NCG210023_ROS Request Form for Outfall 002_20200406

Division of Energy, Mii era) &band Resources FOR AGENCY USE ONLY
nnco Rnvived
Ye
}; Stormwater Program I
National Pollutant Discharge Elimination System APR 06 201.)
Environmental REPRESENTATIVE OUTFALL STATUS ROS
01in itv (ROS) DENR-LAND QUALITY
mhyuhNi r'uKM ST0R1V,'VVAT'R I'LKiyii 1 Hi`,`
If a facility is required to sample multiple discharge locations with very similar stormwater discharges, the
permittee may petition the Director for Representative Outfall Status (ROS). DEQ may grant Representative
Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL outfalls are still subject to the qualitative monitoring
requirements of the facility's permit —unless otherwise allowed by the permit (such as NCG020000) and DEQ
approval. The approval letter from DEQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status.
For questions, please contact the DEQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N C S N I C 116.]2 1 O0 S
2) Facility Information:
Owner/Facility Name VkSA-- F16sei'
Facility Contact �Da`-"Einfih-a
Street Address j i,-'ed ra�
City eQej )A "a-0 State N _ ZIP Code
County L t,tS E-mail Address !S{ima►1
Telephone No. Fax:
3) List the representative outfall(s) information (attach additional sheets if necessary):
Outfall(s) 002- is representative of Outfall(s) 00±
Outfalls' drainage areas have the same or similar activities? Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? AYes ❑ No
Outfalls have similar monitoring results?
❑ Yes ❑ No A No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 3
SWU-ROS-2009 Last revised 12/30/2009
.fvawrcy:

Representative Outfall Status Request
Mail the entire package to:
NCDEQ DEMLR at the appropriate Regional Office (See map and
addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request is granted by DEQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For
Asheville hcywnaI vmce
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone [phone]
FAX [phone]
Fayetteville Regional Office
Systel Building,
225 Green St., Suite 714
Fayetteville, NC 28301-5094
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
Phone [phone]
FAX [phone]
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Phone [phone]
FAX [phone]
p/ease contact the DEQ Regional Office for
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
FAX [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
ur area.
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Water Quality Main FAX [phone]
Central Office
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone [phone]
FAX [phone]
SWU-ROS-2009 Page 3 of 3
Last revised 12/30/2009

t
• ',
4tfall 003
II` /
II �'
I
V , .` r
♦ U
Q SS
R P u
R
� s x
Outfall/
004 qP�
Ph��o
�A
a
A=4te
Jf
I
i
0Utfdll
002
Outfall
001
� H
C' nor
B r/
� I i
1
*�K
L
A Fire Watei Pump Station
B Recycle System Pump House
C Centrifuge/Backwash
D Kiln
E Boiler
F Boiler Chemicals
G Sorter
H Flyash (kiln ditch to ash ponds)
I Boiler Ash Ponds
J Oil/Water Separator
K Vehicle and Equipment Wash Pad
L Mobile Maintenance Shop
M Sawmill
N Reject Deck
O Log Runs (unprocessed logs)
P Boiler Flyash Pile
Q Wood Debris Pile
R Dirty Bark Pile
S Log Pad
T Scrap Metal Dempster
U Solid Waste Compactor
V Warehouses
W Shavings Bin
X Planer Mill

Impervious �f
O •
U� l/ 00
II
II
IIIII `• �A� ,
III a: s L •,, 4.: ,. ,
Outfall
01
`^FCC._ pond
.74
P : r
. �• SIC
! L
A Fire Water Pump St Lion
f : L B Recycle System Pump House
C Centrifuge/Backwash
D Kiln
Q ? 0 3 / E Boiler
/ F Boiler Chemicals
/ G Sorter
H Flyash (kiln ditch to ash ponds)
I Boiler Ash Ponds
J Oil/Water Separator
Outfall/
K Vehicle and Equipment Wash Pa
004 hPrN L Mobile Maintenance Shop
n��o / M Sawmill
o� N Reject Deck
r a / O Log Runs (unprocessed logs)
`. P Boiler Flyash Pile
Outfall Q Wood Debris Pile
002 R Dirty Bark Pile
/ S Log Pad
T Scrap Metal Dumpster
U Solid Waste Compactor
V Warehouses
W Shavings Bin
X Planer Mill

