NCS000336_Fact sheet binder_20240321

DEQ / DEMLR
FACT SHEET FOR NPDES INDUSTRIAL INDIVIDUAL
STORMWATER PERMIT DEVELOPMENT
Basic Information for Permit Issuance and Renewals:
Permit Writer/Date Brianna Young 3/21/2024
Permit Number NCS000336
Owner/Facility Name UFP Elizabeth City,LLC/UFP Elizabeth City,LLC
2491 (321114)/Wood preserving
SIC(NAICS)Code/Category 2448 (321920)/Wood pallets and skid(wood
container and pallet manufacturing)
Basin Name/Sub-basin number Pas uotank/03-01-50
Receiving Stream/I UC Knobbs Creek/030102050706
Stream Classification/Stream Segment C; Sw/30-3-8
Is the stream impaired on 303 d list]? No
Any TMDLs? No
Any threatened and/or endangered species? No
Any compliance concerns? See Section 2 below
Any permit mods since lastpermit? No
New expiration date 4/30/2029
Comments on Draft Permit? See Section 6 below
Section 1. Facility Activities and Process:
UFP Elizabeth City, LLC is a wood preservation operation that pressure treats wood and cuts and shapes
wood, and assembles pallets, skids, crates, and boxes. The preservative (micronized copper azole) is
applied within a closed cycle system that recycles water via a collection sump and reuses the process
suspension. No waste or effluent is created or discharged and there is no discharge of process waters that
have come into contact with the treatment chemicals or the treated wood product. The treatment plant
has been designed to contain the volume of all tanks inside the plant in the event of simultaneous failure.
Chemicals currently stored onsite include: Micronized Copper Azole, wax, sodium nitrite, mold
inhibitor, and Mold AC.
The facility previously used chromated copper arsenate (CCA), which was replaced by micronized
copper quarternary(MCQ) in January 2004, which was replaced by Micronized Copper Azole (MCA) in
February 2009. Per the 2009 inspection report, a monitoring well was onsite as the site was an old DOT
site that had a Chlorine plume years ago.
Significant materials exposed to storm water at this facility include copper-treated lumber,untreated
lumber, wooden pallets, and containers. Loading, unloading, temporary storage, fuel storage, and
vehicle fueling operations occur in the storage yard. Bunks of lumber are stored on blocks to prevent
contact with stormwater sheet flow. All fuel ASTs are located under roofs and within secondary
containment.
Outfall SW001:
Drainage area consists of the holtec saw/assembly building and outdoor lumber storage.
Page 1 of 6

Outfall SWO02:
Drainage area consists of the lumber treating building, covered drip pad, treated lumber storage
building, lumber storage building, the holtec saw/assembly building, even ender/planar building, lumber
storage/assembly building, office, outdoor lumber storage, maintenance building, and 500-gallon diesel
AST.
Additional Outfalls:
Per information in the permit file history, there are outfalls 003 and 004, however, no industrial activity,
materials storage, or vehicle maintenance occurs in the areas drained by these outfalls.
Why Industrial Sites with Stormwater are Subject to a Permit: Federal NPDES regulations define
stormwater discharge associated with industrial activity in 40 CFR §122.26 (b)(14) as: "the discharge
from any conveyance that is used for collecting and conveying storm water and that is directly related to
manufacturing,processing or raw materials storage areas at an industrial plant. The term does not
include discharges from facilities or activities excluded from the NPDES program under this part 122.
For the categories of industries identified in this section, the term includes, but is not limited to, storm
water [sic] discharges from industrial plant yards; immediate access roads and rail lines used or traveled
by carriers of raw materials, manufactured products, waste material, or byproducts used or created by
the facility; material handling sites; refuse sites; sites used for the application or disposal of process
waste waters (as defined at part 401 of this chapter); sites used for the storage and maintenance of
material handling equipment; sites used for residual treatment, storage, or disposal; shipping and
receiving areas; manufacturing buildings; storage areas (including tank farms) for raw materials, and
intermediate and final products; and areas where industrial activity has taken place in the past and
significant materials remain and are exposed to storm water. For the purposes of this paragraph, material
handling activities include storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, byproduct or waste product. The term excludes areas
located on plant lands separate from the plant's industrial activities, such as office buildings and
accompanying parking lots as long as the drainage from the excluded areas is not mixed with storm
water [sic] drained from the above described areas."
Section 2. Monitoring Information and Compliance Historv:
• May 2017 to June 2023,benchmarks exceeded for:
o SW001: TSS 2x, COD 2x, Copper 4x
o SWO02: COD 3x, Copper 4x
o Sample results not provided for 2018, 2019, or 2021
■ First and second half of 2018, first half of 2019, and second half of 2020
permittee noted insufficient rainfall during business hours or no stormwater
discharge for each semi-annual period
■ Second half of 2019 permittee noted sample was missed
■ Other sample results or explanations not provided
o Only one sample provided per year for 2017, 2020, 2022, and 2023
• Incomplete visual monitoring results provided
o Outfall SWO02 not consistently observed
Page 2 of 6

Threatened/Endangered Species:
There are no threatened/endangered species of concern in the nearby vicinity, however, there are species
of concern, including: Slender Blue Iris (Iris prismatica; NS status: SR-T), Rainbow Snake (Farancia
erytrogramma; NC status: SR), and Dismal Swamp Southern Bog Lemming (Synaptomys cooperi
helaletes; NC status: SR).
Section 3. Proposed Monitoring for Stormwater Discharges:
The Division considered potential pollutants from past and present industrial activities and data was
submitted for May 2017 to June 2023. Quantitative sampling included pH, TSS, BOD, COD, dissolved
copper, recoverable copper, and total nitrogen.
Parameters are based on potential pollutants in the drainage area, sampling results, and in some cases,
dependent upon future activities (e.g., ash removal through the drainage area). Below is a table of the
proposed monitoring for each outfall at the UFP Elizabeth City site.
Outfalls SWO01 and SWO02
Quarterly monitoring
Total Suspended Solids BASIS: Potential pollutant from drainage area and BMP effectiveness
(TSS) indicator.
Quarterly monitoring
H BASIS: Pollutant indicator and important to interpreting toxicity potential
p of metals.
Quarterly monitoring
Total Rainfall BASIS: Discharge potential indicator
Quarterly monitoring
Non-Polar Oil &Grease BASIS: Potential pollutant from lubricants; Method 1664 SGT-HEM
targets petroleum-based O&G
Quarterly monitoring
Monthly Oil Usage BASIS: Potential pollutant from drainage area
Quarterly monitoring
BOD BASIS: Discharge potential indicator
Quarterly monitoring
COD BASIS: Discharge potential indicator
Quarterly monitoring
Total Copper BASIS: Potential pollutant from drainage area
Quarterly monitoring
Total Hardness BASIS: Monitoring for hardness dependent metals present
Page 3 of 6

Stormwater Benchmarks and Tiered Response: Rather than limits,North Carolina NPDES
Stormwater permits contain benchmark concentrations. Stormwater benchmarks are numerical action
levels for stormwater monitoring. Benchmarks are not effluent limits, and benchmark exceedances are
not permit violations. Benchmarks provide facilities a tool for assessing the significance of pollutants in
stormwater discharges and the effectiveness of best management practices (BMPs). Benchmark
concentrations are intended as guidelines for the facility's development and implementation of the
Stormwater Pollution Prevention Plan(SWPPP).
Benchmark exceedances require the permittee to increase monitoring, increase management actions,
increase record keeping, and/or install stormwater BMPs in a tiered program. The permit establishes a
tiered approach to specify actions the permittee must take in response to analytical results above
benchmark concentrations. The tiered structure of the permit provides the permittee and DEMLR wide
flexibility to address issues that may arise with one or more parameters and/or outfalls.
Metals benchmarks are calculated to mimic acute water quality standards and with the guidance of
DWR. NC DWR follows established federal procedures for calculating acute standards when developing
the benchmarks. Just like the acute standards, metals benchmarks normally reflect one half of the
calculated Final Acute Value (the "1/2 FAV"). In most cases, translation into total recoverable values is
based on an assumed hardness of 25 mg/L and a total suspended solids (TSS) concentration of 10 mg/L.
Acute standards protect aquatic life from negative impacts of short-term exposure to higher levels of
chemicals where the discharge enters a waterbody. The Stormwater Permitting Program applies this
approach because of the ephemeral nature of rainfall events.
The Division may evaluate results to determine if a smaller suite of parameters for some outfalls is
adequate to characterize potential pollution or BMP effectiveness. For example, one or more metals or
other parameters may serve as an adequate tracer for the presence of ash pollution during disturbance or
ash removal in specific drainage areas at this site. For parameters that do not have a stormwater
benchmark, the Division may develop a benchmark value if appropriate toxicity data become available
or if rising trends in concentrations suggest a persistent source.
A summary of the benchmarks in the draft permit, and their basis, is below:
Parameter Benchmark Basis
Total Suspended 100 mg/L National Urban Runoff Program(NURP) Study, 1983
Solids TSS
H 6 s.u. —9 s.u. NC Water Quality Standard(Range)
Non-Polar Oil & Review of other state's daily maximum benchmark
Grease 15 mg/L concentration for this more targeted O&G;NC WQS that
EPA Method 1664 does not allow oil sheen in waters
SGT-HEM
BOD 30 mg/L BPJ; Based on Secondary Treatment Regulation (40 CFR
133.03
COD 120 mg/L BPJ; Generally found at levels 4x BOD5 in domestic
wastewaters
Copper Total 10 /L Acute Aquatic Criterion, '/2 FAV
Stormwater Pollution Prevention Plan: The proposed permit conditions reflect the EPA and NC's
pollution prevention approach to stormwater permitting. The Division's maintains that implementation
of Best Management Practices (BMPs) and traditional stormwater management practices that control the
Page 4 of 6

