NCG060379_COMPLETE FILE - HISTORICAL_20170113

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. 9
/V v 6 U
DOC TYPE I_YHISTORICAL FILE
u MONITORING REPORTS
DOC DATE ❑ �9U19 UI I,�
YYYYMMDD

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/voays
❑ HISTORICAL FILE
v�--MONITORING REPORTS
ao�p �Yr X
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
January 6, 2017
David Townsend
Pilgrim's Pride Corporation
484 Zimmerman Road
Sanford, NC 27332
ROY COOPER
Governor
WILLIAM G. ROSS, JR.
Acting Secretary
TRACY E. DAVIS
0ireclor
NC Department of
Environmental Quality
Received
JAB! 13 2011
Winston-Salem
Regional Office
Subject: General Permit Number NCG060000
Pilgrim's Pride Corporation — Staley Feed Mill
Certificate of Coverage NCGO60379
Randolph County
Mr. Townsend:
In accordance with your application for a discharge permit received on December 8, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated
October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Energy, Mineral and Land Resources. The Division may require modification or revocation and reissuance
of the certificate of coverage. Since this is issuance for a previously permitted facility we would expect that
you will begin to implement your stormwater pollution prevention plan and all other permit requirements at
the start-up of the Facility.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and land Resources or permits required by the Division of Water Resources,
Coastal Area Management Act or any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bradley Bennett at telephone
number [phone] or [e-mail].
Sincerely,
ORIGINAL SiGNED BY
ra�ECaysTT
for lll,T., CPM
cc: Winston-Salem Regional Office, Matt Gantt
Central Files
Stormwater Permitting Unit Files
State of North Carolina 11'".nvironmental Qual6. 1 Uncrgy, Mineral and Land Resources
1612 Mail Sen•ice Center 1 512 N. Salisbury Street I Raleigh, NC 27699
919 707 9200 'r

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060379
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pilgrims Pride Corporation
is hereby authorized to discharge stormwater from a facility located at
Pilgrim's Pride Corporation - Staley Feed Mill
2607 Old Hwy 421
Staley, NC
Randolph County
to receiving waters designated as an unnamed tributary to Rocky River, a class WS- III
waters in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, 111 and IV of General Permit No.
NCG060000 as attached.
This certificate of coverage shall become effective January 6, 2017,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 6, 2017.
ORIGINAL SIGNED_ BY
.iKALILtl Mr-1-41 � I
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

t
LOCATION MAP:
rr
—! Pilgrim's Pride Corporation ti
g Staiey Feed Mill
r2 : - .+tom'- :•
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cnwm cRn O j—
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Dnr
i
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1
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Al
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USGS Maps: Liberty
Latitude: 35° 48' 37" N NCG060379 Facility
Longitude: 79c 33' 21" W Pilgrim's Pride Corporation 1
County: Randolph Staley Feed Mill Location
Stream Class: WS-III
Receiving Stream: UT to Rocky River Sub -basin: 03-06-12 (Cape Fear River Basin) a ff0tth Not to s="

Division of Energy, Mineral, and Land Resources
Laud Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Vswry),. Mtn(,J,lf h PERMIT OWNER AFFILIATION DESIGNATION FORM
c once l;; u•t!t rti (Individual Legally Responsible for Permit)
; a•i.rar.n_a; o. ...
Use this form if there has been:
FOR AGENCY USE o\1LY
Date Rccencd
Yvp
A1omA Da
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must rill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (61) Certificate of Coverage
nr c s ��� N I c I c 101010131
2) Facility Information:
Facility name. i�tQrms Aida
Company/Owner Organization:
Facility address: (nll7 DIGf q9 j Kd
A d dress
s �G a�3ss
City state Zip
To find the current legally responsible person associated with your permit, go to this website:
lit tn:,/ deft. nc.govlahoutldivisions!energ_v-mineral-land-resources?eneri-v-miner;tl-land-Wrmits/storm wa;ter-mogram
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
First MI [, t
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit
Page I ol•2
S W IJ-OW NIiRAPPII.-23Wrch201 7
yq� _ A
First MI Last