COD
120
TSS
100
Benchmarks
Date Collected
Rainfall Amt
5/15/2014
0.42
30
12.5
12/22/2014
0.57
318
105
6/2/2015
0.22
27
35.5
12/7/2015
0.58
0
26.9
12/1/2016
0.18
0
13.8
6/5/2017
0.31
63
59.8
12/6/2017
0.22
25
18.9
18-May-18
0.5
76
132
12-Nov-18
0.23
26.3
13.5
2-Apr-19
1.12"
351
626
12-Nov-19
0.42"
0
49.4

Compliance Inspectlon Report
Permit: NCG210023 Effective: 08/01/18 Expiration: 07/31/23 Owner: West Fraser Inc
SOC: Effective: Expiration: Facility: Armour Lumber Mill - Riegelwood
County: Columbus 361 Federal Rd
Region: Wilmington
Riegelwood NC 28456
Contact Person: Michelle Potter Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 03/09/2020 Entry Time 11:00AM Exit Time: 11:40AM
Primary Inspector: Brian P Lambe Phone:
Secondary Inspector(s):
Reason for Inspection: Ro ' Inspection Type: Compliance Evaluation
Permit Inspection Type: Timber Products Stormwater Discharge COC
Facility Status: N Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page 1 of 3

Permit: NC(3210023 Owner- Facility: West Fraser Inc
Inspection Date: 03/09/2020 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page 2 of 3

Permit: N0,0210023 Ownor - Facility: Wont Fraser Inc
Inspection Date: 03/09/2020 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ E ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑
Comment: Ms. Enqlestad requested site visit to observe an additional outfall on the southwest side of the
property. The outfall is adjacent to a small bridge that crosses a tributary to Livingston Creek
Classification C, Sw.
The outfall can be handled in several differing ways:
1. Declare it as an outfall and start sampling, analvtica! and qualitative.
2. Declare as an outfall and request representative outfall status. Qualitative sampling will be
needed. Submit ROS application.
3. Divert flow down the road swale to stormwater pond to eliminate discharge point.
Page 3 of 3

Division of Energy, Mineral & Land ottrces PMP
Storra ater Program
National Pollutant Discharge Eliminatiarr. Sy Stem
Environmental
ntaf REPRMNTATM OUTFALL STATUS (ROS)
t a frrefffty � r�quirtd to serrrtplee muitlpfe discharge tacaiiarrs wftfr wiry stmilar sedrrrtwrater dfacherrges the
perMittee may petition tht titrectar far Rcpresentative Mg0Jl Wtus (t;15�, ifEQF may grant Representative
ftutfrrff Status if stormwater discharges from a single autfalf are rtprestznrtattisre of may grant
Repsgesftam sent ftyultipie
rrutfalfs' pppraved ROS will reduce the number of outfalts where atr f eg, somplfrrg requiremen is apply_
if fleprtse!trtative autfaff Status is grunted. outfalts are still subject to the n lftat requve nsanftesrirrg rrtrrrertts of facllfty's per+rtit=rrntess *therwise ag of by the permit (such as II OG02 ) and �L¢
approvoI The appravrrf letter fe�tsm DEQ must be kept air site with the fatflily's StarrrrKrater Paftutfern
Prever?tlon iafaa. Tl facility roust nett DLQ In wrltirrg ' arty rlra
r s etffeet represen w &e status.
For questicrlts, please cytrfact the DEQ ?bglorraf ftrr your area
(Please print or type(
1) Enter the permit number to whkh this ROS request applies:
Individual Permit (or) Certificate of Coverage
�NC 6 1 0o 2
2) Facility tnforrriation:
Owner/Facility Flame L1Le L��
Facility Contact 45
M Yl r,
Street Address 21.1
city
County - — State ZIP Code
nt t E-mail Address
,
Telephone No, !ate t1� lid
Fax.
3) List the representative outfall(s) information (attach additional Sheets if necessary):
Outfa ll(s) 002 is representative of Outfall(s) QQ 4.
Outfalls'drainage areas: have the sarne or similar activities? Yes a No
GUM Ile drainage areas Contain the same or similar materials? Ayes a No
Ciutfalls have Similar monitoring results?
o Yes c No a No data*
Outfall(s) is representative of Outfail(sj
Outfalls' drainage areas have the same or similar activities? 0 Yes o No
Outfalls' drainage areas contain the same or similar materials? u Yes o No
Outfalls have similar monitoring results?
0 Yes u Net o No data*
Outfall(s( is representative of flutfAf(s)
Outfalls'drainage areas have the same or similar activities? E3 Yes a No
Outfalls, drainage areas contain the same or similar materials? u Yes a No
Outfalls have; similar monitoring results?
u Yes d No o No data'
*Wft-compliance with analytical monitoring prior to this request may prevent ROS approval. specific
circumstances will be considered by the Regional Office responsible for review,
SWU-ROS-2M Rage f Of 3
Las! rovixed 12/3=00

