NCG060334_COMPLETE FILE - HISTORICAL_20150406 (2)

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
L.C9
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
O`tQ �D
YYYYMMDD

XWA
AF
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Chris Murray
House of Raeford
520 East Central Avenue
Raeford, NC 26376
Dear Mr. Murray:
Donald R. van der Vaart
Secretary
April 6, 2015
Subject: Rescission of NPDES Stonmwater Permit
Certificate of Coverage Number NCG060334
Hoke County
On March 30, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind
your coverage under Certificate of Coverage Number NCG060334. In accordance with your request,
Certificate of Coverage Number NCG060334 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be perfonning a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our
Fayetteville Regional Office [phone].
Sincerely,
ORIGINAL SIGNED B)
KEN PICKLE
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Fayetteville Regional Office
V<ormwater Pennitting Program
Central Files - w/attachments
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:llportal,ncdenr.orgtwebllrl,
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

FOR AGENCY USE ONLY
• Division of Energy, Mineral & Land Resources Date Received
PA Land Quality Section/Stormwater Permitting Program Year Month Da
NCDENRNational Pollutant Discharge Elimination System
Nom C-0­. D~rwurr or
Ewuww,.ewr r+o H.vu� Rcaaww
RESCISSION REQUEST FORM
Please fill out and return this form if you no longer need to maintain your NPDES Stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name lavr-FAW _574
Facility Contact
Street Address Sap �¢ CjlVfi2/¢L !
City State �" ZIP Code
County E-mail Address
Telephone No. lD Z Fax:
3) Reason for rescission request (This is__r!Qpuired information. Attach separate sheet if necessary):
Facility closed or is closing on E ;'4 _7TAII industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to %._: x' one- . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4? Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information true, complete and accurate.
Date
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699C16L12 i t, ED
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 i�I wR o 0 2015
Phbne: 9 19-807-6300 1 FAX: [phone] �,
C�._Ir:�• r^.ivv1 y11, A i l T
An Equal Opportunity 1 Affirmative Action Employer I'rEP PERMITTiNG

Alexander, Laura
From:
Lawyer, Mike
Sent:
Monday, April 06, 2015 9:44 AM
To:
Alexander, Laura
Subject:
RE: NCG060334 - Rescission Request
Follow Up Flag:
Follow up
Flag Status:
Flagged
I am familiar with this facility and actually provided the rescission request form to Mr. Murray. Please move forward
with rescission of permit coverage.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Program Consultant
NCDENR - Division of Energy, Mineral and Land Resources
Land Quality Section
Fayetteville Regional Office
P: [phone]
F: [phone]
e-mail: mike.lawyer2ncdenr.gov
E-mail 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: Alexander, Laura
Sent: Monday, April 06, 2015 9:01 AM
To: Lawyer, Mike
Subject: NCG060334 - Rescission Request
Please see attached rescission request. Thanks for your help! Laura
From: scanner.942A.arch(a)ncdenr.gov[mailto: scan ner.942A.arch(-0nod enr.gov]
Sent: Monday, April 06, 2015 9:53 AM
To: Iaura.alexander(a)ncdenr.com; Alexander, Laura
Subject: Scanned page
1

Riddle, Rick L
From: Lawyer, Mike
Sent: Tuesday, March 17, 2015 4:23 PM
To: Riddle, Rick L
Subject: RE: NCG060360 - Butterball plant @ House of Raeford Farms
Rick,
I made contact today with Chris Murray who is the Environmental Manager for House of Raeford. He confirmed that the
Kill Plant has ceased operations and asked about rescinding their permit coverage under NCG060334. I will e-mail him a
copy of the Rescission Request Form to be completed and sent to your office. This should simplify things regarding the
two facilities.
As far as the NOI from Butterball for the Further Processing Facility, I recommend we go ahead and issue permit
coverage under COC NCG060360.
If you need any additional information from me, please let me know.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Program Consultant
NCDENR — Division of Energy, Mineral and Land Resources
Land Quality Section
Fayetteville Regional Office
P: [phone]
F: [phone]
e-mail: mike.lawyer@ncdenugov
E-mail 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: Riddle, Rick L
Sent: Tuesday, March 17, 2015 11:08 AM
To: Lawyer, Mike
Subject: RE: NCG060360 - Butterball plant @ House of Raeford Farms
Mike,
Sorry I missed your call late yesterday. I will make a note in the file and put a copy of the letter from Butterball in the
Raeford permit file that explains the purchase and separation.
We need to suggest to the House of Raeford, maybe during a site visit, that they need to modify their SWWP to reflect
the split of the operation. Also, it would benefit the House of Raeford to apply for a resection of permit NCG060334 if
they are no longer in operation at the other facility or they could just keep it inactive for the portion that they retain.
Butterball stated in their application that they would amend the existing SWPPP and implement it within 60 days of
acquiring the facility.

