NC0090051_Renewal (Application)_20221201 (2)

kc TsSTATE,�
ROY COOPER .
Governor =sal
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ELIZABETH S.BISER 17"
Secretary /
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director - - - Environmental Quality
December 01, 2022
Georgia-Pacific Wood Products LLC
Attn: Mason Curry, Plant Manager
139 Brewington Rd
Dudley, NC 28333
Subject: Permit Renewal
Application No. NC0090051
Georgia Pacific Dudley Plywood Facility
Wayne County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 1, 2022, receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerecv
StigA
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/applicationE CV) -
North Caro Drt of EroetalQuality I iiio
Washington Regionallinaepa
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Georgia-Pacific Wood Products LLC
GP Georgia-Pacific 1139iBrewi ywood
ngt n Road
Dudley, NC 28333
RECEIVED
November 28,2022 DEC 0 1 2022
NC DENR/DWR/NPDES Unit NCDEQJDWWNPDES
1617 Mail Service Center
Raleigh,NC 27699-1617
RE: Georgia-Pacific Wood Products LLC
Dudley Plywood Facility
NPDES Permit No.NC0090051 -Renewal Application
Dear Sir or Madam:
As required by the NPDES Permit No. NC0090051, attached are the original and 2 copies of the
completed NPDES Application Forms for renewal of the current permit. This permit was originally issued
on July 7, 2022 for the wet deck system. During the fmal design and install, it was determined that six
sprinkler heads (instead of four) were required to provide proper coverage. The pond calculations have
been updated to reflect the updated operations. The pond residence time will decrease form 88.3 hours to
53.2 hours as a result of the increase. The wet deck system is scheduled to commence operation
December 15th,2022.
Should you have any questions or need additional information, please contact Elizabeth Meyer, Complex
Environmental Manager,at 910-547-7080 or via e-mail at [e-mail]
gapac.com
Sincerel
Mason Curry
Plant Manager
Dudley Plywood
Attachments: NC0090051 Renewal Application

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r
National Pollutant Discharge Elimination System
Individual Permit Application
Georgia Pacific Plywood Facility
Dudley, Wayne County, North Carolina
Prepared by:
COURY '
scri'd=f 3 Etirit Alf411iG rs;C
Coury Science&Engineering, PLLC
PO Box 125
Hampstead, North Carolina 28443
November 2022

Georgia Pacific Dudley NPDES Permit Application November 2022
TABLE OF CONTENTS
Section 1: Introduction 3
Permit Request and Permit Fees 3
Facility Information 3
Document Organization 3
Section 2: Site Information 5
Site Location 5
Description of Manufacturing Process 5
Site Map 6
Section 3: Effluent Description and Treatment 6
Description of Discharged Wastewater and Treatment 6
Estimated Effluent Data 6
Engineering Design of Settling Pond 6
Section 4: Application Form 8
Appendix 1 Site Map 9
Appendix 2 Topographic Map 10
Appendix 3 Wastewater Flow Line Diagram 11
Appendix 4 Stormwater supporting calculations 12
Page 2 of 13

t
Georgia Pacific Dudley NPDES Permit Application November 2022
SECTION 1: INTRODUCTION
Georgia-Pacific Wood Products LLC (GP) owns and operates a Plywood manufacturing plant in Dudley, Wayne
County, North Carolina. GP operations are categorized under North American Industrial Classification System
(NAICS) code 321212 for softwood veneer and standard industrial classification (SIC) code of 2436 for softwood
veneer and plywood.
The facility is proposing to permit wastewater discharges from a wet deck operation.
PERMIT REQUEST AND PERMIT FEES
The GP Dudley facility is covered by NPDES Permit NC00900051 with an expiration date of May 31, 2023. This
renewal application is being submitted at least 180 days prior to expiration. Included in this package is one original
and two copies of the application as required.
GP is requesting to add the following non-stormwater discharge activities to the permit as part of the renewal:
1. Discharges from emergency/unplanned fire-fighting activities;
2. Fire hydrant flushings;
3. Potable water, including water line flushings;
4. Uncontaminated condensate from air conditioners, coolers, and other outside storage of refrigerated
gases or liquids;
5. Irrigation drainage;
6. Landscape watering, provided all pesticides, herbicides, and fertilizers applied in accordance with the
approved labeling;
7. Pavement wash waters where no detergents or cleaning products are used;
8. Routine external building washdown power/wash water that does not use cleaning products;
9. Uncontaminated ground water or spring water;
10. Foundational or footing drains where flows are not contaminated with process materials;
Additionally, during the final design and install,it was determined that six sprinkler heads were required to provide
proper coverage.The pond calculations have been updated to reflect the updated operations. The pond residence
time will decrease form 88.3 hours to 53.2 hours as a result of the increase.
FACILITY INFORMATION
The physical and mailing address for GP facility is as follows:
139 Brewington Road
Dudley, North Carolina 28333
To facilitate review of this application, please contact the following individuals identified below.
Preparer's Contact Information: Facility's Contact Information:
Sean Coury, PE(NC) Elizabeth Meyer
Partner Environmental Manager
Coury Science& Engineering, PLLC Georgia-Pacific Wood Products LLC
[phone] Dudley Plywood and Chip-N-Saw
[e-mail] [phone]
[e-mail]
DOCUMENT ORGANIZATION
Page 3 of 13

Georgia Pacific Dudley NPDES Permit Application November 2022
This permit application is divided into five sections and various appendices. Tables are included throughout the
document and are referenced in the table of contents. The seven sections and four appendices are as follows:
Section 1 Introduction
Section 2 Site Information
Section 3 Effluent Description and Treatment
Section 4 Application Form
Refer to the table of contents for a detailed listing of tables and figures.
Page 4 of 13

Georgia Pacific Dudley NPDES Permit Application November 2022
SECTION 2: SITE INFORMATION
This section provides information on the site location,surrounding terrain, and description of industrial activities.
SITE LOCATION
The GP Dudley Complex is located in Dudley,North Carolina in Wayne County.The approximate Universal Transverse
Mercator (UTM) coordinates of the facility are Zone 17, 769.8 km east and 3,906.1 km north, at an elevation of
approximately 180 feet above mean sea level. Refer to the Area Map in Appendix A for additional details.
DESCRIPTION OF MANUFACTURING PROCESS
The GP Dudley Facility consists of a Chip-N-Saw (CNS) lumber mill and a Plywood manufacturing facility. The co-
located CNS Mill is separated from the Plywood Plant by a CSX rail spur that runs east to west with the manufacturing
areas of the Plywood Plant situated south of the spur.The Plywood Plant operates under North American Industry
Classification System (NACS) Code 321212, Softwood Veneer and Plywood Manufacturing, and employs up to 400
employees. The CNS Mill operates under NAICS Code 321213, Softwood Sawmill, and employs approximately 170
employees. Production process areas at the plywood facility consist primarily of the logyard, green end (lathes),
dryers,presses,finishing/shipping,and the boiler. Major production processes for the CNS include sawing(sawmill),
drying(kilns),and finishing(planer mill).The facility operates 24 hours per day,7 days per week.
The Plywood Plant receives pine and softwood logs and stores them on the log yard prior to processing.The logs are
debarked,cut to length,conditioned in steam-heated dryers,graded and formed into plywood panels by gluing and
pressing. After pressing, the plywood sheets are trimmed, sanded, and sorted for shipping. Finished product and
manufacturing process residuals are shipped offsite via truck and rail.
The topography of the GP Dudley Plywood Plant and surrounding area is relatively flat.Stormwater runoff from the
majority of the manufacturing areas from the Plywood Plant that is not conveyed to the wet deck pond is discharged
to Outfall 001. The outfall is located at the southwest corner of the property.Stormwater runoff from the majority
of the manufacturing areas of the Plywood site generally flows south or southwest via sheet flow, soil ditches, or
underground piping into the spill retention pond located along Brewington Road on the south side of the Plant.The
spill pond discharges into the Plant's stormwater treatment pond and then to Outfall 001. Runoff from the northern
part of the Plant flows west and then south via an open soil ditch directly to Outfall 001.
Stormwater runoff from a grassed area on the northwest corner of the Plywood facility discharges to Outfall 002
under North Carolina Department of Environmental Quality(NCDEQ)General Permit NCG210000(COC NCG210168).
Outfall 002 discharges into an open ditch on the west side of the railroad (located on the west side of the facility).
This ditch converges with the discharge from Outfall 001, which discharges to an unnamed tributary of Brooks
Swamp.
The Plywood Plant's nondischarge wastewater permit (WQ0003380) requires that all categorical non-discharge
process wastewater and the effluent from the facility's oil water separator be recycled or discharged to the county
wastewater treatment facility (POTW). All sanitary wastewater, with the exception of the training room, is
discharged to the POTW. Sanitary wastewater from the training room is discharged to an on-site septic tank/leach
field located on the east side of the office building.

