NCS000167_Renewal Application_20150316

Perdue AgriBusiness LLC
Environmental Services
P.O. Box 460
Lewiston Woodville, NC 27849
www.perdue.comm
Office [phone]
Certified Mail Receipt: 7011 2970 0000 4209 1287
March 9, 2015
SW Individual Permit Coverage Renewal
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North carolina 27699-1612
Subject:Permit Renewal # NCS000167
Perdue Grain aand Oilseed, LLC, Cofield N.C.
Hertford County, NC.
Dear Sir:
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We are submitting this information as a formal request to renew our Individual Stormwater permit
# NCS000167 for our Cofield, NC facility. Their have been no significant changes in industrial activities
that would constitute changes in management practices at this facility since the last permit renewal.
Please find enclosed the completed renewal application forms and supplemental information
requested plus one complete copy.
hope these actions meet with your approval. Should you have any questions or
comments please contact me at 252-348-4326.
Sncerely,
bey Baggett
Perdue Agribuisiness
Environmental Manager
[e-mail]
,FG NED
DENR-LAND Qup'l -f
STORMWAT : R PERNIi" i IP�Q
A Family Commitment to Quality Since 19200

Permit Coverage
A74Renewal Application Form
NCDENR National Pollutant Discharge Elimination System
Stormwater Individual Permit
L&
(31 j'►1,5
NPDES Permit Number
NCS i? i C- 7 � (
Please provide your permit number in box in the upper right hand corner, complete the information in the space provided
below and return the completed renewal form along with the required supplemental information to the address indicated.
Owner Information
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Facilitv Information
Facility Name:
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
Address to which permit correspondence will be mailed
zl-1____
isnmrN
Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
% I% i , c h
CERTIFICATION
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ih 3
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signature \ ( Date 3 - 9 - a� i
W �.., r► 2.\qC. R ,r. �NeSS ENV�r o�Meh�A,
Print or type name of person signing above Title
Please return this completed application form SW Individual Permit Coverage RenewalStormwater Permitting Program
and requested supplemental information to: 1612 Mail Service Center
Raleigh, North Carolina 27699-1612

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
Initials
(Do not submit the site Stormwater Pollution Prevention Plan)
A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data. H
3. A summary of the Visual Monitoring results. Du itut subinil individual monitoring
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)
Representative storm sampling may now be conducted anytime during the year (the April
to November window has been eliminated) and the representative rainfall event is now defined
as a storm event that measures greater than 0.1 inches and is preceded by at least 72 hours in
which no storm event measuring greater than 0.1 inches has occurred.

I STORMWATER POLLUTION PREVENTION PLAN I
DEVELOPMENT AND IMPLEMENTATION
ERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources - Stormwater Permitting
Facility Name:
Permit Number:
Location Address:
County:
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
Stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature (�
Print or type name of person signing above
Date 3 - 5 _ )-015-
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Title
SPPP Certification 10/13

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