Representative Outfall Status Request
47 Detailed explanation about why the outfalls above should be gtar"d Representative Status,
(or, attack a letter or narrative to discuss this information.) For example, describe how activities and,/or
materials are !dmilar.
51 Certifications
North Carolina General Statute 143-215.6 6(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 raise statement of a material fact in a rulemaking proceeding or contested cage
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 (Environmental Management]
Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
ten thousand dollars ($1�; 00).
I hereby request Representative autfall Status for tray NRf3ES hermit. I understand that ALL outfails are stllI
subject to the qualitative monitoring requirements of the permit, unless otherwise arllo;ed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If Rd5 no longer applies, I understand I must
resume monitoring of all outfalis as specified in my NPDES permit.
I certify that I am familiar with the information contained in this application and that to the Crest of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing. C%*"-a
Title: E H S er>vq KKK
01 Ap(i l'2{720
(Signature of fop 1 t) (Efate Signed) — --
Pleese mate. This application for Representative Outf-all Status %s $Ubject to
approval by the NCDEQ Regional Office. The Regional Office May inspect your
fa cilitiv for cromotiance with the condidons of the perrrrit prier to that arpprdvsf-
goal Chvidist fair €OS_i-9auest
This application should include the following items:
a This completed farm.
13 Letter or narrative elaborating on the reasons why specified outfalis should be granted representative
status, unless all information can be included in tuestion 4.
o Two (2) copies of a site snap of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
a summary of results from monitoring conducted at the outfalls listed In question 3.
❑ Any other supporting documentation,
Rags 2 of 3
Swu-AOS•20(* Last revised 12,`317/ ON

Representative Outtall Status Request
Mail the entire package to:
NCDEQ DEMLk at the appropriate,k4onal Office (See reap and
addresses below)
99ifts-
'the submission of this document does not guarantee Representative ou
tf6li S (1105) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, Until,written
,approval of -this request Is granted by DEQ. Noi-t-compliance with 4rialytical monitpring,p 'rw to this request
may prevent ROS approval. Specific circumstances will be,considered by the Regional' Office:responsible for
review:
I For, questions, please contact the PEOIZegl6nal Of too for your area,
Asheville fiegionat office.
.2996- U.S. Highway 70
Swannanoa, NO 29778
Phone [phone]
FAX (828) 299-M'43
_Fayetteville Regional Office,
Systel building,
225 GreenSt, Suite 71:4
Fayetteville, NO 28K1,5094
Phone (91'0) 438-3�00
FAY, 91 D/ 486-0707
Mooresville Regional Off -ice:
610 East. Center Ave.
Mooresville, WC. 28115
Phone. [phone]
FAX [phone]
Raleigh Regional, Office
1828,Mail Service Center
-Raleigh, NC 27699-1628
Phone (919) 791­4200
FAX (q 1 9) 571-4718
Washiogton,Regional Office,
P49'Washington Souard Mail
Washington, NO 27889
Phone (252) 946-"
6481
FAX [phone]
Wilmington Regional office
127 Cardinal Drive, Extension
Wilmington, NO 28405
Phone [phone]
FAX (91b) 35,04004
Winston-Salem Regional Office,
545 Waughtown Street
Winston-Salem, NO 27107
Phone [phone]
Water Quality Main FAX [phone]
Central Office
1612, Mail;S&rvioe Center
Raleigh, NG276994612,
Phone (9 ' 19) 80Y-530b
FAX [phone]
Page a of i
Last (*_V&d 12/W2009

