NC0005266_Application_20180430

ee M L� (tee
Grzyb, Julie c..
From: Kirlin,James <[e-mail]>
Sent: Monday,April 30, 2018 3:12 PM
To: Grzyb,Julie
Cc: Sharon Wetzel; Doepke,Anita
Subject: [External] Louisiana Pacific Roaring River NPDES Renewal Package NC0005266
Attachments: L2980830000-002 color results.pdf
External entail- Do nol click linIts or open attachments unless verilied.Send all suspicious email as an attachment to
Good Afternoon Ms. Grzyb,
On behalf of Louisiana Pacific's Roaring River facility, please accept this effluent sample color analysis as an addendum
to the NPDES renewal application package we submitted in March.As I indicated at that time,the color analysis was not
yet performed and based on our telephone conversation on March 19,we understand that the missing color result in
the NPDES application would not deem it administratively incomplete. A hardcopy of these results are also being
submitted to your attention.
Thank you for your consideration. Please let me know if you have any questions,
Jim
Jim Kirlin, P.E.(SC,GA, NC,VA,and WV)
Senior Engineer
SM50 International Drive,Suite 150,Greenville,SC 29615
C:864.421.3890 1 F:864.281.0288
Contact me through Skvpe for Business
Linkedln e Twitter 9 Blog I Flickr I www.tresolutions.cor
1

50 International Drive,Smite 150
Patewood Plaza Three
Greenville,SC 29615
April 30,2018
Ms.Julie Grzyb
Supervisor,NPDES Complex Permitting Section
NC Department of Environmental Quality,Division of Water Resources,
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Louisiana Pacific-Roaring River Effluent Sample Color Results
Addendum to NPDES Permit Renewal Application
NPDES Permit No.NC0005266,Wilkes County
Dear Ms. Grzyb:
On behalf of Louisiana Pacific's Roaring River(LP)facility,please accept the color
analytical result from a sample collected on April 16,2018,from Outfall 001 at LP. This
result is an addendum to the National Pollutant Discharge Elimination System
(NPDES) application package submitted in March.
If you have any questions, or need additional information,please let us know. I can be
reached at the above address,by telephone at 864.421.3890, or at
[e-mail]. The facility contact is Ms. Sharon Wetzel. She can be reached
at 336.466.2692 and at Sharon.Wetzel@l corf%
Sincerely,
TRC Environmental Corporation
r
s
nes M.Kirlin,P.E.
Senior Engineer
Attachment-Effluent Sample Color Analytical Result
cc: Ms.Sharon Wetzel,LP
\\GREENVILLE-FPI\W PGVL\P]T2\298083\0000\L2980830000-002 COLOR RESULTS.DOCX

SHEALY ENVIRONMENTAL SERVICES, INC.
NC DENR No:329
NC Field Parameters No:5639
SC DHEC No:32010001 NELAC No:E87653
Case Narrative
TRC Companies, Inc.
.Lot Number: TD17019
This Report of Analysis contains the analytical result(s)for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards,the Shealy Environmental Services, Inc. ("and Shealyualit Any
Assurance Management Plan (QAMP), standard operating procedures (SOPS), policies.
exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
Shealy Environmental Services,Inc.
106 Vantage Point Drive West Columbia,SC 29172(803)791-9700 Fax[phone] www.shealylab.com
Page 2 of 9

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
TRC Companies, Inc.
Lot Number: TD17019
Project Name: 2C Permit Renewal
Project Number:
Matrix Parameter Method Result Q Units Page
Sample Sample ID 300 color units 5
001 LP Aqueous Platinum-Cobalt Color SM 212013
(1 detection)
Shealy Environmental Services,Inc.
106 Vantage Point Drive West Columbia,SC 29172 [phone] Fax[phone] www.shealylab.com
Page 4 of 9