Thanks
R&I'aa 2, middle Pr.. Stae.,rwatos £.egurear
NCDENR / DEMLR / Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
512 N. Salisbury Street, Raleigh, NC 27604
919 / 807-6375; 919 / 807-6494 (fax)
Website: http://portal.ncdenr.orglweb/ir/stormwaier
E-mail correspondence to and from this address maY he subject to the North Carolina Public Records lair and r+ulr he disclosed to third parties.
From: Lawyer, Mike
Sent: Monday, March 16, 2015 5:04 PM
To: Riddle, Rick L
Subject: RE: NCG060360 - Butterball plant @ House of Raeford Farms
Rick,
Did they provide any information that this facility is currently covered under NCG060334 as part of the House of Raeford
Complex? The House of Raeford had two facilities, a Kill Plant and this Further Processing Facility, that were covered
under one COC. My understanding is that the Kill Plant shut down some time ago and the Further Processing Facility was
recently purchased by Butterball. There shouldn't be an issue with issuing a new COC to Butterball for the Further
Processing Facility, but do we need to somehow modify House of Raeford's COC (NCG060334) to reflect that it only
covers the Kill Plant?
Michael Lawyer, CPSWQ
Environmental Program Consultant
NCDENR — Division of Energy, Mineral and Land Resources
Land Quality Section
Fayetteville Regional Office
P: [phone]
F: [phone]
e-mail: [e-mail]
E-mail 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: Riddle, Rick L
Sent: Thursday, March 12, 2015 11:20 AM
To: Cole, Brad; Lawyer, Mike
Subject: FW: NCG060360 - Butterball plant @ House of Raeford Farms
Sorry, attachments would help..
liR
�. Raw& A.
Stormwater Engineer
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: rick.riddle{a ncdenr.gov
Web: http:llportal.ncdenr.org/web/Irlstormwater
Email correspondence to and from this address may be subject to public records laws

From: Riddle, Rick L
Sent: Thursday, March 12, 2015 11:09 AM
To: Cole, Brad; Lawyer, Mike
Subject: NCG060360 - Butterball plant @ House of Raeford Farms
Mike Lawyer,
Good morning. Please review the attached NO1 application and respond to me with any recommendations to for the
permit. I recognize that you may not visit each new permittee during this NO1 review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit
schedule. Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the
facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not
been dealt with, and (3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned
copy of the NO1 and a location map for your review.
COC # Facility Location City/County
NCG060360 Butterball — Raeford Facility 1000E Central Ave Raeford/Hoke
If you need any more info, give me a call. if you could send me a recommendation to issue the permit by 04/13/2015,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thank you.
Rick Riddle
-"md Z, Addle
Stormwater Engineer
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: rick,riddle(@ncdenr.gov
Web: htto:/lportal.nedenr.orglwebllrlstormwater
Email correspondence to and from this'address may be subject to public records laws

67 m. Ca^_ NCE�O�o3�o
,-
•<Bl1TIER�AL1
February 19, 2015
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: I -louse of Raeford Farms, Inc.
I -louse of Raeford Farms' Raeford Complex
Raeford, I-loke County, North Carolina
General Permit No. NCG060000
COC NCG0060334
Dear Sir or Madame:
Lankford Ruffin
Corporate Environmental Manager
Direct Dial: [phone]
E-mail: lru ff i n@b utterbal l.com
FZECE/vED
FEB ? 7 �(3irj
DENR-LAND QUAD
TY
STpRMWATER PERMITTING
On behalf of Butterball, LLC, I attach a Notice of Intent for coverage under North
Carolina General Permit NCG060000 for 1000 E. Central Avenue, Raeford, North Carolina,
Hoke County. Butterball, LLC has purchased a portion of the referenced facility from House of
Raeford Farms ("HORF").
The facility is currently covered under COC NCG0060334. This COC covers both 1000
E. Central Avenue (the Processing Plant) and 520 E. Central Avenue (the Kill Plant). Butterball
is only purchasing the Processing Plant. The closing for this transaction was completed on
February 19, 2015. Documentation of that purchase is enclosed.

