NCS000592_Renewal Application_20230814

EPA ldentification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD 101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
Farm U.S. Environmental Protection Agency
t .=/EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION •D F
1.1 Applicants Not Requiredto Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 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,
E operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
production facility? currently discharging process wastewater?
aYes 4 Complete Form 1 E] No ❑ Yes 4 Complete Form 0 No
z and Form 213. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 is the facility a new or existing manufacturing,
c mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
= commenced to discharge? discharges only nonprocess wastewater?
a ❑ Yes i Complete Form 1 0 No Yes 4 Complete Farm ❑✓ No
and Form 2D. 1 and Farm 2E.
' 1.2.5 Is the facility a new or existing facility whose
v y discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
> C-j non-stormwater?
0 Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
z_ 122.26(b)(14)(x)or
b 15 .
SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40
2.1 Facility Name
Culpeper of Roanoke Rapids
w0 2.2 EPA Identification Number
U
J NCD101734598
2.3 Facility Contact
Name(first and last) Title Phone number
Billy Rodgers Plant Manager [phone]
Q
Email address
[e-mail]
2.4 Facility Mailing Address
E E Street or P.O.box
z
2262 West 10th Street
City or town State ZIP code
Roanoke Rapids NC 27870
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPOES Permit Number Facility Name Form Approved 03105/19
NCD101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
H V 2.5 Facility Location
s w Street,route number,or other specific identifier
a v 2262 West loth Street
co
`o County name County code(if known)
Halifax
60
City or town State ZIP code
z Ca cc Roanoke Rapids NC 27870
SECTION1 NAICS CODES41
3.1 SIC Code(s) Description(optional)
2491 Wood Preserving
Ml
N
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U
U
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z 3.2 NAICS Code(s) Description(optional)
c
1° 321114 Wood Preservation
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in
4.1 Name of Operator
Culpeper of Roanoke Rapids
o 4.2 Is the name you listed in Item 41 also the owner?
ii
€ 0 Yes ❑ No
4.3 Operator Status
❑ Public—federal ❑Public—state ❑Other public(specify)
o ❑✓ Private ❑Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
R
Street or P.O.Box
as
2262 West 10th Street
E City or town State ZIP code
o V Roanoke Rapids NC 27870
Q, Email address of operator
C [e-mail]
SECTIO'N 5. INDIAN1 41
5.1 Is the facility located on Indian Land?
❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
NCD101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
SECTION 's 1
6.1 Existing Environmental Pennits(check all that apply and print or type the corresponding permit number for each)
u m NPDES(discharges to surface m RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
42 NCS000592 NCD101734598
w a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
co
c
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTIONUl
•• •1
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
✓❑Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 213.)
SECTIONOF 1
8.1 Describe the nature of your business.
This is a wood preservation facility. Untreated lumber is brought on site for treatment using a copper based
a (micronized)amine formula. All chemicals used in the treatment process are kept inside containment areas. Waters
accumulated inside these containment areas are used back in the process. All freshly treated lumber is kept under
cover,on a RCRA Subpart W drip pad until drippage has ceased. There are several storage sheds where we store as
m much of the treated lumber as possible. Any remaining lumber is kept on the yard until sold.
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SECTION •• • ,1
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No+SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
c Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
o �
U c
SECTION1 VARIANCE REQUESTS4I I
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
a when.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
at Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

r
EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC;D101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
SECTIONAND • + +l and
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 ❑ wi attachments
❑✓ Section 3:SIC Codes ❑ wl attachments
✓❑ Section 4:Operator Information ❑ wl attachments
❑✓ Section 5: Indian Land ❑ wl attachments
0 Section 6:Existing Environmental Permits ❑ wl attachments
m
❑✓ Section 7:Map ❑ watopographic ❑mp wl additional attachments
Q ❑✓ Section 8:Nature of Business ❑ w/attachments
' ' ❑✓ Section 9:Cooling Water Intake Structures ❑ wl attachments
m
.a
❑� Section 10:Variance Requests ❑ w/attachments
a:
❑✓ Section 11:Checklist and Certification Statement ❑ wl attachments
11.2 Certification Statement
c�
l 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.l 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
Billy Rodgers Plant Manager
Signature Date signed
EPA Form 3510-1(revsed 3-19) Page 4

