NC0002071_Permit Renewal_20230522

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Kevin Mullineaux
Pamlico Packing Company Inc
PO Box 317
Havelock, NC 28532
Subject: Permit Renewal
Application No. NC0002071
Pamlico Packing Company
Pamlico County
Dear Permittee:
NORTH CAROLINA
Environmental Quality
May 22, 2023
The Water Quality Permitting Section acknowledges the May 22, 2023 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https•//dgq_nc gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
A&W4
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
D_E Q�� North Carolina Department of Environmental Quaky I DNislon of Water Resources
Washington Regional Office 1 943 Washington Square Mall I Washington North Carolina 27889
++ 252.9461>481

RECEIVED
EPA Identification Number
NPDES Permit Number
Facility Name AY 12 "r��,Wroved 03/05/19
NC0002071
Pamlico Packing Company OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
Application for NPDES Permit t"16"W> R/NPDES
t
11""W" CCpp
NPDES
GENERAL GENERAL INFORMATION
SECTION•
•D
1.1 Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete No
If yes, STOP. Do NOT 0 No
Form 1. Complete Form 2A.
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
1.2.1
Is the facility a concentrated animal feeding
1.2.2
Is the facility an existing manufacturing,
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
IL
production facility?
currently discharging process wastewater?
W
W
Yes + Complete Form 1 No
Yes + Complete Form No
zand
Form 2B.
1 and Form 2C.
r_
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing,
mining, or silvicultural facility that has not yet
commercial, mining, or silvicultural facility that
commenced to discharge?
discharges only nonprocess wastewater?
Cr d
Yes + Complete Form 1 [ No
Yes Complete Form �✓ No
and Form 2D.
1 and Form 2E.
4)
:°;
1.2.5
Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes + Complete Form 1 ❑✓ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
(b)(15).
SECTIONr+
r+ • AND LOCATION (40
2.1
Facility Name
Pamlico Packing Company
2.2
EPA Identification Number
pro
NC0002071
-a
2.3
Facility Contact
Name (first and last)
Title
Phone number
Don Cross
President
[phone]
Q
Email address
[e-mail]
d
2.4
Facility Mailing Address
Street or P.O. box
P.O. Box 336
City or town
State
ZIP code
Grantsboro
NC
28529
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0002071
Pamlico Packing Company
OMB No. 2040-0004
H d
2.5
Facility Location
Street, route number, or other specific identifier
Q 0
U
28 North First Street
M
r_ o
County name
County code (if known)
Pamlico
E
City or town
State ZIP code
z
Vandemere
NC 28587
I'PECTION•D
41
3.1
SIC Code(s)
Description (optional)
2091
Canned / Cured Fish & Seafood
2092
Prepared Fresh or frozen Fish & Seafood
U)
0
'C
O
U
to
U
Z
3.2
NAICS Code(s)
Description (optional)
C
U
N
4.1
Name of Operator
Kevin Mullineaux
0
4.2
Is the name you listed in Item 4.1 also the owner?
E
0
❑ Yes ❑✓ No
7
4.3
Operator Status
❑ Public —federal ❑ Public —state ❑ Other public (specify)
d
n
❑✓ Private ElOther (specify)
0
4.4
Phone Number of Operator
[phone]
4.5
Operator Address
Street or P.O. Box
E y
P.O. Box 317
City or town
State
ZIP code
o c0
m
Havelock
NC
28532
n
Email address of operator
O
[e-mail]
SECTION1
R
5.1
Is the facility located on Indian Land?
❑ Yes ❑✓ No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Pamlico Packing Company OMB No. 2040-0004
SECTION. '• 1
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
d
m NPDES (discharges to surface
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
o H
water)
fluids)
='
> E
NC0002071
W
rn�
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
SECTION1
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
C
specific requirements.)
❑ Yes ✓❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTIONOF
1
8.1
Describe the nature of your business.
Processing of fresh seafood
N/
fq
O
C
.y
m
O
d
7
f0
Z
SECTION'
COOLING
WATER INTAKE STRUCTURES (40
9.1
Does your facility use cooling water?
d
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
9.2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
a, w
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
o Y
NPDES permitting authority to determine what specific information needs to be submitted and when.)
o R
c
SECTION
1 VARIANCE
REQUESTS1 1
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
y
when.)
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
❑✓ Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name Form Approved 03/05/19
NC0002071
g Company Pamlico Packing Com an OMB No. 2040-0004
SECTION
• 1
11.1
In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Activities Requiring an NPDES Permit
❑ w/ attachments
✓❑ Section 2: Name, Mailing Address, and Location
❑ w/ attachments
❑✓ Section 3: SIC Codes
❑ w/ attachments
Section 4: Operator Information
❑ w/ attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
..