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
rit�e
Lrnrnor+ raj jrdo—
Miding Addres,
C.sz �SOb34 -
01V titutc 'Lip
I'elep]+ani E-mail Address
( )_ MIA
Fax Number
5) Reason for this change:
A result of: P-t nployee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please e�lrluin:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
aOC�� 1 ...�.Sz�.�� , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this forth are not completed, this change may not be
processed. /
11-- �- -r�` _ - .._.� 13 i 7
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stor nwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website at:
hunt/Idcq.nc.guv/about/elivisio111/eRCI'�'Y-nllnt'ral-lilRd-I-tti()LfrE;CSlSlOrR1��'atcr
Page 2 of
SWU-owNF.RAV IL-23Mar2017

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy, htfneral& PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources [IMRQMMENT+! W+UiY (Individual legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Rcccivcd
Year Month
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
ff the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean"
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (or) Certificate of Coverage
N1� 0 16101119141.
2) Facility Information:
r I
Facility name: !'r►x S •(,i,�G A71b+• �N/
Company/Owner Organization:
Facility address: 2_ 0 S EdAewo o Yive—
Address
o�2 0 A/
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://degTnc.L-ov/about/divisions/ener ,v-mineral-land-resources/enert:v-mineral-land-permits/st_ormwater-grogram
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: ! i �1 �^-
First MI
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: Xvirj A a -KS
First MI Last
Page I of?
SWU-0WNERAFFIL-23March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
V ea tit V Q.,IC
Title
Mailing Ad rr5 S 0 6 3
.. city State Zip
Telephone E-mail Address
0/4
Fax Number
5) Reason for this change:
A result of.E Employee or management change
❑ inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
VERMITTEE CERTIFICATION:
1, cwu� !A•ar , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
A,
Signature
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Date
For more information or staff contacts, please call [phone] or visit the website at:
http://deg.nc.gov/about/divisions/encrev-mineral-land-teources/stormwatcr
Page 2 of 2
5 WU-OWNERAFFIL-23Mar2017
i I r'i MS.Cove,

)16
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
January 6, 2017
David Townsend
Pilgrim's Pride Corporation
484 Zimmerman Road
Sanford, NC 27332
ROY COOPER
Governor
WILLIAM G. ROSS, JR.
Acting Sic zrry
TRACY E. DAMS
Uirecior
Subject: General Permit Number NCG060000
Pilgrim's Pride Corporation — Staley Feed Mill
Certificate of Coverage NCG060379
Randolph County
Mr. Townsend:
In accordance with your application for a discharge permit received on December 8, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
the Memorandum of Agreement between Borth Carolina and the US Environmental Protection Agency dated
October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Energy, Mineral and Land Resources. The Division may require modification or revocation and reissuance
of the certificate of coverage. Since this is issuance for a previously permitted facility we would expect that
you will begin to implement your stormwater pollution prevention plan and all other permit requirements at
the start-up of the facility.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources or permits required by the Division of Water Resources,
Coastal Area Management Act or any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bradley Bennett at telephone
number [phone] or [e-mail].
Sincerely,
ORIGINAL SIGNED BY
BRADLEY BENNETT
for Tracy E. Davis, P.E., CPM
cc: Winston-Salem Regional Office, Matt Gantt
Central Files
Stormwater Permitting Unit Files
Siate of North Carolina I Encirontnental Quality f Energy, Mineral and Land Resources
1612 Mail Se"ice Center 1 512 N. SBlisbtrry Street i Raleigh, NC 27699
919 707 9200 T

i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060379
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pilgrim's Pride Corporation
is hereby authorized to discharge stormwater from a facility located at
Pilgrim's Pride Corporation - Staley Feed Mill
2607 Old Hwy 421
Staley, NC
Randolph County
to receiving waters designated as an unnamed tributary to Rocky River, a class WS-III
waters in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, 11, I1I and IV of General Permit No.
NCG060000 as attached.
This certificate of coverage shall become effective January 6, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 6, 2017.
ORIGINAL SIGNED BY
BRADLEY BENNETT
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

