NCG060461_Application_20250320

FOR AGENCY USE ONLY
ned to:I I. CAM<
/ARq FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO60000 Notice.of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 20[Food and Kindred Products),SIC21[Tobacco Products),SIC 283[Drugsi, SIC284
[Soaps, Detergents,&Cleaning Preparations;Perfumes, Cosmetics,&Other Toilet Preparations),SIC422[Public
Warehousing and Storage—except for4126). You can find information on the DEMIR Stormwoter Program at
deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed In Item(6)below to: NCDEMLR Stormwater Program,1612 MSC,Raleigh,NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit.Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legal is
ly resp nsi le erson as signed in Item(7)below:
Streetado{ess: /� City, "" Stitt Zip Code:
.1770 W001C CrRCLC C.�✓
Telephone number• Email address:
1- 03-
Type of Ownership:
Government L414ml, lifAvix-0 ID CA.COWL
O County; ❑Federal ❑Municipal ❑State U
4
n-government�Business(if ownership is business,a copy of NCSOS report must be included with this application)
❑Individual
2. Industrial Facility(facility being permitted):
Facility name- JE /���J Fatili 'envirtact:
Street addre : / /1 city State,r Stater^ Zip Code:
1yr 14.N e'&Wv,d %�u.2r ,vo R rods
Parcel der! ' {in��'z_2ber(PIN): Coyrl-
3efg?n.�` e. Email ad ecode: Facilityis: Date operation is t begin or began:
❑New O Proposed Existing
Latitude of rit �e:-/--- _longitude pI en r�ge's. _
11
Brief desq f n f tYhety
/Yl IV of Industrial activities and products manufactured at f othis facility:
This fa�/ciiLllii(( processes meat: Yes❑ No
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
❑N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: . 1 ,A Consulting firm:
Street address: W City: State: Zip Code:
Telephone number: Email address:
4. Outfali(s)At least one outfall is required to be eligible for coverage.
3-4 di It Identifier: N�a�e of fete' Ing water: Classification: El water is impaired.
� 6 11 NBfL ❑This watershed has a TMDL.
Latitude of u all: Longitude of outfall:
/. �O�
Brief d ription of the industrial activities th
► t drain to this outfall:
RkUA/b Lr&l lUG OF x4WP%
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes Ef No
If yes,how manygallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Na of recetrv, g water: Classification: ❑This water is impaired.
QZ if lid ( I � ❑This watershed has aTMDL.
Latitude f qu�N Longitude of Xall:�
Brief d7�ription of the indugt�tal activities t drain to this outfall:
/41LV U �}`r11 f tRJ �C
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes )�No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑ No
if yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water. Classification: ❑This water Is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the Industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall Is required.Additional outfalls may be added in the section
"Additional Outfalls"found on the last page of this NOI.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly).
❑This facility has other NPDES permits. /
If checked,list the permit numbers for all current NPDES permits: AJIA
❑This facility has Non-Discharge permits(e.g.recycle permit). ((((((
If checked,list the permit numbers for all current Non-Discharge permits: IA
This facility uses best management practices or structural stormwater control measures.
If ch�cked,-brlefly describe the pFact'iEes/measures and show on site diagram: f�(Jrf,Lffr 6749 u 0��'�j
f1) -174 P /�T&Vr7L f ..J�
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was Implemented:
❑This facility stores hazardous waste In the 100-year floodplain.
If checked,describe how the area is protected from flooding:
❑This facility is a(mark all that apply) A
❑Hazardous Waste Generation Facility �) iT
❑Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
How material is stored: Where material is stored:
Number of waste shipments per year: Name of transport/disposal vendor:
Transport/disposal vendor EPA ID: Vendor address:
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items(Application will be returned unless all of the following Items have been Included):
Check for$120 made payable to NCDEQ
Copy of most recent Annual Report to the NC Secretary of State
T 's completed application and any supporting documentation
A site diagram showing,at a minimum,existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas— - -- -- -
h site property lines
EJ Copy of county map or USGS quad sheet with the location of the facllity clearly marked
Page 3 of 5

7. Applicant Certiflcation: _
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...shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($10,000).
Under penalty of law,I certify that:
IE�l am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
yyaIwl or criminal penalties incurred due to violations of this permit.
IffThe Information submitted in this N01 is,to the best of my knowledge and belief,true,accurate,and complete based od
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
}nformation.
IF I will abide by all conditions of the NCGO60000 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.
Q I hereby request coverage under the NCGO60000 General Permit.
Printed Name of Applicant: /yy.1�— �(es
Title: I9 ?AQ/al (r+n4gp1-
AL & L /Z 0 Z
(Signature of Applicant) (Date i
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh,NC 27699-1612
Page 4 of 5

_ Additiortal_Qutfails
3-4 digit identifier: Name of receiving water: Classification: ❑This water is Impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the Industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur In the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
O This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3.4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: - Longitude of outfall:
Brief description of the Industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur In the drainage area of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3.4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall; Longitude of outfaII:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur In the drainage area of this cutfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of-the industrial activities that drain to-this outfall: -- - -
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

