Loading...
HomeMy WebLinkAboutNCG030636_COMPLETE FILE - HISTORICAL_20180323STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ pqn % D D 3 a 3 YYYYM M DD t ogistics March 20, 2018 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Systems Logistics-Vcrtique Semi-annual discharge monitoring reports (DMR) Monitoring period Year 1-Period I To Whom it May Concern, vertique RECEIVE, MAR 2 8 2018 CENTRAL FILES DWR SECTION The Systems Logistics-Vertique ("Systems Logistics") facility located in Arden, North Carolina is submitting the following information to the Division of Water Quality ("Division") in regards to the facility general industrial permit NCG030636. Please note, Systems Logistics was formerly named ITW Warehouse Automation. The current monitoring period is recognized as January 1, 2018 through June 30, 2018. The sample analysis attached was collected from outfall 002. The results were reported within 30 days of the date of collection. For 2018, facility personnel are scheduled to be trained to the SPPP and best management practices. Also, specific personnel were identified to properly collect samples and report out as needed. Attached is the discharge monitoring report required for monitoring period year I -period 1. The sampling requirements per Section D of the General Permit are below: a. February 21, 2018/Systems Logistics location outfall 00218:40 am b. Jose Gomez/Paint Booth Operator c. February 21, 2018 d. Environmental Science Corporation (ESC) c. See attached analysis -pH holding time out of limits*A sample for pH will be collected during year 1 period I to verify proper parameters (6.0-9.0 s.u.). f. See attached analysis The benchmark level for pollutants has not been exceeded this monitoring period. A pH meter will be purchased and kept onsite for testing the stormwater once it is collected to verify the result is in compliance with permit NCG030636. Appalachian Environmental Resources, Inc. has been contracted to handle the water quality program at the facility. The Stormwater Pollution Prevention Plan (SPPP) has been developed and all information pertaining to the NPDES permit for Metal Fabrication has been completed. 115 Vista Boulevard * Arden, NC 28704 * Tel: 828.654-7500 * Fax: 828-654-8908 Email: info@systemlogistics.com * www,systemlogistics.corn Partnership. Irnovation, Creating Supply Chain Solutions. If you have any questions or require additional information in regards to this submittal, please contact me at (828)-654-7500 or Michael Fox at (423)-956-2900. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Sincerely, Zachary Gilgen Purchasing -Products Coordinator Systems Logistics Cc: File copy Attachments 115 Vista Boulevard • Arden, NC 28704 • Tel: 828-654-7500 • Fax: 828.654-8908 Email: info@systemlogisties.com • www.systemlogistics.com Partnership. Innovation. Creating Supply Chain Solutions. SE-WR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakiid, P.E. Governor Director July 9, 2012 Glenn Clifton Prestage Farms, Inc. 421 Feed Mill P.O. Box 438 Clinton, NC 28328 Dee Freeman Secretary Subject: General Permit No. NCG060000 421 Feed Mille COC No. NCG060336 Sampson County Dear Mr. Clifton: In accordance with your application for a discharge permit received on May 10, 2012 we are forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal.or local governmental permit that may be required. Please note that the attached permit expires on October 31, 2012. Your COC will be automatically renewed to cover the full 5 year term of the soon to be reissued permit. In the interim you must abide by the terms of the expiring permit. You can review the proposed general permit changes at (http://portal.ncdenr.org/web/wq/ws/su/public-notices). Wetlands and Slormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 1v One hCar011l7a Phone: 91 U07-6300 4 FAX: R19-807-604 Internet, www.ncwaterquality.org 49tum"hil, A. Fnrml Mnrrtnnihr I W."a iuo Arlinn FmAnuar COC No. NCG060335 Mr. Glenn Clifton July 9, 2012 If you have any questions concerning this permit please contact Bradley Bennett at telephone number (919) 807-6378. SNK,Flk SIGNED M hEN PiCKlk for Charles Wakild cc: Fayetteville Regional Office Central Files Stormwater Permitting Unit Files Attachments STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE No. NCG060336 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Prestage Farms, Inc. 421 Feed Mill is hereby authorized to discharge stormwater from a facility located at Prestage Farms, Inc. - 421 Feed Mill US Hwy 421 Clinton, NC