r,
f r/00a
4
: ` �d*�� •! Outfalt
<R :, V
y � f
.' >F.
f
R
"r r
1 Afire Water Pump Station
i B Recycle System Pump House
' C Centrduge/Backwash
f I D Kiln
Q i p ! I E Roder
F Boiler Chemicals
G Sorter
J H Flyash (kiln ditch to ash uund,.!
/ I Boiler Ash Ponds
1 OiIAVater Separator
K Vehicle and Equipment Wash Pad
�r•, - I L Mobile Maintenance Shop
M Sawmill
N Reject Deck
O Log Runs (unprocessed locs)
P Boiler Flyash Poe
Outfall O Wood Debris Pile
R Dirty Bark Pile
/ S Log Pad
7 Scrap Metal Dumpster
U Solid Waste Compactor
V Warehouses
W Shavings Bin
X planer Mill
A = IR 0

,._io;js Area
.
0O�rfv// pQ3
001
/
/
/
/
1
♦� � '� " Outfall
r �w
j
R J L
r! A fire Water Pump Station
'x a� S Recycle System Pump House
•T C CentrHuge/Backwash
D KUn
Q O / / E Boller
F Boiler Chemicals
G Sorter
/ I / H Flyash (kiln ditch to a.h ponds)
!/ r i Boiler Ash Ponds
! 1 Oil/Water Separator
K Vehicle and Equipment Wash Par
/ t Mobile Maintenance Shop
tit SdwrriiH
9 i N Reject Deck
O tog Runs(unprocesseo logs)
P Boiler Flyash Pile
Outfall O. Wood Debris Pile
D0 2 R Dirty Bark Pile
/ S log Pad
T Scrap Metal Dumpster
U Solid Waste Compactor
V Warehouses
W Shawngs Bin
Y. Pl.rner Mili
=f4(#

COD
'ASS
Benchmarks
120"
100
Date Collected
5/1'5/2014
gainfal[.Ahit
0,42
30
12.5
12/22/2014
0.57
318
105
6%2/2015
0.22
2.7
$5.5
12/7/2015
0.58
0
26.5
12/1/2016
0. 18
0 _
1:18
5/5f2017
12/0/2017
18-may-18
0,31
0.22
t3:5
63'
25
76
59.8
18.9
1.32
.12-Nov-18
0.23
263
13.5
2-Apr-19
1.12"
351
626,
12-lov-13"
0.42"
0
49.4

"- WE
Permit: NCG210023 Eff&dtive: 09101II8 Expiration : 07131123 6ViAar-.*eStFraser iO
SOC* Effective-, Expiration: Facility: Arni6iir Lumber Mill - Regefwood
County.,'CO I funibus 861'rederal Rd
Region: ifitilmingtori
Ri6gelwood No, 28456
Contact Person: Micheffe Potter Title,
Phone, 910-655-4106
Directions-bo'Facility:
System Olassificatforis,
Primary OPC: aer6iiication, Phone-
Seeondiry Oqd(s)-
Oil--§ita Reprqsantativa(s):
RelAw Permits. -
Inspection Data. 03/69I2020 EntryTime i1:00AM txtiTime. 11,40AM
Primary lfispactonSiIan P 1-6mbe, Phone,
seeondary Inspector(s):
Reason for Ifispectloni PGotY�ilEar�CeeEvafuaflon
Parmitinspectfon'Type-, Timber Products gtilrinvvtater Discharge COC
Facility Status; Cbmpjjgnt n Not Comoit
an
"Question Areas".
0, St6rm Water
(See attachment summaryy
Page I of 3

pannit. NCG210= Owner->+aciiifp.WegfraserInt
tnspeoian DaW. 63f0624 fnspectio» Tppa : Campt�anca irVafuation Rmon for Vistf: ko€ lln.e
Inspection Summary:
Page 2 of 3

