NCG060394_Contact updates_20210623

McCoy, Suzanne
From: Elizabeth Gordon <[e-mail]>
Sent: Wednesday, June 23, 2021 12:20 PM
To: McCoy, Suzanne
Subject: [External] NCG060394 Updated Stormwater Permit Summary
Attachments: NCG060394_SW Permit Summary_corrected.pdf
Follow Up Flag: Follow up
Flag Status: Completed
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Suzanne,
I'm in the process of completing steps 1 & 2 for the eDMR registration and need to make a few changes regarding
permit NCG060394 Mountaire Farms — Mount Vernon Hatchery.
Please see the attached summary report for the changes. People to be removed are highlighted yellow and updates are
noted under the appropriate section in red.
Thankyou!
Elizabeth Gordon
Environmental Compliance Auditor
Mountaire Farms Inc.
Siler City, NC
Office: 919-663-6729
Cell:302-236-1196
[e-mail]

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour Dermit as of 6/23/2021.
Permit Number: NCG060394 Permit Status: Active
Permit Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Facility Name: Mountaire Farms - Mount Vernon Hatchery
Facility Addressl: 175 Foust Rd
Facility Address2:
City, State & Zip: Siler City, NC 27344
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownershka"Form)
Owner Name: Mountaire Farms Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Phillip Plylar Title:
Addressl: PO Box 1320
Address2:
City, State & Zip: Millsboro, DE 19966-1320
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month:
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax
Email
John Wren 16701 Airport Rd, Maxton, NC 302-934-3081
28364-6899
Alan Asbury 17269 Hwy 71 N, Lumber Bridge, NC
28357
Jimmy Paulakuhn PO Box 1320, Millsboro, DE 19966-1320 302-934-3453 302-934-3081
jpaulakuhn@mount
ainire.com
Tanya PO Box 1320, Millsboro, DE 19966-1320 302-934-4052
trogers-vckers@mo
Rogers -Vickers
untaire.com
Scott Varner Director of Processing PO Box 339, Lumber Bridge, NC 800-862-0720 910-843-4256
Operations 28357-0339
David Kirby
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Douglas Wayne PO Box 77, Siler City, NC 27344-0077 919-548-5024 dgoodwin@mountai
Goodwin re.com
Everett Johnson PO Box 77, Siler City, NC 27344 919-974-4728x5802 [e-mail]
6/23/2021 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour Dermit as of 6/23/2021.
Permit Contact Person(s)
Contact Name Title Address
Phone Fax
Email
Douglas Wayne Goodwin PO Box 77, Siler City, NC 27344-0077
919-548-5024
Elizabeth Gordon PO Box 320 Siler City, NC 27344
919-663-6729
[e-mail]
Jim H r] rick PO Box 320 Siler City, NC 27344
Permit �i ing Contact(s)
919-663-6723
[e-mail]
Contact Name Title Address
Phone Fax
Email
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address
Phone Fax
Email
Person(s) with Electronic Signature Authority
Type Contact Name Title Address
Phone Fax
Email
Outfalls
OutFall #: 001 OutFall Description: stormwater outfall 001
OutFall Lattitude: 35.674440 OutFall Longitude:-79.415560
Represented by OutFall:
Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Cape Fear Welch Branch
17-43-13-1
C
add outfall 002 represented by outfall 001
6/23/2021 Page 2