source of pollutants meets the definition of Best Available Technology (BAT) and Best Conventional
Pollutant Control Technology(BCT). The permit conditions are not numeric effluent limitations but are
designed to be flexible requirements for implementing site-specific plans to minimize and control
pollutants in stormwater discharges associated with the industrial activity. Title 40 Code of Federal
Regulations (CFR) §122.44(k)(2) authorizes the use of BMPs in lieu of numeric effluent limitations in
NPDES permits when the agency finds numeric effluent limitations to be infeasible. The agency may
also impose BMP requirements which are "reasonably necessary" to carry out the purposes of the Act
under the authority of 40 CFR 122.44(k)(3). The conditions proposed in this draft permit are included
under the authority of both of these regulatory provisions. In essence, the pollution prevention and BMP
requirements operate as limitations on effluent discharges that reflect the application of BAT/BCT.
Flexibility in Tier Responses: Tier Two actions provide an opportunity for the permittee to propose an
alternative monitoring plan for approval by the Region:
• Alternatively, in lieu of steps 2 and 3, the permittee may, after two consecutive exceedances,
exercise the option of contacting the DEMLR Regional Engineer as provided below in Tier
Three. The Regional Engineer may direct the response actions on the part of the permittee as
provided in Tier Three, including reduced or additional sampling parameters or frequency.
• If pursuing the alternative above after two consecutive exceedances, the permittee may propose
an alternative monitoring plan for approval by the Regional Engineer.
The permit therefore allows the permittee to petition the Regional Office for monitoring changes sooner
than Tier Three (upon any four benchmark exceedances) and gives guidance on one option to take. For
example, the permittee may request that mercury only be monitored semi-annually under the tiers, or
that only parameters over the benchmark be monitored more frequently. In this way, changes to the
monitoring scheme for any outfall could be handled outside of a permit modification.
Other Proposed Requirements:
• It is standard for Stormwater Pollution Prevention Plan(SWPPP)requirements to include an
annual certification that stormwater outfalls have been evaluated for the presence of non-
stormwater discharges, and if any are identified, how those discharges are permitted or otherwise
authorized.
• Requirement to submit a request for permit modification if the facility identifies or creates any
new outfalls, removes outfalls, or alters any drainage area that changes potential pollutants.
• The Division expects the permittee to apply best professional judgment and consider the safety
of its personnel in fulfilling sampling obligations under the permit.
• Federal regulations require electronic submittal of all discharge monitoring reports (DMRs). If a
state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the EPA.
• Quarterly QualitativeNisual Monitoring to assure regular observation of outfalls throughout
year.
Section 4. Changes from previous permit to draft:
• Regulatory citations added
• Monitoring increased from semi-annually to quarterly for all parameters (qualitative and
quantitative)
• "No discharge" clarifications made
Page 5 of 6

• Feasibility study and online SWPPP certification requirements removed per updated stormwater
program requirements
• eDMR requirement added
• Boilerplate language moved into body of the permit; boilerplate no longer attached
• Outfall-specific monitoring been implemented to reflect industrial activity and potential
pollutants specific to each discharge area
• Monitoring for total nitrogen removed as there are no pollutants stored onsite necessitating
monitoring
• Total recoverable copper replaced with total copper
• Monitoring for total hardness added for outfalls where monitoring for hardness dependent metals
is required
• Benchmarks updated for parameters per guidance from DWR Standards group on stormwater
benchmarks
Section 5. Changes from draft to final:
• None
Section 6. Discussions with the Facility and Regional Office:
• Initial contact with facility: 9/19/2023
• Initial contact with Regional Office: 9/19/2023
• Draft sent to CO peer review: N/A
• Draft sent to Regional Office: 1/11/2024
• Final permit sent for supervisor signature: N/A
Section 7. Comments received on draft permit:
• None
Page 6 of 6

Affidavit of Publication
STATE OF NORTH CAROLINA PUBLIC NOTICE
NORTH CAROLINA
BEAUFORT & HYDE COUNTIES ENVIRONMENTAL
MANAGEMENT COMMISSION
INTENT TO ISSUE
Ashley Vansant,being duly sworn,says: NPDES STORMWATER
That he is Publisher of the Washington Daily News, DISCHARGE PERMITS
a daily newspaper of general circulation,printed and The North Carolina Environ-
published in Washington, Beaufort&Hyde Coun- mental Management Commis-
ties, North Carolina;that the publication,a copy of sion proposes to issue NPDES
which is attached hereto,was published in the said stormwater discharge permit(s)
newspaper on the following dates: to the person(s) listed below.
9 Public comment or objection to
the draft permits is Invited.Writ-
ten comments regarding the
proposed permit will be accept-
ed until 30 days after the publish
date of this notice and consid-
ered in the final determination
That said newspaper was regularly issued and regarding permit issuance and
circulated on those dates. permit provisions.The Director
of the NC Division of Energy,
Mineral, and Land Resources
The sum charged by the Newspaper for said publi- (DEMLR) may hold a public
cation does not exceed the lowest rate paid by com- hearing should there be a signif-
mercial customers for an advertisement of similar icant degree of public interest.
size and frequency in the same newspaper in which Please mail comments and/or
q Yinformation requests to DEMLR
the public notice appeared. at 1612 Mail Service Center,
Raleigh,NC 27699-1612.
There are no agreements between the Washington uFP Mid-Atlantic, LLC[2801
Dail News and the officer or attorney charged with E 525]Belti e s Grand Rapids, al
Y Y 9 49525] has requested renewal
the duty of placing the attached legal advertising of permit NCS000336 for the
notices whereby any advantage,gain or profit ac- UFP Elizabeth City, LLC facil-
crued to said officer or attorney. ity in Pasquotank County.This
facility discharges to Knobbs
Creek in the Pasquotank River
SIGNED: Basin.
Interested persons ma yy vis-
it DEMLR at 512 N. Saiisbury
street, Raleigh, NC 27604 to
review Information on file.
Additional information on
Z�4� NPDES permits and this notice
may be found on our website:
https://deq.nc.gov/about/
divisions/energy-mineral-and- p ��
Ashley Vansant, Publisher land-resources/stormwater/ r
stormwater-program/
Subscribed and sworn to before me this stormwater-public-notices, or
17th Da of Januar by contacting Brianna Young at
Y Y,2024
brianna.youna an_dea.nc.aov or fr
919-707-3547. Z
�o eskq, Washington Daily News:
�°QF Jan.17,2024
j 1 r�ora�v a NCS000336
�A PIiBL�C
�ARGS
Mary Jo Eskridge,Notary Public
State of Alabama at Large
My commission expires 03-02-2026
Account#304614
Ad#1768217
161D2 MAIL SERVICE CENTER
RALEIGH NC 27699 r'�rogra,,

Young, Brianna A
From: Nick Waddell <[e-mail]>
Sent: Tuesday, November 7, 2023 2:55 PM
To: Young, Brianna A
Subject: RE: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Attachments: #258 2017-2023 Dry Observation Summary.xlsx; #258 2017-2023 Wet Observation
Summary.xlsx; #258 Fall to Spring SW Sampling 2017-2018.pdf; #258 First half SW
Sampling 2018.pdf;#258 First half SW Sampling 2019.pdf,#258 Second half SW
Sampling 2018.pdf;#258 Second half SW Sampling 2019.pdf,#258 Second half SW
Sampling 2020.pdf; 258 - 2017-2022 SW Analytical Results Summary.xls
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Brianna
I have attached a few more documents. First, I have the summaries of the wet and dry observations. This is pulled
directly from our repository database. Second, I updated the original storm water sampling information to include data
from May 2017. Lastly, I have attached documents indicating why samples were not analyzed in 2018, 2019, or 2020. 1
have no information on 2021. 1 spoke to a colleague here at the corporate office, and he indicated there was a change in
management staff, so we not be able to find out why the sample was not taken.
When you have a moment, please review the documents. Thank you again for your help!
Nick
From:Young, Brianna A<[e-mail]>
Sent:Tuesday, November 7, 2023 12:39 PM
To: Nick Waddell <[e-mail]>
Subject: RE: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Thank you, Nick.To confirm, there are no results for 2017, 2018, or 2019 either? Or any visual monitoring results?
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647(office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
1

From: Nick Waddell <[e-mail]>
Sent:Tuesday, November 7, 2023 8:54 AM
To:Young, Brianna A<[e-mail]>
Subject: RE: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Brianna
I apologize for that. I do not know why there are no results for 2021 (1 am the new guy here in the compliance
department), but I will find that out and get back to you. In the meantime, here are the results that show in our
database.
Nick
From:Young, Brianna A<[e-mail]>
Sent:Tuesday, November 7, 2023 8:28 AM
To: Nick Waddell <[e-mail]>
Subject: RE: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Good morning Nick,
Do you have any additional visual or analytical monitoring data?The renewal application and the additional information
submitted only appear to contain results for 1 sample taken in January 2020 at each outfall, but if you have this data for
all dates since the current permit was issued (i.e. December 1, 2017 to present),that is required for my review.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647(office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
From:Young, Brianna A
Sent: Friday, November 3, 2023 9:06 AM
To: Nick Waddell <[e-mail]>
Subject: RE: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Good morning,
2

Thank you for providing this information. I will reach out if I have any questions once I've had a chance to review
everything.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
From: Nick Waddell <[e-mail]>
Sent: Friday, November 3, 2023 8:43 AM
To:Young, Brianna A<[e-mail]>
Subject: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Brianna
I have attached the requested documents to this email. Please contact me if you have any questions.
Nick
Nicholas Waddell I Regulatory Compliance Administrator
UFP Industries, Inc. I www.ufpi.com
Direct: 616-226-0952
Email: [e-mail]
,UFP INDUSTRIES
Confidentiality Notice: This email message and its attachments may contain confidential information. If you received this message in error, please
delete it as soon as possible and alert the sender.
From: Young, Brianna A<[e-mail]>
Sent: Monday, October 16, 2023 2:55 PM
3

To: [e-mail]
Cc:Joe Mark<[e-mail]>; Rob Dickens<[e-mail]>
Subject: RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Some people who received this message don't often get email from [e-mail]. Learn why this is important
Good afternoon,
I am following up on my previous email as I have not received any response to data. Please let me know if you have any
questions about the information request. Please note that this information is required in order to proceed with the
permit renewal review.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
From:Young, Brianna A
Sent:Tuesday, September 19, 2023 8:20 AM
To: [e-mail]
Cc:Joe Mark<[e-mail]>; [e-mail]
Subject: UFP Elizabeth City, LLC stormwater permit NCS000336
Good morning,
I am working on renewing the individual stormwater permit for UFP Elizabeth City, LLC (NCS000336). I need
additional information in order to 1) confirm that the information I have is correct and 2) make sure the permit
adequately serves the needs of the facility. Please provide the following:
• List of all chemicals stored onsite;
• An electronic spreadsheet summarizing all of the analytical and visual monitoring data that has been
collected since the effective date of the current permit;
• Verification that the information in the renewal application is still complete and correct; and
• An explanation of any operational changes since the renewal application was submitted.
Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)
for the facility. Please review the facility information to make sure it is correct. Information can be updated
using the links provided below, where applicable:
4

