinthe possibility of fines and imprisonment for knowing violations."
7
(Date)
Additional copies of this form may be downloaded at:
SW'U-249 Last Revised: C ')er 18. 201
P a 2 c - of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted-7-94-i"
CERTIFICATE OF COVJRAGf NO. NCGD6�� SAMPLE COLLECTION YEAR at)
FACILITY NAME / V50n FO('M5FACILITY CTIVITIES INCLUDE (ch ck all that apply):
COUNTI use/process meats se animal is/byproducts
PERSON COLLECTING SAMPLES DISC ARGING TO SALTWATER ? [YES�No
LABORATORY NIA Lab Cert. i* N
Part A: Stormwater Benchmarks and Monitoring Results
P L..ACE REz':17- N,311-R -3TO SIGk' CAI` T, 1ZE ilrL ERrL
Total event rainfall z or F)(o discharge this period3
Outfall No.
6U -
Sample Collected, TSS, pH,
mo/dd/yr mg/L Standard units
COD, i
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci-,�
Colonies per 100 ml
Benchmark
100 or 50' I Within 5.0-9.0
I 120
30 1
100a
500
I
�
'
DD-j
N
X.j
I
I f
Only applies to facilities that use/process meats.
z i he total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
aSee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes
Part B: Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gal of new motor oil/month.
':. Outfall No.
i i
Sample Collected, i oil and Grease, TSS,
ma/dd/yr mg/L mg/L
pH, New Motor Oil Usage, i
Standard units ; Annual average gal/mo
Benchmark
- I
30 I 100 or 50` i
5.0 — 9.0 ,
1
I
I
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any o�tfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identisying the espec ally sensitive receiving water dassificatie^s where the more protective benchmark applies.
(if yes, complete Part B)
SWU-2)

*FOR PART A AND PART B MONITORING RESULT S:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERM<T PART it SECTION 3_
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUT FALL TRIGGER TIER 2 REWREMENTS. SEE PERMIT ?ART it SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FO �iE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO 1lll����
REGIONAL OFFICE CONTACT NAME:
Mail an on inni and one copy of this DMR including all "No Dischor e" reports, within 30 days of receipt of the lab results or at end o
monitorinipe_riod in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mad Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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 k owledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information,g the possibility of fines and imprisonment for knowing violations."
7.21
(Date)
Additional copies of this form may be downloaded at: l i _llviia{.�C72 1f.3rI'lticwyJG�."JSISU�^�u�5�'h' awl
SWU-2?9
LastRevised: C )e- 18, 20 i 2
P`� 1L 2 --` 2

0
Tyson
January 19, 2018
N.C. Division of Water Quality
Attn: Central Files
1617 Mail Service Center, Raleigh, NC 27699-1617
Dear Sir or Madam:
Enclosed are 2 copies or the required storm water sampling for the outfalls covered
by General Permit No. NCG060000 — Tyson Farms NCG060022
Please contact me if you have any questions at 704-546-2602 ext. 232.
Regards,
4 � �
Kevin Haynes — Environmental Manager, Tyson Farms — Harmony, NC
R.EeENED
jo 2 4 24MB
E)WR SECTION
Tyson Foods, Inc. RVAF -Harmony 501 Sheffield Road, Harmony, NC 28634
800-568-9607 704-546-2602 Fax:[phone] www.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted i- Iq-1 $
CERTIFICATE OF COVERAGE NO. NCG06 D j_,�,�
FACILITY NAME Mn RAC[n�
COUNTY _.jgLj)1 �1
PERSON COLLECTING SAMPLES �f '
LABORATORY l_a Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR <X)II
FACILITY ACTIVITIES INCLUDE (chqck all that apply):
use/process meats a anim�Wois/byproducts
DISCHARGING TO SALTWATE ? ❑YES
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or o discharge this period3
Outfall No.
u!
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Colifor ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
) INJ CO
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes pl�e
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still summit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes
• complete Part S)
SWU-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FO E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ No
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this D_MR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:^�
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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, iD*&g the possibility of fines and imprisonment for knowing violations."
Z19.18
(Date)
Additional copies of this form may be downloaded at: http:///portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4/web/wq/ws/su/npdessw#tab-4
SWU-249( Last Revised: C 'qer 18, 2012
Pale 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 17 t q- 13
CERTIFICATE OF COVERAGE NOS.NCG06D_.L a-rL SAMPLE COLLECTION YEAR Jill _
FACILITY NAME : nn 1-' "CMS_ _ FACILITY ACTIVITIES INCLUDE c ck all that apply):
COUNTY dP- Ll se/process meats use animal is/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? []YES
LABORATORY. tJ1 '• _ Lab Cert. #
—�T PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall2 or o discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal ColifortW,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50°
Within 6.0 — 9.0
120
30
1000
500
1 Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at M outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-2=19 last Rev;sed: October 18, 2012

'FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTIONNBB
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO,p�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitorinq period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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,;Poiding the possibility of fines and imprisonment for knowing violations."
Fe of Permrttee)
J-1518
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/`sujnpdessw#tab-4
SWU-249 Last Revised: ( er ]8, 2Q12
)Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG06000_0_
Date submitted _ 1-IQ I3
CERTIFICATE OF COVERAGE NO. NCGor,0_D_ ,&
FACILITY NAME TV-'V)n Pkf M--,
COUNTY 1 94
PERSON COLLECTING MPLES 4<PV1V
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
FACILITY CTIVITIES INCLUDE (ct5rl all that apply):
'se/process meats a animal f s/byproducts
DISCEI RGING TO SALTWATER ? ❑YES 0
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Total event rainfall 2 or DrNo discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Colifor ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if Les, complete Part 13)
SWU-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION .
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES F ' Of HE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO)z
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receiptqf the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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,j;oudingithe possibility of fines and imprisonment for knowing violations."
i
re of Permitteej
11q-1 V
(Date)
Additional copies of this form may be downloaded at: http://i2ortai.ncdenr.org/web/wo/ws/suZnRdessw##tab-4
SWU-249(
Last Revised: C er 18, 2012
)Pa,,e 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1-1"—)
CERTIFICATE OF COVERAGE NO. NCG06.L Q _.a
FACILITY NAME �V `L-nn 1rVL'�
COUNTY
PERSON COLLECTING AMPLES
9EiD]3aQyV--S I
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR D)
FACILITY,ACTIVITIES INCLUDE Lchqck all that apply):
�guse/process meats Cajuse animal is/byproducts
DISC ARGING TO SALTWATER ? ❑YES ONO
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall a or Ywo discharge this period3
Outfall No.
1 p
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal ColiformI,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
l Only appiies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at air outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/rno
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ff yes, complete Part B)
S W U-2Y9
Last Revised: October 18. 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEE DANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES iN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR^E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
_Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab_ results (or at end of
monitoring period in the case of "No Discharge" reports) to: T ��
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617 ij
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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, in `g th f possibility of fines and imprisonment for Knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249(
Last Revised: f ❑er 18, 2012
Page 2 of 2