LOCATION MAP:
oil
IPA
r.
Pilgrim's Pride Corporation s
Staley Feed Mill
MVa�SD.�.t RB �
x
wftq; j� 0ln�rn a
_ Ch�el Cwn ,
-13
dPr RUM 71 �!•� 3
�
iv
11 � r- `✓��f.
w FRANRlfSIYM" Sr
99
r
1\ _
USGS Maps: Ub"
Latitude: 35' as' 37" N NCG060379 Facility
Longitude: 79' 33' 21" W Pilgrim's Pride Corporation
County: Randolph Staley Feed Mill Location
Stream Class: WS-III
Receiving Stream: UT to Rocky River
Sub -basin: 03-06-12 (Cape Fear River Basin) Ovotm Not to Scale

Central Files: APS — SWP
1 /612017
Permit Number NCGO60379
Program Category
NPDES SW
Permit Type
Food(Tobacco/SoapslCosmeticslPublic Warehousing Stormwaler Discharge COC
Primary Reviewer
bradley.benneti
Coastal SWRula
Permitted Flow
Facility
Permit Tracking Slip
Status
Project type
Active
New Project
Version
Permit Classification
1.00
COC
Permit Contact
Affiliation
David Hayes
2607 Old Hwy 421
Staley NC 27355
Facility Name
Major/Minor
Region
Pilgrim's Pride Corporation
Minor
Winston-Salem
Location Address
County
2607 Old 421 Rd
Randolph
Po So X1029 - Liberly NC 27298
Facility Contact Affiliation
Staley NC 273558244
Bruce J. Morgan
484 Zimmerman Rd
Owner
Sanford
NC 27330
Owner Name
Owner Type
Pilgrim's Pride Corporation
Non -Government .
Owner Affiliation
Tim Singleton
484 Zimmerman Rd
Dates/Events Sanford NC 27330
Scheduled
Orig issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/612017 1218/2016 116/2017 1/6/2017 10/31/2017
Regulated Activities Requested /Received Events
Food and kindred products manufacture
Vehicle maintenance
Outfall 001
Waterbody Name
Streamindex Number
Current Class
Subbasin
Rocky River
17-43.(1)
WS-Ill
03-06-12
Outfall 002
Waterbody Name
Streamindex Number
Current Class
Subbasin
Rocky River
1743-(l)
WS-111
03-06-12
Outfail 003
Waterbody Name Streamindex Number Current Class Subbasin
Rocky River 17-43-(1) WS-III 03-06-12

Central Files: APS — S1NP
1 /612017
Outfall 004
Waterbody Nams Streamindez Number Current Class Subbasin
Rocky River 1743-(1) WS-III 03.06-12

r16 I,&
W r I It, IlEcOhL,
WOODRUFF&HOWE
ENVIRONMENTAL ENGINEERING, INC.
December 2, 2016
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Notice of Intent (NOI) — NC{;060000
Pilgrim's Pride Corporation — Staley, NC Feed Mill
Randolph County
To Whom It May Concern,
�a s �C 6 oGoll3�
r i isw wi kAAV /Sr►wi J 4P
On behalf of our client, Pilgrim's Pride Corporation, transmitted herewith is an NOI package for coverage
under NPDES Permit NCG060000 (Permit) for the above referenced Facility. This Pilgrim's Pride Feed
Mill in Staley, North Carolina was previously covered under this Permit, but coverage was terminated due
to shut down of the Feed Mill. Pilgrim's Pride is bringing this Mill back into service, with an anticipated
startup date of January 9, 2017. A check for the application fee is attached.
Please contact Tina Pedley with Pilgrim's Pride at [phone] or at [e-mail] or me
at [phone] if you should have any questions.
Sincerely,
Woodruff & Howe Envir nmental Engineering, Inc.
Steven Woodruff, P.E.
President & CEO RECEIVED
Attachments DEC 08 2015
CC: Mr. Tina Pedley (Pilgrim's Pride) DEER -LAND QUALITY
STCJRMVVXi'ER PERMITTING
Mr. Dave Townsend (Pilgrim's Pride)
4405 Canton Hwy, Suite 100 • Cumming, Georgia 30040 • [phone]

