NCS000610_Amended Application_20220616 (PROBLEM PAGES)

Young, Brianna A
From: William Copeland <[e-mail]>
Sent: Thursday, June 16, 2022 9:52 AM
To: Young, Brianna A
Subject: [External] SW AMENDED PERMIT NPDES NCS000610, EPA COC210446
Attachments: SW AMENDED F1 AND F2 AND MAP.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good Morning Brianna,
I have attached an amended permit 1f and 2f with maps and also other documents I thought you may need. Please let
me know if there is anything else I need to submit. Our drip pad is on the schedule for certification in the next couple of
weeks (waiting on back order sealant).
Hope you have a great day.
Shana Hankins
Office Manager
Goldston Lumber Supply, LLC
[�JSW AMENDED ADDITIONAL DOCS.pd

AmerAaed
EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
COC210446
NCS000610
GOLDSTON LUMBER SUPPLY, LLC
I
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
p
Co
NPDES
GENERAL GENERAL INFORMATION
SECTION•NPDES
1.1
Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete No
If yes, STOP. Do NOT ✓� No
Form 1. Complete Form 2A.
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
=.
1.2.1
Is the facility a concentrated animal feeding
1.2.2
Is the facility an existing manufacturing,
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
d
o-
production facility?
currently discharging process wastewater?
cYes
4 Complete Form 1 0 No
Yes 4 Complete Form Fvj No
o-
and Form 26.
1 and Form 2C.
z
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing,
ca
mining, or silvicultural facility that has not yet
commercial, mining, or silvicultural facility that
commenced to discharge?
discharges only nonprocess wastewater?
Yes + Complete Form 1 ❑� No
❑ Yes 4 Complete Form Fvj No
and Form 2D.
1 and Form 2E.
1.2.5
is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
�✓ Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15 .
SECTIONADDRESS,
• • i
Facility Name
2.1
GOLDSTON LUMBER SUPPLY
0
2.2
EPA Identification Number
0
COC 210446
R
2.3
Facility Contact
d
L
Name (first and last)
Title
Phone number
Q
JODY RAGAN
VICE PRESIDENT
[phone]
Email address
[e-mail]
2.4
Facility Mailing Address
ZStreet
or P.O. box
2963 NC HWY 751
City or town
State
ZIP code
APEX
NC
27523
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05119
OMB No. 2040-0004
y
2.5
Facility Location
Street, route number, or other specific identifier
Q v
2304 SOUTH MAIN STREET
CD a
County name
County code (if known)
CHATHAM
R
City or town
State ZIP code
z
GOLDSTON
NC 27252
SECTIONI
NAICS CODESi
Description (optional)
3.1
SIC Code(s)
2429
SPECIAL PRODUCT SAWMILL
2491
WOOD PRESERVING
m
0
0
0
ca
U
Z
3.2
NAICS Codes)
Description (optional)
321114
LUMBER AND TIMBER TREATING
S2
Cn
Name of Operator
4.1
LEE HANKINS
0
4.2
Is the name you listed in Item 4.1 also the owner?
cc
c
❑ Yes 21 No
4.3
Operator Status
❑ Public —federal ❑ Public —state ❑ Other public (specify)
C
✓❑ Private ElOther (specify)
4.4
Phone Number of Operator
[phone]
4.5
Operator Address
=
Street or P.O. Box
15
E
3602 SILK HOPE GUM SPRINGS RD
City or town
State
ZIP code
0 0
PITTSBORO
NC
27312
a V
Q
Email address of operator
O
[e-mail]
SECTIONI
+ +1
Is the facility located on Indian Land?
0 -05.1
❑ Yes ED No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
COC210446 NCS000610 GOLDSTON LUMBER SUPPLY, LLC OMB No.2040-0004
SECTION'• 1
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
d
❑ NPDES (discharges to surface
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
c
water)
fluids)
.> E
U 0
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
w
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ElOther (specify)
SECTIONA'
7.1
1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
ID Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTIONOF
I
Describe the nature of your business.
8.1
WOOD TREATMENT PLANT AND SPECIALIZED SAWMILL
W
W
m
c
N
m
0
m
z
SECTION
••
I
Does your facility use cooling water?
9.1
❑ Yes ❑ No-* SKIP to Item 10.1.
w
9.2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
o Y
o �
c) �
SECTIONI
• 1 1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
10.1
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
H
when.)
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
❑ Not applicable
EPA Form 3510-1 (revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name Form Approved 03/05/19
OMB No. 2040-0004
SECTIONI
CERTIFICATION STATEMENT (40
11.1
In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Activities Requiring an NPDES Permit
❑ w/ attachments
Section 2: Name, Mailing Address, and Location
❑ w/ attachments
❑r Section 3: SIC Codes
❑ w/ attachments
❑� Section 4: Operator Information
❑ w/ attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
E
❑ Section 6: Existing Environmental Permits
❑ w/ attachments
d
❑✓ Section 7: Map
❑ watopographic El w/ additional attachments
mp
Cn
c
0Section 8: Nature of Business
Elw/ attachments
❑� Section 9: Cooling Water Intake Structures
❑ w/ attachments
❑ Section 10: Variance Requests
❑ w/ attachments
c
y
0 Section 11: Checklist and Certification Statement
❑ w/ attachments
d
11.2
Certification Statement
s
U
l 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 fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Signature
Date signed
EPA Form 3510-1 (revised 3-19) Page 4