0
Tyson
July 26, 2017
N.C. Division of Water Quality "r-N i r(AL FILES
Attn. Central Files 9WR SECUM
1617 Mail Service Center, Raleigh, NC 27699-1617
Dear Sir or Madam:
Enclosed are 2 copies or the required storm water sampling for the outfalls covered
by General Permit No. NCG060000 — Tyson Farms NCG060022
Please contact me if you have any questions at 704-546-2602 ext. 232.
Rega ds,
KevinHaynes— Environmental Manager, Tyson Farms — Harmony, NC
Tyson Foods, Inc. RVAF - Harmony 501 Sheffield Road, Harmony, NC 28634
800-568-9607 704-546-2602 Fax:[phone] r+ww.tysonfoods.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06_10,a,,'L SAMPLE COLLECTION YEAR oil
FACILITY NAME ! w df S FACILITY ACTIVITIES INCLUDE (ch k all that apply):
COUNTY use/process meats use anima! is/byproducts
PERSON COLLEgNG SAMPLES ,4S DISC ARGING TO SALTWATE S? ❑YES 0
LABORATORY M f b ` Lab Cert. # C30^
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Total event roinfall z1 � 0, or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
M
jcg
4,61
3-
1 Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes;Rno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Osage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gny outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 T act P"';... I- 19 1l111)

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTI N q.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR HE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NOew
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30_days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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,"�ing the possibility of fines and imprisonment for knowing violations."
re of
�7-a 7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/nodessw#tab-4
S W U-249 f
Last Revised: C 'per 18, 2012
Pane ? oi' 2

AM
p F70MPT•ACCLJ F7ATE•RELIABLF_
L.ABOIZATORIES, INC
1VWW[ ARLABS.C)\1
REPORT OF ANALYSES
Attn: KEVIN HAYNES
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: JUN 17
DATE: 07/13/17
SAMPLE NUMBER-
128062
SAMPLE ID- TYH SW-101
SAMPLE MATRIX- WW
DATE SAMPLED- 06/23/17
TIME SAMPLED- 0530
DATE RECEIVED-
06/23/17
SAMPLER- KH
RECEIVED BY- DJ
TIME RECEIVED-
1035
DELIVERED BY- CM
TYPE SAMPLE- Grab
Page 1 Of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B
06/23/17
0530
KH
7.82 units
CHEM.OXY.DEMAND
EPA 410.4
06/26/17
0805
CT
2,210 mg/L
DECAL COLIFORM
SM 9222 D
06/23/17
1130
RE
8.20 col/100mLs
OIL & GREASE
EPA 1664
06/26/17
1445
CT
58.9 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
06/26/17
0320
DJ
170 mg/L
LABORATORY DIRECTOR---
r Ro. Rox 411483 • Charlotte. NCB 28241-1483
I'limic: 47044 588-8333 • I=tip: [phone]

P I A�l , t
PROMPT •ACOURATE •RCLrr.aL-C
I,A.B0R.A'1"ORI1:S, INC:
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAW OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Mailing:
PO Box 411483
Charlotte, NC 28241-1483
It is essential that aEl information be recorded on th;s Chain of Custody 7acumenl for acceptance by PAR Laboratories, Inc and the North
Carolina Departrnent of EnvironmentHl antl Natural Resources
Company Name (billing) j Comments/ Special Instructions
Tyson Foods (Harmony)--
Ad�'ress '
_ 501 Sheffield Road_____ pH =
City, State ii zip code
—
Harmony, NC_28634
Point of Contact 4 Telephone Number -- --- -- — —
Kevin Haynes 704-546-2602 Ext. 232
Sample jj
Taken By: PRINTED NAME 1C.V1 O �ifqyNt':� SIGNATURfx i Q r
ARE SAMPLES FOR STATE or EPA REPORTING? YES X NO
"Sample Type: ow ww GWMW rtw Soil other �5t'l
Sample Temp at time of sampling: _ ° C Sample Temp upon receipt: ° C
"Field Preserved: Yes X No Teflon Liner/Zero Headspace: Yes No n!a X
Client Sample I.D.
(Sample Location ! Number)
Comp
Grab
Present
I Set up
Date/Time
Collection
Dalerrime
Analyses
Requested
STORMWATR aW t
X
< 4° C`;
r•+:�
= 3�
�' �+3- )�'17
=
—� —
SS
x
I M 50
;== _
3 �z � r
OD
X
H2SO,
;. ;^ y
�`= � 17
10(L Et GREASE
I —
X
-< 4'''=
-�� -rT
IPECAC COLiFORM
dell quished rJatarTime i ed bwater t lme
, (A*4" 9.
R ' inqui d b eta e � Receiv d by: ' DatElTime -
G=Composite G=Grab Dl=t]rirtkintqWater VNN=U4fastewater GLVMW=Groundwa er Monitoring Well HVY=Hazardous waste

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06_ _(2 a A SAMPLE COLLECTION YEAR az)1
FACILITY NAME rm5 FACILITY ACTIVITIES INCLUDE (ch ck all that apply):
COUNTY i'P Q use/process meats use animal is/byproducts
PERSON COLLECT G SAMPLES U+ 0 DISCH RGING TO SALTWATER ? []YES N0
LABORATORY G( L66�, Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER T O SIGN ON THE REVERSE 4
Total event roinf7/12 •�� or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
PH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterocacci ,
Colonies per 100 ml
Benchmark
100 or 50"
Within 6.0 — 9.0
120
30
1000
500
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
PH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
TThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(Ifyes• complete Part B)
SWU-249 i 9�r IQ ')AI

