NCG060427_NOI_20220111

FOR AGENCY USE ONLY
NCG06 Q lA_° 1 '�L
Assigned to: ILi0.r Ca15011
ARO FRO MRO RR WA O WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Qualit��V��
National Pollutant Discharge Elimination System ��,N
NCG060000 Notice of Intent Q6 2021
DE�Iu,fWLANb QUALITY
This General Permit covers STORMWATER DISCHARGES associated with activities under Sheeffoli t 3vi iAlp41114
Industrial Classifications: SIC 20 [Food and Kindred Products], SIC 21 [Tobacco Products], SIC 283 [Drugs], SIC 284
[Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations], SIC 422 [Public
Warehousing and Storage - except for 4226]. you can find information on the DEMLR Stormwater Program at
deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Austin Quality Foods, Inc.
Sergio Bosch
Street address:
City:
State:
Zip Code:
One Quality Lane
Cary
NC
27513
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non -government
OBusiness (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Kellogg Company - Cary Bakery
Mark Logue
Street address:
City:
State:
Zip Code:
One Quality Lane
Cary
NC
27513
Parcel Identification Number (PIN):
County:
0755626311
Wake
Telephone number:
Email address:
[phone]
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2052
O New ❑ Proposed O Existing
Latitude of entrance: OIq —16C
Longitude of entrance:
38.815019
-78.810503
Brief description of the types of industrial activities and products manufactured at this facility:
Commercial bakery and warehousing facility
This facility processes meat: ❑ Yes O No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Gregory Kanellis
Hart & Hickman
Street address:
City:
State:
Zip Code:
3921 Sunset Ridge Rd. #301
Raleigh
NC
27607
Telephone number:
Email address:
[phone]
[e-mail]
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑+ This water is impaired.
SWO 1
Crabtree Creek
C;NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8186424
-78.8078218
Brief description of the industrial activities that drain to this outfall:
Bulk oil add flour unloading, used food -grade oil loading, waste dry food loading, trailer storage, solid waste and scrap metal dumpstem, empty roles and drums storage, bakery men nw exhaust
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
O This water is impaired.
SW02
Crabtree Creek
C;NSW
O This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8150655
-78.8091969
Brief description of the industrial activities that drain to this outfall:
Bulk peanut butter unloading
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes E]No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑� This water is impaired.
SW03
Crabtree Creek
C;NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8189285
-78,8096845
Brief description of the industrial activities that drain to this outfall:
Not applicable - not exposed to industrial activity
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes r❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
I
Classification:
❑O This water is impaired.
SW04
Crabtree Creek
C;NSW
El This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8193227
-78.8089364
Brief description of the industrial activities that drain to this outfall:
Discharge from roof vents
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOI.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Good housekeeping, employee training, preventative maintenance; canopies, collection and conveyance structures, bioretention basin
l This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
June 25, 2021-most recent revision
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored:
Where material is stored:
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
❑O Check for $100 made payable to NCDE4
❑+ Copy of most recent Annual Report to the NC Secretary of State
❑+ This completed application and any supporting documentation
0 A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
❑+ Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.68 (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
❑O I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
O The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
l I will abide by all conditions of the NCG060000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
❑O I hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: Sergio Bosch
Title: Plant Director
gq ure of Applicant)
Mail the entire package to:
i4/ZZ/ Zezf
(Date Signed)
DEMLR— Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

Additional Outfalls
3-4 digit identifier:
Name of receiving water:
Classification:
0 This water is impaired.
SW05
I Crabtree Creek
C;NSW
El This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8185103
-78.8072077
Brief description of the industrial activities that drain to this outfall:
Not applicable - not exposed to industrial activity
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes '❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
El This water is impaired.
SWO6
Crabtree Creek
C;NSW❑
This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8183579
-78.807175
Brief description of the industrial activities that drain to this outfall:
Facility Wastewater Pre -Treatment and Treatment System drainage area
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
O This water is impaired.
SW07
Crabtree Creek
C;NSW
0 This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8160863
-78.8070907
Brief description of the industrial activities that drain to this outfall:
Trailer and solid waste dumpster storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑O This water is impaired.
SW08
Crabtree Creek
C;NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.8150111
-78.8082232
Brief description of the industrial activities that drain to this outfall:
Trailer storage areas
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ll No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

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BUSINESS CORPORATION ANNUAL REPORT
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NAME OF BUSINESS CORPORATION: Austin Quality Foods, Inc.
0008970 uing Office °y
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: DE
E - Filed Annual
REPORT FOR THE FISCAL YEAR END: 12/31/2020 Report
0008970
SECTION A: REGISTERED AGENT'S INFORMATION 0 Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS 8: COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Suite 200 160 Mine Lake Ct Suite 200
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B:
1. DESCRIPTION OF NATURE OF BUSINESS: FOOD MANUFACTURING
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x_ 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
One Kellogg Square One Kellogg Square
Battle Creek, MI 49017
Battle Creek, MI 49017
6. Select one of the following If applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: GARY PILNICK
TITLE: President
ADDRESS:
NAME: RICHARD SCHELL NAME: TODD HAIGH
TITLE: Vice President
ADDRESS:
TITLE: Secretary
ADDRESS:
ONE KELLOGG SQUARE ONE KELLOGG SQUARE ONE KELLOGG SQUARE
BATTLE CREEK, MI 49017 BATTLE CREEK, MI 49017 BATTLE CREEK, MI 49017
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a persontbusiness
entNtHARD SCHELL 4/8/2021
SIGNATURE DATE
Fan must be signed by an officer listed under Section C of this form.
RICHARD SCHELL Vice President
Print or Type Name of Officer Print or Type Title of Officer
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0526