Georgia Pacific Dudley NPDES Permit Application November 2022
SITE MAP
A site map depicting the facility and surrounding areas is located in Appendix 1. The log storage area where the wet
deck operation will take place has been outlined in red and the location of the settling basin is outlined in blue. The
facility outfall location has been denoted with a red star on the site map.
A topographic map that shows the terrain of the site and surrounding areas is included in Appendix 2.
SECTION 3: EFFLUENT DESCRIPTION AND TREATMENT
This section describes the effluent that will be generated from the wet decking operation and the method of
wastewater treatment.
DESCRIPTION OF DISCHARGED WASTEWATER AND TREATMENT
Georgia-Pacific is proposing to permit discharge from a wet decking operation,which will be used to spray water
onto the log storage piles especially during warmer, dryer months. Water will be pumped from the stormwater
collection pond or from a groundwater well and then sprayed onto logs stockpiled on the wet deck via spray
nozzles. The wet decking pad will be paved with concrete and will be sloped in a manner that will ensure water
will flow into a detention/settling pond prior to discharge via Outfall 001,indicated on the site map in Appendix 1.
The wet decking operation consists of six sprinkler heads,each with an approximate flow rate of 113 gallons per
minute(gpm). The calculated maximum flow rate is 0.979 million gallons per day(MGD),assuming 113 gpm from
each of six sprinkler heads for 1,440 minutes per day. No chemicals will be added for the wet decking operation.
A water flow line diagram is included in Appendix 3.
ESTIMATED EFFLUENT DATA
US EPA effluent limitations guidelines for Timber Products Processing(40 CFR 429),Subpart I,Wet Storage
Subcategory,states that there shall be no debris discharged from the wet decking operation and provides ranges
for effluent pH. As required by these federal effluent limitations guidelines,there will be no debris present in the
effluent and the pH will remain within the range of 6.0 to 9.0. To ensure that no debris will be present in the
discharge,all runoff associated with the wet decking operation will be routed to a settling pond prior to discharge.
In accordance with the Neuse River Basinwide Water Quality Plan, Brooks Swamp is classified as a NSW(Nutrient
Sensitive Water)which requires wastewater dischargers to set permitted nitrogen and phosphorus limits of 3 mg/I
and 1 mg/I, respectively. Based on the characteristics of the wastewater stream and the design of the wet settling
basin, effluent nitrogen and phosphorus quantities are expected to be well within these specified limits.
The water withdrawal/discharge system is designed to have the option of operating as a single pass system to
prevent concentrations of BOD from increasing. The wet deck operation will have the option of pulling water out
of the collection pond during wet weather periods where the pond is turning over frequently or from a
groundwater well during drier periods. Additionally,incoming water will pass through a filter to minimize the
amount of bark that is introduced to the settling basin. The facility will also have the option of diverting
wastewater to the spill pond to provide an additional pretreatment step and reduce solids in the permanent pool.
ENGINEERING DESIGN OF SETTLING POND
The runoff from the wet decking operation will be diverted to a wet detention pond prior to discharge to surface
waters. The pond has been designed in accordance with USDA Soil Conservation Services Practice Standard Code

r
Georgia Pacific Dudley NPDES Permit Application November 2022
No.378 and the North Carolina Department of Environment and Natural Resources(NCDENR) Practice Standards
and Specifications for Sediment Basins. Appendix 4 includes a drawing of the settling pond and supporting
calculations. The pond is designed with a 3.3:1 length to width ratio,which is greater than the recommended
minimum of 2:1. The volume of the pond is 284,000 cubic feet and results in a hydraulic residence time of 53.2
hours at maximum dry weather flows. Additionally,the facility will be designed with the option of diverting
wastewater to a 35,000 cubic foot spill pond to enhance solids removal and reduce the cost of pond cleanouts.

Georgia Pacific Dudley NPDES Permit Application November 2022
SECTION 4: APPLICATION FORM

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 2 EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
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
a production facility? currently discharging process wastewater?
Yes 4 Complete Form 1 ❑✓ No D Yes 4 Complete Form ❑✓ No
a and Form 2B. 1 and Form 2C.
`o 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?
0 E✓ Yes 4 Complete Form 1 ❑ No Yes 4 Complete Form E No
ce and Form 2D. 1 and Form 2E.
N
61 1.2.5 Is the facility a new or existing facility whose
.5 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 0✓ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Georgia-Pacific Wood Products LLC Dudley Plywood Facility
0 2.2 EPA Identification Number
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110000349855
2.3 Facility Contact
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Name(first and last) Title Phone number
--0 Elizabeth Meyer Facility Environmental Manager [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
Street or P.O.box
139 Brewington Dr
City or town State ZIP code
Dudley NC 28333
EPA Form 3510-1(revised 3-19) Page 1

,
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051
Georgia-Pacific Dudley Plywood OMB No.2040-0004
H d 2.5 Facility Location
-a Street,route number,or other specific identifier
Q r c 139 Brewington Dr
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c o County name County code(if known)
Wayne
d City or town State ZIP code
z Dudley NC 28333
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
243 Millwork,plywood,and structural members
N
N
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0
U
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• 3.2 NAICS Code(s) Description(optional)
10 321212 Softwood veneer and plywood manufacturing
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Georgia-Pacific Wood Products LLC
• 4.2 Is the name you listed in Item 4.1 also the owner?
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A
0 ❑✓ Yes ❑ No
4.3 Operator Status
g`
,a D Public—federal ❑ Public—state ❑ Other public(specify)
P fy)
o ❑✓ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
O Street or P.O. Box
139 Brewington Rd
wCity or town State ZIP code
w v Dudley NC 28333
0_ Email address of operator
[e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
0 5.1 Is the facility located on Indian Land?
c co
❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m NPDES(discharges to surface LZI RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
y NCG210168 NCD000813659
w a ❑✓ PSD(air emissions) ElNonattainment program(CAA) ❑✓ NESHAPs(CAA)
NC0000003709600058 NC0000003709600058
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑✓ Other(specify)
WQ0003380
SECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
Co specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Plywood manufacturing
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SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
.3 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
a ' 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
c
NPDES permitting authority to determine what specific information needs to be submitted and when.)
43
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SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
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.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
CD
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
co
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

ti Ii
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
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 ❑ wl attachments
❑✓ Section 4:Operator Information ❑ wl attachments
❑✓ Section 5:Indian Land ❑ wl attachments
❑✓ Section 6:Existing Environmental Permits ❑ wl attachments
CD
w/topographic
❑✓ Section 7:Map ❑✓ map ❑ w/additional attachments
o ❑✓ Section 8:Nature of Business ❑ w/attachments
❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
�' ❑✓ Section 10:Variance Requests ❑ wl attachments
❑✓ Section 11:Checklist and Certification Statement ❑ wl attachments
d 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 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
11401 2-1--
EPA Form 3510-1(revised 3-19) Page 4