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART Il SECTION/ .
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FO THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including al! "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
ir
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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 o my wledge and belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false
information�g the possibility of fines and imprisonment for knowing violations.'
(Signature
,�7-7(loa
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.or /web/wq/ws/su/g/web/wq/ws /n�dessw#tab-4#tab-4
SWU-249. I Last Revised: C 'ier 18, 2012
Page 2 of 2

v
PRuMPT• A CCLI RATE• RE L I AS LE
LABORATORIES, INC
%V 1V 1V.1'A R LA EIS.CO M
REPORT OF ANALYSES
Attn: KEVIN HAYNES
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: JUN 17
DATE: 07/13/17
SAMPLE NUMBER-
128063
SAMPLE ID-- TYH SW-301
SAMPLE MATRIX- WW
DATE SAMPLED- 06/23/17
TIME SAMPLED- 0450
DATE RECEIVED-
06/23/17
SAMPLER- HH
RECEIVED BY- DJ
TIME RECEIVED-
1035
DELIVERED BY- CM
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSTS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B 06/23/17
0450
KH
7.66 units
CHEM.OXY.DEMAND
EPA 410.4
06/26/17
0805
CT
81 mg/L
FECAL COLIFORM
SM 9222 D
06/23/17
1130
RE
11.48 col/100mLs
OIL & GREASE
EPA 1664
06/26/17
1445
CT
< 6.6 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
06/26/17
0820
DJ
57 mg/L
LABORATORY
DIRECTOR
11.0. 13ux =11 148i; • C'lt irlt)tte. NC28241-i483
l'hatitc: [phone] • Fax: [phone]

&T,
PROMPT- A r,0UR ATE• REL. I A OLE
LABOIZA1'01U L S, INC:
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Chartotte, IBC 28241-1483
It is essential thai all wofmatier, ."(. r8corccj or. ;hi> Chair: of Cuslo4y dxumerd fDr acceptance by PAR t.aboral7ies. tnc and the Borth
Carolina Depar c-rit of Environmental and Natural Resources.
Company Name (billing) Comments/ Special Instructions
Tyson Foods (Harmony) — _— —
Address
501 Sheffield Road — pH - f G
City, State Er zip code
Harmony, IJC 28634
Point of Contact Ec Telephone Number
Kevin Haynes 704-546-2602 Ext. Z37
Sample
Taken Sy: PRINTED NAMEKCYIPJ 1 INCS SIGNATURE
ARE SAMPLES FOR STATE or EPA REPORTING? YES X NO
'Sample Type: ow Ww GWMW Hw Soil Other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: _ ° C
"Field Preserved: Yes X No Teflon Liner/Zero Headspace: Yes No n1a X
Bent Sample I.D.
Set Up
Collection
II nab ses
(Sample Location 1 Number)
Comp
Grab
l Presery
Date/Time
Daterrime
Requested
STORMWATER
X
< q° c
£_s:; ;; .
G �•3 -3Gi�
IT55
IAT�
X
H1so�
«� _ •,; �i r
�_ 3 �c P
--
COD
- _
L4:Jf'
-—
X
HZSO,
t
L`'4 O
blL Ft GREASE
. `'-'v
X < 4° C
' `.� ' ".
93 --X1 i
FECAL COLIFORM
Oaf �C
_.
i
C=Composite G=Grab DVV=0rinVing Water W'> =Wastewater G4VMW=Gro
DaielAlme
Well H'-N=Hazardous Waste
OSf

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06D ` 9 C� SAMPLE COLLECTION YEAR &
FACILITY NAME FACILITY ACTIVITIES INCLUDE (ch ck all that apply):
COUNTY {`� use/process meats use animal fats/byproducts
PERSON COLLECTINGSAMPLES i` P� DISCH RGING TO SALTWATER ? ❑YES �NO
LABORATORY U� _�-(�b5 Lab Cert. # -
Part A: 5tormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z1, Q(� or []No discharge this period3
Outfall No.
$ _ uo I
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coiiform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0— 9.0
120
30
1000
Soo
D
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes V�o
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 -- 9.0
-
1 Only applies to facilities that use/process meats.
2The totai precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if vet complete Part B)
S YY U-249 1 ncr R-4-4- C)'t-k - IQ 'M 1 7

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTI(RN.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES ITHE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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
informatior6.Wu4ng the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
17
e�, q
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.crg/web/wg/wsZsu!npdessw#ftab-4
S W U-249 f
Last Revised: C 'per 18, 2012
?asie 2 of' 2

pROMPT• A CCU RATE- RELIABLE
LABORATORIES, INC
NVww t'AlZLAllS.00J%l
REPORT OF ANALYSES
Attn: KEVIN HAYNES
TYSON FOODS --HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: JUN 17
DATE: 07/13/17
SAMPLE NUMBER-
128064
SAMPLE ID- TYH SW-401
SAMPLE MATRIX-- WW
DATE SAMPLED- 06/23/17
TIME SAMPLED- 0625
DATE RECEIVED-
06/23/17
SAMPLER- KH
RECEIVED BY- DJ
TIME RECEIVED-
1035
DELIVERED BY- CM
TYPE SAMPLE-- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B
06/23/17
0625
KH
7.82 units
CHEM.OXY.DEMAND
EPA 410.4
06/26/17
0805
CT
1,063 mg/L
FECAL COLIFORM
SM 9222 D
06/23/17
1130
RE
9.84 col/100mLs
OIL & GREASE
EPA 1664
06/26/17
1445
CT
15 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
06/26/17
0820
DJ
162 mg/L
LABORATORY DIRECTOR
R0, lion 41 1483 • Chadoitc, NC 282 41-1483
1'hoac: (704) 58N-S333 • Fav [phone].

