HomeMy WebLinkAboutNCG060443_Application_20230210RECEIVED
FOR AGENCY 1U�SE ONLY F� ] 0NCG06 D_ k 13 2023
Assigned to: 1�._ Co b )C
ARO FRO MRO RRO AR WIRO WSRO DEMLR-StormwaterProgfBrll
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC10 [Food and Kindred Products], SIC21 [Tobacco Products], SIC283 [Drugs], SIC284
[Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations], S/C422 [Public
Warehousing and Storage — except for 4226]. you can find information on the DEMLR Stormwater Program at
deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Butterball, LLC
Lankford Ruffin
Street address:
City:
State:
Zip Code:
One Butterball Lane
Gamer
INC
27529
Telephone number:
Email address:
919-255-7900 ext 7989
Iruffin@butterball.com
Type of Ownership:
Government
[]County ❑Federal DMunicipal OState
Non -government
O Business (If ownership is business, a copy of NCSOS report must be included with this application)
D Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Grain Mill #2
Christina Fleming
Street address:
City:
State:
Zip Code:
890 Millers Chapel Road
Goldsboro
NC
27534
Parcel Identification Number (PIN):
County:
3528988906
Wayne
Telephone number:
Email address:
919-630-3431
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2048
D New D Proposed ElExisting
1988
Latitude of entrance:
Longitude of entrance:
35.363843
-77.893258
Brief description of the types of industrial activities and products manufactured at this facility:
Animal feed production for distribution to poultry and livestock farms
This facility processes meat: D Yes El No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Gregory Kanellis
Hart & Hickman, PC
Street address:
City:
State:
Zip Code:
3921 Sunset Ridge Drive Suite 301
Raleigh
NC
27607
Telephone number:
Email address:
919-647-4241
gkanellis@harthickman.com
4. Outfall(s)_At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑+ This water is impaired.
001
Walnut Creek (Lake Wackena, Spring Lake)
C;NSW
O This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.363611
-77.892778
Brief description of the industrial activities that drain to this outfall:
Discharge of oiVwater separator from boilerttank fans containment; industrial traffic; animal fat/grain unloading; recycling and trash hoppers
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? O Yes El 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.
I
002
Walnut Creek (Lake Wackena, Sprng Lake)
C;NSW
0 This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.359722
-77.886389
Brief description of the industrial activities that drain to this outfall:
Tank farm unloading; used oil bin; storage in grain bins; industrial traffic; miscellaneous material storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El 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:
Cl 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? O 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.
0 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 E3 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NO1.
Page 2 of 5
S. Other Facility Conditions (check all that apply and explain accordingly):
O This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCG060151 - Mill 2 removed from permit, need new permit to segregate Mill 2 activity from Mill 1
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
O This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Good housekeeping, employee training, preventative maintenance, collection and conveyance structures, drainage dikes
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SW PPP was implemented:
Most recent version - June 4, 2021, Will need to be updated to separate Mill 2 activity from Mill 1 activity.
❑ 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 of 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 Iter11S (Application will be returned unless all of the following items have been included):
O Check for $100 made payable to NCDEQ
O Copy of most recent Annual Report to the NC Secretary of State
0 This completed application and any supporting documentation
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
l7 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 143-215.6B (1) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
O 1 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.
El 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.
El 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.
0 1 hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: Lankford Ruffin
Title: Director of Environmental Affairs and Sustainability
(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
USGS The National Map: National Boundaries Dataset, 3DEP Elevation
Program, Geographic Names Information System, National Hydrography
Dataset, National Land Cover Database, National Structures Dataset, and
National Transportation Dataset; USGS Global Ecosystems; U.S. Census
µ Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S.
Lil` Department of State Humanitarian Information Unit; and NOAA National
Centers for Environmental Information, U.S. Coastal Relief Model. Data
refreshed May, 2020.