•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
U.S.Environmental Protection Agency
Form Application for NPDES Permit to Discharge Wastewater
NPDES vIEPA NEW MANUFACTURING,COMMERCIAL,MINING,AND SILVICULTURAL OPERATIONS
THAT HAVE NOT YET COMMENCED DISCHARGE OF PROCESS WASTEWATER
SECTION 1.EXPECTED OUTFALL LOCATION(40 CFR 122.21(k)(1))
1.1 Provide information on each of the facility's outfalls in the table below.
c Outfall Receiving Water Latitude Longitude
Number Name
CO
0
0 001 Brooks Swamp 35° 15' 36" 78° 02' 117"
R ° , „ ° ,
II
° ° , II
SECTION 2.EXPECTED DISCHARGE DATE(40 CFR 122.21(k)(2))
0 cu 2.1 Month Day Year
U co N
a N o 12 15 2022
w o
SECTION 3.AVERAGE FLOWS AND TREATMENT(40 CFR 122.21(k)(3)(i))
3.1 For each outfall identified under Item 1.1,provide average flow and treatment information.Add additional sheets as
necessary.
**Outfall Number** 001
Operations Contributing to Flow
Operation Average Flow
Wet Deck 0.979 mgd
Stormwater 0.203 mgd
c' mgd
1,-'0 mgd
1—
mgd
3
o Treatment Units
Li
0. Description Code from Final Disposal of Solid or Liquid
(o (include size,flow rate through each treatment unit, Exhibit 2D 1 Wastes Other Than by Discharge
aretention time,etc.)
284,000 cubic foot retention pond(53.2 hr retention) 1-U Land Apply
Screens 1-T Boiler Fuel
EPA Form 3510-2D(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood
OMB No.2040-0004
3.1 "Outfall Number"
Cont. Operations Contributing to Flow
Operation Average Flow
mgd
mgd
mgd
mgd
mgd
Description Code from Final Disposal of Solid or Liquid
(include size,flow rate through each treatment unit, Exhibit 2D-1 Wastes Other Than by Discharge
retention time,etc.)
-0
d
0
U
w..
C i
l0
N
H
CO **Outfall Number**
0 Operations Contributing to Flow
u- Operation Average Flow
0
mgd
0
mgd
mgd
mgd
mgd
Description Code from Final Disposal of Solid or Liquid
(include size,flow rate through each treatment unit, Exhibit 2D-1 Wastes Other Than by Discharge
retention time,etc.)
EPA Form 3510-2D(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood
OMB No.2040-0004
SECTION 4.LINE DRAWING(40 CFR 122.21(k)(3)(ii))
rn 4.1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
0.3 c 3 balance?(See instructions for drawing requirements. See Exhibit 2D-2 at end of instructions for example.)
J
0Ei
❑✓ Yes ElNo
SECTION 5.INTERMITTENT OR SEASONAL FLOWS(40 CFR 122.21(k)(3)(iii))
5.1 Except for stormwater runoff,leaks,or spills,are any expected discharges described in Sections 1 and 3 intermittent
or seasonal?
❑ Yes ✓❑ No 4 SKIP to Section 6.
5.2 Provide information on intermittent or seasonal flows for each applicable outfall.Attach additional pages,if
necessary.
Outfall Operations Fre uency Rate and Volume
Number (list) Average Average Maximum Daily Maximum Total Duration
Days/Week Months/Year Discharge Volume
days/week months/year mgd gallons days
o days/week months/year mgd gallons days
-
ri
c days/week months/year mgd gallons days
0
d
Frequency Rate and Volume
Cl) Outfall Operations Average Average Maximum Daily Maximum Total Duration
o Number (list) Days/Week Months/Year Discharge Volume
C
p days/week months/year mgd gallons days
E
c days/week months/year mgd gallons days
days/week months/year mgd gallons days
Outfall Operations Frequency Rate and Volume
Number (list) Average Average Maximum Daily Maximum Total Duration
Days/Week Months/Year Discharge Volume
days/week months/year mgd gallons days
days/week months/year mgd gallons days
days/week months/year mgd gallons days
SECTION 6.PRODUCTION(40 CFR 122.21(k)(4))
6.1 Do any effluent limitation guidelines(ELGs)promulgated by EPA under CWA Section 304 apply to your facility?
❑✓ Yes 0 No-3 SKIP to Section 7.
6.2 Provide the following information on applicable ELGs.
0
�.. ELG Category ELG Subcategory Regulatory Citation
0
2 2 Timber Products Processing Subpart I,Wet Storage 40 CFR 29
a_
EPA Form 3510-2D(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No.2040-0004
110000349855 NC0090051 Georgia-Pacific Dudley Plywood
6.3 Are the limitations in the applicable ELGs expressed in terms of production(or other measure of operation)?
❑ Yes ❑✓ No 4 SKIP to Section 7.
6.4 Provide an expected measure of average daily production expressed in terms and units of applicable ELGs.
Expected Actual Average Daily Production for First Three Years
Outfall Quantity per Day Unit of Measure
Number Year Operation,Product,or Material (note basis if applicable)
Year 1
Year 2
N
Year 3
U
0 Year 1
-a
0
a Year 2
Year 3
Year 1
Year 2
Year 3
SECTION 7.EFFLUENT CHARACTERISTICS(40 CFR 122.21(k)(5))
See the instructions to determine the parameters and pollutants you are required to monitor and,in turn,the tables you must
complete.Note that not all applicants need to complete each table.
Table A.Conventional and Non-Conventional Parameters
7.1 Are you requesting a waiver from your NPDES permitting authority for one or more of the Table A parameters for any
of your outfalls?
❑ Yes ✓❑ No 4 SKIP to Item 7.3.
7.2 If yes,indicate the applicable outfalls below.Attach waiver request and other required information to the application.
Outfall number Outfall number Outfall number
53 7.3 Have you have provided estimates or actual data for all Table A parameters for each of your outfalls for which a
waiver has not been requested and attached the results to this application package?
No;a waiver has been requested from my
co
❑✓ Yes ❑ NPDES permitting authority for all parameters at
all outfalls.
Table B.Certain Conventional and Non-Conventional Pollutants
7.4 Have you checked"Believed Present"for all pollutants listed in Table B that are limited directly or indirectly by an
applicable ELG?
❑✓ Yes ❑ No
7.5 Have you checked"Believed Present"or"Believed Absent"for all remaining pollutants listed in Table B?
❑✓ Yes ❑ No
7.6 Have you provided estimated data for those Table B pollutants for which you have indicated are"Believed Present"
in your discharge?
❑✓ Yes ❑ No
EPA Form 3510-2D(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
Table C.Toxic Metals,Total Cyanide,and Total Phenols
7,7 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table C
for all outfalls?
❑✓ Yes ❑ No
7.8 Have you completed Table C by providing estimated data for pollutants you indicated are"Believed Present,"
including the source of the information,for each applicable outfall?
❑✓ Yes ❑ No
Table D.Organic Toxic Pollutants(GCIMS Fractions)
7.9 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4 Note that you qualify at the top of ❑ No
Table D,then SKIP to Item 7.12.
7.10 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed on Table D
for all outfalls?
© Yes ❑ No
0
0 7.11 Have you completed Table D by providing estimated data for pollutants you indicated are"Believed Present,"
including the source of the information,for each applicable outfall?
7-7 © Yes ❑ No
2,3,7,8-Tetrachlorodibenzo-p-Dioxin(TCDD)
co
7.12 Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the Instructions,or do you
know or have reason to believe that TCDD is or may be present in effluent from any of your outfalls?
ai ❑
Yes ❑✓ No
Table E.Certain Hazardous Substances and Asbestos
7.13 Have you indicated whether pollutants are"Believed Present"or"Believed Absent"for all pollutants listed in Table E
for all outfalls?
© Yes ❑ No
7.14 Have you completed Table E by reporting the reason the pollutants are expected to be present and available
quantitative data for pollutants you indicated are"Believed Present"for each applicable outfall?
❑✓ Yes ❑ No
Intake Credits,Tables A through E
7.15 Are you applying for net credits for the presence of any of the pollutants on Tables A through E for any of your
outfalls?
❑ Yes 4 Consult with your NPDES permitting © No
authorit .
SECTION 8.ENGINEERING REPORT(40 CFR 122.21(k)(6))
8.1 Do you have any technical evaluations of your wastewater treatment,including engineering reports or pilot plant
studies?
0 ElYes ❑✓ No 4 SKIP to Item 8.3.
0.
a, 8.2 Have you provided the technical evaluation and all related documents to this application package?
a
© Yes ❑ No
8.3 Are you aware of any existing plant(s)that resemble production processes,wastewater constituents,or wastewater
w treatment at your facility?
❑✓ Yes ❑ No 4 SKIP to Section 9.
EPA Form 3510-2D(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No.2040-0004
110000349855 NC0090051 Georgia-Pacific Dudley Plywood
8.4 Provide the name and location of the similar plants.
r
O Name of Similar Plants Location of Similar Plants
w• v
C) Ashton Lewis Gatesville,NC I
c ._
v.. w
N C
m o
C O
C
W
SECTION 9.OTHER INFORMATION(40 CFR 122.21(k)(7))
9.1 Have you attached any optional information that you would like considered as part of the application review process
(i.e.,material beyond that which you have already noted in the application as being attached)?
❑ Yes ❑✓ No 4 SKIP to Section 10.
o 9.2 List the additional items and briefly note why you have included them.
w
co 1.
0
c 2.
d
s 3.
0
4.
5.
SECTION 10.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
10.1 In Column 1 below,mark the sections of Form 2D 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 tables,or provide attachments.
Column 1 Column 2
❑ Section 1: Expected Outfall 0 w/attachments(e.g.,responses for additional outfalls) I
Location
O Section 2:Expected ❑ w/attachments
Discharge Date
Section 3:Average Flows w/attachments
c 0 and Treatment ❑
E
❑✓ Section 4:Line Drawing ❑ w/line drawing ❑ w/additional attachments
co
Section 5:Intermittent or
0 0 El w/attachments
Seasonal Flows
o
0 Section 6:Production ❑ wl attachments
c w/Table A waiver
c ❑ request or ❑✓ Table A
.0 approval
'., Section 7:Effluent ❑✓ Table B ❑✓ Table C
-c 0 Characteristics
0 ❑✓ Table D ❑✓ Table E
❑ w/other
attachments
❑✓ Section 8:Engineering ❑ w/technical evaluations and related attachments
Report
❑✓ Section 9:Other Information 0 w/optional information
❑✓ Section 10:Checklist and ❑ w/attachments
Certification Statement
EPA Form 3510-2D(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
10.2 Certification Statement
v 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 properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
w -a directly responsible for gathering the information,the information submitted is, to the best of my knowledge and
belief,true,accurate,and complete. lam aware that there are significant penalties for submitting false information,
cincluding the possibility of fine and imprisonment for knowing violations.
a 0 Name(print or type first and last name) Official title
tksoc k 4
Signature Date signed
It\2$t?°-
EPA Form 3510-2D(Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL PARAMETER ESTIMATES(40 CFR 122.21(k)(5)(i))1
Effluent Data Intake Water
Waiver Units Maximum Daily Average Daily Believed Present?
Pollutant Requested Source of Information
(if applicable) Discharge Discharge (use codes in instructions) (check only one response per
(required) (if available) parameter)
D Check here if you have applied to your NPDES authority for a waiver for all of the pollutants listed on this table for the noted outfall.
1. Biochemical oxygen ❑ Concentration mg/I 100 4 ❑✓ Yes 0 No
demand(BOD5) Mass
2 Chemical oxygen demand 0 Concentration mg/I 120 4 ❑✓ Yes 0 No
(COD) Mass
3 Total organic carbon 0 Concentration mg/I 50 4 ❑✓ Yes 0 No
(TOC) Mass
Concentration mg/I 36 4
4. Total suspended solids ❑ ❑✓ Yes 0 No
(TSS) Mass
Concentration
5. Ammonia(as N) 0 ❑ Yes ❑✓ No
Mass
6. Flow 0 Rate mgd 0.576 4 ❑✓ Yes 0 No
Temperature(winter) 0 °C °C 60 4
7. ❑✓ Yes ❑ No
Temperature(summer) 0 °C °C 90 4
pH(minimum) ❑ Standard units s.u. 6 4
8. ❑✓ Yes ❑ No
pH(maximum) ❑ Standard units S.U. 9 4
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2D(Revised 3-19) Page 1

