NCG060450_Application_20240415

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Telephone [phone]
1807 South Tryon Street
Charlotte,NC 28203
February 3, 2024
North Carolina Department of Environmental Quality 9��
Division of Energy, Mineral, and Land Resources—Stormwater Program e
1612 Mail Service Centex
Raleigh,North Carolina, 27699-1612 tornjWa��`P��r4 n
To Whom It May Concern,
Please find attached a completed Notice of Intent package for the Carolina Foods—Pineville facility(CF-
Pineville) for obtaining authorization to discharge stormwater associated with industrial activities under
the Noth Carolina General Stormwater Permit NCG060000. The facility located within the Carolina
Logistics Park in Pineville will manufacture ready to eat bakery products and production is projected to
start in March 2024.
A majority of the site stormwater drains to an onsite stormwater pond(Pond BMP 7). A portion of the site
stormwater drains to an offsite park pond (Pond BMP 3). These ponds discharge via unnamed tributaries
to McCullough Branch located within the Sugar Creek watershed. McCullough Branch is impaired for
benthos according to the 2022 NC 303 (d)list. Sugar Creek has a TMDL for Fecal Coliform. All process
and domestic wastewater from the facility is hard piped to the Charlotte Water municipal sewer system.
Furthermore, the facility does not process meats or meat products and therefore CF-Pineville will not be a
contributor to Fecal Coliform from its manufacturing operations.
The following documents are included as part of this package.
• Complete and signed Notice of Intent for coverage under General Permit NCG060000
• Check for$120 made payable to NCDEQ.
• USGS Topographic map for the facility
• Site Map depicting the facility features and stormwater conveyances.
• Company Annual Report
We appreciate NCDEQ's assistance with review and issuance of the Certificate of Coverage for discharge
of stormwater associated with Industrial Activities for the new CF Pineville facility. Please feel free to
contact me at 423-596-9617 or Samanth Dawson with Fiss Environmental Solutions at 704-374-5393 if
you have any questions or need any additional information.
tt7
Head of Engineering
Attachments

FOR AGENCY USE ONLY
NCG06 Q A"
Assigned to: L�
ARO FRO M RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO60000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
industrial Classifications: SIC 20[Food and Kindred Products],SIC 21[Tobacco Products],SIC 283[Drugs],SIC284
[Soaps, Detergents, &Cleaning Preparations,Perfumes, Cosmetics, &Other Toilet Preparations],SIC 422[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:
Carolina Foods LLC Dan Myers
Street address: City: State: Zip Code:
1807 S Tryon St Charlotte NC 28203
Telephone number: Email address:
704-333-9812 [e-mail]
Type of Ownership: ,
Government I
❑County ❑Federal ❑Municipal ❑State
Non-government
X) Business(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:
Carolina Foods Pineville Facility Greg Lewis
Street address: City: State: Zi Code:
12031 Carolina Logistics Dr Pineville NC 5134
Parcel Identification Number(PIN): Coun
20504133 Mecklenburg
Telephone number: E ail ad ess:
423-596-9617 g`�'ewls carolinafoodsinc.com
4t SIC code: Facility is: Date operation is to begin or began:
A1 IN New ❑ Proposed ❑ Existing March 2024
Latitude f entrance: Lon nude of entrance:
35.09�592 -8�.912559
Brief description of the types of industrial activities and products manufactured at this facility:
The facility will manufacture ready to eat bakery products.
This facility processes meat: ❑Yes X No
If the stormwater discharges to a municipal separate storm sewer system(MS4), name the operator of the MS4:
N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: Consulting firm:
Samanth E Dawson, PE Fiss Environmental Solutions Inc
�291 neville Matthews Rd, #300 Mrlotte NC 28226
Telephone number: Email ad res
704-374-5393 [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: [XThis water is impaired.
SW01 McCullough Branch C ' This watershed has a TMDL
Latitude of outfall: Lonitude of outfall:
35.09573 -88.914404
a ief cl, cription of the ipd stria)activities that drain to this outfall:
ButsiAe raw material storage, wastewater treatment, compactors
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes CK No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 di it identifier: Name of receiving water: Classification: EXThis water is impaired.
SWIf2 McCullough Branch C LgThis watershed has a TMDL.
Latitude Longitude of outfall:
095720
80.910886
Brief description of the industrial activities that drain to this outfall:
Manufacturing facility roof drainage, loading docks, truck parking ----
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes CKNo
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 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 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

5. 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:
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
[M This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Site stormwater is directed to on site and off site stormwater ponds.
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If hecke please list he date the SWPPP wasmplemented:
Tie facility is in tie process of deve ioping a SWPPP.
❑This facility stores hazardous waste in the 1D0-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 Items(Application will be returned unless all of the following items have been included):
EXCheck for$120 made payable to NCDEQ
X Copy of most recent Annual Report to the NC Secretary of State
IThis completed application and any supporting documentation
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 outfalis corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
X Copy of county map or USES 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:
IN 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.
IA The information submitted in this NOI 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.
® 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.
1211 hereby request coverage under the NCGO60000 General Permit.
Printed Name of Applicant: Dan Myers
Title: CEO
(Signat re f Appli ) (Date Sig d)
Mail the entire page to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh,NC 27699-1612
Page 4 of 5

Additional Otstfalis
3-4 digit identifier: Name of receiving water: Classification: ❑This water(s 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? C 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 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 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 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 over the calendar year?
Page 5 of 5

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