PIMA Division of Energy, Mineral and Land Resources
,Se' Land Quality Section
!'
— National Pollutant Discharge Elimination System
ii�rrra
NCDENR NCGo6oaoo
NpR
E.vi.+O—EM mo N.W RE5CwCcs
NOTICE OF INTENT
FOR AGFNOY USE ONGy
Date Received
Year
Mon>h
Dav
Certificate of Covera
NICIGID 16
C ,
Am
Pe Aril Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:
STORMWATER DISCHARGES associated with activities classified as: RECE LIVED
SIC (Standard Industrial Classification) 20 Food and Kindred Products DEC 0 8 2016
SIC 21 Tobacco Products DcNR
SIC 283 Drugs LAND QIJA.Iiy
SIC 284 Soaps, Detergents, & Cleaning Preparations, Perfumes, Cosmetics, & Other-XTZ lRRreparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this MOi for renewals.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Pilgrim's Pride Corporation
Street Address 484 Zimmerman Road
City Sanford State NC ZIP Code 27332
Telephone No. [phone] Fax: [phone]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Facility Address
Facility City
Facility County
Telephone No.
Email
Pilgrim's Pride Corporation (Facility previously covered under Permit)
David Haves
2607 Old Hwy 421
Staley State NC _ ZIP Code 27355
Randolph
[phone] Fax: [phone]
tina.pedl�Pilgrims.com
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). Take exit 180 off US421 and head south on Old
Highway 421 towards Staley for approximately 0.5 miles. The Facility is located on the right side of
the road at 2607 Old Highway 421.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35° 48' 37" N Longitude 790 33' 21" W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
0 New or Proposed Facility Date operation is to begin 1/912017 (reopening Mill)
❑ Existing
Page 1 of 4
5WU-221 Last revised 6/24114

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2048
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Poultry Feed Manufacturing, finished poultry feeds for contract growers
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Unnamed tributaries to the Rocky River
Receiving water classification: WS-III
Is this a 303(d)-listed stream? NO Has a 7MDL been approved for this watershed?
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
Q No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
❑ No
Q Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: W00005681
11) Does this facility employ any best management practices for stormwater control?
❑ No
Q Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Secondary containment structures, Roofs/enclosures
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
Q Yes
If yes, when was it implemented? 1/1/2017
13) Are vehicle maintenance activities occurring at this facility?
0 No ❑ Yes
Page 2 of 4
5WU-221 Last revised 6124/14

NCGO60000 N.OJ.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 No © Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg_ or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
0 No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year.
Name of transport / disposal vendor. _
Vendor address:
16) Certification;
North Carolina General Statute 143-215.68 (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10.000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Dave Townsend
Title: Vice President Environmental
(Signature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
Page 3 of 4
SWU•221 Last revised 6/24114

NCG060000 N.4.1.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
V.
L�' Check for $100 made payable to NCDENR. Must be included with this application (not sent separately)_
This completed application and all supporting documents.
C� A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
G?"" Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office .... _ _ [phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
5WU-221 Last revised 6/24114

A74
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Ms. Melissa Harshman
Pilgrims Pride Feed Mill
2607 Old 421 Road
Staley, NC 27355
Dear Ms. Harshman:
Donald R. van der Vaart
Secretary
August 25, 2015
Subject. Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG060188
Randolph County
On July 31, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG060188. In accordance with your request, Certificate
of Coverage Number NCG060188 is rescinded effective immediately.
OperaEing a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our
Winston-Salem Regional Office [phone].
Sincerely,
ORIGINAL SIGNED 81
KEN PICKLE
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office
Stormwater Permitting Program
Central Files - wlattachments
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hftp://Portal.ncdenr,or, /wcl ebllrl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