QC Summary
QC Data for Lot Number:TD17019
Shealy Environmental Services,Inc.
106 Vantage Point Drive West COIUmDla,SC 29172 [phone] Fax[phone] www.shealylab.com
Page 6 of 9

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Page 8 of 9

TRC
50 International Drive,Suite 150
Patewood Plaza Three
Greenville,SC 29615
864.281.0030 PHONE RECEIVED/DENWpWR
864.281.0288 Fax APR
2018
3
www.trcsolutions.com
Water Resources
March 29,2018 Permitting Section
Ms.Julie Grzyb
Supervisor, NPDES Complex Permitting Section
NC Department of Environmental Quality, Division of Water Resources,
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Louisiana Pacific-Roaring River NPDES Permit Renewal Application
NPDES Permit No.NC0005266, Wilkes County
Dear Ms. Grzyb:
On behalf of Louisiana Pacific's Roaring River(LP)facility, please accept this National
Pollutant Discharge Elimination System (NPDES) permit renewal package for LP's
NPDES Permit No. NC0005266.
The following attachments are being provided with this submittal.
1. US EPA Form 1
2. Facility Location Map (Figure 1)
3. US EPA Form 2C
4. Plant Water Balance Schematic(Figure 2)
5. US EPA Form 2E
If you have any questions, or need additional information, please let us know. I can be
reached at the above address,by telephone at 864.421.3890, or at
[e-mail]. The facility contact is Ms.Sharon Wetzel. She can be reached
1(L �7 at 436?466 26'92 and at Sharon.Wetzel@lpcor�,.
Sincerely,
._ TRC Environmental Corporation
j s M. lin, P.E. qeo
for Engineer
Attachments .--.
C
cc: Ms.Sharon Wetzel,LP
\GREEN VILLE-FP1\WPG VL\PJ T2\298083\0000\L2980830000-001 COVER LETTER DOCX