r�RphA p7•oCCIJRATi_• RLLiAULC
L.A.I30ItA".I'QRIES, INC
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax[phone]
Shipping: Mailing:
2217 Graham Park Drive PO Sox 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is esseniial that all ,nformaticn on th;s Chair, 4i Cusicdr .1,0c :ment for acoeolar,Ce by PAR Laboratories. Inc and the North
Carolina DepaC,rrenl of Env,rcnmentat and Natarai R, sS=ces.
Company Name (billing) Comments/ Special Instructions
Tyson Foods (Harmony)
/Address
501 Sheffield Road pH = 1.
City, State t3 zip code
Harmony, NC 28634
Point of Contact It Telep,)one Number
Kevin Haynes 704-546-2602 Ext. 232
Sample -
Taken By: PRINTED NAME i LLVt�- )-)o,tI, o - SIGNATURE rtr�• x E�
ARE SAMPLES FOR STATE or EPA REPORTING? YES X NO
Sample Type: aw _ —_ vvVv .aC' GwMw iiW — — -- Soil other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
"Field Preserved: Yes X No Teflon Liner/Zero Headspace: Yes No n/a X
Client Sample I.D.
Set Up
Collection
natyses
(Sample Location 1 Number)
Comp
Grab
Pieserv.
DatelTime
Date[Time
equested
—
STQRMWATER
— —
X < 40 c�,`$<
<]
—
€ SS
t
X H,SO,
Y1; � f
L9.3 l
}COD
--
i
XTH 50
�_
��
SOIL Et GREASE
24
•., f' ter'+
X 4° C
x
'FECAL COLI FORM
i
€
I
i',
I
I
r
' C=Compcsite
itc ring Wetl HW=Hazardous Waste
It i

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06D DA SAMPLE COLLECTION YEAR a�
FACILITY NAME vas p rat FACILITYACTIVITIES INCLUDE (check all that apply):
COUNTY )Y ede U use/process meats use animal is/byproducts
PERSON COLLECT G S MPLES Q DISC ARGING TO SALTWATER ? ❑YES�NO
LABORATORY ttkj Mb_--) Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z) - 0 (2 or ❑ No discharge this period'
Outfall No.
5
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100,or 504
Within 6.0-9.0
120
30
1000
Sao
7
Z
1 Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a___y outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yesY� o
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
2 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SWU-249 T act P_v ;'_A. 14 '1nII

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIO .
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEFDENCES FO THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ N
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No DischamE" reports, within 30 days of receiptof the lab results (or at end of
monitoring period in the case of "'No_Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-161.7
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 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, yWirlg the possibility of fines and imprisonment for knowing violations."
re of Perin
�zCO
(Date)
Additional copies of this form may be downloaded at: http://portai.ncdenr.org/web/wc,/ws/su/nQdessw#tab-4
S W U-249 ,
Lase Revised: C 'per 18, 2012
Paae 2 o[2

Am
F jz
PROMPT. A CCU RAT E-RELJA RLE
LABOKATORIES, INC
%VWNV_PARLABS.00.N]
REPORT OF ANALYSES
Attn: KEVIN HAYNES
TYSON FOODS -HARMONY
PC BOX 158
501 SHE_:ILFD ROAD
HARMONY, NC 28634-
PROJECT NAME: JUN 17
DATE: 07/13/17
SAMPLE NUMBER-
128063
SAMPLE ID- TYH SW-501
SAMPLE MATRIX- WW
DATE SAMPLED- 06/23/17
TIME SAMPLED- 0535
DATE RECEIVED-
06/23/17
SAMPLER- KH
RECEIVED BY- DJ
TIME RECEIVED-
1035
DELIVERED BY-- CM
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B 06/23/17
0535
KH
7.74 units
CHEM.OXY.DEMAND
EPA 410.4
06/26/17
0805
CT
163 mg/L
FECAL COLIFORM
SM 9222 D
06/23/17
1130
RE
8.20 col/100mLs
OIL & GREASE
EPA 1664
06/26/17
1445
CT
< 6.6 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
06/26/17
0820
DJ
716 mg/L
LABORATORY
DIRECTOR
-- --..-
11.0. 13t)x 411483 • Charlotte, NC 28241-1483
Phone: [phone] • l-su: [phone]

0k CHAIN OF CUSTODY
PAR Laboratories, Inc
F3JAM
PRO M PT, G GCIJRA-rE• RCL I AD LE Phone (704) 58$•8333
LABOR-A'1'ORIES, INC Fax [phone]
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is esssmial Mat aff informas;on €- ra20:Ced on ;hs Chair. of Custod -jcc--mer.; f:,r acceptance ty PAR Laboratories, Inc and The Norlh
Carolina Departmcnf of Envorcr.mennI and tti'at::ral Resaueces
Company Name (billing) I Comments/ Suecial Instructions
n Foods (Harmony)
Address
501 Sheffield Road
City, State h zip code
Harmony, IJC 28634
Point of Contact it Telephone lium:;cr
Kevin Haynes 704-546-2602 Ext. 732
Sample j
Taken By: PRINTED NAME �C-YINLNyN�
pH= 77`7
SIGNATORY A l ii"'7"
ARE SAMPLES FOR STATE or EPA REPORTING,? YES X NO
"Sample Type: ow ww ,X-f--%WlVlW HW Soil Other SjA,!
Sample Temp at time of sampling: ° C Sample Temp upon receipt: q C
"Field Preserved: Yes X No Teflon Liner/Zero Headspace: Yes No nla X
^lien Sample I.D.
I Set up
Collection
nalyses
(Sample Location i Number)
Comp
Grab
I Preseiv.
Daterrime
Date/TimeRequested
— ___
STORM WAT R w - .5-c[
�
X
I < 4° c
�-. �j �:
CJ t .�
—_ —
SS
--- - ---
X
I
HzSO.SOIL
=dam
COD
Et GREASE
X
` 4° C
Ir:1 7 .
FECAL COLIFORM
E
i
r�eu Isneq ay' L)aier I rn•re ec ea oy alet I Irne
by- a e I Receivlerd by: IF DalelFime
C=Ccmposite =Grab W=Drinking Water WW=Wastewater CWVMW-Groundwa er rvlonitohrg Well HW=Hazardous Waste

Rain began : 07:03 AM 2-15-17
Rain Guage @ 0.01 .0711 AM
Grab sample = # 3 outfall : 0730 AM
Rain at end of storm event : .21 inches
Rain stopped at 08:19 2-15-17
Sampling Point # 3 : Drainage Area = 1.0
Q
= CIA
I
= .21 in.
C =
1.0
Q
= .009 mg
RECEIVED
MAR 0 6 2011
CENTRAL FILES
DWR SECTION