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This Map is NOT of land survey quality and is NOT suitable for such use.
Owner SWIFT BEEF COMPANY Deferred Val $ Caldwell County
JBS USA FOOD COMPANY 1770 PROMONTORY CR Assessed Val $11 O60 900
GREELEY,CO 80634 Calc Acreage 35.64925925 1:3,912
0 0.0325 0.065 0.1 m
Acct Number 166734 Land Units 41.12 (AC) 1 0 ' r
Parcel ID 06165 1 8 Legal Desc BK 1968 PG 748 YR 19 ST 80000,00 QC ftED IM1755 0.1 0.2
NCPPI 2748058752 Plat Ref 00000100000 December 4, 2024
Property Add 1450 HOMEGROWN CT

'glij BUSINESS CORPORATION ANNUAL REPORT
IlYlall
NAME OF BUSINESS CORPORATION: Swift Beef Company
138990J no ' r
undy
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: DE _ E-Filed Annual Report
1389903
REPORT FOR THE FISCAL YEAR END: 12/31/2023 CA202408603864
3/26/2024 12 33
SECTION A: REGISTERED AGENT'S INFORMATION ® Changes
1.NAME OF REGISTERED AGENT: Corporation Service Company
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3.REGISTERED AGENT OFFICE STREET ADDRESS 6 COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, 2626 Glenwood Avenue„ Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B:PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: MEATPACKING
2.PRINCIPAL OFFICE PHONE NUMBER: 9703391609 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
1770 Promontory Circle 1770 Promontory Circle
Greeley,CO 80634 Greeley,CO 80634
6.Select one of the following If applicable.(Optional see Instructions)
❑ The company is a veteran-owned small business
The company is a service-disabled veteran-owned small business
SECTION C:OFFICERS (Enter additbna(officers In Section E.)
NAME: Kiersten Sommers NAME: Wesley Batista Filho NAME: Andre NOgueira de Souza
TITLE: Secretary TITLE: ,President TITLE: Chief Executive Officer
ADDRESS: ADDRESS: ADDRESS:
1770 Promontory Circle 1770 Promontory Circle 1770 Promontory Circle
Greeley,CO 80634 Greeley,CO 80634 Greeley,CO 80634
SECTION D:CERTIFICATION OF ANNUALREPORT. Section D'must be completed in its entirely by a persontbusiness ----
entltv
Kiersten Sommers 3/26/2024
SIGNATURE DATE
Form must be sinned by an officer listed under Soction C of this form.
Kiersten Sommers Secretary
Pont or Type Name of 015O r Print or Type Tee of Officer
MAIL TO:Secmtery of State, 8usineas Reglaimiun Diulslon.Post Orrice Box MS25,Raleigh,NC 2782"525

SECTION E:ADDITIONAL OFFICERS
NAME: Diego Pirani NAME: Todd Anderson NAME:
TITLE: Treasurer TITLE: Tax Offer TITLE:
ADDRESS: ADDRESS: ADDRESS:
1770 Promontory Circle 1770 Promontory Circle
Greeley,CO 80634 Greeley,CO 80634
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME:. NAME: NAME:
TITLE: TITLE: TITI E:
ADDRESS: ADDRESS: ADDRESS:

1213124.2:43 PM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing •Order a Document Online •Add
�—-Fntity-to-My-Email-Notification-List--View-Filings-Print-a-Pre-Populated-AnnuaMeport-form --Print-arr -
Amended a Annual Report form
Business Corporation
Legal Name
Swift Beef Company
Information
Sosid: 1389903
Status: Current-Active O
Date Formed: 7/14/2014
Citizenship: Foreign
State of Incorporation: DE
Fiscal Month: December
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Corporation Service Company
Addresses
htlps fi�.sosnc.gov/onllne servicestsearchn3usiness_Regishation Results. 112

12J3124,2:43 PM North Carolina Secretary of State Search Results
Mailing Principal Office Reg Office
1770 Promontory Circle 1770 Promontory Circle 2626 Glenwood Avenue,Suite 550
Greeley, CO 80634 Greeley, CO 80634 Raleigh, NC 27608
Reg Mailing
2626 Glenwood Avenue,Suite 550
Raleigh, NC 27608
Officers
Tax Officer President Chief Executive Officer
Todd Anderson Wesley Batista Filho Andre Nogueira de Souza
1770 Promontory Circle 1770 Promontory Circle 1770 Promontory Circle
Greeley CO 80634 Greeley CO 80634 Greeley CO 80634
Treasurer Secretary
Diego Pirani Kiersten Sommers
1770 Promontory Circle 1770 Promontory Circle
Greeley CO 80634 Greeley CO 80634
Stock
https:flwww.sosnc.govlonflne_somices/seareNBusiness Reglstration_Results 2J2