This page intentionally left blank.

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(k)(5)(ii))1
Presence or Absence Estimated Data for Pollutants Expected to be Present or Limited by an ELG
(check one) (Provide both concentration and mass estimates for each pollutant.)
Effluent Intake Water
Pollutant Believed Believed Maximum Daily Average Daily Source of Information Believed Present?
Present Absent Units Discharge Discharge (use codes in instructions) (check only one
(required) (if available) response per item)
❑ Check(✓)here if you believe all pollutants listed to be absent from the discharge.You need not complete Table B for the noted outfall unless you have quantitative data available.
1 Bromide 0 0 Concentration 0 Yes 0 No
(24959-67-9) Mass
2 Chlorine,total 0 El Concentration ❑ Yes ✓❑ No
residual Mass
Concentration
3. Color 0 ❑✓ 0 Yes ✓❑ No
Mass
Concentration
4. Fecal coliform 0 ❑✓ 0 Yes 0 No
Mass
Fluoride Concentration
5 El 0
0 Yes ✓❑ No
(16984-48-8) Mass
Concentration
6. Nitrate-nitrite ❑ ❑✓ 0 Yes 0 No
Mass
7 Nitrogen,total ❑ ❑ Concentration ❑ Yes 0 No
organic(as N) Mass
Concentration mg/I 5 p
8. Oil and grease ❑✓ 0 0 Yes ✓❑ No
Mass
9 Phosphorus(as P), 0 ❑ Concentration 0 Yes ✓❑ No
total(7723-14-0) Mass
10. Sulfate(as SO4) 0
0
Concentration El Yes El No
(14808-79-8) Mass
Concentration
11. Sulfide(as S) 0 0 0 Yes ✓❑ No
Mass
EPA Form 3510-2D(Revised 3-19) Page 3

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(k)(5)(ii))1
Presence or Absence Estimated Data for Pollutants Expected to be Present or Limited by an ELG
(check one) (Provide both concentration and mass estimates for each pollutant.)
Effluent Intake Water
Pollutant Believed Believed Maximum Daily Average DailyBelieved Present?
Present Absent Units DischargeDischargeSource of Information
(check only one
(use codes in instructions)
(required) (if available) response per item)
12. Sulfite(as S03) 0 0 Concentration ❑Yes El No
(14265-45-3) Mass
Concentration
13. Surfactants 0 ❑✓ ❑Yes ❑No
Mass
14, Aluminum,total 0 ❑✓ Concentration ❑Yes CD No
(7429-90-5) Mass
15. Barium,total ❑ ❑✓ Concentration x
(7440-39-3) Mass ❑Yes ❑No
16. Boron,total ❑ ❑✓ Concentration ❑Yes El No
(7440-42-8) Mass
17 Cobalt,total 0 ❑✓ Concentration ❑Yes ONo
(7440-48-4) Mass
18 Iron,total 0 ❑✓ Concentration ❑Yes ElNo
(7439-89-6) Mass
19 Magnesium,total 0 ❑✓ Concentration ❑Yes El No
(7439-95-4) Mass
20 Molybdenum,total 0 ❑✓ Concentration ❑Yes ONo
(7439-98-7) Mass
21 Manganese,total ❑ ❑✓ Concentration Ekes El No
(7439-96-5) Mass
22 Tin,total 0 ❑✓ Concentration ❑Yes El No
(7440-31-5) Mass
EPA Form 3510-2D(Revised 3-19) Page 4

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 i' Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.21(k)(5)(ii))1
Presence or Absence Estimated Data for Pollutants Expected to be Present or Limited by an ELG
(check one) (Provide both concentration and mass estimates for each pollutant)
Effluent Intake Water
Pollutant Believed Believed Maximum Daily Average DailyBelieved Present?
Present Absent Units Discharge Discharge Source of Information (check only one
(use codes in instructions) item response(required) (if available) res P per )
Titanium,total Concentration
23' (7440 32 6) 0 0 ❑Yes El No
Mass
24. Radioactivity
Concentration
24.1 Alpha,total ❑ 0 ❑Yes 0No
Mass
24.2 Beta,total ❑ ❑ Concentration ❑Yes ElNo
Mass
Concentration
24.3. Radium,total 0 0 ❑Yes El No
Mass
24.4 Radium 226,total ❑Concentration DYes El No 1
Mass
Sampllf g shaft De connoted ccoroing to ufllcfenu sensitive test procecinrBs(I.e., methOo )approved under 40 CFK 136 for'he analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2D(Revised 3-19) Page 5

