NCG500653_Regional Office Historical File Pre 2018

1NaterResources
ENVIRONMENTAL QUALITY
CERTIFIED MAIL # 70151520 0002 8376 2821
RETURN RECEIPT REQUESTED
October 5, 2017
Mr. Kevin Pace, Feed Mill Manager
Case Farms, LLC
1524 Airport Road
Shelby, NC 28150..
ROY COOPER
Governor
F
M..IGHAEL'—S. R.EGAN
S. JAY ZIMMERMAN
n,raw
.,:.Subject: Notice of Violation
s Compliance Evaluation Inspection
NOV-2017-PC-0641
Case Farms, LLC
NPDES Permit No. NCG500653
Cleveland County, NC
Dear Mr. Pace:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on October 2, 2017 by Ori Tuvia. Your cooperation during the site visit
was much appreciated. Please advise the staff involved with this NPDES Permit by forwarding a
copy of the enclosed report.
The following observations were documented during the inspection:
- Change of ownership is needed (see attached form)
- No effluent flow measurements have been recorded.
- pH meter calibration was not done properly. Calibration was not recoded. pH standards,
were contaminated with bacteria.
- Grease was evident in the stormwater system. A copy of this report is being forwarded to
the Division of Energy, Mineral and Land Resources (DEMLR) for a follow up.
The violations listed above were also noted on the previous inspection conducted on May
4, 2016 and resulted in a Notice of Deficiency. Please be advised that 'this letter is a Notice of
Violation. You are requested to respond to this Notice in writing within fifteen (15) days of receipt
indicating your plan of action to resolve the non-compliance issues. Failure to respond and/or
failure to resolve the violations could subject you for further action by the Division of Water
Resources. Please be advised that pursuant to G.S. 143-215.6A, a civil penalty of not more than
twenty-five thousand dollars ($25,000.00) per day, per violation and may be assessed against any
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748

person who violates or fails to act in accordance with the terms, conditions, or requirements of any
permit issued pursuant to G.S. 143-215.1.
. The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at [phone], or at
[e-mail].
Sincerely, o
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: MRO Files, NPDES (Unit), MRO DEMLR (James Moore)
Cleveland County Health Department

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN i .2 LJ 3 I NCG500653 111 12 17/10/02 17 18 ICI 19 I c I 20I J
21IIIIII IIIIIIII1II IIIIIII I IIIIII IIIII1_IIIII6.
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
6711.0 70 iLJ 71 72 LNJ i 73 174 751
I I. I I I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:55AM 17/10/02
16/01/12
Shelby Feed Mill
1525 Airport Rd
Exit Time/Date
Permit Expiration Date
Shelby NC 28150
11:35AM 17/10/02
20/07/31
Name(s) of Onsite'Representative(s)/ritles(s)/Phone and Fax Number(s)
Other Facility Data
Kevin Pace//704-802-6480 /
Name, Address of Responsible OfficiaVTitle/Phone and Fax Number
Contacted
Charles Rigdon,5067 Foreman St Morganton NC 28655Mce
No
President/828-438-6900/8285840676 ,
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flow Measurement Operations & Maintenance 0 Records/Reports
Self -Monitoring Program E Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
(0 /S ��-
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. �
~ • -jg4
Page# 1

I
NPDES yr/rno/day Inspection Type
31 NCG500653 111 121 17/10/02 117 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG500653 Owner -Facility: Shelby Feed Mill
Inspection. Date: 10/02/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ M ❑
application?
Is the facility as described in the permit? 0 ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ 0 ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: The subect permit will expire on 7/31/2020. Change of Permit owner name is needed.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑
Is all required information readily available, complete and current? ❑ ❑ ❑
Are all records maintained for 3 years (lab. reg. required 5 years)? ❑ M❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ M ❑
Is the chain -of -custody complete? ❑ ❑ M❑
Dates, times and location of sampling ❑ .
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs'complete: do they include all permit parameters? ❑ ❑ 0 ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ M ❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified operator ❑ ❑ M ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ M ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ M ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ 0 ❑
Is a copy of the current NPDES permit available on site? ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑
Comment:. PH and Temperature of Bi-annually on -site sampling were recorded and were readily
available for review. No Flow measurements were recorded
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑• ❑ ❑
Page# 3

Permit: NCG500653
Inspection Date: 10/02/2017
Owner -Facility: Shelby Feed Mill
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: .,The facility appeared to well maintain the effluent discharge associated with the boiler,
blowdown. The Inspection revealed a problem with the site storm water control. A copy of
the report is being forwarded to the Division of Energy, Mineral and Land resources for a
follow up.
Effluent Samolinp
Is composite sampling flow'proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
Yes No NA NE'
❑ ❑ M ❑
❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ M ❑
❑ ❑ E ❑
❑ ❑ M ❑
Comment: PH meter is used to conduct PH and temperature sampling. Standards are used to calibrate
the PH meter. The standard were contaminated with bacteria. Staff were instructed -how to
properly calibrate the PH meter.
Flow Measurement- Effluent
Yes No NA NE
# Is flow meter used for -reporting?
❑
❑
M
❑
Is flow meter calibrated annually?
❑
❑
0
❑
Is the flow meter operational?
❑
❑
0
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
M
❑
Comment: No flow was documented. Staff was advised. and will begin measuring flow.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? M
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris? ❑
M
❑
❑
If effluent (diffuser pipes are required) are they operating properly? ❑
❑
0
❑
Comment: Effluent is combined with storm water. Combined effluent at the drainage ditch was
observed and to be black in color. Retention pond was observed to be black.
Page# 4

Weaver, Charles
From: Weaver, Charles
Sent: Tuesday, January 12, 2016 1:31 PM
To: [e-mail]'; '[e-mail]'
Subject: renewal of NCG500328 (Cool Springs Farm) and NCG500653 (Shelby Feed Mill)
Attachments: NCG50 Final 093015.pdf; Technical Bulletin - NCG500000 2015.doc
Importance:
High
Attached you will find the updated version of NPDES General Permit NCG500000, effective 10/1/2015. Discard any
previous versions of the General Permit and use this version until further notice. This renews the Certificates of
Coverage (CoCs) for the following facilities:
NCG500328 Case Farms LLC Cool Springs Farm Iredell
�NCG500653 Case Farms,LC� Shelby Feed Mill ^Cleveland
You do not need any reprinted CoCs, as the ones previously issued to you are still applicable
Thank you for your patience during the longer -than -expected renewal period.
If you have any questions about this matter, simply reply to this message.
Charles H. Weaver
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919-807-6391
ch a rl es . weave r(a) n cd en r. q ov
(physical address) 512 North Salisbury Street, Raleigh, NC 27604
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
^Nothing Compares-,_,.,.
RECEIVEDINCDENRIDWR
JAN202016
WQROS
MOORESVILLE REGIONAL OFFICE
Email correspondence to and from this address is subject'to the North Carolina Public Records Law and maybe disclosed
to third parties.

Weaver, Charles
From: Tony Sams <[e-mail]>
To: Weaver, Charles
Sent: Tuesday, January 12, 2016 4:08 PM
Subject: Read: renewal of NCG500328 (Cool Springs Farm) and NCG500653 (Shelby Feed Mill)
Your message
To:
Subject: renewal of NCG500328 (Cool Springs Farm) and NCG500653 (Shelby Feed Mill)
Sent: Tuesday, January 12, 2016 9:08:18 PM (UTC) Monrovia, Reykjavik
was read on Tuesday, January 12, 2016 9:08:08 PM (UTC) Monrovia, Reykjavik.

