NCG060428_NOI_20220113

FOR AGENCY USE ONLY
NCG06�1�2�
Assigned to: o4µy l 3on
ARO FRO RO RRO WARD WIRO WSRO
RECEIVED
JAN 112071
DENR-LAND QUALITY
Division of Energy, Mineral, and Land Resources Land QLff9WW6YtWRmiTTiNG
National Pollutant Discharge Elimination System
NCGO60000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC20 [Food and Kindred Products], SIC21 [Tobacco Products], SIC283 [Drugs], SIC284
[Soaps, Detergents, & Cleaning Preparations,, Perfumes, Cosmetics, & Other Toilet Preparations], SIC422 (Public
Warehousing and Storage — exceptfor 4226]. You can find information on the DEMLR Stormwater Program at
deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will he mailadt-
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Evans Food Group LTE
David W. Moore
Street address:
City:
State:
Zip Code:
237 Industrial Drive
Kings Mountain
NC
28086
Telephone number:
Email address:
704-477-7680
[e-mail]
Type of Ownership:
Government
E3County ©Federal CINunicipal OState
Non -government
0Business (If ownership is business, a copy of NCSOS report
must be included with this application)
© Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Benestar Brands, Kings Mountain Facility
David W. Moore
Street address:
City:
State:
Zip Code:
237Industrial Drive
Kings Mountain
NC
28086
Parcel Identification Number (PIN):
County:
3504123715,3504136096
Cleveland
Telephone number:
Email address:
704-477-7680
devid.rn ore@beneaterbrenda.c rn
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2096
® New ® Proposed 13 Existing
1112021
Latitude of entrance:
Longitude of entrance:
3513' 9.11"N
81 20' 28.87"W
Brief description of the types of industrial activities and products manufactured at this facility:
Food production fall' that will manufacture tortilla chips and pork rinds.
This facility processes meat: ® Yes 0 No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
ED N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Adam R. Hogan, PE
Alliance Consulting Engineers, Inc.
Street address:
City: State:
Zip Code:
124 Verdae Boulevard, Suite 505
Greenville SC
29615
Telephone number:
Email address:
[phone]
[e-mail]
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-0 digit identifier:
r Name of receiving water:
Classification:
❑ This water is impaired.
001
lKings Creek
Freshwater
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35 13' 4.44"N
81 20' 20.76"W
Brief description of the industrial activities that drain to this outfall:
Oil Silo Storage Area, Chemical Loading / Unloading Area, and Oil Loading / Unloading Area.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E3 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Il Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? I❑ Yes © No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOI.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordinalvi-
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
I] This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Riprap is installed at each outlet into the detention basin. Basin is equipped with filter bemns, basin skimmer, and riprap at outfall 001.
❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored:
Where material is stored:
Number o1:waste shipments per year.
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been includedl-
O Check for $100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
❑+ This completed application and any supporting documentation
O A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
0 Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
El I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
0 The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
O I will abide by all conditions of the NCG060000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
O 1 hereby request coverage under the NC-1GO6ff0001l0 Ge(n�e/r�al Permit. n
Printed Name of Applicant: 6U1 1� W. 1 i rpo' `C_.
Title:
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

Additional Outfalls
3-4 digit identifier:
Name of receiving water:
gassification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 13 Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ® Yes © No
If yes, how many gallons of new motor oil are used each month when averaged overthe calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? El Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
El This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfali:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? [O]Yes 1 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier.
Name of receiving water:
classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ® Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

VV7V1 , � , VVV
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2020 Aug 26 08:48 AM RE Excise Tax $ 0.00
Book: 34971 Page: 530 - 530 Fee: $ 26.00
Instrument Number: 2020134702
ASSUMED BUSINESS NAME CERTIFICATE (NCGS §66-71.51
Please print legibly.
1. The assumed business name is:
Benestar Brands
(You may include no more than five (5) assumed business names on this form.)
2. The real name of the person or entity engaging in business under the assumed business name is:
Evans Food GrouD. Ltd.
1978309
(Corporations, LLC's, limited partnerships must provide the gi name registered with the NC Secretary of State's office and
the SOSID number assigned at the time of formation. Go to www.sosnc.eov/br/search to lookup your Information.)
3. The nature/type of the business is: snack food producer
4. The street address of the principal place of business is: (PO Boxes are not acceptable)
4118 S. Halstead SL, Chicago, IL 60609
S. The mailing address, if different from the street address, is:
6. The counties where the assumed business name will be used to engage in business are:
■ All 100 North Carolina counties
This certificate is signed by the owner/legal representative of the person or entity named above,
this it A dayof ,,May 2020
Signature:
Printed/Typed Name: Christopher McRorie
Title: Vice President, Secretary and General Counsel
(See Instructions for who must sign for various business entity types.)
Assumed Business Name Certificate
10.03.17
submitted electronlcally by "NC corporate connection, INc."
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Mecklenburg county Register of Deeds.

