NCG060321_Supplemental Info Review_20210805

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/5/2021 4:35:47 PM (Supplemental Submittal)
Submit by McCoy, Suzanne 8/17/2021 2:27:22 PM (Supplemental Info Submittal)
• The task was assigned to McCoy, Suzanne 8/5/2021 4:35 PM

Submittal from 8/5/2021
Permit Information:
Rease provide specific permit details below.
........ ......... ......... .........
What Type of Choose one:
Permit?* F NPDES Industrial or MS4 Permit
r State Stormvvater (Post -Construction) Permit
f Other
Permit Number* NCG060321
Begins with "SW', "NCG', or "NOS'
What DEQ Office is Reviewer: Rease correct if nisidentlfied, close this review forrn and reassign taskto the appropriate contact.
the Primary r Central Office
Contact?* r Washington Regional Office (Attn: Carl Dunn)
f Wilmington Regional Office (Attn: Christine Hall)
Facility Name * Sanderson Farms, Inc - Kinston Feed Mill
For WDES permits
Owner/Operator* Sanderson Farms Inc.
County: Lenoir
Submitter Name:* Stephanie Shoemaker
Vft is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 601-426-1572
Additional E-mail for (Optional)
Submittal
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachrrent (Reviewer nay remove unnecessary subnittals)
File Type* Representative Outfall Status Renewal Request
File Upload Oickthe upload button, or drag and drop files to attach
Kinston Feed Mill NCDEQ LEtter 2011
120.37KB
Representative Outfall Designation.pdf
Only RDFfiles are accepted.
Uploads contain r NO
Confidential r YES
Information * NOTE The following information cannot be claimed as confidential: the nave and address of any permt applicant or
permittee, permit applications, permits, effluent data, information required by NRDM application forms provided by
the Director inclusive of all forrrs and attachments [Ref. 40 CFR 122.7(b) and (c)].

Notes about the attachments:
17 By checking the box and signing box below, I certify that:
have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Stephanie Shoemaker
Signature:
Date Submitted: 08/05/2021

Initial Review
Verify Permit No.* I1\410RfANT. RE\/lRAE 2SHOLLDVMFY and revise here if necessary.
NCG060321
Who needs a
Reviewer selections will only be required for offices checked here.
copy? *
r% Central Office Staff
r Regional Office Stormwater Contact
State Stormwater RO Staff
r No Copy Needed
Central Office Reviewer:*
Notifies OD Staff with 5rail
Suzanne McCoy
Any Comments or
Updated outfall to reflect 002.
Added Info for CO
Staff Reviewer?
Review Date * 08/17/2021