❑✓ Section 6: Existing Environmental Permits
❑ w/ attachments
c
m
d
Section 7: Map
0 ❑✓ w/ additional attachments
atopographic
g
ra
0 Section 8: Nature of Business
❑ w/ attachments
R
w
Section 9: Cooling Water Intake Structures
❑ w/ attachments
❑✓ Section 10: Variance Requests
❑ w/ attachments
d
L)
c
❑✓ Section 11: Checklist and Certification Statement
❑ w/ attachments
32
r
11.2
Certification Statement
U
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Don Cross
Preident, Pamlico Packing
Signature
Date sign
o s / zOz3
EPA Form 3510-1 (revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No, 2040-0004
Form U.S. Environmental Protection Agency
2C SO' EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOUTFALL LOCATION
1 1 Provide information on each of the facility 's outfalls in the table below.
Nu ber Receiving Water Name Latitude Longitude
0 001 Bay River 35` 18408' N 76° 66084' W
m
002 Bay River 35' 18408' N 76' 66084' W
O
N a W
SECTION-A1
o, 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
J �
0 0 Yes ❑ No
SECTION•
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
**Outfall Number" 001
Operations Contributing to Flow
Operation Average Flow
Shrimp Processing: Table and floor wash down. o.00 mgd
c
E o.00 mgd
M
o.00 mgd
a
c
H o.00 mgd
Treatment Units
0
U-
a, Description Code from Final Disposal of Solid or
(include size, flow rate through each treatment unit, Table 2C-1 Liquid Wastes Other Than
a' retention time, etc.) by Discharge
Strainer filtration to retain / remove residual solids. 1-T Discard to Trash
Effluent pips is 6 in PVC.
This process Unit nor discharge has been actively used in
3 years but maintained for future use.
EPA Form 3510-2C (Revised 3.19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No. 2040-0004
Form U.S. Environmental Protection Agency
2C \"/ EPA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOUTFALL LOCATION
1.1 Provide information on each of the facility 's outfalls in the table below.
Outfa
Number Receiving Water Name Latitude Longitude
0 003 Bay River 35° 18408' N 76' 66084' " W
R
004 Bay River 35' 18408' " N 76° 66084 " W
O
005 Bay Riveer 35' 18408' " N 76* 66084' " W
SECTIONDRAWING 41
o, 2.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
J M
o ❑ Yes ✓❑ No
SECTION• I 40
3.1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
'Outfall Number" 003
Operations
Operation Average Flow
Shrimp Processing : Table and floor wash down. o.00 mgd
c
E o.00 mgd
r
o.00 mgd
y o.00 mgd
3
0 Treatment Units
U-
d Description Code from Final Disposal of Solid or
(include size, flow rate through each treatment unit, Table 2C 1 Liquid Wastes Other Than
a retention time, etc.) by Discharge
Strainer filtration to retain / remove residual solids. 1-T Discard to Trash
Effluent pips is 6 in PVC.
This process Unit nor discharge has been actively used in
3 years but maintained for future use.
EPA Form 3510-2C (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0002071
Paamlico Packing Company
OMB No. 2040-0004
3.1
**Outfall Number** 002 _
cont.
Operations to Flow
-Contributing
Operation Average Flow
Fish Processing
0.00 mgd
mgd
--�
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C•1
Liquid Wastes Other Than
retention time, etc.)
by Dischar e
Strainer filtration to retain / remove residual solids.
1-T
Discard to Trash
c
Effluent pips is 6 in PVC.
0
U
c
This process Unit nor discharge has been actively used in
a
E:
3 years but maintained for future use.
E`—
**Outfall Number"
Operations
Operation Avera a Flow
mgd
d
a'
mgd
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C-1
Liquid Wastes Other Than
retention time, etc.)
by Dischar e
2 inch pipe discharge. Discharge temperature is
1-T
effluent screened and
ambient at discharge.
solids disposed of into trash.
This process Unit nor discharge has been actively used in
3 years. But maintained for future use.
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
d �
❑ Yes ✓❑ No + SKIP to Section 4.
�
3.3
Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No
EPA Form 3510.2C (Revised 3-19) Page 2

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC0002071
Paamlico Packing Company
OMB No. 2040-0004
3.1
**Outfall Number** 004
Cont.
Operations
Operation
Average Flow
Crab Processing
0.00 mgd
mgd
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C•1
Liquid Wastes Other Than
retention time, etc)by
Discharge
Strainer filtration to retain / remove residual solids.
