NC0023442_fact sheet_20231113

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
FACT SHEET
EXPEDITED - PERMIT RENEWAL
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles Weaver — 11/13/2023
Permit Number - Class
NC0023442 — Class WW-1
Owner
Southern Veneer Specialty Products, LLC
Facility Name
Moncure Plywood WWTP
Type of Waste
100 % domestic
Basin Name/Sub-basin number
Cape Fear / 03-06-07
Receiving Stream
UT Haw River [segment 16- 42
Stream Classification in Permit
WS-IV
Does permit need Daily Max NH3 limits?
Existing limits at BAT for Class WW-1 facilities. (It's not clear
from previous fact sheet why NH3 limits were set at BAT when
summer 7Q10 is listed at 47.5 cfs. Limits will remain unchanged
to prevent anti -backsliding concerns).
Does permit need TRC limits/language?
Already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Nutrient reo ener
Does permit have instream monitoring?
No
Is the stream impaired on 303 d list)?
No
Any obvious compliance concerns?
Eight enforcement cases during the time since Southern Veneer
took over as owner of facility (March 2019). One NOD and three
NOVs during this period. Most violations are for fecal coliform.
Old lagoo system was dismantled in October 2019.
Any permit MODS since last permit?
Two minor mods: one change to TRC monitoring requirements,
one ownership change.
New expiration date
September 30, 2028
Changes to current permit?
➢ Updated eDMR language
Changes to final permit?
➢ None

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
Chatham News Record
NORTH CAROLINA
CHATHAM COUNTY
CLIPPING OF LEGA
ADVERTISEMEN'
ATTACHED HERETI
rusucrio=
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
North Carolina Environmental Management
Commission/NPDESUnit
duly commissioned, qualified and authorized by law to administer
1617 Mail Service Center
Raleigh, NC27699-1617
Notice of Intent to Issue a NPDES Wastewater Permit
oaths, personally appeared Florence Turner
NCO023442 Moncure Plywood The North Carolina
Environmental Management Commission proposes
W h 0
to issue a NPDES wastewater discharge permit to the
person(s) listed below. Written comments regarding
the proposed permit will be accepted until 30 days after
being first duly sworn, deposes and says: that he (she) is
the publish date of this notice. The Director of the NC
Division of Water Resources (DW R) may hold a public
Accounts Receivable Clerk
hearingshould there be a significant degree of public
interest. Please mail comments and/or information
(Owner, partner, publisher, or other officer or employee authorized to make this affidavit)
requests to DWR at the above address. Interested
persons may visit the DWR at 512 N. Salisbury Street,
of the Chatham Media Group, LLC., engaged in the publication of
Raleigh, NC 27604 to review the information on file.
Additional information on NPDES permits and this
a newspaper known as, Chatham News+Record published, issued
p r
notice aybefoundonourngs,orbycallhttping(9q.
, nc.gov/public-notices-hearings,orby calling(919)
and entered as second class mail in the Town of Siler City, in said
Y
Southern
County and State; that he (she) is authorized to make this affidavit
hasap lie1.
NPDESpeciaS
renewVeneeal
has applied for renewal of NPDES permit NC0023442
itNCO02344,
for the Moncure Plywood WWTP (306 Corinth Rd.
and sworn statement; that the notice or legal advertisement,
Moncure) in Chatham County. This facility discharges
treated domestic wastewater to an unnamed
a true co of which is attached hereto, was published in the
p
ver
BasinarytothedOxyHaw gen,ver am eCa nitroge Fearen,
Basin. Dissolved Oxygen, ammonia nitrogen, fecal
n,fecopy
Chatham News+Record on the following dates:
coliform, and Total Residual Chlorine are water quality
limited parameters. This discharge may affect future
4<2
T
allocations in this portion of the Cape Fear River Basin.
and that the said newspaper in which such notice, paper,
document, or legal advertisement was published was, at the
time of each and every such publication, a newspaper meeting
all of the requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified newspaper ````1��i������i
within the meaning of Section 1-597 of the General Statues of ���es w pyi,��
North Carolina.
r N0TARy 0_
This day ofr� 3 _
f `
PURL Ic
(signature of person making afFldavlt)
Sworn to and subscribed before me, this
day of
'DD3
No gf%hPublic M n / C)1- � � O
My Commission expires:/�— JI