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REFERENCE:
FIGURE 1
USGS EI N TOPOGRAPHIC
QUADRANC ROANOKE RAPIDS, SCALE — FEET FACILITY LOCATION MAP
NORTH CAROLINA, DATED 2016.
0 2000
APPROVED KM 10/11/2017 ROANOKE RAPIDS
CHECKED RTS 10/11/2017
HALIFAX COUNTY, NORTH CAROLINA DRAWN RAM1a/0s/z PREPARED FOR
CAD FILE NO 17313AO01 CULPEPER OF ROANOKE RAPIDS, LLC
. 001
PROJECT NO.CWP.17313.RRSP ROANOKE RAPIDS, NORTH CAROLINA

EPA ldentificafion Number NPDES Permit Number Facility Name Form Approved 03105/19
NCD101734598 NC5000592 Culpeper of Roanoke Rapids OMB No.2040-OD04
Form U.S Environmental Protection Agency
2F d% Application for NPDES Permit to Discharge Wastewater
NPDES coEIA STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION1
1.1 Provide information on each of the facilit 's outfalls in the table below
Outfall
Number Receiving Water Name Latitude Longitude
001 Chockoyotte Creek 36' 27' 49,17" N 77' 41' 23.12" W
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002 Chockoyotte Creek 36* 27' 55.32" N 77° 41' 14.55" W
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SECTION `• 1
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?
1 ' `7
� n.. ❑ Yes ❑ No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
LU
Final Compliance Dates
ch o Brief Identification and Affected Outfalls
CO Source(s)of Discharge
d Description of Project (list outfall numbers)
J Required Projected
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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 03/05/19
NCD101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
Q 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
w 0 C specific guidance.)
ca
ca -E M
c ® Yes ❑ No
SECTIONPOLLUTANT SOURCES .i
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 mite radius of the facility)
specify units specify units
001 4.650 Acres
specify units specify units
002 4.850 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.)
Pressure treat various wood products with copper-based treating solution.
m
� Inside above ground contained tank storage of the wood treating solutions.
o Inside and outside storage of wood.
Operations of diesel fueled mobile and inside fuel storage.
Management of used oil products.
3 Proper and constant management of stormwater runoff.
0
a
4.3 Provide the locafion and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
from
Outfall
Number Control Measures and Treatment Exhibit
2F-1
ist
001 Detention ponds,berms,materials stored indoors.Employee training,good housekeeping.
002 Detention ponds,berms,materials stored indoors.Employee training,good housekeeping.
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105f19
NCD10173459lS NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
SECTION •N STORMWATER 1
5.1 1 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 outfalls 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
Billy Rodgers Plant Manager
Signature Date signed
E, 5.2 Provide the testing information requested in the table below.
Outfall Onsite Drainage Points
Description of Testing Method Used Date(s)of Testing Directly Observed
Number
During Test
a�
001 A visual review of the property was made. 08/03/2023
E
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c 002 A visual review of the property was made. 08/03/2023
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SECTIONOR 1
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
None
a
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Y
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SECTIONDISCHARGE INFORMATIONI
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
c com lete.Not all applicants need to complete each table.
fO 7.1 Is tflis a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 3 See instructions regarding submission of
co estimated data, actual data.
a.
Tables A,8,C,and D
7.2 Have you completed Table A for each outfall?
C3 ❑✓ Yes ❑ No
