NC0003344_House of Raeford (2023 Application Submittal #2)_ADI

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03105/19
110027397001
NC0003344
House of Raeford -Wallace
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
t
nEPA
Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
1. ACTIVITIES REQUIRING
AN r ,
NPDESSECTION
1.1 Applicants Not
Required to Submit Forth 1
1 1 1
Is the facility a new or existing publicly owned
1 12
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 Fora 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
rl
production facility?
currently discharging process wastewater?
oYes
4 Complete Form 1 0 No
0 Yes 4 Complete Form No
_
and Form 213.
1 and Form 2C.
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
Yes 4 Complete form 1 [a No
Yes 4 Complete Form No
and Form 2D.
1 and Form 2E.
1.2.5
Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15 .
SECTION
2. NAME
MAILING ADDRESS. • 1
2.1
Facility, Name
House of Raeford -Wallace Division
0
2.2
EPA Identification Number
u
110027397001
v
2.3
Facility Contact
Name (first and last)
Title
Phone number
v
a
Cowan Johnson
Plant Manager
[phone]
Email address
:W
[e-mail]
a
2.4
Facility Mailing Address
zE
Street or P.O. box
PO Box 669
City or town
State
ZIP code
Wallace
NC
29466
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identificalim Number
NPDES Permit Number
Facility Name
Form Approved 03105/19
110027397001
NCOOD3344
House of Raeford -Wallace
OMB No. 2040-0004
w m
2.5
Facility Location
'US
Street, route number, or other specific Identifier
Q 0
253 Butterball Rd
C
o
County name
County code (if known)
Duplin
W
City or town
State ZIP code
z
Teachey
NC 28464
SECTION•
NAICS COD40
3.1
SIC Code(s)
Description (optional)
2015
w
m
U
=
3.2
NAICS Code(s)
Description (optional)
v
m
311615
U
fA
SECTIONOPERATOR
O • •I
4.1
a N"
o
4.2
o✓u listed in Item 4.1 a so the owner?
rratol
l No
`o
4.3
tus
❑ Public —federal ❑ Public —state ❑ Other public (specify)
© Private ❑ Other
0
(specify)
4.4
Phone Number of Operator
cr19 9ro - 8 -✓3
4.5
Operator Address
'
Street or P.O. Box
m
PO Box 669
o �
=—�
City or town
State
ZIP code
g`
Wallace
NC
28466
nEmail
address of operator
[e-mail] .
SECTION•
• •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 03105119
110027397001 NC0003344 House of Raeford -Wallace OMS No. 2040-0004
SECTION•! �1
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
m ® NPDES (discharges to surface ❑ RM (hazardous wastes) ❑ UIC (underground injection of
Cwater) fluids)
c
d
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
K
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
w
77.1
Have you attached a topographic map containing all required information to this application? (See instructions for
m
specific requirements.)
❑� Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTIONS.
NATURE
OF : 41
8.1
Describe the nature of your business.
Live Chickens arrive by trucks in cages. They enter our plant where they are hung on trolleys. Next they are stalled,
de -feathered, eviscerated, inspected, chilled, deboned, weighed, packaged, and shipped.
Residual blood, fat, and grease is pumped along with wash water to an activated wastewater plant. Prior to flowing
FA
into equalization basin and aeration system, blood, fats, oil and grease are removed by dissolved air floatation unit
m
for rendering.
0
COOLINGSECTION 9.
r
9.1
Does your facility use cooling water?
..
❑r 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
CD
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
We have cooling towers for our refrigeration process and all the water goes to wastewater treatment.
C
SECTION
r VARIANCE
REQUESTS4! 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
m
when.)
Cr
[] Fundamentally different factors (CWA [� Water quality related effluent limitations (CWA Section
$
Section 301(n)) 302(b)(2))
c
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
j Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA Ider ficabon Number NPOES Permit Number Facility Name
Form Approved 03/05119
] NC0003344 House of Raeford -Wallace
OMB No. 2040-0004
SECTION•
r . .