- 7-
I enclose the $100,00 permitting fee. Please contact me if you have any questions or
need additional information.
Very truly yours,
14�-
Lankford Ruffin
Butterball, LLC

North Carolina
Beverly Eaves Perdue
Governor
Mr. Chris Murray
House of Raeford Farms, Inc
520 E. Central Avenue
Raeford, NC 28376
Dear Mr, Murray:
J_ A
NCDENR
Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P.E.
Director
March 27, 2012
Dee Freeman
Secretary
Subject: General Permit No. NCG060000
House of Raeford Farms, Inc
House of Raeford Farms — Raeford Complex
COC NC(;�060334
Hoke County
In accordance with your application for a discharge permit received on January 30, 2012, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215. I 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).
. If you have any questions concerning this permit, please contact Brian Lowther- at telephone
number [phone].
Sincerely, %
r�
for Charles Wakild, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: 91M07.6494 North Carolina
Intemet: vrmimi waterqulity org l atur�ally
An Equal Opportunity Y Affirmative Action Employer fT i j

Lowther, Brian
From:
Lawyer, Mike
Sent:
Monday, March 26, 2012 1:52 PM
To:
Lowther, Brian
Cc:
Henson, Belinda
Subject:
RE: SW General Permit NCGO60334
Hey Brian. I was finally able to conduct a site visit at the House of Raeford facility today. Met with Chris Murray,
Environmental Manager, and Billy Daniels, Refrigeration Manager. Made observations of outfalls and went over basic
permit conditions. Both seemed well aware of permit requirements and had very few questions. The FRO has no
objections to issuance of general permit coverage.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: [e-mail]
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: Lowther, Brian
Sent: Friday, March 09, 2012 3:58 PM
To: Lawyer, Mike
Subject: RE: SW General Permit NCG060334
Yep, that sounds great. I'll just wait for you to get back to me.
Brian
From: Lawyer, Mike
Sent: Friday, March 09, 2012 3:07 PM
To: Lowther, Brian
Subject: RE: SW General Permit NCG060334
Brian,
I think I'm going to need some more time on this one. I've made a couple attempts to contact facility personnel in order
to schedule a site visit, but no one has returned my messages. Could I get to the end of the month?
Thanks,
Mike

Michael Lawyer, CPSWQ
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: mike [e-mail]
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: Lowther, Brian
Sent: Tuesday, February 14, 2012 10:10 AM
To: Lawyer, Mike
Subject: SW General Permit NCG060334
Mike,
We've received an NOI from House of Raeford Farms, Inc. for their existing site House of
Reaford Farms - Raeford Complex in Hoke County. The site discharges stormwater to an Pedler
Branch (C). The NOI is attached.
Please let me know if the Fayetteville Regional Office has any concerns about issuing this
facility a COC for this general permit, and are there any potential impacts to wetlands? If
we don't receive any objections, we'll issue the COC in 30 days.
Brian
Brian C Lowther
Fnvimitmental Engineer
NCDEN1t I DWQ I Stormwatcr Permitting Unit
1617 Mail Service Center, Raleigh. NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
[phone]
brian.lowther a ncdcnr..P_ov
httpa/portal. ncdcn r.o rg/web/wcl/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Lary and n7ay bo (Psclosed to
third parties unless the content is exempt by statute or other regulation.
2

STATE. OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF. WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060334
STORMWA`ITER 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,
House of Raeford Farms, Inc.
is hereby authorized to discharge stormwater from a facility located at
House of Raeford Farms — Raeford Complex
520 and 1000 E. Central Avenue
Raeford, NC
Hoke County
to receiving waters designated as Pedler Branch, a class C water in the Cape Fear River Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, 11, III, IV, V, and VI of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective March 27, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 27, 2011
px'�
for Charles Wakild, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
NCG060334
MW Scale 1,24,000
House of Raeford Farms, Inc,
House of Raeford Farms -- Raeford Complex
Latitude: 340 58' 43" N
Longitude: 7911 12' 58" W
County; Hoke
Receiving Stream; Pedl er Branch
Siream Gass: C
Sub -basin; 18-31-16 (Cape Fear River Basin)
11
10 1 &-i&
Facility Location

Au73 w 4: Law +frr-
NCGO60000 N.0.1.
NLG o� 03 3L.�
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO60000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 20 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)
\: For questions, please contact the DWQ Regional Office for your area. See page 4.
1
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name House of Raeford Farms, Inc. ATTENTION: Chris Murray, Environmental Manager]
Street Address 520 E. Central Avenue]
City Raeford ] State NC ] ZIP Code 28376 l Romomigo
Telephone No. '[phone] ext. 3216 ] Fax:,[phone]
2) Location of facility producing discharge: JAN 3 0 2012
Facility Name House of Raeford Farms — Raeford Complex] DENR-WATER QUALITY
Facility Contact Billy Daniels] y►'MMUSANDSTORMWATERBMNCH
Street Address �520 and 1000 E. Central Avenue]
City Raeford] StateNC ] ZIP Code 28376]
County Hoke ]
Telephone No. 4(910) 875-5161 ext 3216 ] Fax: ,[phone] ]
Email [e-mail]
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 Fayetteville take U.S. 401 west toward
Raeford. Bear left on Business 401 toward Raeford. Business 401 becomes E. Central Avenue in
Raeford. The House of Raeford facilities are on the left side of E. Central Avenue in Raeford, a short
distance past the intersection with Patterson Street. A copy of a USGS topo map showing the
location is attached)
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 34° 58' 43".Longitude 79° 12' 58111 (deg, min, sec)
6) This NPDES Permit Application applies to which of the following:
�❑ New or Proposed Facility
s
X Existing
6) Standard Industrial Classification:
Date operation is to begin