EPA Form 3510-21'(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCD101734598 NCS000592 Culpeper of Roanoke Rapids 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 p No 4 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+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+ 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
c Table C?
:a
0 ❑✓ Yes ❑ No
0 7.10 Do you expect any of the pollutants in Exhibit 217-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes ❑✓ No+SKIP to Item 7.12.
0
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 ppb or greater?
R
n ❑� Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl4,6-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?
0 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+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?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
NCD101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.2040-0004
.o 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
cmanufactured as an intermediate or final product or byproduct?
U ✓❑ Yes ❑ No 4 SKIP to Section 8.
c
0
7.19 List the pollutants below,including TCDD if applicable.
1.Coppef 4. 7.
m
r
2. 5. 8.
M 3. 6. 9.
SECTION 8.BIOLOGICAL TOXICITY TESTING DATA(40 C FIR 122.21(g)(1 1))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
0. any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
c ❑ Yes ❑✓ No 4 SKIP to Section 9.
w
8.2 Identify the tests and their purposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
X Permifflng Autho ?
0
f-
❑ Yes ❑ No
0 ❑ Yes ❑ No
0
❑ Yes ❑ No
SECTION • •R • 40
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
Environment 1,Inc. Waypaint Analytical
c
0
c
Laboratory address 114 Oakmont Drive 114 Oakmont Drive
0
Ta
Z. Greenville,NC 27835 Greenville,NC 27858
Q
0
m
L
c Phone number
v [phone] [phone]
Pollutant(s)analyzed BOD BOD
COD COD
T55 TSS
Arsenic Arsenic
Chromium Chromium
Copper Copper
EPA Form 3510.2F(Revised 3.19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
NCD101734598 NCS000592 Culpeper of Roanoke Rapids OMB No.204MQ04
SECTION1 CHECKLIST AND CERTIFICATION1
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 com fete all sections or provide attachments.
Column 1 Column 2
❑� Section 1 ❑ wl attachments(e.g.,responses for additional outfalls)
❑✓ Section 2 ❑ wl attachments
0 Section 3 ❑ wl site drainage map
❑✓ Section 4 ❑ wl attachments
❑✓ Section 5 ❑ wl attachments
Section 6 ❑ wl attachments
m ✓❑ Section 7 ElTable A Elwl small business exemption request
`" ❑r Table B ® wl analytical results as an attachment
C
19
O
i+
❑ Table C ✓❑ Table D
U ❑ Section 8 ❑ wlattachments
y ❑✓ Section 9 ❑ wlattachments(e.g„ responses for additional contact laboratories or firms)
r Section 10 ❑
v
10.2 Certification Statement
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. 1 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
Billy Rodgers Plant Manager
Signature Date signed
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identification Number NPDES Pemtit Number Fattity Name Outtail Number Form Approved 03XI5119
NCD 101734598 NCSD00592 Culpeper of Roanoke Rapids 001 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON • •
You must provide the results of at least one an for every pollutant in this table.Complete one table for each outfal I.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(sPo*unds) (specdy""'ts) NumberofStorm information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new soumeh*w
During First Flow-Weighted During First Flow-Weighted Events Sampled dischargersonty use
30Minutes Composite 30Minutes Composite codes Inhstrxbws)
1. Oil and grease N/A N/A
2. Biochemical oxygen demand(BO05) <2.0 mg/I <2.0 mg/I 1(May 2023) 5(Lab Results)
3. Chemical oxygen demand(COD) 48 mgA 48 mg/I 1(May 2023) 5(Lab Results)
4. Total suspended solids(TSS) 3.7 mg/I 3.7 mg/I 1(May 2023) 5(Lab Results)
5. Total phosphorus N/A N/A
6. Total Koldahl nitrogen(TKN) N/A N/A
7. Total nitrogen(as N) N/A N/A
pH(minimum)
8.
pH(maximum)
Sampling shall be conducted according to suftiaendy sensilive 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 3510-217(Revised 3-19) Page 7