Please print or type in the unshaded areas only
(fill-in areas are s aced for elite t e,i.e., 12 character�nch). For Approved. OMB No. 2040-0086. Approval expires 5-31-92
FORM - U.S.ENvIRONMENTAL PROTECTION AGENCY L EPA I.D.NUMBER
1 \"I".EPA GENERAL INFORMATION s T,A C
Consolidated Pennits Program F NC0005266 D
GENERAL (Read the"General Instructions"before startin 1 13 14 15
LABEL ITEMS GENERAL INSTRUCTIONS
If a preprinted label has been provided,
I.EPA LD.NUMBER affix it in the designated s ace.Review the
information carefully; it p any of it is
incorrect, cross through it and enter the
III. FACILITY NAME correct data in the propriate fill-in area
below.Also if arty off a preprinted data is
absent (the area to the left of the label
V.FACILITY PLEASE PLACE LABEL IN THIS SPACE appear)/,ipleaseeprorovviideait in ththat
props W
MAILING LIST in area($) below. If the label is complete
and correct you need not complete Items
completed�rdl�s).Complete all items
VI.FACILITY if no label has been proved. Refer to the
LOCATION instructions for detailed item descriptions
and for the legal authorization under which
this data is Cvilected.
�11-POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permrt app ication forms to the EPA. If you answer"yes"to any
questions,you must submit this form and the supplemental from listed in the parenthesis following the question.Mark"X"in the box in the third column if
the supplemental form is attached. If you answer"no"to each question,you need not submit any of these forms. You may answer"no"if your activity is
excluded from ermit requirements:see Section C of the instructions.See also,Section D of the instructions for definitions of bold-faced terms.
SPECIFIC QUESTIONS MARK " MARKW
YES NO FORM SPECIFIC QUESTIONS YES NO FORM
A. ATTACHED ATTACHED
Is thiswhich fadllty a publicly owned treatment works B. Does or will this facility ieither existing or
WS?(FORM In
discharge to waters of the ❑ ® ❑ proposed) inducts a concentrated an
❑ ® ❑
mg operation or aquatic animal
production facility which results in a discharge
16 17 18 to waters of the U.S.?(FORM 2B) 19 20 21
C. Is this facd ty which currently results in ® ❑ ® s this proposal facility(other than those described ❑ ® ❑
discharges to waters of the U.S. other than in A or B above)which will result in a discharge
those described in A or B above?!FORM 2C 22 23 24 to waters of the U.S.?+FORM 2D) 75 26 27
E. Does or will this facility treat,store,or dispose of F. Do you or will you inject at this facility industrial or
hazardous wastes?(FORM 3) ® ❑ municipal effluent below the lowermost stratumt
containing, within one quarter mile of the wellbore, underground sourcesof drinking water?
28 29 30 (FORM 4) 33
G. Do you or will you inject at this facility any H. Do you or will you inject at this facility fluids for
produced water other fluids which are brought to secalprocesses such as mining of suffer by the
the surface in connection with conventional oil or ❑ ® F E El
rasch process,solution mining of minerals,in
natural gas production, inject fluids used for situ combustion of fossil fuel,or recovery of
enhanced recovery of oil or natural gas, or inject geothermal energy?(FORM 4)
fluids for storage of liquid hydrocarbons?
FORM 4 i k4141
5 36 37 38 39
I. Is this facility a proposed stationary source J. Is this facility a proposed stationary source
which is one of the 28 industrial categories listed which is NOT one of the 28 industrial categories
in the instructions and which will potentially emit ❑ listed in the instructions and which will potentially ❑ ® ❑
100 tons per year of any air pollutant regulated emit 250 tons per year of any air pollutant
under the Clean Air Act and may affect or be regulated under the Clean Air Act and may affect
located in an attainment area? FORM 51 42 or be located in an attainment are?1FOFM 51 43 44 45
III.NAME OF FACILITY
c SKIP L3LD
uisiana-Pacific Corporation—Roaring River Plant
1
15 16.29 69
IV. FACILITY CONTACT
A.NAME&TITLE tost,first,&title B.PHON"code C Sharon Wetzel, Environmental Manager 336 64
2
15 16 45 �tfi 4.$ 4 55
V.FACILITY MAILING ADDRESS
A.STREET OR P.O.BOX
s Post Office Box 98
15 Tfi 45
B.CITY OR TOWN C.STATE D.ZIP CODE
4 Roaring River NC 28669
15 1 16 40 41 42 •7 51
VI.FACILITY LOCATION
A.STREET,ROUTE NO.OR OTHER SPECIFIC IDENTIFIER
c Highway 268
5
15 16
41
B.COUNTY NAME
Wilkes
70
C.CITY OR TOWN D.STATE E.ZIP CODE F.:7:n---
*�
Roaring River NC 28669
1£ 4b 41 42 47 51
EPA FORM 3510-1(8-90) CONTLNUED ON REVERSE