• Facility/Company name or ownership: Name/Ownership Change Form
• Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form
• Delegation of Signature Authority (DOSA): Permit Contact Update Request Form
• Billing contact: Permit Contact Update Request Form
• Permit contact: Permit Contact Update Request Form
• Facility contact: Permit Contact Update Request Form
• Facility address only: Email Bethany og ulias
• Stormwater outfall information: Email Bethany Georgoulias
• Visit the eDMR Six Steps website and complete Steps 1 and 2
• Pay outstanding permit fees: Stormwater ePayment website
Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS (she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/ Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred) PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, INC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
5

Summary of Storm Water Analytical Results
UFP Elizabeth City, LLC; Permit Number NCS000336
December 1, 2017 through November 30, 2022 Permit Ti
Sample Parameter Sample Date Sample Results Permit Benchmark
Results for Outfall 001 (Western mid-point of property adjacent to Knobbs Creek)
BOD5 05-May-17 4 30
COD 05-May-17 123 120
Days Since Last Rain 05-May-17 3 Report
Dissolved Copper 05-May-17 <0.004 not required
pH 05-May-17 6.69 6-9
Rainfall Amount 05-May-17 1 Report
Total Nitrogen 05-May-17 1.08 30
Total Recoverable Copper 05-May-17 0.012 0.010
TSS 05-May-17 10 100
BOD5 07-Jan-20 21.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00631 not required
pH 07-Jan-20 8.53 6-9
Rainfall Amount 07-Jan-20 0.25 Report
Total Nitrogen 07-Jan-20 <0.500 30
Total Recoverable Copper 07-Jan-20 0.0139 0.010
TSS 07-Jan-20 8.0 100
BOD5 15-Dec-22 28.6 30
COD 15-Dec-22 46.3 120
Days Since Last Rain 15-Dec-22 8 Report
Dissolved Copper 15-Dec-22 0.0373 not required
pH 15-Dec-22 8.2 6-9
Rainfall Amount 15-Dec-22 0.625 Report
Total Nitrogen 15-Dec-22 4.33 30
Total Recoverable Copper 15-Dec-22 0.257 0.01
TSS 15-Dec-22 192 100
BOD5 12-Jun-23 22.8 30
COD 12-Jun-23 205 120
Days Since Last Rain 12-Jun-23 7 Report
Dissolved Copper 12-Jun-23 0.0436 not required
pH 12-Jun-23 7.64 6-9
Rainfall Amount 12-Jun-23 0.25 Report
Total Nitrogen 12-Jun-23 4.97 30
Total Recoverable Copper 12-Jun-23 0.395 0.01

TSS 12-Jun-23 988 100
Results for Outfall 002 (Southwest mid-point of property adjacent to Knobbs Creek)
BOD5 05-May-17 11 30
COD 05-May-17 142 120
Days Since Last Rain 05-May-17 3 Report
Dissolved Copper 05-May-17 0.0585 not required
pH 05-May-17 6.58 6-9
Rainfall Amount 05-May-17 1 Report
Total Nitrogen 05-May-17 2.89 30
Total Recoverable Copper 05-May-17 0.083 0.010
TSS 05-May-17 38 100
BOD5 07-Jan-20 13.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00840 not required
pH 07-Jan-20 8.2 6-9
Rainfall Amount 07-Jan-20 0.24 Report
Total Nitrogen 07-Jan-20 5.94 30
Total Recoverable Copper 07-Jan-20 0.0452 0.010
TSS 07-Jan-20 48.0 100
BOD5 15-Dec-22 27.1 30
COD 15-Dec-22 190 120
Days Since Last Rain 15-Dec-22 8 Report
Dissolved Copper 15-Dec-22 0.0395 not required
pH 15-Dec-22 6.93 6-9
Rainfall Amount 15-Dec-22 0.626 Report
Total Nitrogen 15-Dec-22 3.88 30
Total Recoverable Copper 15-Dec-22 0.0414 0.010
TSS 15-Dec-22 18.8 100
BOD5 12-Jun-23 <2.00 30
COD 12-Jun-23 244 120
Days Since Last Rain 12-Jun-23 7 Report
Dissolved Copper 12-Jun-23 0.0173 not required
pH 12-Jun-23 6.9 6-9
Rainfall Amount 12-Jun-23 0.24 Report
Total Nitrogen 12-Jun-23 4.37 30
Total Recoverable Copper 12-Jun-23 0.0209 0.010
TSS 12-Jun-23 62 100

arm
Permit Benchmark Unit
mg/L
mg/L
days
mg/L
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
S.U.
inches
mg/L
mg/L

mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L

Document Name
2016-SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - FALL
2017 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2017 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - FALL
2018 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2018 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2018 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - FALL
2019 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2019 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SECOND HALF OF YEAR
2020-SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - POST SPRING SW SAMPLE FU
2020-SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2020-SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - FALL
2021 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2021 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- - DECEMBER
2022 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -JUNE
2022 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -Q4
2023 -SWD- Dry Observations (v2009) -258 ELIZABETH CITY, NC- -JUNE

Branch #and Location Sample Period Year Plant Contact Date
258 ELIZABETH CITY, NC FALL 2016 ADAM FRITZ 3/29/2017
258 ELIZABETH CITY, NC SPRING 2017 ADAM FRITZ 5/4/2017
258 ELIZABETH CITY, NC FALL 2017 NICK LANDI 1/2/2018
258 ELIZABETH CITY, NC SPRING 2018 NICK LANDI 1/2/2018
258 ELIZABETH CITY, NC SPRING 2018 NICK LANDI 3/22/2018
258 ELIZABETH CITY, NC FALL 2018 SEAN MITCHELL 12/18/2018
258 ELIZABETH CITY, NC SPRING 2019 SEAN MITCHELL 6/17/2019
258 ELIZABETH CITY, NC SECOND HALF OF YEAR 2019 AARON CREECH 12/30/2019
258 ELIZABETH CITY, NC POST SPRING SW SAMPLE FU 2020 AARON CREECH 1/20/2020
258 ELIZABETH CITY, NC SPRING 2020 AARON CREECH 6/29/2020
258 ELIZABETH CITY, NC FALL 2020 AARON CREECH 12/28/2020
258 ELIZABETH CITY, NC SPRING 2021 AARON CREECH 6/18/2021
258 ELIZABETH CITY, NC FALL 2021 JW GODFREY 6/1/2022
258 ELIZABETH CITY, NC SPRING 2022 JW GODFREY 6/1/2022
258 ELIZABETH CITY, NC FALL 2022 JW GODFREY 1/3/2023
258 ELIZABETH CITY, NC SPRING 2023 JW GODFREY 6/21/2023

Pollutants Observed Pollutants-Comments Pollutants-Loading
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED

Pollutants-FuelStorage Pollutants-StorageYard Untreated Pollutants-StorageYardTreated
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED

Poll utants-SawDust Poll utants-Manuf
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED POTENTIAL POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
POTENTIAL POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED

Pollutants-StormwaterDrains Pollutants-StormwaterOutf ails Pollutants-DischargeWaterYesNo
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO
NO POLLUTANTS OBSERVED NO POLLUTANTS OBSERVED NO

Pollutants-Disch argeWaterExplained PollutionPrevention-YesNo PollutionPrevention-Comments
YES
NO
YES
YES
YES
YES
YES
NO
YES
YES
NO
YES
NO
NO
YES
NO

Comments/Notes
Mill employee's notified and trained to observe potential issues of sawdust and importance of keeping the area cl
we monitor they dust collection area regularly, and have weekly cleaning schedule.
We can always work on housekeeping even though it is in good shape.The ponding is a constant battle because v
We will continue to improve housekeeping and training. Runoff control is a constant battle here because we are I,
Need to control sawdust better
Ponding and erosion control
Purchased a John Deere tractor to clean up and dump the excess sawdust around the Cyclone dust system. Clean
Tier one inspection for total copper benchmark exceedance 2020 1st half. Housekeeping of dust collection and dr
Removal of sawdust buildup around dust collection and improved housekeeping. has come a long way in last 6 mi
More frequent housekeeping of dust collection area when we have runovers.
Report completed on June 1, 2022 based on observations made during December 2021.
Better training and understanding for treating employees.
I think we do a pretty good job training our employees.They are always looking and addressing any potential issu

Inspection Time Stormwater Number
10:00 AM 102800
1:00 PM 103029
3:00 PM 104495
3:00 PM 105846
11:OOAM 106499
8:15AM 106501
8:OOAM 106083
12:00 PM 108674
1:00 PM TIER ONE INSPECTION
2:OOPM 108969
09:OOAM 109948
12:OOPM 110817
9:00 AM 112180
9:10 AM 112785
10:30AM 114330
9:00 AM 114343

Document Name
2017 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -SPRING
2017 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2017 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - FALL
2018 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2018 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - FALL
2019 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2020-SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - FIRST HALF OF YEAR
2020-SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- - FIRST HALF OF YEAR
2019 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -SECOND HALF OF YEAR
2019 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -SECOND HALF OF YEAR
2020-SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - FALL
2021 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -SPRING
2021 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -SPRING
2021 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- - FALL
2021 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - FALL
2022 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- -SPRING
2022 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -Q1
2022 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- - B
2022 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- - B
2023 -SWD-Wet Observations (v2009) -258 ELIZABETH CITY, NC- -JUNE
2023 -SWD-Wet Observations (v2009) - 258 ELIZABETH CITY, NC- -JUNE

