NCG060455_Application_20240930

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September 23, 2024
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DEMLR—Stormwater Program rlj
Department of Environmental Quality
1612 Mail Service Center
Raleigh,NC 27699-1612
CERTIFIED MAIL RETURN RECEIPT REQUESTED 7022 0410 0000 8711 1570
Dear Stormwater Program Staff:
RE: Notice of Intent NCG 060000 for Stormwater Discharge
Wayne Farms, LLC
Mocksville, NC Feedmill
496 East Depot Street
Mocksville, NC, Davie County
The enclosed package contains the original,signed application with the required items listed in
Item (6) of the Notice of Intent Application. Should you have any questions regarding this
information, please contact me at(336)386-5867 at your convenience. Thank you.
Sincerely,
Jeremy Bowlin
Complex Environmental Manager
Enclosures: NOI Application,application fee and required attachments
Cc: Kevin McDaniel, Chief Operating Officer
496 East Depot Street, Mocksville, NC 27028

J,16&
Wayne Farms, LLC
Notice of Intent
Required Items
X Check for $120.00 made payable to NCDEQ
X Copy of most recent Annual Report to the NC Secretary of State
X Completed NOI Application
X Site Diagram
Attached Site Map
Attached Site Utilities Map
Attached Site Topo Map
A) Outline of drainage areas-refer to Site Utilities Map
B) Surface Waters-refer to USGS Quad Map
C) Stormwater management structures-Drop inlets- Site Utilities Map
-Secondary containment- Site Map
D)Location of Stormwater outfalls corresponding to the drainage area- Site map
E) Runoff conveyance features- Site Map and Site Topo Map
F)Areas where industrial process materials are stored- Site Map
G) Impervious Areas- Site Topo Map
H) Site Property Lines—Site Map
X USGS Quad Map
496 East Depot Street, Mocksville,NC 27028

FOR AGE CY U E ONLY
NCG060�_5—
Assigned to: 3. C�
ARO FRO MRO RRO WARD WIRO S O
Division of Energy, Mineral, and Land Resources Land Quality Section
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], SIC 22[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:
Wayne Farms LLC Kevin McDaniel
Street address: p Code:
4110 Continental Drive Oakwood Ga 0566
Telephone number: Email address`.'
770-531-3270 Kevin [e-mail]
Type of Owner
Government
❑County ❑Feder { tvluninpal ❑State
Non-gove
ERBusiness(If ownership is business,a copy of NCSOS report must be included with this appljt tior v
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name: Facility environmental contact:
Wayne Farms, LLC __JeLeMy QQwlin
Street address: Ciccyy: State: Zip Code:
496 East Depot Street Mocksville NC 27028
Parcel Identification Number(PIN): County:
5738839581 Davie
Telephone number: Email address:
336-386-5867
4 dii t SIC code: Facility is: Date operation is to begin or began:
UU X7 New ❑ Proposed ❑ Existing I September 30,2024
La i udde of t{ S : Longitude of entrance:
deg3 � -80 deq 33' 23" W
Brief description of the types of industrial activities and products manufactured at this facility:
Feed mill prodil: i
actw
and storage of feed liquid ingredients and boiler fuel-
This facility processes meat: ❑Yes No
If the Stormwater discharges to a municipal separate storm sewer system(MS4), name the operator of the MS4:
*1 N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: ConsrAngm:fir
Beth Morton Mo Environmental Consulting, Inc.
sirlf V sue:
oo�Csrnead Court Mance
Te!Sft78 � ll2 oto
'2'-`3 en @gmail.com
4. Outfall(s)At least one outfall is required to be eligible for coverage.
300$it identifier: €of reonargdw�f r: Cesification: ❑This water is impaired.
1 This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35 deg 53' 36" N - 0 deg 33' 26" W
Brief description of the industrial activities that drain to this outfall:
Minor pollutant exposure from feed mill activities and secondary containment of liquids, oil.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes x7 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: PTame of receiving water: Classification: ❑This water is impaired.
TMDL.
Latitude of outfall: LongiYtde df oilffall: " IL
Brief description of the' strial activities that drain to this outfall: SLIM,1111111�
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? YJJO 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: Classificati jifMis water is impaired.
b This watershed has a TMDL.
Latitude of outfall: Longitude of ou
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?
I
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

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:
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked, list the permit numbers for all current Non-Discharge permits:
This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Good Housekeeping practices including dry sweeping and secondary containment structure.
This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented: Planned September 23, 2024
❑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 Facili
Af If checked,indiacatE:
Kilograms of waste generated nth: Type(s)of waste: Vol A
How material is stor 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 heckg,d, Briefly describ thhe sit conditions
T�te site Is a Brown fields that Is being redeveloped for a feed mill manufacturing facility.
6. Required Items(Application will be returned unless all of the following items have been included):
k Check for$120 made payable to NCDEQ
PSl Copy of most recent Annual Report to the NC Secretary of State
g This completed application and any supporting documentation
Ate 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 Caroline General Statute 143-215.68(1)provides that: Any,person who knowingly makes any false statement,
representatfo%or certification In any application,record,report.Watt,or other document filed or required to be maintained
under this Muck or a rule knplomendng this Article...shag be guilty of a Class 2 misdemeanor which may MUude a fine not
to et%aad tan thoawnd doMrs($10,000).
Under Penalty Of law,I certify that:
1 am the person responsible for the permitted Industrial activ}ty,for satisfying the requirements of this permit,and for arty
ckll or criminal penalties Incurred due to vtaations of this permit.
IN The Information submitted in this Not 6,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.
!I wig abide by an 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.
�J I hereby request coverage under the NCGO60000 General Permit.
Printed Name of Appiicant: Kevin McDaniel
Title: Chief Operating Officer
9
(S rntwe of ApWicant) (Date Signed
Mail the entire package to: DEMDR—Stormwater Program
Department of fnvirdnmental Quality
1612 Mail Service Center
Rakelgtt,NC 27699-1612
Page 4 of S