CONTINUED FROM THE FRONT
Vil. SIC CODES 4-di it, in order of priorit
A.FIRST B.SECOND
C 2493 (specify) 7 (specify)
s 16 Reconstituted wood products, 1
15 16 19
hardboard siding
C.THIRD D.FOURTH
C (specify) 7
� � (specify)
_ 15 1 16 17 15 1g 19
VIII.OPERATOR INFORMATION
A.NAME B. Is the name listed in Item
Louisiana-Pacific Corporation VIII-A also the owner?
8 18 1 19 ®YES []NO
55
C.STATUS OF OPERATOR lEnter the a ro date letterinto the answer bax if"Other,"s spec*J C],PH 55NE area code&no.
F=FEDERAL M=PUBLIC(other than federal or state) (specify)
C
S=STATE O=OTHER(specify) P ( q 336 696 2751
P=PRIVATE 56 15 16 18 19 21 27 25
E.STREET OR PO BOX
Post Office Box 98
F.CITY OR TOWN G.STATE H.ZIP CODE I IX.INDIAN LAND
B Roaring River NC 28669 Is the facility located on Indian lands?
15 1 16 1 as 42 1 1 47 s1 ❑YES ® NO
X. EXISTING ENVIRONMENTAL PERMITS
A.NPDES Discha s to Surface Water D.PSD Air Emissions from Aro used Sources
9 N l LNC0005266 FL
15 16 17 L
18 30
B.UIC(Underground Injection of FluidsE.OTHER s c' (Specify)
9 u N/'4 03909T43(Air) 97-03 (Solid Waste)
15 16 17 18 18 30
RCRA Hazardous Wastes E.OTHER s eci (Specify)
s R ' NCD048185151 WQ0000469 (No Discharge) NCG210355(Storm
15 16 17 18 18 Water)
XI.MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must
show the outline of the facility, the location of each of its existing and proposed intake and discharge structures, each of its
hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all springs,
rivers and other surface water bodies in the map area. See instructions for precise re uirem2n#$
XII. NATURE OF BUSINESS rovide a brief descri tion)
The facility manufactures exterior hardboard siding and trim products.
XIII.CERTIFICATION (see instructionsi
lfilcertify under penalty of law that 1 have personally examined and am familiar with the information submitted in this application and
attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained in
the application, l believe that the information is true, accurate and complete. 1 am aware that there are significant penalties for
submitting false information,including the possibRX of fine ano4mprooament
A.NAME&OFFICIAL TITLE(type or print) B.SIGN URE C.DAJQSIGNE
Scott Cranston, Plant Manager
COMMENTS FOR OFFICIAL USE ONLY
C
C
15 16
55
EPA FORM 3510-1(8-90)

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S NORTH CAROLINA
- N
SOURCE
a" BASE MAP DEVELOPED FROM THE
ROARING RIVER,NORTH CAROLINA 0 3000, 6000,
p 7.5 MINUTE U.S.G.S.TOPOGRAPHIC
o� QUADRANGLE MAP,DATED 1966. QUADRANGLE LOCATION APPROXIMATE SCALE IN FEET
PROJECT: DRAWN BY: D.STEHLE
f J LOUISIANA-PACIFIC CORPORATION CHECKED BY: J.KIRLIN
TRC
ROARING RIVER,NORTH CAROLINA APPROVED BY: J.KIRLIN
DATE: MARCH 2O18
u TITLE:
50 International Drive PROJ-NO.:
o z 298083.0000
z Patewood Plaza Three,Suite 150 SITE LOCATION MAP
FILE: 298083.0000.01.dwg
Greenville,SC 29615
Phone:[phone] FIGURE 1
.r