• .A
1524 Airport. Road, Shelby, NC 28150
P: [phone]; F: [phone]
November 13, 2017
W.. Corey Basinger
Division of Water,Quality,
NCDENR
Mooresville Regional Ofelce
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: Response following Compliance Evaluation Inspection dated 10/5/17
Dear Basinger,
Per the request indicated in the October 5,2017 correspondence following Mr. Ori Tuvis's
Compliance Evaluation Inspection on Octobe
r 2. 2017, 1 am providing this. written response.
I completed the change of ownership form and attached it to this letter. Also there was concern
of grease in the storm water system so we had sahiples Collected and tested. The results from
that test are also attached.
As for the sampling of discharges according to General Permit No. NCG500653 we have.
contacted and arranged for Paul's Water Treatment to monitor the pH, flow, and temperature per
the pen -nit. We will keep the reports in a file to be readily- available upon request.
Hoperully this response appropriately addresses the items mentioned in the report.
Please do not hesitate to contact me should you have any questions, or if there is anything else
needed, regarding this matter.
Sincerely,
Kevin Pace
Feed Mill Manager
15224Airport Road
Shelby, NC 28150

ROYCOO RER
MICHAEL S. RE GAN
S. �JAY ZIMMERMAN
ENVi�?Oi�fIEINTAL OVAUTY
PERMIT NAMEIOWNERSHIP CHANGE FORM
3. New owner's or sighing bfficial's name and
t/1
for perfruk)
4. Mailing address- �� -q Af,� ?IJ Co! S—sae
State: Zip Code: Phone, r�o
Li
E-mail address'. (e
-REQUIRED ITEMS:
1. This completed application form
2. Legal'Aodumentation of the transfer of ownership (such As A property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
Statc,of North Carolina I Envirotmental Quality I Water Roources
1617 Mail Service Center I Raleigh, NC 27699-1617
919.807 6300 919-807-6389 rAX
https://deq.nc.gqv/abo.ut/divisions/wi,ter-resourceV%"ter-irmurces-pertnit-Jivastewatcr-bran..ch/npdei-wa.�te%vater-permits
I

NPDES Name & Ownership Change
Page 2 of 2
Version 712016

n s::�.®.....�.
Project Name: Storm Water
Lot Number:SJ23050
Date Completed: 10/3012017
11/01/2017 4:46 PM
Approved and released by
Project Manager Grant Wilton
LABORATORY
ACCREDITATION
BUREAU <. < t.
o ACCREDITED tso mc,?m
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
108 Vantage Point Drive West ColurnWa; SC 29172 [phone] Fax [phone] www,sheaiyion coin
Page 1 or9

P.ECEiVECINCDENi P /u "Al R
NOV i32017
vialrRO ,
MOORESVIi LE IREGIONAL OFFICE
=nvlranmeMa Servi4 es, Inc.
loge Point Drive West Columbia, SC 29172 (M) 791»9700 Fax [phone] www.shealylab.uam

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Case Farms, LLC
Lot Number: SJ23050
Project Name: Storm Water
_ Project Number:
.k
Sample Number ' 'Sample lD
001 ;. 001
Q
002 ; 002
t2 sa*fesj
Matrix
Data Sampled
Dato Received
Aqueous
10/23120171045
10123t2017
Aqueous
1012M0171107
10/23/2017

Q',HE,ALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Case. Farms, LLC
Lot Number:;SJ23060
Project
Name: Storm Water
Project Number:
Matrix
Parameter Method
Result Q
Aqueous
COD SM 5220D-
48
Aqueous
7S5, SM'254OD-
25
Aqueous
COD SM 52200-
76
Aqueous
TSS SM 2544D•
31
Aqueous
HEM (oil and grease) 1664B
6.3
est Columbia, SC 29172 [phone] Fax [phone] www.sheatylab.eom
Page 4 of 9
u
)pits Pig
mglL 5
mg/L 5
mg/L 6
Mg IL 6
mglt.. 6

Inorganic not -metals
Client:Caso Farms, LLG
Laboratory ID: SJ23050.001
t3@3Cnptteu l)01
Matrix: Aqueous
f Date iarnpied ii123i20171045 -
Project Name: Storm Water
9a Re12017.
Project Number
v, Run Prop E4leihod Analytical Method
Dilution Analysis Date Analyst
Prop Date
Batch
1 (Fwl Freid)' SM 4560-H B-2011
1 10/23120171045 MLK
1 ( mperature) SPA 2550B-2000
1 10123/2017 1045 MLK
1 (COD) SM 5220D-2011
1 1012512017 1541 MGM
10/24120171613
f y (TS8). SM 25400-2011
1 10/24/2017 2155 KNF
55090
:1 (HEM (oil and)1664B
1 10i2712017 0930 ARP
55408
,.
i9arairreter
CAS Analytical
(dumber Method-
Result Q
LOO
:Q pH Field
SM 4500-H B
7.47
y Temperature- Fluid (NC)
SM 25508-20
24.0
^i% l"%E �• .1
SM 5220D-20.
48
10
TSS
SM 2644D-20
25
3.3
HEM (oil and grease)
16646
ND
4.3
c
sum 1
G C 1
mgiL 1
mgtL 1
MYL 1

' lotrorganc hoc -metals
ClientCaso Farms, L Laboratory
LG Laborato I0:SJ23050.002
i7dscespUori: Ql)2 Matrix: Aqueous
t3a#e Sampled:M1�123120171107 ,";
Project Name: Storm Water
t a#e 11660ired 1a12312017 Project Number
#tun Prep Mothod Analytical Method
Dilution Analysis Date Analyst
Prop Dato
Batch
4 (pli= Field) 3M.9500 H B-2011
1 10123/2017 1107 MLK
„
(Temperature } SM 255.08-2000
1 10123/2017 1107 MLK
i 1 (COP) SM 5220D-2011
1/0/2512017 1541 MGM
10i24/2017 1613
# (TSS) SM 25400-2011
1 1012412017 2155 KNF
55090
{ (HEM (oil and) 1664B
1 10/27/2017 0930 ARP
55408
s -ue • "
�,
CAS Analytical
y
i'ararnator
Number
Result 0Lt)Q.
Field
_gt(ttgd
SM 4500-H ®
7.2f
Temperature . Field (NC)
SM 26SOB-20
24.0
CQD
SM 5220D-20
76
10
' Ut ; .
SM.26400-20
31
3.3
HEM (oil and, grease)
1664B
6.3
4.9
Units Run

Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Ventage Point Drive West Columbia, SO 29172 [phone] Fax [phone] www.sh6alylab.cor ,t
Page 7 of 9

SHEALY. ENVIRONMENTAL SERVICES, INC.
ice3 ► Pitt ► oft
�6C-09 :: Eftcti�ti)ue:117,2St2n1'�
F.xpiry Mic: 07128a=
Sample Recelpt Checklist (SRC)
' F mom___ _� (_Doter Inspected by/date: C8w /t0 z3 !�- Lot #: JYTZ501570
t a!'SESI ci.Client u UPS o FcdEx c3 (Other
y{ .
S'e3 t7
1. W6n; custody seals present on the cooler?
No t�
NA.tr
2. lfcustody seals were gtescut, were tlu y intact and unbroken'
C1 strip ID. 1 "V - l to ao
ripinal temperature upon receipt't)erived lcarres red) temperature upnn receipt:ad:.2''1'emperature Blank n against Biattles Ile Gun ID: (a IR Gun Cor reulion f actur: of conlant: O'Wet Iee 3 Blue Ice Q Dry Ice © None
Fmcfh6d
Yes
No
iVA
3. If temperature ofany cooler exceeded 6 VC, vas Project Manager Notified?
I'M was Notified : phone..' email.' face-ta-face (circle onc).
yes,-r
No c:
NA ,r/
4. Is the commercial courier's packing slip attachs:d le this forni?
Yw e7
No 0
5. Were proper custody procedures(relin(piishedlreccived):=followtA?
Yczs.X
Na c
6. V',''ere sam 1a @s listed on the COO
Yets ;
No ❑
7_ Wem sarfi le [Ds listed on all sample containers?
Y',-Sg
Nst ct
8. Was collection date & time listed on the COC?
Yes °-_
No a
9. Was eoliectinn date & time listed on aft sate le containers?
Yes it
No 0
10. Did all.eoritainer label information -(ID. date, time) a -c with the CW.
Yes e
No ❑
11.1V= tails to he perfanned listed an the COC?
Yes Z
No 4
12, Did all samples arrive in the proper eotrtainers for each test and/or in: awd condition
unbroken, lidson, ere.)?
Yes Cr
No 0
13, Was ader{iiate sam lc volunu: available?
Yv_s 2'
No M
1.4. Were all satttples received within. r the holding time o-49 hours», which:;ve_r comes first'?
Ye, n
N v-
IS. Nv.vre anv s66iples containers missingfexcess (circle one) samples Not listed on COC?
Yes to
❑
NAz-
16. Were bubbles resent">° ea -sir '' (r/0'or 6mrn in diameter) in any VOA vials?
Yes,D'
No ct
NA ci
17. Were all• DROImetalslnutrient samples received at a .l"'I of = 27
Yes 13
'04) 0
NA ta'
I8, Were all,4tmide samples received' at a pH > 12 tutu Sulfide samples received. at a H > 9?
Yes.I
No t'n
NA -
19:14cre rill;applirable NH3iTKNicy anide/phenoVUNA (<4.Smd2) samptuN free of residual
chlorine?
'Yes o
Non
NA 2'
X Wem ooliecf inn tainFEntums documented on the COC for NC samples:'
yes 0
NO o
NA r
2 t. %Vcre client remark-s4equests C.c. roqucstud dilutions, MS+MSD designations, etc...)
corrcctlx transcribed front the COC into the comment section in LLMS?
Yes E3 :,
t:op-
22. Was the qu6te number used taken from the container label's
Sam le Preservation _ Must be cram lete d .fnr any swn le(s) incorrectly preserved or viiih heads ace.)
Sarrrpld(s) _were received incorrectly preserved and were adjusted accordingly in
_ smiiple receiving with j 2S0i, HNO3, HCI, NaUH) v_p
Samplc(s) were received with bubbldx>6 min in diameter.
Stunples(s) were received with TRC > 0.S tnoyl,. (If 21 is No) and were
ad ustal aceordinpI - in sample receiving with sodium thiosutfate (NaiS�Oi) with 3heat; lb -
SC l rinkina Water Pwjcct Swttple(s) pH eVrified to be < 2 by iliite:
'Sam l s were Not reteivecl at a iI of <3 xnd wets: rid'u!:ted atcording(� tiling 5R#
Satn lc lai)cls applied /,i.i Date: j a_, c