WA
kv4 • •
Division or Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
NCDENRNational
Pollutant Discharge Elimination System
veMw e.ft ._ aewin..s..r w
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
MonihFiDay
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I C I S N C G 9' g
2) Owner/Facility Information: ' Final correspondence will be moiled to theaddress rioted below
Owner/Facility Name ► l Qf s M S hr ti c f_
Facility Contact SG 0.rsh -k- L
Street Address C
City SA-C'kQ-u State l)(. -ZIP Code -7355
County _ E-mail Address �"t�(011_t7 i_� ` k 4 iris .QSWA c4-
TelephoneNo`�� cilq 3isa Fax:
mF.� i SSG.
WA" Sa -39"4D k JAq;aai' Uc�'ti CMGs
3) Reason for rescission request (This is MgUIred information. Attach separate sheet if necessary); ��lkgnlrnS ,Cam
❑ Facility closed or is closing on . All industrial activities have ceased such that no discharges of
Stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
.-on, If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner,
Other: �_te-d o, kl c.,r) S; Ae Ana k t' e,; .. re C� SJbrrrt "_y,_-levc _ Ve(cti'
a) Certification:
1, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the info n contained in this request and to the best of my knowledge and belief
such information is true, cemplete and c e.
Signature hate ?LI'_
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
16 i2 Mail Service Center, Ralelgh, North Carolina 27699.1612
Phone: [phone] FAX [phone]
An Equal Opportunity k Affirmative Action Employer _ { - bL

Alexander, Laura
From: White, Glen
Sent: Wednesday, August 19, 2015 &05 AM
To: Alexander, Laura
Subject: NCG060188 - Pilgrims Pride Feed Mill, Randolph Co. - Rescission Request
Laura
Went by the Pilgrims Pride site at 2607 Old 421 in Staley, yesterday. Ok to rescind permit
Glen White
Environmental Specialist
NCDENR Winston-Salem Regional Office
Division of Energy, Minerals & Land Resources
450 Banes Mill Rd— Suite 300
Winston-Salem, NC 27105
(336}776-9660

North Carolina
Beverly Eaves Perdue
Governor
Paul White
Pilgrim's Pride Corporation
484 Zimmerman Rd
Sanford, NC 27330
Dear Permittee:
NCDENR
Department of. Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.
Director
December 4, 2012
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Pilgrim's Pride Corporation
COC Number NCG060189
Randolph County
In response to your renewal application for continued coverage under stormwater General Permit NCG060000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCG060000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
Permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/web/wq/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http://portal.ncdenr.org/web/wa/ws/su/npdessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone, 119 07-63001 FAX: 919$+`7-6492
Interne:. www.ncwaterauality.org
An EqualCip;�ortun;7 1 AirmaGve Acti:r c.,loyer
NorthCa�-ohna
Naturally

Paul White
December 4, 2012
Page 2 of 2
Some of the changes include:
• Part 11:
• Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C: The monitoring parameter oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in, some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. bMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at [phone].
Sincerely,
%�
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060188
STORM WATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pilgrim's Pride Corporation,
is hereby authorized to discharge stormwater from a facility located at:
Pilgrim's Pride Corporation
2607 Old 421 Rd
Staley
Randolph County
to receiving waters designated as Rocky River, a class WS-III waterbody in the Cape Fear River
Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 11, 111, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 41h day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