Sampson County to receiving waters designated as UT to Crane Creek, a class C, SW water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG060000 as attached. This certificate of coverage shall become effective July 9, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day, July 9, 2012. ORIGINAL. SIGNED M for Charles Wakild, P.E., Director Division of Water Quality By the Authority of the Environmental Management Commission Bennett, Bradley From: Lawyer. Mike Sent: Tuesday, June 19, 2012 3:41 PM To: Bennett, Bradley Cc: Henson, Belinda Subject: RE: New NOls for Review - Prestage Farms Bradley, I had met with Mr. Glenn Clifton who is in charge of environmental compliance for Prestage Foods back in April in response to a flooding complaint from a neighbor at the 421 Feed Mill in Clinton. As usual, there was nothing I could do about the flooding complaint, but realized that the facility was without permit coverage so I provided Mr. Clifton a copy of the NOL He relayed that they had another feed mill facility in Moultonville. Glad to see they applied for coverage for both facilities. The completed NOI's look good to me. Thanks, Mike Michael Lawyer, CPSWQ Environmental Specialist NCDENR-Division of Water Quality Surface Water Protection Section Fayetteville Regional Office Direct: (910) 433-3329 Main: (910) 433-3300 Fax: (910) 486-0707 e-mail: mike.lawyer@ncdenr.eov Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is exempt by statute or other regulation. From: Bennett, Bradley Sent: Friday, June 15, 2012 4.25 PM To: Lawyer, Mike Subject: New NOIs for Review - Prestage Farms Mike, Attached are documents for two Prestage Farms Feed Mills in Sampson County (NCG060335 and NCG060336). Please take a look and let me know if you have any comments or need additional information. Unless you have concerns or need additional time for review I'll plan to issue the permits by July 151h Thanks Bradley Bennett Stormwater Permitting Unit NC Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone: (919)807-6378 Fax: (919)807-6494 Email: brad ey.bennettAncdenr,4ov Web: http:l/portal.ncdenr.orglweblwg wslsu Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. Q„ Division of Water Quality /Surface Water �' ProtectionSection NCDENRNational Pollutant Discharge Elimination System Noma C uNA D�m or Exvp,oxx[m YIY N., ft.ea NCG060000 NOTICE OF INTENT FOR AGENCY USE ONLY Date Received ' Year I Month Da Certificate of Covers e Check q Amount loch Permit Assi ed to cue e Nationab.Pollutant Discharge Elimination System application forcoverage under General Permit "' t NCG060000: STORMWATER DISCHARGES associated with activities classified as: SIC, (Standard Industrial Classification) ;0. .Food and Kindred Products SIC 21 Tobacco Products SIC 283 Drugs SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations SIC 422 Public Warehousing and Storage (except 4226) . , 1 �-i For questions, please contact the DWQ Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed): Name Lllli 6a Falrensf=JwC Q4Z1 Fego lAIL9 Street Address P.O. IVL 9 City Uldlod A State Nc ZIPCode ,28328 Telephone No. 9,10 591,- 5749 Fax: 9ta 591Z - 9 5S L 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. Email CLaw-IoN State Wf- ZIP Code, •283z.9 . S AMPSO rJ 3) Physical Location Information: Fax: gja 5eZ- 9`552- 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). Fk41M CLtwl-il TAKd US 02 1 SovTNt raow- WRCJU D5701 Cft6S58S 6VeR U54ZI r(�6 PPPaox. 4;.* [MiLe*$ r-4F4f* ARIL • Wtr.rr 4115 nu (A copy of a county map, or USGS quad sheet with the facility clearly located must be submitted with this application.) 4) Latitude 340 5+1 13 r Longitude 78° l 5 ' 17 /, (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility 0 Existing Date operation is to begin EC MAY I 0 2012 Page 1 of 4 SWU-221-071408 Last revised 7114/08 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: X 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: 0 our VA4r ► K Agm c . wJ4CWA FECD 1 s MA14 r FACTaitth ALnue, uriTk 6a1a,N Puac►+AsIA/c %R _Polt^ic PM0Jt �f}iJ._ UJOOOO,¢T -5- - XNLcyGd p t f-t� House. s VOMICce 6A&A6i, QNo 04AtQTENA9CC D PArtrwtadT. T141S FAe,,.,ry_ ALSD 11AS A WOOd 90RO 4, Vvt4e4 -ro r P"p&(cffg 576`Am rait PEED PjOa DudYiPv AMD 8) Discharge points I Receiving waters: A 5rerAA 6EnfC1'ioYa& +lOoR rac.EtTti,c�Y�. How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 13 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? uu NAA&fp _-T)AINVTAA3 to_CRAN4L CQrwe k_(ftOM uA1g %, Six 2uN4 C404) Receiving water classification: G1' 5 W Is this a 303(d) listed stream? NO Has a TMDL been approved for this watershed? t-4c 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). 