EPA I.D.NUMBER(copyfromItem 1 of Form 1) 1 Form Approved.
NC0005266 OMB No.2040-0086.
Please print or type in the unshaded areas only. I Approval expires 3-31-93.
FORM U.S.ENVIRONMENTAL PROTECTION AGENCY
2C(� APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER
C&EPA EXISTING MANUFACTURING,COMMERCIAL,MINING AND SILVICULTURE OPERATIONS
NPDES Consolidated Permits Program
1.OUTFALL LOCATION
For each outfall77MI
list the latitude and longitude of its location to the earest 15 seconds and the name of the receiving water.
C.LONGITUDE
D.RECEIVING WATER name
3.SEC. 1.DEG. 2.MIN. 3.SEC. (name)
38 81 O1 59 Yadkin River
r
OWS,SOURCES OF POLLUTION,AND TREATMENT TECHNOLOGIES
ttach a line drawing showing the water flow through the facility.Indicate sources of intake water,operations contributing wastewater to the effluent,and treatment units
beled to correspond to the more detailed descriptions in Item B.Construct a water balance on the line drawing by showing average flows between intakes,operations,
eatment units,and outfalls.If a water balance cannot be determined(e.g.,for certain mining ac#vities),provide a pictorial description of the nature and amount of any
ources of water and any collection or treatment measures.
B. For each outfall,provide a description of.(1)All operations contributing wastewater to the effluent,including process wastewater,sanitary wastewater,cooling water,
and storm water runoff; (2) The average flow contributed by each operation; and (3)The treatment received by the wastewater. Continue on additional sheets if
necessary.
1.OUT- 2.OPERATION(S)CONTRIBUTING FLOW 3.TREATMENT
FALL b.AVERAGE FLOW
NO.(list) a.OPERATION(list) b.LIST(include units) a.DESCRIPTION TABLE 2C-�ROM
()41
Process wastewater 1.46 M Bar Screen
GD
1-T
Manufacturing Grinder
MACT Scrubber blowdown E 1-L
qualization Tank
XX
Steam plant condensate Mixing
1-O
Steam plant boiler blowdown Coagulation, Flocculation
2-D 1-G
Boiler scrubber blowdown Chemical Precipitaiton
2-C
Dissolved Air FloatioR
1-H
Settling
1-U
Activated Sludge
3-A
Discharge to Surface Water
' 4-A
"Chemical Sludge Conditioning
5-E
Gravity Thickening
5-L
Belt Filtration
' S-C
Land Application of Sludge
5-P
Screening
1-T
Sanitary Wastewater Screening
002 0.008 MGD
1-T
including CertainTeed san ww Activated Sludge
3-A
DTscharge to Surface Water
4-A
Total 1.468 MGD
OFFICIAL USE ONLY(effluenrguidelines sub-categories)
EPA Form 3510-2C(8-90) PAGE 1 of CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
C.Except for storm runoff,leaks,or spills,are any of the discharges described in Items II-A or B intermittent or seasonal?
❑YES(complete the following table) 91 NO(go to Section III)
3.FREQUENCY 4.FLOW
a.DAYS PER B.TOTAL VOLUME
2.OPERATION(5) WEEK b.MONTHS a.FLOW RATE(in mgd) (spec with units)
1.OUTFALL CONTRIBUTING FLOW (specify PER YEAR 1.LONG TERM 2.MAXIMUM 1.LONG TERM 2.MAXIMUM C.DURATION
NUMBER(list) (list) awmge) (specify average) AVERAGE DAILY AVERAGE DAILY (in days)
III.PRODUCTION
A.Does an effluent guideline limitation promulgated by EPA under Section 304 of the Clean Water Act apply to your facility?
©YES(complete Item 111-B) ❑NO(go to Section IV)
B.Are the limitations in the applicable effluent guideline expressed in terms of production(orother measure of operation)?
✓❑YES(compMte lte.III--C) ❑NO(go to Section IV)
C.If you answered"yes"to Item III-B,list the quantity which represents an actual measurement of your level of production,expressed in the terms and units used in the
applicable effluent guideline,and indicate the affected outfalls.
1.AVERAGE DAILY PRODUCTION
c OPERATION,PRODUCT,MATERIAL,ETC. 2.AFFECTED OUTFACES
.
a.QUANTITY PER DAY b.UNITS OF MEASURE (list outfall numbers)
(specify)
1,579.57 (Dry 1,000 Pounds of Gross Hard production lines 1 and 2 001
Basis) Product per day
IV.IMPROVEMENTS
A. Are you now required by any Federal, State or local authority to meet any implementation schedule for the construction, upgrading or operations of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application?This includes,but is not limited to,
permit conditions,administrative or enforcement orders,enforcement compliance schedule letters,stipulations,court orders,and grant or loan conditions.
❑YES(complete the following table) NO(go to Item IV-B)
1.IDENTIFICATION OF CONDITION, 2.AFFECTED OUTFALLS 3.BRIEF DESCRIPTION OF PROJECT 4.FINAL COMPLIANCE DATE
AGREEMENT,ETC.
a.NO. b.SOURCE OF DISCHARGE a.REQUIRED b.PROJECTED
B. which may affect your
OPTIONAL: You may attach additional sheets describing any additional water pollution control programs (or other environmental projects
discharges)you now have underway or which you plan.Indicate whether each program is now underway or planned,and indicate your actual or planned schedules for
construction.
❑MARK"X"IF DESCRIPTION OF ADDITIONAL CONTROL PROGRAMS IS ATTACHED
EPA Form 3510-2C(8-90) PAGE 2 of 4 CONTINUE ON PAGE 3