F 11+IA7- Michael F. Easley, Governor
O� 9pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
GAlan W. Klimek, P.E., Director
Division of Water Quality
August 23.2002
SCOTT REYNOLDS
GOLD KIST INCORPORATED- STALES` MILL
484 ZIMMERMAN RD
SANFORD, NC 27330
Subject: NPDES Stormwater Permit Renewal
Gold Kist Incorporated- Staley Mil[
COC Number NCG060188
Randolph County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG060000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCO060000
A copy of a Technical Bulletin For the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at (9 t9) 733-5083, ext. 578
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
e��DE NCNR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060188
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
GOLD KIST INC
is hereby authorized to discharge stormwater from a facility located at
GOLD KIST INCORPORATED- STALEY MILL
PO BOX 1029
LIBERTY
RANDOLPH COUNTY
to receiving waters designated as a UT to the Rocky River, a class WS-III stream, in the Cape Fear River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
IV, V, and VI of General Permit No. NCO060000 as attached.
This certificate of coverage shall become effective September I, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

(� \N , A Pq , Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
-7
Gregory J. Thorpe, Ph.D-
I Acting Director
Division of Water Quality
December 27. 2001
SCorr REYNOLDS
GOLD KIST INCORPORATED- STALEY MILL
484 ZIMMERMAN RD
SANFORD. NC 27330
Suhjcct: NPDES Stormwater Permit Renewal
GOLD KIST INCORPORATED- STALEY IMIL I.,
COC Nunlher NCG0601 S
Randolph Count\
Dear Permittce:
Your facility is currently coverctl for storinwa(er discharge under Genera! Permit NCG0600(R This permit expires
on AuC , .11. 2(102. The Division staff is currently in the process of rewriting this pc rrtlil and is schctlule;d w have
the permit reissued by late sununcr of 2(1i2. Once the perinit is reissued. your facility would he; eligible for
continued coveraue under the reissued permit.
In order to assure your continued coverage under the genend pernlit. you must apply In the Division of Water
Quality (DWQ) for renewal o1 your pernlit coverage. To make this renewal process easier, eve are ittlorrmn�.0 you in
advance tllatt your permit will be expiring. lanclosed you will find a General Permit Coverage Renewal
Application Form. The application must be: corrlPlele(I and rc(urned by iMarch 4. 2002 in order to assure continue(]
coyer'aga; under the «coca] Kermit.
Failure to request renewal within this time period may result in a civil assessment of art leatsi $250.00, Lurger
Penallics (nay be assease(I dependin�" on the delinquency ol'thc request. Discharge ol' slormwater I"rom your facility
without covel•auc under a valid stormwaicr• NPDES Pcrntit would constitute a violation o1' NCGS 143-213.1 and
crruld result in asscssruenlS ol- civil penalties of tip to $10,000 per day.
Please note that recent federal leg*islation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storm water discharges associated with industrial activity." (except
construction activities)- If you feel your facility can certify a condition of "no exposure", i.e. the Facility industrial
materials and oPeralions are not exposed to Stormwater, YOU can apply for the no exposure exclusion. 1 or additional
information contact the Central 01-lice Stormwater Staf f mc;ntber listed below or check the Stormwater & General
Permits Unit Web Site at http:Blt2o.enr.state.nc.us/att/slorntwater.litntl
!I' the suhjec( Stormwater dischar�,c to wafers c7f the slate has been terminated, p1casc contpluto the enclosed
Rescission Request Form. Nlailing instructions are HSIC(I on the bottom ol'the form. You will he notified when the
rescission process has been completed.
I1' you have any (IucstionS regarding the pernlit renewal pmC(lures please conlaet Corey Basinger of the
Win5lrin-Sulent Rcoional Office at 336-771-4600 or Aisha Lau of the Central Office Stor'nrwatcr Unit al (919)
733-5083, ext. 578
Sincerely.
1-5
Bradley Bennett_ Supervisor
Stormwater and General Permits Unit
cc: Cerllral Files
Winston-Salem Re"ional Office
�°:; A
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1647 (919) 733 70;5 Customer Service
1-800-623-7748