Permit: t4cG210023 Own#,t - FaciritpWast Fraser Inc
thapection Date:. 021091,2020 Inspectim Type - qqmpqgnca 15VIakfavon Motagon'fdrVWt: Routine
Pggmit and Outfalfg,
is copy of the Permit and the Certificate 6f Coverage available at the site?.
fWbre all outfalls observed during the l6apection?
#-Iffhe facAy has represeritatiVe., outta,11 stains; is it properly documented by the I)Msbn?
ties #to facility evaluotefs a illicit(non 0ormwater) discharges?
Cbrnment. Ms.EngtostaA.re-quested 'sKevisit toobs6rveanaddftiotisio
rieeded. SubmROS application-
3. Diverf-flow dovVn the rosd sWWe to stoemwater mnd t6bliminate dig6harcte ooint.
Pagg 3 of �

Division of Energy, fluer2l, dit land Resources
` Stort>twater Program
VatiotW Pollutant Discharge Elimination. System
Environmental REPR S NTATi 0VTF'ALL STATUS (ROS)
9W
ifa faci ty is required to sample rnuldplc discharge 10catiotrse with very ttmilurstormwoter discharges, the
permittee may petition the Director for lfepresent"I" ticrffalf .Straus (ROS), DEQ may grant Reprersentative
OV0011 Stomas if stormwater discharges from V single rtutfull are ttprOsentative of discharges f um multiple
outfalls. Approved ROS will reduce the number of outfails where areal' trcti sanipllrtq requlrenttn is apply.
if Representative fJutftrll Status is granted, ALL Outfalls are still Subject to the a tot ' e txeoynitosring
recluuements of the fadlityls permit —units otherwise atlarwed by the permit (such as NCGOI ) seed VEQ
approrval, the oprprovrrl letter from PEQ must be kept ors site with the fadfW,s Stormwater pollution
Prevention flan. The focillty must notify DL'Q let writing if any Cho
- ves affect _representative status.
F cuetiarrs, please cdtlfact tft8EQ lfoto7ir3riai C3cot i®t y®ur area
(Please print or type)
1) Enter the Permit number to which this RCS's reque t apples:
Individual Permit (or) Certificate of Coverage
K� S KE6 . 1 Q�
2) Facility Inforrnartions
Owner/Facility Name
Facility Contact
Street Address
tarty
County
Telephone No.
State t^, }C ZIP Code
E-mail Address
Fax-
3l List the representative outfall(s) information (attach additional shoots if necessaty):
Cluttarll(s) ©t)2._ is representative of outfall(s)
.
Outfalls' drainage areas have the same or similar activities?
tYes
n Net
Gutfalls' drainage areas contain the saute or similar materials?
AYes
13 No
Outfalls have similar monitoring results?
fl Yes
c No No data*
outfafl(s) is representative of Outfall(s)
Outfalls' drainage areas have the saute or similar activities?
0 Yes
cr No
Outfalls` drainage areas contain the sate or similar materials?
ri Yes
o No
Outfalls have similar monitoring results?
'Yes
0
a No a No data*
Outiaalltsj
is representative of outilwi(st
Outfalis' drainage areas have the same or similar activities? rj yes c3 No
Outfalls' drainage areas contain the same or similar materials? n Yes a No
Outfalls have similar monitoring results? 4 Yes d No o No data*
*Morn -compliance with analytical monitoring prior to this requt4t may prevent ROS approval. Spedfie
circumstances will be considered by the Regional office responsible for review,
swu-Ror5_2r)!t9 Page I of 3
Last revised 1 *0"
L.#,

