NCG060389_Supplemental Info Review (ROS Renewal)_20260407

Action History(UTC-05:00)
Submit by Anonymous User 4/7/2026 7:52:45 AM(Supplemental Submittal)
Accept by Brittany.Cook 4/8/2026 10:49:25 AM (Supplemental Info Submittal)
• The task was assigned to DEMLR Post-Construction Team 4/7/2026 7:52:46 AM
• Morgan Holland reassigned the task to bethany.georgoulias 4/7/2026 12:03:50 PM
• bethany.georgoulias reassigned the task to Brittany.Cook 4/7/2026 2:48:58 PM
41 ROS Renewal Request

JCDEQ •
iW,
Submittal from 4/7/2026
Permit Information:
Please provide specific permit details below.
................................................................................................................................................................................................................................................................................................................................................................................................
What Type of Permit? Choose one:
* NPDES Industrial or MS4 Permit
State Stormwater(Post-Construction)Permit
Other
A permit number has not been assigned yet(Post-Construction Projects Only)
Permit Number* NCG060389
Begins with"SW","NCG",or"NCS"
What DEQ Office is Reviewer:Please correct if misidentified,close this review form,and reassign task to the appropriate contact.
the Primary Contact? Central Office
*
Washington Regional Office(Attn:Carl Dunn)
Wilmington Regional Office(Attn: Christine Hall)
...........................................................................................................................................................................................................................................................................................................................................................................................
Facility Name* Mountaire Farms-Scotland County Feed Mill
For NPDES permits
Owner/Operator* Mountaire Farms of North Carolina Corp
County: Scotland
Submitter Name:* Jesse Oxendine
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 9109864061
Additional E-mail for (Optional)
Submittal
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachment(Reviewer may remove unnecessary submittals)
File Type* Representative Outfall Status Renewal Request
File Upload Click the upload button,or drag and drop files to attach
SCFM Representative Outfall Approval.pdf 64.21 KB
SCFM ROS Renewal Request.pdf 48.77KB
Only PDF files are accepted.

Is this project funded with ARPA grant funds?*
No
Yes
Is this project funded with Session Law 2023-134 Section 12.2 Earmark funds?
No
Yes
This question was added to the form on 12/28/2024 and will not be answered prior to that date.The reviewer has an option to indicate.
Uploads contain Confidential Information*
NO
YES
NOTE:The following information cannot be claimed as confidential:the name and address of any permit applicant or permittee,permit applications,
permits,effluent data,information required by NPDES application forms provided by the Director inclusive of all forms and attachments[Ref.40 CFR
122.7(b)and(c)].
Notes about the attachments:
* By checking the box and signing box below, I certify that:
o I have given true,accurate,and complete information on this form;
o I agree that submission of this Supplemental Information form is a"transaction"subject to Chapter 66,Article 40 of the
NC General Statutes(the"Uniform Electronic Transactions Act)
o I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes
(the"Uniform Electronic Transactions Act');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature;AND
o I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Jesse Oxendine
Signature:
of k,41 owewlql*-
Date Submitted: 04/07/2026

Initial Review
IMPORTANT. Reviewer should VERIFY PERMIT ID and correct if needed.Revision will be necessary for uploads of
post-construction permit applications pending Administrative Complete status that did not yet have a permit
number assigned.
Verify Permit No.* NCG060389
Verify and revise if needed.
Who needs a Copy?* Reviewer selections will only be required for offices checked here.
Central Office Staff
Regional Office Stormwater Contact
State Stormwater RO Staff
No Copy Needed
Review Date* 04/08/2026