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
S Section 1: Activities Requiring an NPDES Permit
❑ wl attachments
❑✓ Section 2: Name, Mailing Address, and Location
❑ w/ attachments
❑✓ Section 3: SIC Codes
❑ wl attachments
✓❑ Section 4: Operator Information
❑ w/ attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
z
❑ Section 6: Existing Environmental Permits
❑ wl attachments
m
m
Section 7: Ma p
w/ topographic
�w/additional attachments
W
ma
N
`o
Section 8: Nature of Business
Elwl attachments
m
❑✓ Section 9: Cooling Water Intake Structures
❑ w/ attachments
c
m
0 Section 10: Variance Requests
❑ wl attachments
v
c
W
w
✓ Section 11: Checklist and Certification Statement
❑
❑ w/attachments
Y
t
11.2
Certification Statement
I 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 signfficant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official We
Robert C. Johnson II
Plant Manager
Signature
Date signed
EPA Fomr 3510-1 (revised 3-19) Page 4

EPA Identification Number ��N�C0003344
Number �,IRaeforcl
ame Form Approved 03105/19
110027397001 House Farm�-U
OMB No. 2040-0004
Form U.S. Environmental Protection Agency
2C v�PA Application for NPDES Permit to Discharge Wastewater
NPDES EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
1.1 [Provide information on each of the facilil
c Qutfall Number Receiving Water. Name
v
.°.r 001 Rockfish Creek
0
outfalls in the table below.
Latitude
34' 45' 07" N
a , „
.Longitude
78° 03' 04" W
2.1 Have you attached aline 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.)
✓❑ Yes ❑ No
3.1 1 For each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
--vtrtrarr numoer--
W.L.
Operations Contributing
to Flow
Operafion
Ava, a Ffor
Process Water Influent - Recover OFFAL (Design How)
1.5s mgd
c.
,� m
•
Domestic Wastewater from Employees (Design Flow)
0.03 mgd
.
mgd
c.
mgd
0
LL
d,
Treatment
Description
Units
Code from
I~Inai Dlspnsal of Solltl or
d
(include size, flow rate through each treatment unit,
cable 2C•1
Liquid Wastes OtherThan
retention time, etc.
bY Discha
Pretreatment flumes and screening (See schematic for floj
1-7
Solid reclamation and removal
Dissolved air flotation unit (See schematic for flow)
1-H
Solid reclamation and removal
1.27 million -gallon equalization basin (See schematic for 161
N/A
309,024 gallon MBBR (See schematic for flow) I
3-H
EPA Form 3510-2C (Revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Farm Approved 03/05/19
110027397001
NC0003344
House of Raeford Farms- all
OMB No. 2040-M
3.1
"Outfall Number" 001
cunt
s . - .. '
eration Average Flow
mgd
mgd
mgd
mgd
Treatment
Deecdpdon
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit
Table 2C•1
Liquidb
Liquid Wastes Other Than
retention time etc.
Dlicharals
Two aeration basins (633,500 gallons each - See schemati
3-A
e
e
.'
One secondary clarifier (112,200 gallons- See schematic f
1-U
to 5-A
0
U
Two round secondary clarifiers (one 45 feet & one 65 feet
1-U
to 5-A
--:
Dissolved air flotation system (See schematic for flow)
1-H
"Outfali Number" 001
Operations Contributing to Flow
8
Operetlon Average Flow
LL
mgd
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 Discharge
Three tertiary filter towers (See schematic for flow)
1-Q
UV disinfection (See schematic for flow)
2-H
Discharge to Outfall 001 (See schematic for flow)
4-A
three sludge digesters (48,900 gallons each)
S-A/5-P
Land Application
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
o
© Yes ❑ No + SKIP to Section 4.
M-
3.3
Have you attached a list that identifies each user of the treatment works?