9) Does this facility have any other NPDES permits? MK No ® Yes If yes, list the permit numbers for all current NPDES permits for this facility: AiK Peawr, 651. $SRO') 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? X 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 2rYes (Show any structural BMPs on the site diagram.) If yes, please briefly describe: CgAssfo Y1,t WA C PASSEO, rj Ei -+ 9 . is 1- C 1aute 5u8o;ya.F g Pipe Z?2oPS, -MO1rALrNT Rn5145 (PO440 _ 12) Does this facility have a Stormwater Pollution Prevention Plan? 2(N o ❑ Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? ❑ No XYes 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? X No ❑ Yes Page 2 of 4 SWU-221.071408 Last revised 7/14108 NCG060000 N.O.I. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 04 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 1 disposal vendor: Vendor address: 15) Certification: North Carolina General Statute 143-215.6B (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; 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 tie, complete, and accurate. Printed Name of Person SigAg: �Q`/tt�l j11T� Q- -C/�// 7--,- of Applicant) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDENR Page 3 of 4 SWU-221-071408 Last revised 7114/08 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 NCDENR. 2r This completed application and all supporting documents. 2� 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, (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: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the General Permit. For questions, please contact the DWQ Regional Office for your area. DWQ Regional Office Contact information: Asheville Office ....... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office_ (252) 946-6481 Wilmington Office... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 807-6300 Page 4 of 4 SWU-221-071408 Last revised 7/14/08 IT5 715 74 220 0 ` 2225 5 e3 �... Mo ]t nvllle )/� may,' � e� J'+r` -,�4( ti to ��, a�''(�' I) ° a ��„5�--- '�.` �� \V�` .,�1.- `��•;� V N�'=� �/ �'"k 111 _ � -1 t o. l it " \ 'ti r '� � Y• �?_ `� ae`^ `.- 1.`,'�,' _ a'-? IV r _ - ,'•_ ~~ _Yf Were \�aJ 1, ���..�;`.` ..i Croci[�edc r I' - �• .' ` � ` l t V � � �� � l i, - / 1 '` �~ti�r� nd y -i � �� _'1 J%�' � �✓.,'._ �V�S� � � � , 2� � ��r �� 1�'' - 4-�`' 1� �., L L / �"`-' , '` it ` -� ��`�V r•.- � l,i •.t(` f � L'l� 1'1�7. C• `.�� � f �� P1V +� U _ V '4/ ,J i_�,l �r � •e� --J r �:ll }� 1 ��` � Eari ��iw ',, ~'l �ancf> ,' l )�! ��' ' iw=V � �, /.r , 1� i �• ` "� 7.ti `l\�'\1 1 '.S' ��f�1i �t % 1 , )) ! G��'� l.� 1 \,#.•-•��} • -A��- f �� _-wi:,:� , �� S l_� ! , ,r' Bridge r �i /•i �_- 'i rti, _ ,� l'•`� ? G} _h ��+ .`J 'd!� ✓r L`,�t I 11 S 1};'fi ( t �, y 4.7 1 I J, .(. " tf ✓/ y- 4 "'1! f{i lU C !.(! VII 1 ~\.i .` ` i r.J � fl �-,?`��'> •�``t\ �. �`r"- '�/�� ` S' J o`•''r l� \, � � `I -1� �J �I �`L 1, - `' �:Z 1 v � �_ r-..-:,..,Ir � �1 � t ,�.� t' �-1;t z-, �l•�+'� rf@�5 37 `Jl� 1•"�' ``�, `Ja���l� 1t�,1 JU`'�1 r �` _ t.` 12`'l� �� -'i---- _ { ! ` '1 -• .t � Q t�{'� � r `I it -� �'�'- _ ! t (\� .J(f t ��, i 't+ } � 11 -✓' °6>• \ 1.5� i (�' wv :� i�t /f- i \ _ c • s _ _ , �__ c- 7 r� •rt e grunci'� V �\: ` - -4• C . '-r r�.31 �.� A" J s•-+--1,�:�~, < ! �,r `�C�i i �1i '��. N} t1 v /7 Gartend �.ty �+,.� ...:gyp � � � .•'�la f - � b y � x '^ � �'�� ~ ��� �'� •_� � <O 10 4 f 1. w` a ; r •� A+ a.CIA. �i 1 }. r , Z,IL ASCA • �1�it�fl�YRF 1`t,y4. - y. A78•M H.Y • G k'_A.*.- w£ ,Rf• Ya:..� : pr: �+....5,,+ V� i� 1 l.r sit.St7tSrf►�' at &ii i , f, �MEC x r+,• ��l[s a r,3 �''��� G ��pifd� to S] ti� / . � Y �� �►� . 4 tl do 4 tj d� ••1 O ' O " " 4Y 06 -°lam s'`� �'N'14 •' r s _ • r OC+^„ELp O� F •n !!, ik a � r i -� - '► r ♦y eA t l 0 f - • fF ! yam, i '( �: .af r*.r ' 'r 1i s #i "! �� .O , _ � !, r �. � �,i' ref•,;' � �: FS � �r � AF ir- qf 1_ � O lsrflc r�1ti�._:�+ _ --`� [' ✓' �"fi. ���` ��. � � ` 1�' �;. •fit 00, c t rT C. + •� kor j z � % � i � � i' L �� 1r� � ■ ��` •r r 6` f l4■a �;i�r �• 'x•. . f .4 k O0.1 fr a �. • i' 'w r i t y R • _ri is . 0 Q-���.4... •f+lJ y IR*f s`* r t ��4t - .-..--�ti � - }I •. F t . +t a �� fi ! . °F e# � � / i '.; � 'sue �♦rd�� fog er Q 4 '� F• i r x rt a A B R s ^ • � �}�, _f. r# X " . � C �') Ly _ 4 - > f A fi F a • t� �� f i ># _ r . s M �� �` � �'K \ � . , , �.\/��.\ \�; TPE INV # DATE REF # REMARKS INV 050812 05/08/12 S WTR PERMIT GROSS DISCOUNT NET 200.00 200. 