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110000349855 Georgia-Pacific Dudley Plywood 001
TABLE C.TOXIC METALS,TOTAL CYANIDE,AND TOTAL PHENOLS(40 CFR 122.21(k)(5)(iii)(A))1
Presence or Absence Estimated Data for Pollutants Expected to be Present in Discharge
(check one) (Provide both concentration and mass estimates for each pollutant.)
Effluent Intake Water
Pollutant Maximum Average
(CAS Number,if available) Believed Believed Believed Present?
Present Absent Units Daily Daily Source of Information (Check only one
Discharge Discharge (Use codes in Instructions.) response per pollutant.)
(required) (if available)
❑
Check(,7)here if you believe all pollutants listed to be absent from the discharge.You need not complete Table C for the noted outfall unless you have quantitative data
available.
1. Antimony,Total Concentration X
(7440 36 0) ❑ ❑✓ Mass ❑ Yes No
2. Arsenic,Total ❑ ❑✓ Concentration ❑ Yes LINo
(7440-38-2) Mass
3. Beryllium,Total ❑ ❑✓ Concentration ❑ Yes El No
(7440-41-7) Mass
4. Cadmium,Total ❑ ✓❑ Concentration ❑ Yes ONo
(7440-43-9) Mass
5. Chromium,Total Concentration
(7440-47-3) ❑ Mass El Yes ❑No
6. Copper,Total Concentration ❑No
(7440-50-8) ❑ El Mass ❑ Yes
7. Lead,Total Concentration 0 No
(7439-92-1) ❑ Mass ❑ Yes
8. Mercury,Total Concentration X
(7439-97-6) ❑ El Mass El No
9. Nickel,Total Concentration
(7440-02-0) ❑ ❑ Mass ❑ Yes ❑No
10. Selenium,Total Concentration
(7782-49-2) El ❑ Mass ❑ Yes El No
11. Silver,Total Concentration X
(7440-22-4) ❑ El Mass ❑ Yes No
12. Thallium,Total Concentration x
(7440 28 0) El ❑✓ Mass ❑ Yes No
13. Zinc,Total 0 El Concentration ❑ Yes 0 No
(7440-66-6) Mass
14. Cyanide,Total ❑ ❑✓ Concentration ❑ Yes ONo
(57-12-5) Mass
15. Phenols,Total 0 ❑✓ Concentration ❑ Yes El No
Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See Instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2D(Revised 3-19) Page 7

This page intentionally left blank.
� 1

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110000349855 Georgia-Pacific Dudley Plywood 001
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GCIMS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Units Maximum Average Source of Believed Present?
Present Absent Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
❑✓ Check here if all pollutants listed in Table D are expected to be absent from your facility's discharge.
❑ Check here if the facility believes it is exempt from Table D reporting requirements because it is a qualified small business.See the instructions for exemption criteria and for a list
of materials you must attach to the application.
Note: If you check either of the above boxes,you do not need to complete Table D for the noted outfall unless you have quantitative data available.
1.Organic Toxic Pollutants(GC/MS Fraction—Volatile Compounds)
1.1 Acrolein ❑ I ❑ Concentration El Yes ❑✓ No
(107 02 8) Mass
1.2 Acrylonitrile 0 0 Concentration ❑ Yes 0 No
(107 13 1) Mass
1.3 Benzene 0 ❑ Concentration El Yes ❑✓ No
(71 43 2) Mass
1.4 Bromoform 0 ❑ Concentration El Yes 0 No
(75 25 2) Mass
1.5 Carbon tetrachloride ❑ ❑ Concentration ❑ Yes 0 No
(56 23 5) Mass
1.6 Chlorobenzene El ❑ Concentration ❑ Yes 0 No
(108 90 7) Mass
1.7 Chlorodibromomethane 0 El Concentration ❑ Yes ❑✓ No
(124 48 1) Mass
1.8 Chloroethane 0 ❑ Concentration El Yes ❑✓ No
(75 00 3) Mass
1.9 2-chloroethylvinyl ether 0 Concentration El Yes 0 No
(110 75 8) Mass
1.10 Chloroform(67-66-3) ElConcentration El El Yes ❑✓ No
Mass
1.11 Dichlorobromomethane 0 Concentration El Yes 0 No
(75 27 4) Mass
EPA Form 3510-2D(Revised 3-19) Page 9 `

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19 ,
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GCIMS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
1.12 1,1-dichloroethane Concentration
(75-34-3) 0 ❑✓ 0 Yes ❑✓ No
Mass
1.13 1,2-dichloroethane Concentration
(107-06-2) 0 ❑✓ 0 Yes ❑✓ No
Mass
1.14 1,1-dichloroethylene Concentration
(75-35-4) 0 0 0 Yes 0 No
Mass
1.15 1,2-dichloropropane El ❑ Concentration ❑ Yes ❑✓ No
(78 87 5) Mass
1.16 1,3-dichloropropylene 0 ❑ Concentration ❑ Yes ❑✓ No
(542 75 6) Mass
1.17 Ethylbenzene 0 El El❑ Yes ❑✓ No
(100-41-4) Mass
1.18 Methyl bromide El ❑ Concentration ❑ Yes 0 No
(74 83 9) Mass
1.19 Methyl chloride 0 0 Concentration ❑ Yes ❑✓ No
(74 87 3) Mass
1.20 Methylene chloride 0 ❑ Concentration ❑ Yes ❑✓ No
(75 09 2) Mass
1.21 1,1,2,2-tetrachloroethane ❑ El El
❑ Yes 0 No
(79 34 5) Mass
1.22 Tetrachloroethylene ❑ ❑✓ Concentration ❑ Yes 0 No
(127-18 4) Mass
1.23 Toluene ❑ ❑ Concentration El Yes 0 No
(108 88 3) Mass
1.24 1,2-trans-dichloroethylene ❑ 0 Concentration ❑ Yes El No
(156-60-5) Mass
EPA Form 3510-2D(Revised 3-19) Page 10

EPA Identification Number Facility Name I Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood ! 001 OMB No.2040-0004
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas Chromatography/Mass Spectrometry or GCIMS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
1.25 1,1,1-trichloroethane ❑ 0 Concentration ❑ Yes ❑✓ No
(71 55 6) i Mass
1.26 1,1,2-trichloroethane El ❑ Concentration ❑ Yes 2 No
(79 00 5) Mass
1.27 Trichloroethylene 0 El Concentration ❑ Yes 0 No
(79 01 6) Mass
1.28 Vinyl chloride 0 0 Concentration ❑ Yes 2 No
(75 01 4) Mass
2.Organic Toxic Pollutants(GC/MS Fraction—Acid Compounds)
2.1 2-chlorophenol 0 ❑ Concentration El Yes 2 No
(95 57 8) Mass
2.2 2,4-dichlorophenol 0 El Concentration ❑ Yes ❑✓ No
(120 83 2) Mass
2.3 2,4-dimethylphenol 0 ❑ Concentration ❑ Yes 2 No
(105 67 9) Mass
2.4 4,6-dinitro-o-cresol El ❑ Concentration ❑ Yes 2 No
(534 52 1) Mass
2.5 2,4-dinitrophenol 0 ❑ Concentration ❑ Yes 2 No
(51 28 5) Mass
2.6 2-nitrophenol El
Concentration El Yes ❑✓ No
(88 75 5) Mass
2.7 4-nitrophenol ❑ ❑ Concentration ❑ Yes ❑✓ No
(100-02-7) Mass
2.8 p-chloro-m-cresol El ❑ Concentration ❑ Yes 2 No
(59 50 7) Mass
2.9 Pentachlorophenol 0 ❑ Concentration ❑ Yes 2 No
(87 86 5) Mass
EPA Form 3510-2D(Revised 3-19) Page 11