© Yes ❑ No
EPA Fan 3510-2C (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Fomr Approved 03/05/19
110027397001 NC0003344 House of Raeford Farms- OMB No. 2040-0004
f8
SECTION• 40 CFR 122 21ig)(4))
4.1 Except for storm runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasoner.
❑ Yes No + SKIP to Section 5.
4.2
Provide information on intermittent or seasonal flows for each applicable outfall. Attach additional pages, if necess
Outfalf
Operation
Frec
uency
I Flow
Rate
Average
Average
Long -Term
Maximum
Number
(psy
Duration
DaysWeek
Months/Year
Average
Daily
daystweek
months/year
mgd
mgd
days
p
'i
daysMweek
months/year
mgd
mgd
days
LL,
- .. .:
days/week
montha/year
mgd
mgd
days
daystweek
monthslyear
mgd
mgd
days
'E
daystweek
monthslyear
mgd
mgd
days
dayshveak
monthslyear
mgd
mgd
days
-
daystweek
monthslyear
mgd
mgd
days
days/week
monthslyear
mgd
mgd
days
days/week monthr mgd mgd days
SECTION•ROD
• 40
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
[2] Yes ❑ No + SKIP to Section 6.
o
5.2
Provide the following information on applicable ELGs.
w
ELG Category
ELG Subcategory
Regulatory Citation
ai
Industry
Poultry First Processor
40 CFR 432 Subpart K
a
5.3
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
❑I 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.
�
Outfall
Operation, Product, or Material
Quantity per Day
it of
Meassurre
Number
A
1,600,000
Ibs
001
Raw chicken product
e
a
EPA Form 3510-2C (Revised 3-19) Page 3

EPA Identification Number NPDES PemritNumber Facility Name Form Approved 03105119
110027397001 NC0003344 House of Raeford -Wallace OMB No. 2040-0004
IMPROVEMENTSSECTION 6. r
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.
dBrief
Identification and Description of
Acted
Outfalls
Source(s) of
Final Compliance Dates
Required
Projected
Q
Project
(list outhall
Discharge
E
number
v
c
m
w
m
v
E
w
4
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#am)
❑ Yes ❑✓ No ❑ Not applicable
r r
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?
❑✓ Yes ❑ No; a waiver has been requested from my NPDES
permitting authority for all pollutants at all outfalls.
Table B.
Toxic MetalsCyanide, Total Phenols, and Organic Toxic Pollutants
7A
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
e
listed in Exhibit 2C-3? (See and of instructions for exhibit.)
e
❑ Yes 0 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 GCIMS fraction(s) identified
in Exhibit 2C-3.
Primary Industry Category
Required GC1MS Fractions)
Check applicable boxes.
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
EPA Forth 3510-2C (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03I05119
110027397001
NC0003344
House of Raeford Farms -
OMB No. 2040-0004
0
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?
0 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?
0 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.
p;
7.11
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have
determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B,
'Believed
pollutants you have indicated are Present" in your discharge?
© Yes ❑ No
Table C. Certain Conventional and Non•Converdional Pollutants
7.12
Have you indicated whether pollutants are 'Believed Present" or 'Believed Absent" for all pollutants listed on Table C
for all ouffalls?
Y'❑
Yes ❑ No
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"?
❑� Yes ❑ No
Table D.
Certain Hazardous Substances and Asbestos
i
7.14
Have you indicated whether pollutants are 'Believed Present" or "Believed Absent" for all pollutants listed in Table D for
all outfalis?
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?
0 Yes ❑ No
Table E.
2 3 7 8•Tetrachlorodibenm• •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 I No + SKIP to Section 8.
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes ❑ No
SECTIONUSED
OR MANUFACTURED TOXICS,r
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-* SKIP to Section 9.
8
8.2
List the pollutants below.
4. 7.
a
$
2. 5. 8.
•
3. 6. 9.
