NCG060433_Application_20220719

RECEIVED
FOR AGENCY USE ONLY JUL 1 9 M-9-
NCG06 0 µ 3 3
Assigned to: 0
ARO FRO I Ri WARD WIRO WSRO DEMLR-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC10 [Food and Kindred Products], SIC21 [Tobacco Products], SIC283 [Drugs], SIC284
[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:
House -Autry Mills, Inc.
Timothy Johns
Street address:
City:
State:
Zip Code:
7000 US-301 South
Four Oaks
NC
27524
Telephone number:
�� gC
Email address:
[phone] k7�, g2
[e-mail]
Type of Ownership:.
Government
❑County ❑Federal wlunicipal ❑State
Non -government
OBusiness (If ownership is business, a copy of NCSOS report must be included with this application)
[3Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
House -Autry Mills, Inc.
Timothy Johns
Street address:
City:
State:
Zip Code:
7000 US-301 South
Four Oaks
NC
27524
Parcel Identification Number (PIN):
County:
081-110096 and 08111199
Johnston
Telephone number:
Email address:
[phone]
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2041
1 ❑ New ❑ Proposed 0 Existing
Immediately upon approval
Latitude of entrance:
Longitude of entrance:
35,43909
-78.43834
Brief description of the types of industrial activities and products manufactured at this facility:
Com and wheat grain milling operations. Products manufactured include corn meal, baked and fry breaders and mixes
This facility processes meat: ❑ Yes I] No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
O N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
H. Derr Leonhardt II
Leonhardt Environmental,P.C.
Street address:
City:
State:
Zip Code:
8392 Six Forks Road, Suite 101
Raleigh
NC
27615
Telephone number:
Email address:
919-846-7492
[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.
001
Juniper Swamp
C; NSW
El This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.43894
-78.43855
Brief description of the industrial activities that drain to this outfall:
Stormwater from the parking areas, truck loading and unloading zones, and grassy areas collect In a retention basin on the south side of the facility. Several large gain sibs are in this dainage area.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 0 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.
002
Juniper Swamp 1--r----
0 Thie water hes cl has a TMDL.
G; NSW-----•-�''—"
4
Latitude of outfall: J s
Longitude of outfall:
`L78.44b8O
35.43951 � �` —
Brief description of the,iridus6ial activities that drain tethis outfall: E._7
r `y 4 I LA
Stormwaterfrom.a,pa4ed'unloading pit area and gtassy areasydrain to a.dry pondlon the west side_ of3he facility
Do Vehicle Maintenance Actiyities.00ccuriryth4e drainage ar` rofthis outfall?'
ti4 ',_ ❑sEl Ye, No
{'
If yes, how",many gallonsrof new motor oil are used each month When.averaged overthe calendar year? f
3-4 digit idehtifie'r? rl
I •?'
l Gl5i1sifica'tioh:, 4,,❑^This
,'�❑
water is impaired.
This watershed has a TMDL.
Latitude of outfall:
Longitude of outfalli -`
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?
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?
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 NO1.
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:
O This facility uses best management practices or structural stormwater control measures. If
checked, briefly describe the practices/measures and show on site diagram:
No outside storage of any containers holding liquids; two dry detention ponds
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
Will be implemented immediately upon approval
❑ 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 _----—„�—,_�.
,
,r'�' r- --if-checked, indicate:— --, —
�
Kilograms of waste generated eachimdnth:
Type(s) of wake:
_(
,r
How material is storedi r` --
Where vial is' torW:
k
Numberofwasteship�s,peryear:---`' `'
Name of transport/dispos_al=vendor>r ✓ar
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located o'nrow a�Bnfield "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):
El
Check for $100 made payable to NCDEQ
O
Copy of most recent Annual Report to the NC Secretary of State
0
This completed application and any supporting documentation
•
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
0
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 143-215.6E (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.
O 1 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: Timothy Johns
Title: Vice President
7- I g`
Signature of Apply nt) (Date Signed)
Mail the entire package to: 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:
❑ 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?
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?
3-4 digit identifier.
Name of receivgwater:
`Classification:"'-
❑_This water is impaired.
/' r w --,_,
F }
-r❑ This
__,ra
y.
watershed'f a`s a%TMDL.
Latitude of outfall: may- �"- ("`�,�
'
-Longitude,of outfall:
Brief description_ofthe'industrial activities that dry in to this outfall:
^.= L
Do Vehicle!Maintenance Activities occur in the drainage.a"rea of this outfall?
❑;Mess El No
— nygal--
Ifyes, how many gallons of new motor oil are used each morSfh when averaged over the calenti'ar year? ,c l
kIL`IL71 tlt'C!I§ I71 1-Il'vjp lllllr ltl,.k- 1.ft ll17.5 Wj
V%
3-4 digit identifier:
Name of receiving water:
Classification: N\—/°
F
❑ 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?
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