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
y STATfy
ROY COOPER;`
GovenrorL'31=
ELIZABETH S. BISER
•.
��,�` •• .
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
September 6, 2023
MEMORANDUM
To: Shawn Guyer
NC DEQ / DWR / Public Water Supply
Raleigh Regional Office
From: Charles H. Weaver, Jr.
NPDES
Subject: Review of Draft NPDES Permit NCO023442
Moncure Plywood WWTP
Chatham County
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by October 9, 2023. If you have any questions on the draft permit, please contact me
at 919-707-3616 or via e-mail [[e-mail]].
RESPONSE: (Check one)
17V Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed
Date: 0 -+�2,
North ( Irolinei Delmomeni of'[ Fuvi rnn m' na l)ualily I)ivtaon Of WZ1W1 I1 CSi ltllii)
5-I? With Salishwe Street I61? iMail Service C'cnler Raleigh. North C. Iroli m 27,699-16171 r— --- EQ:>
—
ov�a—A nr e�m,mm�amm uuanh

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
Print All Pages
Print Form Only
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. LLC
Form
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
NPDES
the instructions may result in denial of the application.)
SECTION•N
INFORMATION FOR i
1.1
Facility name
Southern Veneer Specialty Products, LLC
Mailing address (street or P.O. box)
306 Corinth Rd
City or town
State
ZIP code
e
Moncure
North Carolina
27559
.2
EContact
name (first and last)
Title
Phone number
Email address
.0
Thomas Reams
EHS Manager
[phone]
Thomas. Reams@syspecialty.0
c
Location address (street, route number, or other specific identifier) ❑✓ Same as mailing address
R
w
City or town
State
ZIP code
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
c
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Q
CL
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator ❑✓ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility ❑ Applicant 0 Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.
mExisting
Environmental Permits
a
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
c
NCO023442
0 PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
w
03424T29
a�
y
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑✓ Other (specify)
%
w
404)
NCG210033 (storm water)
Page 1

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Prndurts. LLC
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
indicate percentage)
Southern Veneer
200
100 % separate sanitary sewer
0 Own El Maintain
Specialty
% combined storm and sanitary
rY sewer
El Own El Maintain
m
Products. LLC
❑ Unknown
❑ Own ❑ Maintain
c
% separate sanitary sewer
❑ Own ❑ Maintain
R
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
a
% separate sanitary sewer
ElOwn ElMaintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
E
ElUnknown
ElOwn ElMaintain
% separate sanitary sewer ❑ Own ❑ Maintain
N%
combined storm and sanitary sewer ❑ Own ❑ Maintain
❑ Unknown Own
0
Total
2
200
Population
No
c�
Served
R❑
Separate Sanitary Sewer System Combined S
Sanitary Sewer
Total percentage of each type of
sewer line in miles)
100 /° ° /° °
z'
1.8
Is the treatment works located in Indian Country?
'
0
U
ElYes ✓❑ No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
c
❑ Yes ❑✓ No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
0.0008 mgd
y
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
c
0
0.00093 mgd
0.00054 mgd
0.00048 mgd
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
0.00318 mgd
0.00142 mgd
0.0016 mgd
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
oTotal
Number of Effluent Discharge Points b T pe
a C-
Combined Sewer
Constructed
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
Overflows
N
G
1
Page 2

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. LLC
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Im oundment Location and Dischar a Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
ElContinuous
gpd
❑ Intermittent
gpd
ElContinuous
❑ Intermittent
Z_
1.14
Is wastewater applied to land?
CD
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
C
Land Application Site and Discharge Data
°
Average Daily Volume
Continuous or
Location
Size
Applied
Intermittent
a,
check one
tiacres
d
gpd
❑ Continuous
o
❑ Intermittent
acres
d
gpd
El Continuous
o
ElIntermittent
acres
d
gpd
El Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
ElYes ❑✓ No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
Aeration pump tank to a pipe
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑✓ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. LLC
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving F cility Data
Facility name
Mailing address (street or P.O. box)
d
City or town
State
ZIP code
0
U
Contact name (first and last)
Title
0
d
Phone number
Email address
c
NPDES number of receiving facility (if any) ❑ None
Average flail flow rate m d
9 Y g
CL
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
0
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
cm
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
.�
acres
gpd
El
❑ Intermittent
acres
gpd
ElContinuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
ti
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
El El into marine waters (CWA ElWater quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
✓❑ Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
✓❑ Yes ❑ No 4SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
0
Contractor name
Wastewater Management LLC
Clark's Septic Tank Service
(company name
0
Mailing address
705 Sanford Rd
260 Charlie Cooper Rd
street or P.O. box
0
City, state, and ZIP
Pittsboro, NC 27312
Siler City, NC 27344
cc
0
code
ConL tact name (first and
Randall Jarrell
Bruce Clark
c �
last)
Phone number
[phone]
[phone]
Email address
[e-mail]
Operational and
Operation, maintenance, and
Pump out septic tank sludge
maintenance
sampling of the WTP
when needed
responsibilities of
contractor
Page 4