Branch #and Location Sample Period Year Plant Contact Date Outfall
258 ELIZABETH CITY, NC SPRING 2017 ADAM FRITZ 3/28/2017 1
258 ELIZABETH CITY, NC SPRING 2017 ADAM FRITZ 3/28/2017 1
258 ELIZABETH CITY, NC FALL 2017 JOHN N LANDI JR 10/29/2017 1
258 ELIZABETH CITY, NC SPRING 2018 AARON CREECH 7/9/2018 1
258 ELIZABETH CITY, NC FALL 2018 SEAN MITCHELL 12/28/2018 1
258 ELIZABETH CITY, NC SPRING 2019 SEAN MITCHELL 6/26/2019 1
258 ELIZABETH CITY, NC FIRST HALF OF YEAR 2020 AARON CREECH 1/7/2020 1
258 ELIZABETH CITY, NC FIRST HALF OF YEAR 2020 AARON CREECH 1/7/2020 2
258 ELIZABETH CITY, NC SECOND HALF OF YEAR 2019 AARON CREECH 11/18/2019 1
258 ELIZABETH CITY, NC SECOND HALF OF YEAR 2019 AARON CREECH 11/18/2019 2
258 ELIZABETH CITY, NC FALL 2020 AARON CREECH 12/28/2020 1
258 ELIZABETH CITY, NC SPRING 2021 AARON CREECH 6/30/2021 1
258 ELIZABETH CITY, NC SPRING 2021 AARON CREECH 6/30/2021 2
258 ELIZABETH CITY, NC FALL 2021 AARON CREECH 6/16/2022 1
258 ELIZABETH CITY, NC FALL 2021 AARON CREECH 6/16/2022 2
258 ELIZABETH CITY, NC SPRING 2022 JW GODFREY 7/26/2022 1
258 ELIZABETH CITY, NC Q1 2022 JW GODFREY 6/30/2022 1
258 ELIZABETH CITY, NC B 2022 AARON CREECH 12/15/2022 1
258 ELIZABETH CITY, NC B 2022 AARON CREECH 12/15/2022 2
258 ELIZABETH CITY, NC JUNE 2023 JW GODFREY 6/13/2023 1
258 ELIZABETH CITY, NC JUNE 2023 JW GODFREY 6/13/2023 2

OutfallDesc Color FloatingSolids Odor
WEST SIDE OF PROPERTY, CONCRETE SLAB @ RIVER YELLOWISH 2 NONE
SOUTHEAST CORNER OF LOT, DOWN PATH YELLOWISH 2 NONE
OFF THE BACK OF THE PROPERTY YELLOWISH 3 NONE
CLEAR 1 NONE
YELLOWISH 2 NONE
CLEAR 1 NONE
YELLOWISH 1 NONE
BACK OF PLANT BEHIND MAINTENANCE.
ROCK YARD AGAINST CREEK
BACK OF PLANT BEHIND MAINTENANCE.
ROCK YARD AGAINST CREEK NONE
CLEAR 1 NONE
YELLOWISH 1 NONE
FRONT MIDDLE YARD DITCH LIGHT BROWN 2 NONE
BACK OF YARD DITCH LIGHT BROWN 4 NONE

Suspended Rating Clarity SettledSolids OilSheen Foam DrainOperatingProperty
2 MOSTLY CLEAR 1 NO NO YES
2 MOSTLY CLEAR 1 NO NO YES
2 VERY CLEAR 2 NO NO YES
2 MOSTLY CLEAR 1 NO NO YES
1 SEMI CLEAR 1 NO NO YES
1 MOSTLY CLEAR 1 NO NO YES
2 SEMI CLEAR 2 NO NO YES
SEMI CLEAR
2 CLOUDY 1 NO NO YES
2 MOSTLY CLEAR 1 NO NO YES
2 SEMI CLEAR 1 NO NO YES
4 SEMI CLEAR 1 NO NO YES

Comments/Notes TotalRain
0.01
0.01
1+
1/4"
1/4"
1/4"
1/4"
Report completed in June 2022 based on observations made during JUIy 1- Dec 31, 2021
Report completed in June 2022 based on observations made during JUIy 1- Dec 31, 2021
8-May
8-May
4-Jan
4-Jan

DurationStorm TimeSinceLastRain Una bleToObserve Rain Reason
0.5 6
0.5 6
3+ 7 DAYS MINIMUN
2.5 4
2.5 4
6 5
6 5
2 8
2 8
30 MINS 1 WEEK
30 MINS 1 WEEK

Una bleToObserve Rain Rea son-Other
OBS ARE FOR DEC 2018. STAFF CHANGES CAUSED GAP IN OBSERVATIONS FROM JULY TO DEC.

Inspection Time Stormwater Number
1:45PM 102923
2:00 PM 102923
6:45 AM 103501
2:00 PM 105844
9:15AM 105845
N/A 107053
4:30 PM 108952
4:30 PM 108952
2:OOPM 108671
2:30PM 108671
9:OOAM 110552
6:00 PM 109990
6:00 PM 109990
12:OOPM 112181
12:OOPM 112181
9:00 AM 112666
150PM 112666
9:00 AM 114386
9:00 AM 114386
4PM 9PM 114608
9PM 114608

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258 -Elizabeth City, NC
Sample Period: November 1, 2016 thru April 30, 2017; SW#102921
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Plant Contact:Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein R Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Location: Outfall 002
Outfall Description: Southwest mid-point of property adjacent to Knobbs Creek
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BODE(30 mglL)
COD(120 mglL)
Dissolved Copper(not required}
pH(6-9 S.U.)
Total Nitrogen(30 mglL)
Total Recoverable Copper(0.007 mglL)
TSS(100 mglL)
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1110"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your R2rmtt requftnnteto M If you mull corn fete 11 WET OBSERVATION FORMA on the saLn2le before
sendina
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest Ill 0"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: ,r�p� dr..->,L'r-r
Step s: UFP Management CertificationlRelinquished By:
I certify that this water se le and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualirietl p noel gaBter and evaluate the information sumbitted-
Name: Date: z
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS ovemight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258-Elizabeth City, NC
Sample Period: November 1, 2016 thru April 30, 2017; SW#102921
itgows
Lab: Place this form in a 2iploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Carrl6actlebr+�aiEt
Plant Contact: Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr, Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg1L)
COD(120 mglL)
Dissolved Copper(not required)
PH(6-9 S.U.)
Total Nitrogen(30 mglL)
Total Recoverable Copper(0.007 mg1L)
TSS(100 mglL)
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wail for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1110"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your oemdt reauirernents to see If you must complete a WET OBSERVATION FORM on the sample before
sending
Stop 4: Complete the following information:
Date Sampled: r Time Sampled r
i
Amount of rain(nearest 1I10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater): r
Sample collected by:
Sample location(if different):
Comments: 1n -S� P:�,c,-r Ce;, A tt L,v�:.--� L.,�v�s ' �!—"?17►G .e�
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample ntl its documentabon were completed under my direction or supervision in accordance with a system designed to
assure that qualifietl perso gather and evacuate the information sumbitted.
Name: Date: 1;-—Z_
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258 -Elizabeth City, NC
Sample Period: First Half(Jan 1 -June 30)2018,SW#105842
nd�si, i:s; a� _.— „a,. .,,i7 `�""�"j
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Plant Contact: Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
17it
Sample Location: Outfall 002
Outfall Description: Southwest mid-point of property adjacent to Knobbs Creek
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
IL
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to goo If you must complete a WET OBSERVATION FORM on the sample before
son Ina off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different): t
Comments: nSU r:��L'/1 ..� n G �^: '► US:/l 'JS 'ldU/�
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: /4Grd i Cr6ee 4 Date: 7—ci
z.
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258 -Elizabeth City, NC
Sample Period: First Half(Jan 1 -June 30)2018,SW#105842
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
p
Plant Contact: Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit reauirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: r!1 fr, �a, �� c!!`:"4 ALis,
Step 5: UFP Management Certification/Relinquished By:
1 certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: AAr o in Creee- 4 Date:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258 -Elizabeth City, NC
Sample Period: Second Half(July 1 -Dec 31)2018; SW#105843
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact: Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab - --- -
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check Your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: No stw'm ti�ate r discharge during this mol,Ito rin+r penod_
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were com ted under my direction or supervision in accordance with a system designed to
ro
assure that qualified personnel ather and evalua the info n sumbitted.
Name: , ate:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258-Elizabeth City, NC
Sample Period: Second Half(July 1 -Dec 31)2018; SW#105843
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
C.onUct Information
Plant Contact: Aaron Creech;Adam Fritz;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 M Grand Rapids,MI 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample information
Sample Location: Outfall 002
Outfall Description: Southwest mid-point of property adjacent to Knobbs Creek
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant;Sa,mpling'Proi edums
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit reauirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: No Qorni wader diccharoe during thi:monitoring,period.
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation werre�Ieted r my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the ed.
Date:
Step 6: Return the samples on ice(double bagged if shippinj and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification,Data Sheet and Chain of Custody
Plant Number: 258 -Elizabeth City, NC
Sample Period: 1 st half(Jan 1 -June 30)2019 SW Sample; SW#107044
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact: Sean Mitchell;Robert Clark Lab Contact: Kristen Fritsma,Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City,NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L) Pasquotank County identified as being "Abnormally Dry" by US
Total Recoverable Copper(0.010 mg/L) Drought monitor.
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different): /
Comments: ,t � �ie�/ 4jt/�G��4T1e� /f/EiS �oc.✓S
Step 5: UFP Management Certification/Relinquished By: No rain predicted for remaining portion of monitoring period.
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: _/�,5Gf7..r/mf� Date: G— --/9
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
,For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification, Data Sheet and Chain of Custody
Plant Number: 258 - Elizabeth City, NC
Sample Period: Second Half(July 1 -December 31) 2019; SW#108673
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact: Sean Mitchell; Robert Clark Lab Contact: Kristen Fritsma, Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City, NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: Per plant staff sample was missed. JJM 1/8/2020
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: Date:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification, Data Sheet and Chain of Custody
Plant Number: 258 - Elizabeth City, NC
Sample Period: Second Half(July 1 -December 31) 2018; SW#108673
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact: Sean Mitchell; Robert Clark Lab Contact: Kristen Fritsma, Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City, NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 002
Outfall Description: Southwest mid-point of property adjacent to Knobbs Creek
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses,if applicable)
BOD5(30 mg/L)
COD(120 mg/L)
Dissolved Copper(not required)
pH(6-9 S.U.)
Total Nitrogen(30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location(if different):
Comments: Per Plant staff sample was missed. JJM 1/8/2020
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: Date:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification, Data Sheet and Chain of Custody
Plant Number: 258- Elizabeth City, NC
Sample Period: Second Half(July 1 - Dec 31) 2020; SW#109976
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact:Aaron Creech; Robert Clark Lab Contact: Kristen Fritsma, Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City, NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 001
Outfall Description:
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses, if applicable)
BOD5(30 mg/L) Plant reports insufficient rain fall to cause discharges from outfalls.
COD(120 mg/L) Refer to December 28, 2020 Wet Observation Report.
Dissolved Copper(not required)
pH(6-9 S.U.) 06/07/2021 JJM
Total Nitrogen (30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location (if different):
Comments:
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: Date:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