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EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
COC210446
NCS000610
GOLDSTON LUMBER SUPPLY, LLC
OMB No.2040-0004
Form
U.S Environmental Protection Agency
2F
48 /
#i
Application for NPDES Permit to Discharge Wastewater
NPDES
STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL
LOCATIONt
1.1 Provide information
on each of the facilit 's outfalls in the table below
Outfall
Number
Receiving Water Name
Latitude
Longitude
A
CEDAR CRK TO DEEP RIVER
35 35 if
79° 19, 40"
c
0
a
B
CEDAR CRK TO DEEP RIVER
3T 35 10,
79° 19, 36"
c.�
0
J
C
CEDAR CRK TO DEEP RIVER
35 35' 1e
79° 19 40"
p
D
CEDR CRK TO DEEP RIVER
35° 35' 15"
79 19 3f
SECTION'•
i
2.1 Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ❑ No 4 SKIP to Section 3.
2.2
Briefly identify each applicable project in the table below.
Brief Identification and
Affected Outfalls
Source(s) of Discharge
Final Compliance Dates
Required
Projected
Description of Project
(list outfall numbers)
d
E
d
0
L
E
2.3
Have you attached sheets describing any additional water pollution control programs (or other environmental projects
that may affect your discharges) that you now have underway or planned? (Optional Item)
❑ Yes ❑ No
EPA Form 3510-21' (Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
COC2102 NCS000610 GOLDSTON LUMBER SUPPLY, LLC OMB No.2040-0004
SECTIONDRAINAGE I
0 3.1 Have you attached a site drainage map containing all required information to this application? (See instructions for
c C specific guidance.)
o ® Yes ❑ No
SECTIONPOLLUTANT SOURCES,
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall
Impervious Surface Area
Total Surface Area Drained
Number
(within a mile radius of the facility)
(within a mile radius of the facility)
specify units
specify units
A
1/2 ACRE
20%
3/4 ACRE
specify units
specify units
B
1.5 ACRE
85%
2.5 ACRE
specify units
specify units
C
2.5 ACRE
55%
5 ACRE
specify units
specify units
D
3/4 ACRE
75%
1.5 ACRE
specify units
specify units
specify units
specify units
4.2
Provide a narrative description of the facility's significant material in the space below. (See instructions for content
requirements.)
WOOD NON TREATED (PLYWOOD CORES) APROX 8' IN LENGTH
N
N
L
Q
R
Q
a
4.3
Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall
from
Number
Control Measures and Treatment
Exhibit
2F-1
list
SELF CONTAINED COVERED DRIP PAD
COVERED MAKE UP WATER STORAGE
EQUIPMENT TO BE STORED UNDER COVERED AREA
EPA Form 3510-2F (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
COC210446 NCS000610 GOLDSTON LUMBER SUPPLY, LLC OMB No.2040-0004
SECTION•N STORMWATER DISCHARGES (40
5.1 1 certify under penalty of taw that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, I certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application.
Name (print or type first and last name)
Official title
Signature
Date signed
Q
E,
5.2
Provide the testing information requested in the table below.
Outfall
Onsite Drainage Points
N
o
Number
Description of Testing Method Used
Date(s) of Testing
Directly Observed
During Test
d
w
3
E
L
W
O
Z
SECTION
OR
Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
6.1
NONE
Q
CO
c
ea
v
T
to
SECTION
See the
A' •' • I
instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
o
complete.
Not all applicants need to complete each table.
%
7.1
Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 3 See instructions regarding submission of
=
estimated data. actual data.
d
Tables A, B, C, and D
y
7.2
Have you completed Table A for each outfall?
a
❑ Yes ❑ No
EPA Form 3510-2F (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
COC210446
NCS000610
GOLDSTON LUMBER SUPPLY, LLC
OMB No.2040-0004
7.3
Is the facility subject to an effluent limitation guideline (ELG) or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ❑ No 4 SKIP to Item 7.5.
7.4
Have you completed Table B by providing quantitative data for those pollutants that are (1) limited either directly or
indirectly in an ELG and/or (2) subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5
Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ❑ No 4 SKIP to Item 7.7.
7.6
Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7
Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes -*SKIP to Item 7.18. ❑ No
7.8
Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes ❑ No + SKIP to Item 7.10.
7.9
Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
❑ Yes ❑ No
0
7.10
Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes ❑ No -* SKIP to Item 7.12.
0
7.11
Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
a�
concentrations of 10 ppb or greater?
❑ Yes ❑ No
a
7.12
Do you expect acrolein, acrylonitrile, 2,4-dinitrophenol, or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑ No 4 SKIP to Item 7.14.
7.13
Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14
Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb (or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes ❑ No
7.15
Do you know or have reason to believe any pollutants in Exhibit 2F4 are present in the discharge?
❑ Yes ❑ No 4 SKIP to Item 7.17.
7.16
Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17
Have you provided information for the storm event(s) sampled in Table D?
❑ Yes ❑ No
EPA Form 3510-2F (Revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
COC210446
NCS000610
GOLDSTON LUMBER SUPPLY, LLC
OMB No.2040-0004
Used or Manufactured Toxics
CD
7.18
Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
cmanufactured
as an intermediate or final product or byproduct?
c-
_
❑ Yes ❑ No SKIP to Section 8.
0
.5
7.19
List the pollutants below, including TCDD if applicable.
L
1. CCA 4. 7.
d
L2.
CA 5. 8.
0
3. 6. 9.
SECTIONBIOLOGICAL
T• DATA i
8.1
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
❑ Yes ❑ No 4 SKIP to Section 9.
8.2
Identify the tests and their purposes below.
Z
Test(s)
Purpose of Test(s)
Submitted to NPDES
Permitting
Date Submitted
x
Authority?
0
~
❑ Yes ❑ No
❑ Yes ❑ No
m0
❑ Yes ❑ No
SECTION•
-. •• • i
9.1
Were any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or
consulting firm?
❑ Yes ❑ No 4 SKIP to Section 10.
9.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1
Laboratory Number 2
Laboratory Number 3
Name of laboratory/firm
c
0
E
L
0
.y
Laboratory address
C
a
c
cc
L
c
Phone number
c�
Pollutant(s) analyzed
EPA Form 3510-2F (Revised 3-19) Page 5