EPA I.D.NUMBER(copyfromltem 1 of Form 1)
CONTINUED FROM PAGE 2 CC0005266
V.INTAKE AND EFFLUENT CHARACTERISTICS
A,B,&C: See instructions before proceeding—Complete one set of tables for each outfall—Annotate the outfall number in the space provided.
NOTE:Tables V-A,V-B.and V-C are included on separate sheets numbered V-1 through V-9.
D. Use the space below to list any of the pollutants listed in Table 2c-3 of the instructions,which you know or have reason to believe is discharged or may be discharged
t from any outfall.For every pollutant you list,briefly describe the reasons you believe it to be present and report any analytical data in your possession.
I.POLLUTANT 2.SOURCE 1.POLLUTANT 2.SOURCE
Formaldehyde Resin component used in Acetaldehyde MACT scrubber water hard-piped
hardboard manufacturing to activated sludge areation
basin
VI.POTENTIAL DISCHARGES NOT COVERED BY ANALYSIS
Is any pollutant listed in Item V-C a substance or a component of a substance which you currently use or manufacture as an intermediate or final product or byproduct?
❑YES(list all such pollutants below) NO(go to Item VI-B)
EPA Form 3510-2C(8-90) PAGE 3 of 4 CONTINUE ON REVERSE

CONTINUED FROM THE FRONT
VII.BIOLOGICAL TOXICITY TESTING DATA
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 3 years?
©YES(identfv the test(s)and describe theirpurposes below) ®NO(ego to Section VIII)
LP conducts quarterly chronic toxicity testing in accordance with the "North Carolina Ceriodaphina Chronic
Biassay Procedure" as required in the current NPDES permit. Results of these tests are submitted to NC DEQ on
the precribed Effluent Discharge Monitoring forms.
Vill.CONTRACT ANALYSIS INFORMATION
Were any of the analyses reported in Item V performed by a contract laboratory or consulting firm?
®YES(list the name,address,and telephone number q1 and pollumnis analyzed by, NO(go to Section IA)
each stuch laboratory or firm below)
A.NAME B.ADDRESS C.TELEPHONE D.POLLUTANTS ANALYZED
(area code&no.) (list)
Shealy Environmental Services, 106 Vantage Point Drive [phone] TOC, Ammonia, TRC (1
Inc. (NC Cert. No. 329) West Columbia, 29172 sample), Fecal Coliform,
Fluoride, Total Organic
Nitrogen (1 sample),
NO2-NO3 as N (1 sample),
Oil & Grease, Sulfate,
Surfactants, Metals (except
Zn), Cyanide, Phenols,
VOCs, SVOCs, Pesticides,
and PCBs
ta.�.
Meritech, Inc. (NC Cert. No. 642 Tamco Road, PO Box 27 [phone] NO2-NO3, TKN, Phosphorus,
165) Reidsville, NC 27320 and Zinc
IX.CERTIFICATION
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.1 am aware that there
are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations.
A.NAME&OFFICIAL TITLE(Npe or print) B.PHONE NO.(area code&no.)
Scott Cranston, P a er (336) 696-2751
C.SIGNATURE D.DATE SIGN FED
EPA Form 3510-2C(8-90) PAGE 4 of 4