EPA ldenttica6onNumber NPOES Permit Number FacirtyName QutrallNumber Form Approved 03A5fi9
NC;DSD1733i98 NC5000592 CulpeperaiRoanokeRapids 002 OMB No'2D40-0904
You must provide the results of at least one anal is for every pollutant in this table.Complete one sable for each outfalI.See instructions for additional delaiis and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) {specifyunitsi Number of5torm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (nevr sourcelnew
During First Flow-Weighted During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in insrovctcns)
1. Oil and grease N/A N/A
2 Biochemical oxygen demand(BOD5) 3.4 mg/3 2.4 mg/I 1(May 20231 5(Lab Results)
3. Chemical oxygen demand(COD) 48 mg/1 45 mg/l x(May 2023) 5(Lab Results)
4. Total suspended solids(TSS) 2.8 mg/1 22 mg/l 1(May 20231 5(Lab Results)
5. Total phosphorus NIA N/A
6, Total Keldahl nitrogen(TKN) N/A N/A
7. Total nitrogen(as N) N/A N/A
pH(minimum)
B.
pH(maximum)
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 ar
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-591 Page 6

EPA Identification Number NPDES Permit Number Facility Name Out(ail Number Form Approved 03/05119
NCD t0173.1599 NCS000592 Culpeper of Roanoke Rapids 001 OMB No.2040-M
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 oulfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
{spa: °nits (sp units Number of$torm information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new sourcelnew
During First Flaw-Weighted During First Flow-Weighted Events Sampled dischargersonly,use
30Minutes Composite 30Minutes Composite codes in instructions)
Total Suspended Solids(T55) 73 mg/I 23.8 mg/I 11 5(Loh Results)
Arsenic DM9 mg/I 0.016 mg/I 11 5(tab Results)
Chromium 0,042 mg/1 0.014 mg/1 11 5(Lab Results)
Copper 1.173 0.37 mg/I 11 5(tab Results)
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 Farm 3510.2E(Revised 3-19) Page 9

EPA Identificaton Number NPDES Permit Number Facility Name Oulfall Number Form Approved 0310M 9
NCD1O1734598 NCSOOO592 Culpeper of Roanoke Rapids 002 OMB No.204O0004
TABLE B.C ERTAIN CONVENTIONAL ANO NON CONVENTIONAL•• r .r
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
ands) units) Number of Storm Information
Pollutant and CAS Number(If available) Grab Sample Taken Grab Sample Taken (view sourcehem
During First Flow-Weighted ed During First Row-Weighted Events Sampled dischargers only,use
30Minutes Composite 30Minutes Composite codes Inlnstructlons)
Total Suspended Solids(TSS) 198 mg/1 38.3 mg/I 11 5(Lab Results)
Arsenic 0.023 mg/I 0.029 mg/I 11 5(Lab Results)
Chromium 0.062 mg/I 0.16 mg/I 11 5(Lab Results)
Copper 2.590 mg/I 0.528 mg/I 11 5(Lab Results)
'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 351O21'(Revised 3-19) Page 10

EPA Identifica5on Number NPDFS Permit Number Facility Name Mall Number Form Approved 03105119
NC F)IV 1734598 NCS000592 Culpeper of Roanoke Rapids 001 Oh1B No.2040-0004
POLLUTANTS,TABLE C.TOXIC • 1 •I I
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 tattle for each ouifall.See the instructions for addilenal
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
e' units ispeci units Number of Storm Information
Pollutant and CAS Number(if avaifabie} Grab Sample Taken Flow•Weihted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
g
During First During First dischargers only:use
30Minutes Composite 30Minutes Composite codes in instructions)
Arsenic 0-039 mg/1 23.S mg/I 11 5(tab Results)
Chromium 0-042 nri 0.014 mg/I 11 5{Lab Results)
Copper 1.173 mg/! 0.37 mg/I 11 5{Lab Results)
Sampling shall be conducled according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 far 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 35*2F(Revised 3-1g) Page 11

EPA Identircation Number NPDES Permit Nember Faclly Name Cutfall Number Form Approved 4310509
NC D141739598 NC5000592 Culpeper of Roanoke Rapids 002 OMB No.204U-0D04
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)JI)(i)(E)(4)and 40 CFR 122.21(g)(1)(vi)fl and(vii))I
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F-4 that you know or have reason to be1eve is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daly Discharge Average Daily Discharge Source of
s eci units s eci units Number of Storm Information
Pollutant and CAS Number(e available) Grab Sample Taken Grab Sample Taken (new szurceinew
During First Flow-Weighted ed During First Flow-Weighted Events Sampled dischargers only,use
30Minutes Composite 30Minutes Composite codesininstructions)
Arsenic 0.023 mg/I 0.029 mg/l 11 5(Lab Results)
Chromium 0.062 mg/I 0.16 mg/I 11 5(Lab Results)
Copper 2.590 mg/I 0.528 mg/I 11 5(Lab Results)
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 12

