NCG060399_Application_20190806

IW 1
Division of Energy, Mineral and Land Resources
*: Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG060000
Quality
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
ZAA
Certificate ofCovera e
NCG0 60 0001
Check #
I Amount
�to-(
0
Permit Assi * led to
Ile- At
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: E C F IN D
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 20 Food and Kindred Products AU G
SIC 21 Tobacco Products DENR-LAM!) QUALITY
SIC 283 Drugs DT0RMVvio'E R P--R, Mi'f1'1NG
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 Carolina Poultry Power
Street Address 2524 Oakdale Road
City Lagrange State NC
Telephone No. 252 253-3300 Fax:
2) Location of facility producing discharge:
Facility Name
Facility Contact
Facility Address
Facility City
Facility County
Telephone No
Email
Carolina Poultry Power
Rich Deming, Principal
8966 West Marlboro Road
Farmville
Pitt
ZIP Code 28551
State ZIP Code 27828
252 253-3300 Fax -
rich @carolinapoultrypower.corn
3) Physical Location Information:
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). From downtown Farmville, take Business 258 south. Turn right
onto Alternate 264/West Marlboro Road. The facility is approximately 1 mile down on the right, adjacent to Ham Foods.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35°35'31.9" Longitude 77°36'50.7" (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
El New or Proposed facility
❑ Existing
Date operation is to be(
gill Fall 2019
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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: 2 0 3 4
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this fool Iity: Wash water from sweet potatoes provides makeup wator for an evaporation pond, which Is used as a heat sink for process.
The pond is lined and has safety float level detectors to prevent overflow.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process anlmal fats/byproducts
8) 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? Middle Swamp
Receiving water classification: unassessed
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? N/A
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (o.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, 001
Latitude (degrees/minutes/seconds): 35/35/34.67
N
Longitude (degrees/minutes/seconds): 77/36/45.96
W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds): 35/35/34.84
N
Longitude (degrees/minutes/seconds): 77/36/42,22
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
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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
0 Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: Application Submitted
11) Does this facility employ any west rrianagerrierrt practices for stormwater control?
❑ No
4 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describes Pond is fully termed to prevent stormwater from entering. Pumps, floats, adequate freeboard
space are maintained to prevent overflow. Evaporative heat losses exceed potential rainfall directly into pond.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
11 Yes
If yes, when was it implemented?
Upon System Start-up, Fall 2019
13) Are vehicle maintenance activities occurring at this facility?
M No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste "treatment, Storage, or Disposal Facility?
0 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
11 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
0 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:
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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 pormit.
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: Rich Deming
Title: Principal
(Signature of Applicant)
7/29/2019
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
SEC, IFI �
a 0 Ut�i;
DENR-LAND QUALITY
STCRNMAATER PERMITTING
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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.
❑ 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 - stormwal.er Prograrn
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
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 Uffice ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
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SWU-221 Last revised 6/24/14

MUSGSU.S. DEPARTMENT OF THE INTERIOR FARMVILLE QUADRANGLE
H U.S. GFOLOGCAL SURVEY H TH CAROLINA
.1 S Topo 7.5.WNUTE SERIES
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SCALE 1:24 000
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FARMVILUE, NC

North Carolina Secretary of State Search Results
Page 1 of 1
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View
Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Carolina Poultry Power RG1, LLC
Information
Sosld: 1409735
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 10/30/2014
Registered Agent. Rogl®temd Agenta Inc.
Addresses
Mailing Principal Office Reg Office Reg Mailing
3730 Main Street 3730 Main Street 4030 Wake Forest Road, Ste 349 4030 Wake Forest Road, Ste 349
Farmville, NC 27828 Farmville, NC 27828 Raleigh, NC 27609 Raleigh, NC 27609
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Max Power Associates, LLC
PO Box 231
Farmville NC 27828
https://www.sosnc.gov/online_services/search/Business_Registration_Results 8/6/2019