1-T
Discard to Trash
c
Effluent pips is 6 in PVC.
0
v
c
This process Unit nor discharge has been actively used in
d
E
1O
m
3 years but maintained for future use.
t=
**Outfall Number** oos
Operations Contributing
to Flow
Operation
Avera a Flow
LL
Boiler Blow Down
0.00 mgd
�a
d
>
mgd
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C•1
Liquid Wastes Other Than
retention time, etc.)
by Discharge
2 inch pipe discharge. Discharge temperature is
1-T
effluent screened and
ambient at discharge.
solids disposed of into trash.
This process Unit nor discharge has been actively used in
3 years. But maintained for future use.
I 3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
d
!
❑ Yes ✓❑ No + SKIP to Section 4.
�
3.3
Have you attached a list that identifies each user of the treatment works?
rn
❑ Yes ❑ No
EPA Form 3510-2C (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No. 2040-0004
SECTION• 1
4.1 Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal?
Q Yes ❑ No 4 SKIP to Section 5.
4.2
Provide information
on intermittent or seasonal flows for each applicable outfall.
Attach additional pages, if n cessary.
Outfall
Operation
Freq
uency
Flow
Rate
Average
Average
Long -Term
Maximum
Number
(list)
Duration
Days/Week
MonthsNear
Average
Dail
days/week
months/year
mgd
mgd
days
0
001
Fish Packing
5 days/week
6 months/year
.0009 mgd
.0011 mgd
120 days
U.
c
days/week
months/year
mgd
mgd
days
days/week
months/year
mgd
mgd
days
c
Fish Processing
5 days/week
4 monthstyear
.0012 mgd
.0013 mgd
80 days
002
days/week
monthstyear
mgd
mgd
days
days/week
months/year
mgd
mgd
days
Shrimp Processing
5 days/week
6 monthstyear
.0021 mgd
.0022 mgd
120 days
003
days/week months/year mgd mgd days —
SECTION
5. '-•D
• 1
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ Yes ❑✓ No 4 SKIP to Section 6.
5.2
Provide the following information on applicable ELGs.
w
ELG Category
ELG Subcategory
Regulatory Citation
d
n
o.
a
5.3
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
❑ Yes ❑ No 4 SKIP to Section 6.
0
5.4
Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
Outfa
Number
Operation, Product, or Material
Quantity per Day
Unit of
Measure
J
�
w
A
m
0
a
EPA Form 3510-2C (Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No. 2040-0004
SECTION'• 41
6.1 Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ❑✓ No -* SKIP to Item 6.3,
6.2
Briefly identify each applicable project in the table below.
Affected
Final Compliance Dates
E
Brief Identification and Description of
Outfalls
Source(s) of
o
Project
(list ouff all
Discharge
Required
Projected
a
number
E
a
c
is
m
o
rn
a
M
6.3
Have you attached sheets describing any additional water pollution control programs (or other environmental projects
that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes ❑ No ✓❑ Not applicable
SECTIONt
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
7.1
Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of
your outfalls?
❑ Yes ❑✓ No -* SKIP to Item 7.3.
7.2
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application.
Outfall Number Outfall Number Outfall Number
7.3
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
;
requested and attached the results to this application package?
0 Yes E]No; a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
R
Table B.
Toxic Metals, Cyanide, Total Phenols, and Organic Toxic Pollutants
Y
7.4
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
c
listed in Exhibit 2C-3? (See end of instructions for exhibit.)
❑ Yes ✓❑ No 4 SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
w
❑ Yes ❑ No
7.6
List the applicable primary industry categories and check the boxes indicating the required GC/MS fraction(s) identified
in Exhibit 2C-3.
Primary Industry Category
Required GC/MS Fraction(s)
Check applicable boxes.
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
EPA Form 3510-2C (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO002071
Paamlico Packing Company
OMB No. 2040-0004
7.7
Have you checked "Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the
GC/MS fractions checked in Item 7.6?
❑ Yes ❑✓ No
7.8
Have you checked "Believed Present" or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B
where testing is not required?
❑✓ Yes ❑ No
7.9
Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are "Believed Present" in your discharge?
❑ Yes © No
7.10
Does the applicant qualify for a small business exemption under the criteria specified in the instructions?
❑ Yes + Note that you qualify at the top of Table B, ❑ No
then SKIP to Item 7.12.
'c_
7.11
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have
c
determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B,
pollutants you have indicated are "Believed Present" in your discharge?
❑ Yes 0 No
Table C. Certain Conventional and Non -Conventional Pollutants
1!
7.12
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed on Table C
s
for all outfalls?