warts of recei : pt. eSESI r-i Client it UPS o FcdEx n Other
Yes E3,
1. W� rc custody Ovals pueseat on the cooler'
Na n N Aze If custody Seals wcrx: prescru, were they intact and unbroken?
p1l stripil D. . .. ... C! strip ID:
C&Aq ID10rigiial temperature., upon receipt -Derived (con-cmd) temperature upon receipt:,
-1C 0c,r Off-
Lvlcthod:;�-'rcrnperatury Black n Against Bottles lit Uun III: to IR Gun Correction Factor:
Method of conlant-, ,Z"Wet lev o Bloc ice D Dry Ice o None
3, if temperature of any cooler exceeded 6.0'C,. was Project Manager Notified? I'M was Notified hhunu,' entail/ face-w-racc (circle one).
ytts,,,,,j
No u
vi V
4. Is tile commercial cwHer's packin.-I slip altacht--d 1c, this forrit'?
Y"-, x
No o
5. �'Vur& propercustody
Yes f
No"-,
6, Were sample I.D-; listed (ill the COU
yr"
7. Were sample I.Ds listed on all garnpIc containers`:
Y ,s 7,
No L'-
S. Was collection date & time listed on the COC?
yes;z
No c
5Z—C,
9. Was collection date & time listed oil all &-anple containers?
Ifl. Did all container label information (D. date, timul affEc with the COC?
Yc's e'7
No 0
11. Were tosIS In iw perAirmcd listed an the CM'?
Yes Z
No rl
12. Did all samples arrive in the proper containers for each test and/or in good co, t1dition
(unbroken. lids inn, etc.)?
77 -1;
N --n
13. Was adequate sample voliatic available?
Yes t?,
No 13
14, Slit. -re alt'sWnples received within ',� the holding dune w 4S hours. whicIjv%,,.r comes fimt?
Y n
NO.Er
any sanlpleS Containers missing; exces�, (circle tine) samplcs'Nut listed Ull COC?
, y es n
*No Cl
NA.Er
I& Were bubbics 2rvwn(>-peaiize'(V;'or 6mm in dinmoter) in any VOA vials?
ym;'gr
1140 nNA
to
17. Werc all DRUmetalsinutric-ni samples received at a i, A of --- 2?
Y 'v_ es 13
Kit) (,I
NA rr
i $. Were all :cv;inhlr samples received at a p1l. > 12and. su!fidemmples rcL:t:1vvd at a pH > 9?
No n
NA m
19, Wvrrall 4pplicable NH3eTKNicyanidc1phcnol,`13NA (< O.SmgfL) sampt" frea ref raqidnal
chlorine?
Yes c!
NO n
N A ze
20. Were collection tcrnpera(ures documented on the COC for NC samples?
NA ;e
2 , atioiis., etc...
1 1, Were clicut rcrnads,'requests (i-c. TUqtlt:Nt -0 (111116011S, N4-S.?M.SD dcsip
conuctly Lranscribod from the COC. into the cominent szetion in LLMS?
22. W x,; the uoh number used takcii From the container libel?
Sample Preservation
Sample(s)
SWIMle teceivingwith
received incorrectly presen�erl and %Ycre adjusts accordingly in
'j5jq!,HNO-, I-10, NaOH) using Sk4b
Salliple I (S)
were received with bubblds >6 inan in diameter.
were received with TRC > 0.5 ingil. (If421 is No) and were
adlnM dium, thiostitllate (Nla2 SiQj) whh.3hea' . M-
�!;04_accordingty in sa ple receiving with hu
SC Drinking Watur Pwj"t Sainjile(s) pil verilmd to be -e 2 by Date,:
Sant ple(s)_ were Not roceivO at a PI I of < 2 and wvre ty using SRO,
Sample Mutters Applic'dby;
Date, i ?:S . ......

:.k
WaterResources
ENVIRONMENTAL QUALITY
May 5, 2016
Mr. Jeremy Speagle, Feed.Mill Manager
Case Farms, LLC
1524 Airport Road
Shelby, NC 28150
PAT MCCRORY
Governor
I30N�yA�LD N DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2016-PC-0150
Case Farms, LLC
NPDES Permit No. NCG500653
Cleveland County, NC
Dear Mr. Speagle:
. Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on May 4, 2016 by Ori Tuvia and Ed Watson. Your cooperation during the
site visit was much appreciated: Please advise the staff involved with this NPDES Permit by
forwarding a copy of the enclosed repot. -
The following observations were documented during the inspection:
- Change of ownership -is needed (see attached form)
- No effluent flow measurements have been recorded.
- PH meter calibration was not done properly. Calibration was not recoded. PH standards
were contaminated with bacteria.
- Grease was evident in the stormwater system. A copy of this report is being forwarded to
the Division of Energy, Mineral and Land Resources (DEMLR) for a follow up.
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] \ Fax [phone] \ Customer Service:1-877-623-6748

The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at [phone], or at
oii.tuvia@,nedenr.gov.
Sincerely,
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: MRO Files, NPDES (Unit), MRO DEMLR (James Moore)
.Cleveland County Health Department,

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057.
Water Compliance Inspection Report
Approval expires 6-31-96
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN i 2 15 1 3 I NCG500653 I11 12 16/05/04 17 .18 L,j 19 I G I 20I I__I
211IIII.I IIIII.IIIIIIIIIIIII I I I I I I I I I I I I I I I Ir6
I
Inspecon
ti Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67
72 LtiJ 73 l 75
1.0 70 I,J 71 itJ
801
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:35AM 16/05/04
16/01/12
Shelby Feed Mill
1525 Airport Rd
Exit Time/Date
Permit Expiration Date
Shelby NC 28150
12:50PM 16/05/04
20/07/31
Name(s) of Onsite Representative(s)Ttles(s)/Phone and Fax Number(s)
Other Facility.Data
Jeremy Speagle//704-487-6099 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Tony W Sams,1524 Airport Rd Shelby NC 28150IM04-487-6099/7044829025
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ord A Tuvia MRO WO//704-663-1699/
116
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. t !b
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG500653 I11 ' 12I 16/05/04 117 18 l r, l
Section D: Summary of Finding/Comments (Attach additionalsheetssJheets of narrative and. checklists as necessary)
1

Permit: NCG500653 Owner -Facility: Shelby Feed Mill
Inspection Date: 05104/2016 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the. general public?
M
❑
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
Comment: , The subect permit will expire on 7/31 /2020. Change of Permit owner name is needed.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years,(lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Yes No NA NE
❑
❑
❑
❑
❑
11.
■
❑
❑
❑
❑❑'0❑
❑
❑
■
❑
El
-❑
. ❑
■
❑
❑
❑
0.❑.
❑❑.■❑
❑
■
❑
El
_❑
❑
M
❑
❑
❑
.M
❑
W❑
❑
❑
0
0
■
❑
Comment: PH and Temperature of Bi-annually on -site sampling were recorded and were readily.,
available for review. No Flow measurements were recorded.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ 0 ❑
Page# 3