Representative Outfalil Status bequest
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(or, attach a letter or Narrative to discuss this information.) For example, describe how activities a rid/or
star-2AC srn dmilar.
5) Certification:
North carotna General Statute 1.43-215.6 80) 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 At icie or a rule implementing this
Arttcle, or who knowingly makes a false statement of a material fact in a rulemsking proceeding or contested case
under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring diwice
or method required to be operated or maintained under this Af tide or rules of the [Environmental management]
commission implementing this Article shall be guilty of a Class 2 misdemiYanor which may include a fide not to exceed
-ten thousand dollars (510,f> ).
1 hereby request Representative t'lutfall Status for my NPi3ES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand l must
resume monitoring of all outfalls as specified in my NPOE'S permit.
i 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 game of Person Signing. sr +r�rth21 E '+ lac-
Title: E H S suocrxn f;Cx
______ 01 Apir i i'ZQ20
Srgrerrture (mote Signed)
il;*lease note. This application for Representative WWI WOWS is subJect to
approval by the NCDEQ Regional Office. The Regional Office may inspect Your
facility for compliance with the conditions of the pewit prior to that approval.
Final Checklist for ROS Reaulst
This app►Ikstion should include the following items.
❑ This completed form.
Letter or narrative elaborating can the reasons why specified dutfalls should be granted representative
status, unless all information can be included in Question 4.
❑ Two (21 copies of a %fte rnap of the facility with the Wcatlon fsf 311 outlalls ciearfy marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area,
❑ Summary of results from monitoring conducted at the outfalls listed in Question 3.
❑ Any other supporting documentatiom
Page 2 of 3
SWU-AOS-2009 Last revised 1 V3012009

Representative Outfall Status Request
Mail the entire p4ckage to-.
NCDEQ DEMLR at the appropriata,kegional bftico (See map and
addresses befow}
Notes
'the submission of this document does not guarantee kepresentative OUtfali Status (11,05) Witt be granted as
requested. Analytical monitoring as per your current permit must be continued, at all dutfatfis, until written
Approval of thfs-retlUest Is granted by DEQ. Noni�compliance with analytical monitodhg'prior to this request
may prevent KOS approval. Specific circumstances will,big ,coftsidered by the Regional Office responsible, for
review.
For questions, please conhict the Mce for your area,
Asheville Regional Office
2093 US. Highway 70
Swannanoa, NC 28778
Washington, Regional Office,
P43-Washingtw Square Mail
Phone'[phone]
Wc
ashihgton, NC, V889
FAX [phone]
Phone (259) 946-'6481
,Fayetteville Regional'Office
FAX [phone]
Systel Building,
225 Green St, Suite, 71:4
Wilmington Regional Office
Fayetteville, NC 28 -301 -5094`
127 Cardfnalbriva, Extension
Wilmingtom, NC 28406
Phone [phone]
FAY, 91 Of 4g6-6707
Phone [phone]
PAX (5 16) 350-2004
Mooresville Regional Office
610 East. Center Ave.
Winston-Salem Regional Office,
Mooresville, NC 28115
585 Waughtown Street
Winston-Salem, NC27167'.
Phone'[phone]
Phone [phone]
FAX [phone],040
Water Quality Main FAX [phone]
Raleigh ReglonO Office
Central Office
1628,Mail Service Center
I G1 2- Mail'Service Center
Raleigh, NG 27699-1628
RaWgh, NC'27699-1612
Phone, (91 9) 791 4200
Phone (51,3) 8G7-6306
FA)< (0 1 9) 571-4718
'FAX [phone]
8wU-Ras-2m Page 3 of 3 Last (*-V1!iad 12/W2009

Outtaill-11
OU4 4 R„
it
r'o
o�
wb
A M * 0
E
�, �►'
J.'v
...
l
Of
A fire Water Pump Station
P. Recycle System Pump House
f-
C CentnNge/Backwash
! J
D Kiln
O /
E Poiler
J
f Boller Chemicals
J
G Sorter
H Plyash (kiln ditch to ash ponds)
{ rr
1 Potler Ash Ponds
J
Oil/Water Separator
J
r
K Vehicle and Equipment Wash P
r
l Mobile Maintenance Shop
M Sawmill
r
N Reject Deck
O log Runs lunprocessedloF4)
P Poiler "sh Pile
Outfan
Q Wood Debris Pile
OW
R Dirty Bdrk Pile
/
S log Pad
T Scrap Metal Dumpster
U Sohd Waste Compactor
v Warehouses
W ShaYings Pin
% Planet Mill