0 2.000 4.000
N SCALE IN FEET
U.S.G.S. QUADRANGLE MAP
SOUTHEAST GOLDSBORO, NORTH CAROLINA 2019
QUADRANGLE
7.5 MINUTE SERIES (TOPOGRAPHIC)
9 LIMITED LIABILITY COMPANY ANNUAL REPORT
1/612n22
NAME OF LIMITED LIABILITY COMPANY: Butterball, LLC
Has O . Use Only
SECRETARY OF STATE ID NUMBER: 0869012 STATE OF FORMATION: NC E- Filed Annual Report
0869012
REPORT FOR THE CALENDAR YEAR: 2022 4 15/ 022511:453
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B:
1. DESCRIPTION OF NATURE OF BUSINESS: Poultry growing, processing, and sales
2. PRINCIPAL OFFICE PHONE NUMBER: (919) 255-7979 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
One Butterball Lane
NC 27529
5. PRINCIPAL OFFICE MAILING ADDRESS
One Butterball Lane
Garner, NC 27529
6. Select one of the following If applicable. (Optional see Instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: DAVID M. BECKER NAME: Thomas R Howell NAME: ROBERT L. STEER
TITLE: Manager TITLE: Manager TITLE: Manager
ADDRESS:
ADDRESS:
ADDRESS:
WEST 67TH STREET 938 Millers Chapel Road 9000 WEST 67TH STREET
Shawnee Mission, KS 66202 Goldsboro, NC 27534
SHAWNEE MISSION, KS 66202
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personibusiness entity.
DAVID M.BECKER 4/15/2022
SIGNATURE DATE
Form must be signed by Company Official listed under Section C of This form.
DAVID M.BECKER Manager
Print or Type Name of Company Official Pnnt or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200.00
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525
Type: CRP
Recorded: lf3f2023 1:42:47 PM
Fee Amt: $23,474.00 Page 1 of 7
Revenue Tax: $23,448.00
WAYNE COUNTY, NC
CONSTANCE B. CORAM REGISTER OF DEEDS
BK 3791 PG 809 - 815
Excise Tar. M.449 W
Parcel Identifier No. 3528988906 and Part of 3529999994. 35382706567 3538273452
Mail after recording to: Grantee
This instnunent was prepared by: _ Kilpab ick Townsend & Stockton LLP (JCL) - without title examination
Brief description for the Index: 160.36 Acres, Plat Cabinet P, Page 76-B
NORTH.CAROLINA SPECIAL WARRANTY DEED
THIS DEED made as of this 31st day of December, 2022, by and between
GMC LEGACY, LLC, a North Carolina limited
liability company
P O Box 10009
Goldsboro, NC 27532
GRANTEE
BUTTERBALL, LLC, allorth Carolina limited
liability company
One Butterball Lane
Goldsboro, NC 27529-5971
Enter in appropriate binck for each party: name, address, and, if appropriate, character of entity, e.g., corporation or partnership.
The designation Grantor and Grantee as used herein shall include said patties, their heirs, successors, and assigns,
and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in. New Hope Township, County of Wayne, North Carolina, and more
particularly described as follows:
SEE EXHIBIT A ATTACHED HERETO AND MADE APART HEREOF
submitted electronically by "Investors Title Insurance company"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wayne County Register of Deeds.
The property hereinabove described was acquired by Grantor by instrument(s) recorded in Book 3759, Page 334,
Book 3787, Page 52 and Book 3797, Page 56 in the Wayne County Registry.
The property herein conveyed does not include the primary residence of a Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And Grantor covenants with Grantee, that Grantor has done nothing to impair such title as Grantor received, and
Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through
Grantor, except for the exceptions hereinafter stated on Exhibit 13 attached hereto and made a part hereof
(signature appears on the following page)
IN WITNESS WHEREOF, Grantor has caused this instrument to be duly executed, the day and
year first above .written.
GRANTOR:
GMC LEGACY, LLC, a North Carolina
limited liability company
� ttnr
/ Authorized Signatory r7p
By:
J alter Pelletier Ill
Authorized Signatory
STATE OF NORTH CAROLINA
COUNTY OF WAYNE
I certify that the following person(s) personally appeared before me this day, and
■
7
I have personal knowledge of the identity of the principal(s)
I have seen satisfactory evidence of the principal's identity, by a currentstate or federal
identification with the principal's photograph in the form of a
A credible witness has sworn to the identity of the principal(s);
each acknowledging to me that he or she voluntarily signed the foregoing document for the purposestated therein
and in the capacity indicated: J. L. Maxwell III. AuthorizedJ. L. Maxwell III. Authorized Signatory
(insert name ojperson signing)
Data:
(official seal) p%%I
a�`� N
,,PRY
Pt�
Eill NE tCOJ```�.
