NCS000105_Application Amendment_20220426

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCS000105
I Evergreen Packaging
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
1
wrifto E PA
Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
SECTION
1. ACTIVITIES REQUIRING AN NPDES PERMIT (40 CFR
7-1 9-'
1qqn
ppj
.... ..
Is the facility a new or existing publicly owned
Is the facility a new or existing treatment works
treatment works?
112
..
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.
-gib ift'
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
production facility?
currently discharging process wastewater?
Yes 4 Complete Form 1 [a No
E] Yes 4 Complete Form 0 No
and Form 2B.
1 and Form 2C.
.
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing,
....
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 0 No
Yes 4 Complete Form 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
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
--7 i
(b) (15).
SECTION
2. NAME, MAILING ADDRESS, AND LOCATION (40 CFR
.y�.71ffi ffi-';
2.1 ric I
14
'7 77 7 L
Evergreen Packaging
o
2.2
Itp idehfiNumber er-.*.---!,
NCS000105
2.3
Facility.Contact :
Name (first and last)
Title
Phone number
Chuck Cranford
Environmental Manager
[phone]
Email address
ZO),
[e-mail]
2.4
F­ "ili na: .
Street or P.O. box
175 Main Street
C town or
:
State
ZIP code
Canton to:n
NC
28716
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCS000105
Evergreen Packaging
OMB No. 2040-0004
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Street, route number, or other specific identifier
175 Main Street
County name
Caunj��y� code if known
-1 ( )
Haywood
Gsl:�i;.:srp'[•'.:FiF•. .`f/�• .., �...-�...s.�.i:+iults:rw
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City or town State
ZIP code
,f••:
Li I-
Y- id
Canton NC
28716
• 3. SIC
AND NAICS CODES4i
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3.1
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2611
2621
2631
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_
322120
322130
SECTION
s OPERATOR
INFORMATIONs
s
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
=. o�y _
4.2
Is the name you listed in Item 4.1 also the owner?
IE; -
❑✓ Yes ❑ No
x
4.3
`4�eto_r,A^status'' -
--•;:L:..... , .i�
❑Public —federal —state El Other public (specify)
❑✓ Private ❑ Other
lkO:•
(specify)
[phone]
- :
. ,.
- -
4.5
a �.i .,. -
oaf := n Q
D or.Adtlr - -
Street or P.O. Box
175 Main Street
-
City or town
State
ZIP code
o
�a:
Canton
NC
28716
Email address of operator
[e-mail]
SECTION.0
5.1
Is the facility located on Indian Land?
-
❑ Yes ❑ No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Idenbficalion Number
NPDES Permit Number Facility Name Form Approved 03/05/19
NCS000105 Evergreen Packaging OMB No. 2040-0004
SECTION•
1
A
6.1
Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
d
m NPDES (discharges to surface
m RCRA (hazardous wastes)
❑ UIC (underground injection of
water)
fluids)
NCS000105/ NC000272
NCDO03148899
w` €
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
rn
r=
x
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) 10 Other (specify)
w
CAA Title V AQP08961T29
SECTION1
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTIONOF
1
8.1
Describe the nature of your business.
Evergreen Packaging Is a pulp and paper mill. The mill is engaged in integrated operations of producing pulp and
y
manufacturing paper and paperboard products for shipment.
d
c
N
m
O
N
A
Z
SECTION••
1
9.1
Does your facility use cooling water?
d
❑✓ Yes ❑ No 4 SKIP to Item 10.1.
6
9.2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
M
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
o Y
NPDES permitting authority to determine what specific information needs to be submitted and when.)
rj J3
C
Pigeon River
SECTION
1 VARIANCE
REQUESTS1 1
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
g
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301 (n)) 302(b)(2))
R
❑ 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 03105/19
NCS000105 Evergreen Packaging OMB No. 2040-0004
SECTION•
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
❑ wl attachments
❑✓ Section 2: Name, Mailing Address, and Location
❑ wl attachments
❑� Section 3: SIC Codes
❑ w/ attachments
❑� Section 4: Operator Information
❑ w/ attachments
❑� Section 5: Indian Land
❑ wl attachments
Section 6: Existing Environmental Permits
❑ wl attachments
E
E
❑✓ Section 7: Map
wma/ topographic
ID ❑col additional attachments
in
o
Section 8: Nature of Business
❑ w/ attachments
2
Section 9: Cooling Water Intake Structures
❑ w/ attachments
r
�'
❑� Section 10: Variance Requests
❑ w/ attachments
a
c
❑v Section 11: Checklist and Certification Statement
❑ wl attachments
Y
v
11.2
Certification Statement
U
I 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 property 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 ti8e
John A. McCarthy
General Manager
Signature L
Date signed
%C,� A ,�"
V � i/ 7� Lz
EPA Form 3510-1 (revised 3-19) Page 4

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NC5000105
Evergreen Packaging
OMB No. 2040-0004
Form
U.S Environmental Protection Agency
2F
Application for NPDES Permit to Discharge Wastewater
NPDES
.=.EPA
STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL
LOCATION•r
1.1 Provide information
on each of the facilit, 's outfalls in the table below
Outfall
Number
Receiving Water Name
Latitude
Longitude
1
Pigeon River
35' 32 2.12i' N
-82° 50' 40.4fJ' W
c
0
2
Mingus Branch
35° 31 58.9ri0" N
-82° 50' 57.rff W
0
3
Pigeon River
35' 32' 5.81i' N
-82' 50 42.4i" W
4
Pigeon River
35° 32' 8.127f N
-82° 50' 43.6i' W
5
Pigeon River
35° 32 13.9i N
-82° 50' 43.8d W
6 Camp Branch 35° 32 11.4fi' N -82° 50' 13.3i" W
SECTION•
r
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 Outlets
Source(s) of Discharge
Final Compliance Dates
Required
Projected
Description of Project
(list outfall numbers)
N
G
E
m
0
`E
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 03/05/19
NCS000105 Evergreen Packaging OMB No. 2040-0004
SECTION•• r
3.1 Have you attached a site drainage map containing all required information to this application? (See instructions for
0
specific guidance.)
o ® Yes ❑ No
SECTION• • 4r
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)
speary units
speay units
1
1.4
ACRES
1.8
ACRES
specify units
spa* units
2 AND 3
22.6
ACRES
352.2
ACRES
specify units
specify units
4
1.1
ACRES
1.3
ACRES
spedryunfts
specify units
5
1.6
ACRES
3.2
ACRES
specify units
specify units
6
66.9
ACRES
223
ACRES
specify units
spat y units
7
72.8
ACRES
229
ACRES
4.2
Provide a narrative description of the facilitys significant material in the space below. (See instructions for content
requirements.)
All significant material loading, access and storage areas are located where stormwater runoff drains to Industrial
sewer Inlets that convey the stormwater to the mill wastewater treatment plant. Exposure of stormwater to any
3
significant materials may occur via tracking by transport equipment and vehicular traffic entering and exiting the mill.
rn
The significant materials prone to tracking include: coal, Coal combustion fly and bottom ash, lime waste and
m
wastewater treatment plant sludge.
5
0
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 for specificguidance.)
Stormwater Treatment
Codes
Outfall
from
Number
Control Measures and Treatment
Exhibit
2F-1
(list)
1
Housekeeping, preventative maintenance, spill prevention
NA
2
Housekeeping, preventative maintenance, spill prevention
NA
3
Housekeeping, preventative maintenance, spill prevention
NA
4
Housekeeping, preventative maintenance, spill prevention
NA
5
Housekeeping, preventative maintenance, spill prevention
NA
6
Outfall 6 is an upgradient perennial stream sampled to provide background conditions
NA
EPA Form 3510-2F (Revised 3-19) Page 2

T
M
ES Permit Number Facility Name Form Approved 03/05/19
NCS000105 Evergreen Packaging I
OMB No. 2040-0004
5.1 1 certify under penalty of law that the outfallis) 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
John A. McCarthy General Manager
5.2 Provide the testing information requested in the table below.
Outfall Description of Testing Method Used
Number
1 TSS and pH
3 /31 / 2-o zz�
Date(s) of Testing I Directly Observed
03/21/2022 I Outfall l Drainage Area
2
*Not sampled as this is a perennial stream
NA
NA
3
*Not sampled as this is a perennial stream
NA
NA
4 I Outfall observation during dry period -no discharge I NA I Outfall 4 Drainage Area
5 1 T55 and pH I 03/21/2022 I Outfall 5 Drainage Area
6 1 *Not sampled as this is a perennial stream I NA I NA
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
No leaks or spills of toxic or hazardous pollutants, at or above a reportable quantity, have occurred in the last three
years.
The mill has reported two events to the National Response Center and DEQ related to sheen being caused on the
Pigeon River: 1) May 3, 2021- a minor discharge of process wastewater occurred from the mill sewer system and 2)
June 3, 2021- a sheen was observed related to a historical release of a petroleum product to groundwater.
See the 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.
E 7.1 Is this a new source or new discharge?
`o ❑ Yes 4 See instructions regarding submission of 0 No 4 See instructions regarding submission of
= estimated data. actual data.
v
Tables A, 8, C, and D
N 7.2 Have you completed Table A for each outfall?
Z Yes ❑ No
EPA Form 3510-21' (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCS000105
Evergreen Packaging
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 4SKIP to Item 7.18. 0 No
7.8
Do you know or have reason to believe any pollutants in Exhibit 217-3 are present in the discharge?
❑ Yes ❑ No 4 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?
e
❑ Yes ❑ No
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 4 SKIP to Item 7.12.
7.11
Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 ppb or greater?
W
c,: _
❑ Yes ❑ No
iv,-
7.12
Do you expect acrolein, acrylonitrile, 2,4-dinitrophenol, or 2-methyl4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes 0 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 ❑.r No
Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes 0 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
NCS000105
Evergreen Packaging
OMB No. 2040-0004
a
Used or Manufactured Toxics
7.18
Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
❑ Yes ❑ No 4 SKIP to Section 8.
0
7.19
List the pollutants below, including TCDD if applicable.
0
1, Chlorine 4, Sulfide 7•
w
rn
2. 8.
5.
Oil and Grease Sulfite
u
Mn
6.
3. 9.
Sulfate Surfactants
SECTIONBIOLOGICAL
T• r
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.
N
�
8.2
Identify the tests and their purposes below.
'
Testis)
Purpose of Testis)
Submitted to NPDES
Date Submitted
.x
Permitting Authority?
0
~
❑ Yes ❑ No
U
❑ Yes El No
0
m
❑ Yes ❑ No
SECTION•
• • r
Were any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or
9.1
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
0
H
Laboratory address
.y
T
N
C
Q
U
A
oPhone
number
U
Pollutant(s) analyzed
EPA Form 3510-21F (Revised 3-19) Page 5

EPA Identification Number
NPDES Permft Number Facility Name Form Approved 03105119
OMa No. 2040-0004
NCS000305 Evergreen Packaging
SECTIONr
CHECKLIST
AND CERTIFICATION STATEMENT (40
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 coreplete all sections or provide attachments.
Column 1
Column 2
✓❑ Section 1
❑✓ w/ attachments (e.g., responses for additional outtalls)
❑� Section 2
❑ w/ attachments
❑ Section 3
❑� w/ site drainage map
❑� Section 4
❑� w/ attachments
Section 5
wl attachments
0 Section 6
❑ wl attachments
v
❑� Section 7
V1 Table A ❑ wl small business exemption request
5
65
o
[ITable B Elw/ analytical results as an attachment
❑ Table C ❑ Table D
❑� Section 8
❑ w/attachments
c
y_
❑✓ Section 9
❑ w/attachments (e.g., responses for additional contact laboratories or firms)
Y
s
❑� Section 10
❑
c'
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 qualfed personnel property 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
John A. McCarthy
General Manager
Signature �
Date signed r
;I 1) 710 2-Z—
EPA Form 3510-2F (Revised 3-19) Page 6