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC D b O C30 or
Certificate of Coverage Number: NCG . O n
FACILITY NAME tqLl,� !2��
PERSON COLLECTI G SAMPLE('
CERTIFIED LABORATORV(S) Lab #;L-Q
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: a O f I
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
i I COUNTY
RECEI �J E)HONE NO. (a
MAR 0 0 Z011 (SIGNATURE OF OR DESIGNEE)
By this signature, I certify that this report is accurate
CENTRAL HLEScomplete to the best of my knowledge.
DWR SECTION
B�Outfall �_�
]Date it'
dSample ,�
2r4Vy
Collected n nV
;To[al=��
we - . _
I low; r,
.. ?ll
h��r "J
s r,�
r '�
ti:�
7S; „'.
't r
l
S F Q? Y
t
! M
MG, c `' �
_ ' °� xt"
w
-f a �. _ :'i
�- D1
— —/
vc�
• S
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
ONEi
i
i
1477
�r '
`. 1 . i
116.i I., .IJ
i. " a��
Fonn SWU-246-051100
Page i of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches): a.2/
Event Duration (hours). , D19
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 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
sbility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form SWU-246-051100
Page 2 of 2

PLL
PRO MPT•Arr- JRATE•R ELi A BLE
LABORATOR)rES, INC
WWWPARLABS.0011
REPORT OF ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 138
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: FEB 17
DATE: 02/22/17
SAMPLE NUMBER- 126639 SAMPLE ID- TYH STORMWATER SAMPLE MATRIX- WW
DATE SAMPLED- 02/15/17 TIME SAMPLED- 0730
DATE RECEIVED- 02/17/17 SAMPLER- MC RECEIVED BY- DJ
TIME RECEIVED- 1120 DELIVERED BY- CM TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS METHOD DATE TIME BY RESULT UNITS
pH VALUE SM 450OH-B 02/15/17 0730 MC 6,41 units
CHEM.OXY.DEMAND EPA 410.4 02/20/17 0750 CT 55 mg/L
TOTAL SUSPENDED SOLIDS SM 2540 D 02/20/17 0810 DJ 7.5 mg/L
LABORATORY DIRECTOR
F
r
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

L
RTORIES, INC.
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping:
Mailing:
2217 Graham Park Drive
PO Box 411483
Charlotte, NC 28273
Charlotte, NC 28241-1483
It is essential that all information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources.
Company Name (billing)
Comments/Special Instructions
TYSON FOODS '
Address
501 Sheffield Road
4 3 o
City, State & Zip Code
Harmony, NC 28634
Point of Contact & Telephone Number
Mike Campbell 704-S46-2602 ext:236
Sample taken by:
IS THIS FOR STATE or EPA REPORTING? YES _X_ NO
'Sample type: DW WW _ X_ GWMW HW Soil Other _SW
Sample Temp upon receipt: �L °C
Awr-
"Preserved: Yes _X No Teflon Liner/ Zero Headspace: Yes — No _ NIA
Client Sample I.D.
Sample Location / Number) ( Temp Degree)
Comp
Grab
Preserv.
Set Up
Date/Time
Collection
DatelTime
Analyses
Requested
Stormwcter �
� " 3 b
X
% O
—1 1
TSS
X
H2504
Cod
X
Ph
Relinqui h by: DatelTime Received by: DateiTime
�£ nquis d yt)
oD(atefrime, !� Reced by: DaleTime �7
r� /7� - r%% / !r� /� 1 / ?—iwJ.r D Z—t 7 —1 /
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitorin�fWell HW=Hazardous Waste " See
Other Side /_

January 29,2008
John Lesley
D.E.H.N.R.
Division Of Water Quality
610 East Center Ave.
Mooresville, N.C. 28115
Subject : Wash down spill at Stormwater # 101
Dear Mr. Lesley,
F E $ 1 2008
NO DENR IRO
DWO_Surface Woter Protedon
This letter is in reference to our phone conversation on January 24, 2008.On said day we
had experienced extremely cold temperatures causing the outlet pipe on Stormwater 4
101 to freeze. The plant personnel were washing down the parking lot and thus caused
about 100 gallons of our treated effluent that they use to wash down with to spill to
Hunting Creek. The problem was corrected and the system is back on line.
Should you have any questions concerning the above , please do not hesitate to call me at
704-546-2602 ext 236.
Sincerely,
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

i
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC (2 D I b 0 0 0 or
Certificate of Coverage Number: NCG Q OO A 2-
FACILITY NAME
PERSON COLLECTINGAMPLE(S)
CERTIFIED LABORATORY(S) PaA- L allb #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the satnpling results from the laboratory.)
COUNTY
PHONE NO. a
(SIGNATURE OF PGRUT2TiE DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfal l Date 50050 Dsn3 L. o D .3 4fi1
:rLL
No. Sample Total
nn q
.collected Flow
molddl r MG .{
hv -33-LS- D. 4640 7.0 7 37
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part 13)
Part R- Vnhirle Maintenance Artivity Mnnitnrina Renuirements
Outfall
No.
Date
Sample
Collected
50050 _
00556 . _
00530 ,.
00400:
Total Flow
Oil and
Grease ., .
Total "`
Suspended -:,
Solids -
;,pH-Niw
Motor
Oil U§age..
ma/ddl r
MG
m 1= . : ,
m I.
'unit ,
allmo'.
b
1-7- -!
111
Q& - 40
-2,
C.
WaA -S`v i
- A3 —iS
Form SWU-246-051100
Page I of 2

ir
STORM EVENT CHARACTERISTICS:
Date 1.23-13,
Total Event Precipitation (inches);.
a
Event Duration (hours). 4,42. .
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 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 knowled an belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the Ali of fines and imprisonment for knowing violations."
l _
C/'/�
ig o e mittee) (Date)
Form SWU-246-051100
Page 2 of 2