YVT, VT � • ViV
For Registration
Fredrick Smith
Register of Deeds
Mecklenburg County, NC
Electronically Recorded
2020 Jul 0212:18 PM RE Excise Tax $ 0.00
Book: 34764 Page: 829 - 829 Fee: $ 26.00
Instrument Number: 2020099984
ASSUMED BUSINESS NAME CERTIFICATE (NCGS 466-71.51
Please print legibly.
1. The assumed business name is:
Benestar Brands
(You may include no more than five (5) assumed business names on this form.)
2. The real name of the person or entity engaging in business under the assumed business name is:
Evans Food Group, Ltd.
1978309
(Corporations, LLCs, limited partnerships must provide the exact name registered with the NC Secretary of State's office and
the SOSID number assigned at the time of formation. Go to www.sosnc.eov/br/search to look up your Information.)
3. The nature/type of the business is: snack food producer
4. The street address of the principal place of business is: (PO Boxes are not acceptable)
4118 S. Halstead St, Chicago, IL 60609
5. The mailing address, if different from the street address, Is:
6. The counties where the assumed business name will be used to engage in business are:
■ All 100 North Carolina counties
This certificate is signed by the owner/legal representative of the person or entity named above,
this jr) day of ,�April , 2020
Signature:
Printed/Typed Name: Christopher McRode
Title: woe President, Secretary and General Counsel
(See Instructions for who must sign for various business entity types.)
Assumed Business Name Certificate
10.03.17
submitted electronically by "NC Corporate Connection, INc."
to compliance with North Carolina statutes governing recordable documents
and the terns of the submitter agreement with the Mecklenburg county Register of Deeds.

GENERAL LOCATION MAP
STORMWATER POLLUTION PREVENTION PLAN
��..
PROJECT CHIPPY
CITY OF KINGS MOUNTAIN,
CLEVELAND COUNTY, NORTH CAROLINA
1-/- 20 Acres
HENESTAR
_f
13RANDS—
�
it LLIANCE
--�
GRAPHIC SCALE '"` •"
_
R m0 Ir_H_J
gr
CONTOUR INTERVAL 20 FEET
JULY 28, 2021
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/f/QIU
Ij
! 7(1 �\/ b. \- n sp I '/""-� r\ .•'� TRIBUTARY OF
KINGS CREEK a V
ix
F
r,..� � � /� r // '•�, ` -..te _"-'l%/ .--,`S� / � "lei rJ � \

L��
—PL—
EXISTING PROPERTY LINE
EXIS
--RAN--
EXISTING RIGHT-OF-WAY
UMII
EXISTING CONTOUR MAJOR
I —
EXISTING CONTOUR MINOR
l PROI
--10W--
EXISTING WATER MAIN
///(///////, PRO)
--8WW--
EXISTING WASTEWATER GRAVITY LINE
PROI
•
EXISTING MANHOLE
PROI
—OHE—
EXISTING OVERHEAD ELECTRIC
—GAS—
EXISTING GAS LINE
—SO—
EXISTING STORM DRAINAGE
♦�
EXISTING PAVEMENT
OffflUll
EXISTING GRAVEL ROAD
EXISTING RIP RAP
EXISTING ROCK CHECK DAM
Fws
REFERENCES:
1. REFERENCE IS MADE TO A TOPOGRAPHIC SURVEY PREPARED BY
BA0.RETT SURVEVINO GROUP, LLC DATED AUGUST 1S. 2020.
2. REFERENCE IS MADE TO CLEVELAND COUNTY GIS DATA.
00
,`,LLIANCE
CONSULTING ENGINEERS
Prepared By Alliance Consulting Engineers. Inc
JUIV 2021