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EPA ID Number(copy from Item 1 ofForm 1) Form Approved OMB No.2040-00816.
Please print or type in the unshaded areas only A pproval expires 5-31-92.
FORM
2E •=•EPA Facilities Which Do Not Discharge Process Wastewater
NPDES _
I. RECEIVING WATERS
For this outfall, list the latitude and longitude, and name of the receiving water(s).
Out
Latitude Longitude Receiving Water(name)
Number(list)
Deg Min Sec Deg Min Sec
002 36 11 44 81 02 02 Yadkin River (Internal outfall combines into 001)
II.DISCHARGE DATE(If a new discharger,the date you expect to begin discharging)
r
OF WASTEk the boxes)indicating the general types)of wastes discharged.
Other Nonprocess
nitary Wastes ❑ Restaurant or Cafeteria Wastes ❑ Noncontact Cooling Water ❑ Wastewater(identify)
B.If any cooling water additives are used,list them here.Briefly describe their composition if this information is available.
N/A
IV.EFFLUENT CHARACTERISTICS
A. Existing Sources—Provide measurements for the parameters listed in the left-hand column below,unless waived by the permitting
authority(see instructions).
B. New Dischargers—Provide estimates for the parameters listed in the left-hand column below,unless waived by the permitting
authority.Instead of the number of measurements taken,provide the source of estimated values(see instructions).
{1) (2)
Pollutant or Maximum Average Daily (3) (or) (4)
Parameter Daily Value Value(last year) Number of
(include units) (include units) Measurements Source of Estimate
Taken Cif new discharger)
N
Concentration Mass Concentration (lastyear)
Biochemical Oxygen
Demand 9 mg/L 0.4 lb/d 5.5 mg/L 4 -
Total Suspended Solids(TSS) 1.624 mg/L 1.0 lb/d 14.5 mg/L 4
FecalColrform(ifbelievedpresentMPN/100mLor if sanitary waste is discharged) - - 1 -
Total Residual Chlorine(if 0.1 lb
chlorine is used) /d 2.2 mg/L
Oil and Grease 0.1 lb/d 2.1 mg/L 1 _
*Chemical oxygen demand(COD)
*Total organic carbon(TOC)
Ammonia(as N) 0.8 lb/d 12.0 mg/L
Discharge Flow Value 0.008 MGD
0.008 MGD estimate -
PH(give range) Valuemin: 7.3; max: 7.6 min: 7.3; max:: 7.6 4 -
__:
Temperature(Winter) 14.60 _
C 14 2 oc 2
Temperature(Summer) 2 7.1,C 21.2 oC 3 -
*If noncontact cooling water is discharged
EPA Form 3510-2E(8-90) Page 1 of 2

V. E celLt for leaks ors ills,will the discharge described in this form be intermittent or seasonal?
If yes,briefly describe the frequency of flow and duration. ❑ Yes 0 No
VI. TREATMENT SYSTEM(Describe briefly any treatment system(s)used orto be used)
Package, activated sludge sanitary wastewater treatment system.
Vll. OTHER INFORMATION O tionaq
Use the space below to expand upon any of the above questions or to bring to the attention of the reviewer any other information you feel
should be considered in establishing permit limitations.Attach additional sheets,if necessary.
The flow from this Outfall (002) combines with the industrial wastewater discharge prior to
leaving the site at Outfall 001. This treated wastewater stream is very small compared to the
total discharge (0.008 MGD of 1.46 MGD) and does not significantly contribute to the character of
the wastewater discharged from the facility.
NOTE: The concentrations presented in item IV above are actual data. The corresponding mass rates
are calculated based upon a design flow of 8,000 gallons per day from the package plant. The
package plant has always treated sanitary wastewaters from both the Louisiana Pacific Mill and the
adjacent CertianTeed Plant.
VIII. CERTIFICATION
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.l am aware that there are significant penalties for submitting false information,including
the possibility of fine and imprisonment for knowing violations.
A.Name&Official Title B.Phone No.(area code
Scott Cranston, Plant Manager 8 no.)(336) 696-2751
C.Signature D.Date Signed
EPA Form 3510-2E(8-90) Page 2 of 2