00 NCDENR DWO PRESTAGE FARMS, INC. CLINTON, N.C. 28329 NUMBER : 39335b 11@393356ii' l:05310i56P:2049985352459om I a Prestage Farms, Inc. December 13, 2013 NCDENR-DWR NPDES Stormwater Permitting Unit 1612 Mail Service Center Raleigh NC 27699-1612 Subject: Assessment of Best Management Practices for facilities that use animal fats/byproducts Prestage Farms Inc (421 Feed Mill) COC Number NCG060336 Sampson County To Whom It May Concern: Please find enclosed the Prestage Farms assessment of BMPS associated with off loading, handling and spill prevention of rendered fats at our location. We have attempted to complete this task as accurate as possible. Please let us know if more information is needed in this matter. Sincerely, cam- C-LLt Glenn Clifton Contact Person Technical Specialist Prestage Farms, Inc. cc: Fayetteville Regional Office �. D EC 1 6 2013 i I ' L_... HIGHWAY 421 SOUTH • P. 0. BOX 438 • CLINTON, N. C. 28329-0438 • PHONE (910) 592-5771 Section E: Assessment of Best Management Practices (BMPS) for facilities that use or process animal fats/byproducts. Prestage Farms, Inc. 421 Feed Mill is a facility where feed is manufactured along with grain purchasing for pork production. Support services include a warehouse, lab, garage and maintenance department. This facility does use processed animal fats/byproducts in the manufacture of feed. Animal fat is delivered to the 421 Feed Mill by tanker trucks to a delivery point where animal fat is pumped to. two aboveground storage tanks with secondary containment. This secondary containment wall also includes other tanks with liquid feed ingredients. Potential spills could occur at the site to include the delivery point between tanker truck connection and the receiving pipe system. Care must be taken by vendor and Prestage Farms to insure that the connections are properly secured before transfer has begun. Inside the boiler room a small Containment wall is used to contain any spill from any leaks or equipment failure. Absorbent material is available at site for clean up and disposed of properly. A Contractor is called if further clean up is warranted above what we can handle here as indicated in our stormwater permit. We do not feel that reduced exposure can be achieved at our site due to original construction of feed mill. All systems are covered except the aboveground storage tanks and the delivery point. At our site there has been incidence of fat spills mostly due to accidents from equipment failure inside the boiler room. They were contained on site and cleaned up. We feel that there is no indication of presence of an on our site that could cause a concentration of fecal coliform. Activity and noise around the feed mill could keep animals/wildlife from entering our site. We also have a good rat and mice eradication program at the feed mill. Birds do come on site to eat corn and other grains that may have spilled during the unloading process. To further reduce the potential for a fat spill, we plan to install a fat/grease separator system. This system will separate fat from blow down water in case there is some fugitive material coming from our boiler room. Plans are to complete this system installation by January 30th 2014. 06 C 1 6 2013 I NCDEE R North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Thomas A. Reeder Governor Acting Director July 15, 2013 Glenn Clifton Prestage Farms, Inc. PO Box 438 Clinton, NC 28328 Subject: COMPLIANCE EVALUATION INSPECTION Prestage Farms, Inc. 421 Feed Mill NPDES Stormwater General Permit-NCG060336 Samspon County Dear Mr. Clifton: John E. Skvarla, III Secretary On July 2, 2013, I, Hughie White, from the Fayetteville Regional Office of the Division of Water Quality, conducted a site inspection for the 421 Feed Mill facility located on US 421, Clinton, Sampson County, North Carolina. A copy of the inspection report is attached for your review. I would also like to thank you for your time and assistance during this inspection. Stormwater from the facility drains to an unnamed tributary to Crane Creek, a Class C, Sw water located in the Cape Fear River Basin. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Permit-NCG060336. Accordingly, the following observations were noted during the Division of Water Quality inspection (please see the attached addendum for information about your permit): 1) Stormwater Pollution Prevention Plan (SPPP) A Stormwater Pollution Prevention Plan (SPPP) has been developed, recorded, and properly implemented. es ■ No ❑ 2) Qualitative Monitoring Qualitative monitoring has been conducted and recorded in accordance with permit requirements. es ■ No ❑ Location: 225 Green Street, Suite 714, Fayettevitle, North Carolina 28301 Phone: 910433-3300! FAX: 910486-07071 Customer Service: 1-877-623-6748 Internet: www.ncwaterauality.oro An Equal Opportunity 1 Affirmative Action Employer onl N.hCarolina ,Natmrallt J 1 3) Analytical Monitoring Analytical monitoring has been conducted and recorded in accordance with permit requirements. [Yes■ No Ell Please be advised that violations of the NPDES General Permit are subject to a civil penalty assessment of up to $25,000 per day for each violation. if you or your staff has any questions, comments, or needs assistance with understanding any aspect of your permit, please do not hesitate to contact me at (910) 433-3308. Sincerely, Hughie White Environmental Specialist Enclosure CC. FRO -Surface Water Protection WBS Compliance and Permits Unit r Compliance Inspection Report Permit: NCGO60336 Effective: 12/12/12 Expiration: 10/31/17 Owner: Prestage Farms Inc 421 Feed'Mill SOC: Effective: Expiration: Facility: Prestage Farms Inc (421 Feed Mill) County: Sampson s PO Box 438 Region: Fayetteville Clinton NC 28329 Contact Person: G Glenn Clifton .Title: Phone: 910-596-6749 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 07102/2013 Entrryy'T_i`me: 10:00 AM Exit Time: 01:00 PM Primary Inspector: Hughie White /�ir�'�''' Phone: 9101133-3300 Secondary Inspector(s):! Ezt.708 Mike Lawyer 7 Phone: 910-433-3300 Ext.729 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC Facility Status: ■ Compliant ❑ Not Compliant Question Areas: 0 Storm Water (See attachment summary) Page: 1 Permit: NCG060336 owner - Facility: Prestage Farms Inc 421 Feed Mill Inspection pate: 07/0212013 Inspection 'type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: q The Stormwater Pollution Prevention Plan has been developed and implemented and the plan appears to be complete and includes all of the necessary components. Qualitative monitoring is being performed at all outfalls, as required. The analytical monitoring is being performed at the required frequency. As a reminder for analytical monitoring from vehicle maintenance areas, semi-annual documentation of new motor oil usage (gallons/month) needs to be recorded. A review of the latest analytical results showed benchmark exceedances for Total Suspended. Solids (TSS) and Chemical Oxygen Demand (COD) at several of the outfalls. As a reminder, these benchmark exceedances requires the Permittee to take additional actions. The required actions are outlined in the stormwater permit in a tiered program. The first valid sampling results that are above a benchmark value or out of a benchmark range require the permittee to take the actions outlined in Tier One. Be sure to review the descriptions of the Tier One, Tier Two, and Tier Three response actions outlined in the permit and take the necessary actions that are required. Page: 2 Permit: NCG060336 Owner - Facility: Prestage Farms Inc 421 Feed Mill Inspection Data: 07/02/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ■ ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? ■ ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? ■ ❑ ❑ ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ ❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ■ ❑ ❑ ❑ # Has the facility evaluated feasible alternatives to current practices? ■ ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ■ ❑ ❑ ❑ # Does the Plan include a BMP summary? ■ ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ ❑ ❑ ❑ # Does the facility provide and document Employee Training? ■ ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ■ ❑ ❑ ❑ # Is the Plan reviewed and updated annually? ■ ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ■ ❑ ❑ ❑ Has the Stormwater Pcilution Prevention Plan been im lamented? ■ ❑ ❑ ❑ p Comment: Employee training is scheduled for September. Qualltative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑ Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ■ ❑ ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ■ ❑ ❑ ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑ # Were all outfalls observed during the inspection? ■ ❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ■ ❑ ❑ ❑ Comment: Page: 3 DENR-1FR[ I-) REIS North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director July 9, 2012 Glenn Clifton Prestage Farms, Inc. 421 Feed Mill P.O. Box 438 Clinton, NC 28328 JUL Z n ?0V Owo Dee Freeman Secretary Subject: General Permit