WQ0010892_Permit Renewal_20180529

Barber, Jim
From: Barber, Jim
Sent: Wednesday, May 30, 2018 2:11 PM
To: Doby, Troy
Cc: Honeycutt, Tony
Subject: RE: Smithfield Fresh Meats WQ0010892' renewal
Troy; .
Don't see anything unusual.. The only comment I have relates to specifying flow. The last permit that addressed flow was
14 October 2004; with flow being identified on the permit page as.2.10 MGD. The permit issued 22 November 2013 has
no reference to flow at all, either on the permit page. or Attachment A..The last permit issued on 1 July 2014 identifies
flow in the Attachment A, but no value is presented. Since BIMS indicates the permit flow at 2.10 MGD, shouldn't that
rate be in the permit somewhere, i.e. in on the "permit page or the Attachment A?
Thanks
Jim Barber
Environmental Engineer
NCDEQ-DWR-WQRO
Fayetteville Regional Office
910-433-3340 voice
910-486-0707 fax
iim.barberO-ncdenr.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
` Go Green! Print this email only when necessary.. Thank you for helping NCDENR be environmentally responsible.
From: Doby, Troy
Sent: Wednesday, May 30, 201811:54 AM
To: Barber, Jim <[e-mail]>
Subject: RE: Smithfield Fresh Meats WQ0010892 renewal
Jim,
r
Thanks for the -staff report. I've attached a copy of the draft permit for this project.
If you have any comments, questions or concerns, please let me know by next Wednesday, the. 6` of June. If everything
is ok, please let me know that as well.
Thanks!
Troy
1

Page 8 of 17
�l
(10) Phenol;
(11) Total Volatile Organic Compounds;
(12) Escherichia coli (E. coli) or Fecal Coliform;
(13) Coliphage (Type 2 reclaimed water only);
(14) Clostridium perfringens (Type 2 reclaimed water only);
(15) Calcium;
(16) Sodium;
(17) Magnesium;
(18) Sodium Adsorption Ratio (SAR);
(19) Total Trihalomethanes;
(20) Toxicity Test Parameters; and
(21) Total Dissolved Solids.
(i) For irrigation sites, the applicant shall provide to the Division a project evaluation and a receiver, site agronomic
management plan and recommendations concerning cover crops and their ability to accept the proposed application rates
of liquid, solids, minerals and other constituents of the wastewater.
0) The applicant shall provide to the Division a residuals management plan as required by Rule .0802 of this Subchapter.
A written commitment is not required at the time of application; however, it shall be provided prior to operation of the
permitted system.
(k) The applicant shall provide a water balance to the Division that determines required storage based upon the most
limiting factor of the hydraulic loading based on either the most restrictive horizon or groundwater mounding analysis; or
nutrient management based on either agronomic rates for a specified cover crop or crop management requirements.
History Note: Authority G.S. 143-215.1; 143-215.3(a);
Eff. June 18, 2011.
SECTION .0300 - EFFLUENT STANDARDS
15A NCAC 02U .0301 RECLAIMED WATER EFFLUENT STANDARDS
(a) Reclaimed water treatment processes classified as Type 2 by the rules in this Subchapter shall produce a tertiary
quality effluent (filtered or equivalent) prior to storage, distribution, or utilization that meets the parameter limits listed
below:
(1) monthly average BODS of less than or equal to 5 mg/l and a daily maximum BODS of less than or equal
to 10 mg/l;
(2) monthly average TSS of less than or equal to 5 mg/1 and a daily maximum TSS of less than or equal to
10 mg/l;
(3) monthly average NH3 of less than or equal to 1 mg/l and a daily maximum NH3 of less than or equal to
2 mg/l;
(4) monthly geometric mean Escherichia coli (E. coli) or fecal coliform level of less than or equal to 3/100
ml and a daily maximum E. coli or fecal coliform level of less than or equal to 25/100 ml;
(5) monthly geometric mean Coliphage level of less than or equal to 51100 ml and a daily maximum
Coliphage level of less than or equal to 25/100 ml;
(6) monthly geometric mean Clostridium perfringens level of less than or equal to 51100 ml and a daily
maximum Clostridium perfmgen level of less than or equal to 25/100 ml; and
(7) maximum Turbidity of 5 Nephelometric Turbidity Units (NTUs).
(b) Reclaimed water treatment processes classified as Type 1 by the rules in this Subchapter shall produce a tertiary
quality effluent (filtered or equivalent) prior to storage, distribution, or utilization that meets the parameter limits listed
below:
(1) monthly average BOD5 of less than or equal to 10 mg/l and a daily maximum BODS of less than or
equal to 15 mg/l;
(2) monthly average TSS of less than or equal to 5 mg/1 and a daily maximum TSS of less than or equal to
10 mg/l;
(3) monthly average NH3 of less than or equal to 4 mg/l and a daily maximum NH3 of less than or equal to
6 mg/l;
(4) monthly geometric mean E. coli or fecal coliform level of less than or equal to 14/100 ml and a daily
maximum E. coli or fecal coliform level of less than or equal to 25/100 ml; and
file:///C:/Users/djbarber/Desktop/Rules%20Folder%202T,%202C,%202L,%o20etc/2U%20... 5/30/2018

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001- Reclaimed Water Generation System Effluent
Permit Number: WQ0010892 Version: 3.2
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Cs
ode
Parameter Description
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
310
Fol
BOD, 5-Day (20 °C)
mg/L
2/Monthz
Composite
616
Coliform, Fecal MF, M-FC, Broth 44.5°C
2/Monthz
Grab
WQ01
Flow, Reclaimed Water Distributed
Gallons
R) f CFO10710
Continuous
Recording
00610
Nitrogen, Ammonia Total (as N)
mg/L
2/Month2
Composite
00530
Solids, Total Suspended
mg/L
2/Month2
Composite
00076
Turbidity, HCH Turbidimeter
NTU
2/Month2
Grab
1. Per I5A NCAC 2U .0301(c), reclaimed water produced by industrial facilities is not required to meet the criteria (treatment standards) in this Rule if the reclaimed water is used at the facility in
an industrial process and the area of use has no public access and does not result in employee exposure. In the event that expanded uses of reclaimed water are desired, it may be necessary to
meet specified effluent limits for Type I or Type 2 reclaimed water.
2. 2/Month sampling frequency will occur during the months of April and October. During the remainder of the year, these parameters will be monitored monthly.
WQ0010892 Version 3.2 Attachment A Page 1 of 1

ct..
State of North Carolina
Division of Water Resources :. -. _ . _ Water Quality Regional Operations "Section
Environmental Staff Report
Quality
To: ❑ NPDES Unit ® Non-Discharge_Unit
Attn: Tory Doby, PX.
From: Jim Barber
Fayetteville Regional Office
Application No.: WQ0010892
Facility name: Smithfield Fresh Meats, Inc.
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals Please complete all sections as they are applicable.
I. GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date- of site visit: 17 May 2018
b. Site visit conducted by: Jim Barber and Tony Honeycutt
C. Inspection report attached? ❑ Yes or No
d. Person contacted:. Tim Weaver and, their contact information: 910) 862 - 5248 ext.
e: Driving directions: From Fayetteville take NC Hwy 87 south approximately 18 miles. The Smithfield plant is
on the right.
2. Discharge Point(s): N/A ,
Latitude: Longitude:
Latitude: Longitude:
3. Receiving stream or affected surface waters: N/A.
Classification:
River Basin and Subbasin No.
Describe receiving stream features and pertinent downstream uses:
U. PROPOSED FACILITIESc NEW APPLICATIONS"
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
----------=Pioposeflow: --- -—------ --- -----
Current permitted flow:
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No
If no, explain:
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? ❑ Yes ❑ No ❑ N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ❑ Yes ❑ No ❑ N/A
If no, please -explain:
5i Is the proposed "residuals management plan adequate? ❑ Yes ❑ No ❑ N/A
- If no, please explain:
FORM: WQROSSR 04-14 Page 1 of 6 .

6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ❑ Yes ❑ No ❑ N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑ Yes or ❑ No
If yes, attach a map showing conflict areas. -
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No ❑ N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A
If yes, attach list of sites with restrictions (Certification B)
Describe the residuals handling and utilization scheme:.
10. Possible toxic impacts to surface waters:
11. Pretreatment Program (POTWs only):
III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? N Yes ❑ No ❑ N/A
ORC: Tim Weaver Certificate #: WW-4/21875 Backup ORC: Robert Harris Certificate #: WW-4/996480
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? N Yes or ❑ No
If no, please explain:
Description of existing facilities: Biological treatment system for 100% industrial wastewater generated
from swine processing and 31 shift clean-up/disinfection. NPDES permit NCO078344 (3 MGD)
Proposed flow: 2.10 MGD (reuse/reclaimed for non -contact cooling water use)
Current permitted flow: 2.10 MGD
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? N Yes or ❑ No •
If no, please explain: Reclaimed water used onlv for non -contact cooling water. Condensate is returned to
the plant and discharged into the chlorination chamber.
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or N No
If yes, please explain:
- - - - 5, Is -the -residuals management plan adequate? N Yes or ❑ No
If no, please'explaim. Industrial residuals generated by the facility and removed from the two anaerobic
digesters area managed under permit W00014868 by EMA Resources. Residuals generated by the
- --------domestic treatment system are belt pressed and disposed_of atSampson_Count-Y-Mposal in Roseboro,__ _
Sampson County, NC.
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? N Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No N N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or N No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? N Yes or ❑ No
If no, please explain:
FORM: WQROSSR 04-14 Page 2 of 6

10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ®N/A
If no, please explain:
FORM: WQROSSR 04-14
Page 3 of 6

11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
If no, please complete the following ex and table if necessary):
Monitoring Well
Latitude
Longitude
..
O __ 1 it
•O 1 11
O 1 11
O 1 11
O 1 11
_ O 1 11
O 1 If
O 1 11
O 1 11
O 1 I1
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or ❑ No
Please summarize any findings resulting from this review: Daily average of reuse/reclaimed water used is well
below permitted flow of 2.10 MGD.
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit -changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
If yes, please explain:
14. Check all that apply:
® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the. permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A.
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ® No ❑ N/A
If yes, please explain:
16. Possible toxic impacts to surface waters: N/A
17. Pretreatment Program (POTWs only): N/A
FORM: WQROSSR 04-14 Page 4 of 6

IV. REGIONAL OFFICE RECOIVIIVIENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions *or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
6. Signature of report preparer:
Signature of regional supervisor: , �l/I"�. ,Ln Fog— //ItJ✓r ft GC-'v
Date: 6- Z 9 $
FORM: WQROSSR 04-14
Page 5 of 6

V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: WQROSSR 04-14 Page 6 of 6

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FORM; NDMR 03-12. NON -DISCHARGE MONITORING REPORT . Page i of'.!
PermitNo:c.W00010892
Facility Name: . _SM' Al field Fresh Meats.Corix
' County Bladen;
Month: ' March
-Year: •201g
PPI: 001
Flow Measuring, Point: Effluent,
Parameter Monitoring Point: Effluent
Parameter
Code
00310 .'
'31616.
•WQ01. ,
00810.
•',00530.
00076
-
'Em
E.
0
e
E�
F y
0
;o
m
o
v
m.lcruv
Ems
A mia
o
E
me'w.
�_,m
9
1'-
r
24-hr:
hrs
: rtiglL=,
#/700 mL
; 'gallons-
. _ mglL
mglL ""'
. NTU
1 •
N/A' •
N/A'.' .
: .
151,000
.
2;
NIA
N/A'
144;000
3'
' 4
N/A
NIA `
N/A
'N/A. `
- .
136,000
149',000
=
. ".
5
'N/A
NIA.
142,000.
6.
NIA
N/A.
13a,900
7
N/A
WA-
143,000
.8...NIA
:
N/A
1 145.000
.
vG
9•
NIA
N/A
'142:000
10:
N/A
N/A.:
155;000:
.
11
NIA
NIA
00,
12
: N/A'.
WA
_
153,000
12.7.0.
•'
:. ;
13
'NIA:'
WA..'
14 3::
::17 .
,':155:000
'<0:10 .
19': ;:
8.40
-
-
14
_ NIA
WA,
9 5 . ` •
25
5149.000
. '0 33
15
WA
: " WA
: " 146:000
'. . .
4.
T6
WA
WA
—
J.
17.
N/A '
WA _
.:
143,000-
18
. NIA -
NIA..
151.000
19
. WA..
WA
.140,000
N/A
151,000
. .
21
. `NIA
N/A . '
..
156,000
22
'WA ,
N/A
156.000
.
_
2.3
N/A -.
N/A'
148,000
24
.-,WA ',
' NIA .
'148,000
,
.25
.. •WA..,
.. N/A ...
26
WA
WA ..
...
142,000.
27
WA
N/A.
123,000
28
NIA.
. . N/A
VA.
Wk
30
NIA
NIA
99,000
_
31:.
'NIA
WA..
-100.000
Average:
- 11.90,' ....
21.,.
:141,065
<0:21 _
-22
.10.55
Daily Maximum:
14 30'? °'
25
156,000
0.`33
25 :
12 70
Daily Minimum:.
_ 9,:50'
'17 '.
'99.000
-<0.10
".19 '
' '8 40
Sampling Type:
Composite
Grab `
Recorder.
Composite'
Compose
'.Grab
Monthly Avg. Limit
-77
Oally.Limit:
...
Sample Frequency:.See0ermitI
See Permit
Continuous
See Permit
See Permit
See.Peenit
..;'.