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GUMS Fractions)(40 CFR 122.21(k)(5)(iii)(B)p
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
2.10 Phenol 0 El Concentration ❑ Yes 0 No
(108 95 2) Mass
2.11 2,4,6-trichlorophenol 0 0 Concentration ❑ Yes 2 No
(88 05 2) Mass
3.Organic Toxic Pollutants(GC/MS Fraction—Base/Neutral Compounds)
3.1 Acenaphthene ❑ El Concentration ❑ Yes 0 No
(83 32 9) Mass
3.2 Acenaphthylene 0 ❑ Concentration ❑ Yes 2 No
(208 96 8) Mass
3.3 Anthracene 0 0 Concentration ❑ Yes El No
(120 12 7) Mass
3.4 Benzidine 0 0 Concentration ❑ Yes ❑✓ No
(92-87-5) Mass
3.5 Benzo(a)anthracene ❑ 0 Concentration ❑ Yes 0 No
(56 55 3) Mass
3.6 Benzo(a)pyrene 0 0 Concentration ❑ Yes 2 No
(50-32-8) Mass
3.7 3,4-benzofluoranthene 0 0 Concentration ❑ Yes 2 No
(205 99 2) Mass
3.8 Benzo(ghi)perylene 0 0 Yes Concentration ❑ ❑ No
(191-24-2)
Mass
3.9 Benzo(k)fluoranthene 0 ❑ Concentration ❑ Yes 2 No
(207 08 9) Mass
3.10 Bis(2-chloroethoxy)methane 0 ❑ Concentration ❑ Yes ❑✓ No
(111-91-1) Mass
3.11 Bis(2-chloroethyl)ether 0 El
Concentration El Yes 2 No
(111 44 4) Mass
EPA Form 3510-2D(Revised 3-19) Page 12

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0 ❑ El ❑ (L-89-92)
sseW
ONsad uo!;eW;ueouoO eleleq;qd!p(zueq Iona 56•£
sseW (£-55-601)
ON 0 sad ❑ uo!;eJ;ueouoo El 0 aaq;a lAuegd!Auegdowwq-p y1,•E
sseW (L-68-Li.I.)oN ❑ sad ❑ uo!;eW;uaouoO ❑ ❑ a;eleq;gd(li(xa llAgle-Z)s!8 E6.£
ON ❑ seA 0 mini El ❑ (1-08-ZOI•)
uogew;ueouo0 aaq;a(!Adoidos!oaolgo-Z)s!8 Z6•E
(lueanpod (suogon.gsul u!sapoo asn) a6iegos!a aNegas!Q
Jed asuodsaJ auo Akio)ioago) uogewJo;u! 411e0 /ll!ea ;uesgy ;uasad
4,;ueseid pana!la8 ;o°linos e6eaany wnw!xeW s}!u8 paneues panties (algeliene}I'JaquinN SHO)
is;eM ame;ul ;uenl 3 ;ue;nllad
(lueanllod goea Jo;saaewgsa ssew pue uogeilueouoo yaoq ap!Awd) (auo)ioego)
a6.1egos!Q u!;uasaad ea o;pe;oadx9 s;ue;nllod Jo}Ma pa;ewgs3 aouesgy Jo aauasaJd
((s)(!!!)(s)01)1 Z'ZZI 21d3 ob)(suo!;ae.1d SVI139 ao itqatuomeds ssemAgdeJ6o;ewom see)SiNdllllOd 31X0l 3110'O210'a 318V1
17000 OtiOZ'oN 8W0 i0O poomAld AaipnG of;toed-elaaoag SS86b£0000II
61150/£0 penoiddy WJod JagwnN IIeAnO I aweN AlFed iequmN uogeoyyuapI Vd3

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19 •
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GCIMS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
3.26 Di-n-butyl phthalate El ❑ Concentration El Yes ❑✓ No
(84 74 2) Mass
3.27 2,4-dinitrotoluene 0 0 Concentration ❑ Yes 0 No
(121 14 2) Mass
3.28 2,6-dinitrotoluene ❑ El El❑ Yes 0 No
(606 20 2) Mass
3.29 Di-n-octyl phthalate 0 0 Concentration ❑ Yes 0 No
(117-84-0) Mass
3.30 1,2-diphenylhydrazine 0 0 Concentration ❑ Yes 0 No
(as azobenzene)(122-66-7)
Mass
3.31 Fluoranthene 0 ❑ Concentration ❑ Yes 0 No
(206 44 0) Mass
3.32 Fluorene 0 ❑ Concentration ❑ Yes 0 No
(86 73 7) Mass
3.33 Hexachlorobenzene 0 ❑ Concentration El Yes 0 No
(118 74 1) Mass
3.34 Hexachlorobutadiene 0 El Concentration ❑ Yes ❑✓ No
(87 68 3) Mass
3.35 Hexachlorocyclopentadiene 0 0 Concentration ❑ Yes 0 No
(77-47-4)
Mass
3.36 Hexachloroethane 0 El Concentration ❑ Yes ❑✓ No
(67-72-1) Mass
3.37. Indeno(1,2,3-cd)pyrene 0 0 Concentration ❑ Yes 0 No
(193 39 5) Mass
3.38 Isophorone 0 0 Concentration ❑ Yes 0 No
(78-59-1) Mass
3.39 Naphthalene 0 0 Concentration ❑ Yes 0 No
(91 20 3) Mass
EPA Form 3510-2D(Revised 3-19) Page 14
t -

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
110000349855 Georgia-Pacific Dudley Plywood
001
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GCIMS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
3.40 Nitrobenzene 0 0Concentration ❑ Yes ❑✓ No
(98 95 3) Mass
3.41 N-nitrosodimethylamine 0 Concentration El Yes 0 No
(62 75 9) Mass
3.42 N-nitrosodi-n-propylamine 0 Concentration El El Yes ❑✓ No
(621 64 7) Mass
3.43 N-nitrosodiphenylamine 0 ❑ Concentration ❑ Yes 0 No
(86 30 6) Mass
3.44 Phenanthrene 0 ❑ Concentration ❑ Yes 0 No
(85 01 8) Mass
3.45 Pyrene 0 Concentration El El Yes 0 No
(129 00 0) Mass
3.46 1,2,4-trichlorobenzene 0 ❑ Concentration ❑ Yes 0 No
(120-82-1) Mass
4.Organic Toxic Pollutants(GCIMS Fraction—Pesticides)
4.1. Aldrin 0 ❑ Concentration ❑ Yes 0 No
(309 00 2) Mass
4.2 a-BHC 0 Concentration ❑ Yes 0 No
(319 84 6) Mass
4.3 13-BHC 0 Concentration ❑ Yes 0 No
(319 85 7) Mass
4.4 y-BHC 0 Concentration El ❑ Yes 0 No
(58 89 9) Mass
4.5 5-BHC El
El Yes 0 No
(319 86 8) Mass
4.6 Chlordane 0 ❑ Concentration ❑ Yes 0 No
(57 74 9) Mass
EPA Form 3510-2D(Revised 3-19) Page 15 `

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
•
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
I
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas ChromatographylMass Spectrometry or GC/MS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Units Maximum Average Source of Believed Present?
Present Absent Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
4.7 4,4'-DDT 0 0 Concentration ❑ Yes 0 No
(50 29 3) Mass
4.8 4,4'-DDE 0 ❑ Concentration ❑ Yes ❑✓ No
(72 55 9) Mass
4.9 4,4'-DDD 0 0 Concentration ❑ Yes ❑ No
(72 54 8) Mass
4.10 Dieldrin ❑ El Concentration ❑ Yes El No
(60 57 1) Mass
4.11 a-endosulfan Concentration
(115-29-7) 0 ❑✓ ❑ Yes 0 No
Mass
4.12 6-endosulfan Concentration
(115-29-7) ❑ ❑✓ 0 Yes ❑ No
Mass
4.13 Endosulfan sulfate Concentration
(1031-07-8) 0 0 0 Yes 0 No
Mass
4.14 Endrin Concentration
(72-20-8) 0 ❑✓ ❑ Yes 0 No
Mass
4.15 Endrin aldehyde Concentration
(7421-93-4) ❑ 0 0 Yes 0 No
Mass
EPA Form 3510-2D(Revised 3-19) Page 16

