NCG210510_Application_20230706

www.roseburg.com
Roanoke Valley Lumber
L Roseburg ��+���' 13 290 Power Place
V Weldon, NC 27890
- Phone: [phone]
June 23, 2023 QQM
NCDEMLR Stormwater Program
1612 MSC
Raleigh, NC 27699-1612
Re: NCG210000 Notice of Intent, Roseburg Forest Products, Weldon, NC
Roseburg Forest Products is submitting this Notice of Intent (NOI) for coverage under North
Carolina General Permit NCG210000 for Standard Industrial Classifications: SIC 24 [Timber
Products, including Wood Chip Mills] for its proposed facility in Weldon, North Carolina —
Roanoke Valley Lumber (RVL).
The RVL facility is currently under construction and expected to be completed and operational in
the summer of 2023. The completed NOI forms, a check for the permit fee and other required
attachments are included.
Roseburg Forest Products appreciates your consideration of this NOI. If you have any questions
regarding the NOI, please feel free to contact Tracy Williams, Environmental Engineer, Roanoke
Vall y Lumber at [phone] or at [e-mail].
c Y,
1
X1da
Plant Manaker
Roanoke Vary Lumber
Attachments:
Application fee
Copy of Annual Report to NC Secretary of State
NOI NCG210000 Application Form
Site Diagram
USGS Topographic Site Location Map
cc: Nick Whitehead, Roseburg Forest Products
Kevin Jobe, Roseburg Forest Products
MAKING LIVES BETTER FROM THE GROUND UP:"

FOR AGENCY USE ONLY
NCG210_51 0
Assignedto: CD-OV%
ARO FRO MRO RRO WARO WIRO WSRO
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: SIC24[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:SIC 2434[Wood Kitchen Cabinets], SIC 2491[Wood Preserving], and SIC 2411[Logging]. You con 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:
Roseburg Forest Products Adam Reed
Street address: City: State: Zip Code:
3660 Gateway St. Springfield OR 97477
Telephone number: Email address:
252 326-2453 [e-mail]
Type of Ownership:
Government
13County OFederal (]Municipal [3State
Non-government
0 Business(If ownership is business,a copy of NCSOS report must be included with this application)
E3 Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
Roanoke Valley Lumber Adam Reed
Street address: City: State: Zip Code:
290 Power Drive Weldon NC 27890
Parcel Identification Number(PIN): County:
1200197 Halifax
Telephone number: Email address:
[phone] Adam.Reed rfpco.com
4-digit SIC code: Facility is: Date operation is to begin or began:
2421 0New C3Proposed E3Existing June 30, 2023
Latitude of entrance: Longitude of entrance:
36` 25' 56" 77' 37' 04"
Brief description of the types of industrial activities and products manufactured at this facility:
Sawmill that will rocess raw Southern Pine into finished lumber and wood chips/pine shavings
This facility will produce Wood Pellets: (]Yes ONo
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
El N/A
Page 1 of S

3. Consultant(if applicable):
Name of consultant: Consulting firm:
Brian O'Neil Environmental Consulting &Technology, Inc.
Street address: City: State: Zip Code:
7208 Falls of the Neuse River Rd., Suite 102 Raleigh NC 27615-3244
Telephone number: Email address:
630-880-8459 [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.
003 Roanoke River C O This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36° 25' 58" 77' 37' 05"
Brief description of the industrial activities that drain to this outfall:
Access road, lumber storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
004 Roanoke River C I ID This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36' 26' 11" 77' 36' 58"
Brief description of the industrial activities that drain to this outfall:
Lumber storage, material handling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? O.Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
005 Roanoke River C 1 O This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36' 26' 17" 77' 36' 52"
Brief description of the industrial activities that drain to this outfall:
Lumber storage, material handling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
006 Roanoke River C O This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36` 26' 05" 77' 36' 58"
Brief description of the industrial activities that drain to this outfall:
Lumber stoar e, material handling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes O' 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 Outfalis"found on the last page of this N01.
Page 2 of 5