cLrYt�r V+70'1!, Notary Public
(print nam
My commission expires: I •� :�
STATE OF NORTH CAROLINA
COUNTY OF WAYNE
1 certify that thefollowing person(s) personally appeared before me this day, and.
dI have personal knowledge of the identity of the principal(s)
❑ I have seen satisfactory evidence of the principal's identity, by a current state or federal
identification with the principal's photograph in the torn of a
n
A credible witness has swam to the identity of the principal(s);
each acknowledging to me that he or she voluntarily signed the foregoing document for the purpose stated therein
and in the capacity indicated: 1. Walter Pelletier In, Authorized Signatory
[insert name afperson signing]
Date:f-�--
�Llfy!n Notary Public
(print ram
(official seal) My commission expires:
EXHIBIT A
LEGAL DESCRIPTION
BEING all that tract or parcel of land lying and being in New Hope Township, Wayne County,
North Carolina, containing 60.36 acres of land, more or less, as shown on a recombination
survey entitled "Recombination Survey for OMC Legacy, LLC" dated December 12, 2022,
prepared by F. Wade Davenport, Professional Land Surveyor, for Atlantic Surveying, P.A., filed
of record December 22, 2022,.in Plat Cabinet P, Slide. 76-13, Register of Deeds, Wayne County,
North Carolina..
EXHIBIT B
PERMITTED EXCEPTIONS
1. Taxes for the year 2023, and subsequent years, not yet due and payable.
2. 10' NC Natural Gas Easement recorded in Book 1231 at Page 772.
3. Matters shown on plats recorded in Plat Cabinet F (BK 13). Slide 12 (PG 23), Plat
Cabinet A Slide 52-AB, Plat, Cabinet K, Slide 50-I, Plat Cabinet N at Slide 74J, Map
Book 11 at Page 71 and Deed Book 1160 at Page 606, Plat Cabinet L Slide 65-E, Plat
Cabinet L Slide 64_
4. Easement(s) to Carolina Power & Light Company recorded in Book 1059 at Page 459,
Book 772 at Page 251, and Book 309 at Page 505.
5. Annexation document recorded in Book 1863 at Page 421; waiver recorded in Book 1914
at Page 840 and map recorded in Plat Cabinet L at Slide 64-G.
6. Easement(s) and/or Right(s) of Way to Carolina Power & Light Company recorded in
Book 694 at Page 448, Book 760 at Page 287, and Book 892 at Page 471.
7. Easement(s) to CP&L recorded in Book 1449 at Page 771, Book 1465 at Page 448, Book
309 at Page 498 and Book 346 at Page 15.
8. Compliance with Wetland & Buffer Regulations recorded in Book 2910 at Page 279.
9. Title to that portion of the Land within the right-of-way of State Road #1713.
10. Title to that portion of the Land lying within the bounds of the railroad right of way of
Norfolk Southern Railroad.
11. Rights of others thereto entitled in and to the ditches crossing the Land.
12. Drainage Ditch and Access Easement Agreement by and among GMC Legacy, LLC, a.
North Carolina limited liability company ("Grantor") and G & L AG Properties, LLC, a
North Carolina limited liability company, Goldsboro Milling Company, Inc. (f/k/a Sleepy
Creek Farms, Inc.), a North Carolina corporation, Maxwell Foods, LLC, a North Carolina
limited liability company, GMC Legacy, LLC, a North Carolina limited liability
company, and Bufferzone, LLC, a North Carolina limited liability company (collectively
"Grantee"), dated December 22, 2022, recorded December 22, 2022, in Book. 3790, Page
458, Wayne County Registry.
13. Drainage and Detention and Sanitary Sewer Easement Agreement by and among GMC
Legacy, LLC, a North Carolina limited liability company ("Grantor") and Six Maxwells,
LLC, a North Carolina limited liability company, and G & L AG Properties, LLC a North
Carolina limited liability company, and G & L Mill Properties, LLC, a North Carolina
limited Iiability company (collectively "Grantee"), dated December 22, 2022, recorded
December 22, 2022, in Book 3790, Page 441, Wayne County Registry.