BUSINESS CORPORATION ANNUAL REPORT
116=22
NAME OF BUSINESS CORPORATION: House-autry Mills, Inc.
SECRETARY OF STATE ID NUMBER: 0272169 STATE OF FORMATION: DE
REPORT FOR THE FISCAL YEAR END: 12/31 /2021
SECTION A:
1. NAME OF REGISTERED AGENT: Marconi, Derrick
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0272169
CA202209501288
4/5/2022 09:45
❑X Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
7000 US Highway 301 South
Four Oaks, NC 27524-7628 Johnston County
SECTION B:
Four Oaks, NC 27524-0460
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturer Of Corn Meal, Baked & Fry Breaders & Mixes
2. PRINCIPAL OFFICE PHONE NUMBER: (91 g) 963-1196 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
7000 US Highway 301 South
Four Oaks, NC 27524-7628
5. PRINCIPAL OFFICE MAILING ADDRESS
Four Oaks, NC 27524-0460
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:
Craig Hagood
NAME:
,June Currin
TITLE:
President
TITLE:
Vice President
ADDRESS: 7000 US Hwy 301 S.
PO Box 460
Four Oaks, NC 27524-0460
NAME: Timothy Johns
TITLE: Vice President
ADDRESS: 7000 US Hwy 301 S. ADDRESS: 7000 US Hwy 301 S.
Four Oaks, NC 27524-0460
Four Oaks, NC 27524-0460
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
en0ty
lJerrick Marconi 4/5/2022
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Derrick Marconi Chief Financial Officer
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 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Derrick Marconi NAME:
TITLE: Chief Financial Officer TITLE:
ADDRESS: 7000 US Hwy 301 S. ADDRESS:
PO Box 460
Four Oaks, NC 27624-0460
NAME:
TITLE:
ADDRESS:
NAME:
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DISCLAIMER
Johnston County assumes no legal responsibility for the information represented here.
Result 0
id: 08111199
Tag: 08111199
'Al -AUTRY MILLS INC
Owner Name 1: HOUSE
CORP
.4"V- Owner Name 2:
V Mail Address 1'.
Mail Address 2: P 0 BOX 460
Mail Address 3: FOUR OAKS, NC 27124-14111
Book: 02923
Page: 0286
Result 0
id: 08HI0096
Tag: 081110096
Owner Name 1: HOUSE AUTRY MILLS INC
17,
C
Owner Name 2:
�7 Mail Address 1!
Mail Address 2: PO BOX 460
Mail Address 3: FOUR OAKS, NC 27524-0000
Book: 02923
Page: 0286
Scale: 1:8692 - 1 in. = 724.3 feet
(The scale is only accurate when printed landscape on a 8 112X 11 size sheet with no page scaling.)
Johnston County GIS
July 12, 2022

Q d Legend Layers
�I
o_p I o0
oa
Surface Water Classifications:
7 Stream Index:
27-52-6-6
UStream Name:
Juniper Swamp (Lake
.i
Levinson)
Description:
From source to Hannah
p
Creek
V
Classification:
QNSW
Date of Class.:
April 30,1988
44
}i What does this Class.
View
;k)mean?
N River Basin:
Neuse

Railroad
Y' •YY I.
FIGURE 2—SITE MAP
HOUSE AUTRY MILLS, INC.
STORMWATER DRAINAGE PLAN
IN Stormwater Stormwater drainage
a outtau
Unloading Pit 0
Stormwater
Drainage /
Area 2
Milling
Silos 1
1 Blending
Warehouse i
Packing
Stormwater Stormwater
Drainage McChanlCal I Drainage
Area 1 I I Area 1
Office j
1 Scales
Retention
Basin
Retention
Basin
y.
e/

House -Autry Mills, Inc.
7000 US Hwy. 301 South • PO Box 460
Four Oaks, NC 27524-0460
800-849-0802
Fax: [phone] RECEIVED
www.house-autry.com
July 13, 2022
DEMLR- Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Attention: Brittany Carson
024LR-Stormwater Program
Subject: Rescission of Permit No. NCGNE0323 and NOI for NCG060000
House -Autry Mills, Inc.
7000 US Hwy. 301 South
Four Oaks, North Carolina 27524
Dear Ms. Carson,
We are requesting the rescission of the No Exposure Permit (NCGNE0323) for the above
referenced facility. This facility can no longer operate in accordance with the No Exposure
Permit requirements and will have exposed material that will require coverage under a General
Industrial Permit. A Notice of Intent (NOI) for coverage under General Permit NCG06 is
included in this package. Prior to obtaining the No Exposure Permit, this facility was previously
issued permit NCG060246.
If additional information or documentation is needed, please advise.
Sincerely,
House -Autry Mills, Inc.
Tim Johns
Vice Presid
The C'hniee of Snnthem C'nnkc Si nee I R I?