EPA Identification Ntxnber NPOES Permit Number Facility name 0dall Number Form Approved 03105119
NC D 101734598 NC5000592 Culpeper of Roanoke Rapids 001 OMB No.2040-OM
TABLE D.STORM EVENT INFORMATIONr
Provide data forthe storm event(s)that resulted in the maximum dalty discharges forthe flow-weighted compositesample.
Number of Hours Between
Duration of Storm Event Total Rainfall During Beginningof Storm Measured and Maximum Flow Rate
Total Flow From Rain Event
Date of Storm Event Storm Event During Rain Event
tiff hours) (in inches) End of Previous Measurable Rain tin gpm or specify units) (in gallons or sperdfy units)
Event
4113120 3 .30 >72 hours 124,908 Gal/Inch 37,472
3116/21 1.5 .32 >72 hours 124,908 Gal/Inch 39,971
3/31122 1 .30 >72 hours 124,908 Gal/Inch 37,472
Provide a description of the method of flow measurement or estimate.
Inches of rain X 124.908 gallons=Total rain event flow
EPA Form 3510-21'(Revised 3-19)
Page 13

EPA ldentifiratonNumber NPOES Permit Number Facility name 110111,Number Form Approved©N5119
N(D IO1734598 NC5000592 Culpeper of Roanoke Rapids 002 OMB No,20 HOO4
TABLE ) STORM EVENT INFORMATIONI
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
Date of Storm Event Storm Event During Rain Event Total Flow from Rain Event
�nhours} (in inches) End of Previous Measurable Rain (in gpm or specify units) Dn gallons or specify units)
Event
4/13120 3 .30 >72 hours 130,339 Gal/Inch 39,102
11/11/20 2 .31 >72 hours 130,339 Galllnch 40,405
11/22/21 .75 •13 >72 hours 130,339 Galllnch 16.944
3/31122 1 .30 >72 hours 130,339 Gal/Inch 39,102
Provide a description of the method of flow measurement or estimate.
Inches of rain X 130,339 gallons=Total rain event flow
EPA Form 35*2F(Revised 3.19) Page i.E

L'JMEER SHED Y 1 '1 _
r a' III TOES NTiON - I 'REFAB METAL BUILDING f
OUTFALL 001 ' POND ASPHALT FLOOR T 41
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DRAINS TO OUTFALL 007 0.670 ACRES I
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9� TOTAL PROPERTY AREA
I jI �9g gym$ L'•,! 10.015 ACRES '
.vlxxa ra+az,x• z U y,r AREA 3.801 ACRES -
� DRAINS r0 OUTFALL DDz
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ROANOKE RAPS SITE
CULPEPER OF ROANDKE RAPIDS LLC 2252 WEST Ift STREET FACILITY LAYOUT AND
xcvrdm ocscxa,ron 1' fxl 12� ROANOKE RAPIDS,NORTH CAROLINA ROANOKE RAPIDS STORMWATER MANAGEMENT
F4ALIFAX COUNTY,NORTH CARO,INA

Roanoke Rapids Outfall 001 Permit#NCS000592 Roanoke Rapids Outfall 002 Permit#NC5000592
u
s J c E Q O O a u m E a 0 Q
° 0 tl m ° 0 c) m
Q U Q U U LnqA mgA m A rnpa ffmjn mqA mpll nvq mn mgA mo m M9A m A
Apr-16 6.3 100 0.015 0.36 0.011 1 ]- 0.007 44 120 18 30 Apr-18 6.9 100 0.005 0.36 0.005 1 0.003 0.01 20 120 2.D 30
Dec-16 3.3 100 0.077 0.36 0.021 1 i1.u31 0.007 24 12D 3 30 Dec-18 2.7 100 0.239 0.36 0.019 1 0.01 20 120 2.D 30
Apr-1!; 13 100 0.010 0.36 0.005 1 __"3 0.007 36 120 8 30 Apr-19 29 100 0.005 0.36 0.005 1 0.003 0.01 20 120 2.9 30
Oct-19 6.2 100 0.038 0.36 0.022 1 0.007 53 120 16 30 Oct-19 2.8 100 0.005 0.36 0.005 1 - 0.01 20 120 2.0 30
Apr-20 24 100 0.039 0.36 0.042 1 0.007 117 120 37 30 Apr-2D 20 300 0.011 0.36 0.062 1 0.01 43 120 6-6 30
Nov-20 63 100 0.019 0.36 0.005 1 - - 0.007 63 120 14 30 Nov-20 43 100 0.023 0.36 0.005 1 0.01 200 120 20.0 30
Mar-21 47 100 0.016 0.36 0.018 1 0.007 79 120 15 30 Mar-21 40 100 0.012 0.36 0.014 1 0.01 61 120 22.0 30
Nov-21 19 100 0.005 0.36 0.005 1 0.399 0.007 78 120 12 30 Nov-21 198 100 0.006 D.36 6.015 1 0.03. 179 120 16.0 30
Mar-22 73 100 0.005 0.36 0.018 1 0.007 137 120 23 30 Mar-22 95 100 0.005 0.36 0.021 1 0.01 166 120 31.0 30
Dec-22 3.4 100 0.005 0.36 0.005 1 0.049 0.007 20 120 4 30 Dec-22 7.2 100 0.005 0.36 0.005 1 0.01 20 120 2.0 30
May-23 3.7 100 0.005 0.36 0.005 1 D 225 0.007 48 120 2 30 May-2-1 2.8 100 0.005 0.36 0.005 1 - 0.01 48 120 3.4 30
100 0.36 1 0.007 120 30 100 0.36 1 0.01 120 30
100 0.36 1 0.007 120 30 100 0.36 1 0.01 120 30
100 0.36 1 0.067 120 30 100 0.36 1 0.01 120 30
100 0.36 1 0.007 120 30 100 0.36 1 0.01 120 30
100 0.34 1 0.01 120 30 100 0.34 1 0.01 120 30
100 0.34 1 0.0E 120 30 100 0.34 1 1 0.01 120 30
100 0.34 1 0.01 120 30 100 0.34 1 0.01 120 30
100 0.344 1 0.01 120 30 100 0.54 1 J.D.01 120 30