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number Facility Name Modified Application Form 2A
NCO023442 Southern Veneer Specialty Modified March 2021
Products. LLC
SECTION11 • •' • I
o Outfalls to Waters of the State of North Carolina
a
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
T
o
❑ Yes ❑✓ No 4 SKIP to Section 3.
0
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
3
0
c
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
M
specific requirements.)
C
0
0
0
0
ElYes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
c
(See instructions for specific requirements.)
_ tm
U- .!R
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1.
d
E
d
0-
2.
E
0
0
N
d
3.
d
4.
Cn
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
d
Scheduled
Affected
Begin
End
Begin
Attainment of
>
o
Improvement
Outfalls
Construction
Construction
Discharge
Operational
CL E
—
(from above)
(list number) outfal
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
Level
MMIDDIYYYY
1,
12684 0 R
m
s
U
N
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name Modified Application Form 2A
NCO023442
Southern Veneer Specialty Modified March 2021
Produrts. LLC
SECTION•'
• ON DISCHARGES
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
North Carolina
County
Chatham
w
o
City or town
Moncure
0
c
Distance from shore
614476 ft,
ft.
ft.
rs
'C
Depth below surface
o ft.
ft.
ft.
0
Average daily flow rate
0.00065 mgd
mgd
mgd
Latitude
35' 36 37.8" N
°
"
Longitude
79° 03' 8.4" w
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
R
o
❑ Yes ✓❑ No 4 SKIP to Item 3.4.
d
R
3.3
If so, provide the following information for each applicable outfall.
y
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
0
discharge occurs
a
Average duration of each
0
discharge (specify units
C
Average flow of each
mgd
mgd
mgd
0
discharge
in
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser t pe at each applicable outfall.
CL
Outfall Number
Outfall Number
Outfall Number
U)
0
vi
3 6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
12 0
one or more discharge points?
3::
❑✓ Yes ❑ No 4SKIP to Section 6.
Page 6

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. LLC
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
Haw River
Name of watershed, river,
Haw River
0
or stream system
U.S. Soil Conservation
0
Service 14-digit watershed
See below
o
code
L
Name of state
Cape Fear
a�
management/river basin
U.S. Geological Survey
8-digit hydrologic
03030002
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
0 Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
0
Q
Design Removal Rates by
Outfall
N
d
BODs or CBODs
40 %
%
%
c
d
E
m
L
TSS
40 %
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
0 Not applicable
❑ Not applicable
❑ Not applicable
Page 7

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. LLC
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
UV Light (2 operating bulbs with 2 backup)
as
c
c
0
=
Outfall Number 001
Outfall Number
Outfall Number
0
Disinfection type
UV Light
U)
4)
d
0
Seasons used
All
d
E
M
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑✓ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ✓❑ No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
R
w
R
Number of tests of discharge
a,
water
Number of tests of receiving
water
d
w
LU
w
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. ✓❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑✓ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes 0 No additional sampling required by NPDES
permitting authority.
Page 8

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Produrts. I I C
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes 0 No + Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
M M/DD/YYYY
4)
a>
c
0
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
❑ Yes ❑ No -+ SKIP to Item 3.26.
4)
3.23
Describe the cause(s) of the toxicity:
4)
d
LU
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes 0 Not applicable because previously submitted
information to the NPDES permitting authority.
Page 9

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO023442
Southern Veneer Specialty
Modified March 2021
Products. LLC
6.1
In Column 1 below, mark the �j�§4o4 f orm 2A that you hSvettoaMIVkd rc5pWWt hitting with your application. For
each section, specify in Column 2 any attachments that you are end?6fffrik0gaf*-the permitting authority. Note that not
all a licants are required to provide attachments.
Column 1
Column 2
❑ Section 1: Basic Application
Information for All A licants
❑ wl variance request(s) El w/ additional attachments
❑ Section 2: Additional
❑ w/ topographic map ❑✓ wl process flow diagram
Information
❑ wl additional attachments
0 w/ Table A ❑ w/ Table D
Section 3: Information on
Effluent Discharges
w/ Table B ❑✓ w/ additional attachments
d
❑ w/ Table C
is
c
✓ Section 4: Not Applicable
✓
0
y=
Section 5: Not Applicable
c�
a
Section 6: Checklist and
❑
El w/ attachments
w
Certification Statement
6.2
Certification Statement
0
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 th person or persons who manage the system, or those persons directly responsible
for gathering the information, the in ation submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there ar significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowin vi ations.
Name (print or type first and la ame)
Official title
Thomas Ream
EHS Manager
Signat
Date signed
Ciy
o Z'L
Page 10