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03/05/19
COC210446
NCS000610 GOLDSTON LUMBER SUPPLY, LLC OMB No.2040-0004
SECTION1
CHECKLIST
AND CERTIFICATION1
10.1
In Column 1 below, mark the sections of Form 2F that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to complete all sections or provide attachments.
Column 1
Column 2
Section 1
❑ w/ attachments (e.g., responses for additional outfalls)
Section 2
❑ w/ attachments
Section 3
❑ w/ site drainage map
Section 4
❑ w/ attachments
❑ Section 5
❑ w/ attachments
❑ Section 6
❑ w/ attachments
❑ Section 7
❑ Table A ❑ w/small business exemption request
c
ElTable B ❑ w/ analytical results as an attachment
❑ Table C ❑ Table D
v
❑ Section 8
❑ w/attachments
y
❑ Section 9
❑ w/attachments (e.g., responses for additional contact laboratories or firms)
Y
❑ Section 10
❑
U
10.2
Certification Statement
1 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 fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Signature
Date signed
EPA Form 3510-2F (Revised 3-19) Page 6

CX),IOSTONT LUMBER, INC.
SITE RUNOFF CONTROL
Draw map showing the surrounding area for abash one a can be comai: edLocate x^ he e and how runoffmay be
mile i all directions" Extend the asap n Ine direction of th e bloclfed Uv' 'kes, Cam: , shutlting off lift pumps, etc. Shove
Site drainage so that drainage can t E .r2ua tlI it reeche le surrou ?d,ng ar3d fuse (residential, cornfield, ato.). 'Show places
?ate st a4ge body of seater if runoff can be impounded on i of Public assembly, such as schools, churches. Use symbols
oil site show foca icon and approximatent:,` ler of canons 4 beIovv. Sr TNha o6J° �.
c
,
£ errVr
" in gas CatofE
a 'r'
Q c,
Shop`Z }
AW&
T� F
tI� - Tank Farm
Tree xiq 1? an Sawmill
coveredk.Dr Pad
Yard 0
i �Sa Calf '!
Elects` °bal
ire
EXTERIOR 1,/CONTOU-P INTERVAL 10'
Fence.-�<-.:-��-.; '>�1e.... , h . ��x..4-- . - , " . ���. L+re.,�ior Ground 5iopes
�' ' F Stream or Creek
- mate ... Drain Lyres vests
Railroad (with d<<ec.wn of .1 Impoundment Location _
Orrin Intel L Suriace . . ... ..... Lift Furnp _ ........
i 4a o tle s3�Underground ... _ —
Proposed Dice or Berm � . �

2304 S Main St
Imagery @2022 Google, Imagery @2022 Maxar Technologies, Map data @2022 100ft
2304 S Main St
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Directions Save
Nearby Send to Share
phone
2304 S Main St,
Goldston, NC 27252
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