NCG081054_Application_20240705

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FOR AGENCY USE ONLY 7 e(, )Vd 7/5/�
NCG0810 5 "t
Assigned to: D
ARO FRO MRO RRO W 1 WIRO WSRO
Division of Energy, Mineral, and land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG080000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 40[Railroad Transportation],SIC41[Local and Suburban Transit and Interurban
Highway Passenger Transportation],SIC42[Motor Freight Transportation and Warehousing—except forSIC
4221-4225],SIC 43[United States Postal Services],SIC S171[Petroleum Bulk Stations and Terminals—when total
petroleum site storage capacity is less than 1 million gallons]. The following activities are also included:other
industrial actives where the vehicle maintenance area(s)are the only area requiring permitting;stormwater
discharges from oil water separators and/or from secondary containment structures associated with petroleum
storage facilities with less than 1 million gallons of total petroleum site storage capacity. 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 assigned in Item(7) below:
Case Farms LLC Trent Reynolds, Complex Vice President
Street address: City: State: Zip Code:
330 Westbrook Road Goldsboro NC 27530
Telephone number: Email address:
919-580-3117 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
lid 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:
Case Farms -Truck Shop Mavon Lam, Jr.
Street address: City: State: Zip Code:
330 Westbrook Road Goldsboro NC 27530
Parcel Identification Number(PIN): County:
3508021970 Wayne
Telephone number: Email address:
919.580.3343 Inniamacasefarms.com
4-digit SIC code: Facility is: Date operation is to begin or began:
fL
231 ❑ New ❑ Proposed 10 Existing Already in Operation
atitude of entrance: Longitude of entrance:
5.348309 -77.994861
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Truck Maintenance Shop for Case Farms Vehicles and Equipment
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
0 N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Jeff Lindsey S&ME
Street address: City: State: Zip Code:
301 Zima Park Road Spartanburg SC 29301
Telephone number: Email address:
864-208-9378 [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: El This water is impaired.
001 1 Stoney Creek C, NSW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.346518 -77.994066
Brief description of the industrial activities that drain to this outfall:
Truck Maintenance Shop, storage of scrap metal,vehicles and equipment
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
350 Gallons per month
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:
5d This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
12 This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
❑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 Items(Application will be returned unless all of the following items have been included):
10 Check for$120 made payable to NCDEQ
52 Copy of most recent Annual Report to the NC Secretary of State
10 This 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 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
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 143-215.6E(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(510,000).
Under penalty of law, I certify that:
2 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.
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.
12 1 will abide by all conditions of the NCGO80000 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.
12 1 hereby request coverage under the NCG080000 General Permit.
Printed Name of Applicant: Trent Reynolds
Title: Complex Vice President
Z/2(j -q
(Signature of Applica� (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

Additional Outfalls
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?
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

SOSID:0379132
Date Filed:5/17/2024 1:30:00 PM
Elaine F.Marshall
STATE OF NORTH CAROLINA North-Carolina—Se of-State
DEPARTMENT OF THE SECRETARY OF STATE C2024 131 02027
STATEMENT OF CHANGE OF REGISTERED
OFFICE AND/OR REGISTERED AGENT
Pursuant to §55D-31 of the General Statutes of North Carolina, the undersigned entity submits the following for the purpose of
changing its registered office and/or registered agent in the State of North Carolina.
INFORMATION CURRENTLY ON FILE
The name of the entity is: CASE FARMS, L.L.C.
The street address and county of the entity's registered.office currently on file is:
NumberandStreet: 385 Pilch Rd
City: Troutman State: NC Zip Code: 28166 County: I.REDELL
The mailing address if different from file street address of the registered office currently on file is:
NumberandStreet: 385 Pilch Rd
City, Troutman State: NC Zip Cede: 28166 County: IREDELL
The name of the current registered agent is: Michael Popowycz
NEW INFORMATION
1. The street address and county of the new registered office of the entity is:
(complete this item only if the address of the registered office is being changed)
NumberandStreet: 8480 HONEYCUTT ROAD, SUITE 2004295
City: RALEIGH State: NC Zip Code: 27615 County: Wake
2. The mailing address ff different from the street address of the new registered office is:
(complete this item only if the address of the registered office is being changed)
NumberandStreet: 8480'HONEYCUTT ROAD, SUITE 2004295
City: RALEIGH State: NC Zip Code: 27615 County: Wake
3. The name of the new registered agent and the new agent's consent to appointment appears below:
(complete this item only if the name of the registered agent is being Chang
LEGALINC CORPORATE RA SERVICES INC.
Type or Print Name ofNeu,Agent
John Moseley,Asst Secretary for Legalinc Corporate RA Services Inc.
4. The address of the entity's registered office and the address of the business office of its registered agent,as changed,
will be identical.
5. This statement will be effective upon filing;unless`a date and/oi time is specified:
Thisisthe 07 dayof May 2024 CASE FARMS, L.L.C.
Entity ame
5' ata
Joseph Lon , FO
Notes: Filing fee is S5.00. This document must be riled with the Secretary of State. Type or Print Name and Title
• Instead of signing here,the new registered agent may sign a separate written consent to the appointment,which must be attached to this statement
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
Revised July 2017 Form BE-06

