NCG060394_Application_20190426

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Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG060000
Quulfty
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate ofCovera e
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Check #
1 Amount
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10
Permit Assi ed to
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: R EC E N17 D
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 20 Food and Kindred Products APR 26 2013
SIC 21 Tobacco Products DENR-LAND QUALITY
SIC 283 Drugs STORPviWATEK PE9WT i ING,
SIC 284 Suaps, Detergents, & Gleatillig Prepaialiulis, Perlumes, Uusriiellus, & Oilier I inlet Pfeparatiuris
SIC 422 Public Warehousing and Storaqe (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 ownerloperator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
MOUntalre Farms Inc.
PO Box 1320
Millsboro
302 934-3070
2) Location of facility producing discharge:
Facility Name
Facility Contact
Facility Address
Facility City
Facility County
Telephone No.
Email
Mountaire Farms- Mount Vernon Hatchery
Douglas Goodwin
175 Foust Road
Siler City
Chatham
919 548-5024
[e-mail]
3) Physical location Information:
State DE
Fax:
ZIP Code 19966
State NC ZIP Code 27344
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 hatchery is located at 175 Foust Road, west of U.S Highway 421
and south of State Road 2118, in Siler City, Chatham County, North Carolina. The facility coordinates are approximated below.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35,39,20 North
Longitude 79,25,34 West
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
✓❑ Existing
(deg, min, sec)
Date operation is to begin
SW U-221
Page 1 of 4
Last revised 6/24/14

NCG060000 N.O.I.
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: 0 2 5 4
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The hatchery facility incubates and hatches chicken eggs, sorts and vaccinates chicks before sending them out to poultry houses.
b) Check all activities occurring at this facility:
❑ use or process meats 4 use or process animal fats/byproducts
6) discharge points ! Receiving waters-.
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from 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? Welch Creek
Receiving water classification: Creek (C)
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed?
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). N/A
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. I
Latitude (degrees/minutes/seconds): 35/40/28.3872
N
Longitude (degrees/minutes/seconds): 79/24/55.692
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.
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
Latitudo (dog roos/minutos/seconds):
N
Longitude (degrees/minutes/seconds):
W
Page 2 of 4
SWU-221 Last revised 6/24/14

NCG060000 N.O.I.
9) Does this facility have any other NPDES permits?
11 No
❑ Yes
If yes, 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
M Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: WQ0002428
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: A first flush is conducted on the loading dock areas where water is redirected for an initial rain event
to the onsite wastewater treatment system. After this period of time, water is then directed to the on site pond where settling occurs until water
will overflow and leave the site.
12) Does this facility have a Stormwater Pollution Prevention Plan?
11 No
❑ Yes
If yes, when was It implemented? Please note that a SWPPP is being written by a contracted engineering firm (Duncklee & Dunham)
13) Are vehicle maintenance activities occurring at this facility?
0 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?
M No P Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
11 No L Yes
d) Is hazardous waste stored in the 100-year flood plain?
4 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 6/24/14

NCG060000 N.O.I.
15) Certification:
North Carolina General Statute 143-215.6E (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; 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 belief such information is true, complete, and accurate.
Printed Name of Person Signing: Austin Pajda
Title: Environmental Manager
(Signature of
4/10/2019
(Date Signed)
This Notice of Intent must be accompanied by a chock or money order for $100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
R EO,= iv
APR 263 201.)
DENR-LAND QUALITY
STORMWATER PERMITTING
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:
ICJ Check for $100 made payable to NCDEQ. Must be included with this application (not sent separately).
This completed application and all supporting documents.
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 Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27099-1012
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 ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
(33G) 771-5000
Central Office .........
[phone]
Page 5 of 4
SW U-221 Last revised 6/24/14

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�NEp 7 OPERATED
April 16, 2019
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
r
1612 Mail Service Center
Raleigh, North Carolina 27669-1612
AiJR 2 6 2013
DENR-LAND QUALITY
V@RMWHTER PERMIT`ONG
To whom it may concern:
Please find the attached Notice of Intent application for coverage under General Permit
NCG060000 for the Mountaire Farms Mount Vernon Hatchery. The application, check made
payable to NCDEQ for $100, site diagram, and USGS quad sheet with the facility's location are
all included within this submittal.
As a summary, storm water from the West portion of the hatchery has the potential to run into
the pond on site and overflow via the designated outfall point. In addition, a loading dock drain
(which has a first flush process in place to divert water to the onsite wastewater system) also
flows to this pond. Remaining water around the site either flows to the onsite wastewater
system or runs into the adjacent field and infiltrates. The front asphalt drive that serves as an
entrance to the facility drains to the tax ditch which is exempt as no industrial activity takes
place. A site drawing is attached demonstrating the above statement.
Should you have any questions, please feel free to contact me at 302-934-3070.
Sincerely,
Austin Pajda
Environmental Manager
�J
CC: Tanya Rogers -Vickers (Mountaire)'fM
Doug Goodwin (Mountaire)
Mountaire Farms Inc.
"We measure quality by how well we service our internal and external customers"

North Carolina Secretary of State Search Results
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Business Corporation
Legal Name
MOUNTAIRE FARMS OF NORTH CAROLINA CORP.
Prev Legal. Name
Mountaire Farms of Delmarva, Inc.
Home State Name
Mountaire Farms Inc.
Information
Sosld: 0175025
Status: Current -Active
Annual Report Status Current
Citizenship: Foreign
Date Formed: 10/7/1985
Fiscal Month: December
State of Incorporation:
DE
Registered Agent: CT Corporation System
Addresses
Reg Office
160 Mine Lake Ct Ste 200
Raleigh, NC 27615
Officers
Chief Financial Officer
W. Dabbs Cavin
1901 Napa Valley Drive
Little Rock AR 72212
Stock
Class: COMMON
Shares: 1000
Par VaLue 1
Reg Mailing
160 Mine Lake Ct Ste 200
Raleigh, NC 27615
President
Paul Downes
29292 John J Williams Hwy
Millsboro DE 19966
Mailing Principal Office
1901 Napa Valley Dr 1901 Napa Valley Dr
Little Rock, AR 72212 Little Rock, AR 72212
Executive Vice President
Dee Ann English
1901 Napa Valley Drive
Little Rock AR 72212
https://www.sosnc.gov/online services/search/Business Registration_Results 4/30/2019