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources—Stormwater Program
Facility Name: Culpeper of Roanoke Rapids
Permit Number: NCS000592
Location Address: 2262 west Ift street
Roanoke Rapids,NC 27870
County: Halifax
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
And
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations,"
Sign(according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature Date �5l 7.dT Z
Billy Rodgers Plant Manager
Print or type name of person signing above Title
SPPP Certification 10/13

CULPEPER OF ROANOKE RAPIDS
PERMIT i# NCS000592
INDUSTRIAL ACTIVITY SIGNIFICANT CHANGES
This facility has one significant change from the previous permit application.
They are no longer using (CCA) Chromium, Copper, Arsenic based wood
preservative. They are only using a Copper based residential type wood
preservative (MCA). No new equipment has been added.

CULPEPER OF ROANOKE RAPIDS
HALIFAX COUNTY
PERMIT#NCS000592
Tanks and containers storing material are located within buildings or covered by roof. All process water is
collected and reused as part of the treating process. Any storm water collected in secondary containment
is transferred to the wood treating system for reuse.
Existing non-structural control measures include implementation of this Plan, periodic inspections,
preventive maintenance, good housekeeping practices, inventory management, and employee training.
The facility operations, use of containments, storing and conducting activities inside buildings, and the
facility drainage system have been designed to minimize the potential for storm water pollution and
improve the quality of storm water runoff. Mitigation involves equipment, structural features, and
procedures to minimize the impact of other activities.
Many of the non-structural controls in place are in the form of materials handling and management
practices. One the most significant best management practices (BMPs) is the management of materials
at the facility inside buildings, on concrete contained areas, and/or under the cover of a roof. By receiving
and using the materials in a contained or enclosed area, it is unlikely that they will be released or contact
storm water. Other BMPs include preventive maintenance and cleanup of spilled material as soon as
possible when discovered outside of the containment areas.
Preventive maintenance is conducted by the facility personnel to allow timely inspection and maintenance
of areas and equipment that may result in environmental degradation or endangerment of workers and/or
the general public. The facility's routine inspections are designed to correct small problems before they
become significant and to discover leaks, drips,etc.that have occurred inside and outside containment
areas. By inspecting areas on the facility and removing the released material in a timely manner, impacts
to storm water are minimized.
Other specific controls and procedures to minimize precipitation contact with material at the facility that
could impact storm water include the following.
• Preservative cycles are designed to eliminate drippage, to the maximum extent possible,
and produce clean surfaces on the treated product. Treated wood is kept on the drip pads
until drippage has ceased.
• Stored wood is stacked in orderly rows to minimize surface exposure to precipitation and
impacts to storm water.
• Any sawdust from wood management activities is contained and kept to a minimum to
reduce exposure to precipitation.
• Secondary containment used mostly for spill control also keeps any spilled or dripped
material from contacting storm water runoff.
• Since much of the stored materials and all the processes are within buildings and under a
roof, inherently, storm water runoff of materials or constituents is minimized.