EPA Form 3510-2C (Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Forth Approved 03105119
130027397001 NC0003344 House of Raeford -Wallace OMB No. 2040-0004
SECTION• •GICAL TOXICITY TESTS l40 ,
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.
w
9.2
Identify the tests and their
ourposes below.
Test(s)
Purpose of Test(s)
Submitted to NPDES
Date Submitted
o
Permitting Authority?
F"
n
Chronic Toxicity
Required by Permit
❑'' Yes ❑
No
12/31/2021
o
m
Chronic Toxicity
Required by Permit
El ❑
Yes No
03/31/2022
Chronic Toxicity Required by Permit
� Yes ❑
No 06/30/2002
SECTIONt.
CONTRACT
ANALYSES l40 ,
10.1
Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting fine?
❑✓ Yes ❑ No + SKIP to Section 11.
10.2
Provide information for each contract laboratory or consulting firm below.
Uib-oratory Number 1
Laboratory Number 2
Laboratory Number 3
Name of laboratory/firm
Meritech Inc.
Vann Laboratories
Environmental Chemist Inc.
Laboratory address
642 Tamco Rd
PO Box 668
6602 Windmill Way
a
Reidsville, INC 27320
Wallace, NC 28466
Wilmington, NC 28405
ii
e
Phone number
[phone]
[phone]
[phone]
Pollutant(s) analyzed Chronic Toxicity BOD, TSS, Ammonia, BOD, TSS, Ammonia,
Temperature, pH Temperature, pH
11.1
Has the NPDES permitting authority requested additional information?
e
❑ Yes ❑ No 4 SKIP to Section 12.
0
11.2
List the information requested and attach it to this application.
i Additional Cadmium testing was performed for 9 4 PFAS Questionnaire: Has Been Submitted.
w
straight weeks and results were non detect and 101 M
c
Increased flow concerns: Stainless steel plate has been
2'
a
installed to eliminate splashing and pic has been 5'�
3 Additionally, a schematic of the upgraded UV system
provided by the engineer has been submitted. It shows 6.
EPA Form 3510.2C (Revised 3.19) Page 6

EPA Ideniification Number NPDES Permit Number Fadlity Name Form Approved 03105A 9
o NC0003344 House of Raeford -Wallace OMB No. 2040-0004
SECTION
12. CHECKLIST
AND CERTIFICATION STATEMENT r r
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 corr late all sections or provide attachments.
Column 1
Column 2
E Section 1: Outfall Location
❑ wl attachments
0 Section 2: Line Drawing
❑r w/ line drawing ❑ w/ additional attachments
Section 3: Average Flows and
Treatment
w/ list of each user of
❑ w/ attachments ❑ privately owned treatment
works
[r] Section 4: Intermittent Flows
❑ wl attachments
Section 5: Production
❑ w/ attachments
w/ optional additional
[� section 6: Improvements
❑ wl attachments ❑ sheets describing any
additional pollution control
tans
❑ wl request for a waiver and ❑ wl explanation for identical
supporting information outfalls
Elw/small business exemption ❑ wt other attachments
request
y
❑ Section 7: Effluent and Intake
Characteristics
❑ w/ Table A ❑✓ wl Table B
0
© wl Table C ❑r w/ Table D
c
❑✓ w/ Table E ❑ wl analytical results as an
attachment
A
Section 8: Used or Manufactured
❑ wl attachments
a
Toxics
Section 9: Biological Toxicity
❑ wl attachments
m
r
Tests
U
[� Section 10: Contract Analyses
❑ wt attachments
Section 11: Additional Information
w/ attachments
action 12: Checklist and
❑ wl attachments
Certification Statement
12.2
Certification Statement
I 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, We,
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
Robert C. Johnson 11
Plant Manager
Signature
Date signed
IZ /—
�-a�-ZZ
EPA Form 3510-2C (Revised Z
Page 7

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House of Raeford NPDES Permit
Section: 3.3
User of the Treatment Works:
1. House of Raeford —Wallace Division