UFP - Stormwater Sampling Form
Note:This form serves as Lab and Plant Notification, Data Sheet and Chain of Custody
Plant Number: 258- Elizabeth City, NC
Sample Period: Second Half(July 1 - Dec 31) 2020; SW#109976
Instructions
Lab: Place this form in a Ziploc bag and send with appropriate bottles to the UFP plant listed above. Sign below when
samples are returned.
Plant: Follow the sampling procedures below and complete the required information. Call Rob Dickens with any
questions.
Contact Information
Plant Contact: Sean Mitchell; Robert Clark Lab Contact: Kristen Fritsma, Prein&Newhof
Plant Address 141 Knobbs Creek Dr. Lab Address: 3260 Evergreen NE
Elizabeth City, NC 27909 Grand Rapids,Ml 49525
Phone: [phone] Lab Phone: [phone]
Fax: [phone] Lab Fax: [phone]
UPS Acct: E27703 Lab Email: [e-mail]
Sample Information
Sample Location: Outfall 002
Outfall Description: Southwest mid-point of property adjacent to Knobbs Creek
Sample Type: Grab
Sample Parameters: (benchmarks shown in parentheses, if applicable)
BOD5(30 mg/L) Plant reports insufficient rain fall to cause discharges from
COD(120 mg/L) outfalls.
Dissolved Copper(not required) Refer to December 28, 2020 Wet Observation Report.
pH(6-9 S.U.) 06/07/2021 JJM
Total Nitrogen (30 mg/L)
Total Recoverable Copper(0.010 mg/L)
TSS(100 mg/L)
Plant Sampling Procedures
Step 1: Open cooler and ensure all bottles are there and in good condition.
Step 2: Wait for a storm event that is at least 3 days(72 hours)after the last rain and produces at least 1/10"of rain.
Step 3: Once the rain begins,check your outfall(see above). The sample should be taken no more than 30 minutes after water
begins flowing in the outfall. Fill all the bottles to the top the first time-many bottles contain a preservative,so make
sure to take care not to overfill or dump the sample. Label the bottles appropriately.
Check your permit requirements to see if you must complete a WET OBSERVATION FORM on the sample before
sending off.
Step 4: Complete the following information:
Date Sampled: Time Sampled
Amount of rain(nearest 1/10"): Duration of rain event: (hours)
Days since last rain(must be 3 days or greater):
Sample collected by:
Sample location (if different):
Comments:
Step 5: UFP Management Certification/Relinquished By:
I certify that this water sample and its documentation were completed under my direction or supervision in accordance with a system designed to
assure that qualified personnel gather and evaluate the information sumbitted.
Name: Date:
Step 6: Return the samples on ice(double bagged if shipping)and this completed form via UPS overnight shipping.
Step 7: Fax or scan a copy of this form to Rob Dickens in Grand Rapids at(616)364-5558 or [e-mail].
For Lab Use Only:
Sample Received By Date: Temp:
If you have any questions,contact Rob Dickens in Grand Rapids at(616)365-1526 or [e-mail].

Young, Brianna A
From: Nick Waddell <[e-mail]>
Sent: Friday, November 3, 2023 8:43 AM
To: Young, Brianna A
Subject: [External] RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Attachments: 258 - 2017-2022 SW Analytical Results Summary.xls; Changes in Operations Since
Permit Renewal Application.pdf;#258 List of Chemicals.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Brianna
I have attached the requested documents to this email. Please contact me if you have any questions.
Nick
Nicholas Waddell I Regulatory Compliance Administrator
UFP Industries, Inc. I www.ufpi.com
Direct: 616-226-0952
Email: [e-mail]
&J.UFP INDUSTRIES
Confidentiality Notice: This email message and its attachments may contain confidential information. If you received this message in error, please
delete it as soon as possible and alert the sender.
From:Young, Brianna A<[e-mail]>
Sent: Monday, October 16, 2023 2:55 PM
To: [e-mail]
Cc:Joe Mark<[e-mail]>; Rob Dickens<[e-mail]>
Subject: RE: UFP Elizabeth City, LLC stormwater permit NCS000336
Some people who received this message don't often get email from [e-mail] why this is important
Good afternoon,
I am following up on my previous email as I have not received any response to data. Please let me know if you have any
questions about the information request. Please note that this information is required in order to proceed with the
permit renewal review.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program

NC DEQ/ Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred) PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, INC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
From: Young, Brianna A
Sent:Tuesday, September 19, 2023 8:20 AM
To: [e-mail]
Cc:Joe Mark<[e-mail]>; [e-mail]
Subject: UFP Elizabeth City, LLC stormwater permit NCS000336
Good morning,
I am working on renewing the individual stormwater permit for UFP Elizabeth City, LLC (NCS000336). I need
additional information in order to 1) confirm that the information I have is correct and 2)make sure the permit
adequately serves the needs of the facility. Please provide the following:
• List of all chemicals stored onsite;
• An electronic spreadsheet summarizing all of the analytical and visual monitoring data that has been
collected since the effective date of the current permit;
• Verification that the information in the renewal application is still complete and correct; and
• An explanation of any operational changes since the renewal application was submitted.
Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)
for the facility. Please review the facility information to make sure it is correct. Information can be updated
using the links provided below, where applicable:
• Facility/Company name or ownership: Name/Ownership Change Form
• Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form
• Delegation of Signature Authority (DOSA): Permit Contact Update Request Form
• Billing contact: Permit Contact Update Request Form
• Permit contact: Permit Contact Update Request Form
• Facility contact: Permit Contact Update Request Form
• Facility address only: Email Bethany og ulias
• Stormwater outfall information: Email Bethany Georgoulias
• Visit the eDMR Six Steps website and complete Steps 1 and 2
• Pay outstanding permit fees: Stormwater ePUment website
2

Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647(office)
Mailing address: 1612 Mail Service Center, Raleigh, INC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
3

Operational Changes Since Permit Renewal Submission
UFP Elizabeth City, LLC
Elizabeth City, NC
There have not been any significant operational changes at the permitted facility since the permit
renewal application was submitted.

List of Chemicals Store at UFP Elizabeth City LLC
Micronized Copper Azole
Wax
Sodium Nitrite
Mold Inhibitor(trade name Cleanwood Micro)
Mold AC

Summary of Storm Water Analytical Results
UFP Elizabeth City, LLC; Permit Number NCS000336
December 1, 2017 through November 30, 2022 Permit Ti
Sample Parameter Sample Date Sample Results Permit Benchmark
Results for Outfall 001 (Western mid-point of property adjacent to Knobbs Creek)
BODS 07-Jan-20 21.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00631 not required
pH 07-Jan-20 8.53 6-9
Rainfall Amount 07-Jan-20 0.25 Report
Total Nitrogen 07-Jan-20 <0.500 30
Total Recoverable Copper 07-Jan-20 0.0139 0.010
TSS 07-Jan-20 8.0 100
Results for Outfall 002 (Southwest mid-point of property adjacent to Knobbs Creek)
BOD5 07-Jan-20 13.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00840 not required
pH 07-Jan-20 8.2 6-9
Rainfall Amount 07-Jan-20 0.24 Report
Total Nitrogen 07-Jan-20 5.94 30
Total Recoverable Copper 07-Jan-20 0.0452 0.010
TSS 07-Jan-20 48.0 100

arm
Permit Benchmark Unit
mg/L
mg/L
days
mg/L
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L

Summary of Storm Water Analytical Results
UFP Elizabeth City, LLC; Permit Number NCS000336
December 1, 2017 through November 30, 2022 Permit Ti
Sample Parameter Sample Date Sample Results Permit Benchmark
Results for Outfall 001 (Western mid-point of property adjacent to Knobbs Creek)
BOD5 07-Jan-20 21.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00631 not required
pH 07-Jan-20 8.53 6-9
Rainfall Amount 07-Jan-20 0.25 Report
Total Nitrogen 07-Jan-20 <0.500 30
Total Recoverable Copper 07-Jan-20 0.0139 0.010
TSS 07-Jan-20 8.0 100
BOD5 15-Dec-22 28.6 30
COD 15-Dec-22 46.3 120
Days Since Last Rain 15-Dec-22 8 Report
Dissolved Copper 15-Dec-22 0.0373 not required
pH 15-Dec-22 8.2 6-9
Rainfall Amount 15-Dec-22 0.625 Report
Total Nitrogen 15-Dec-22 4.33 30
Total Recoverable Copper 15-Dec-22 0.257 0.01
TSS 15-Dec-22 192 100
BOD5 12-Jun-23 22.8 30
COD 12-Jun-23 205 120
Days Since Last Rain 12-Jun-23 7 Report
Dissolved Copper 12-Jun-23 0.0436 not required
pH 12-Jun-23 7.64 6-9
Rainfall Amount 12-Jun-23 0.25 Report
Total Nitrogen 12-Jun-23 4.97 30
Total Recoverable Copper 12-Jun-23 0.395 0.01
TSS 12-Jun-23 988 100
Results for Outfall 002 (Southwest mid-point of property adjacent to Knobbs Creek)
BOD5 07-Jan-20 13.0 30
COD 07-Jan-20 <5.00 120
Days Since Last Rain 07-Jan-20 4 Report
Dissolved Copper 07-Jan-20 0.00840 not required
pH 07-Jan-20 8.2 6-9
Rainfall Amount 07-Jan-20 0.24 Report

Total Nitrogen 07-Jan-20 5.94 30
Total Recoverable Copper 07-Jan-20 0.0452 0.010
TSS 07-Jan-20 48.0 100
BODS 15-Dec-22 27.1 30
COD 15-Dec-22 190 120
Days Since Last Rain 15-Dec-22 8 Report
Dissolved Copper 15-Dec-22 0.0395 not required
pH 15-Dec-22 6.93 6-9
Rainfall Amount 15-Dec-22 0.626 Report
Total Nitrogen 15-Dec-22 3.88 30
Total Recoverable Copper 15-Dec-22 0.0414 0.010
TSS 15-Dec-22 18.8 100
BODS 12-Jun-23 <2.00 30
COD 12-Jun-23 244 120
Days Since Last Rain 12-Jun-23 7 Report
Dissolved Copper 12-Jun-23 0.0173 not required
pH 12-Jun-23 6.9 6-9
Rainfall Amount 12-Jun-23 0.24 Report
Total Nitrogen 12-Jun-23 4.37 30
Total Recoverable Copper 12-Jun-23 0.0209 0.010
TSS 12-Jun-23 62 100

arm
Permit Benchmark Unit
mg/L
mg/L
days
mg/L
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
S.U.
inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches

mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L
mg/L
mg/L
days
mg/L
SU
Inches
mg/L
mg/L
mg/L

