NCG210168_ROS Renewal Certification and Original ROS Approval_20230712

AlkL Georgia-Pacific
Georgia-Pacific Wood Products LLC
Dudley Plywood Facility
139 Brewington Road
Dudley,NC 28333
Certified Mail#7022 0410 0001 8418 7355
July 13,2023
North Carolina Department of Environmental Quality
Division of Water Quality
Surface Water Protection Section
Washington Regional Office
943 Washington Square Mall
Washington,NC 27889
RE: Georgia-Pacific Wood Products LLC—Dudley Plywood Plant
Permit No.:NCG210168
Request for Renewal of Representative Outfall Status—Outfall 002
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Dear Sir or Madam:
Pursuant to North Carolina NPDES General Permit NCG210000 and Certificate of Coverage NCG210168,
Georgia-Pacific Wood Products LLC has enclosed the Renewal form for Representative Outfall Status and
required documentation where the division originally granted ROS for the facilities Outfall 002.
If you should have any questions or need more information,please call Elizabeth Meyer at(919)988-6697
or [e-mail]
Sincerely
Mason Curry
Plant Manager
Attachments: Renewals for Representative Outfall Status Request Form
State approval documented in 2017 inspection

FOR AGENCY USE ONLY
NC
ARO FRO MRO RRO WARO WIRO WSRO
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Division of Energy, Mineral, and Land Resources Land Quality Section
Representative Outfall Status (ROS) Renewal Certification Form
Please complete this form if you want to maintain current ROS designations.
Directions: Print or type all entries on this certification form. Attach this form and a copy of the original ROS
approval documentation to the Stormwater Upload Form.
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 ($10,000).
Under penalty of law, I certify that:
0 I, as an authorized representative, request renewal of the ROS designations currently granted to the subject
facility.
0 No site or activity modifications that impact the characteristics of stormwater discharges from the
representative outfalls have occurred at the subject facility.
FVI I am familiar with the information contained in this request and to the best of my knowledge and belief such
information is true,complete, and accurate.
Facility Name: Georgia-Pacific Wood Products LLC- Dudley Plywood Plant
Permit Number:NCG210168
Printed Name of Person Signing: Mason Curry
Title: Plant Manager
(Signature of Per i tee) (Date Signed)
NORTH CAROLINA J.
Department of Environmental quality

Compliance Inspection Report
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Permit: NCG210168 Effective: 08/01/13 Expiration: 07/31/18 Owner: Georgia-Pacific Wood Products LLC
SOC: Effective: Expiration: Facility: Dudley Plywood Plant
' County:Wayne 139 Brewington Rd
Region: Washington
Dudley NC 28333
Contact Person: Angie Cryder Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 03/15/2017 Entry Time: 10:OOAM Exit Time: 12:OOPM
Primary Inspector: Thom Edgerton Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
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Permit Inspection Type: Timber Products Stormwater Discharge COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Storm Water
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(See attachment summary)
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Page: 1

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Permit: NCG210168 Owner-Facility:Georgia-Pacific Wood Products LLC
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Inspection Date: 03/15/2017 Inspection Type:Compliance Evaluation Reason for Visit: Routine
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Permit and Outfalls Yes No NA NE
#Is a copy of the Permit and the Certificate of Coverage available at the site? ® ❑ ❑ ❑
#Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
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#If the facility has representative outfall status,is it properly documented by the Division? M ❑ ❑ ❑
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#Has the facility evaluated all illicit(non stormwater)discharges? ❑ ❑ ❑
Comment: Brandy Long [phone] presented that SDO#2 was substantially similar to SDO#1. As
long as there are not changes in the system or area draining to SDO#2, SDO#1 may be
sampled and reported. If visual or other monitoring presents changes, ROS status shall be
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discontinued.
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