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number
Facility Name
Outfall Number
NCO023442
Southern Veneer Specialty
001
Prndurts. LLC
Modified Application Form 2A
Modified March 2021
�. .�
Maximum Daily Discharge
Average Daily Discharge
Analytical ML or MDL
Value
Units
Number
Pollutant
Value Units
Methods (include units)
Sampless
Biochemical oxygen demand
o BOD5 or ❑ CBOD5
12
mg/L
2.4
mg/L
165
SM 5210 B-2011 2.0 mg/L El ML
171 MDL
(report one
Fecal coliform
2420
MPN/100 mL
96.5
MPN/100 mL
165
Colilert 18 --- ❑ ML
I7 MDL
Design flow rate
0.00318
MGD
0.00064
MGD
1122
pH (minimum)
6.12
S.u.
pH (maximum)
8.62
S.u.
Temperature (winter)
19.1
C
14.5
C
12
Temperature (summer)
30.4
C
28.0
C
31
Total suspended solids (TSS)
16
mg/L
2.1
mg/L
164
SM 2540D-2011 2.5 mg/L 11 ML
MDL
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).
Page 11

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
NCO023442 Southern Veneer Specialty 001
Products. LLC
Modified Application Form 2A
Modified March 2021
•' '• • • • •' I 1
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical
ML or MDL
Number of
Value
Units
Value
Units
Methods
Include units
( )
Samples
Ammonia (as N)
0.064
mg/L
1
EPA 350.1
0.0098 mg El MIL
0 MDL
Chlorine
N/A Not required
N/A
N/A
N/A
N/A
N/A
El MIL
N/A
residual, TRC 2
❑ MDL
Dissolved oxygen
12.3
mg/L
8.7
mg/L
166
Field Measurement
❑ MIL
0 MDL
Nitrate/nitrite
94
mg/L
-
1
EPA 353.2
2.0 mg/L El MIL
0 MDL
Kjeldahl nitrogen
2.3
mg/L
1
EPA 351.2
0.26 mg/L El MIL
0 MDL
Oil and grease
N/A - Not in current
permit as a
parameter for
testing
N/A
N/A
N/A El MIL
❑ MDL
Phosphorus
11
mg/L
1
EPA 351.2
0.26 mg/L El MIL
O MDL
Total dissolved solids
<2.5
mg/L
1
SM 2540D-2011
2.5 mg/L El MIL
O MDL
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).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC0023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
•' I '•
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
ollutant
LP Number of
Method' (include units)
Value Units Value Units
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ MIL
❑ MDL
Arsenic, total recoverable
❑ MIL
❑ MDL
Beryllium, total recoverable
❑ MIL
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ MIL
❑ MDL
Copper, total recoverable
❑ MIL
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
❑ MIL
❑ MDL
Nickel, total recoverable
❑ MIL
❑ MDL
Selenium, total recoverable
❑ MIL
❑ MDL
Silver, total recoverable
❑ MIL
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ MIL
❑ MDL
Cyanide
❑ MIL
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ MIL
❑ MDL
Acrylonitrile
❑ MIL
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ MIL
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 13

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
•' I '�
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
Carbon tetrachloride
❑ MIL
❑ MDL
Chlorobenzene
❑ MIL
❑ MDL
Chlorodibromomethane
❑ ML
❑ MDL
Chloroethane
❑ MIL
❑ MDL
2-chloroethylvinyl ether
❑ MIL
❑ MDL
Chloroform
❑ MIL
❑ MDL
Dichlorobromomethane
❑ MIL
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ MIL
❑ MDL
trans- 1,2-dichloroethylene
❑ ML
❑ MDL
1,1-dichloroethylene
❑ MIL
❑ MDL
1,2-dichloropropane
❑ MIL
❑ MDL
1,3-dichloropropylene
❑ ML
❑ MDL
Ethylbenzene
❑ MIL
❑ MDL
Methyl bromide
❑ MIL
❑ MDL
Methyl chloride
❑ ML
❑ MDL
Methylene chloride
❑ MIL
❑ MDL
1,1,2,2-tetrachloroethane
❑ MIL
❑ MDL
Tetrachloroethylene
❑ MIL
❑ MDL
Toluene
❑ MIL
❑ MDL
1,1,1-trichloroethane
❑ MIL
❑ MDL
1,1,2-trichloroethane
❑ MIL
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 14