9/18/23, 10:06 AM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
UFP ELIZABETH CITY, LLC
Information
Sosld: 1247146
Status: Current-Active O
Date Formed: 3/1/2012
Citizenship: Foreign
State of Incorporation: MI
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: CT Corporation System
Addresses
Mailing Principal Office Reg Office
141 Knobs Creek Dr. 141 Knobs Creek Dr. 160 Mine Lake Ct Ste 200
Elizabeth City, NC 27909 Elizabeth City, NC 27909 Raleigh, NC 27615-6417
Reg Mailing
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Authorized Signatory
Robert Clark Patrick Webster
141 Knobs Creek Dr. 141 Knobs Creek Dr.
Elizabeth City NC 27909 Elizabeth City NC 27909
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/2

9/18/23, 10:06 AM North Carolina Secretary of State Search Results
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 2/2

Young, Brianna A
From: Young, Brianna A
Sent: Wednesday,June 8, 2022 3:50 PM
To: Joe Mark
Subject: RE: [External] Individual NPDES Industrial Storm Water Permit Renewal
Good afternoon,
The Division of Energy, Mineral, and Land Resources (DEMLR) Stormwater Permitting Program
acknowledges receipt of your renewal application for coverage under NPDES Permit Number NCS000336.
Please continue to comply with all conditions and monitoring requirements in your current NPDES stormwater
permit. As long as you have submitted a complete renewal request package and maintain compliance with those
permit conditions, stormwater discharges from this facility are authorized by that permit until the Division
issues a renewal permit or notifies you of an alternative action. Please note that due to the current backlog and
staff shortages, review of this permit renewal is not scheduled until 2024, however this schedule is subject to
change. Please let me know if you have any questions in the interim.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Joe Mark<[e-mail]>
Sent:Tuesday, May 31, 2022 10:51 AM
To:Young, Brianna A<[e-mail]>
Subject: [External] Individual NPDES Industrial Storm Water Permit Renewal
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Ms. Young:
Attached, please find hard copies of the completed and signed materials to reapply for the individual storm water
permit for the UFP Elizabeth City, LLC. Materials attached include:
1

• EPA Form 1;
• EPA Form 2;
• SPPP Certification Form; and
• Supplemental Information Form and Attachments.
As required, hard copies of these materials have also been sent to you via US Postal Service.
Please contact me at [phone] or [e-mail] if you have any questions or require additional information on
this matter.
Joe Mark, CPG, RG
Regulatory Compliance Administrator
LN FP INDUSTRIES
2801 East Beltline Ave. NE
Grand Rapids, MI 49525
Office: [phone]
Mobile: [phone]
Cisco: 200-1591
2

UFP IN DUSTRI ES
2801 EAST BELTLINE NE
GRAND RAPIDS,MI 49525
616.364.6161
UFPI.COM
May 31, 2022
Ms. Brianna Young RECEIVED
Storm Water Permitting Program ,,
North Carolina Department of Environmental Quality JUN 010 2022
1612 Mail Service Center
Raleigh, North Carolina 27699-1612 VEMILR-StormwaterPrograrrt
Re: Individual NPDES Permit Renewal
UFP Elizabeth City, LLC
Permit Number NCS000336
Dear Ms. Young:
Attached, please find hard copies of the completed and signed materials to reapply for the individual
storm water permit for the UFP Elizabeth City, LLC. Materials attached include:
• EPA Form 1;
• EPA Form 2;
• SPPP Certification Form; and
• Supplemental Information Form and Attachments.
As required, electronic copies of these materials have also been sent to you via email to
brianna.younp,@ncdenr.gov.
Please contact me at [phone] or [e-mail] if you have any questions or require
additional information on this matter.
Sincerely,
9
Joseph Mark, CPG, RG
Regulatory Compliance Administrator
[a
]95520 t�

EPA Identification Number NPOES Permit Number Facility Name Farm Approved 03/05119
NC5000336 UFP Elizabeth City,LLC OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 :"'EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTIONF '1 1
1.1 Applicants Not Required to 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 0 No If yes,STOP.Do NOT FZ No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Requiredto Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
oEjYes 4 Complete Form 1 ❑� No Yes+ Complete Form ❑✓ No
a and Form 2B. 1 and Form 2C.
z
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
= commenced to discharge? discharges only nonprocess wastewater?
❑ Yes 4 Complete Form 1 E✓ No ❑ Yes 4 Complete Form 0 No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
'— discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122,26(b)(14)(x)or
b(151.
SECTION 2.NAME, MAILING ADDRESS, • i
2.1 Facili Name
UFP Elizabeth City,LLC
0 2.2 EPA Identification Number
R
0
O
J
2.3 Facility Contact
N
Name(first and last) Title Phone number
Joseph Mark Regulatory Compliance Administrator [phone]
Q
Email address
:R [e-mail]
a 2.4 Facility Mailing Address
ZStreet or P.O.box
2801 East Beltline Ave.NE
City or town State ZIP code
Grand Rapids MI 49525
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPOES Permit Number Facility Name Form Approved 03105/19
NCSO00336 UFP Elizabeth City,LLC OMB No,2040.0004
2.5 Facility Location
a Street,route number,or other specific identifier
Q o 141 Knobbs Creek Road
Cn V
County name County code(if known)
L) Pasquotank
60
E City or town State ZIP code
i Elizabeth City North Carolina 27909
SECTION • NAICS CODESr
3.1 SIC Code(s) Description(optional)
2491 Wood Preserving
2448 Wood Pallets and Skid
m
-a
0
c�
U
Z 3.2 NAICS Code(s) Description(optional)
1c 321114 Wood Preservation
C]
321920 Wood Container and Pallet Manufacturing
4.1 Name of Operator
UFP Elizabeth City LLC
0 4.2 Is the name you listed in Item 4.1 also the owner?
0 El Yes ❑ No
`0
w
4.3 Operator Status
0
❑ Public—federal ❑ Public—state ❑Other public(specify)
o ❑✓ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O.Box
'b 141 Knobbs Creek Road
a�
•= City or town State ZIP code
0 0 Elizabeth City North Carolina 27909
m
Q, Email address of operator
0 [e-mail]
SECTION • • i
5.1 Is the facility located on Indian Land?
❑Yes 0 No
EPA Form 3510.1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
�LLCNCS000336 UFP Elizabeth CitOMB No.2040-0004
SECTION `• 1
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
d ❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
c water) fluids)
A NCS000336
} E
w CL ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
rn
c
x ❑ ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
w
SECTIONI
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
C specific requirements.)
El Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 213.)
SECTIONOF I
8.1 Describe the nature of your business.
Pressure Treat Wood-UFP's wood preserving operation is located within a building.The preservative is applied
„r within a closed cycle system that recycles water and reuses the process suspension.No waste or effluent is created
or discharged.There is no discharge of process waters that have come into contact with the treatment chemicals or
the treated wood product.All process waters are recycled back into the system via a collection sump.The treatment
m plant has been designed to contain the volume of all tanks inside the plant in the event of simultaneous failure.
O
a
Wood Pallet and Container Manufacturing-Cut and shape wood,assemble pallets,skids,crates,and boxes.
is
z
SECTION ' COOLING WATER INTAKE STRUCTURES(40
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
R 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
o
NPDES permitting authority to determine what specific information needs to be submitted and when.)
a
U �
c
SECTIONi VARIANCE REQUESTS1 1
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
w apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
C ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
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

EPA Identification Number NPOES Permit Number Facility Name Form Approved 03105119
NC5000336 UFP Elizabeth City,LLC OMB No.2040-0004
SECTION1 CERTIFICATION STATEMENT(40
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
0 Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
❑✓ Section 2:Name,Mailing Address,and Location ❑ wl attachments
❑� Section 3:SIC Codes ❑ wl attachments
❑✓ Section 4:Operator Information ❑ wl attachments
❑✓ Section 5: Indian Land ❑ wl attachments
.. ❑✓ Section 6: Existing Environmental Permits ❑ w/attachments
c
15
d
❑� Section 7:Map ❑ w/topographic ❑ w/additional attachments
mp
in
o Section 8:Nature of Business ❑ w/attachments
co
❑ Section 9:Cooling Water Intake Structures ❑ wl attachments
a
U ❑ Section 10:Variance Requests ❑ wl attachments
c
N_ ❑✓ Section 11:Checklist and Certification Statement ❑ wf attachments
Y
s
11.2 Certification Statement
U
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 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
Gabriel High Operations Vice President,UFP Retail,LLC-South
Signature Dale signed
X Gabriel High 05/26/2022
EPA Form 3510-1(revised 3.19) Page 4

p� Cott d-the ,+r -W-
f 40� Albemarle
li
UFP Elizabeth City,LLC =`
141 Knobbs Creek Dr. u.
B /®� Elizabeth City,NC —
�ItC,
— — — Z'
[ -
(a'r wROAD ST �s l i
n r
}t'1 ' l4eed 151 n v �"o u�i� %
Roanoke f�
Coll..
i Machelhe-Island _ �p
l nHtfi -
��` _ _�eJlNrE•DR
10�jM.tIM•ST � _
�y —WING.S1T
r_ I _ Mliylr,-,
IGf 5 r
w�R_.:-? — ar,�a Hospital-
- ' Point
Cottage
Point
1 0-5 0 1
MILES
NORTH
Notes:Receiving Water—Knobbs Creek
Ultimate Receiving Water-Atlantic Ocean
Neither of these waters are identified as being impaired or having TMDLs
FIGURE 1—Site Location Map
UFP Elizabeth City, LLC
Elizabeth City, NC (Source:2016 USGS Elizabeth City,NC 7.5'Quadrangle)

3 •
3 3 f
3'i 1�z 2 2
s, r
t
I• i t
R
s >
0 FEET 250 NORTH
LEGEND:
Approximate Facility Boundaries —(33.72 Acres 6—Lumber Storage/Assembly Building 12—Maintenance Building
1—Lumber Treating Building and Covered Drip Pad 7-Office
2—Treated Lumber Storage Building 8—Gravel Area with Lumber Storage
3—Lumber Storage Building 9—Railroad Spur
FIGURE 2—Site Layout Map a—Holtec Saw/Assembly Building 10-Railroad
UFP Elizabeth City,LLC 5—Even Ender/Planar Building 11-500—gallon Diesel AST
Elizabeth City,NC

r
3 •
S
I
iyrr r 1_
06,6
Outfall 00
OutfaII
+F
� <l
5
iF
x
00
i > t
0 FEET 250 NORTH
LEGEND:
Approximate Facility Boundaries —(33.72 Acres) 7—Office Drainage Area 1
1—Lumber Treating Building and Covered Drip Pad 8—Gravel Area with Lumber Storage Drainage Area 2 is Unshaded
2—Treated Lumber Storage Building 9—Railroad Spur Drainage Area 1 Storm water Flow
3—Lumber Storage Building 10—Railroad Drainage Area 1 Storm Water Flow �f
FIGURE 3—Storm Water Flow Map 4—Holtec Saw/Assembly Building 11-500—gallon Diesel AST Drainage Area i is 3%Impervious
UFP Elizabeth City,LLC S—Even Ender/Planar Building 12—Maintenance Building Drainage Area 2 is 13%Impervious
Elizabeth City,NC 5- Lumber Storage/Assembly Building Storm Water Ditch