Permit: NCG500653
Inspection Date: 05/04/2016
Owner -Facility: Shelby Feed Mill
Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
Are all other parameters(ezcluding field parameters) performed by a certified lab.?
❑
❑
M
❑
# Is the facility using a contract lab?
❑
❑
M
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Incubator (Fecal .Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
M
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
M
❑
Comment: On -site sampling.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
❑
❑
0
❑
Is the tubing clean?
❑
❑
N
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑ .
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
M
❑
representative)?
Comment: PH meter is used to conduct PH and temperature sampling. Standards are used to calibrate
the PH meter. The standard were contaminated with bacteria. Staff was instructed how to
broperly calibrate the PH meter.
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
0
❑
Is flow meter calibrated annually?
❑
❑
M
❑
Is the flow meter operational?
❑
❑
0' .
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
❑
Comment: No flow was documented. Staff was advised and will begin measuring flow.
Effluent Pioe I Yes. No NA NE
Is right of way to the outfall properly maintained?
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris? 110
❑
❑
If effluent (diffuser pipes'are required) are they operating properly? ❑
•❑
M
❑
Comment: Effluent is combined with storm water. Combined effluent at the drainage ditch was
observed and oily sheen was evident. Retention pond was observed to be black and has a
laver of grease.
Page# 4
1

Permit: NCG500653 Owner -Facility: Shelby Feed Mill
Inspection Date: 05/04/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ M ❑ ❑
Does the facility analyze process control parameters, for ex: MLS.S, MCRT, Settleable ❑ ❑ N ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The facility well maintains the effluent discharge associated with the boiler blowdown. The
Inspection revealed a problem with the site storm water control A copy of the report is being_
forwarded to the Division of Energy, Mineral and Land resources for a follow up.
Page# 5

Date: _
Analyst
/d-/87-/&
Certification #
Facility Name: ccI� / g trn�5 P' n �,
Permit #: CAS
pH Analysis
Reference Method: (include edition ea., SM 181h)
Cal. Time
Calibration Buffer 4.0
Calibration Buffer 10.0
*Check Buffer 7.0
Comments
/6 . o /
7. do
*pH buffer checks are to be within ± 0.1 pH units of the standards true value V
4 buffer Lot#/identifier: LA 1 7 buffer Lot#/identifier: (A (A I 10 buffer Lot#/identifier:L&L4,�
Facility/Sample location
Tiim,n/e�Samm�p�/llled♦
Time Analyzed*
pH Result
►� Buffer Check value
Comment
C'SCTYti
/i/,WC
(/'G
f?�(/(�
r
♦If sample is measured in directly in the stream only time analyzed would be recorded.
►Indicates a recommended drift check (Use Buffer 7.0) Should be within t 0.1 units of the buffer's true value)
Calibration drift check is recommended when performing analysis at multiple sampling locations,
*All pH results in pH units (i.e., s.u.).
Annual Temperature Sensor CheckDate:
Total Residual Chlorine (TRC)
Reference Method: (include edition)
AEtSVED/NCDENRIDWR
OCT 2 7 2016
WO.ROS
MOORESVILLE REG?C'NAL OFFICE
FacilityfSample Location
Time Sampled
Time Analyzed
TRC Result
ug/L or mg/L
Daily check standard
obtained value ua or m
Comment
TRC check standard obtained true value (acceptance range mg/L) (Should recover within ±10% of the
check standard's obtained true value) Check/Gel Standard Lot#,identifier:
Annual Verification curve analyzed on
Conductivity
Reference Method: (include edition)
Cal. Time
Calibration
Sid
Verification
Std
Optional
Std
►Check std
Comments
►Indicates a recommended drift check Note all units are in µmhos/cm
Calibration Standard Lot#/identifier: Verification Standard Lot#/identifier:
Facility
Temperature°C
Cell Constant *
Result
µmhos/cm
Adjusted
mhos/cm*
Comment
*Enter NA (not applicable) if automatic temperature compensation and cell constant are used.
ATC annual check date:
Dissolved Oxygen (DO)
Reference Method: (include edition)
Temperature
°C
Adjusted Air
Calibration♦
(% or in )
Calibration
Time
Facility/Sample Location
DO reading
mg/L
*Time
Analyzed/Time
Sampled
Comments
♦ Based on appropriate altitude adjustment
* When performing analysis at multiple sampling locations, re-calibration(s) should be performed every four hours.
*Analysis time and sampling time the same. (Ideally the sample should be analyzed in -situ).
Temperature Sensor Annual Check Date:

Temperature
Reference Method: (include edition)
Facility/Sample Location
Tem erature°C
*Time Analyzed/Time Sampled
Comments
F"r,
53.1
A0 `• OCt Od ch
*Analysis time and sampling time the same. (Ideally the sample should be analyzed in -situ).
Annual Verification Date
Settleable Solids
Reference Method: (include edition)
Facility/location
Time
Sampled
Analysis
Time
Sample volume
analyzed in mis
Start
time
45 minute
stir time
End
time
Result
ml/L
Comments
Note: Samples must be gently agitated after 45 minutes and allowed to settle for an additional 15 min.
Field Personnel Notes
04/04/2011

NOV 3 0 2012
November 27, 2012
Mrs. Marcia Allocco
Division of Water Quality
NCDENR
Mooresville Regional Office
610 East Center Ave., Suite 301
Mooresville NC 28115
Re: Response following Compliance Evaluation Inspection report dated 11/2/12
Dear Mrs. Allocco,
Per the request indicated in the November 2, 2012, correspondence following Mr. Wes Bell's
Compliance Evaluation Inspection on October 26, 2012, I am providing this written response.
We completed our storm water discharge permit application and mailed it, along with a $100
check and the necessary attachments, on Wednesday, November 21, 2012. In addition, we have
contracted out multiple erosion control improvements, and especially at one of the 2 outfalls,
which plays into both the waste water and the storm water runoff permits.
As for the sampling of discharges according to General Permit No. NCG500653, we have
purchased an approved meter for testing the water (although at this point there has been no flow),
we have established a log for the appropriate record keeping, we have contracted out the erosion
control improvement referenced above, we thoroughly cleaned out our liquid ingredient tank
farm, and we had our separation basin pumped out and thoroughly cleaned.
Hopefully this response appropriately addresses the items mentioned in the report.
Please do not hesitate to contact me should you have any questions, or if there is anything else
needed, regarding this matter.
Sincerely,
Tony ems
Feed Plant Manager
Case Farms Feed Mill
1524 Airport Road
Shelby, NC 28150

NC®ENR
._,yoi-iil -arj'ii ,u-Department .-Eiwironment and -�k C)Qvct
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
November 2, 2012
Mr. Tony Sams, Feed Mill Manager
Case Farms, LLC
1524 Airport Road
Shelby, North Carolina 28150
Subject: Compliance Evaluatiori Inspection
Case Fauns, LLC/Shelby Feed Mill
NPDES General Permit No. NCG500653
Cleveland County
Dear Mr. Sams:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the subject
facility on October 26, 2012. During the inspection, DWQ staff observed two stormwater outfalls at this facility.
Based on the industrial activity and the presence of the stormwater outfalls, the facility will need to apply for
coverage under an Industrial Stormwater Permit. A Notice of Intent (application form) was given to you during the
inspection and should be completed and mailed to the Division (address listed on the application form) by
November 23, 2012. Please be advised that unpermitted discharges of stormwater can subject the responsible party
to potential civil penalties. An additional copy of the Notice of Intent form has been attached to this report.
It is requested that a written response be submitted to this Office by November 30, 2012, addressing the facility's
actions to obtain a Stormwater Permit and conduct sarnpling of the boiler blowdown discharges according to
General Permit No. NCG500653. In responding, please address your comments to the attention of Mrs. Marcia
Allocco.
The report should be self-explanatory; however, should you have any questions concerning this report, please do not
hesitate to contact Mr. Wes Bell at [phone], or at [e-mail].
Sincerely,
- Michael L. Parker
Acting Regional Supervisor
Surface Water Protection Section
Enclosures:
Inspection Report
Notice of Intent Form
cc: Cleveland County Health Department
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
@turally
An Equal Opportunity, Affirmative Action Employer — 30% Recycledl10% Post Consumer paper