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
October 13, 1997
Mr. Mark C. Nouvel
Gold Kist, Inc.
P0Box 2210
Atlanta GA 30301-2210
Subject: Permit Modification -Name and
Ownership Change
Gold Kist, Inc.
(formerly Golden Poultry Company, Inc
Permit No. NCG060188
Randolph County
Dear Mr. Nouvel:
In accordance with your request dated September 26, 1997, the Division is forwarding the subject permit.
The only change in this permit regards name and ownership. All other terms and conditions in the original
permit remain unchanged and in full effect. This permit modification is issued pursuant to the requirements of
North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and
the U.S. Environmental Protection Agency dated December 6, 1983.
This permit does not affect the legal requirement to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management
Act, or any other Federal or Local government permit that may be required.
If you have any questions concerning this permit, please contact Steve Coerper at [phone],
extension 361.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
Permits and Engineering Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal' Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060I88
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Gold Kist. Inc.
is hereby authorized to discharge stormwater from a facility located at
Staley Feed Mill
2607 Old 421 Road
Liberty
Randolph County
to receiving waters designated as an unnamed tributary to Rocky River in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, II1
and IV of General Permit No. NCG060000 as attached.
This Certificate of Coverage shall become effective October 13, 1997.
This Certificate of Coverage shall remain in effect for the duration of the General Permit_
Sinned this 13th day of October, 1997.
OOGINAL SIGNED BY
BRADLEY BENNEU
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060188
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of Forth Carolina General Statute.]43-215.1. other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Gold Kist, Inc.
is hereby authorized to discharge stormwater from a facility located at
Staley Feed Mill
2607 Old 421 Road
Liberty
Randolph County
to receiving waters designated as an unnamed tributary to Rocky River in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG060000 as attached.
This Certificate of Coverage shall become effective October 13, 199T
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 13th day of October, 1997.
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
September 11, 1997
KENNETH N. WHITMIRE
GOLDEN POULTRY CO.-STALEY
PO BOX 2210
ATLANTA, GA 30301
d � o
T
DEHNF=1
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG060188
Randolph County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
o A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program with outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality may require modification or revocation and reissuance, of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater Group at telephone number [phone]
Sincerely,
for
A. Preston Howard, Jr., P. E.
P.O. Box 29535. Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 5017o recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
otvision of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
17"" 011FA
RECEIVED ... �j )
4 L
WATFP OUAEITYs11
OCT d 9 19
Non-Dischartme Pem� El F1
WATER QUALITY SECTION
PER N-11 hANIEMNLNE SUIP.-CHANGE EURM
2.;.ut IN um'.:r: STALEY FEED MI t E'
1. Prrmit bold Ces name: Go l-den Poultry -Company.
2. Ptrrail's sigrsng officiaXs name and title: Kenneth-N.- Whitmire
(Person legally responsible for permit)
3. Mailing ad&css- P.O. Box 2210
Group Vice -P-res i dent
(Title)
City Atlanta
Sump; Georg is Zip Cote- 30301-2210' phone: [phone]
11. NFt%' 01VN WNANIF INFORMATION
I. rcis request for a naa-ne change is a resuh of:
�a. Chz:ge in oWmc:sltip of propertyleornpar;y
_.Lb. N urz,- change only
—c. 00',er (pleasr. explain)___
2. New ouTic:'s name (narnc to be put on Fernald):_ ___GaLd_K i si 1 nc
Kenneth N. Whitmire
I Nc—A. ownc:'s or siping official's namc and title:
(Person legally r.sponsible for F.rrrnit)
Group Vice President
(Title)
4. P.O. Box 2210 City, Atlanta
S'xe: Georgia 7jp Ccdr: 103ni Phoue: C -7 393-5166