4r
PLIR
PROMPT- A CCU RATE -RE LIABLE
LABORATORIES, INC
WW W.PARLASS.0O3%1
REPORT OF ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: JAN 15
DATE: 02/02/15
SAMPLE NUMBER-
117464
SAMPLE ID- TYH STORMWATER
#301
SAMPLE MATRIX- WW
DATE SAMPLED- 01/23/15
TIME SAMPLED- 1135
DATE RECEIVED-
01/24/15
SAMPLER- MC
RECEIVED BY- RE
TIME RECEIVED-
1100
DELIVERED BY- MC
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B
01/23/15
1135
MC
7.03 units
CHEM.OXY.DEMAND
EPA 410.4
02/02/15
0800
CT
37 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
01/26/15
0830
DJ
7 mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

f*�'8R CHAIN OF CUSTODY
TORIES. INC. PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is essential that alt information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources,
Company Name (billing)
Address
City, State & Zip Code
TYSON FOODS
501 Sheffield Road
Harmony, NC 28634
Point of Contact & Telephone Number
Mike Campbell 704-546-2602 11
Comments/Special Instructions
%010�. z 7. zi 3
Sample taken by:
IS THIS FOR STATE or EPA REPORTING? YES ✓ NO
"Sample type: DW WW _ GWMW HW Soil Other —SW—
Sample Temp upon receipt: -- °C
Preserved: Yes _�,/ No Teflon Liner/ Zero Headspace: Yes _ No _ NIA
Client Sample i.D.
Sample Location 1 Number)
Comp
Grab
Preserv.
Set Up
Datelrime
Collection
Daternme
Analyses
Requested
TORMWATER # 301
X
H2SO4
coo
X
x
PH %43
ncIwqulmlcu uy. � uate! I lme Keceived b
y= batefrime
ell quished by: Date rime Received by: Date rime
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste " See
Other Side

2-9-2015
ATT : Central Files
D_E.H.N.R.
N.C. Division Of Water Quality
1617 Mail Service Center
Raleigh ,N.C. 27699-1617
RECEIVED
FEB 16 2015
CENTRAL FILES
Subject : General Permit No. NCG 060000 DWR SECTION
Tyson Foods NCG 060022
lredell County
Dear Madam or Sir
Enclosed are two copies of the required storm water sampling results for the outfall
Har-301 covered under the above subject permit and certificate coverage.
Please contact me at 704-546-2602 ext. 236, should you have any questions.
Sincerely ,
zwx 67qfi�
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

Rain began : 10:56 AM 1-23-15
Rain Guage @ 0.01 : 11:15 AM
Grab sample = # 3 outfalI : 11:35 AM
Rain at end of storm event : .93 inches
Rain stopped at 16:27 PM 1-23-15
Sampling Point ## 3 : Drainage Area = 1.0
Q
= CIA
1
= .93 in.
C =
1.0
Q
= 0.040 mg

A��
NCDE !NR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Gregg Wikstrom
Tyson Farms, Inc.
501 Sheffield Road
Harmony, NC 28634
Dear Mr. Wikstrorn:
Donald R. van der Vaart
Secretary
July 16, 2015 RECEIVED
JUL 2-0 2015.
CENTRAL FILES
DWR SECTION
Subject: NPDES General Permit NCG060022
Tyson Farms, Inc.
Formerly Tyson Poultry, Inc.
Certificate of Coverage NCG060022
Iredell County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in
the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is
issued under the requirements of North Carolina General Statutes 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http://Dortal.ncdenr.org/webllr/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060022
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Tyson Farms, Inc.
is hereby authorized to discharge stormwater from a facility located at:
Tyson Farms, Inc.
501 Sheffield Road
Harmony
Iredell County
to receiving waters designated as Hunting Creek, a class WS-III water in the Yadkin River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective July 16, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 16, 2015.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

j r-e-da"- ►`�f24
�`� . Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
�. National Pollutant Discharge Elimination System
NCDENR
E Rwiydr—N�MTu+��-Mb F�n PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Recelved
Year
Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
Ili G S 16 1 6 1 0 1 1 NT I G Gj 0 1 6 10 1 0 2 2
Il. Permit status prior to requested change.
a. Permit issued to (company name): Tyson PoulqX, Inc.
b. Person legally responsible for permit: Gregg Wikstrom
First MI Last
RECEIVED
DENR-LAND QUALITY
STORMWATER PERMITTING
Facility name (discharge):
d. Facility address:
Plant Manager
Title
501 Sheffield Road
Permit Holder Mailing Address
Harmony NC 28634
- City State Zip
[phone] [phone]
Phone Fax
Tyson Poultry, Inc.
501 Sheffield Road
Address
Harmony NC 28634
City State Zip
e. Facility contact person: Kevin Haynes [phone]
First l MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain: Legal department has advised that it is critical that the proper legal entity
appear on all permits and government correspondence.
b. Permit issued to (company name): Tyson Farms_, Inc
c. Person legally responsible for permit: Gregg_ Wikstrom
First MI Last
Plant Manager
Title
501 Sheffield Road
d. Facility name (discharge):
e. Facility address:
Permit Holder Mailing Address
Harmony NC 28634_
City- State J Zip
[phone] [e-mail]
J� Phone E-mail Address
Tyson Farms, Inc
501 Sheffield Road
Address
Harmony NC 28634
City State Zip
f. Facility contact person: _ Kevin T Haynes
First MI Last
[phone] [e-mail]
Phone E-mail Address
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Kevin T Haynes
First Ml Last
EHS Manager
Title
501 Sheffield Road
Mailing Address
Harmony NC 28634
CityV State) Zip
[phone] [e-mail]
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
I, Gregg Wikstrom„ attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application ar completed and that if all required supporting information is not included, this application
package w' d as incomplete.
Z 7_
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

0
6-1-16
ATT : Central Files
D.E.H.N.R.
N.C. Division Of Water Quality
1617 Mail Service Center
Raleigh ,N.C. 27699-1617 RECENED
30 01 ZA
r,EN'TRAL F-ILES
DVIR SECTION
Subject : General Permit No. NCG 060000
Tyson Foods NCG 060022
Iredell County
Dear Madam or Sir
Enclosed are two copies of the required storm water sampling results for the outfall
Har-301 covered under the above subject permit and certificate coverage.
Please contact me at 704-546-2602 ext. 236, should you have any questions.
Sincerely ,
7%�e &nf "-g
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

Rain began : 07:10 AM 5-17-16
Rain Guage @ 0.01 : 0726 AM
Grab sample = # 3 outfall : 0755 AM
Rain at end of storm event : 1.17 inches
Rain stopped at 1405 PM 5-17-16
Sampling Point # 3 : Drainage Area = 1.0
Q=CIA
I = 1.17 in.
C = 1.0
Q = .051 mg