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
OMB No. 2040-0057
K.:: - .-� .- - e - ..._ _ �_. .-_-
-APProval expires
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 I 51 31 NCG500653 111 121 12/10/26 117 18ICI 19I S I 20II
Remarks
211111111IIIIIIIIIIIIIIIIIIIIIIIIIJill IIIIIIll1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------ —---- —---- ------- Reserved ----------------------
67I 1.0 169 70131 711 N I 721 NJ 73I I 174 751 I I I I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:40 AM 12/10/26
12/08/08
Shelby Feed Mill
Exit Time/Date
Permit Expiration Date
152+irport Rd
Shelby NC 28150
11:40 AM 12/10/26
15/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Tony Mullins//704-487-6099 /
Tony W Sams/Feed Manager Mill/704-487-6099 [7044829025
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Tony W Sams,1524 Airport Rd Shelby NC 28150//704-487-6099/7044829025 Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement N Operations & Maintenance N Records/Reports
Self -Monitoring Program ® Facility Site Review E Effluent/Receiving Waters E Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
/I
Wesley N Bell r+1 / r.l %%%� MRO WQ//704-663-1699 Ext.2192/
Si • nature of Management Q A Reviewer . I Agency/Office/Phone and Fax Numbers D to
Marcia Allocco MRO WQ//704-663-1699 Ext.2204/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
NCG500653 I 1 12/10/26 1 IC `
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
STORMWATER:
During the inspection, DWQ staff observed two stormwater outfalls at this facility. Based on the facility's
industrial activity and the presence of two stormwater discharge outfalls, the facility will need to apply for
coverage under an Industrial Stormwater Permit. The conditions of the Stormwater Permit were discussed
with the on -site personnel and an application form was given to the Feed Mill Manager during the
inspection. In addition, copies of the analytical and qualitative/visual monitoring forms, guidance documents
pertaining to field pH analyses and qualitative/visual monitoring, and a listing of commercial laboratories
certified in NC were emailed to the on -site personnel on 10/30/2012.
Page # 2

Permit: NCG500653 Owner -Facility: Shelby Feed Mill
w -Inspection Date: 1"6/201_2 _ _. Inspecf€ , T; Compliance Evalwzt_°o -
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
ri
n
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
n
■
ri
Is access to the plant site restricted to the general public?
n
n
■
❑
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment: The current permit was issued (effective) on 7/7/2011; however, the facility
did not initiate the boiler blowdown discharges into the stormwater drainage system until
the Spring of 2012.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? n n ■ n
Is all required information readily available, complete and current? n n ■ n
Are all records maintained fora years (lab. reg. required 5 years)? n n ■ n
Are analytical results consistent with data reported on DMRs?
n
n
■
n
Is the chain -of -custody complete?
n
n
■
n
Dates, times and location of sampling
n
Name of individual performing the sampling
n
,Results of analysis and calibration
n
Dates of analysis
171
Name of person performing analyses
n
Transported COCs
n
Are DMRs complete: do they include all permit parameters?
n
n
■
n
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
n
n
■
n
Is the ORC certified at grade equal to or higher than the facility classification?
n
n
■
n
Is the backup operator certified at one grade less or greater than the facility classification?
n
❑
■
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
❑
n
■
n
Page # 3

C
Permit: NCG500653
es -Date: 10/2Fu='.012_
Record Keep!
Owner - Facility: Shelby Feed Mill
... _ .. _T.:.. _ lncon^��:?r, �I•,:z--��nrnnliance Evaluation�,:;:z
Comment: No monitoring has been performed to date; however, the on -site staff
indicated that sampling would be performed prior to the end of the year. Please be
advised that all monitoring records must be maintained for a period of three years.
Laboratory
Are field parameters performed by certified personnel or laboratory?
Are all other parameters(excluding field parameters) performed by a certified lab?
# Is the facility using a contract lab?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
Comment: Copies of the guidance document for the field analysis of pH and the listing
of commercial laboratories certified in NC were emailed to the facility staff on
10/30/2012.
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment: The facility staff must ensure that twice per year pH, temperature, and flow
measurements are performed as required by the Permit. In addition, the boiler
blowdown discharge must be sampled prior to the confluence with any other waters or
substances, such as stormwater or surface water.
Yes No NA NE
Yes No NA NE
nn■n
nn■n
nn■n
nn■n
nn■n
nn■n
%f-- ki- KIA KIC
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ❑ n ■ •❑
Comment: The boiler blowdown is discharged into a stormwater drainage system;
therefore, no upstream and downstream temperature monitoring is required.
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
V.. Mn Ale KIP
Does the facility analyze process control parameters; for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge fl n ■ n
Judge, and other that are applicable?
Page # 4

Permit: NCG500653 Owner - Facility: Shelby Feed Mill
k spc-ction Date: 1,0/26/2, 2 . = - .- _: : -- t - _ .. Inspection Tyr-'_ Compliance Evaluation -
Operations & Maintenance Yes No NA NE
Comment: The facility is equipped with a quench water system to assist in the cooling
of the heated waste stream. The Division has approved the B-221, B-198, and B-45
additives at the specified dosage rates noted in the previously submitted
Biocide/Chemical Worksheet-Form 101. The facility staff continue to use the chemical
additivies.
Effluent Pipe
Is right of way to the outfall properly maintained?
■nn❑
Are the receiving water free of foam other than trace amounts and other debris? r1 fl W fl
If effluent ,(diffuser pipes are required) are they operating properly?
Comment: The facility was not discharging the boiler blowdown at the time of the
inspection. The discharge enters into the on -site stormwater drainage system that flows
adjacent to the railroad tracks prior to entering a stormwater detention pond.
❑ ❑ ■ ❑
Page # 5

.NiC®EN1R
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Tony W. Sams, Feed Mill Manager
Case Farms, LLC
1524 Airport Road
Shelby, North Carolina 28150
Dear Mr. Sams:
Division of Water Quality
Coleen H. Sullins
Director
July 7, 2011
Dee Freeman
Secretary
(RECEIVED
DIVISION OF WATER QUALITY
JUL 18 2019
8c,Afg3 SECTION
MOORESVi LF (REGIONAL OFFICE
Subject: Certificate of Coverage NCG500653
under General Permit NCG500000
Case Farms - Shelby Feed Mill
Cleveland County
In accordance with your application, the Division of Water Quality (DWQ) hereby forwards this Certificate of
Coverage to discharge under the subject general permit. We issue this permit pursuant to the requirements of
North. Carolina's General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and .
the US Environmental Protection Agency dated July 17, 2007 (or as subsequently amended).
The following information is included with your permit:
A copy of the Certificate of Coverage for your treatment facility
A copy of General Permit NCG500000 for boiler blowdown discharge
A copy of a Technical Bulletin for General Permit NCG500000
If any parts, measurement frequencies or sampling requirements contained in this general permit are
unacceptable, you have the right to request an individual permit by submitting an individual NPDES permit
application. Unless such demand is made, this Certificate of Coverage shall be final and binding.
Please note that this Certificate of Coverage is not transferable except after notice to the Division of Water
Quality. The Division may modify, or revoke and reissue this Certificate of Coverage. This issuance does not
affect your legal obligations to obtain other permits that may be required by the Division of Water Quality, the
Division of Land Resources, the Coastal Area Management Act, or any other Federal or Local government.
If you have any questions concerning this permit, please contact Joe Corporon at telephone number (919) 807-
6394 or email [e-mail]).
161ince ely,
,,X oleen H. Sullins, Die or
=oa wnrF9Q
hc: 11Vlooresville Regional Offlee SWPS; Attn Michael Pa%ker, P E 0 0
Central Files a
NPDES General Files
ec: Scott Roach [[e-mail]]
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919; 807-63001 FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org '
An Equal Opportunity Y Affirmative Action Employer
NorthCarohna
NahlIV4

1
Permit NCG500653
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
General Permit NCG500000
Certificate of Coverage NCG500653
TO DISCHARGE NON PROCESS -CONTACT BOILER BLOWDOWN, WATER SOFTENER,
AND AERATOR MIX FROM THE MANUFACTURE OF PELLITIZED CHICKEN FEED
PROCESSING, AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions 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,
Case Farms, LLC
is hereby authorized to discharge wastewaters from facilities located at
Case Farms - Shelby Feed Mill
1524 Airport Road
Cleveland County
to receiving waters designated as an unnamed tributary (UT) to Buffalo Creek (Kings Mountain
Reservoir [stream segment 9-53-2.9)], a waterbody currently classified WS-III, CA located within
subbasin 03-08-05 of the Broad River Basin, in accordance with effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, H, III and IV of the General Permit
NCG500000, as attached.
This permit shall become effective July %, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 79 2011.
Ca}€6n H. Sullins, Director
I�vision of Water Quality
By Authority of the Environmental Management Commission

r� WY,
-'/
Long Greek
�•
i a
I
(flows south)
i-- -`
'•
i
; NC Hwy, 150
7 C
...:Buffalo Creek
� (flows south)
eL
s' ✓ � (& - f - l it CMS-'^'' I f � � % �� 1�
r l • , err •. "/i.j ' ��
f.r l r%l `.�< t� i f` a il i
At
-�-
1 UT to Buffalo Creek
(Kings Mtn. Res)�,.
(flows NE)
i 1
r
i
�0
Outfall 001
C7 (drains souththen east)
1._Trall@f`� • s t .� �•�� \ ' l [� ' 77
1�ii9t
}tea' •
. ' v / j/ /- •.S, . ti��� % 1F4�'�' a.� riE
Kings Mtn Reservoir
{ „t
'_•- + d" ke I.1}i� J .✓� t `•j /� ` uinigEi
.?
l /
5 5 °xz,a bra Bin rr�t
a, NC I4 180�
• f, 1 t�ti..• 1 1 /sue _ n. 1 -
Case Farms, LLC - Shelby Feed Mill
1524 Airport Road, Shelby 28150
Receiving Stream: UT to Buffalo Creek (Kings Mtn. Res.) [segment 9-53-(2.9)]
State Grid / USGS Quad: F13SW / Waco, NC Stream Class: WS-III; Ca
Latitude: 35' 19' 16" Longitude: 81' 29' 14"
Drainage Basin: Broad River Basin Sub -Basin: 03-08-05
HUC: 0305010508
I NPDES COC NCG500653
North Cleveland County