3 .•
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF
ENNIRONNIENTAL MANAGEMENT UNLESS ALL OF THE APPLICABLE ITEMS
LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQLTUD ITEMS:
1. This completed applicatioo
2. Processing fee of $ 100.00 (Checks to be mark payable to DEHNR)
3. If an ownership change. legal documentation of the transfer of ownership (such as a contram deed,
articles of incorporation)
CERTIFICATION MUST BE COMPLETED AND SIGNED BY BOTH THE CURRENT
PEP -MIT HOLDER AND THE NEW APPLICANT IN THE CASE OF CHANGE OF
OWNERSHIP. FOR NAIVE CHANGE ONLY, COMPLETE AND SIGN THE
APPLICANT'S CERTIFICATION.
Current Permittee's Certification:
I,
Kenneth N . Whitmire Est that this application for name/0%-I)Mhir ebange b.as been
re%iew-ed and is accwatc and•complcte to the best of my knowledge. I understand that if all rewired pare
of this application are not completed and that if all required supporting information and attachment, sit not
-included, this appAica6onj*"Se wio be ret,4rto as incompiett. . .11
Applicant's Certification:
Kenrieth N.' Whitmire
I. _-- — , arscst that this application for a narn.fawmcrship cbangc has been
rtviewed and is acl:rwr and complete to the best of my knowledge. I understand thaz if ail required parts
of this app licauoa are not completed and as if all required supportnng infornuzion and =ach=nts are not
included, this,applicatioA- _Azge willed as -incomplete.
'?TM COMPLETED APPLICATION PACKAGE, NCLUDD,'G ALL SUPPORT�G LNFOR�iATIOti
A.\-D MATERL4LS. SHOULD BE SENT TO THE FOLLOW 'G ADDRESS:
?north Carollna Division of Environmental Management
Water Quality Section
Permits and Engineering Unit
P.O. Box 29535
Raleigh, forth Carolina 27616-0535
Telephone: [phone]
Fax: [phone]

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Kenneth N. Whitmire
Golden Poultry Company
P. O. Box 2210
Atlanta, GA 303011
Dear Mr. Whitmire:
August 21, 1996
Subject: Permit Modification - Name Change
Golden Poultry Company
formerly: Perdue Farms, Inc.
COC NCG060188
Randolph County
In accordance with the request received August 14, 1996, we are forwarding herewith the modified
Certificate of Coverage page for the subject facility. The change in this permit is in name and ownership.
All other terms and conditions in the original permit remain unchanged and in full effect. Such terms and
conditions include the original completion date of the Stormwater Pollution Prevention Plan back on
August 12. 1995. This Certificate of Coverage is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U. S.
Environmental Protection Agency dated December 6, 198.3.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
PIease take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This Perini. does not affect the legal requirements.to obtain other permits which may ; —, required Uy
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required. if you have any
questions concerning this change, please contact Steve Ulmer at 919/ 733-5083, extension 545.
Sincerely,
;3� &,'�
A. Preston Howard, .It-., P.E.
CC! Winston-Salem Re-ional Office, Water Quality Section
Compliance - ISB
Central Files
Permits and Engineering, file NCG060188
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]B3 FAX [phone]
An Fqual Opportunity Affirmative Action Employer 50% recycled/ 100% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Alan Vogt
PO Box 158
Showell, MD 21862
Dear Mr. Vogt:
August 12, 1994
Subject: General Permit No. NCG060000
Showell Farms, Inc,
COC NCGO60188
Randolph County
In accordance with your application for discharge permit received on June 14, 1994, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Steve Ulmer at telephone number 919/733-
5083.
Sincerely,
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P. E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
GENERAL.,_ PERMIT NO, NCG0600QO
CERTIFICATE QF COVERAGE NO, NCG060188
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Showell Farms, Inc.
is hereby authorized to discharge stormwater from a facility located at
Showell Farms, Inc. - Staley
2607 Old 421 Road
Liberty
Randolph County
to receiving waters designated as an unnamed tributary to Rocky River in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III
and IV of General Permit No. NCGO60000 as attached.
This Certificate of Coverage shall become effective August 12, 1994.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 12, 1994.
06.941u! Signe(j {5;'
Wall H. sum"Is
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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PAYTOTHE NCDENR $:"100.00
ORDER OF
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