5. Other Facility Conditions(check all that apply and explain accordingly):
O This facility has other NPDES permits.
If checked,list the permit numbers for all current NPDES permits:
General permit for construction NCG010000
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
O This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Sedimentation ponds, best management practices, spill kits, inspections, training
O This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
10/18/2022
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
0 This facility is a(mark all that apply)
O Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
Less than 100 kg/month Not yet identified
How material is stored: Where material is stored:
Indoors Indoors
Number of waste shipments per year: Name of transport/disposal vendor:
Not known yet Not identified
Transport/disposal vendor EPA ID: Vendor address:
Not identified Not identified
O This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
Facility is located at the site of a former power plant(decommissioned and demolished
6. Required Items (Application will be returned unless all of the following items have been included):
O Check for$100 made payable to NCDEQ
O Copy of most recent Annual Report to the NC Secretary of State(if applicable)
0 This completed application and any supporting documentation
0 A site diagram showing,at a minimum,existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where materials are stored
g) impervious areas
h) site property lines
O Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7—ApplicanYCer ification:
North Carolina General Statute 143-215.613(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($50,000).
Under penalty of law,I certify that:
O 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 NOI is,to the best of my knowledge and belief,true,accurate,and complete based on
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
0 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.
El I hereby request coverage under the NCG210000 General Permit.
Printed Nam of Applicant:Adam Reed
Title Plan pne9er
(Sign ure fApplicant)� `' 1�'�a �'� Da Sign d)f -
Mail the entire package to: DEMLR—Stormwater Program '
Deeppa_rtment of Environmental Quah
1612 MailpService CenterL
Raleigh,NC 27699-161-2
O uplr�ru n9 u( Ffivlrnnrat4rrto C t.�la:afttb' "
Page 4 of 5

Additional Outfalls
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
007 Roanoke River C 17 This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36' 26' 11" 77' 36' 58"
Brief description of the industrial activities that drain to this outfall:
Material handling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
008 Roanoke River C 0 This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36' 26' 31" 77' 37' 17"
Brief description of the industrial activities that drain to this outfall:
Accessroads
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: 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 17 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? 0 Yes 13 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? 0 Yes 0 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

ATACHMENT 1
Figure 1—Site Location Map

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Legend N Figure 1
Site Location Map
69 Facility Boundary
Roseburg Forest Products
0 0.5 1 Weldon,Halifax County,North Carolina
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ATTACHMENT 2
Figure 2—Site Drainage Plan

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Attachment 3—NC Secretary of State Report

r' Q BUSINESS CORPORATION ANNUAL REPORT
Q
F
t/6IM22
NAME OF BUSINESS CORPORATION: Roseburg Forest Products Co.
2258570 Fling Once use only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: OR E-Filed Annual Report
2258570
REPORT FOR THE FISCAL YEAR END: 12/31/2022 CA202306003405
3/1l2023 02:00
SECTION A:REGISTERED AGENT'S INFORMATION ❑x Changes
1.NAME OF REGISTERED AGENT: CT Corporation System
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B: PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Wood Products Manufacturing
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
3660 Gateway St 3660 Gateway St
Springfield,OR 97477 Springfield,OR 97477
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: B. Grady MUlbery NAME: P. Marian Daley NAME: Matthew Lawless
TITLE: President TITLE: Treasurer TITLE: Secretary
ADDRESS: ADDRESS: ADDRESS:
3660 Gateway Street 3660 Gateway Street 3660 Gateway St
Springfield,OR 97477 Springfield,OR 97477 Springfield,OR 97477
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entitya.
Dwn R Kosinski 3/1/2023
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Dawn R Kosinski Tax Director
` Print or Type Name of Officer Print or Type Title of Officer
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Dawn R Kosinski NAME: NAME:
TITLE: Tax Director TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
3660 Gateway Street
Springfield, OR 97477
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS: