NCG210505_Application_20221205

RECEIVED
FOR AGENCY USE ONLY NCG21 0 0
QFG 0 5 2022
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Assigned to: C 010
ARO FRO MRO RO WARO WIRO WSRO DEMLR-StormwaterProgram
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG210000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 24 member Products, including Wood Chip Mills — except as specified below] and like
activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products by-
products, or waste materials. The following activities are specifically excluded from coverage under this General
Permit: SIC2434 [Wood Kitchen Cabinets], SIC2491 [Wood Preserving], and SIC1411 [Logging]. You can find
information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, INC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
UFP Franklinton, LLC
Lyle Davis
Street address:
City:
State:
Zip Code:
2801 East Beltline Ave NE
Grand Rapids
I MI
49525
Telephone number:
Email address:
(616)-365-1591
[e-mail]
Type of Ownership:
Government
E3County [3Federal OMunicipal
[3State
Non -government
OBusiness (if ownership is business, a copy
of NCSOS report must be included with this application)
Dlndividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
UFP Franklinton, LLC
Joe Mark
Street address:
City:
State:
Zip Code:
6863 NC 56 Hwy
Franklinton
NC
27525
Parcel Identification Number (PIN):
County:
006941
Franklin
Telephone number:
Email address:
(919}496-6133
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2441/2448
[3 New O Proposed MExisting
2014
Latitude of entrance:
Longitude of entrance:
36.051624 N
78.222253 W
Brief description of the types of industrial activities and products manufactured at this facility:
Manufacturing of Wood Pallets and Crates
This facility will produce Wood Pellets: 13Yes ONo
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
O N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
N.A.
N.A.
Street address:
City:
State:
Zip Code:
N.A.
N.A.
N.A.
N.A.
Telephone number:
Email address:
N.A.
N.A.
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑This water is impaired.
001
Buffalo Creek
N.A.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
36.052337 N
78.222672 W
Brief description of the industrial activities that drain to this outfall:
Manufacturing of Wood Pallets and Crates
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? M Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
About i gallon of new motor oil a month and all vehicle maintenance is conducted indoors and not exposed to stone water runoff
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑ This water is impaired.
1 ❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑ This water is impaired.
1 ❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOI.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
N.A.
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
N.A.
EI This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Ca ing lrrr tl1et* arourM" WNW5 dh,e storm wafer away from W lags mM atorape. Gm NOesekeGON: Swee*g, Vash pk p,")War mpecEane of"Wpmem aM amw arse.
13 This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
SWPPP was implement November 16, 2022
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
N.A.
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
N.A.
N.A.
How material is stored:
Where material is stored:
N.A.
N.A.
Number of waste shipments per year:
Name of transport/disposal vendor:
N.A.
N.A.
Transport/disposal vendor EPA ID:
Vendor address:
N.A.
N.A.
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
N.A.
6. Required items (Application will be returned unless all of the following items have been included):
O Check for $100 made payable to NCDEQ
O Copy of most recent Annual Report to the NC Secretary of State (if applicable)
0 This completed application and any supporting documentation
El A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where materials are stored
g) impervious areas
h) site property lines
O Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.6E (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 ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
El I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
O The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
O I will abide by all conditions of the NCG210000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
O I hereby request coverage under the NCG210000 General Permit.
Printed Name of Applicant: Lyle Davis
Title: General Manager of Operations
I I I za I ao as
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

Additional Outfalls
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑ This watershed
❑ This water is imlYes[3
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall?
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3 4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑ This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
N.A.
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
N.A.
Name of receiving water:
1
Classification:
❑ This water is impaired.
113 This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

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LEGEND:
Approximate Location of Plant Boundaries —
1- Paved Area with Lumber Storage
2 —Gravel Areas
Figure 2 — Site Layout Map
UFP Franklinton, LLC
Franklinton, NC

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Or
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Outfall 001 Moving/Storage
Building
Warehouse Building Storage Shed
Baghouse
Low-lying
Grassy Area
Loading/Unloading
Industrial
Office Building
36
Maintenance
Shop ��
ss
x
• — A
0 Feet et 120
LEGEND:
Approximate Location of Plant Boundaries —
1— Paved Area with Lumber Storage
2 — Gravel Areas
3— Wooded Areas
Stormwater Flow Direction --------►
Figure 3—Storm Water Flow Map
UFP Franklinton, LLC
Franklinton, NC

o
MILES
UFP Franklinton, LLC
6863 NC 56 Hwy
Franklinton, NC 27525
North Raleigh -J /
Airport (�
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MN.•
N
9'34'
170 MILS
1.35'
n MILS
NORTH
FIGURE 1—Site Location Map
UP Franklinton, LLC
Franklinton, North Carolina (Source: 2019 USGS, 7.5-Minute Louisburg and Franklinton, NC Quadrangle)

,,r 7_ rl LIMITED LIABILITY COMPANY ANNUAL REPORT
U6I2022
NAME OF LIMITED LIABILITY COMPANY: UFP Franklinton, LLC
Ding office Use Only
SECRETARY OFSTATE ID NUMBER: 1375757 STATE OF FORMATION: MI E- Filed Annual Report
1375757
AMENDING DOC ID CA202205402553
REPORT FOR THE CALENDAR YEAR:
2022 a 2123/2022 02:15
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS S. PRINCIPAL OFFICE MAILING ADDRESS
6863 NC 56 Hwy 6863 NC 56 Hwy
Franklinton, NC 27525-7379 Franklinton, NC 27525-7379
6. Select one of the following if applicable. (Optional see Instructions)
❑ The company Is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Lyle Davis NAME: Joseph Granger NAME:
TITLE: Manager TITLE: Manager TITLE:
ADDRESS:
ADDRESS:
6863 NC 56 Hwy 6863 NC 56 Hwy
Franklinton, NC 27525-7379 Franklinton, NC 27525-7379
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Joseph Granger
SIGNATURE
Form most be signed by a Company Official listed under Section C of This forth.
Joseph Granger
Print or Type Name of Company Official
2/23/2022
DATE
Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525. Raleigh, NC 27626-0525

® UFP INDUSTRIES
2801 EAST BELTLINE NE
GRAND RAPIDS, MI 49525
616.364.6161
UFPI.COM
November 29, 2022
North Carolina Department of Environmental Quality
DEMLR — Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Application for General Stormwater Permit
UFP Franklinton, LLC, Franklinton, North Carolina (Plant 418)
Dear Sir/Madam:
Please find enclosed a copy of the Notice of Intent (NOI) to obtain a General Permit for
Discharges of Stormwater Associated with Industrial Activities for the UFP Franklinton,
LLC facility in Franklinton, NC (Plant 418). Also enclosed are:
A $100.00 check to cover the NOI filing fee
Appropriate topographic and other maps
The most recent Annual Report to the NC Secretary of State
If you have any questions, please do not hesitate to contact me at
[e-mail].
Sincerely,
Davin McMullin
Regulatory Compliance Associate