No. NCG060000 421 Feed Mille COC No. NCG060336 Sampson County Dear Mr. Clifton: In accordance with your application for a discharge permit received on May 10, 2012 we are forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal.or local governmental permit that may be required. Please note that the attached permit expires on October 31, 2012. Your COC will be automatically renewed .to cover the full 5 yeat term of the soon to be reissued permit. In the interim you must abide by the terms of the expiring permit. You can review the proposed general permit changes at (http://portal.ncdenr.org/web/wq/ws/su/public-notices). Wetlands and 5lormwater Branch 1617 Mail Service CentEr, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone:919.807.63n0 ti FAX; 919-807-6494 IntemeL w".newaterquality.org 4n Fnual r)—rhAlu t At irmnliva Amin FmMnvar None Carolina Naturalill COC No. NCG060335 Mr. Glenn Clifton July 9, 2012 If you have any questions concerning this permit please contact Bradley Bennett at telephone number (919) 807-6378. SgV61j4gIGNED B) for Charles Wakild cc: Fayetteville Regional Office Central Files Stormwater Permitting Unit Files Attachments 1.) STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY . GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE No. NCG060336 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Prestage Farms, Inc. 421 Feed Mill is hereby authorized to discharge stormwater from a facility located at Prestage Farms, Inc. - 421 Feed Mill US Hwy 421 Clinton, NC Sampson County to receiving waters designated as UT to Crane Creek, a class C, SW water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG060000 as attached. This certificate of coverage shall become effective July 9, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day, July 9, 2012. ORIGINAL SIGNED M KEN PICKLE for Charles Wakild, P.E., Director Division of Water Quality By the Authority of the Environmental Management Commission h ALT ; wA 14 �.rait..wa. �.:rrrttwr� NCDENR NORi, CAMOLMA D emr mcw e/ E1nwo WN w News gcaawcrs Division of Water Quality / Surface Water Protection Section National Pollutant Discharge Elimination System NCG060000 FOR AGENCY : USE ONLY Date Received veer Month Da Certificate of Co yera e Check N IAmonnt ' 1tJb Peril Amigned to CAde tt `+i it3lA At5RN1 d 1 ; '4 NOTICE OF INTENT- " 1 •, 1.,! >.j� �: fi . .-7, r f 4 •�,�. '.h�.9i Nationa1,Pollutant,Discharge Elimination System application,Ifor.'coverage under Geneitii Permit " NCGO60000: STORMWATER DISCHARGES'asiociated with activities classified as: ; ,S)C,($tandard,Industrial Classification) 20., • .Food and Kindred. Products SIC 21 Tobacco Products SIC 283- • • Drugs. t SIC 284 Soaps, Detergents, $ Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations SIC 422 _ Public Warehousing and Storage (except•4226) . . I For questions, please contact the DWQ Regional Office for your area. See page 4. U,, (Please print or type) 1) Mailing address of ownerioperator (address to which all permit correspondence _will _be malledl: Name PR s7Aae rmtmy', �rjc, (42.1 Fseo NttLL� ---------- ---- Street Address "s City CL11J7ori a State N G ZIP Code 92,2 _ Telephone No. 9i6. Ok- 57±9 Fax: _ 91n 5.2u.,. "*L w tl 2) Location of facility producing discharge: Facility Name F E AafC r-612#vtj 0 14c. tt Fakee MrLL Facility Contact C-�, G LI:lVN Ga.,F7p�1 Street Address'" 0 ti P t' City State'• NL ZIP,Code,--ZA 3Z9 County S pMpSo Telephone No. _,,43112_,,,•„ S2e- i7g�g -Fax: gib Email �I�rl� Dt ear•�Faravti.r�wc 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). FRoA& t0wl#4 ZAK$ dj gx_l_.Sou7++, 9R6" w £ u4 7af C0 e$ 6QVR VS4Z1 P o .t 0++4C5 efo IlAo" 6V$t.4. Rse nu 74A L050Y. (A copy of a county reap or USGS quad sheet with the facility clearly located must.be submitted with this application,) 4) Latitude 3a• ° 9+r 11' Longitude 780 15 + 17 it (deg, min, sec) p f �� 1i 5) This NPDES Permit Application applies to which of the following: 0 New or Proposed Facility 0 Existing Date operation is to begin MAY T 0 12012 SWU-221-071408 Page 1 of 4 Last revised 7114108 NCG06000O'N.O.I. 6) Standard Industrial Classification: Provide the 44git-Standard Industrial Classification code (SIC code) that describes the primary industrial activity at this facility. SIC code: -, 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: o P Raie, &AQ!2VA9_Tjgj f R a ED t� A r c A4nN6 wi7K 6I2ArN Dilc�a. uPPoAT a rc Gc-Voe WF6(LCHOUSLT, 'LAX VJeNIC1.6 AaA61F AND A1W3k E A e'J1'1 Tu1S ALfr.fr ALlb NASA WOOO '004411AX Vvogeot 7gAy pjwv114er, Srt'o+'M root�6CD Pj06Dn41oN aNa B) Discharge points / Receiving waters: A $re7%AA 6iVrj g, _riAt ,'loa vi -rrcic,Y�. How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 13 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? UN NAMCD rAiRU74Ry 7o AN ME, CC69k.