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC G D 0 ©0 d or
Certificate of Coverage Number: NCGG
FACILITY NAME
PERSON COLLECTEN AMPLE(S)
CERTIFIED LABORATORV(S) an- ab # 2-D
Lab ##
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2'0
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the s mpling results from the laboratory.)
COUNTY l
PHONE N 76 e 2-.
(SIGNATURE OF R DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge.
a&n
.�i-
:,�
to .
Yi<
f ' ■�.n
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes
(if yes, complete Part B)
Part B: Vehicle Maintenance Ae ivity Monitoring Requirements
Outfail ;� T .
N, o
Date' i
Sam le
50450 _r
TotalYPlow .
0OSS
=,-Grease
160530!.
00400
pSuspended
Oil Usage
Ry.
moldd/y` ;'
CMG `
�m I
ym"
unity
all'rno
"
-
'302,
u1 �.ta---
no
Form SWU-246-051100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date S—/7—& " !, ! 7
Total Event Precipitation inches):
Event Duration (hours): • �i S� A,uo. .
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who minage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledg lief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including th off' i ' of fines and imprisonment for knowing violations."
(Signature of Permittee)
A
pate)
Form SWU-246-051100
Page 2 of 2

PA
PROMPT•ACCLJRATE•RLLIAB1-E
LABORATORIES, INC
WWW.PARLABS.00:11
REPORT 0s ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: MAY 17
DATE: 05/23/16
SAMPLE NUMBER-
123343
SAMPLE ID- TYH STORMWATER
#.f301
SAMPLE MATRIX- WW
DATE SAMPLED- 03/17/16
TIME SAMPLED- C755
DATE RECEIVED-
05/17/16
SAMPLER- MC
RECEIVED BY- RE
TIME RECEIVED-
1235
DELIVERED BY- CM
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
py VALUE
SM 450OH-3
05/17/16
0755
MC
6.47 units
CHEM.CXY.DEMAND
EPA 410-4
05/23/16
0600
CT
85 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
05/23/16
0810
DJ
20 mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

LR
TORIES, INC.
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is essential that all information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources.
Company Name (billing)
Address
TYSON FOODS
501 Sheffield Road
Comments/Special Instructions
City, State & Zip Code
Harmony, NC 28634'�
Point of Contact & Telephone Number
Mike Campbell 704-546-2602 ext:236
Sample taken by:
V
IS THIS FOR STATE or EPA REPORTING? YES X_ NO
*Sample type: DW WW _ X GWMW HW Soil —Other —SW —
Sample Tem u on receipt: VA °C
`* Preserved: es X No Teflon Liner/ Zero Headspace: Yes — No _ NIA
Client Sample I.D.
Sample Location / Number) ( Temp Degree)
Comp
Grab
Preserv.
Set Up
Date/Time
Collection
DatefTime
Analyses
Requested
Stormwater ,3b /
X
O Jj J
Tr17 ' 1
TSS
X
H2SO4
d 75:E
- Plp
Cod
X
Ph = lo• 4 r]
Relinquished by' Daterrime Received b : Datelrime
e qui d by Dat� i a Re by: Daterrimg
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMVV=Groundwater Monitoring Well HW=Hazardous Waste " See
Other Side

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC G o tv Dd e) 0 or SAMPLES COLLECTED DURING CALENDAR YEAR: -2 ej&
Certificate of Coverage Number: NCG 'V n (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAMECOUNTY t!e-serf!
PERSON COLLECTIN SAMPLE(S) � � V / D PHONE NO. 7,OVf s --2/04 2
CERTIFIED LABORATORY(S) ab #
Lab # JAIL 2 3 2017 (SIGNATURE OF R DESIGNEE)
By this signature, I certify that this report is accurate
CENTRAL FILES complete to the best of my knowledge.
Part A: Specific Monitoring Requirements DWR SECTION
�
1 t-, z
4 HO
1
I I I
.r 0 i 1!
�1 •
-
�
1
�(.WA
• 1
..
TZ
1�-.-�+
?'`9.1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes —no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfall' °�
Dates
50050 .:
10036 --
00530
0040'
GNo
ti "
R,
Sain nle ,;
Col�pslcted,,`
1 otal Flow ....
Oil and
Total o.
Suspended
H
p '
New Motor
Oil Usage
,Crease
S�-.
��V' l M-:E'rn
1
, t 1
y
Solids
.
:.firms.
��
F ,:
�. .G
m ► I.:rr W
m .1 ,,.
unit
av 0
Form S W U-246-051 100
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date -"'
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 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 ft�sihjity of fines and imprisonment for knowing violations."
ignatu re
. /. z 7. Zj;
(Date)
Form SWU-246-051100
Page 2 of 2

ATT : Central Files
D.E.H.N.R.
N.C. Division Of Water Quality
1617 Mail Service Center
Raleigh ,N.C. 27699-1617
10-9-14
RECEIVED
OCT 13 2014
CENTRAL FILES
Subject : General Permit No. NCG 060000 DWR SECTION
Tyson Farms NCG 060022
Iredell County
Dear Madam or Sir
Enclosed are two copies of the required storm water sampling results for the outfall
Covered under the above subject permit and certificate coverage.
Please contact me at 704-546-2602 ext. 236, should you have any questions.
Sincerely ,
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

Rain began : 1405 PM 9-24-14
Rain Guage @ 0.01 : 1427 PM
Grab sample = # 3 outfall : 1432 PM
Rain at end of storm event: .14 inches
Rain stopped at 1626 PM 9-24-14
Sampling Point # 3 : Drainage Area = 1.0
Q = CIA
I = .14 in.
C = 1.0
Q = .006 mg

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC lam' 0 (a 0 e0 0 Z> or
Certificate of Coverage Number: NCG 0 4b 0 0-")-
FACILITY NAME
PERSON COLLECTI SAMPLE(S) 2�
CERTIFIED LABORATORY(S) Q.L. ab # 0
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: d/
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sa pling r salt fr the laboratory.)
COUNTY
PHONE NO. 70q S� G 2 0 '�-•
7rl
(SIGNATURE OF OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
DateII
Sample
Collected
I
Div •♦
��
�sr i
t
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
Oil and
Grease .
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
m I
mg/1
unit
al/mo
49 G
-'.� �#� iNErT$
o
AA
Form SWU-246-051100
- Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date tag- 14
Total Event Precipitation (inches): ,
Event Duration (hours):
(if more than one stonn event was sampled)
Hate
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 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 sibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form SWU-246-05i100
Page 2 of 2