FORM: NDMR-03-12 NON -;DISCHARGE- MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories_
Name: Plant Personnel Name: Smithfield Fresh Meats Corp:
Name: Name: Environmental Chemists; Inc.
Does all .monitoring data and.sampling frequencies' meet.the requirements :in Attachment A of your:permit? ❑p compliant p Non -compliant
If the facility is non -compliant; please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s)'of the non:compliance and describe the corrective
action(s) taken. Attach additional sheets if,necessary.
Operator in Responsible Charge (CRC) Certification
Permittee Certification
-0RC: Timothy L. Weaver
Permittee: SmithfieldFresh Meats -Corp. -
:Certification No.: 21$75
'Signing Officiate 'Donovan Owens
Grade: 'NC WW Grade Phone Number: ' 910=862=5248
'Signing Official's Title: General Manager:
'Has the ORC changed since the previous NDMR? El Yes E].No!
Phone Number:: 910=862=5261 Permit, Expiration: 1.0/31/2018
Signature Date
Signature Date
By this signature. I'certify that this report is accurrate and complete to thebest of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all'qualified personnel property gathered and:evaluated the information
submitted: Based'on my inquiry of the person or persons who manage the system, or those persons directly responsible for .
gathering the information,.the information submitted Is, to the best of my knowledge and belief; true, accurate. and'complete. tam,
aware that there are significant penalties for submitting false Information, including the po¢sibility of fines and imprisonment for
knowing violations.
Mail Original -and Two Copies to:
Division of Water Quality.
Information Processing Unit'
1617 Mail Service. Center.,
Raleigh, North Carolina 27699.1617

State of North Carolina
vision of Water Resources
I. PERMITTEE INFORMATION:
felon-D -Is CY,, a
I1�Et
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 06-16
1. Pennittee's name: Smithfield Fresh Meats Inc - Tar Heel Plant MAY 0 3 2w
2. Signature authority's name: Donovan Owens per 15A NCAC 02T .0106(b) Title: General Manager
3. Permittee's mailing address: PO Box 99 WOROS
City: Tar Heel State: North Carolina Zip: 28392- FAYETMVILLEREGIONALOFFICE
4. Pemuttee's contact information: Phone number:. C910) 862-7576 Email Address: [e-mail]
H. FACILITY INFORMATION:
L. Facility name: Smithfield Fresh Meats Inc -Tar Heel Plant
2. Facility's physical address: 15855. Highway 87 West
City: Tar Heel State: NC Zip: 28392- County: Bladen
IIIjPE RMIT FORMATIO > "Existing permit number: WQ0010892 and most recent issuance date: June 1, 2014-fPR t9 20
18
Existing permit type: Conjunctive Reclaimed Water Utilitization
3. Has the facility been constructed? ® Yes or.❑ No
Applicant's Certification per 15A NCAC 02T .0106(b):
I, �a 0�� O1l�C G �=��' I--� attest that this application for
(Signature Authority's name & title from Application Item I.2.)
SM 1TN�t �:�R wVaTS I tic, i �� Ken- � �Atr
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action- that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all required
supporting information and attachments are not included, this application package will be returned to me as incomplete. I further certify
that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any
active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civi enalties up $25,000 per violation.
Signature: Date:
FORM: NDSR 06-16 Page 1 of 1

I State of North Carolina
4" , .! si Department of Environmental Quality
_ �1�"
2�3 Division of Water Resources
_ f �� �� u NON -DISCHARGE SYSTEM RENEWAL
Division of Water. Resources INSTRUCTIQNS.gQ;F.ORM: NDSR 06-16 &SUPPORTING DOCUMENTATION
tks,i, F
This form is for renewal without modification for all non -discharge system permits, exceut Residuals Management permits.
For more information, visit. the Water Quality Permitting Section's Non -Discharge Permitting Unit.
A. Non -Discharge System Renewal (FORM: NDSR 06-16).Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non -Discharge System Renewal (FORM:
NDSR 06-16) application.
® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria
in 15A NCAC 02T .0106(b).
B. Existing Permit (All Application Packages):
® Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and -Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1); provide two copies of the Certificate of Public Convenience and Necessity, from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
D. Operation and Maintenance Agreement (All Application Packages for Single -Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement (FORM: SFRWWIS O&M).
E. Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the properly executed Operational Agreement.(FORM:
HOA.
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit an original and one copy of the properly executed Operational Agreement (FORM:
DEV).
F. Site Map (All Application Packages for permits originally issued or modified after September 1, 2006):
❑ Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: NDSR 06-16 & SUPPORTING DOCUMENTATION Page 1 of 1

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North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Kyle Narron — General Manager
Southfield Farmland Corporation
Post Office Box 99
Tar Heel, North Carolina 28392
Dear Mr. Narron:
John E. Skvarla, III
Secretary
June 1, 2014
Subject: Permit No, WQ0010892
Smithfield Farmland Corporation
Tarheel Division
Wastewater Treatment and
Conjunctive Reclaimed Water
Utilization System
Bladen County
1n accordance with your permit name change request received May 28, 2014, we are forwarding
herewith Permit No. WQ0010892 dated June 1, 2al4, to the Smithfield Farmland Corporation for the
continued operation of the subject wastewater treatment and conjunctive reclaimed water generation and
utilization facilities.
Please note the Permittee has been changed from the Smithfield Packing Company, Inc. to the
Smithfield Farmland Corporation.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit
No. WQ0010892 issued November 22, 2013, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR reporting forms are
available for download at: httn://i3ortal.nedenr.org/web/w /a s/lau/re ortin .
Please note the following permit conditions are new or have been modified since the last
permit issuance:
➢ Condition 111.6. — a qualified system operator must be on call 24 hours a day
> Condition M.8. — a means must be established to prevent improperly treated wastewater
from entering the reuse system
Condition 111,10. —Public access to the utilization sites must be controlled during distribution
Condition 111.12. —the NPDES system must be used to discharge non -compliant effluent
1636 Mail Service Center, Relel h, North Carolina 27699-1636
Phone; 919-807-64641Internet, httoWportal ncdeu g1webhyg
An Equal Opportunity (Affirmative Action Employer— Made In part with recycled paper

Mr. Kyle Narron
June 1, 2014
Page 2 of 2
➢ Condition IV.5. —records must be kept of the amount of reuse water distributed
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you -need additional information concerning this matter, please contact David Goodrich at (919)
807-6352 or by email at [e-mail].
Sincerely,
.Lor 2mas A. Reeder, Director
Division of Water Resources
cc: Bladen County Health Department
Fayetteville Regional Office, Water Quality Regional Operations Section
Permit File W00010892
Notebook File WQ0010892

NORTH CAROLINA .
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
CONJUNCTIVE RECLAIMED WATER GENERATION AND UTILIZATION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
. . PERMISSION IS HEREBY GRANTED TO
Smithfield Farmland Corporation
Bladen County
FOR THE
continued operation of a reclaimed water distribution system. which will allow the reuse of the treated
industrial wastewater (NPDES Pernut No. NC0078344) for the uses outlined in Appendix B;
to. serve the Smithfield Farmland Corporation, with no discharge of wastes to surface waters,.pursuant to
the application received May 28, 2014 and in conformity with the project plans, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit No.
WQ0010892 issued November 22, 2013, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six mbnths,prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and Iimitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
II. PERFORMANCE STANDARDS
1. All reclaimed water shall meet the Reclaimed Water Quality Standards of Rule 15A NCAC 02U
.0301 (b), as applicable. Applicability is defined in Attachments A and B of this permit.
2. The subject reclaimed water facilities shall be effectively maintained and operated at all times so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the utilization areas to
WQ0910892 Version 3,1 Shell Version 140324 Page 1 of 7

Jd ,
adequately assimilate the reclaimed water, the Permittee shall take immediate corrective actions
including Division required actions, such as the construction of additional or replacement reclaimed
water utilization facilities or cessation of reclaimed water utilization activities.
3. This perni t shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
4. This permit allows all or part of the reclaimed water authorized under this permit to be discharged
into the Pernnittee's wastewater treatment facilities separately authorized under NPDES Permit No.
NC0078344, if all the conditions of NPDES Permit No. NCO078344 are met. This authorization of
reclaimed water diversion does not alter the existing limits contained in NPDES Permit No.
N00078344 including, but not limited to, production limitation.
5. Effluent limitations for generated reclaimed water shall not exceed those specified in Attachment A.
6. Reclaimed water generation facilities producing Type 2 reclaimed water, as defined in 15A NCAC
02U .0301,• shall provide dual -disinfection methods consisting of ultraviolet disinfection and
chlorination, or equivalent dual disinfection processes.
7. Reclaimed water may only be distributed to the sites I uses listed in Attachment B without prior
approval by the Division of Water Resources.
8. The conjunctive use of reclaimed water permitted herein in no way negates, precludes, or invalidates
the most recent reissuance of the Permittee's NPDES permit (Permit No. NC0078344), and the
Permittee shall continue to comply with all conditions provided for therein.
9. The following shall be requirements for the reclaimed water utilization facilities:
a. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone
522) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER -•
DO NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall be at least three. inches wide and have white or black lettering on
purple (i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER — DO NOT
DRINK." Identification tape shall be installed on reclaimed water pipelines in a visible
manner, fastened at least every 10 feet to each pipe length and run continuously the entire
length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing
reclaimed water shall be taped or otherwise identified as noted above. This identification
need not extend the entire length of the distribution system, but shall be incorporated within
10 feet of crossing any potable water supply line or sanitary sewer line.
c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated'by a tool may be placed above
ground and labeled as non -potable water.
WQ0010892 Version 3.1 Shell Version 140324 Page 2 of 7

10. No direct cross -connections shall be allowed between reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406.
11. The reclaimed water shall not be used for irrigation within the fenced area of the wastewater
treatment facility.
12. The Compliance Boundary for the disposal system is specified by regulations 15A NCAC 2L,
Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 and is established at either (1) 250 feet from the waste disposal
area, or (2) 50 feet within the property boundary, whichever is closer to the waste disposal area. An
exceedanee of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to
immediate remediation action in addition to the penalty provisions applicable under General Statute
143-215.6A(a)(1).
13. In accordance with 15A NCAC 2L, a Review Boundary is established around the disposal system
midway between the Compliance Boundary and the perimeter of the waste disposal area. Any
exeeedance of standards at the Review Boundary shall- require remediation action on the part of the
Pernuttee.
14. The Pennittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
15. hi accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g).
M. OPERATION AND MAINTENANCE REQUIREMENTS
1. The reclaimed water systems shall be properly maintained and operated at all times. The systems
shall be effectively maintained and operated as a non -discharge system to prevent the discharge of
any reclaimed water or partially treated effluent resulting from the operation of the systems, unless.
the conditions and limitations of NPDES Permit No. NCO078344 are met
2. The onsite reuse water system shall be operated in accordance with the 15A NCAC 02T .0900
regulations.
3. The domestic (sanitary) wastewater shall remain separate from the reclaimed water system.
4. The Pernuttee shall maintain an Operation and Maintenance Plan pursuant to 15A. NCAC 02U .0801,
which at a minimum shall include the following:
1. Description of the system in sufficient- detail to show what operations are necessary for the
system to function and by whom the functions will be conducted;
2. A map of all distribution lines and record drawings of all utilization systems under the
Permittee's control;
3. Description of anticipated maintenance activities;
4. Include provisions for safety measures including restriction 'of access to sites and equipment; and
5. Spill control provisions including response to upsets and bypasses including control, containment,
remediation, and contact information for plant personnel, emergency responders and regulatory
agencies.
WQ0010892 Version 3.1 Shell Version 140324 Page 3 of 7

Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee sliall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. At the time of this permit issuance, a certified ORC is not required for
conjunctive reclaimed water users.
6. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day.
7. Only reclaimed water generated at the Smithfield Farmland Corporation (Permit No. WQ00108921
NC0078344) shall be utilized in accordance with this permit.
8. An automatically activated standby power source or other means to prevent improperly treated
Wastewater from entering the storage, distribution, or utilization system shall be provided.
9. Public access to the reclaimed water generation facilities shall be prohibited.
10. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
controls may include the posting of signs showing the activities being conducted at each site.
11. Diversion or bypassing of untreated or partially treated wastewater from the .treatment facilities is
prohibited unless diverted to an alternate treatment or collection system.
12. ffluent shall be discharged in accordance with Permit No. NCO078344 if the limit for fecal coliform
(e.g., daily maximum concentration of 25 colonies per 100 mL) or turbidity (e.g., instantaneous
maximum of 10 NTU) is exceeded, until such time as the reclaimed water standards are met at the
generating facility.
13. The Permittee shall develop and implement an education program to inform users (including
employees) about the proper use of reclaimed water. Educational material shall be provided to all
residents and/or other facilities provided with reclaimed water, and these materials shall be
maI
ntained consistent with the reclaimed water uses.. All educational materials shall be made
available to the Division upon request.
14. In accordance with 15A NCAC 02U..0501, the Penhittee shall provided notification to the public
and/or employees about the use of reclaimed water, and that reclaimed water is not intended for
drinking. Such notification shall be provided to employees in a language they can understand.
15. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02U .0802 for any residuals from the reclaimed water systems that are not
returned to the wastewater treatment system.
16. Reclaimed water used for activities other than land application shall not be used in a manner that
causes exposure to aerosols.
17. Reclaimed water shall not be used for swimming pools, hot tubs, spas, or similar uses.
18. Reclaimed water shall not be used for direct reuse as a potable water supply.
WQ0010892 Version 3.1 Shell Version 140324 Page 4 of 7

IV. MONITORING AND REPORTING REQUIRMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
3. Flow through the reclaimed water generating facility shall be continuously monitored, and daily flow
values shall be reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall be capable of measuring flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year;
and maintained to • ensure- the accuracy -of - measurements -is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
.file for a period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The Permittee shall monitor the reclaimed water from the generating facility at the frequencies and
locations for the parameters specified in Attachment A.
5. The Permittee shall maintain adequate records tracking the amount of reclaimed water distributed to
each user and shall include the following information:
a. Date of reclaimed water distributed; and
b. Volume of reclaimed water distributed to each approved offsite user facility (monthly total).
Monthly tracking records for all users shall be sunned and reported on Form NDMR (see
Attachment A) under parameter WQ01 (Flow, Reclaimed Water Distributed). This value shall
represent the total volume of reclaimed water distributed to all users for that month.
6. A maintenance log shall be maintained at this facility. This log shall be maintained at.the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of treatment plant and plant site;
b. • Date of calibration of flow measurement device(s);
c. 'Record of preventative maintenance (e.g., changing/adjusting of equipment, pump and valve
maintenance, cross connection control, testing, inspections and cleanings, etc.; and
d. Record of all unpermitted releases of reclaimed water to surface water or land surface including
date of occurrence, estimated volume of release, cause, and corrective action taken.
7. Two copies of all effluent monitoring data and reclaimed water distribution data (as specified in
Conditions IV.3., IVA, and IV.5.) shall be submitted on Form NDMR for each PPI listed in
Attachment A. Two copies of all applicable data (as specified in Condition IV.5.) shall be submitted
on Form NDMR for each application listed in Attachment B. Reporting forms shall be submitted on
or before the last day of the following month. If no reclaimed water distribution activities occurred
during the monitoring month, monitoring reports documenting the absence of the -activity are still
required to be submitted. All effluent monitoring data shall be submitted to the following addresses:
WQ0010892 Version 3,1 Shell Version 140324 Page 5 of 7