(F�pM pII B r4 4ex vNs Ca��) Receiving water classification: C 11 5 W+ Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? rf o 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). 9) Does this facility have any other NPDES permits? r Nb ® Yes If yes, list the permit numbers for all current NPDES permits for this facility: AiK fear v b51-95RV) 10) Does this facllity,have any Non -Discharge permits (ex: recycle permit)? M No ., ❑ Yes ' If yes, list the permit numbers for allcurrentNon-Discharge permits for this facility:°� 11) Does this faciliy employ any best management practices for stormwater control? ❑ No a.. ZYes (Show any structural 13MPs on the site diagram.) If yes, please briefly describe: to R ASS(O G 2A56f A, , ri ti LQ .3oA,C Nu le r21i8���riL_�PIA�'__�op5� 'fGOr1SAEN7 1�A���1S (-Pdy4� 12) Does this facility have ,e Stormwater Pollution Prevention Plan? I(No ❑ Yes if yes, when was it implemented? 13) A.re vehicle maintenance activities occurring at this facllity? ❑ No XYes 14) Hazardous Waste: a) Is thls,fability, a Hazardous Waste Treatment,,Storage,'or Disposal Facility? E i et No , 7-Yes b)' Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? No ❑ Yes Page 2 of 4 SWU-221-071408 Last revised 7l14M NCG060000 N.O.I. c) Is this facility a large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of hazardous,waste? 91 No El Yes d) Is hazardous waste stored in the 100-year flood plain? ldNo C] 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 1 disposal vendor: Vendor address; 15) 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; or who knowingly makes 6.false statement of a material fact in•s 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 requifsitients for the discharges) 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 tr compl , a d accurate. i :. Printed Name_of Person Sig Title: L, C r r1eh (Sign ur'of Applicenf)>'', ( ate igned) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDENR Page 3 of 4 SWU-221-071408 Last revised 7114108 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 NCDENR. 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, (a) areas where materials are stored, (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. Mall the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the General Permit. For questions, please contact the DWQ Regional Office for your area. DWG_ Regional Office Contact Information: Asheville Office .... Fayetteville Office. Mooresville Office, Raleigh Office ...... Washington Office Wilmington Office, Winston-Salem Central Office ...... (828) 296-4500 (910) 433-3300 (704) 663-1699 (919) 791-4200 ... (252) 946-6481 (910) 796-7215 (336)771-5000 (919) 807-6300 Page 4 of 4 SWU-221-071408 Last revised 7/14108 Ps 74 12200 75 Isf 2 225 'JohrCsdyl?�` n I � QI1 � 24 y - '��.�� - •`"- .>rr;';�-e'�.... '� �1 a -- rut l llYott :S �%F' 1. '� fj. �+'• t � �°G~Yp�to .-�. Al� ki �� �r l; ..... �{!;� tit,; '��" °� �� {s 'y •a, i '•l.' �' �'r ��' ,, • / 4Z l alld �.� �y��. ���:,.. 1. ..%)1 ��< •\.. ..�''` ' � .i. ~ ; � �: �-�I s "ti:.` e"5a•-i.: � -� \ � , - �, ,! �g r � !, ' f � ,',L ! � �,{. -../` � .^, ``r�,r-�/' /I/ ! -• �( r, i `' „y� /. c ..s .r /;'� Tevlort Bridge rill ':C -� w1 ` ,.; _ S k� l �t� t ., I, t "1 �^�•. ,' -, \ ){ � � •. Yi1.F_! I A, ' °"t IZ �t � I 'r ^�I'— r Y \�J'r/ t .J,,.•- f�• ,~y- ''��� � Y �•'\7' • 1 \a� `f t ..-.: J.� err` .... t • V '�°.. ��i\-wl`�' ^'G r �� i F',' J7 , " .,, J , \/_ i 1 lt.' 'j i � � � ti•. �U" � . / . -..�� In Pad. y� ' � {j\ �� Y'.,� 4 - i 3 t. � f _ \ ` *:�r`� .�' a r • { 1 9 Oetwav ZVI Garland' ra ., (. R t f '�Nr t't �' I All �,� 1 wYAf •'� h � � � 4 4. �����y� } s>•' :. L'+'F 3 tie M.i y - M V7 •1 � t � '1�„ �Yy I '� � 1. 1 �S! I g.,. �t� E F��y"^K,l�j'�4 ! I}�,F, u �. c +�� '' * � �'R k•r�+� ��a,�,`,I ��r ���. , 4' ,14 �. M ' l4 �4 r ��, .'1k S M.y-,'i� gyp- �ky�aa�r• S �f.1'p a 3 •.�i� e�'�"" ✓1!� n •='4 '� A �' I ` «r 1 t �,{ , n ,,�.� H'� % alr,�, a � �yi'y�"•i" ti. ;}«�.-fir. ,i p ^a �i. �ih�{►�f �d� � ���'? 1r 4rkr: t*Y"4"�"s+: .�� f. � . '1 II E A � •`. � '.�+� k�. .qs,,.�,'' f ` F , � _i , q9i 4 $ � h i � e - : °. S +s F.'`m i3. ''EE, � , o::' '1! v? t gi r''r•�Y V ,41 NW s -"iy 'iis Za 1 ,h � 1')f th trN y. i '. �1 i f � r • r '�: i� t ° . � NK ��`A^fir � d ¢i3•�� �l. 1 a"_ r�° ', h „k °Ai .y �"�� .ice" "Fj , '� `�• JA •,' t 1 ',' iM ',..er `�"F�j .., :. .r`,�} }<"f I '�s ,j'i{ r. 