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
NCS000336 UFP Elizabeth City,LLC OMB No.2040-0004
Form U.S Environmental Protection Agency
2F vEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION40 •
1.1 Provide information on each of the facilit Is outfalls in the table below
Qutfall Receiving Water Name Latitude Longitude
Number
001 Knobbs Creek 36' 18, 52" N 76° 12' 54" W
0
0
1 002 Knobbs Creek 36' 18' 47" N 76° 12' 47" W
0
--r o o
C o
SECTION •• 4I •
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?
❑ Yes ✓❑ No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Source(s)of Discharge Final Compliance Dates
Description of Project (rest outhall numbers)
Required Projected
2
0
a
H
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 Forth 3510-2F(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
NCS000336 LIFP Elizabeth City,LLC OMB No.2040-0004
as 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
40
r specific guidance.)
c ® Yes ❑ No
SECTIONPOLLUTANT SOURCES1
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 mile radius of the facility)
specify units specify units
001 0.13 Acres 4.26 Acres
specify units specify units
002 3.8 Acres 29.46 Acres
specify units specify units
specify units specify units
specify units specify units
specdy units specifyunds
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Significant materials exposed to storm water at this facility include copper-treated lumber,untreated lumber,wooden
pallets,and containers.Loading,unloading,and temporary storage of these materials occurs in the paved and unpaved
c areas of the Storage Yard. Bunks of lumber are stored on blocks to prevent contact with storm water sheet flow.In
C07 addition,fuel storage and vehicle fueling operations are conducted in the Storage Yard.All fuel above ground storage
tanks(ASTs)are located under roofs and within secondary containment.
0
a
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F-1
rest
001 Manufacturing activities are conducted indoors,employee training,semi-annual
visual inspections,housekeeping,preventative maintenance
002 Lumber storage sheds,employee training,semi-annual visual inspections,housekeeping,
preventative maintenance,AST under roof and with secondary containment
EPA Form 3510-21'(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCS000336 UFP Elizabeth City,LLC OMB No.204R004
SECTION •N STORMWATER DISCHARGES
5.1 f certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of nova-stormwater discharges. Moreover, l 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
Gabriel Nigh Operations Vice President,UFP Retail,LLC-sout
Signature Date signed
X Gabriel High 05/26/2022
CA
c 5.2 Provide the testing information requested in the table below,
Onsite Drainage Points
Outfall Description of Testing Method Used Date(s)of Testing Directly Observed
ca Number
During Test
m
R
001 Observation of outfall during dry weather for flow. 06/18/2021 Outfall 001
0
c 002 Observation of outfall during dry weather for flow. 06/18/2021 Outfall 002
a
Z-
SECTION 6.SIGNIFICANT LEAKS OR i !
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
No significant leaks or spills of toxic or hazardous pollutants have occurred at the facility during the previous three
o years.
y
Y
ttl
d
J
C
�o
u
.c
as
in
SECTIONDISCHARGE INFORMATION1
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o
:r complete.Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of No 4 See instructions regarding submission of
estimated data. actual data.
C Tables A,B,C,and D
MA7.2 Have you completed Table A for each outfalI?
in ❑✓ Yes ❑ No
EPA Form 3510-21'(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
NCS000336 UFP Elizabeth City,LLC 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 ✓❑ 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?
0 Yes ❑ No 4 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
Table C?
0 ❑✓ Yes ❑ No
a 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
✓❑ Yes ❑ No 4 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
LM concentrations of 10 ppb or greater?
A
H ❑✓ Yes ❑ No
7.12 Do you expect acrolein,acrylonib ile,2,4-dinitrophenol,or 2-methyl-4,6-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?
❑ 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 4 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 Facility Name Form Approved 0&05119
NCS000336 UFP Elizabeth City,LLC OMB No.2040-0004
.a 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
manufactured as an intermediate or final product or byproduct?
0
C 0Yes ❑ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
1•Copper,total 4. 7.
m
LM 2. 5. 8.
H
3. 6. 9.
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
c
c' ❑ Yes ✓❑ No 4 SKIP to Section 9.
c
12 8.2 Identify the tests and their purposes below.
Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
x Permittin Authort ?
r°
❑ Yes ❑ No
of
0
❑ Yes ❑ No
Co
❑ Yes ❑ No
SECTION • •• INFORMATION9.1 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
Prein&Newhof Laboratory
c
P
R
w
ti Laboratory address
3260 Evergreen NE
m Grand Rapids,MI
Phone number
v [phone]
Pollutant(s)analyzed Copper,total
EPA Forth 3510-21'(Revised 3-19) Page 5

EPA Identification Number NPIJES Permit Number Facility Name Form Approved 03/05119
NCS000336 UFP Elizabeth City,LLC OMB No.204NO04
SECTIONr • I
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 complete all sections or provide attachments.
Column 1 Column 2
1E Section 1 ❑ wl attachments(e.g.,responses for additional outfalls)
❑ Section 2 ❑ wl attachments
❑✓ Section 3 ✓❑ wl site drainage map
❑✓ Section 4 ❑ wl attachments
0 Section 5 ✓❑ wl attachments
❑✓ Section 6 ❑ wl attachments
d ❑✓ Section 7 ❑� Table A ❑ wl small business exemption request
r- ❑ Table B ❑ wl analytical results as an attachment
0
❑✓ Table C ✓❑ Table D
tom' ❑ Section 8 ❑ wlattachments
y ❑✓ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
Y
❑✓ Section 10 ❑
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.I 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
Gabriel High Operations Vice President,UFP Retail,LLC-South
Signature Date signed
X Gabriel High 05/26/2022
EPA Form 3510-21'(Revised 3-19) Page 6

Who
i
f
f T _•-�' ~
Outfall 00
Long: w
S 3 if
0 FEET 250 NORTH
LEGEND,
Approximate Facility Boundaries —(33.72 Acres) 7—Office Drainage Area 1
1—Lumber Treating Building and Covered Drip Pad 8—Gravel Area with Lumber Storage Drainage Area 2 is Unshaded
2—Treated Lumber Storage Building 9—Railroad Spur Drainage Area 1 Storm Water Flow
3—Lumber Storage Building 10—Railroad Drainage Area i Storm Water Flow r�
FIGURE 3—Storm Water Flow Map 4—Holtec Saw/Assembly Building 11-500—gallon Diesel AST Drainage Area 1 is 3%Impervious
UFP Elizabeth City,LLC 5—Even Ender/Planar Building 12—Maintenance Building Drainage Area 2 is 13%Impervious
Elizabeth City,NC 6- Lumber Storage/Assembly Building Storm Water Ditch

Stormwater Sampling - Dry Observation Page 1 of 2
Stormwater Sampling - Dry Observation
Stormwater Number*
110817
Branch #and Location* Sample Period* Year
258 ELIZABETH CITY, NC SPITING 2021
Instructions: The purpose of this inspection is to observe and record conditions around the plant that
could lead to pollution of stormwater leaving the plant. On a day that it has not rained, take some time
to walk the plant and inspect the areas listed below for the presence of pollutants that could affect the
stormwater. Items that should be noted include: excessive sawdust, diesel or oil staining, wood
preservative drippage, garbage, wood debris, etc.
Pollutants Observed
Loading / Unloading*
NO POLLUTANTS OBSERVED
Fuel Storage*
NO POLLUTANTS OBSERVED
Storage Yard Untreated*
NO POLLUTANTS OBSERVED
Storage Yard Treated*
NO POLLUTANTS OBSERVED
Sawdust Collection* Please Elaborate Potential Pollutant,
POTENTIAL POLLUTANTS OBSERVED Sawdust build up around dust collector. on
schedule for third party to remove and dispose.
Manufacturing, Maintinance, and Treating
Buildings*
NO POLLUTANTS OBSERVED
Stormwater Drains*
NO POLLUTANTS OBSERVED
Stormwater Outfall s*
NO POLLUTANTS OBSERVED
Were any of the above areas discharging water other than stormwater (wastewater, sewage, process
water, etc.)?*
NO
littps://ob.ufpi.com/app/UnityForm/Form/HttpServiceHancller.aslix'?id—dOc7e44f-20df-4ec... 5/19/2022

Stormwater Sampling - Dry Observation Page 2 of 2
Overall Plant Pollution Prevention
In the space below, identify practices that could be improved to help prevent stormwater pollution.
The following areas should be addressed: housekeeping, spill prevention, runoff control (ponding,
etc.), training, and erosion control
Improvements Needed?*
YES
Comments/Notes*
More frequent housekeeping of dust collection area when we have runovers.
Certification: I certify under penalty of law that I have personally examined and am familiar with the
information submitted herein; and based on my observations or inquiry of individuals responsible
for obtaining the information, I hereby certify this information to be true, accurate, and complete.
Completed By* Date* Inspection Time (E.g. 7:30am)
AARON CREECH 06/18/2021
12:OOPM
https://ob.0 fpi.com/app/UnityForm/Form/HttpServiceHandler.ashy?id=dOc7e44f-20df-4ec... 5/19/2022

EPA Identification Number NPDES Permit Number Facility Name Outfall Number FormApproved 03105119
NCS000336 UFP Elizabeth City,LLC 001 OMB No.2040-0004
TABLEA.CONVENTIONAL AND •N CONVENTIONAL •+ •+ 1
You must provide the results of at least one anal is for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and re uirements.
Maximum Daily Discharge Average Daily Discharge Source of
(sped(y units) (spedfy units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new souroahm
During First Flow-Weighted ed During First Flow-Weighted Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease
2. Biochemical oxygen demand(BODs) 21.0 mg/L 2
3. Chemical oxygen demand(COD) 123 mg/L 2
4. Total suspended solids(TSS) 10.0 mg/L 2
5. Total phosphorus
6. Total Kjeldahl nitrogen(TKN)
7. Total nitrogen(as N) 1.08 mg/L 2
pH(minimum) 6.69 su 2
8.
pH(maximum) 8.53 su 2
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).
The above parameters for which no data is provided are not target parameters identified in the facility's current storm water permit.
EPA Form 3510-21'(Revised 3-19) Page 7