Y❑
Yes ❑ No
Z
7.13
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
'Believed Present"?
d
❑ Yes ❑✓ No
W
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed in Table D for
all outfalls?
✓❑ Yes ❑ No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged
and (2) by providing quantitative data, if available?
❑ Yes ❑Q No
Table E. 2,3,7,8-Tetrachlorodibenzo- -Dioxin 2 3,7,8-TCDD
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑ No 4 SKIP to Section 8.
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑✓ No
SECTIONOR
MANUFACTURED TOXICS
8.1
Is any pollutant listed in Table B a substance or a component of a substance used or manufactured at your facility as
an intermediate or final product or byproduct?
❑ Yes ❑✓ No 4 SKIP to Section 9.
U
8.2
List the pollutants below.
c
�0
1. 4. 7.
0
d
2. 5. 8.
3. 6. 9.
EPA Form 3510-2C (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No. 2040-0004
SECTION• • • 1
9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge?
❑ Yes ❑✓ No 4 SKIP to Section 10.
H
9.2
Identify the tests and their
Durposes below.
Test(s)
Purpose of Test(s)
Submitted to NPDES
Date Submitted
x
Permitting Authority?
0
H
❑ Yes ❑ No
0
0
•m
El Yes El No
❑ Yes ❑ No
SECTION•
10.1
Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
❑ Yes ❑✓ No 4 SKIP to Section 11.
10.2
Provide information for each contract laboratory or consulting
firm below.
Laboratory Number 1
Laboratory Number 2
Laborato Number 3
Name of laboratory/firm
Environment One
10
U),
Laboratory address
114 Oakmont drive
=
a
Greenville, NC 27858
_
0
U
Phone number
[phone]
Pollutant(s) analyzed None for past 3 plus years.
historically:
TSS, Oil Grease,Total
Nitrogen, Total Phos,
Settable Solids,
11.1
Has the NPDES permitting authority requested additional information?
a
❑ Yes ❑ No SKIP to Section 12.
11.2
List the information requested and attach it to this application.
0
1. 4.
0
a
2. 5.
a
3. 6.
EPA Form 3510-2C (Revised 3-19) Page 6

EPA Identificabon Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0002071 Paamlico Packing Company OMB No. 2040-0004
SECTION• 1 and
12.1 In Column 1 below, mark the sections of Form 2C that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to complete all sections or provide attachments.
Column 1
Column 2
❑ Section 1: Outfall Location
❑ w/ attachments
Section 2: Line Drawing
❑✓ w/ line drawing w/ additional attachments
w/ list of each user of
Section 3: Average Flows and
0
❑ w/ attachments ❑ privately owned treatment
Treatment
works
❑✓ Section 4: Intermittent Flows
❑ w/ attachments
❑✓ Section 5: Production
❑ w/ attachments
w/ optional additional
ElSection 6: Improvements
Elw/ attachments ❑ sheets describing any
additional pollution control
tans
❑ w/ request for a waiver and ❑ w/ explanation for identical
supporting information outfalls
E
w/ small business exemption w/ other attachments
❑ ❑
request
N
❑ Section 7: Effluent and Intake
❑ w/ Table A ❑ w/ Table B
Characteristics
0
❑ w/ Table C ❑ w/ Table D
❑ w/ Table E ❑ w/ analytical results as an
c�
attachment
Section 8: Used or Manufactured
❑
❑ w/ attachments
Toxics
❑ Section 9: Biological Toxicity
❑ w/ attachments
t
Tests
❑✓ Section 10: Contract Analyses
❑ w/ attachments
c.�
❑ Section 11: Additional Information
❑ w/ attachments
0 Section 12: Checklist and
0 w/ attachments
Certification Statement
12.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel property gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. l am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
)905�rg�-- ammP IP� Y6
Signature
Date sign
EPA Form 3510-2C (Revised 3-19) Page 7

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Pamlico Parkin Company Facility -
g p � Location
State Grid/Quad: D 32 NW / Vandemere, NC Sub -Basin: 03-04-13 not to scale
Latitude: 35' 11' 00" N Drainage Basin: Neuse River Basin _
Longitude: 76' 39' 40" W Permitted Flow: Not Limited NPDES Permit NC0002071�
Receiving Stream: Bay River Stream Class: SC -SW -NSW

Imagery ©2023 CNES / Airbus, Maxar Technologies, U.S. Geological Survey, USDA/FPAC/GEO, Map data ©2023 100 ft
RECEIVED
N r; I' 2 2 1-3 _7 3
NCDEQ/DWR/NPDES