'm, , o tk .: r Y ` C�Al ' �' � C "�R". 4�.+1��•'' � �� '' at �y .!✓ ,y� ��' i F. y�, t -b�' y .. F' / �-'�..••./''%7,e"; "��' � ' L - s ' i` .,.,yr. � „ '� S .,fir-P E •+�u. .. � .• ,�'la IS4l�, "s "l�tbl 'f� ���{' i� � � r��� � .s �'� .,.--.- °,.- � ���t �, M4 f�{ �- x.� L. ��.�.,inr..,,.-... a—.�—�_ � "�'�.;��_ - ..tl.• -t.. M ,..ir,,, YE rrV:." � 5 ` - - -�.". ,r- '1 �: :i -q a /..A• r A r .u..4 r _ .. - yi11e aR Lw it QN f4 Y ' . • c, n n •VS Ai4 ry •. S � e-,- t� ..h d � �' to 1 I yJ .. ,� q- .. � • v 1'jFTfa•Y �' �i �e � 1�r ', . n �>f�� •fin mi ,, .�.� r - 5 ssllll iS + kwn 6. t` w � •t.� �! T's �t � YY�n1�t. ���-'U �it'��^*' a�� 1�' �y.-% 4. 4� N,f.- �[}}✓, ' „•ram .,.�,.fO n.[ 9 , � -LI r 1 Y Y -n9• t y G .u.is 1 y4 t 9 �+yl W� R -m' i- +,'da ,xtr44!'• ���r�`'ynlrr-ir•/��i t_s'pl}�, +,•,,. ��pYY ��,�4r �J S� . f11�w�7..`'� ` � � � 4 r ..7"jr•� ,h � T .� - : S �` t. - (t' 'f �� 5. "w.� t a. �' m' A� ;G`�� .�. •a•r �="�.�v�,`�`a,d,�•�' I ?"yr�sy�� ,� , i ,u�, 1r �": - -i'p ;�. T Iri3((_ •O Y by �.r'�.�,.� �Q1.2'. ll ''.31 _>ra y.ai`7 • f { �ll"l'`'�'Y' ' .. 1 �i.vd} �. 1}• e,,�+tj ,ti' w.., o ,'. ' j Ih� '; �! � ,A' ' :� 1't� •v�5.�s� .0 �' -,°+ c �` � I o .. �l `..r e g ,� 1 r 1 tt- ta,'�"�,+r"`�"' �•yV g�'�`� c N l ° - 4 .- .5—�""�I(�N l_. � • M LOCATION MAP: Latitude: 34°54'17.52" N NCG060336 Facility Longitude: 78'15'06.40" W `r Prestage Farms Inc. - Location County: Sampson 421 Feed Mill Stream Class: C, SW Receiving Stream: UT to Crane Creek Sub -basin: 03-06-19 (Cape Fear River Basin) avotth Not to Scale NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, PE Governor Director April 11, 2012 CERTIFIED MAIL: 7009 0820 0000 2473 8398 RETURN RECEIPT REQUESTED Prestage Farms Attn: Glenn Clifton, Environmental Compliance PO Box 438 Clinton, NC 28329 Subject: General Stormwater Permit Coverage Clinton Feed Mill Moultonville Feed Mill Sampson County Dear Mr, Clifton: Dee Freeman Secretary Thank you for your time and assistance during my site visit at the feed mill in Clinton on April 10, 2012. As discussed, coverage under a General Stormwater Permit is required for certain industrial facilities, including feed mills, which have point source discharges of stormwater. During the site visit, observations were made of the facility in Clinton, which has several outfalls conveying stormwater runoff from the property. It was relayed by you that a similar facility with stormwater outfalls is located in the nearby community of Moultonville. The General Stormwater Permit that covers these types of facilities is the NCG060000. A copy of the Notice of Intent application form to obtain coverage under the NCG060000 permit was left with you to be completed and submitted to the Stormwater Permitting Unit at the address on the form. You are asked to submit a completed form for each facility within 30 calendar days from receipt of this letter. If you or your staff has any questions concerning this matter, please contact me at (910) 433-3329 or by e-mail at mike.lawyer@ncdenr.gov. Sincerely, Michael Lawyer, CPSWQ Environmental Specialist cc: Stormwater Permitting Unit FRO -Surface Water Protection Section Location: 225 Green Street, Suite 714, Fayetteville, Noah Carolina 283C1 Phone; 910.433.33001 FAX: 910-486-07071 Customer Service: 1-677-623-6748 Internet: http:!lportal,ncdenr,or91weblw9 An Equal Opportunity 1 Affirmative Action Employer NorthCarolina Natmally CO IT m s: to m O'FFICI-AL USE Postage $ ys ru Certified Fee �' �s 0 O Return Receipt Fee Postmark Hare q q� r-3 (Endorsement Fiequlretl) �,(� J 0 Restricted Deevary Fee (Endorsement Required) , nj 7 // ,;2- Total Postage & Fees $ I� Sent To C:)--_._... - orP0Box Na. �[ .r.tC..d. _l� �..v ... ON' S1a 1Pf4 ■ Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. t ■ Attach -this card to the back of the mailplece, or on the front if space permits. 1. Article Addressed to: PRI.STAGE, FAI-WS AT1-N: GUNN CLIFTON, ENVIRONMEN"'AL COMPLIANCE CLINTON- 7 NC 28329 A. Signature ❑ Agent a,-Ffeceived by ( Printed Na a) +, /J C. Date of Delivery Ss e 1(�}Y� D. Is delivery addregd fyrgrn�lto Y s If YES, enter delivery address below: "No APIR 112012 DENR -FAYETTEVLLE REMO JAL OFLF 3. Service Type Xcertlfled Mall ❑ Express !Nall ❑ Registered )KRetum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. ArticioNumber 7009 0820 0000 2473 8398 (Transfer from service labeo PS Form 3811, February 2004 Domestic Return Receipt 402695-02-M•isaa 11