V.
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina, 27699-1617
8. Noncompliance Notification:
Fayetteville Regional Office
Water Quality Regional Operations Section
225 Green Street, Systel Building Suite 714
Fayetteville, North Carolina 28301-5043
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
unpermitted release of reclaimed water to land surface greater than or equal to 5,000 gallons.
Unpermitted"releases less than 5,000 gallons to land surface shall be documented by the permittee
in accordance with Condition IV A but do not require Regional Office notification.
d. Any failure, due to known or unknown reasons, that renders the reclaimed water distribution
line(s) incapable of adequately transporting the reclaimed water (e.g., mechanical or electrical
failures, line blockages or breaks, etc.);
e. Any time self -monitoring indicates the facilities permitted herein have gone out of compliance
with the limitations contained in this permit.
£ Ponding in or runoff from the reclaimed water utilization sites.
Any emergency. requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following fast knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and reclaimed water generation and utilization facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and reclaimed water generation
and utilization facilities to prevent malfunction, facility deterioration and operator errors resulting in
discharges, which may cause the release of wastes to the environment, a threat to human health or a
public nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date
.and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken.
The Permittee shall maintain this inspection log for a period of five years from the date of the
inspection, and this log shall be made available to the Division upon request.
Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and reclaimed water
generation and utilization facilities permitted herein at any reasonable time for the purpose of
determining compliance with this permit; may inspect or copy any records required to be maintained
under the terms and conditions of this permit, and may collect groundwater, surface water or leachate
samples.
WQ0010892 Version 3.1 Shell Version 140324 Page 6 of 7

i
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application; Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance. of this permit. doesnot.exempt the Permittee from complying .with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular.. concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B *.0200 and 02H .0500; National Pollutant Discharge Elimination System (NPDES)
requirements under 15A NCAC 0211.0100, and documentation of compliance with Article 21 Part 6
of Chapter 143 of the General Statutes.
5. In the event the permitted facHifies change ownership or the Permittee changes their name, a written
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050).
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e) (3).
Permit issued this the 1st day of June 2014
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
r Tho as A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0010892
WQ0010892 Version 3.1 Shell Version 140324 Page 7 of 7

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001— Industrial Reclaimed Water Effluent to Distribution
Permit Number: WQ6010892 Version: 3.1
EFFLUENT
CHARACTERISTICS
EFFLUENT
LIMITS
MONITORING REQUIREMENTS
PCS
Code
parameter Description
p
Units of
Measure
Monthly Average
Monthly Geometric
Mean
Dail
Minimum
Dail
Maximum
Measurement
Frequency
Sample
Type
WQ01 .
Flow, Reclaimed Water Distributed
gallons
1
Continuous
Recording
00310
BOD, 5-Day (20 Deg. C)
mg/L
2/Month'-
Composite
00610
00530
31616
00076 1
Nitrogen, Ammonia Total (as N)
Solids, Total Suspended
Coliform, Fecal MF, M-FC Broth,44.5C
Turbidity
mg/L
mg/L
# / 100 mL
NTU
2/Month2
2/Month2
Composite
Composite
2/Month2
Grab
2/Month2
Grab
'Per 15A NCAC 2U .0301(c), reclaimed water produced by industrial facilities is not required to meet the criteria (treatment standards) in this Rule if the reclaimed water is used at the facility in an
industrial process and the area of use has no public access and does not result in employee exposure. In the event that expanded uses of reclaimed water are desired, it may be necessary to meet
specified effluent limits for Type 1 or Type 2 reclaimed water.
' 2/Month sampling frequency will only be during the months of April through October. During the remainder ofthe year, these parameters shall be monitored monthly.
WQ0010892 Version 3.1
Attachment A
v
Page 1 of 1

ATTACHMENT B - APPROVED RECLAIMED WATER USES
ONSITE-CONJUNCTIVE USES
Smithfield Farmland Corporation — Smithfield Farmland Corporation Tarheel Plant
Permit Number: WQ0010892 Version: 3.1
Site ID
Location Name
Owner
County
Latitude
Longitude
Approved Use
1
Smithfield Farmland Corporation
Tarheel Facility
Smithfield Farmland
Corporation
Bladen
34°44'50"
78048' l6"
Evaporative Condenser Cooling Water
*Per 15A NCAC 02T .1003 (a) (4), the reuse or return of wastewater within the treatment works of a permitted wastewater treatment system, including belt press wash -down
water, is deemed permitted
Note: Any additional reclaimed water utilization projects not listed in the above table will require prior approval from the Division of Water Resources. Notification shall be
provided to inform employees or the public of the use of reclaimed water (Non -Potable Water) in these systems, and the notification *shall state that the water is not
intended for drinldng.
WQ0010892 Version 3.1 Attachment B Page I of 1

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0010892 Facility Name: Smithfield Farmland Corporation
County: Bladen
Month:
Year:
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ❑ Groundwater towering ❑ Surrace water
Parameter Coda
'
31616
00610,-7
00076
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�s
Barber, Jim
From: Barber, Jim
Sent: Friday, March 02, 2018 5:01 PM
To: Doby, Troy
Cc: Thornburg, Nathaniel; Allen, Trent; Honeycutt, Tony
Subject: FW: Name change- Smithfield Tar Heel WQ001
Attachments: Review Request-WQOO1Q982,Reclaimed Water.pdf.
Troy; . v
The Fayetteville Regional Office (FRO) doesn't have any comments at this time regarding the -proposed name change for
Smithfield —Tar Heel plant. As noted on the bottom of the form, this permit will be up for renewal in a month or so. I
plan_to visit the Smithfield —Tar Heel facility next week or the following to collect sludge samples from the anaerobic
lagoons for.PFOA/PFOS/Dimer Acid (GenX) sampling. I'll do a. site visit with the ORC for the reclaimed water permit at
that time and prepare:a staff report and submit it when the. permit renewal request form is submitted to FRO.
Thanks
Jim Barber
Environmental Engineer
NCDEQ-DWR-WQRO
Fayetteville' Regional Office,
910=433-3340 voice
910486-6707 fax
jim.barber(a�ncdenr.gov -
E-mail correspondence to and from this m address -ay be subject to the -North Carolina Public Records Law and
may be disclosed to third parties.
WA Go Green! Print this email only when necessary.- Thank you for helping NCDENR be environmentally responsible.
1

G-
Division of Water�Resources
6CCU 4_.("7115
State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
February 21, 2018 ®EQ/DWR
To: AFRO=WQRQS Trend Allen /kMark Brantley
FEB - 2018
2
From: Troy Doby, Water Quality Perinitting.Section
-Non-Discharge Permitting Unit
WQROS
FAYMEVILLE REGIONAL OFFICE
Permit Number: WQ0010892
iPermit Typed Rec_1'aimdtWater _ " "
Applicant: Smithfield Fresh Meats Corp.-
Project Type: Change of Ownership
Owner Type: Organization
-Owner in BIMS? Yes
Facility Name: Tar Heel Plant
Facility in BIMS? Yes
Signature Authority: Donovan Owens
Title: General Manager
Address: PO Box 99, Tar Heel, NC 28392 .
-County: Bladen
Fee Category: Non -Discharge Minor..
Fee Amount: $0
Comments/Other Information:
Attached, you will find all. information submitted
in support -of the above -referenced applicationfor your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed.
® Return a completed staff report.
❑ Attach an Attachment B for Certification:
❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a.copy of this sheet, and
return it to the appropriate .Central Office Water Quality
Permitting Section contact person listed above.
RO-WQROS Reviewer: �l1 V'1
Date:.
A?/Z/L
FORM: WQROSNDARR 09-15 Page 1 of 1
I

Water Resources
ENVIRONMENTAL QUALITY
February 21, 2018
DONOVAN OWENS — GENERAL MANAGER
SMITHFIELD FRESH MEATS CORP.
PO Box 99
TAR HEEL, NORTH CAROLINA 28392
Dear Mr. Owens:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Acknowledgement of
Application No. WQ0010892
Tar Heel Plant
Reclaimed Water System
Bladen County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on February 21, 2018. Your application package has been assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
cc:
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
File WQ0010892
Nothing COnlpal'CSf h
State of North Carolina 1 Environmental Quality 1 Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center 1 Raleigh, North Carolina 27699-1617
919-807-6332

State of North Carolina
Department of Environmental Quality
Division of Water Resources
. NON -DISCHARGE PERMIT OWNERSHIP/NAME CHANGE
"'Dlvlslon of Water Resources INSTRUCTIONS FOR FORM: NDPONC 06-16 & SUPPORTING DOCUMENTATION
This form is for ownership changes. or name changes of a non -discharge system permit. Please note that "Permitiee"
references the existing permit holder, and that "Applicant" references the entity applying for the ownership/name change.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
A. No -Discharge Permit Ownership/Name Change (FORM: NDPONC 06-16) Application (All Applications):
Submit an original completed and appropriately executed Non -Discharge Permit Ownership/Name Change (FORM: NDPONC
,/ 06-16) application.
l� The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T
.0106 c , an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC 02T .0106(b).
p�The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria
in 15A NCAC 02T .0I06(b).
B. Existing Permit (All Applications):
Submit a copy of the most recently issued permit.
C. Property Ownership Documentation (All Applications):
➢ Per 15A NCAC 02T .0504(f), 15A NCAC 02T .0604(e), 15A NCAC 02T .0704(fl, 15A NCAC 02T .0804, 15A NCAC 02T
.1004 d , 15A NCAC 02T .1104(d)(7), 15A NCAC 02T .1104(e)(5'), 15A NCAC 02U .0201(e) or 15A NCAC 02U .0202(fl,
the f-lpplicant shall demonstrate they are the owner of all pr eutaining—the non -discharge system facilities:
U Legal documentation of ownership (i.e., GIS, deed o article of incorpoialion or
tJM Written notarized intent to purchase agreement sign both ' a plat or survey map, or
lA0 Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both
parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107.
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility):
XPer 15A NCAC 02T .0115L,L, provide one copy of the Certificate of Public Convenience and Necessity from the North
1 Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
i• by the non -discharge system.
E. Operational Agreements (All Applications where the Applicant'is a Home/Property Owners' Association or Developer of lots to
be sold):
➢ ome/Pro er Owners' Associations
Per 15A NCAC 02T .0115(c), submit an original properly executed Operational Agreement (FORM: HOA).
Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws.
➢\ Developers of lots to be sold
N - N Per 15A NCAC 02T .0115(b), submit an original of the properly executed Operational Agreement (FORM: DEV).
F. Qperation and Maintenance Agreement (All Applications for Single -Family Wastewater Irrigation Systems):
Per 15A NCAC 02T .0604(h), submit an original of a notarized Operation and Maintenance Agreement (FORM: SFRWWIS
&M) that has been signed and dated by all deeded property owners.
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO -
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUAIM��vDI�C��I��
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION FEB 2 1 Zola
NON -DISCHARGE PERMITTING UNIT
Non-Discharge
By U.S. Postal Service: By Courier/Special D,e1,hMdn ing Unit
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA.27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: NDPONC 06-16 & SUPPORTING DOCUMENTATION Page 1 of 1

State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE PERMIT OWNERSHIP/NAME CHANGE
`Division of Water Resources FORM: NDPONC 06-16
I: EXISTING PERMITTEE INFORMATION:
1. Permittee's name: Smithfield Farmland Corporation - Tar Heel Division
2. Signature authority's name: Kyle Narron per 15A NCAC 02T .0106(b) Title: General Manager
3. Permittee's mailing address: PO Box 99
City: Tar Heel State: NC Zip: 28392-
4. Permittee's contact information: Phone number: 910 862-7675 Email Address: [e-mail]
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Permittee or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
U. FACILITY INFORMATION:
1. Facility name: Smithfield Fresh Meats Corp..
2. Facility's physical address: 15855 Highway 87 West
City: Tar Heel State: NC Zip: 28392- County: Bladen
III. PERMIT INFORMATION:
1. Existing permit number: WQ0010892 and most recent issuance date: June 1.2014
2. Existing permit type: Conjunctive Reclaimed Water Utilitization
3. Reason for the permit application: Change of Ownership
4. Has the facility been constructed? ® Yes or ❑ No
IV. APPLICANT INFORMATION:
1. Applicant's name: Smithfield Fresh Meats Co
2. Signature authority's name: Donovan Owens per 15A NCAC 02T .0106(b) Title: General Manager
3. Applicant's mailing address: PO Box 99
City: Tar Heel State: NC Zip: 28392-
4. Applicant's contact information: Phone number: 910 862-7675 Email Address: [e-mail]
5. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.613? ❑ Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
FORM: NDPONC 06-16 Page 1 of 2

Existing Permittee's Certification per 15A NCAC 02T .0106(b):
I L (,M k.P_aJ fJ �� " attest that this application for
(Signature Authority's name & title from Application Item I.2.)
SV\ �T�-t�t � ;WIAL-MA�
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the.Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete. I further certify that the existing Permittee or any affiliate has not been convicted of an
environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where
all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual
fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation. j
Signature: iu, Date:
Applicant's Certification per 15A NCAC 02T .0106(b):
attest that this application for
(Signature Authority's name & title from Application Item IV.2.)
(Facility name from Application Item H.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete. I further certify that the Applicant or any affiliate has not been convicted of an environmental
crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have
been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees per 15A
NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civ' penalt� up $25,000 per violation.
Signature: Date. �7_ A,
FORM: NDPONC 06-16 Page 2 of 2

