NCG060446_Application_20231130

FOR AGENCY USE ONLY
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National Pollutant Discharge Elimination System
NCG060000 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—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:
SEVERN PEANUT COMPANY R. P.WATSON, III
Street address: City: State: Zip Code:
13 MAIN STREET SEVERN NC 27877
Telephone number: Email address:
252-585-0220 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Aunicipal [3State
Non-government
ElBusiness(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:
PEANUT PROCESSORS OF ELIZABETHTOWN,LLC(PLANT 1) STEPHANIE BUNNELL
Street address: City: State: Zip Code:
7329 ALBERT STREET DUBLIN NC 28332
Parcel Identification Number(PIN): County:
1057 BLADEN
Telephone number: Email address:
910-862-2136 EXT. 1508 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
2099 ❑New ❑Proposed El Existing November 1, 2022
Latitude of entrance: Longitude of entrance:
34.656805 78.724137
Brief description of the types of industrial activities and products manufactured at this facility:
PEANUT PROCESSING
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:
O N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: Consulting firm:
JAMES W. SMITH SAFENVIRONS, INC.
Street address: City: State: Zip Code:
109 HUDSON STREET AMERICUS GA 31709
Telephone number: Email address:
229-924-9390 '[e-mail]
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.
OF-001 BOMILL CREEK CLASS C ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
34.64582 -78.64109
Brief description of the industrial activities that drain to this outfall:
PEANUT PROCESSING UNITS AND ASSOCIATED CYCLONES,VENTS,AND DUST COLLECTORS;OUTDOOR WATER TANK,WASTEWATER TANK,AND TRAILER PARKING
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes [Z]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.
OF-002 BOMILL CREEK CLASS C 0 This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36.64267 -78.64497
Brief description of the industrial activities that drain to this outfall:
LIMITED TRAILER PARKING,ASSOCIATED TRUCK TRAFFIC, LOADING/UNLOADING ACTIVITIES
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: ❑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? 0 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: 0 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 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 accordingly):
❑This facility has other NPDES permits.
If checked,list the permit numbers for all current NPDES permits:
N/A
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
N/A
El This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
RUNOFF MANAGEMENT PRIMARILY ON ASPHALT AREA
El This facility has a stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
10/04/2023
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
N/A
❑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 Items (Application will be returned unless all of the following items have been included):
El Check for$100 made payable to NCDEQ
O Copy of most recent Annual Report to the NC Secretary of State
El This completed application and any supporting documentation
El 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
El 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 143-215.68(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:
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.
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.
O 1 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.
El 1 hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: R. P.WATSON, III
Title: VICE PRESIDENT
(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

BUSINESS CORPORATION ANNUAL REPORT
—>r6non
NAME OF BUSINESS CORPORATION: Severn Peanut Company,Inc.
0131481 ag as Use y
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report
0131481
REPORT FOR THE FISCAL YEAR END: 7/31/2023 CA202302600520
1/2612023 09:45
SECTION A:REGISTERED AGENT'S INFORMATION ❑K Changes
1.NAME OF REGISTERED AGENT: Barnes, G Dallas , Jr
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
413 Main Street 413 Main Street
Severn, NC 27877 Northampton County Severn, NC 27877
SECTION B:PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Peanut Processing/Sales
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
413 Main Street 413 Main Street
Severn,NC 27877 Severn,NC 27877
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:OFFICERS(Enter additional officers in Section E.)
NAME: ,Jeffrey T Vinson NAME: ,Joshua Abrahams NAME: R. P. Watson , III
TITLE: Treasurer TITLE: Chief Financial Officer TITLE: Vice President
ADDRESS: ADDRESS: ADDRESS:
PO Box 710 PO Box 710 Post Office Box 710
Severn,NC 27877 Severn, NC 27877 Severn, NC 27877
SECTION D:CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business
enuG..t� Dallas Barnes Jr. 1/26/2023
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
G.Dallas Barnes Jr. President
Print or Type Name of Officer Pdnt or Type Title of Officer
MAIL TO:Secretary of State. Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E:ADDITIONAL OFFICERS
NAME: G. Dallas Barnes ,Jr. NAME: James Carlton Gray,Jr. NAME:
TITLE: president TITLE: Secretary TITLE:
ADDRESS: ADDRESS: ADDRESS:
P.O.Box 710 Post Office Box 710
Severn,NC 27877 Sevem, NC 27877
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:

41 LIMITED LIABILITY COMPANY ANNUAL REPORT
-vcnau
NAME OF LIMITED LIABILITY COMPANY: Peanut Processors of Elizabethtown, LLC
Fang Office,Use Only
SECRETARY OF STATE ID NUMBER: 2312115 STATE OF FORMATION: NC E-Filed Annual Report
2312115
REPORT FOR THE CALENDAR YEAR: 2022 C 6/2022 01:31
SECTION A:REGISTERED AGENT'S INFORMATION Changes
1.NAME OF REGISTERED AGENT: Barnes, G. Dallas Jr.
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
413 Main Street 413 Main Street
Severn,NC 27877 Northampton County Severn,NC 27877
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: peanut processing
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
413 Main Street 413 Main Street
Severn, NC 27877 Severn, NC 27877
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: Severn Peanut Company, Inc. NAME: NAME:
TITLE: Manager TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
413 Main St
Severn, NC 27877
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Severn Peanut Company,Inc.,by G.Dallas Barnes Jr.President 4/6/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Severn Peanut Company,Inc.,by G.Dallas Barnes Jr.President Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secmetary of State, Business RegistWon Division,Post Office Box 29525,Raleigh,NC 27626-0525

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P.O. BOX 6536 AMERICUS, GA 31709 PEANUT PROCESSORS INC., DUBLIN, NC..- PLANT#1
OFFICE: 229-924-9390 7329 ALBERT STREET, DUBLIN, NC

Storm Water Pollution Prevention Plan Jul.2023
Peanut Processors,Inc.(Plant 1)—Dublin,NC PN: 151-02-07 SAFENVIRONS,INC
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*Peanut Processors,Inc. (Plant 1) �r
109 Hudson St.Americus GA 31709 (p): (229)-924-9390 www.safenvironsinc.com 14