� I
' @ LIMITED LIABILITY COMPANY ANNUAL 'REPORT
vsngu
NAME OF LIMITED LIABILITY COMPANY: CASE FARMS, L.L.C.
Fling Office use Only
SECRETARY OF STATE ID NUMBER: 0379132 STATE OF FORMATION: DE E-Filed Annual Report
0379132
CA202410625361
2024
REPORT FOR THE CALENDAR YEAR: 4/15/2024 07:37
SECTION A:REGISTERED AGENT'S INFORMATION Changes
1.NAME OF REGISTERED AGENT: POPOWYCZ, MICHAEL
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
385 Pilch Rd 385 Pilch Rd
Troutman,NC 28166-8782 Iredell County Troutman,NC 28166-8782
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Poultry Marketing and Farming
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
385 Pilch Rd 385 Pilch Rd
Troutman, NC 28166-8782 Troutman,NC 28166-8782
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: MICHAEL POPOWYCZ NAME: ,Joseph D Long NAME:
TITLE: Chief Executive Officer TITLE: Chief Financial Officer TITLE:
ADDRESS: ADDRESS: ADDRESS:
PO Box 729 PO Box 729
Troutman,NC 28166 Troutman,NC 28166
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
MICHAEL POPOWYCZ 4/29/2024
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
MICHAEL POPOWYCZ Chief Executive Officer
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

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Goldsboro, NC Quadrangles. i
Note:A review of the 303(d)list and TMDL list, posted y
on the NC DENR website, revealed that the receiving • 0 2,000 4,000
water for the facility(Stoney Creek) does not appear (FEET)
on the 303(d)or TMDL List. Additionally,the segment •:
of the Neuse River that receives water from Stoney
Creek does not appear on the 303(d)list. It should
be noted that there is a statewide impairment for fish $ Legend
tissue in mercury. Q Subject Site
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SCALE: EXHIBIT NO.
USGS TOPOGRAPHIC MAP 1 " = 2,000'
DATE:
III E CASE FARMS TRUCK SHOP JUNE 2024 1
330 WESTBROOK ROAD PROJECT NUMBER
GOLDSBORO, NORTH CAROLINA 27530 24600211

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CASE FARMS TRUCK SHOP JUNE 2024 L
330 WESTBROOK ROAD PROJECT NUMBER
GOLDSBORO, NORTH CAROLINA 27530 24600211

LEGEND
+'' • 7 - -
PROPERM BOUNDARY UNE
' ASSUMED SIIRGACE WATER GLOW
OREC➢OM
q... i
• •� POTENTIAL POLLUTANT SOURCES(SEE SECTION 3.1
OF THE SWP3 ff%i)
r�
T� 4
E%ISTINC IXt PROPOSED SPILL CLEANUP Kli
SITE DRANAGE AREA
STQQM WATER OUIFALL REFERENCE NUMBER
STDRMWATER DRAINAGE AREA t,BOUNDARY"Us
7 a
Z
r1FC)z o � PCo NOTES
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THE SITE HAS A GRADUAL DOWNWARD SLOPE TO THE N l7
SOUTHWEST. SHEETFLOW DISCHARGE FROM THE SITE WOULD o ¢
fir. xae EXIT THE INDUSTRIAL AREA NEAR DEPICTED DUVALL 001, M m
THE STORMWATER FROM THE SITE WOULD EVENTUALLY LL
DISCHARGE INTO THE STONEY CREEK (AU NUMBER 27—(62))
'r WHICH EVENTUALLY DISCHARGES INTO THE NEUSE RIVER (AU W O
a NUMBER 2J—(56)). THESE SEGMENTS OF STONEY CREEK AND u
NEUSE RIVER DID NOT APPEAR ON THE LIST OF IMPAIRED
WATERWAYS AND THE FACWTV WAS NOT LISTED WITHIN A
,r.,, " ED / TOTAL MAXIMUM DAILY LOAD (TMDL) WATERSHED (OTHER THAN
THE STATEWIDE MERCURY TMDL FOR FISH TISSUE).
g CC 6.65 ACRES TOTAL SITE ACREAGE IS 12.45—ACRES WITH APPROXIMATELY
J MPERVIOUS •X - / 6.6 ACRES BEING INDUSTRIALLY DEVELOPED.
SOURCE:
.aeprmerbr ar:. 12 'OIAv.naepamur �}+� / SITE OBSERVATIONS MADE DURING SITE VISIT By S&ME ON MAY B.
b rormer wash ea. 1 / � 2024. AERIAL IMAGERY PROVIDE By GOOGLE EARTH AND DATED
5W 9 double mUea axed aN AST E "' r 2023
ggg TRe Storage SMd 3
ULm snrs 4 . SCALE:
ale 1.1 irambrmer 5 ,1 STRUCTURAL CONTROLS: AS SHOWN
Wdo (E.,Aoae VNkaks 6 Y A GRASSY BUFFER AREA COMPLETELY SURROUNDS THE DATE:
ERUIPmemNaMek Smrge Rretlers iranshr INDUSTRIALLY DEVELOPED AREAS OF THE SITE AND AN 6_14-24
Warta arM Case rnm Velmex) I '� -. APPROXIMATE 200 FOOT WOODED BUFFER SEPARATES THE
` Euel' maM lom pl5erv+ce srce aatol B INDUSTRIAL DEVELOPMENT FROM THE UNNAMED TRIBUTARY OF PROJECT NUMBER.
STONEY CREEK WHICH IS LOCATED SOUTH OF THE SITE. 24600211
g Lwd Fud/Oe rDe 9
ET WssMr xludKkaror Dnms to FIGURE NO.
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