NCG210508_Application_20230220

P.O. Box 133
Creston, NC 28615
106 Hidden Valley Rd.
Creston, NC 28615
O S S I RIAND
336.385.1100
336.385.1494494
FOREST PRODUCTS
PottersLumber.com
2/14/2023
To whom it may concern,
In response to a visit from Lily Kay requesting we file a General Permit for stormwater discharge, I am
submitting this permit application.
Given that we were instructed to respond to her visit with the permit application within 2 weeks of her
visit, the site diagram with proposed structures for stormwater management is a work in progress,
although It does show substantively our proposed retention structures.
Please feel free to reach out with any questions. We are eager to be good stewards of the resources of
Western North Carolina.
Respectfully,
Alan Abrams
President, Ossiriand, Inc.

FOR AGENCY EY U ONLY
NCG21 0 10 _
Assigned to: 4i • Corot
ARO FRO MRO FRO WARO WIRO SRO
FEB 2 0 '
DENR-LAND QW) ,ll r
STORIA1VATER PERWI l"
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 [Timber 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 SIC2411 [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, NC 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:
Ossiriand, Inc
Jon Alan Abrams
Street address:
City:
State:
Zip Code:
106 Hidden Valley Or
Creston
NC
28615
Telephone number:
Email address:
336-385-1100
[e-mail]
Type of Ownership:
Government
E3County ❑Federal []Municipal ❑State
--
Non-government
ElBusiness (If ownership is business, a copy of NCSOS report
must be included with this application)
Dindividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Ossiriand, Inc.
Jon Alan Abrams
Street address:
City:
State:
Zip Code:
106 Hidden Valley Dr
Creston
NC
128615
Parcel Identification Number (PIN):
County:
03082405
Ashe
Telephone number:
Email address:
336-385-1100
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2421
E3New E3Proposed [3Existing
06/29/2018
Latitude of entrance:
Longitude of entrance:
36.42070
-81.62123
Brief description of the types of industrial activities and products manufactured at this facility:
sawmilling
This facility will produce Wood Pellets: OYes E]No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Glenn Sullivan
Foggy Mountain Nursery and Stream Restoration, LLC
Street address:
City:
State:
Zip Code:
797 Helton Creek Rd.
Lansing
NC
28643
Telephone number:
Email address:
336-384-5323
[e-mail]
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.
10-2-13
Three Top Creek
C;Tr,ORW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
36.42093
-81.62141
Brief description of the industrial activities that drain to this outfall:
Sawmilling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Byes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
25
3-4 digit identifier:
Name of receivinfwater f:C-assificatroi
:
"❑ This w itet is impaired.
❑ fAis watersheftas a4TMDL.
Latitude of outfall: „w ,F-->
Longitude of'outfall
Brief description -of the=7ndustrial activities thjatdrain to this outfall
Do Vehicle MaintenanceActivities occur in the dminaggearea of this outfalh
k ❑des El No
If yes, how many gallons of new motor oil are used each mont(iwhen averaged over the calendar years R
3-4 digit identifier:
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 ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
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 ❑ 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 N01.
Page 2 of 5

5. 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:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ 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 eachAonth I
Type(s),of-waste:
How material a stored:_ I .:
[ -'I )
¢ "r
Where material 'stored:
6= -
f pf
Number of waste shipments peryear:-`--' _ =
Name of transport/disposal vendor::-`
r': f
Transport/disposal vendor EPA ID
Vendor address:
✓''_- �'
❑ This faciI ty'&I6cated on a Brownfield or Supeifiund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
❑ Check for $100 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State (if applicable)
❑ This completed application and any supporting documentation
❑ 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
❑ 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 143-215.68 (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:
0 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.
0 The information submitted in this N01 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.
El 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.
0 I hereby request coverage under the NCG210000 General Permit.
Printed Name of Applicant: Jon Alan Abrams
Title: President
Mail tKe entirepackage to: DEMLR Stormwate`i
J ,"Department of Envir(
Q E— 1612 Mail!Servi"ce Cei
Raleigh, NC 27699-16
YA
Program°
imental Quality.
ter_ i
rtYie
ls2`_ n
Sl
,N
.k,,Yyi fs
Page 4 of 5

Additional Outfalls
3-4 digit identifier:
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 ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
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 ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier.
Name of receiving -water'
' Classification:'""
ed.
❑This waterr is -impaired.
❑Thi'swatershed'hasaTMDL.
Latitude of outfall: -_;.-�'
Longitude of outfall
--:,
Brief description -of -this -industrial activities that drain to this outfall'
Do Vehicle Maintenance Activities occur in the drainage area'of this outfall?
' ❑ yfis ❑ No
,;" _
If yes, how many g Ions of new motor oil are used each'inor71i when averaged over the calendaryear. 4
I011''iOR ill rI,-., i,a dia9f 71bn [.? N Ei.Le`:
3-4 digit identifier:
Name of receiving water:
Classification:'-5i-`- _-s` ;
---2t
❑ 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 ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
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 ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

2-13-2023
OSSIRIAND FOREST PRODUCTS STORM WATER MANAGEMENT PLAN
Property is located at 106 Hidden Valley Rd. Creston NC 28615 Between Hidden Valley Rd. & Eller Rd.
consisting of 7.175 Acres. This is a Lumber Storage & processing facility that has been in existence for
over 20 years. Ossiriand Forest Products is an important business to the local economy.
There is 1321 L. ft. of a tributary of three top creek that flows adjacent to this business. There is some
storm water that is entering the UT at two main points. One is at the entrance & the other is in the
center of the property where an existing waterway flows down hill towards the UT. It is recommended
that two sediment basins (see drawing) be built at these locations to collect the runoff. Basins will need
to be maintained & cleaned out regularly as needed & sediment hauled town approved site & seeded. It
is also recommended that lumber & mulch piles be moved approximately 20 ft. back from UT so that a
earth diversion can be constructed to divert runoff to basins. This area along with remainder of stream
corridor is to be planted in Live stakes & Native shrubs and trees surrounding the Lumber yard to create
the widest buffer possible.

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~' BUSINESS CORPORATION ANNUAL REPORT
E
I/6=22
NAME OF BUSINESS CORPORATION: OSsiriand,Inc.
SECRETARY OF STATE ID NUMBER: 1684582 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2021 AMENDING DOC ID
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Abrams, Jon Alan
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Fling Office Use Only
E - Filed Annual Report
1684682
CA202205902281
2/28/2022 11:45
QX Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED. AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
6095 Moores Creek Dr
Summerfield, NC 27358 Guilford County
SECTION B: PRINCIPAL OFFICE INFORMATION
PO Box 133
Creston, NC 28615
1. DESCRIPTION OF NATURE OF BUSINESS: sawmill, lumber manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x_ 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
106 Hidden Valley Rd
Creston, NC 28615
5. PRINCIPAL OFFICE MAILING ADDRESS
PO Box 133
Creston, NC 28615
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: OFFICERS (Enter additional officers in Section E.)
NAME: Jon A Abrams
TITLE: President
ADDRESS:
6095 Moore's Creek Dr.
Summerfield, NC 27358
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must becompletedin its entirety by a person/business
entity.
A Abrams 2/28/2022
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
Jon A Abrams
President
DATE
Print or Type Name of Officer Print or Type Tide of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525