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
•' I '�
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
Trichloroethylene
❑ MIL
❑ MDL
Vinyl chloride
❑ MIL
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
❑ ML
❑ MDL
2-chlorophenol
❑ MIL
❑ MDL
2,4-dichlorophenol
❑ MIL
❑ MDL
2,4-dimethyl phenol
❑ ML
❑ MDL
4,6-dinitro-o-cresol
❑ MIL
❑ MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ MIL
❑ MDL
4-nitrophenol
❑ MIL
❑ MDL
Pentachlorophenol
❑ MIL
❑ MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
❑ MIL
❑ MDL
Base -Neutral Compounds
Acenaphthene
❑ ML
❑ MDL
Acenaphthylene
❑ MIL
❑ MDL
Anthracene
❑ MIL
❑ MDL
Benzidine
❑ MIL
❑ MDL
Ben zo(a)anthracene
❑ MIL
❑ MDL
Benzo(a)pyrene
❑ MIL
❑ MDL
3,4 benzofluoranthene
El MIL
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 15

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
•' I '�
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
Benzo(ghi)perylene
❑ MIL
❑ MDL
Benzo(k)fluoranthene
❑ MIL
❑ MDL
Bis (2-chloroethoxy) methane
❑ MIL
❑ MDL
Bis (2-chloroethyl) ether
❑ MIL
❑ MDL
Bis (2-chloroisopropyl) ether
❑ MIL
❑ MDL
Bis (2-ethylhexyl) phthalate
❑ MIL
❑ MDL
4-bromophenyl phenyl ether
❑ MIL
❑ MDL
Butyl benzyl phthalate
❑ MIL
❑ MDL
2-chloronaphthalene
❑ MIL
❑ MDL
4-chlorophenyl phenyl ether
❑ ML
❑ MDL
Chrysene
❑ MIL
❑ MDL
di-n-butyl phthalate
❑ MIL
❑ MDL
di-n-octyl phthalate
❑ MIL
❑ MDL
Dibenzo(a,h)anthracene
❑ MIL
❑ MDL
1,2-dichlorobenzene
❑ MIL
❑ MDL
1,3-dichlorobenzene
❑ MIL
❑ MDL
1,4-dichlorobenzene
❑ MIL
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
❑ MIL
❑ MDL
Dimethyl phthalate
❑ MIL
❑ MDL
2,4-dinitrotoluene
❑ MIL
❑ MDL
2,6-dinitrotoluene
❑ MIL
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
•' I '�
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units
Samples
1,2-diphenylhydrazine
❑ MIL
❑ MDL
Fluoranthene
❑ MIL
❑ MDL
Fluorene
❑ MIL
❑ MDL
Hexachlorobenzene
❑ MIL
❑ MDL
Hexachlorobutadiene
❑ MIL
❑ MDL
Hexachlorocyclo-pentadiene
❑ MIL
❑ MDL
Hexachloroethane
❑ MIL
❑ MDL
Indeno(1,2,3-cd)pyrene
❑ ML
❑ MDL
Isophorone
❑ MIL
❑ MDL
Naphthalene
❑ MIL
❑ MDL
Nitrobenzene
❑ ML
❑ MDL
N-nitrosodi-n-propylamine
❑ MIL
❑ MDL
N-nitrosodimethylamine
❑ MIL
❑ MDL
N-nitrosodiphenylamine
❑ MIL
❑ MDL
Phenanthrene
❑ MIL
❑ MDL
Pyrene
❑ MIL
❑ MDL
1,2,4-trichlorobenzene
❑ MIL
❑ MDL
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 3510-2A (Revised 3-19) Page 17

DocuSign Envelope ID: 7337E86F-E73E-4C78-A308-C3C876240608
NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO023442 Southern Veneer Specialty
Modified March 2021
Products. LLC
1 III • '• • I '1 •'
Maximum Dail Discharge Average Dail Discharge
Pollutant
Analytical ML or MDL
Number
(list) Value Units Value Units
�
d Metho(include units)
Samples
s
❑ No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
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).
Page 18