AL
IWDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 1, 2014
Kyle Narron — General Manager
Smithfield Farmland Corporation
Post Office Box 99
Tar Heel, North Carolina 28392
John E. Skvarla, III
Secretary
Subject: Permit No. WQ0010892
Smithfield Farmland Corporation
Tarheel Division
Wastewater Treatment and
Conjunctive Reclaimed Water_
Utilization System
Bladen County
Dear Mr. Narron:
In accordance with your permit name change request received May 28, 2014, we are forwarding
herewith Permit No. WQ0010892 dated June 1, 2014, to the Smithfield Farmland Corporation for the
continued operation of the subject wastewater treatment and conjunctive reclaimed water generation and
utilization facilities.
Please note the Permittee has been changed from the Smithfield Packing Company, Inc. to the
Smithfield Farmland Corporation.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit
No. WQ0010892 issued November 22, 2013, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B for they may differ from the previous permit issuance. Failure to establish an adequate system for
collecting and maintaining the required operational information shall result in future compliance
problems.
For your convenience, customized electronic copies of your facility's NDMR reporting forms are
available for download at: hint ://i)ortaI.nedenr.or /web/wq/aps/lau/reporting.
Please note the following permit conditions are new or have been modified since the last
permit issuance:
➢ Condition III,6. —a qualified system operator must be on call 24 hours a day
➢ Condition M.8. — a means must be established to prevent improperly treated wastewater
from entering the reuse system
➢ Condition I11,10. —public access to the utilization sites must be controlled during distribution
➢ Condition III.12. —the NPDES system must be used to discharge non -compliant effluent
1636 Mail Serv'lie Center, Relel h, North Carolina 27699-1636
Phone; 919-807-64641 Internet, htV//nortal.ncdenr.00r bhva
An Equal Opportunity 1 Affirmative Actlon Employer— Made in pal wilh recycled paper

Mr. Kyle Narron
June 1, 2014
Page 2 of 2
➢ Condition IV.5. — records must be kept of the amount of reuse water distributed
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If you need additional information concerning this matter, please contact David Goodrich at (919)
807-6352 or by email at [e-mail].
Sincerely,
ljor T mas A. Reeder, Director
Division of Water Resources
cc: Bladen County Health Department
Fayetteville Regional Office, Water Quality Regional Operations Section
Permit File WQ0010892
Notebook File WQ0010892

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
CONJUNCTIVE RECLAIMED WATER GENERATION AND UTILIZATION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
. . PERMISSION IS HEREBY GRANTED TO
Smithfield Farmland • Corporation
Bladen County
FOR THE
continued operation of a reclaimed water distribution systemwhich will allow the reuse of the treated
industrial wastewater (NPDES Permit No. NC0078344) for the uses outlined in Appendix B;
to -serve the Smithfield Farmland Corporation, with no discharge of wastes to surface waters,•pursuant to
the application received May 28, 2014 and in conformity with the project plans, specifications, and other
supporting data subsequently filed and approved by the Department of Environment "and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit No.
WQ0010892 issued November 22, 2013, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months.piior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
H. PERFORMANCE STANDARDS
1. All reclaimed water shall meet the Reclaimed Water Quality Standards of Rule 15A NCAC 02U
.0301 (b), as applicable. Applicability is defined in Attachments A and B of this permit.
2. The subject reclaimed water facilities shall be effectively maintained and operated at all times so
there is no discharge to surface waters, nor any contravention of groundwater or surface water
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the utilization areas to
WQ0010892 Version 3,1 Shell Version 140324 Pagel of 7

adequately assimilate the reclaimed water, the Pernittee shall take immediate corrective actions
including Division required actions, such as the construction of additional or replacement reclaimed
water utilization facilities or cessation of reclaimed water utilization activities.
3. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
4. This permit allows all or part of the reclaimed water authorized under this permit to be discharged
into the Permittee's wastewater treatment facilities separately authorized under NPDES Permit No.
NC0078344, if all the conditions of NPDES Permit No. NCO078344 are met. This authorization of
reclaimed water diversion does not alter the existing limits contained in NPDES Permit No.
N00078344 including, but not limited to, production limitation.
5. Effluent limitations for generated reclaimed water shall not exceed those specified in Attachment A.
6. Reclaimed water generation facilities producing Type 2 reclaimed water, as defined in 15A NCAC
02U .0301,- shall provide dual -disinfection methods consisting of ultraviolet disinfection and
chlorination, or equivalent dual disinfection processes.
7. Reclaimed water may only be distributed to the sites / uses listed in Attachment B without prior
approval by the Division of Water Resources.
8. The conjunctive use of reclaimed water permitted herein in no way negates, precludes, or invalidates
the most recent reissuance of the Permittee's NPDES permit (Permit No. NC0078344), and the
Permittee shall continue to comply with all conditions provided for therein.
9. The following shall be requirements for. the reclaimed water utilization facilities:
a. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone
522) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER --
DO NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall be at least three.inches wide and have white or black lettering on
purple (i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER — DO NOT
DRINK." Identification tape shall be installed on reclaimed water pipelines in a visible
manner, fastened at least every 10 feet to each pipe length and run continuously the entire
length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing
reclaimed water shall be taped or otherwise identified as noted above. This identification
need not extend the entire length of the distribution system, but shall be incorporated within
10 feet of crossing any potable water supply line or sanitary sewer line.
c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated by a tool may be placed above
ground and labeled as non -potable water.
WQ0010892 Version 3.1 Shell Version 140324 Page 2 of 7

10. No direct cross -connections shall be allowed between reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406.
11. The reclaimed water shall not be used for irrigation within the fenced area of the wastewater
treatment facility.
12. The Compliance Boundary for the disposal system is specified by regulations 15A NCAC 2L,
Groundwater Classifications and Standards. The Compliance Boundary is for the disposal system
constructed after December 31, 1983 and is established at either (1) 250 feet from the waste disposal
area, or (2) 50 feet within the property boundary, whichever is closer to the waste disposal area. An
exceedance of Groundwater Quality Standards at or beyond the Compliance Boundary is subject to
immediate remediation action in addition to the penalty provisions applicable under General Statute
143-215.6A(a)(1).
13. In accordance with 15A NCAC 2L, a Review Boundary is established around the disposal system
midway between the Compliance Boundary and the perimeter of the waste disposal area. Any
exceedance of standards at the Review Boundary shall- require remediation action on the part of the
Pernuttee.
14. The Permittee shall apply for a permit modification to establish a new. compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
15. hi accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g).
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The reclaimed water systems shall be properly maintained and operated at all times.' The systems
shall be effectively maintained and operated as a non -discharge system to prevent the discharge of
any reclaimed water or partially treated effluent resulting from the operation of the systems, unless
the conditions and limitations of NPDES Permit No. NCO078344 are met
2. The onsite reuse water system shall be operated in accordance with the 15A NCAC 02T .0900
regulations.
3. The domestic (sanitary) wastewater shall remain separate from the reclaimed water system.
4. The Permittee shall maintain an Operation and Maintenance Plan pursuant to 15A NCAC 02U .0801,
which at a minimum shall include the following:
1. Description of the system in sufficient- detail to show what operations are necessary for the
system to function and by whom the functions will be conducted;
2. A map of all distribution lines and record drawings of all utilization systems under the
Permittee's control;
3. Description of anticipated maintenance activities;
4. Include provisions for safety measures including restriction'of access to sites and equipment; and
5. Spill control provisions including response to upsets and bypasses including control, containment,
remediation, and contact information for plant personnel, emergency responders and regulatory
agencies.
WQ0010892 Version 3.1 Shell Version 140324 Page 3 of 7

5. Upon the Water Pollution Control - System .Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 080 .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. At the time of this permit issuance, a certified ORC is not required for
conjunctive reclaimed water users.
6. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day.
7. Only reclaimed water generated at the Smithfield Farmland Corporation (Permit No. WQ0010892 /
NC0078344) shall be utilized in accordance with this permit.
8. An automatically activated standby- power source or other means to prevent improperly treated
wastewater from entering the storage, distribution, or utilization system shall be provided.
9. Public access to the reclaimed water generation facilities shall be prohibited.
10. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
controls may include the posting of signs showing. the activities being conducted at each site.
11. Diversion or bypassing of untreated or partially treated wastewater from the .treatment facilities is
prohibited unless diverted to an alternate treatment or collection system.
12. Effluent shall be discharged in accordance with Permit No. NCO078344 if the limit for fecal coliform
(e.g., daily maximum concentration of 25 colonies per 100. mL) or turbidity` (e.g., instantaneous
maximum of 10 NTU) is exceeded, until such time as the reclaimed water standards are met at the
generating facility.
13. The Permittee shall develop and implement an education program to inform users (including
employees) about the proper use of reclaimed water. Educational material shall be provided to all
residents and/or other, facilities provided with reclaimed water, and these materials shall be
maintained consistent with the reclaimed water uses.. All educational materials shall be made
available to the Division upon request.
14. In accordance with 15A NCAC 02U .0501, the Permittee shall provided notification to the public'
and/or employees about the use of reclaimed water, and that reclaimed water is not intended for
drinking. Such notification shall be provided to employees in a language they can understand.
15. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02U .0802 for any residuals from the reclaimed water systems that are not
returned to the wastewater treatment system.
16. Reclaimed water used for activities other than land application shall not be used in a manner that
causes exposure to aerosols.
17. Reclaimed water shall not be used for swimming pools, hot tubs, spas, or similar uses.
18. Reclaimed water shall not be used for direct reuse as a potable water supply.
W00010892 Version 3.1 Shell Version 140324 Page 4 of 7

IV. MONITORING AND REPORTING RE(QUIRMENTS
1. Any Divisioni required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per 15A NCAC 02H .0800, a Division certified Iaboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
3. Flow through the reclaimed water generating facility shall be continuously monitored, and daily flow
values shall be reported on Form NDMR.
The Penmince shall install and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall be capable of measuring flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a minimum of once per year;
and maintained to • ensure- the accuracy -of -measurements -is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
.file for a period of at least five years.: At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The Permittee shall monitor the reclaimed water from the generating facility at the frequencies and
. locations for the parameters specified in Attachment A.
5. The Permttee shall maintain adequate records tracking the amount of reclaimed water distributed to
each user and shall include the following information:
a. Date of reclaimed water distributed; and
b. Volume of reclaimed water distributed to each approved offsite user facility (monthly total).
Monthly tracking records for all users shall be summed and reported on Form NDMR (see
Attachment A) under parameter WQO1 (Flow, Reclaimed Water Distributed). This value shall
represent the total volume of reclaimed water distributed to all users for that month.
6. A maintenance log shall be maintained at this facility. This log shall be maintained at. the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of treatment plant and plant site;
b. - Date of calibration of flow measurement device(s);
c. 'Record of preventative maintenance (e.g., changing/adjusting of equipment, pump and valve
maintenance, cross connection control, testing, inspections and cleanings, etc.; and
d. Record of all unpermitted releases of reclaimed water to surface water or land surface including
date of occurrence, estimated volume of release, cause, and corrective action taken.
7. Two copies of all effluent monitoring data and reclaimed water distribution data (as specified in
Conditions IV.3., IVA. and IV.5.) shall be submitted on Form NDMR for each PPI listed in
Attachment A. Two copies of all applicable data (as specified in Condition IV.S.) shall be submitted
on Form NDMR for each application listed in Attachment B. Reporting forms shall be submitted on
or before the last day of the following month. If no reclaimed water distribution activities occurred
during the monitoring month, monitoring reports documenting the absence of the - activity are still
required to be submitted. All effluent monitoring data shall be submitted to the following addresses:
WQ0010892 Version 3.1 Shell Version 140324 Page 5 of 7

V.
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina, 27699-1617
8. Noncompliance Notification:
Fayetteville Regional Office
Water Quality Regional Operations Section
225 Green Street, Systel Building Suite 714
Fayetteville, North Carolina 28301-5043
The Permittee shall report by telephone to the Fayetteville Regional Office, telephone number (910)
433-3300, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
unpermitted release of reclaimed water to land surface greater than or equal to 5,000 gallons.
Unpermitted'releases less than 5,000 gallons to land surface shall be documented by the pemnittee
in accordance with Condition IV.6. but do not require Regional Office notification.
d. Any failure, due to known or unknown reasons, that renders the reclaimed water distribution
line(s) incapable of adequately transporting the reclaimed water (e.g., mechanical or electrical
failures, line blockages or breaks, etc.);
e. Any time self -monitoring indicates the facilities permitted herein have gone out of compliance
with the limitations contained in this permit.
f. Ponding in or runoff from the reclaimed water utilization sites.
Any emergency. requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or -[phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
INSPECTIONS
1, The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and reclaimed water generation and utilization facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and reclaimed water generation
and utilization facilities to prevent malfiniction, facility deterioration and operator errors resulting in
discharges, which may cause the release of wastes to the environment, a threat to human health or a
public nuisance. The Permittee shall maintain an inspection log that includes, at a nunimum, the date
.and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken.
The Permittee shall maintain this inspection log for a period of five years from the date of the
inspection, and this log shall be made available to the Division upon request.
3. Any duly, authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and reclaimed water
generation and utilization facilities permitted herein at any reasonable time for the purpose of
determining compliance with this permit; may inspect or copy any records required to be maintained
under the terns and conditions of this permit, and may collect groundwater, surface water or leachate
samples.
WQ0010892 Version 3.1 Shell Version 140324 Page 6 of 7

VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions. of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application; Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance. of this permit. does.not.exempt the Permittee from complying .with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional goveinment agencies
_,..... (e.g., local, state, and federal). Of particular.. concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 0213 '.0200 and 02H .0500; National Pollutant Discharge Elimination System (NPDES)
requirements under 15A NCAC 02H .0100, and documentation of compliance with Article 21 Part 6
of Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Pernttee changes their name, a written
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050),
8. This permit is subject to revocation or unWateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Pemuttee.exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e) (3).
Permit issued this the 1st day of June 2014
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
, ffr ThgKas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Comnussion
Permit Number WQ0010892
WQ0010892 Version 3.1 Shell Version 140324 Page 7 of 7