• Preventive maintenance is conducted by the facility personnel to allow timely inspection and
maintenance of areas and equipment that may result in environmental degradation.
• Routine inspections conducted at the facility discover leaks, drips, etc. inside and outside
containment areas. By inspecting areas on the site and removing the release material in a
timely manner, impacts to storm water are minimized.
• Any leaks, spills, or releases are mitigated with absorbent material as soon as possible after
the release, including at the vehicle maintenance and fueling areas.
• Good housekeeping practices are followed by keeping trash, debris, releases, and wood
waste cleaned up since these are potential sources to impact storm water.
• The facility has the ability to block the storm water outfalls, if needed,
The following list provides various structural and non-structural BMPs specifically identified for wood
treating facilities through various industry and regulatory sources. These BMPs will be implemented, as
applicable, inspected and evaluated on a regular basis, and a record maintained of such activities. These
BMPs point to methods and practices employed by the facility to minimize the contact of its products and
equipment to storm water.
Area or Best Management Practice
Activity
• Assure drippage has ceased prior to removal of treated wood products from drip pad.
• Manage treating preservatives to ensure acceptable levels,thus ensuring clean surfaces on
treated wood products.
• Eliminate non-process traffic on drip pad;ensure that all equipment tires are washed before
entering and departing from the drip pad.
Process Minimize the footprint of treated inventory not covered by a roof,limiting the potential area of
Area/Active effect on stone water runoff.
Wood Treating Work to minimize the need to cut treated wood. However,when it is necessary,manage the saw
and Storage dust associated with the cutting appropriately.
Area Maintain the cleanliness of treating cylinders. Clean them on a routine schedule.
• Inspect and ensure that all containments are adequate and intact
• Adjust preservative cycles,as necessary,working to ensure that the quantity of preservative
placed in wood products is minimized yet compliant to AWPA retention and penetration
requirements.
• Work to minimize the quantity of treated wood stored on the site.
Ensure the appropriate implementation of yard drippage inspection programs.
Loading and Ensure that containments are adequate and allow no run-on or runoff of preservative.
Unloading Evaluate and minimize the risks of spills in these areas.
Material Ensure that employees involved in this function of the facility's operations are adequately trained.
Handling Areas
Chemical Ensure that all secondary containment is adequate and intact.
Stora a Area Enclose chemical storage areas,where possible.
• Ensure that all oils and waste generated during maintenance and servicing activities in the facility
Maintenance are managed in a timely and appropriate fashion.
Park all mobile equipment on impervious surfaces.

Roanoke Rapids Visual Inspections
Outfall 001 Permit# NCS000592
Floating Suspended Erosion or
Color Odor Clarity Solids Solids Foam Oil Sheen Deposition
04/24/18 Clear None Clear None None None None None
12/10/18 Clear None Clear None None None None None
04/02/19 Clear None Clear None None None None None
10/16/191 Clear None Clear None None None None None
4/13/20 Gray None Clear None None None None None
11/11/20 Gray None Clear None None None None None
3/16/21 Gray None Clear None None None None None
11/22/21 Gray None Clear None None None None None
3/31/22 Gray None Clear None None None None None
12/7/221 Gray None Clear None None None None None
5/30/231 Gray None Clear None None None None None
Outfall 002 Permit# NCS000592
Floating Suspended Erosion or
Color Odor Clarity Solids Solids Foam Oil Sheen Deposition
04/24/18 Clear None Clear None None None None None
12/10/18 Clear None Clear None None None None I None
04/02/191 Clear None Clear None None None None None
10/16/19 Clear None Clear None None None None None
4/13/20 Gray None Clear None None None None None
11/11/20 Gray None Clear None None None None None
3/16/21 Gray None Clear None None None None None
11/22/211 Gray None Clear None None None None None
3/31/22 Gray None Clear None None None None None
12/7/22 Gray None Clear None None None None None
5/30/23 Gray None Clear None None None None None