ANPI, NO VA
"'IV
Division of Water, Quality QSection Watei- uality Stion
A \ .............
MCDENRNational Polhaant Discharge Elimination Systeiii
NCG500000
NOTICE OF INTENT
National Pollutant Discharge Elimination Systern application for coverage under General Permit
NCG600000: Non -contact cooling water, boiler blowdown, cooling tower blowdown, condensate, and
similar point source discharges
(Please print or type)
1) Mailing address of ownerloperator:
Company Name CASE FARMS. LLC
Owner Name CASE FARMS, U.-C.
Street Address .1524 AIRPORT RD
City SHELBY State NC ZIP Code 28.150
Telephone No, 704 487-6099 Fax: [phone]
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name CASE FARMS-SHELBY FEED MILL
Facility Contact TONYSAMS
Street Address .1524 AIRPORT RD
City SHELBY State NC ZIP Code 28150
County CLEVELAND
Telephone No. — 704 487-6099 Fax: [phone]
3) Physical location information:
P.I.ease provide a narrative description of how to get to the facility (use street names, state road numbers,
and distance and direction from a roadway intersection). HWY 18ON FROM SHELBY. THEN ITT ON
AIRPORT ROAD APPROX. 1.5 MILES ON RT.
(A copy of a county inap or USGS quad sheet with facility clearly located on the Map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following
New or Proposed
El Modification
Please describe the modification:
El Renewal
Please specify existing permit number and original issue date:
6) Does this facility have any other NPDES permits?
IZI No
0 Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
MAY 10 2011
6) What is the nature of the business applying for this permit? CHICKEN FEED MANUFACTURER
Page 1 of 4 04105

NCG600000 N.0,1.
7) Description of [discharge:
a) Is the discharge directly to the receiving water? ❑ Yes tdNo
If no, Submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the
property): PIPES, CHANNELS & DITCHES SHALL BE USED TO ONE LOCATION OF DISCHARGE
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non -contact cooling water Discharge point(s) #:
Cal Boiler Blowdown Discharge point(s) It:
❑ Cooling Tower Blowdown Discharge point(s) #:
❑ Condensate Discharge point(s) fit:
Il Other Discharge point(s)#: 1
(Please describe "Other") WATER SOFTNER. AEREATOR MIX
d) Volume of discharge per each discharge point (in GPD):
91: 5000 42: #3: #4
e) Please describe the type of process (i.e., compressor, A/C unit, chiller, boiler, etc.) the wastewater is
being discharged from, per each separate discharge point (if applicable, use separate sheet):
BOILER BLOWDOWN, WATER SOFTNER & AEREATOR MIX
8) Please check the type of chemical added to the wastewater for treatment, per each separate discharge
point (if applicable, use separate sheet):
Biocides
Name:
Manr.rf.:
�Cl Corrosion inhibitors
Name:_ B-45. B-198 & B-221
Manuf.:
❑ Chlorine
Name:
Manuf.:
❑ Algaecide
Name:
Manuf.:
❑ Other
Name:
Manuf.:
❑ None
PAUL'S WATER TREATMENT LLC
9) If any box in item (8) above, other than none, was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review.
10) Is there any type of treatment beVNo
provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? ❑ Yes
If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with
submittal package. Existing treatment facilities should be described in detail. Design criteria and
operational data (including calculations) should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three (3) sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4 04/05

NGG60 000 N.0,1.
r"
11 1) Discharge Frequency:
a) The discharge is: E.I Continuous Intermittent ❑ Seasonalo
i) If the discharge is intermittent, describe when the discharge will occur: AS REQUIRED FOR
OPTIMUM BOILER PERFORMANCE RE:QUIEyES_....._.....___
ii) If seasonal check the month(s) the discharge occurs: ❑ Jan, El Feb. ❑ Mar. ❑ Apr.
May El Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) Blow many days per week is there a discharge? 7
c) Plea/se check L�+1 the da�y_s/dischar e occurs:
L`!l Sat. LI Sun. Mon. i Tue. P,( Wed. P{ Thu. LJ Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point (if
applicable, use separate sheet):
13) {deceiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). UT, TO LONG CREEK
b) Stream Classification: NOT CLASSIFIED
14) Alternatives to Direct Discharge:
Address.the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge location
clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application has
been designated an authorized Representative of the applicant.
dy - Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped -"Final Design -Not released for construction
Page 3 of 4 04/05

NCG500000 N.O.I.
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate,
0
Printed Name of Person Signing: I o N Y A —S'
Title: E e-- ` M
(Signature of licant) (Date Signed)
North Carolina general Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other docurnent filed or required to be maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Mail three (3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
in ad:
ZCheck for $100 made payable to NCDENP
l��f3 copies of county map or USES quad sheet with location of facility clearly marked on map
Y
3 copies of this completed application and all supporting documents
3 sets of plans and specifications signed and sealed by a North Carolina P.G.
horough responses to items 1-7 on this application
Lyf Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4 04105

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
MEMa AH-111M
To: Scott Roach
Odom Engineering
152 E. Main St.
Forest City, NC 28043
From: Susan Meadows
Aquatic Toxicity Unit
Subject: Biocide Use Review
Case Farms Feed Mill - Shelby
NPDES # NCG5000000
Cleveland County
Natural Resources
Dee Freeman
Secretary
Case Farms Feed Mill - Shelby has requested approval of three chemicals, B-221, B-198 & B-45. These
products will be discharged into their Outfall 001 and in to an unnamed tributary to Long Creek.
Calculations predict the use of these products, B-221, B-198 & B-45, at the stated dosage rates, will not cause
toxic impacts to aquatic life in the receiving stream, the unnamed tributary to Long Creek. Therefore, the use of
these products as an additive to their boiler blowdown system at Case Farms Feed Mill - Shelby is acceptable.
cc: Tom Belnick, Western NPDES Program
Central Files
1617 MaR SeNfos Center, Raleigh, North Carolina 27699-1617
Weatabn: 612 N Salisbuiy St, Rafefgh, North Carolina 27604 Onet, � „
Pftone 919-867-63601 FAX; 919.807-6492 t Customer Service: 1-877-623-6748 Nol ,ulCarolina
bnterffat wwrwr ncwaterquaffty.org Naturally
atural /
An Equal' ©pgcstvnity 1 Affirmative Action Employer b ``!�

Dishcharger Name CASE FARMS SHELBY BOILER BLOWDOWN
PERMIT#: NCG5000000
RECEIVING STREAM: UT TO LONG CREEK
7Q10 (cfs): 1.00
I.W.C.%: 0.08
PRODUCT: B-221 INORGANIC SALT MIXTURE
ACTIVE INGREDIENT: SODIUM
HYDROXIDE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 18.4941
LC50/EC50 OF SELECTED TOX DATA (MG) 33
DEGRADATION FACTOR:
1.000
DECAY RATE: 0.0000
APPLICATION FACTOR:
0.050
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.0005
INSTREAM BIOCIDE CONC:
0.0143
VOLUME OF SYSTEM (MIL. GAL'S): 0.0005
REGULATED LIMITATION:
1.65
PASS/FAIL:
PASS
PRODUCT: B-198 LIQUID BOILER TREATMENT
ACTIVE INGREDIENT: SODIUM
HYDROXIDE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 18.4941
LC50/EC50 OF SELECTED TOX DATA (MG/133
DEGRADATION FACTOR:
1.000
DECAY RATE: 0.0000
APPLICATION FACTOR:
0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.0005
INSTREAM BIOCIDE CONC:
0.0143
VOLUME OF SYSTEM (MIL. GAL'S): 0.0005
REGULATED LIMITATION:
1.65
PASS/FAIL:
PASS
PRODUCT: B-198 LIQUID BOILER TREATMENT
ACTIVE INGREDIENT: SODIUM
LIGNOSULFONATE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 18.4941
LC50/EC50 OF SELECTED TOX DATA (MG/I 15
DEGRADATION FACTOR:
1.000
DECAY RATE: 0.0000
APPLICATION FACTOR:
0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.0005
INSTREAM BIOCIDE CONC:
0.0143
VOLUME OF SYSTEM (MIL. GAL'S): 0.0005
REGULATED LIMITATION:
0.75
PASS/FAIL:
PASS
PRODUCT: B-45 STEAMLINE TREATMENT
ACTIVE INGREDIENT: DIETHYLAMINETHANOL
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 18.4941
LC50/EC50 OF SELECTED TOX DATA (MG/l 15
DEGRADATION FACTOR:
1.000
DECAY RATE: 0.0000
APPLICATION FACTOR:
0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.0005
INSTREAM BIOCIDE CONC:
0.0143
VOLUME OF SYSTEM (MIL. GAL'S): 0.0005
REGULATED LIMITATION:
0.75
PASS/FAIL:
PASS
PRODUCT: B-45 STEAMLINE TREATMENT
ACTIVE INGREDIENT: MORPHOLINE
HALF LIFE (DAYS): 0.00 STEADY STATE DISC CONC 18.4941
LC50/EC50 OF SELECTED TOX DATA (MG/I 15 DEGRADATION FACTOR: 1.000

w
DECAY RATE:
DOSAGE RATE (GRAMS/DAY):
AVG DAILY DISCHARGE (MGD):
VOLUME OF SYSTEM (MIL. GALS)
0.0000 APPLICATION FACTOR: 0.05
35
0.0005 INSTREAM BIOCIDE CONC: 0.0143
0.0005 REGULATED LIMITATION: 0.75
PASS/FAIL: PASS

A4SRMaps: Print Page 1 of 1
Send To Printer Back To MSR Maps Change to 11x17 Print Size Show Grid Lines Change to Landscape
:USES 7 km NE of Shelby, North Carolina, United States 01 Jul 1973
.�`'ram•- }�'S 1' � � . r � 1 r`� fr
,
IP �
+ II r'l�i +; � AP�r� �
F `-�0 # Fright ip 'l
I?%
r �
M =Nora1 5
a `ram
CjG
ff
Ile
m 1DD 200 300
yd5 fatr 2OD 300Image courtesy of the U.S. Geological Survey
© 2010 Microsoft Corporation. Terms of Use Privacy Statement
http://msrmaps.com/PrintImage.aspx?T=2&S=11 &Z=17&X=113 8&Y=9772&W=2&qs=A1... 5/9/2011

SOC PRIORITY PROJECT: No
To: NPDES Unit
Surface Water Protection Section
Attention: Joe Corporon
Date: June 2, 2011
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cleveland
NPDES Permit No.: NCG500653
PART I - GENERAL INFORMATION
1. Facility and address: Case Farms, LLC - Shelby Feed Mill
1524 Airport Road
Shelby, NC 28150
2. Date of investigation: June 1, 2011
3. Report prepared by: Michael. L. Parker, Environmental Engineer II
FILE
4. Person contacted and telephone number: Tony Sams, Feed Mill Manager, [phone]
5. Directions to site: From the jet. of Highway 150 and Foust Road just east of Shelby, turn
right and travel north on Foust Road z 0.1 mile to the junction with Airport Road. Turn
left onto Airport Road and travel 1.3 miles. The entrance to the Case Farms site will be
on the left side of the road via a concrete drive.
6. Discharge point(s): Latitude: 35 ° 19' 23"
Longitude: 810 29' 07"
USGS Quad No.:
7. Receiving stream or affected surface waters: UT to Long Creek
a. Classification:
b. River Basin and Subbasin No.: Broad 030805
C. Describe receiving stream features and pertinent downstream uses: The stream at
the point of discharge is a headwaters channel with very little flow. Based on the
amount of water generated at this facility, and the distance it will have to travel
across the facilities property, it is unlikely that the waste stream will ever reach
the receiving waters.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of flow: 0.005 MGD
b. Possible toxic impacts to surface waters: Toxic impacts are not expected.
Additives to the waste stream have been submitted in the permit application.

Page Two
r . 1I.NZ "Q 1
P�� 1IF'I'�I
140R PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None at this time.
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant requests coverage under the subject GP for a discharge consisting of boiler
blowdown, water softener, and aerator mix equipment. The wastewater will be discharged into a
stone drain system at the rear of the building where it will travel = 150 feet underground before
discharging onto the ground adjacent to a railroad spur. From there, the wastewater will travel
through a vegetated ditch for ;z 100 yards before discharging into an existing wet -detention pond.
According to plant staff, they have never seen this pond discharge since the facility was opened
5 years ago.
Until now, these waste streams have been sent to the local POTW through a nearby force
main (FM). The force main, however, is undersized and it has become increasingly more
difficult to get the facilities wastewater back to the POTW with other users on this line pumping
at the same time. Removing these waste streams and discharging them on -site will allow for
increased capacity in the FM and help in reducing the facilities water consumption bill.
Pending a technical review of the biocidal information submitted by the applicant, this
Office recommends issuance of the General Permit to the applicant.
_e' /ZZ /
Signature of Report Preparer Date
Water QualiAvRegional Supervisor Date
hAdsr\dsr10\casefanns.doc

t:
MCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
FEED MILL MANAGER
CASE FARMS, LLC
1524 AIRPORT ROAD
SHELBY NC 28150
Dear Mr. Sams:
Division of Water Quality
Coleen H. Sullins
Director
May 12, 2011
Dee Freeman
Secretary
DIVISION OF WATER QRLALITY
MAY 16 2011
MOORES,9OfP SECTION
VILLE REGIONAL OFFICE
Subject: Acknowledgement of New Permit Application
Permit #: NCG500653
Facility: Case Farms - Shelby Feed Mill
Cleveland County
The Division of Water Quality NPDES acknowledges receipt of your permit application, with payment and supporting
materials on May 10, 2011. This application package has been assigned the number listed above and will be reviewed by Joe
Corporon. By copy of this letter, we are also requesting a Staff Report from the Mooresville Regional Office.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure
the maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and
complete response to any additional information requests.
Please note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete application..
To check on the status of an application, please visit httlx//l12o.enr.state.ne.us/bims/Reports/MortsPermits.html.
If you have any questions, please contact Joe Corporon at 919-807-6394, or via e-mail [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON TIIIS PROJECT.
Sincerely,
zr_� jjo,�
Dina Sprinkle
Point Source Branch
cc:1VPo"ore=sv�lle�R go'talice, Surface Water Protection Section
Permit Application FileNCG500653
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] t Customer Service: 1-877-623-6748 N fth Q rOlirla
Internet: wvdw.ncwaterquality.org
An Equal Opportunity ',Affirmative Action Employer

1�,
Division of eater Quality / Water Q11"Ifily Section
AM -
'1\Tatioiial Pollutant Discharge Elimination System
No "
�C"U..' 0—a—v'or
r—mz­T
NCG500000
NOT ICE OF INTENT
National Pollutant. Discharge Elimination System application for coverage under General Permit
NCG600000: Non -contact cooling water, boiler blowdown, cooling tower blowdown, condensate, and
similar point source discharges
(Please print or type)
1) Mailing address of owner/operator:
Company Name CASE FARMS, ILL
Owner Name CASE FARMS, LLC
Street Address .1524 AIRPORT RD
City SHELBY State NC ZIP Code 28160
Telephone No. 704 487-6099 Fax: [phone]
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name CASE FARMS-SHELBY FEED MILL
F96ility Contact TONYSAMS
Street Address 1524 AIRPORT RD
City SHELBY State NC ZIP Code 28150
County CLEVELAND
Telephone No. — 704 487-6099 Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers,
and distance and direction from a roadway intersection). HWY 18ON FROM SHr:LBY, THEN RT ON
AIR15ORT ROAD APPROX. 1.5 MILES ON RT.
(A copy of a county map or USGS quad sheet 16vith facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following:
New or Proposed
El Modification 0 L53 1111
Please describe the modification: lJ
n., Renewal MAY 10 2011
Please specify existing permit number and original issue date*
LDENIR-WATER QUALITY
L
Polt4TSOURCE
5) Does this facility have any other NPDES permits? _BRANCH
IZ No
171 yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) What is the nature of the business applying for this permit? CHICKEN FEED MANUFACTURER
Page 1 of 4
04/05