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001— Industrial Reclaimed Water Effluent to Distribution
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
PCs
Code
Parameter Description
Units of
Measure
Monthly Average
Monthl Y Geometric
Mean
WQ01
Flow, Reclaimed Water Distributed
gallons
00310
BOD, 5-Day (20 Deg. C)
mg/L
00610
Nitrogen, Ammonia Total (as N)
mg/L
00530
Solids, Total Suspended
mg/L
31616
Coliform, Fecal MF, M-FC Broth,44.5C
# / 100 mL
00076
Turbidity
NTU
Permit Number: WQ0010892 Version: 3.1
Daily I Daily
Minimum Maximum
MONITORING REQUIREMENTS
Measurement
Frequency
Sample
Type
Continuous
Recording
2/Month2
Composite
2/Month'
Composite
2/Month'
Composite
2/Month'
Grab
2 month'
Grab
' Per 15A NCAC 2U .0301(c), reclaimed water produced by industrial facilities is not required to meet the criteria (treatment standards) in this Rule if the reclaimed water is used at the facility in an
industrial process and the area of use has no public access and does not result in employee exposure. In the event that expanded uses of reclaimed water are desired, it may be necessary to meet
specified effluent limits for Type I or Type 2 reclaimed water-
2 2/Month sampling frequency will only be during the months of April through October. During the remainder of the year, these parameters shall be monitored monthly.
WQ0010892 Version 3.1 Attachment A
Page I of 1

ATTACHMENT B - APPROVED RECLAIMED WATER USES
ONSITE-CONJUNCTIVE USES
Smithfield Farmland Corporation — Smithfield Farmland Corporation Tarheel Plant
Permit Number: WQ0010892 Version: 3.1
Site ID Location Name Owner County Latitude Longitude Approved Use
Smithfield Farmland Corporation Smithfield Farmland
1 Tarheei Facility Corporation Bladen 34°44'50" 78048'16' Evaporative Condenser Cooling Water
*Per 15A NCAC 02T .1003 (a) (4), the reuse or return of wastewater within the treatment works of a permitted wastewater treatment system, including belt press wash down
water, is deemed permitted
Note: Any additional reclaimed water utilization projects not listed in the above table will require prior approval from the Division of Water Resources. Notification shall be
provided to inform employees or the public of the use of reclaimed waxer (Non -Potable Water) in these systems, and the notification -shall state that the water is not
or drinking.
intended f
WQ0010892 Version 3.1
Attachment B
Page I of 1

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) ii partP „E

Weaver, Tim
From: Harris, Robert
Sent: Tuesday, February 06, 2018 9:13 AM
To: Weaver, Tim
Subject: FW: Legal docs name change
Attachments: image001.jpg; ATT00001.htm; image004.jpg; ATT00002.htm; FEIN Smithfield Fresh Meats
Corp.pdf, ATT00003.htm; W9 w 200 Commerce Str'address.pdf; ATT00004.htm
From: Bailey, Keith
Sent: Monday, January 08, 201812:50 PM
To: Harris, Robert <[e-mail]>; Bowen,, Frederick <fbowen@smithfield:com>; Prentice, Charlie
<[e-mail]>; Strong, Kerry B. <[e-mail],m>; McAuley, Pam <[e-mail]>,
Barnett, Joseph W. <[e-mail]>; Park, Christy <[e-mail]>; Meyer, John
<[e-mail]>
Subject: Fwd: Legal docs name change .
See federal tax ID number below.
Keith Bailey
Smithfield Foods , Inc
757 613 1283.
Begin forwarded message:
From: "Saunders, Kelly" <ksaunders(a,smithfield.c6m>
Date: January 8, 2018 at 12:41:00 PM EST
To: 'Bailey, Keith" <kbaileyna smithfield.com>
Cc: "Meyer, John" <jwmeyer(a,smithfield.com>
Subject: RE: Legal docs name change
Smithfield Fresh Meats Corp. tax id number is 304010290
Smithfield Packaged Meats Corp. tax id number is 36-2332471
Kelly N. Saunders
Paralegal

11/29/2017 11:01:43 AM -0600 IRS
PAGE 2 OF 2
Q1Department of the Treasury
Internal Revenue Service
Ogden, UT 84201
SMITHFIELD FRESH MEATS CORP
4225 NAPERVILLE RD STE 600
LISLE IL 60532
Taxpayer Identification Number: 30-1010290
Form(s):
Dear Taxpayer:
In reply refer to: 0248865240
Nov 29, 2017 LTR 147C
30-1010290
Thank you for your telephone inquiry of November 29th, 2017.
Your Employer Identification Number (EIN) is 30-1010290. Please keep this letter in your
permanent records. Enter your name and your EIN on all business federal tax forms and on
related correspondence.
If you have any questions regarding this letter, please call our Customer Service Department at
1-800-829-0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us
at the address. shown at the top of the first page of this letter. When i you write, please include a
telephone number where you may be reached and the best time to call.
Sincerely,
Ms. Norman
1000739068
Customer Service Representative

Delaware-... Page
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAURRE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF INCORPORATION OF "SffX=FIELD FRESH
MEATS CORP.", FILED IN THIS OFFICE ON THE SIXTH DAY OF
NOVEMBER, A.D. 2017, AT 2:27 O'CLOCK P.M.
AND I DO HREBY Fi7RTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF INCORPORATION IS THE EIGHTH DAY OF
NOVEMBER, A.D. 2017 AT 12:01 O'CLOCK A.M.
A FILED COPY OF THIS CERTIFICATE HAS BEEN FORWARDED TO THE
NEW CASTLE COUNTY RECORDER OF DEEDS.
6605607 8100 All
SR# 20176947282
You may verify this certificate online at corp.delaware.gov/authver.shtml
away w. ew�cP.s�,„q oa sfae
Authentication: 203529372
Date: 11-07-17

State of Delaware
Seeretary of State
Dhhlon of Corporations
Delhered 01:27Pi1111f0612017
FILED 02:27PA111/0611017 CERTIFICATE OF,INCORPORATION
SR 20176947282 - File Number 6605607
OF
SMITHFIELD FRESH MEATS CORP.
ARTICLE FIRST
The name of the corporation is Smithfield Fresh Meats Corp. (the "Corporation').
ARTICLE SECOND
The address of the Corporation's Registered Office in the State of aelaware is 1209 Orange
Street, .Corporation Trust Center, in the City of Wilmington, County of New Castle, State of
Delaware, 19801. The name of the Registered Agent at such address is The Corporation Trust
Company,
ARTICLE THIRD
The purpose of the Corporation is to engage in any lawful act or activity for which
corporations may be organized under the General. Corporation Law of Delaware, but the
Corporation is not formed to engage in any act or activity_ requiring the consent or approval of any
state or federal official, .department, board, agency or other- body without such consent or approval
first being obtained.
ARTICLE FOURTH
The total number.of shares of capital stock of the Corporation. which the Corporation shall
have authority to issue is 1,000 shares, with no par -value.
ARTICLE FIFTH
A. The business and affairs of the Corporation shall be managed. by or under the
direction of a board of directors (the "Board'), except as may be otherwise provided in the
Delaware General Corporation Law or in this Certificate of Incorporation. If any such provision
is made in this Certificate of Incorporation, the powers and duties conferred or imposed upon the
Board by the Delaware General Corporation law shall be exercised or performed to such extent
and by such person or persons as shall be provided for in this. Certificate of Incorporation.
B. Unless and except to the extent that the Bylaws of the Corporation shall be so
required, the election of directors of the Corporation need not be by written ballot..

ARTICLE SIXTH
The name and mailing address of the•incorporator is:
N4ichael H. Cole
c/o Smithfield Foods, Inc.- ... -
200 Commerce Street
Smithfield, Virginia 23430
ARTICLE SEVENTH
The Board is expressly authorized to make, alter, or repeal Bylaws of the Corporation but
the stockholders may make additional Bylaws and may alter or repeal any Bylaw whether adopted
by them or otherwise.
ARTICLE EIGHTH
Whenever a compromise or arrangement is proposed between the. Corporation and its
creditors or any class of them and/or between the: Corporation and its stockholders or any class of
them, any court of equitable jurisdiction within the State of Delaware may, on the application in a
summary way of the Corporation or of any creditor or stockholder thereof, or on the application
of any receiver or receivers appointed for the Corporation under the provisions of Section 291 of
the Delaware General Corporation Law or on the application of trustees in dissolution or of any
receiver or receivers appointed for the Corporation under the provisions of Section 279 of the .
Delaware General Corporation Law order a meeting of the creditors or class of creditors, and/or
of the stockholders or class of stockholders of the Corporation, as the case may be, to be summoned
in such manner as the said court directs. If a majority in number representing three -fourths (3/4)
in value of the creditors or class of creditors, and/or of the stockholders or class of stockholders of .. .. ..
....
the Corporation, as the case may be, agree to any compromise or arrangement and to any
reorganization -of the Corporation as a consequence of such compromise or arrangement, the said
compromise or arrangement and the said reorganization shall, if sanctioned by the court to which
the said application has been made, be binding on all the creditors or, class of creditors, and/or on
all the of the stockholders or class of stockholders, ofthe Corporation, as the case may be, and also
on the Corporation.
ARTICLE NRM
No director of the Corporation .shall be liable to the Corporation or its stockholders for .
monetary damages for breach or breaches of fiduciary duties as a director, provided that the
provisions of this article shall not eliminate or limit the liability of a director (i) for any breach of _
the director's duty of loyalty to the Corporation or its stockholders, (ii) for acts or omissions not
in good faith or which involve intentional misconduct or a knowing violation of the law, (ill) under
Section 174 of the Delaware General Corporation Law, or (iv) for any transaction for which the
director derived an improper personal benefit. The Corporation shall, to the fullest extent permitted
by Section 145 of the Delaware General Corporation Law, as the same may hereafter be amended .. • • .
2

or supplemented, indemnify any and all directors, officers, employees and agents of the
Corporation whom it shall have power to indemnify under such Section from and against any and
all expenses (including attorneys' fees), judgments, fines, amounts paid in settlement and other
liabilities in respect of all matters referred to in or covered by such Section. The indemnification
provided for herein shall not be deemed exclusive of any. other rights to which those indemnified
may be entitled under any bylaw, agreement, vote of stockholders or disinterested directors, or
otherwise, and shall continue as to a person who has ceased to be a director, officer, employee or
agent and shall inure to the benefit of the heirs, executors, administrators and personal
representatives .of such director, officer, employee or agent. No amendment to or repeal of this
Article NINTH shall apply to or have any effect on the liability or alleged liability of any person
for or with respect to any acts or omissions of such person occurring prior to such amendment or
repeal. -
ARTICLE TENTH
This Certificate of Incorporation shall be effective as of 12:01-a.m., Eastern Time, on
November.8, 2017.
[Signature Page Follows]
.3 .

Central Files: APS _ SWP
2/21/2018
Permit Number WQ0070892 Permit Tracking Slip
Program Category
Status
Project Type
Non -discharge
In review
Minor modification
Permit Type
Version
Permit Classification
Reclaimed Water
D
Individual
Primary Reviewer Permit Contact Affiliation
lroy.doby Tim Weaver
Coastal SWRule
• PO Box 99
Tar Heel. NC 28392
Permitted Flow
2,100,060
Facility
Facility Name MajorlMirior Region
Smithfield Farmland Corporation-Tarheel Division • Minor Fayetteville
Location Address County
15855 NC Hwy 97 E Bladen
Facility Contact Affiliation
Tar Heel NC 28392 Robert P. Harris Jr.
15855 Hwy 87 W
Owner Tar Heel NC 28392
Owner Name _ Owner Type
Smithfield Fresh Meat Corp Non-Govemment
Owner Affiliation
Donovan Owens
General Manager
PO Box 99.
Dates/Events Tar Heel NC 28392
Scheduled
Orig Issue App Received Draft Initiated Issuance . Public Notice Assue Effective Expiration
12128/1995 2/21/2018
Regulated Activities _ -. Requested /Received Events
Domestic, other v Region comments on draft requested ,
Meat processing & rendering Region comments on draft received
Well Construction RO staff report received
RO staff report requested 2121/18
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