NCS000105
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
EPA Form 2F Section 1.Outfall Location 1.1 Additional Sheet
NPDES Stormwater Outfalls
Outfall ID Number
Receiving Water Name
Latitude
Longitude
7
Camp Branch
35° 32' 17.235"
-820 50' 42.3054"
8
Pigeon River
350 32' 18.9774"
-82* 50' 40.2108"
9
Pigeon River
350 32' 21.357"
-820 50' 43.8216"
14
Pigeon River
35* 32' 15.1866"
-820 50' 42.0576"
15
Pigeon River
350 32' 16.2018"
-820 50'42.1512"jj

NCS000105
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
EPA Form 2F Section 4. Pollutant Sources 4.1 Additional Sheet
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
8
10.7
18 9
ACRES
ACRES
specify units
specify units
9
1.7
4.5
ACRES
ACRES
specify units
specify units
14
0.8
2.5
ACRES
ACRES
specify units
specify units
15
1.7
1.9
ACRES
ACRES

NCS000105
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
EPA Form 2F Section 4.3 Stormwater Treatment Additional Sheet
Stormwater Treatment
Codes from
Outfall
Control Measures and Treatment
Exhibit
Number
2F-1
(list)
Housekeeping, preventative maintenance, spill prevention, Ultra -Drain Guards installed
7
(materials are replaced and disposed as solid waste as needed)
Filtered
8
Housekeeping, preventative maintenance, spill prevention
NA
9
Housekeeping, preventative maintenance, spill prevention
NA
14
Housekeeping, preventative maintenance, spill prevention
NA
Housekeeping, preventative maintenance, spill prevention, Ultra -Drain Guards installed
15
(materials are replaced and disposed as solid waste as needed)
Filtered

NC5000105
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
EPA Form 2F Section 5. Non Stormwater Discharges 5.2 Additional Sheet
Outfall
Number
Description of Testing Method Used
Date(s) of Testing
Onsite Drainage Points
Directly Observed
During Test
7
*Not sampled as this is a perennial stream
NA
NA
8
TSS and pH
3/21/2022
Outfall 8 Drainage Area
9
TSS and pH
3/21/2022
Outfall 9 Drainage Area
14
Outfall observation during dry period - no discharge
NA
Outfall 14 Drainage Area
15
Outfall observation during dry period - no discharge
NA
Outfall 15 Drainage Area

NCS000105
Blue Ridge Paper Products, LLC DBA Evergreen Packaging
EPA Form 2F Table A. Conventional and Non -Conventional
Parameters
Outfall ID
Sample Date
pH (S.U.)
TSS (mg/L)
Total
Rainfall
(inches)
1
2/11/2021
6.93
28
0.64
12/29/2021
7.8
7
0.39
3/21/2022
7.43
4
0*
2
2/11/2021
7.1
13
0.64
12/29/2021
7.7
167
0.39
3
2/11/2021
7.1
5
0.64
12/29/2021
7.9
104
0.39
4
2/11/2021
No Flow
No Flow
0.64
12/29/2021
7.5
82
0.39
5
2/11/2021
7.4
53
0.64
12/29/2021
No Flow
No Flow
0.39
3/21/2022
7.73
5
0*
6
2/11/2021
6.9
3
0.64
12/29/2021
7.6
8
0.39
7
2/11/2021
7.7
213
0.64
12/29/2021
8
5
0.39
8
2/11/2021
No Flow
No Flow
0.64
12/29/2021
6.8
12
0.39
3/21/2022
6.79
19
0*
9
2/11/2021
7.8
98
0.64
12/29/2021
8.1
318
0.39
3/21/2022
8.16
127
0*
14
2/11/2021
No Flow
No Flow
0.64
12/29/2021
No Flow
No Flow
0.39
15
2/11/2021
8.3
1007
0.64
12/29/2021
No Flow
No Flow
0.39
mg/L - milligrams per liter
S.U. -standard units
TSS - Total Suspended Solids
* - source of flow was groundwater

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