_. -.- _ „ • .- - .. ' ._ j5 ,. ; •=r. �! pit .:•l �V4 �i �, I 1.. 1-5! .1 I:JS�•

NCG060000 N.4.1.
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 12015
T) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Poultry slaughtering and processing
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? [ 3 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? I Pedler Branch 18-31-161
Receiving water classification: [ C 1
Is this a 303(d) listed stream? NO I Has a TMDL been approved for this watershed? ( NO ]
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). [ Facility is located in City of Raeford. ]
8) Does this facility have any other NPDES permits?
No
10, Yes
If yes, list the permit numbers for all current NPDES permits for this facility: No NPDES permit. SIU Permit
No. 5161 from City of Raeford
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
Xi No
Cl>, 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?
C7; No
!X� Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: [ Berm and drain to collect fecal matter from live holding area and direct to on -site
pretreatment facility and subsequent discharge to the City of Raeford POTW. l
12) Does this facility have a Stormwater Pollution Prevention Plan?
No
Fx� Yes
If yes, when was it implemented?, October, 6, 2011
13) Are vehicle maintenance activities occurring at this facility?
!X! No �E Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
!XI No 10; Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month)
of hazardous waste?
!X! No I❑; Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?

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NCGo60000 N.O.I.
!X! No [❑j Yes
d) Is hazardous waste stored in the 100-year flood plain?
)(I No 101 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 143-215.8E (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.
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: 4&-e%r
Title:
( fgnature of App!' f) (Date Sr ed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:

NCGO60000 N.O.I.
E� 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, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
10] 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 quesffons, please contact the DWQ Regional Office for your area.
DWQRegional Office Contact information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]

NCG060000 N.O.I.
t�L .
Excerpt of USGS Raeford Quadrangle toho map showing Raeford Complex
House of Raeford property: 1 = parking lot; 2 = poultry slaughter/processing (520 E. Central); 3, 4, and 5 = office buildings;
6 = poultry processing (1000 E. Central)

NCGO60000 N.O.I.
The site diagram is divided into two sheets:
Sheet 1: The western half of the Raeford Complex, located at 520 E. Central Ave.
Facilities
i - Main plant building, 520 E.
Central Ave.
2 - Weigh station and battery
storage
3 - Tanks (presently not in use)
4 - SIudge loading
5 - Chemical storage
6 - Fuel tanks and contairunent
area
7 - Storage building
8 - Transformers
9 - Storage building
10 - Storage building
I I -Chilled water tanks
12 - Cardboard packing building
13 - Flow equalization basin
(pretreatment)
14 - DAF (pretreatment)
15 - Storage building
Best Management Practices
A - Live bird holding area
discharges to flow equalization
basin
B - Compressor area drains to
process wastewater system
C - Condenser area drains to DAF
D - Boiler blowdown drains to
DAF
Stormwater Routing
- The impervious area includes the
areas under roof and paved areas
west, south, and east of the main
plant building.
- Fourteen inlets on north and cast
sides of building direct stormwatcr
to pipe that discharges at a point
south of the southeast corner of the
building.
- One inlet at the northeast corner
of the cardboard packing building
directs stormwatcr to a 12-inch
PVC culvert that discharges about
100 feet south of the inlet.
-There is a capped six-inch PVC
storm pipe at the eastern edge of
fenced area of the property
- The remainder of stormwatcr
runoff is by sheet flow to the south.

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NCG060000 N.O.I.
Sheet 2: The eastern half of the Raeford Complex, located at 1000 E. Central Ave.
NORTH
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HOUSE OF RAFFORD.FARMS, .INC. 353216
-- -
INVOICE NUMBER
INVOICE DATE
DESCRIPTION
GROSS -
DISCOUNT
NET
01262012
1/26/2012
stormwater permit
100..00
_ 0.0
-.100.00
CHECK NO. , 353216
TOTALS,
100. 00
- 0 . 0
100.00

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