State of North Carolina
Department of Environmental Quality
PW--.RDivision of Water Resources
- NON -DISCHARGE PERMIT OWNERSHIP/NAME CHANGE
Division of Water Resources INSTRUCTIONS FOR FORM: NDPONC 06-16 & SUPPORTING DOCUMENTATION
This form is for ownership changes or name changes of a non -discharge system permit. Please note that "Permtttee"
references the existing permit holder, and that "Applicant" references the entity applying for the ownership/name change.
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
A. No -Discharge Permit Ownership/Name Change (FORM: NDPONC 06-16) Application (All Applications):
[+Submit an original completed and appropriately executed Non -Discharge Permit Ownership/Name Change (FORM: NDPONC
06-16) application.
pl' The Existing Permittee's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per.15A NCAC 02T
.0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a person who
meets the criteria in 15A NCAC 02T .010&M.'
U911"The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(h). Per 15A NCAC 02T .0106('c), an
alternate person may he designated as the signing official if a delegation letter is provided from a person who meets the criteria
in 15A NCAC 02T .0106(b).
B. Existing Permit (All Applications):
LT Submit a copy of the most recently issued permit.
C. Property Ownership Documentation (All Applications):
➢ Per 15A NCAC 02T .0504(I), 15A NCAC 02T .0604(e), 15A NCAC 02T .0704(f), 15A NCAC 02T-.0804, 15A NCAC 02T
.1004(d 15A NCAC 02T .11041'd)(7), 15A NCAC 02T .1104(e)('5); 15ANCAC 02U .0201(e) or 15A NCAC 02U .0202(f),
thef�pplicant shall demonstrate they are the owner of all pr y c� g the non -discharge system facilities:
Er Legal documentation of ownership (i.e., GLS, deed o article of incorpora ion or
t� Written notarized intent to purchase agreement sign ' both awith a plat or survey map, or
jAp Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both
parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of.15A NCAC-02L .0107.
D. Certificate of Public Convenience and Necessity (All Applications where the Applicant is a Privately -Owned Public Utility):
Per 15A NCAC 02T .0115(a)(1), provide one copy of the Certificate of Public Convenience and Necessity from the North
Carolina Utifities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
E. Operational Agreements (All Applications where the Applicant'is a Home/Property Owners' Association or Developer of lots to
be sold):
➢ ome/Pro a Owners' Associations
Per 15A NCAC 02T_.0l 15(c), submit an original properly executed Operational Acreement (FORM:-HOA).
N�� Per 15A NCAC 02T .0115(c), submit an original proposed or approved Articles of Incorporation, Declarations and By-
laws.
➢\Developers of lots to be sold
�)"A- Per 15A NCAC 02T .0115(b); submit an original of the properly executed Oorational Acreement•(FORM: DEV).
F. Qperation and Maintenance Agreement (All Applications for Single -Family Wastewater Irrigation Systems):
CK Per 15A NCAC 02T .0604(h), submit an original of a notarized Operation and Maintenance Agreement (FORM: SFRWWIS
&M that has been signed and dated by all deeded property owners.
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO --
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUAI ENEDINCD'EUNR
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION FEB 2 12019
NON -DISCHARGE PERMITTING UNIT
Non-Dischargen
By U.S. Postal Service: By Courier/Special Ding Unit
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.-
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: NDPONC 06-16 & SUPPORTING DOCUMENTATION Page 1 of I

6
State .of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE PERMIT OWNERSHIPINAME CHANGE
' Division of Water Resources FORM: NDPONC 06-16
L EXISTING PEPJVHT 'EE INFORMATION:
1. Permittee's name: Smithfield Farmland Corporation,- Tar Heel Division
2. Signature authority's name: K le Tarr n. per 15A NCAC 02T .0106(b), Title:: General.Manaaer
3. Permittee's mailing address: PO Box 99 6 l A (j r; j., 5
City. Tar Heel State: NC Zip: 28392-
4, Permittee's contact information: Phone number. (210a 8�i2-7675 Email Address:.)[e-mail]:
5. Demonstration of historical consideration for permit approval —15A NCAC 02T..0120:
Has the Perm ittee or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with,15A NCAC 02T .0105(e)(2)? ❑ Yes or ®No
11L FACILITY INFORMATION:
1. Facility name: Smithfield Fresh Meats Corn::.
2. Facility's physical address:,15855 Highway, 87 West
City: Tar Heel State: NC Zip: 28392- County: Bladen
M. PERIVM INFORMATION:
1. Existing permit number- WQ0010892 and most recent_issuance date: -June 1, 2014 -
2. Existing permit type: Conjunctive Reclaimed Water Utilitization
3. Reason for the permit application: Change of Ownership.
4. Has the facility been constructed? ® Yes or. ❑-No
IV. APPLICANT INFORMATION:
1. Applicant's name:.Smithfield Fresh Meats Corn
2. Signature authority's name:: Donovan Owens, per 15A NCAC 02T .0106(b)` Title:; General. Manager,
3. Applicant's mailing address: PO Box 99
City: Tar Heel State: NC. Zip: 28392-
4. Applicant's contact information: Phone number: 10 862-1675 Email Address: [e-mail]
5. - Demonstration of historical consideration for permit approval —15A NCAC 02T .0120:,
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S.141215.6B? [I Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge, permit, settlement agreement or order? ❑ Yes. or ® No
e. Has unpaid annual fees. in accordance with.15A-NCAC 02T .0105(e)(2)? ❑ Yes or.® No
FORM: NDPONC 06-16
Page 1 of 2

Existing Permittee's Certification per 15A NCAC 02T .0110(6,`,.(bb I::
I, Q LE +� A P P-M) .1 6E� U MAi`J �-"' a attest that this application for
(Signature Authority's name & title from Application Item I.2.)
(Facility name from Application Item 11.1.)
has been reviewed by me and is accurate and complete to the. best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief; and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of the existing permit be violated. I also understand that if all required parts of this
application package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete. I further certify that the existing Permittee or any affiliate has not been convicted of an
environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where
all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual
fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000, as well as civil penalties up to $25,000 per violation.
Signature: �C Date• 2`$'tOo
Applicant's Certification per 15A NCAC 02T .0106(b):
I DOiV Oy A,� o W W-S ,t GUOG0,L &%OK M attest that this application for
(Signature Authority's name & title from Application Item IV.2.)
W—t—SR vems, C00r-Pe! .. - -
(Facility name from Application Item H.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after reissuance of the permit
into the Applicant's name, any discharge of wastewater from this non -discharge system to surface waters or the land will result in an
enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete. I further certify that the Applicant or any affiliate has not been convicted of an environmental
crime, has not abandoned a wastewater facility without proper closure, does not have.an outstanding civil penalty where all appeals have
been exhausted or abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees per 15A
NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as ci% - penalties up $25,000 per violation.
Signature: 2�7 Date:
FORM: NDPONC 06-16 Page 2 of 2

Water Resources
ENVIRONMENTAL QUALITY
February 21, 2018
DONOVAN OWENs — GENERAL MANAGER
SMITHFIELD FRESH MEATS CORP.
PO Box 99
TAR HEEL, NORTH CAROLINA 283 92
Dear Mr. -Owens:
ROY COOPER,
Governor
NIICHAEL S. REGAN.
Secretary
L1NDA CULPEPPER
Interim Director
Subject:- Acknowledgement of
Application No. WQ0010892
Tar Heel Plant
Reclaimed Water System
Bladen County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on February 21, 2018. Your application package has been.assigned the
number listed above, and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing -
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at [phone] or [e-mail].
'Sincerely, '
Nathaniel D' Thornburg, Supervisor.'
Division of Water Resources
cc: Fayetteville Regional Office, Water Quality Regional Operations Section
P_ &unit File WQ60 0892_ '
!`,'Noth€ng Compares: _, .
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919407-6332

�E�EIVEDJNCQEQJ®%R
APR 1 7 NIB
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
Wit kan o ertit sources Non_D�scharge FORM: NDSR 06-16
tt'i n i7 Unfit
I. PERMITTEE INFORMATION:
1. Permittee's name: Smithfield Fresh Meats Inc - Tar Heel Plant
2. Signature authority's name: Donovan Owens per 15A NCAC 02T .0106(b) . Title: General Manager
3. Permittee's mailing address: PO Box 99
City: Tar Heel State: North Carolina Zip: 28392-
4. Permittee's contact information: Phone number: 910 862-7576 Email Address:[e-mail]
U. FACILITY INFORMATION:
1. Facility name:.Smithfield Fresh Meats Inc -Tar Heel Plant
2. Facility's physical address: 15855 Highway 87 West,
City: Tar Heel State: NC Zip: 283 2- County: BWcn
III, PERMIT INFORMATION:
1. Existing permit number: WQ0010892 and most recent issuance date: June L 2014
2. Existing permit type: Conjunctive Reclaimed Water Utilitization
3. Has the facility been constructed? ® Yes or ❑ No
Applicant's Certification per 15A NCAC 02T .0106(b):
I, D0 0000 cwc— k4 , G'�=-Oi,:�tu*L WIJaGre( attest that this application for
(Signature Authority's name & title from Application Item I.2.)
SM1T��1 V4MR AAGXTS IOC, i N_ �4t�L P�APT_
(Facility name from Application Item H.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all required
supporting information and attachments are not included, this application package will be returned to me as incomplete. I further certify
that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any
active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105{e).
NOTE — In accordance with General Statutes 143-215.6A and_ 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,'which may include a fine not to
exceed $10,000 as well as civi . enalties up 16. $25,000 per violation.
Signature: Date:
FORM: NDSR 06-16 Page 1 of 1

RECEINEDINC_DEQ{D',N".
M 17 NIS
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
Division of Water Resources INSTRUCTIONS, ILOR FORM: NDSR 06-16 & SUPPORTING DOCUMENTATION
Unit
This form is for renewal without modification for all non -discharge system permits, except Residuals Management permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge. Permitting Unit.
A. Non -Discharge System Renewal (FORM: NDSR 06-16) Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non -Discharge System Renewal (FORM:
NDSR 06-16) application.
® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria
in 15A NCAC 02T .0106(b}.
B. Existing Permit (All Application Packages):
® Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
D. Operation and Maintenance Agreement (All Application Packages for Single -Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement (FORM: SFRW WIS O&M).
E. Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold):
.Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the properly executed Operational Agreement_ (FORM:
HOA.
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b}, submit an original and one copy of the properly executed Operational Agreement.(rORM:
DEV).
F. Site Map (All Application Packages for permits originally issued or modified after September 1, 2006):
❑ Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d)..
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Deliverv:
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH. NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: NDSR 06-16 & SUPPORTING DOCUMENTATION Page 1 of 1

Weaver, Tim.. -
From: Harris, Robert
Sent: Tuesday, February 06, 2018 9:13 AM
To: Weaver, Tim
Subject: FW: Legal docs name change -
Attachments: image001.jpg; ATT00001.htm; image004.jpg; ATT00002.htm; FEIN Smithfield Fresh Meats
Corp.pdf; ATT00003.htm; W9 w 200 Commerce Str address.pdf; ATT00004.htm
From: Bailey, Keith
Sent: Monday, January 08, 201812:50 PM
To: Harris, Robert <[e-mail]>; Bowen, Frederick <[e-mail]>; Prentice, Charlie
<[e-mail]>; Strong, Kerry B. <[e-mail]>; McAuley, Pam <[e-mail]>,
Barnett, Joseph W: <[e-mail]>; Park, Christy <[e-mail]>; Meyer, John.
<[e-mail]>
Subject: Fwd: Legal docs name change
See federal tax ID number below.
Keith Bailey
Smithfield Foods, Inc
757 613 1283.
Begin forwarded message:
From: "Saunders, Kelly" <ksaunders 0 smithfield.com>
Date: January 8, 2018 at 12:41:00 PM EST -
To: "Bailey, Keith" <lcbailevr?smithfield.com>
Cc: "Meyer, John" <iwmever(a)smithfield.com>
Subject: RE: Legal docs name change
;Smithfield Fresh Meats Corp._tax id number —is 30-1010290__ 3
Smithfield Packaged Meats Corp. tax id number is 36-2332471
Kelly N. Saunders
Paralegal
1

11/28/2017 11:01:43 AN —0600 IRS PAGE 2 OF 2
Department of the Treasury
Internal Revenue Service
Ogden, UT 84201
SKrMFIEID FRESH MEATS CORP
4225 NAPERVMU.E RD SM 600
LISLE IL 60332
Taxpayer Identification Number: 30-1010290
Form(s):
.In reply refer to:
Nov 29,- 2017
30-1010290
Dear Taxpayer.
Thank you for your telephone inquiry of November 29th, 2017.
0248865240.
LTR 147C -
Your Employer Identification Number (EIN) is 30.1010290. Please keep this letter in your
permanent records. Enter your -name -and your EN on all business federal tax forms and on
related correspondence.
If you have any questions regarding this letter, please call our Customer Service Department at
1.800.829=0115 between the hours of .7:00 AM and 10:00 PM. If you prefer, you may write to us
at the address shown at the top of the first page of this letter. When you write, please include a
telephone number where you may be reached and the best time to call.
Sincerely,
Ms. Norman
1000739068
Customer Service Representative
a

lavvare Page 1De_
The' First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF TBE STATE OF
DELAWARE, DO BEREBY CERTIFY 2m ATTACBED IS A TRUE AND CORRECT
COPY OF TBE CERTIFICATE OF INCORPORATION OF "MUMIEIELD FRESH
IMTS CORP..", FILED IN THIS OFFICE ON THE.'SXZTH DAY OF
ROVEIIER, A.D. 2017, AT 2:27 O'CLOCK P.N.
AND I DO HEREBY FURTHER CERTIFY THAT TEE EFFECTIVE DATE OF
THE AWRFMZD C=rZFICATE OF INCORPORATION IS TBE EIGHTH DAY OF .
NOVEMBIM, A.D. 2017 AT 12:61 O'CLOCK A:X
A FILED COPY OF THIS CERTIFICJLM RAS BFJN BVRiMED TO TIM
NEW CASTLE COUNTY RECORDER -OF DEEDS.
6605607 8100
SR# 20176047282
You may verify this certificate online at corp.delaware.gov/authver.shtml
Authentication: 203529372
Date: 11-07-17

State of Delaware
Sewdely, of State
Dhislon of Corporations
Dekend 02:27 PA111l0612017
FRID 0217 PAi 11106n017 CERTWrCATE OF INCORPORATION
SR 2017047n2 - FrleNumber 66OW7
OF
SAUTHFIELD FRESH MEATS CORP.
ARTICLE FIRST
The name of the corporation is Smithfield_ Fresh Meats Corp. (the "Corporation'.
ARTICLE SECOND
The address of the Corporation's Registered Office in the State of aelaware is 1209 Orange'
Street, Corporation Trust Center, in the City of. Wilmington, County of New Castle, State of
Delaware, 19801. The name of the Registered Agent at'such address is The Corporation Trust
Company,
ARTICLE THIRD
The purpose of the Corporation is to engage in say lawful act or activity for which
corporations may be organized under the General Corporation Law of Delaware, but the
Corporation is not formed to engage in any act or activity requiring the consent or approval of any
state or federal official, department, board, agency or other body without such consent or approval
fast being obtained.
ARTICLE FOURTH
The total number of shares of capital stock of the Corporation. which the Corporation shall
have authority to issue is 1,000 shares, with no par value.
ARTICLE FIFTH
A. The business and affairs of the Corporation shall be managed. by or under the
direction of a board of directors (the "Board!'), except as may. be otherwise provided in the
Delaware General Corporation Law or in this Certificate of Incorporation. If any such provision
Is made in this Certificate of Incorporation; the powers and duties conferred or imposed upon the
Board by the Delaware General Corporation law shall be exercised or performed to such extent
and by such person or persons as-shatl be provided for in this Certificate of Incorporation.
B. Unless and except to the extent that the Bylaws of the Corporation shall be so
required, the election of directors of the Corporation need not be by written ballot,

