NCG060392_NOI Application_20190321

am ULdomilk
Division of Energy, Mineral and Land Resources
K. Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG060000
Quality
NOTICE OF INTENT
lV GG01o0�2
FOR AGENCY USE ON Y
Date Received
Year
Month
Da
D
Certificate ofCovem
•e
NC 0 0
Check #
Amount
3c
ua
Permit Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: RE C, E1V!
STORMWATER DISCHARGES associated with activities classified as:
FEB 14
SIC (Standard Industrial Classification) 20 Food and Kindred Products �d =1
SIC 21 Tobacco Products DENR-LAND QUALITY
SIC 283 Drugs STORIVIArATER PERMITTING
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Case Farms Morganton Division
Street Address 121 rend 6trc6t
City Morganton State NC
Telephone No. Fax:
2) Location of facility producing discharge:
Facility Name
Facility Contact
Facility Address
Facility City
Facility County
Telephone No.
Email
Case Farms Morganton Division
William Pate
121 Rand Street
Morganton
Burke
3) Physical Location Information:
ZIP code 28655
.State NC ZIP Code 26655
Fax:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). The facility is located at the intersection of West Fleming Drive (State Route 70) and
Rand street, in Morganton North Carolina.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35' 44' 11" N Longitude 81.41' 02• w (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin January202O
❑✓ Existing -- Existing facility with new stormwater system
S W U-221
Page 1 of 4
Last revised 6/24/14

I' 1•ilii `, •
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code. 2 0 1 5
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Poultry slaughtering and processingfacility
b) Check all activities occurring at this facility:
11 use or process meats A use or process animal fats/byproducts
8) Discharge points / Receiving waters:
low marry dlscliarge polrits (ditches, t,lpoa, cliaillICIs, (_'tc.) convey'Stormwater born the property'?
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Hunting Creek
Receiving water classification: c
Is this a 303(d) listed stream? Yes Has a TMDL been approved for this watershed? Yes
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NIA
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds): 35'44'06" N
Longitude (degrees/minutes/seconds): 61'41.01- W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35'44.07'
N
Longitude (degrees/minutes/seconds): 81'40.56'
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Page 2 of 4
SWU-221 Last revised 6124/14

NCG060000 N.O.I.
9) Does this facility have any other NPDES permits?
No
❑ Yes
If yos, list the permit numbers for all current NPDES permits for this facility.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: _
11) Does this facility employ any best management practices for stormwater control?
❑ No
11 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: vortex Separator Spin Down Device, catch Basin Filter Socks
12) Does this facility have a Stormwater Pollution Prevention Plan?
11 No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
11 No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
11 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
14 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
I azardous waste?
10 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Page 3 of 4
SWU-221 Last revised 6124114

NCG060000 N.O.I.
15) Certification:
North Carolina General Statute 143-215.68 (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 roquirod to be rnhiritained uirder this Article or a rule Implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($$10,000).
I hereby request coverage under the referenced General 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.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and bellef such information is true, complete, and accurate.
P1f!IItod 6 Irie of persun 5lgiiing, vv+n�a�r�ranr�
...........
Title: 6Li
1 ;�
1,5
(Signature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable
to, NODEQ. no not Bond the cheek or money order separately.
ECEMIF- D
DENR-LAND QUALITY
STORMI/VATER PERMi T TING
Page 4 of 4
SWU-221 Last revised 6/24/14

NCG060000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDEQ. Must be included with this application (not sent separately).
❑ This completed application and all supporting documents.
H A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
DEMLR - Stormwater Prograrn
Dept. of Environmental Quality
1612 Mail ;ervico Contor
Raleigh, North Carolina 27099-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
C,ontral Office .........(919)
807-6300
Page 5 of 4
MU 221 Last revised 6/24/14

Kimley>>> Horn
Suite 200
200 South Tryon Street
Charlotte, North Carollna
28202
TEL: [phone]
Transmittal
Date: 02/12/2019 Job Number: 017284000
Project Name: Case Farms Stormwater Retrofit e�
To: DEMLR — Stormwater Program
Dept. of Environmental Quality FEB 14 2013
1612 Mail Service Center DENR-LAND QUALITY
v
Raleigh, NC 27699-1612 t PERM,1
71-1
We we seirdilig these by
❑ U.S. Mail © FedEx
❑ Other:
We are sending you
® Attached
❑ Shop Drawings
❑ Under separate cover via
❑ Prints/Plans ❑ Samples ❑ Specific<
❑ Other: NCG06 N.O.I. Application Package
Copies Date No. Description
1
02/12/2019
1
$100.00 Check for Application Fees
1
02/12/2019
2
Completed NCG06 N.O.I.
1
02/12/2019
3
Site Diagram
1
02/12/2019
4
USGS Quad Sheet
These are transmitted as checked below.,
❑ For your use
Approvod as submitted
❑ Rosubmil
❑ Copies fur appiuval
❑ As roquostod
Approvod as notod
® Submit
❑ Copios for distribution
For review and cornrnerrl
Relurned for correctlons
❑ Return
❑ Corrected prints
Should you have any questions or comments, please do not hesitate to contact me by phone or by
e-mail at 704-319-7698 or [e-mail].
Thanks,
Copy to: Signed Andy Hanson, EIT

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Kimley)))Horn CASE FARMS FIGURE
NC LICENSE 2 STORMWATER RETROFIT SITE DIAGRAM 1.1
200 SOUTH TRYON RYON ST, SUITE 200
CHARLOTTE, NC 28202
PHONE: [phone]>0+
THIS DOCUMENT, TOGETHER WITH THE CONCEPTS AND DEMONS PRESENTED HERON, AS AN INSTRUMEW OF SERVICE, IS INTENDED ONLY FOR THE SPECIFIC PURPOSE MID CUEW- FOR WHICH rT WAS PREPARED. REUSE OF ANO IMMOPER
RELANCE ON THIS DOCYIMENT WOHDUT WRRTEN AUTHORVATKKi AND ADAPTATION RY KNALEY-HORN AND ASSOCATES, INC. SHALL 13E WMi IYABREIY TO KEALEY-HDRN AND A'.50CATES. INC.

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