PRUMPT• A ECU RATE -RE LIABLE
LABORATORIES, INC
WWW.PARLABS.COM
REPORT OF ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: SEP 14
DATE: 10/02/14
SAMPLE NUMBER- 116108
SAMPLE ID- TYH STORM #301
SAMPLE MATRIX- WW
DATE SAMPLED- 09/24/14
TIME SAMPLED- 1444
DATE RECEIVED- 09/26/14
SAMPLER- MC
RECEIVED BY- DJ
TIME RECEIVED- 1155
DELIVERED BY- MC
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
off VALUE
SM 450OH-B
09/24/14
1444
MC
6.99 units
CHEM.OXY_DEMAND
EPA 410.4
09/29/14
0925
CT
10 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
09/29/14
0815
DJ
22 mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

L
RATORIES. INC.
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Mailing:
PO Sox 411483
Charlotte, NC 28241-1483
It is essential that all information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources.
Company Name (billing)
Address
City, State & Zip Code
11e&1@I1I;10I+781.1
501 Sheffield Road
Harmony, NC 28634
Point of Contact & Telephone Number
Mike Campbell 704446-2602
Sample taken by: —IW,
Comments/Special Instructions
IS THIS FOR STATE or EPA REPORTING? YES X_ NO
'Sample type: DW WW _ _ GWMW HW Soil Other _SW X
Sample Temp upon receipt: °C
"Preserved: Yes _X_ No Teflon Liner/ Zero Headspace: Yes ! No _ NIA
Bent Sample I.D.
Sample Location I Number)
Comp
Grab
Preserv.
Set Up
Daterrime
Collection
Datelrime
Analyses
Requested
tormwater # 301
X
H2SO4
C00
X
i
SS
X
/
Ph (..4 9
Relinquished by:_ Datelrime Received by; boterrime
by: Date ime Received by: Datelrime
' C=Composite G=Grab DW=prinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste —See
Other Side

6-25-14
ATT: Central Files
D.E.H.N.R.
N.C. Division Of Water Quality
1617 Mail Service Center
Raleigh ,N.C. 27699-1617 RECEIVED
JUN 3 0 2014
CENTRAL FILES
DWQ18QG
Subject : General Permit No. NCG 060000
Tyson Farms NCG 060022
Iredell County
Dear Madam or Sir
Enclosed are two copies of the required storm water sampling results for the outfall
Covered under the above subject permit and certificate coverage.
Please contact me at 704-546-2602 ext. 236, should you have any questions.
Sincerely,
Mike Campbell
ORC Tyson Foods
Harmony, N.C.

Rain began : 1856 PM 6-9-14
Rain Guage @ 0.01 : 1910 PM
Grab sample = # 3 outfall : 1917 PM
Rain at end of storm event: .21 inches
Rain stopped at 2011 PM 6-9-14
Sampling Point # 3 : Drainage Area = 1.0
Q = CIA
I = .21 in.
C = 1.0
Q = .009 mg

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC Go & ate o 0 or
Certificate of Coverage Number: NCG © 00 A ;L,
FACILITY NAME (}0
PERSON COLLECTING AMPLE(S) /
CERTIFIED LABORATORY(S) Lab # A o
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR- .2 -0/
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampiing results from the laboratory.)
COUNTY Z'�PP_cle�J % _
PHONE NO. G (o ^.'L� D
(SIGNATURE OF PEAMRUE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Ji
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Autfalv :,,
No.
Date
Sample
Collected
5t)050
00556
00530
00404 v:.
Total' Flow
tsd
Grease
Total
Suspended
Solids
pll
(NewMotor
"OiiUsage
molddl r
MG.
m Il
5u'nit
allmo'
6 - /el,.s
i
9=vc
/�-
-Sa
Ch cr
ant
s
.a kG
Form S WU-246-051100
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches): • �-
Event Duration (hours): , a S
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 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 knowledgean elief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including they "of fines and imprisonment for knowing violations."
(Date)
Form SWU-246-051100
Page 2 of 2

P�
UFZ
PRO MPT•ACCU RATE• QEf_IABLE
LABORATORIES, INC
NVWNV.PARLABS.00M
REPORT OF ANALYSES
Attn: MIKE CAMPBELL
TYSON FOODS -HARMONY
PO BOX 158
501 SHEFFILED ROAD
HARMONY, NC 28634-
PROJECT NAME: JUN 14
DATE: 06/17/14
SAMPLE NUMBER- 114381 SAMPLE ID- STORMWATER #301
DATE SAMPLED- 06/09/14
DATE RECEIVED- 06/10/14 SAMPLER- MC
TIME RECEIVED- 1200 DELIVERED BY- CM
Page 1 of 1
SAMPLE MATRIX- WW
TIME SAMPLED- 1929
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VALUE
SM 450OH-B
06/09/14
1929
MC
6-99
units
CHEM.OXY.DEMAND
EPA 410.4
06/16/14
0845
CT
37
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
06/16/14
0820
DJ
20
mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

PAR
tASORA TORrES. INC.
CHAIN OF CUSTODY
PAR Laboratories, Inc
Phone [phone]
Fax [phone]
Shipping_ Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is essential that all information recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina
Department of Environmental and Natural Resources,
Company Name (billing)
TYSON FOODS
Address
501 Sheffield Road 1
City, State & Zip Code
Harmony, NC 28634
Point of Contact & Telephone Number
Mike Campbell 704-546-2602
Comments/Special Instructions
Sample taken by: 2? 1)-.��_
Of
IS THIS FOR STATE or EPA REPORTING? YES NO
*Sample type: DW WW _ _ GWMW HW Soil Other _SW
Sample Temp upon receipt: �_ °C
"Preserved: Yes ✓ No Teflon Linert Zero Headspace: Yes _ No — NIA
Client Sample I.D.
Sample Location / Number)
Comp
Grab
Preserv,
Set Up
Datemme
Collection
Datemme
Analyses
Requested
TORMWATER # 301
X
H2SO4
-
OD
X
55
x
.%9.29
PH , q
Relinquished by:
C=Composite
Other Side
rzsr_�; ter_
Raraivari hv
Doteffime
Well HW=Hazardous Waste "See
'o; /'5