0 '
i
I
.. y
♦001
f
E
w `?•�5� ' F C"
g pr nd
c.
_
y$p''fiikkf'77'
A fire Water Pump Station
B Recycle System Pump House
C CenLhfuge/Backviash
b Kiln
E Boiler
/
F Boiler Chemicals
G Sorter
1
H Flyash {kiln ditch to ash ponds)
f /
/
I Boiler Ash Ponds
1 Oil/Water Separatoi
Outtall/
D(k
!
K Vehicle and Equipment W,9%h P;,d
i�
I MOM Malntenanra Shop
M sawmill
Nv
N Reject Deck
C tog RunsjunPile o sPlogs)
P Boiler Flyash Pile
')inl.pl
G Wood Debris Pile
D W
R Duty Bark Pile
/
5 log Pad
T Scrap Metal Dumpster
U Solid Waste Compactor
V Warehouses
W Shimngs Bin
'_'=4#

COD
TSS
Be"nchinarks
120"
10
Date Collected
kainfall Amt"
5 j15/2 31
0.42
30
12.5
12/22/2, 014
0.57
31&
105
6/2/2015
0.22
27
�5.5
12/7/2015
0.58
0 _
26.9
12/1/2016
0.18
0
AB
6/5/�017
0;91
63
59.8
12/6/2017
6.22
25
18.9
1"8-1 ay-18
O.'s
76
132
12-Nov-18
0.23
26.3
13.5
2-,Apf-19
1.12"
351
626
12-Nov49
0,42"
C
49.4"

Pemiif.NCG210= Effective: 08/01A8 Expiratlon: 07/�1123 6wrier : West Praserlim-
SOC: Effective: Expiration- Facility: Arm6r Lumber Mill - F:begqIwood
County: 'CoturribUs, �61,Federal Rd
F,e&n: Wirrifngton Riegelwood NO, 28456
Contact Person: Michelle Potter fltla,� Phone: [phone]
Directions, to Facility.
System Classiffoation$,
Primary ORC- Cerfificat iow Phone.,
'Secondary Oqc(s).
tan -site. epresentAtive(s):
Related Permits -
Inspection Date. 03/bq12020 Entry Time i 1:06AM exit Time: 11:40AM
Primary lnspeftarz Brian P. Lambe phone.,
Secondary lnspector(s).
Reason for fnspecton: R inspection -Type: tornpliance EValuatiorf
Permitinspection Type, Timber Prod . ucts 9t6rrnwdter Discharge COC
Facility Staters: 11 Compliant C] Not Cornpl6nt
.Question Areas:
1§, Storm Water
(Speattathment summary�,
Page i of 3

Perrrtit:: NCG210023 Cwtter - FtcilfW.Weet.Fragortnc
inspet:tW Bate, o3109=26 irtsoct`rtrn Ty :: COMOi ante F-vafuation Etmon for Visit: Routing
lnsgection Su matyv
Gage 2 of 8

parrnft. NCG210023 OMjRr - Fatility;West FiaSqr Ino
Inspettion DaW',. 03100=20 Ingpectl(m,Type - qqrnpIlgMA r5vaknOlprt Reason,foeftit. Pautine
POMIt and OtAfall
# is a cofsy of the Permit and the Certjfj*czta_6f Cover available at the site?,
;f Were alloutfWls obsetved ddr1ing Ois irispecfion
g-le 111a facility has jepriese6titive out6if stetii% is it, properly d6cumbnted by the DMsi6n?
Has ft facilfty evaluated. all UlUt, (f torlt $t urawater) !Lscharges?
c6mment.
The Outfalt,can be handled in several differing ways:
1. Declare it as anoutfall an td st
art samolirlct,,anatytical and clualkafive.
2, Declare as arloutfall and rectuestre entative outfall status.'Qualitative sampling will be
needed. Submit ROS application.,
3. Divert flow dovfn the road sW.W6tg_stormwatar wid td,dfimirtate disdharcie mint.
Page 3 of 8