Stormwater Pollution Prevention Plan(SWPPP)
Wayne Farms,LLC.
B 3 Site Ma Feedmill Stormwa ar and SPCC Sources
p Source ID Description Content Capacity Subject to
Gallons SPCC
Main Tank Fans with Secondary Containment
Q I Bulk Storage Tank I Vegetable oil 8,000 Yes
2 Bulk Storage Tank San uin 400
3 Bulk Storage Tank Alimet 8.400
Stormwater flow -- ► 4 Bulk Storage Tank I Choline 6,500
PlOperty line - 5 Bulk Storage Tank I L sme 12,000
L Off-loading Area Liquids Yes
Other Sources
6 Rail Receiving Ingredients
r 7 Truck Loadom Area Dry ingredients
8 Transformer oils Oils 638 Yes
r 9 9 Warehouse Storage Area Oils s 660 Yes
" - 10 Feed Mill Production Dry ingredients
' I I Boiler Building Chemicals oils 550 Yes
_ Compressors Oils <55
i
Dum ster Oils QO
Impervious Areas
- p Outfall Latitude/Longitude of Impervious Pervious Total
` ^+ - Discharge Point Acres Acres Acreage
Cz.* t No.001 35-53'36'N -80°33.26-W 1 1.73 --64% 0.99 1 2.72
No.001 The site is designed to drain to a single outfall.Discharge to Stormwater system
11 for the street to an unnamed tributaryto Leonard Creek Class C Waters
a, Best Man ement Practices
Source ID Description
1-5,L Above ground storage tanks have an adequate secondary containment structure
` v and are inspected monthly.The vegetable oil tank is inspected per the SPCC
Plan. Off-Loading requires an attendant to observe to prevent overfill.Draining
of the secondary containment structure is observed and documented.Transfer
e lines for liquids pumped to the production buildings have adequate support,are
S W OuCfal I N o. UO located awa from vehicular traffic and visible to detect my leakage.
6.7 Rail receiving and truck loadout systems are controlled by air pollution control
devices.Feed truck loading area is under a roof Good housekeeping procedures
for these sources are followed and include dry sweeping and vacuuming,
8 Transformers are regularly inspected for evidence of my release.
9 The storage area for chemicals,oils and grease is inside,away from vehicular
traffic.Employees follow good practices for handling these materials.
10 Feed Mill production/processing areas are under the roof Dry sweeping and
vacuuming are implemented. Employees follow the facility's Good
Housekeeping rocedures to prevent releases.
I 1 Boiler support chemicals and oils are stored in 55-gallon drums on a concrete
floor inside. Employees follow the written procedures for material handling.
All A mobile spill kit is in the Warehouse.Any spill throughout the fanility can be
cleaned up using the spill kit.
EPA Industrial SWPPP Template,February 25,2021 28

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SOSID:0544052
Date Filed:3/4/2024
Elaine F.Marshall
--worth Carolina-Secretary of State— —--
„ LIMITED LIABILITY_COMP-ANY-ANNUAL-REPORT cazoza 064 02576
1=17
NAME OF LIMITED LIABILITY COMPANY: Wayne Farms LLC
Fictitious Name,if any,used in North Carolina: FLmg of iza Use aw
SECRETARY OF STATE ID NUMBER: 0544052 STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: 2024
gChanges
SECTION A.REGISTERED AGENTS INFORMATION MCI-
1.NAME OF REGISTERED AGENT: CT Corporation SYStern
g
12.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENTTO THE APPOINTMENT
3.REGISTERED AGENT OFFICE STREETADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh,NC27615 Wake County Raleigh,NC 27615
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Fully Integrated PoultryBusiness
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE mi.
y
4110 Continental Drive 4110 Continental Drive
Oakwood,GA 30566 Hall Oakwood,GA 30566 Hall
S.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
I
SECTION C:COMPANY OFFICIALS(Enter additional company officials in Section E.)
NAME: Wayne-Sanderson Farms LLC NAME: NAME:
TITLE: Managing Member TITLE: TITLE
ADDRESS: ADDRESS: ADDRESS:
41.10 Continental Drive
Oakwood,GA 30566 Hall
SECTION D:CERTIFIC B ANNUAL REPORT. Section D must be completed In Its entirety by a person/business entity.
' • � DATEE
ommhe
underSec9cn C of This form.
Jeremy Kilburn Chief Legal&Compliance Officer
Print or Type Name of Company Official Print or Type Tide of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF$200
MAILTO:Secretary of Slate. Business Registration Division.Post Orrice Box 29525,Raleigh,NC 276264US