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or supplemented, indemnify any and all directors, officers, employees and agents of the
Corporation whom it shall have power to indemnify under such Section from. and against any and
all expenses (including attorneys' fees), judgments, fines, amounts paid in settlement and other
liabilities in respect of all matters referred to in or covered by such Section. The indemnification
provided for herein sbali not be deemed exclusive of any other rights to which those indemnified
may be entitled under any bylaw, agreement, vote of stockholders or disinterested directors, or
otherwise, and shall continue as to a person who has ceased to be a director, officer, employee or
agent - and shall inure to the benefit of the heirs, executors. administrators and personal
representatives of such director, officer, employee or agent. No amendment to or repeal of this
Article NINTH shall apply to or have any effect -on the liability or alleged liability of aay person
for or with respect to any acts or omissions of such person occurring prior to such amendment or
repeal.
ARTICLE TENTH
This Certificate of Incorporation shall be effective as of 12:01 a.m., Eastern Time, on
November 8, 2017.
[Signature Page Follows]
3

IN WITNESS WHEREOF, i have signed this certificate of incorporation this 3Id day of
November, 2017.
Michael H. Cole
Incorporator
(Signature Page to Smithfield Fresh Meats Corp. CerlAcate oflncorporation]
4

Water Resources
ENVIRONMENTAL QUALITY
March 5, 2018
Donovan Owens.— General Manager
Smithfield Fresh Meats Corp.
Post Office Box 99
Tar Heel, North Carolina 28392-0099
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary'
LINDA CULPEPPER
Interim Director
Subject: .Application No. WQ00010892 and
WQ0014868
Additional Information Request
Tar Heel Plant
Reclaimed Water System
and
Smithfield Fresh Meats Corp.•RLAP
Residuals Management System
Bladen County
Dear Mr. Owens:
Division of Water Resources' Central and Regional staff has reviewed the application package received
February 21, 2018. However, additional information is required before the review may be completed.
Please address the items below no later than the close of business on April 4, 2018.
1 According to Bladen County GIS, the owner of the property the residuals facility is located is Smithfield
Farmland Corp. and not Smithfield Fresh•Meats Corp. (PIN: 035600822686) There is not anything in
the incorporation papers to tie Smithfield Fresh Meats Corp. and Smithfield Farmland Corp. together.
If there is an updated deed or an indication of the tie between the two corporations, please provide one.
2. According to 15A NCAC 02T • .0106(b), the President or Vice -President shall sign the form or else
designate by a letter or -the attached form another to represent the company. Please provide. a letter or
the attached form signed by the President or Vice -President of Smithfield Fresh Meats Corp.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review .of the subject application package are still the
Applicant's responsibility. In addition, any omissions made in responding to the outstanding items above,
or failure to provide the additional information on or before the above requested date may result in your
application being returned as incomplete.
Please reference the subject application number when providing the requested -information. All
documentation shall be signed, sealed and dated (where needed). You may email a copy to me.
If you have any questions regarding this request, please -do not hesitate to contact me at [phone] or
[e-mail]. Thank you for your. cooperation.
�3*-Noth1ng Compares,.-X.^.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh; North Carolina 27699-1611
919-8074332

Mr. Donovan Owens
March 5, 2018
Page 2 of 2
Sincerely,
Troy Doby, PE, Engineer
Division of Water Resources
cc: Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Permit Application File WQ0014868

rarer Resources
k NVIRONMEWt AL QUALITY
Donovan Owens — General Manager
Smithfield Fresh Meats Corp.
Post Office Box 99
Tar Heel, North Carolina 28392-0099
bear Mr. Owens:
07
March 5, J'r%
ROY COOPER
Governor
MICHAEL S. REGAN
s crewly
LINDA CULPEPPER
Interim Aire: rur
Subject: Application (No. WQ00010892 and-
WQ00148W— --l
Additional Information Request
Tar Heel Plant
Reclaimed Water System
and
Smithfield Fresh Meats Corp. RLAP
Residuals Management System
Bladen County
Division of Water Resources' Central and Regional staff has reviewed the application package received
February 21, 2018. However, additional information is required before the review may be completed.
Please address the items below no later than the close of business on April 4, 2018.
1. According to Bladen County GIS, the owner ofthe property the residuals facility is located is Smithfield
Farmland Corp. and not Smithfield Fresh Meats Corp. (PIN: 035600822686) There is not anything in
the incorporation papers to tie Smithfield Fresh Meats Corp. and Smithfield Farmland Corp. together.
If there is an updated deed or an indication of the tie between the two corporations, please provide one.
2. According to 15A NCAC 02T .0106(b), the President or Vice -President shall sign the form or else
designate. by a letter or the attached form another to represent the company. Please provide a letter or
the attached form signed by the President or Vice -President of Smithfield Fresh Meats Corp.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are still the
Applicant's responsibility. In addition, any omissions made in responding to the outstanding items above,
or failure to provide the additional information on or before the above requested date may result in your
application being returned as incomplete.
Please reference the subject application number when providing the requested information. All
documentation shall be signed, sealed and dated (where needed). You may email a copy to me.
If you have any questions regarding this request, please do not hesitate to contact me at [phone] or
[e-mail]. Thank you for your cooperation.
-?" Nothing Compares'
State of North Carofma I Environmental Quality J Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. Donovan Owens
March 5, 2018
Page 2 of 2
Sincerely,
Troy Doby, PE, Engineer
Division of Water Resources
cc: Fayetteville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Permit Application File WQ0014868

State of North Carolina
Depaltment of Environment and Natural Resources
Division of Water Resources
NON-DISCIWtCE SIGNATURE DELEGATION AVTHpRITY LETTER
Division of Water Resources FORM: NDSDAL 09-IS
April 30, 2018
DIVISION OF WATER RESOURCES
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEJam, NORTH CAROLINA 27699-1617
Subject: Pelrnitdng Sipature Authority
To Whom It May Concern:.
As an appropriate signing official for Smithfield Fresh Meets Corp. (Applicant /Permiuee) as designated
by 15A NCAC 02T .0106, I hereby delegate authority to sign and certify all permit applications, reports
or other permit related documents to the following staff for the following permit types (i.e., wastewater
irrigation, residuals management, reclaimed water, etc,) and/or permit numbers:
Position Person Currently in Position Permit Type /Permit Number ,
General Manager Donovan Owens WQ010892 f
If you have any questions, please contact me at the following:
Permittee/Applicant name: Kyle Narron
Title: Vice.President
Complete mailing address: PO Box 99
City: Tar Heel State: NC Zip: =
Telephone number: 910) 62-7675 Email: 3marrbnrabsmithfield.com
Sincerely,.
.00
FORM: NDSDAL09.13 Page 1 of 1

Harris, Robert
From: Saunders, Kelly
Sent: Tuesday, May 01. 201810:15 AM
To: Harris, Robert
Cc: Bailey, Keith
Subject: Smithfield Fresh Meats Corp Permits
Attachments: Smithfield Farmland Corp. -DE -Merger (Discontinuing Company) EFFECTIVE 12-31-2017.pdf; Contribution Agreement SPMC to SFMC
(Facilities DCs PPH)12-31-2017.PDF; Smithfield Fresh. Meats Corp.-DE-Incorporation.pdf; W-9 Smfd Fresh Meats Corp.pdf
Robert,
Per our telephone conversation, please find the attached and note the following:
Smithfield Farmland Corp. no longer exists and merged into Smithfield Packaged Meats Corp. dropping the packaged assets into Smithfield Packaged
Meats Corp.
We contributed the fresh assets from Smithfield Packaged Meats to the new entity Smithfield Fresh Meats Corp.
o See attached Contribution Agreement
o Certificate of Incorporation
o W9
Please let me know if you need anything further. Thank you.
Kelly N. Saunders
Senior Paralegal
[phone] tel
[phone] fax
[phone] mobile
[e-mail]
600A {owl. 'Respoitdbfe
Smithfield Foods
200 Commerce Street
Smithfield, VA 23430
www.smithfleldfoods.com

elaware
Page i
The First State
Z, JEFnWY W. BULLOCX, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHZCH MERGES:
"SMITHFZELD FARMLAND CORP.", A DELAWARE CORPORATION,
WITH AND INTO "SMZTHFXELD PACKAGED MEATS CORP." UNDER THE
NAME OF "SMITHFIELD PACKAGED MEATS CORP.", A CORPORATION
ORGANISED AND EXISTING UNDER THE LAWS OF THE STATE OF DELAWARE,
AS RECEZVED AND FILED ZN THIS OFFICE ON THE FIFTEENTH DAY OF
DECEMBER, A.D. 2017, AT 12.06 O'CLOCK P.M.
AND I DO MEREBY FUR2=A CERTIFY THAT TEE EFFECTIVE DATE OF
TEE AFORESAID CERTIFICATE OF MERGER IS THE THIRTY—FIRST DAY OF
DECEMBER, A.D. 2027 AT 11:49 O'CLOCK P.M.
A FILED COPY OF THIS CERTIFICATE HAS BEEN FORWARDED TO THE
NEW CASTLE COUNTY RECORDER OF DEEDS.
668116 8100M
SR# 20177596218
You may verify this certificate online at corp.delaware.gov/authver.shtml
Llhry M.9ugot4faaweyditw�
Authentication: 203770797
Date:12-15-17

We of Delaware
Secretan of State
Dhhontions
CERTIFICATE OF MERGER : De1heeedn 12.'06 P1ti 12111017
FLED 12:06 Pi112452017
FOR THE MRGER.OF' SR 20117596218 - Flle dumber 668116
SMITHFIELD FARMLAND CORP.
WITH AND INTQ
SMITIHFIELD PACKAGED MEATS CORP.
'Pursuant to Title 8, Section 251(c) of the Delaware General Corporation Law,. the undersigned'
corporation: executed the following Certificate of Merger:
FIRST:
The name of the surviving, corporation is Smithfield Packaged Meats Corp.;, a•
Delaware corporation (the'Surviving Corporation'), and the name -of • the
corporation being_ merged • into .this Surviving. Corporation is Smithfield Farmland
Corp., a D61sware corporadQ,A.
SECOND:
The Agreement and Plan of Merger has been approved, adopted, certified, executed
and acknowledged by each of the constituent corporations,
THIRD:
The name of the Surviving Corporation shall be Smithfield Packaged Meats Corp.,
a Delaware corporation. .
FOURTH: '
The Certificate of Ineorporation of the Surviving Corporation shall be its Certificate
of Incorporation.
FIFTH:
The merger is to become'effective on December 31, 2017 at 41:49 pan. '
SiXT'H:
The Agreement and Plan of Merger is on file at'200' Commerce Street, Smithfield,
VA 23430, the place of bushless of the Surviving Corporation.
SEVENTH:
'A copy of the Agreement and Plan of Merger will be furnished by the Surviving -
Corporation on request, without cost, 'to- any stockholder of the constituent
corporafions.-
'•[Signature Page Follows]
95856713

IX WITNESS WIMBROF.'16 Survlvtng'Corporation his -caused this Certificate of
Merger to be eacecuted by its duly auth&izcd offIcer as of Dacem'bcr�, '201' .
SNUTH MM, PACKAGED MEATS
CORP.
Name; M ebial H. Cola
Title: Vice Fresldcnt & Secretary
[Slgrrasttre Page to SFiCrSPMC Corti
#cate nfMergerJ

CONTRIBUTION -AGREEMENT
This Contribution Agreement (this "Agreement") is entered into with an effective date and
time of 11:51 p.m., Eastern Time, on December 31, 2017 (the "Effective Time") by and between
Smithfield Packaged Meats Corp., a Delaware corporation (the "Contributing Party"), and
Smithfield Fresh Meats Corp., a Delaware corporation (the "Subsidiary").
RECITALS
. A. As of the Effective Time, the Contributing Party is the sole stockholder of the
Subsidiary.
B. Prior to the Effective: Time; the Contributing Party (i) directly.owns all of the issued
and outstanding membership interests (the "Interests") of Premium Pet Health, LLC, a Delaware
limited .liability company ("PPH'), and (ii) is the record and beneficial owner of those certain
distribution centers, fresh meat plants and fresh meat assets, properties and contract rights listed
on Exhibit A attached hereto (collectively, the -"Contributed Assets").
C. Prior to the Effective Time, PPH may hold certain liabilities and payables owed by
the Contributing Party, and by certain of its subsidiaries that are disregarded as separate from the
Contributing Party for U.S. federal income tax purposes CVREs"), to PPH (the "PPH
Receivables"), including, for the avoidance of doubt, liabilities and payables acquired or assumed
by, or otherwise transferred to, the Contributing Party (i) in connection with the merger of each of
Stefano Foods, Inc., Smithfield Global Products, Inc. and Smithfield Farmland Corp. with and into
the Contributing Partly, and (ii) pursuant to the Distribution Agreement entered into by and between
the Contributing Party and Armour-Eckrich Meats LLC dated as of October 29, 2017.
D. Prior to the Effective Time,. PPH may also hold certain liabilities and payables (the
"PPH Payables") owed to Smithfield Foods, Inc., the Contributing Party and certain of their direct
and indirect subsidiaries (collectively, "Smithfield").
E. The ,Contributing Party has agreed to contribute the Contributed Assets . to the
Subsidiary in accordance with the terms and conditions set forth below.
NOW,. THEREFORE, in. consideration of the premises and for good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as
follows:
ARTICLE I
TRANSACTIONS
1.1 Pre -Contribution Assignments
(a) Distribution. and Acceptance. Immediately prior to the Effective Time, PPH
hereby distributes, assigns, conveys and delivers to the Contributing Party all of PPH's right, title
and interest in and to any and all PPH Receivables, and the Contributing Party hereby accepts such
96170629