14. Those matters as disclosed by that certain survey entitled ALTA/NSPS Land Title Survey
Wayne County, NC, prepared by NVS, bearing the seal and certification of Ronald Tracy
Godwin, PLS, dated December 9, 2022, as follows:
a) overhead utility wires;
b) site access;
c) ditch;
d) 18" RCP;
e) railway tract;
0 fence;
g) western retention pond and easement;
h) 30' drainage easement;
i) 30' sewer casement;
j) 60' Ingress -Egress and Utility Easement;
k) septic field;
1) rocked drive.
15. Matteis shown on plat recorded in Plat Cabinet P, Slide 76-B.
LEGEND _
p + LATITUDE DRAINAGE DRAINAGE AREA SITE PROPERTY BOUNDARY
•°4 ' ' �'` LONGITUDE AREA (Acres %IMPERVIOUS
� ) - +- --- RAILROAD TRACK
35°21'49" N,
OUTFALL 001 DA-1 10.06 55% WATER SUPPLY WELL
j. 77°53'34" W
35'21'35" N,
OUTFALL 002 DA-2 12.23 77%
77°53'11" W ® OILNVA7ER SEPARATOR
`K NO OUTFALL - No SEGREGATED POINT
SEPTIC LEACH FIELD
SOURCE DISCHARGE FROM DA-3 8.89 84
FORMER SEPTIC LEACH FIELD
NO OU I FALL - NO POINT
EMERGENCY GENERATOR
SOURCE DISCHARGE FROM DA-4 8.12 0%
�cj r' �.. D'4'4 0 PAD -MOUNTED TRANSFORMER
NO OUTFALL - NO
SEGREGATED POINT 8.81 0% _______ STORMWATER FLOW VIA UNDERGROUND
"' _ i•. SOURCE DISCHARGE FROM DA 5 PIPING FROM TANK FARM AND OWS
040,
STORMWATER CONVEYANCE DITCH
A _ b '" ...,-'>-->- STORMWATER CULVERT
- 7 OUTFACE 001` ^, -=, ,
SECONDARYTRU CK s APPROXIMATE STORMWATER DRAINAGE
WASH BUILDING - - AREA
Y� '''+++��� ^'�,..-; •• _ APPROXIMATE STORMWATER
SHEETFLOW DIRECTION
PRIMARY TRUCK DA-3
4
WASH BUILDING s ANIMAL FAT UNLOADING
250-GALLON DIESEL ASTIIIIIIIIIIIIIIIIIIIIIIIIIII
Or GRAIN BIN
NOTES:
RETENTION POND#1
(RECEIVES STORMWATER '�. c rr. , ' NORFOLK SOUTHERN RAILRO 1. AERIAL IMAGERY OBTAINED FROM NC ONEMAP, 2021.
FROM MILL 2 AND NORTHERN •�. .
ADJACENT PROPERTY) TRUCK SCALEI JM 2. BASE DATA OBTAINED FROM WAYNE COUNTY GIS, 2021.
RESIDENCE
�T
GENERAL TRASH AND - Z A-0
RECYCLING HOPPERS
MAINTENANCE BUILDING•^�••�,�`�
BOILER ROO
BED OIL BIN
TANK AR
(AND CONTAINMENT)
-5
OUTFALL 002
CULVERTS RECEIVE STORMWATER �N
FROM NORTHERN
RE NTION POND #2 ADJACENT PROPERTY; NO POINT
(RECEIVES STORMWATER SOURCE DISCHARGE FROM DA-4 APPROXIMATE
0 500 1000
FROM MILL 2 AND NORTHERN
ADJACENT PROPERTY) PROTECTED WETLANDS AREA SCALE IN FEET
SITE MAP
GOLDSBOR0 MILLING CO. - MILL #2
890 MILLERS CHAPEL ROAD
GOLDSBORO, NORTH CAROLINA
yv.,. W • un ( Ridge Road, S w MI
hart hickman 3921 S
z.hC..27W7 9
SMARTER ENVIRONMENTAL SOLIfIM]NS L .a # C-1269 / #G245 Ge kW
DATE: 9-13-22 REVISION NO. 0
}' JOB NO. BTB-004 FIGURE NO. 2