NCG600000 IM1.0.3.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? ❑ Yes iiNo
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the
property): PIPES. CHANNELS & DITCHES SHALL BE USED TO ONE LOCATION OF DISCHARGE
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
❑ Non -contact cooling water Discharge point(s) #:
i�J Boiler Blowdown Discharge point(s) #t: 1
❑ Cooling Tower Blowdown Discharge point(s) #: W_____
❑ Condensate Discharge point(s) It:
u Other Discharge point(s) M 1
(Please describe "Other") WATER SOFTNER. AEREATOR MIX
d) Volume of discharge per each discharge point (in GPD):
91: 5000 #k2: #3: ##4
e) Please describe the type of process (i.e., compressor, A/C unit, chiller, boiler, etc.) the wastewater is
being discharged from, per each separate discharge point (if applicable, use separate sheet): _
BOILER BLOWDOWN WATER SOFTNER & AEREATOR MIX
8) Please check the type of chemical added to the wastewater for treatment , per each separate discharge
point (if applicable, use separate sheet):
Biocides
Name:
Manuf.:
Corrosion inhibitors
Narne: B-45, B-198 & 8-221
Manuf.:
❑ Chlorine
Name:
Manuf.:
❑ Algaecide
Name:
Manuf.:
❑ Other
Name:
Manuf.:
9 None
PAUL'S_WATER TREATMENT, LLC
9) if any box in item (8) above, other than none, was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review.
10) Is there any type of treatment beVNo
provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? El Yes
If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with
submittal package. Existing treatment facilities should be described in detail. Design criteria and
operational data (including calculations) should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three (3) sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4
04/05

r
t
111) Discharge Frequency:
a) The discharge is: h_.I Continuous Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: AS R QUII`�ED FOR
OPTIMU[vl, I,OILER PERFORMANCE REQUIRES r .
ii) If seasonal checkthe rnonth(s) the discharge occurs: ❑ Jan. ❑ Feb. ❑ Mar. El Apr..
❑ May ❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. 0 Dec.
b) blow many days per week is there a discharge? _. �..a _ 7 w
c) Plea/se check the da_y_s/dischar e occurs: _1
€yl Sat. tI Sun. €�1 Mon. 2 Tue. Fd Wed. �L! 11m. [9 Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point (if
applicable, use separate sheet):
13) Deceiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end rip in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). UTwNTO LONG aCREEK
b) Strearn Classification: NOT CLASSIFIED
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
16) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a),: 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge location
clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application has
been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (€f applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped -"Final Design -Not released for construction".
Page 3 of 4
04/05

NCO60000 N.O.I.
e) Final specifications for all major treatment components (if applicable). 1-he specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: 7 ®� Y W. YA mS
Title: G >EiD rM ( C.C.
(Signature of A p 'cant) (Date Signed)
North Carolina General Statute 143-215.6 b (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 Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or moth, for a similar offense.)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
Mail three (3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Einal Checklist
This application will be returned as incomplete unless all of the following items have been
ined:
Zheck for $100 made payable to NCDENR
3 copies of county map or USES quad sheet with location of facility clearly marked on map
h!J 3 copies of this completed application and all supporting documents
YY3 sets of plans and specifications signed and sealed by a North Carolina P.E.
�11 Thorough responses to items 1-7 on this application
dAlternatives analysis including present value of costs for ail alternatives
Note
The submission of this document does not guarantee the issuance of an NODES permit
Page 4 of 4
04/05

r",
Dishcharger Name CASE FARMS SHELBY BOILER BLOWDOWN
PERMIT#: NCG5000000
RECEIVING STREAM: UT TO LONG CREEK
7Q10 (cfs): 5.00
I.W.C.%: 0.15
PRODUCT: B-221 INORGANIC SALT MIXTURE
ACTIVE INGREDIENT: SODIUM HYDROXIDE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 1.8494
LC50/EC50 OF SELECTED TOX DATA (MG) 33
DEGRADATION FACTOR: 1.000
DECAY RATE: 0.0000
APPLICATION FACTOR: 0.050
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.005
INSTREAM BIOCIDE CONC: 0.0029
VOLUME OF SYSTEM (MIL. GAL'S): 0.005
REGULATED LIMITATION: 1.65
PASS/FAIL: PASS
PRODUCT: B-198 LIQUID BOILER TREATMENT
ACTIVE INGREDIENT: SODIUM
HYDROXIDE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 1.8494
LC50/EC50 OF SELECTED TOX DATA (MG/I 33
DEGRADATION FACTOR: 1.000
DECAY RATE: 0.0000
APPLICATION FACTOR: 0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.005
INSTREAM BIOCIDE CONC: 0.0029
VOLUME OF SYSTEM (MIL. GAL'S): 0.005
REGULATED LIMITATION: 1.65
PASS/FAIL: PASS
PRODUCT: B-198 LIQUID BOILER TREATMENT
ACTIVE INGREDIENT: SODIUM
LIGNOSULFONATE
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 1.8494
LC50/EC50 OF SELECTED TOX DATA (MG/115
DEGRADATION FACTOR: 1.000
DECAY RATE: 0.0000
APPLICATION FACTOR: 0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.005
INSTREAM BIOCIDE CONC: 0.0029
VOLUME OF SYSTEM (MIL. GAL'S): 0.005
REGULATED LIMITATION: 0.75
PASS/FAIL: PASS
PRODUCT: B-45 STEAMLINE TREATMENT
ACTIVE INGREDIENT: DIETHYLAMINETHANOL
HALF LIFE (DAYS): 0.00
STEADY STATE DISC CONC 1.8494
LC50/EC50 OF SELECTED TOX DATA (MG/I 15
DEGRADATION FACTOR: 1.000
DECAY RATE: 0.0000
APPLICATION FACTOR: 0.05
DOSAGE RATE (GRAMS/DAY): 35
AVG DAILY DISCHARGE (MGD): 0.005
INSTREAM BIOCIDE CONC: 0.0029
VOLUME OF SYSTEM (MIL. GAL'S): 0.005
REGULATED LIMITATION: 0.75
PASS/FAIL: PASS
PRODUCT: B-45 STEAMLINE TREATMENT
ACTIVE INGREDIENT: MORPHOLINE
HALF LIFE (DAYS): 0.00 STEADY STATE DISC CONC 1.8494
LC50/EC50 OF SELECTED TOX DATA (MG/I 15 DEGRADATION FACTOR: 1.000

r',
DECAY RATE:
DOSAGE RATE (GRAMS/DAY):
AVG DAILY DISCHARGE (MGD):
VOLUME OF SYSTEM (MIL. GALS)
0.0000
APPLICATION FACTOR: 0.05
35
0.005
INSTREAM BIOCIDE CONC: 0.0029
0.005
REGULATED LIMITATION: 0.75
PASS/FAIL: PASS

Beverly Eaves Perdue
Governor
Aria
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
MEMORANDUM
To: Scott Roach
Odom Engineering
152 E. Main St.
Forest City, NC 28043
From: Susan Meadows
Aquatic Toxicity Unit
Subject: Biocide Use Review
Case Farms Feed Mill - Shelby
NPDES # NCG5000000
Cleveland. County
Dee Freeman
Secretary
Case Farms Feed Mill - Shelby has requested approval of three chemicals, B-221, B-198 & B-45. These
products will be discharged into their Outfall 001 and in to an unnamed tributary to Long Creek.
Calculations predict the use of these products, B-221, B-198 & B-45, at the stated dosage rates, will not cause
toxic impacts to aquatic life in the receiving stream, the unnamed tributary to Long Creek. Therefore, the use of
these products as an additive to their boiler blowdown system at Case Farms Feed Mill - Shelby is acceptable.
cc: Tom Belnick, Western NPDES Program
Central Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NOrthCaro na
Internet: www.ncwaterquality.org a'J�¢uy�� �
An Equal Opportunity 1 Affirmative Action Employer i/ ►' ` ` "

MSRMaps: Print Page 1 of 1
ry
Send To Printer Back To MSR Maps Change to 11x17 Print Size Show Grid Lines Change to Landscape
MUSGS 7 km NE of Shelby, North Carolina, United States 01 Jul 1973
/:440
* 16
Fri�id�Aip
ti #
# _ Je-
s� a
f�
{ L w.
AIR
r#
ji_77* !
53 WW
!:
m I Ica, 20D, 300,
yds 100200 30o Image courtesy of the U.S. Geological Survey
© 2010 Microsoft Corporation. Terms of Use Privacy Statement
http://msnnaps.com/PrintImage.aspx?T=2&S=l I &Z=17&X=113 8&Y=9772&W=2&qs=AI... 5/9/2011