distribution, assignment, conveyance and delivery of such PPH Receivables, the composition and
amount of which is to be determined immediately prior to the Effective Time (the " l3ish ibution").
(b) Assumption. Immediately prior to the Effective Time, the Contributing
Party assumes any and all PPH Payables, the composition and amount of which is to be determined
immediately prior to the Effective Time.
1.2 Contribution.
(a) Contribution _and Acceptance. Effective as of the Effective Time, the
Contributing Party hereby assigns, transfers, conveys and delivers to the Subsidiary, and the
Subsidiary hereby accepts the assignment, transfer, conveyance and delivery of, the Contributed
Assets, and assumes the related obligations, as a contribution to the capital of the Subsidiary (the
"Contribution").
(b) Excluded Assets. The parties hereby acknowledge and agree that the
Contributing Party owns certain assets and properties in addition to the Contributed Assets
(collectively, the "Excluded Assets"), and that the Excluded: Assets are being retained by the
Contributing Party and are not being contributed or transferred as part of the Contribution.
(c) Acknowled_gment of RelationsW. The parties hereby acknowledge and
agree that the Contributing Party is the sole stockholder of the Subsidiary and that, as such, the
Contributing Party is the holder of 100% of the outstanding stock of the Subsidiary.
(d) General Representations and Warrantiesof the Contributing Party. The
Contributing Party hereby makes the following representations and warranties to the Subsidiary as
of the Effective Time: (i) the Contributing Party has the capacity and full authority to enter into
this Agreement and to perform the obligations of the Contributing Party under this Agreement;
and (ii) the Contributing Party has not made, and has not contracted for, any assignment, sale,
exchange or other transfer of the Contributed Assets or any portion of them (other than as set forth
in this Agreement).
1.3 Related Actions and Furtber Assurances.
(a) Related Actions. On and after the Effective Time, and after giving due
regard to subsections (b) and (c) immediately below, each party shall promptly take such actions
as may be reasonably requested in writing by the other party (including, without limitation, the
execution of additional agreements, instruments .or documents) for the purpose of evidencing or
effectuating the transactions contemplated by this Agreement (the "Related Transfer Actions").
(b) Specific Actions. Without limiting the scope of the Related Transfer
Actions, the parties specifically acknowledge and agree as follows: (i) if any Contributed Asset is
real property, the parties shall execute a mutually satisfactory deed for the conveyance of such real
property from the Contributing Party to the Subsidiary and shall cause such deed to be recorded in
compliance with applicable law; and (ii) if any Contributed Asset is evidenced by a necessary
instnunent of title (other than real property), the parties shall execute appropriate and mutually
satisfactory documentation for the transfer of such title, and shall cause such documentation to be
filed or recorded, as applicable, in accordance with applicable law.
-2-
96179629

(c) No Other Instruments of Transfer. The parties acknowledge and agree that,
except as required by subsection (b) immediately above with respect to any real property and any
property evidenced by a necessary instrument of title, their mutual execution and delivery of ibis
Agreement shall be sufficient to evidence and effectuate the Contribution, and the parties shall not
require any separate or additional instrument of transfer, in connection with the Contribution.
Notwithstanding the above, an additional instrument of transfer with respect to the Contribution
may be executed and delivered with the mutual consent of both the Contributing Party and the
Subsidiary (with the understanding that each such party, in such party's sole discretion, may grant
or withhold any such consent).
1A Governing Law and Amendment.
(a) GoveminQ Law. The laws of the State of Delaware (without regard to those
laws involving conflicts or choice of law) shall govern this Agreement and all matters that relate
to its interpretation or enforcement.
(b) Amendment. Amendments to this Agreement shall not be binding, valid or
enforceable unless they are approved in writing by authorized officers of each of the parties.
1.5 Other General Matters.
(a) Disregarded Transfer. It is the intention of the Contributing Party, PPH,
and the Subsidiary that the Pre -Contribution Assignments be disregarded for U.S. federal income
tax purposes_
(b) Section 351 Transfer. It is the intention of the parties that the transfer of any
property (within the meaning of section 351) pursuant to Contribution qualify as a transfer under
section 351 of the Internal Revenue Code of 1986, as amended.
(c) Miscellaneous. This Agreement shall be binding upon, and enforceable
against, the parties and all of their permitted assignees and successors in title or interest. Captions
and headings are used in this Agreement for convenience only and shall not affect its interpretation
or enforcement. Any terms such as "hereby," "herein" and similar references shall be deemed to
refer to this Agreement .as a whole, rather than to any particular provision. Terms defined in the
singular in this Agreement shall be deemed to include their respective plurals, and vice versa. Any
prior oral agreements with respect to the subject matter of this Agreement have been integrated
into this Agreement as deemed necessary by the parties and are superseded by this Agreement.
(d) Counterparts. This Agreement may be executed in counterparts, each of
which shall be deemed an original and all of which shall constitute, when taken together, a single
binding instrument.
(Signature Page to Follow)
-3-
96179629

IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their
duly authorized representatives as of the Effective Time.
Contr_ibutintt Party: Smithfield Packaged Meats Corp.,
a Delaware corporation
By: — ' " `C
Name: Michael H. Cole
Title: Vice President & Secretary
Subsidiary: Smithfield Fresh Meets Corp.,
a Delaware corporation
By: i "X4X.-P �_
Name: Michael H. Cole
Title: Vice President & Secretary
[SIGNATURE PAGE TO SPMC/SFMC CONCRIBUrION AGREEMENT]

Exhibit A
Contributed Assets
Contracts related to fresh meats, fresh meats customer lists and other intangibles related to fresh
meats.
Fresh Meats Plants
Smithfield, VA (formerly PPI)
Denver, CO
Orange City, IA
Sioux City, IA
Tarheel, NC
Milan, MO
Salt Lake City, UT
Smithfield North, VA
Denison, IA
Crete, NE
Monmouth, .IL
Clinton, NC
Distribution Centers
Clayton, NC
Newport News, VA
Crete, NE
Monmouth, IL
Exhibit A-1
96179629

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Slate of Delaware
Secretan• of State
Dhhlon of Corporations
Delkwid 02:271P1111106!2017
PQ.ED 02:27 rat V06Zo17 CERTIFICATE OF INCORPORATION
SR 70176947282 - ReNumber 6605607
OF
ShUTHFIELD FRESH MEATS CORP.
ARTICLE FIRST
The name of the corporation is Smithfield Fresh Meats Corp. (the "Corpomticn,j.
ARTICLE SECOND
The address of the Corporation's Registered Office in the State of Delaware is 1209 Orange
Street, Corporation Trust Center, in the City of Wilmington, County of New Castle, State of
Delaware, 19901. The name of the Registered Agent at such address is The Corporation Trust
Company,
ARTICLE THIRD
The purpose of the Corporation is to engage in any lawful act or activity for which
corporations may be organized under the General Corporation Law of Delaware, but the
Corporation is not formed to engage in any act or activity requiring the consent or approval of any
state or federal official, department, board, agency or other body without such consent or approval
first being obtained
ARTICLE FOURTH
The total number of shares of capital stock of the Corporation which the Corporation shall
have authority to issue is 1,000 shares, with no par value,
ARTICLE FIFTH
A. The business and affairs of the Corporation shall be managed by or under the
direction of a board of directors (the "Board', except as may be otherwise provided In the
Delaware General Corporation Law or in this Certificate of Incorporation. If any such provision
is made in this Certificate of Incorporation, the powers and duties conferred or imposed upon the
Board by the Delaware General Corporation law shall be exercised or performed to such extent
and by such person or persons as shall be provided for in this Certificate of Incorporation.
B. Unless and except to the extent that the Bylaws of the Corporation shall be so
required, the election of directors of the Corporation need not be by written ballot,

ARTICLE, SIXTH
The name and mailing address of the incorporator is:
Michael H. Cole
c% Smithfield Foods, Inc.
200 Commerce Street
Smithfield; Virginia 23430
ARTICLE SEVENTH
The Board is expressly authorized to make, alter or repeal Bylaws of the Corporation but
the stockholders may make additional Bylaws and may alter or repeal any Bylaw whether adopted
by them or otherwise.
ARTICLE EIGHTH
Whenever a compromise or arrangement is. proposed between the Corporation and its
creditors or any class of them and/or between the Corporation and its stockholders or any class of
them, any court of equitable jurisdiction within the State of Delaware may, on the application in a
summary way of the. Corporation or of any creditor or stockholder thereof, or on the application
of any receiver or receivers appointed for the Corporation under the provisions of Section 291 of
the Delaware General Corporation Law or on the appRoation of trustees in dissolution or of any
receiver or receivers appointed for, the Corporation under the provisions of Section 279 of the
Delaware General Corporation Law order a meeting of the creditors or class of creditors, and/or
ofthe stockholders or class of stockholders of the Corporation, as the oasp may be, to be summoned
in such manner as the said court directs. If a majority in number representing three -fourths (3/4)
in value of the creditors or class of creditors, and/or of the stockholders or class of stockholders of
the Corporation, as the case may be, .agree to any compromise or arrangement and to any
reorganization of the Corporation as a.consequencc .of such compromise or arrangement, the said
compromise or arrangement and the said reorganization shall, if sanctioned by the court to which
the said application has been made, be binding on all the creditors or class of creditors, and/or on
all the of the stockholders or class of stockholders, ofthe Corporation, as the case may be, and also
on the Corporation.
ARTICLE NINTH
No director of tho Corporation shall be liable to the Corporation or -its stockholders for
monetary damages for breach or breaches of fiduciary duties as a director, provided that the
provisions of this article shall not eliminate or limit the liability of a director (i) for any breach of
the director's duty of loyalty to the Corporation or its stockholders, (ii) for acts or omissions not
in good faith or which involve intentiona[misconduct or a knowing violation of the law, (ill) under
Section 174 of the Delaware General Corporation Law, or (N) for any transaction for which the
director derived an improper personal benefit. The Corporation shell, to the fullest extent permitted
by.Section 1.45 of the Delaware General Corporation Law, as the same may hereafter be amended
2.

or supplemented, .indemnify any and all directors, officers, employees and Agents of the
Corporation whom. it shall have power to indemnify under such Section from and against any and
all expenses (including attorneys' fees), judgments, fines, amounts.paid in settlement and other
liabilities in respect of all matters referred to in or covered by such Section. The indemnification
provided for herein shall not be deemed exclusive of any other rights to which those indemnified
may be. entitled under any bylaw, agreement, vote -of stockholders or disinterested directors, or
otherwise, end shall continue as to a person who bas ceased to be a director, officer, employee or
agent and shall inure to the benefit of the heirs, executors, administrators and personal
representatives of such director, officer, employee or agent: No amendment to or repeal of this
Article NINTH shall apply to or have any effect on the liability or alleged liability of any person
for or with respect to any acts or omissions of such person occurring prior to such amendment or
repeal.
ARTICLE TENTH
This Certificate of Incorporation shall be effective as of 12:01 a.m.; Eastern Time, on
November 8, 2017,
[Signature Page Follows]

M WITNESS WHEREOF, I have signed this certificate of Incorporation this Yd day of
November, 2017.
Michael IT, Cole
Incorporator
[Signature Page to Smllhfreld Resh Mears Corp. Certificate of Incorporation]

W®.19'
Request for Taxpayer
Give Form to the
Fam
lRev. "ember2017)
Identification Number and Certification
requester. Do not
Department of the Treasury
Internet Revenue Senrce
► Go to www,irsgov/ForrnK% for Instructions and the latest information.
send to the IRS.
1 Name (as shown on your income tax return) Name is required or this fine: do not leave this line Wank,
SMITHFIELD FRESH MEATS CORP -
2 Business namerdfsregatded entity name, if different from above
m
3 Check appropriate box lot federal tax classification of the person whose name is entered on fine 1 Check only ono of the ,
4 Exemptions (codes rapply only to
it
2.
foffowing seven boxes
certain entities. not Individuals; see
c
❑ IndividusVsole proprietor or 0 C Corporation ❑ S Corporation ❑ Partnership ❑ TrusVestate
Instructions on page 3):
a
single -member LLC
Exempt payee code (d any) 5
❑ Limited liability company. Enter the tax classihcalion.(C=C corporation. S=S corporation, P-Partnomhip) ►
`
0
Note: Check the appropriate box in the line above for the tax clarification of the single -member owner. Do not Cheek .
Exemption from FATCA reporting
LLC 0 the LLC Is classified as a single -member U.0 that is disregarded fmm'the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
code ( if any) E
is disregarded from the owner should check the appropriate box for the tax classification of its owner
❑ Other law Irstnxtions)►
ciyw.ir..o.n....xr..owmm�_ usr-
® Address (number: street. and apt. or suite no.) See Instructions.
Requester's name and address (optional),
200 COMMERCE STREET
a Cny, state, and ZIP code
SMITHFIELD VA 23430
7-List account numberie) here (optional
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid -
backup withholding. For individuals, this Is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities; it is your employer identification number (EIN). If you do not have a number, see Now 10 get a
TW, later.
Notei If the account is in more than one name. see the instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
or
I EmPtarer ldantlfieatlon number .I
'0 1 1
Under penatties of perjury, i certify that:
1. The number shown on this form is my correct taxpayer identification number (or 1 am waiting for a number to be Issued to me); and
2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the internal Revenue
Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3.1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting Is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your lax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
atyn Signature of
Here U.S. P to= ►
General Instri
&PA
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest Information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to Ilse an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number QTIN), adoption
taxpayer Identification number (ATIN), or employer Identification number
(EIN), to report on an information return the amount Old to you, or other
amount reportable on an Information return. !examples of information
returns include, but are not limited to. the following.
• Form 1099-INT (interest earned or paid)
P. -�7-/o- /,
• Form 1 D99-DIV (dividends, including those from stocks or mutual
funds)
e Form 1099-MISC (various types of income, prizes. awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage Interest), 1098-E (student loan Interest),
1098 T (tuition)
. Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
it you do not return Form W-9 to the requester with a TIN, you rnlght
be subject to backup withholding. See What is backup withholding,
later.
Cat No 10231x Form al-9(Rev 11.2017)