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE D.ORGANIC TOXIC POLLUTANTS(Gas Chromatography/Mass Spectrometry or GC/MS Fractions)(40 CFR 122.21(k)(5)(iii)(B))1
Presence or Absence Estimated Data for Pollutants Expected to Be Present in Discharge
(check one) (provide both concentration and mass estimates for each pollutant)
Pollutant Effluent Intake Water
(CAS Number,if available) Believed Believed Maximum Average Source of Believed Present?
Present Absent Units Daily Daily Information (check only one response per
Discharge Discharge (use codes in instructions) pollutant)
4.16 Heptachlor 0 0 Concentration ❑ Yes 0 No
(76 44 8) Mass
4,17 Heptachlor epoxide 0 0 Concentration ❑ Yes ❑✓ No
(1024 57 3) Mass
4.18 PCB-1242 ❑ El Concentration ❑ Yes ❑✓ No
(53469 21 9) Mass
4.19 PCB-1254 0 0 Concentration El Yes 0 No
(11097 69 1) Mass
4.20 PCB-1221 0 0 Concentration ❑ Yes 2 No
(11104 28 2) Mass
4.21 PCB-1232 0 ❑ Concentration ❑ Yes ❑ No
(11141 16 5) Mass
4.22 PCB-1248 0 ❑ Concentration ❑ Yes 0 No
(12672 29 6) Mass
4.23 PCB-1260 0 ❑ Concentration ❑ Yes ❑✓ No
(11096 82 5) Mass
4.24 PCB-1016 0 El Concentration ❑ Yes 0 No
(12674 11 2) Mass
4.25 Toxaphene 0 0 Concentration ❑ Yes 0 No
(8001 35 2) Mass
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2D(Revised 3-19) Page 17 ,

This page intentionally left blank.

EPA Identification Number Facility Name Outfall Number I Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE E.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(k)(5)(v))1
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
❑✓ Check(✓)here if you believe all pollutants listed to be absent from the discharge.You need not complete Table E for the noted outfall unless you have quantitative data available.
1. Asbestos ❑ ❑✓
2. Acetaldehyde 0 ✓❑
3. Allyl alcohol 0 ❑✓
4. Allyl chloride 0 0
5. Amyl acetate 0 ❑✓
6. Aniline 0 ❑✓
7. Benzonitrile 0 0
8. Benzyl chloride 0 ❑✓
9. Butyl acetate 0 ❑✓
10. Butylamine ❑ 0
11. Captan 0 ❑✓
12. Carbaryl 0 ❑✓
13. Carbofuran 0 ❑✓
14. Carbon disulfide 0 0
15. Chlorpyrifos 0 0
16. Coumaphos 0 ❑✓
17. Cresol 0 0
18. Crotonaldehyde ❑ 0
EPA Form 3510-2D(Revised 3-19) Page 19

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE E.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(k)(5)(v))1
Presence or Absence
Pollutant (check one) Available Quantitative Data
Believed Believed Reason Pollutant Believed Present in Discharge (specify units)
Present Absent
19. Cyclohexane ❑ ✓❑
20. 2,4-D(2,4-dichlorophenoxyacetic acid) El ❑✓
21, Diazinon El ❑✓
22. Dicamba El ❑✓
23. Dichlobenil El ❑✓
24. Dichlone 0 ❑✓
25. 2,2-dichloropropionic acid 0 ❑✓
26. Dichlorvos 0 ❑✓
27. Diethyl amine ❑ ❑✓
28. Dimethyl amine ❑ ✓❑
29. Dintrobenzene El ❑✓
30. Diquat El ❑✓
31. Disulfoton El ❑✓
32. Diuron El ❑✓
33. Epichlorohydrin ❑ ❑✓
34. Ethion El ❑✓
35. Ethylene diamine 0 ❑✓
36. Ethylene dibromide El 0
37. Formaldehyde 0 0
EPA Form 3510-2D(Revised 3-19) Page 20

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE E.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(k)(5)(v))l
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
38. Furfural 0 0
39. Guthion 0 0
40. Isoprene ❑ 0
41. Isopropanolamine 0 0
42. Kelthane ❑ 0
43. Kepone ❑ 0
44. Malathion 0 0
45. Mercaptodimethur 0 0
46. Methoxychlor 0 0
47. Methyl mercaptan 0 0
48. Methyl methacrylate 0 0
49. Methyl parathion .0 12
50. Mevinphos 0 0
51. Mexacarbate 0 0
52. Monoethyl amine ❑ 0
53. Monomethyl amine ❑ 0
54. Naled 0 0
55. Naphthenic acid 0 0
56. Nitrotoluene 0 0
EPA Form 3510-2D(Revised 3-19) Page 21

I EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
L 110000349855 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
•
TABLE E.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(k)(5)(v))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
57. Parathion ❑ ❑✓
58. Phenolsulfonate ❑ ❑✓
59. Phosgene ❑ ❑✓
60. Propargite 0 ❑✓
61. Propylene oxide 0 ❑✓
62. Pyrethrins ❑ ❑✓
63. Quinoline ❑ ❑✓
64. Resorcinol ❑ ❑✓
65. Strontium ❑ ❑✓
66. Strychnine ❑ ❑✓
67. Styrene ❑ ❑✓
68. 2,4 5-T(2,4,5-trichlorophenoxyacetic ❑ ❑✓
acid)
69. TDE(tetrachlorodiphenyl ethane) 0 ❑✓
70. 2,4,5-TP[2-(2,4,5-trichlorophenoxy) ❑
El
propanoic acid]
71. Trichlorofon ❑ ❑✓
72. Triethanolamine ❑ ✓❑
73. Triethylamine ❑ ❑✓ .
74. Trimethylamine ❑ ❑✓
75. Uranium ❑ ❑✓
EPA Form 3510-2D(Revised 3-19) Page 22

EPA Identification Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 ' Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE E.CERTAIN HAZARDOUS SUBSTANCES AND ASBESTOS(40 CFR 122.21(k)(5)(v))1
Presence or Absence
Pollutant (check one) Reason Pollutant Believed Present in Discharge Available Quantitative Data
Believed Believed (specify units)
Present Absent
76. Vanadium ❑ 0
77. Vinyl acetate ❑ 0
78. Xylene 0 0
79. Xylenol ❑ 0
80. Zirconium ❑ 0
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2D(Revised 3-19) Page 23

•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
Form U.S Environmental Protection Agency
2F ,oEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION 1.OUTFALL LOCATION(40 CFR 122.21(g)(1))
1.1 Provide information on each of the facilit 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
001 Brooks Swamp 35° 15' 36" 78° 02' 117"
0
002 Brooks Swamp 35' 15 471' 78° 02' 16"
0
O
J ° " 0
io
1
0 °
11
SECTION 2.IMPROVEMENTS(40 CFR 122.21(g)(6))
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.
Final Compliance Dates
Brief Identification and Affected Outfalls Source(s)of Discharge
Description of Project (list outfall numbers)
Required Projected
E
al
O
d
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 3510-2F(Revised 3-19) Page 1

•
•
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
SECTION 3.SITE DRAINAGE MAP(40 CFR 122.26(c)(1)(i)(A))
4 3.1 Have you attached a site drainage map containing at required information to this application?(See instructions for
.0) CASspecific guidance.)
Tsi
to Yes ❑ No
SECTION 4.POLLUTANT SOURCES(40 CFR 122.26(c)(1)(i)(B))
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
001 56 acres acres
specify units specify units
002 1.1 acres 10.7 acres
specify units specify units
specify units specify units
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.)
Facility is wood products manufacturing facility that produces plywood.
U)
3
0
0
d
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 specific guidance.)
Stormwater Treatment
Codes
from
Outfall Control Measures and Treatment Exhibit
Number 2F-1
(list)
001 Settling Pond 1-U
EPA Form 3510-2F(Revised 3-19) Page 2

1
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
SECTION 5.NON STORMWATER DISCHARGES(40 CFR 122.26(c)(1)(i)(C))
5.1 I certify under penalty of law 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 ouffalls 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, 1
.0-7 1& r '
Signature Date signed
I I,zs81 g4-
u,
E) 5.2 Provide the testing in ormation requested in the table below.
-c Onsite Drainage Points
N Outfall Description of Testing Method Used Date(s)of Testing Directly Observed
Number During Test
ai
001 Visual 09/30/2022 Yes
in
z �
SECTION 6.SIGNIFICANT LEAKS OR SPILLS(40 CFR 122.26(c)(1)(i)(D))
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
None
Q
U
`o
N
co
co
J
co
co
SECTION 7.DISCHARGE INFORMATION(40 CFR 122.26(c)(1)(i)(E))
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.
7.1 Is this a new source or new discharge?
No 4 See instructions regarding submission of
Yes See instructions regarding submission of g g
❑ estimated data. ❑ actual data.
Tables A,B,C,and D
7.2 Have you completed Table A for each outfall?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood 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+ 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 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?
❑✓ 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 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
rn concentrations of 10 ppb or greater?
co
y ❑✓ Yes ElNo
i3 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 2F-4 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?
ElYes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
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?
❑ Yes ❑✓ No 4 SKIP to Section 8.
o 7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
CD
2. 5. 8.
co
0 3. 6. 9.
SECTION 8.BIOLOGICAL TOXICITY TESTING DATA(40 CFR 122.21(g)(11))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
co
any of your discharges or on a receiving water in relation to your discharge within the last three years?
ca
❑ Yes ❑✓ No 4 SKIP to Section 9.
43 8.2 Identify the tests and their purposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
Permitting Authority?
0
~ ❑ Yes ❑ No
_urn
❑ Yes ❑ No
❑ Yes ❑ No
SECTION 9.CONTRACT ANALYSIS INFORMATION(40 CFR 122.21(g)(12))
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 Pace
0
E
`o
N Laboratory address 9800 Kincey Ave,Suite 100
T Huntersville,NC 28078
m
o Phone number
U [phone]
Pollutant(s)analyzed TSS,COD,Oil and Grease
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood OMB No.2040-0004
SECTION 10.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
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 ❑ wl attachments(e.g.,responses for additional outfalls)
❑✓ Section 2 ❑ wl attachments
❑✓ Section 3 ❑ w/site drainage map
❑✓ Section 4 ❑ w/attachments
❑✓ Section 5 ❑ w/attachments
•
✓❑ Section 6 ❑ wl attachments
❑✓ Section 7 ❑✓ Table A ❑ w/small business exemption request
a
❑ Table B ❑ wl analytical results as an attachment
❑ Table C 0 Table D
❑✓ Section 8 ❑ w/attachments
a
y_ ID Section 9 ❑ w/attachments(e.g.,responses for additional contact laboratories or firms)
0 Section 10 ❑
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)n Official title
('
LSo►•, W 1 'a't ` &
Signature Date signed
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))1
You must provide the results of at least one analysis for every pollutant in this table. Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new source/new
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite )
codes in instructions
1. Oil and grease 5 4.9 7
2. Biochemical oxygen demand(BOD5)
3. Chemical oxygen demand(COD) 121 79 7
4. Total suspended solids(TSS) 19.6 118 7
5. Total phosphorus
6. Total Kjeldahl nitrogen(TKN)
7. Total nitrogen(as N)
pH(minimum)
8.
pH(maximum)
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110000349855 NC0090051 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(A))1
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new source/new
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 9

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 •
110000349855 NC0090051 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))1
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

This page intentionally left blank.
.

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19 '
110000349855 NC0090051 Georgia-Pacific Dudley Plywood 001 OMB No.2040-0004
TABLE D.STORM EVENT INFORMATION(40 CFR 122.26(c)(1)(i)(E)(6))
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Duration of Storm Event Total Rainfall During Beginning of Storm Measured and Maximum Flow Rate Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
(in inches) Event (in gpm or specify units)
Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F(Revised 3-19) Page 13

APPENDIX 1 SITE MAP

1
M iL' •
1111111.
Brooks Swamp
•
t ' Sit: Stream Class NSW
Yii
I A)1_
/(
•. '
—�ji a } w 7s( 4 .,may .,� a ft
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Ty
Legend -) Outfall 001 - Coordinates 35.259962, -78.038021 GP Dudley Plywood
■ Proposed Wet Deck I.
GP Site Map
Appendix 1
-...—Stormwater Direction
Georgia-Pacific1

APPENDIX 2 TOPOGRAPHIC MAP

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TOPOGRAPHIC MAP IMAGE COURTESY OF THE US.GEOLOGICAL SURVEY
QUADRANGLES INCLUDE:SOUTHWEST GOLDSBORO,NC(1/1/1998)and MOUNT OLIVE,NC(1/1/1977).
Project Manager: Project Name. COURY TOPOGRAPHIC MAP Appendix
STC= Dudley NPDES , .
Drawn by: r=2,000'Scale: Dudley Plywood Facility
STC 10414C4 4 itiGth14441,40 l'ttC
Checked by:CC File Name: PO B 125 NPDES Permit Application 2
ox
139 Brewington Road
Approved by: Date: Hampstead,NC 28443 Dudley,Wayne County,North Carolina
CC Sept 2021
1

APPENDIX 3 WASTEWATER FLOW LINE DIAGRAM

WATER
WITHDRAWAL WET DECK
From Pond or ► 6 HEADS _ BARK —� SETTLING 001
Groundwater 113 GPM/HEAD SCREEN / POND SAMPLE
Well / \
1 ,
Storm Water
POND AND WATER FLOW
_. N/A _.teem owns wo I

4
•
APPENDIX 4 STORMWATER SUPPORTING CALCULATIONS
Volume Calculations
Method: NRCS Methodology Weighted Average Volume Technique
1. CN Impervious=98, CN Pervious 35
2. A=(Runoff)Area =63 Acres(88%impervious)
3. I =Intensity, Rainfall(NOAA Atlas 14,Volume 2,Version 3 for the Dudley, NC station)
25-yr, 24hr.storm: 7.2 inches
Annual Average Precipitation: 48 inches/year
4. Impervious Area
S=1000/CN-10
S= 0.2 inches
Impervious Area Abstraction=0.2(S)=0.04 inches;0.8(S)=0.16 inches
Pervious Area Runoff Volume=Q=(P-0.2S)2/( P+0.8S)
Qlmperv25yr=(7.2-0.04)2/(7.2+0.16)=6.97 inches
QlmpervAnn =(48-0.04)2/(48+0.16)=47.76 inches
5. Pervious Area-S=18.6 inches
Impervious Area Abstraction=0.2(S)=3.71 inches;0.8(S)= 14.9 inches
Qlmperv25yr=(7.2-3.71)2/(7.2+14.9)=0.55 inches
QlmpervAnn=(48-3.71)2/(48+14.9)=31.2 inches
6. Runoff Volume
55 Acres Impervious,8 acres pervious
Runoff Volume=(rain ft x acre x 43560 sf per acre)
Runoff Volume 25 yr=(6.97/12 x 55 x 43560)+(0.55/12 x 8 x 43560)=
1,407,533 cubic feet=10.5 million gal
Runoff Volume Annual=(47.76/12 x 55 x 43560)+(31.2/12 x 8 x 43560) _
10,441,332 cubic feet=78 million gal

• +
Pond Calculations
1. Pond dimensions and compare to minimum design requirements
a. Minimum Length to Width ratio is 2:1
b. The depth is 4'for the permanent pool
c. The dimensions of the pond are 350' by 170'and 130'by 100'
Surface area=72,500 ft2
Volume=290,000 ft3
2. Determine Hydraulic Residence Time(HRT)
a. HRT=Volume/Qavg
Qavg=678 gpm*60 minutes/hour* 24 hours/day*0.134 ft3/gallon=130,826 ft3/day
HRT=290,000 ft3/130,826 ft3/day*24 hours/day=53 hours