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EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NC5000336 UFP Elizabeth City,LLC 001 OMB No.2040-0004
TABLEPOLLUTANTS, + HAZARDOUS + AND + I CFR 122.26(c)(1)(i)(E)(4) 1
List each pollutant shown in Exhibits 217-2,217-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Dally Discharge Average Dally Discharge Source of
units ' unds Number of Storrn Information
Pollutant and CAS Number('d available) Grab Sample Taken Grab Sample Taken (new souroe/new
During First Flo omposhted During First Flow-Weighted Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Copper,total (7440-50-8) 0.0139 mg/L 2
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 3510-21'(Revised 3-19) Page 11

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EPA Identification Number NPDES Permit Number Facility name Outfall Number form Approved 03105I19
NCSO0O336 UFP Elizabeth City,LLC 001 OMB No.2040.0004
STORMTABLE D. •• • 41
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event Cr ors) Storm Event End of Previous Measurable Rain During Rain Event (in gations or spectty units)
(in Inches) Event (in gpm or specify units)
Not Measured Not Measured
Provide a description of the method of(low measurement or estimate.
Discharge consisted of only storm water.No flow-weighted composite sample collected.
EPA Form 3510-21'(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19
NCS000336 UFP Elizabeth City,LLC 002 OMB No.2040-0004
TABLE A.CONVENTIONAL 1 1
You must provide the results of at least one anal is for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new sourcelnew
During First Flow-Weighted During First Flow-Weighted Composite
Events Sampled dischargers only;use
30 Minutes Composite 30 Minutes Composhe codes in instructions)
1. Oil and grease
2. Biochemical oxygen demand(BOD5) 13.0 mg/L 2
3. Chemical oxygen demand(COD) 142 mg/L 2
4. Total suspended solids(TSS) 48.0 mg/L 2
5. Total phosphorus
6. Total Kjeldahl nitrogen(TKN)
7. Total nitrogen(as N) 5.94 mg/L 2
pH(minimum) 6.58 su 2
8.
pH(maximum) 8.2 su AN Alit 2
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 Forth 3510.2F(Revised 3-19) Page 7

This page intentionally left.blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105/19
NCS000336 UFP Elizabeth City,LLC 002 OMB No.2040-0004
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
s e' units) (Sp units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new source/new
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Not Applicable
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 9

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EPA Identification Number NPDES Permit Number Facil ty Name Outfall Number Form Approved 03/05/19
NCS000336 UFP Elizabeth City,LLC 002 OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))'
List each pollutant shown in Exhibits 217--2,2F-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions far additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
s units) (sp units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new sourcelnew
During First Floomposit ed During First FlComp site Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes In instructions)
Copper,total (7440-50-8) 0.083 mg/L 2
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 3510-21'(Revised 3-19) Page 11

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EPA Identifrcaton Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19
NCSO00336 UFP Elizabeth City,LLC 002 OMB No.2040-0004
TABLE D.STORM EVENT INFORMATION(40 CFR 122.26(c)(1)(i)(E)(6))
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event tin hours) (in inches)Storm Event End of Previous Measurable Rain (in gpm or specify units)During Rain Event (in gallons or specify units)
Event
Not Measured Not Measured
Provide a description of the method of flow measurement or estimate.
Discharge consisted of only storm water.No flow-weighted composite sample collected.
EPA Form 3510-2F(Revised 3-19) Page 13

SUPPLEMENTAL INFORMATION
REQUIRED FOR RENEWALOF
INDIVIDUAL NPDES STORM WATER
PERMIT

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
I. A current Site Map from the Stormwater Pollution Prevention Plan, The location of
industrial activities(including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data.
'l1 3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports.The summary can consist of a table including such items as outfall number,
parameters surveyed,observations,and date monitoring conducted.
t 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility, If the implementation of any BMP's is planned, please include
information on these BMP's.
5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
9-116. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility(Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal,then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e.do not withhold renewal submittal
waiting on lab results)

SITE MAP

Cok of the _ �.. = -tL- _
4 Albemarle
—0
yy -- -tL- UFP Elizabeth City,I.I.0
141 Knobbs Creek Dr.
r i� tr8L -,L,.. Elizabeth City,NC -
.aw
C7
jai-
fJj !
sY _ Reed lsl n �d�, ' - - -
�-��g Ll J, Aft-
'"
_ 4/
j 1 G
Muchelhe-Is land' C. _
4F�GAPONM Ft�uvl£gq
FFtA
RINC ST - - — —
rw �• � �_rw— — jilt r•ctct�rz*tLZ! _ � y -
W DICE SF Hospital v
`Point -
Cottace
v �
Form`
r
1 0.5 U 1
MILES
-mom
NORTH
Notes:Receiving Water-Knobbs Creek
Ultimate Receiving Water-Atlantic Ocean
Neither of these waters are identified as being impaired or having TMDis
FIGURE 1—Site Location Map
UFP Elizabeth City, LLC
Elizabeth City, NC (Source:2016 USGS Elizabeth City,NC 7.5'Quadrangle)

i
i2
3
g bl AA
3 3 .a
71
i I F
3
r.
R
0 FEET 250 NORTH
LEGEND:
Approximate Facility Boundaries —(33.72Acres) 6—Lumber Storage/Assembly Building 12—Maintenance Building
1—Lumber Treating Building and Covered Drip Pad 7-Office
2—Treated Lumber Storage Building 8—Gravel Area with Lumber Storage
3—Lumber Storage Building 9—Railroad Spur
FIGURE 2—Site Layout Map A—HoltecSaw/Assembly Building 10-Railroad
UFP Elizabeth City,LLC 5—Even Ender/Planar Building 11-500--gallon Diesel AST
Elizabeth City,NC

a
�r I
1
i
Outfall �0
1r
1
C
0 FEET 250 NORTH
LEGEND:
Approximate Facility Boundaries —(33,72 Acres) 7—Office Drainage Area 1
1—Lumber Treating Building and Covered Drip Pad 8—Gravel Area with Lumber Storage Drainage Area 2 is Unshaded
2—Treated Lumber Storage Building 9—Railroad Spur Drainage Area 1 Storm Water Flow
3—Lumber Storage Building 10—Railroad Drainage Area 1 Storm Water Flow
FIGURE 3--Storm Water Flow Map Q—Holtec Saw/Assembly Building 11-500—gallon Diesel AST Drainage Area 1 is 3%Impervious
UFP Elizabeth City,LLC 5—Even Ender/Planar Building 12—Maintenance Building Drainage Area 2 is 13Yo Impervious
Elizabeth City,NC 6- Lumber Storage/Assembly Building Storm Water Ditch

�p9►�U of the r f --
Cfl� AiExmarte _I
- - � _ -ems �..
-
� -tee-
- - UFP Elizabeth City,LLC - 'w
141 Knobbs Creek Dr. .aY
0 ♦ ,�� — Elizabeth City,NC �+
i
tier
.SR ST
—
gi
RoanokeCOIL-
� f
Bible' op
F y
_ fA1R1 Sr
—W 011[CE ST t t1 Or~I.Z'F7tf Hospital -
lit. point
cottage\
Point
1 0.5 0 1
MILES
NORTH
Notes:Receiving Water—Knobbs Creek
Ultimate Receiving Water-Atlantic Ocean
Neither of these waters are identified as being impaired or having TMDLs
FIGURE 1-Site Location Map
UFP Elizabeth City, LLC
Elizabeth City, NC (Source:2016 USGS Elizabeth City,NC 7.5'Quadrangle)

�f
r �
2
3 J� — •
3 3
a 4
3 ,p2
2.�
- s
sF7.
+F
7
0 FEET 250 NORTH
LEGEND:
Approximate Facility Boundaries —J33.72Acres) 6—Lumber Storage/Assembly Building 12—Maintenance Building
1—Lumber Treating Building and Covered Drip Pad 7-Office
2—Treated Lumber Storage Building 8—Gravel Area with Lumber Storage
3—Lumber Storage Building 9--Railroad Spur
FIGURE 2—Site Layout Map 4—Holtec Saw/Assembly Building 10-Railroad
UFP Elizabeth City,LLC 5—Even Ender/planar Building 11-500—gallon Diesel AST
Elizabeth City,NC

P I
f
F
I
I
f
1 -
Outfall 11
�i
� 3 t
0 FEFT 250 NORTH
LEGEND:
Approximate Facility Boundaries —(33.72 Acres) 7—Office Drainage Area 1
1—Lumber Treating Building and Covered Drip Pad 8—Gravel Area with Lumber Storage Drainage Area 2 is Unshaded
2—Treated Lumber Storage Building 9—Railroad Spur Drainage Area 1 Storm Water Flow
3—Lumber Storage Building 10—Railroad Drainage Area 1 Storm Water Flow r4
FIGURE 3—Storm Water Flow Map 4—Holtec Saw/Assembly Building 11-500—gallon Diesel AST Drainage Area 1 is 3%Impervious
UFP Elizabeth City,LLC 5—Even Ender/planar Building 12—Maintenance Building Drainage Area 2 is 13%Impervious
Elizabeth City,NC 6- Lumber Storage/Assembly Building Storm Water Ditch

SUMMARY OF ANALYTICAL
MONITORING RESULTS FOR
EXISTING PERMIT TERM

Sample Results Summary
UFP Elizabeth City,LLC(Plant#258)
141 Knobbs Creek Dr.
Elizabeth City,NC 27909
Resuits for Outfall 001 ()
Sample Parameter: 5ample0ate: SampleResults: Permit Benchmark: Unit: SampleType: SampleFrequency:
BOD5 1M2020 21.0 30 mg/L Grab ;emi-annual(Jan-June and July-Dec
COD IM2020 <5.00 120 mg/L Grab iemi-annual(Jan-June and July-Dec
Days Since Last Rain IM2020 4 Report days Grab ;emi-annual(Jan-June and July-Dec
Dissolved Copper IM2020 0.00631 not required mg1L Grab ;emi-annual(Jan-June and July-Dec
PH 1/7/2020 8.53 6-9 S.U. Grab ;emFannual(Jan-June and July-Dec
Rainfall Amount V712020 0.25 Report inches Grab emFannual(Jan-June and July-Dec
Total Nitrogen 1/7/2020 <0.500 30 mg/L Grab ;emFannual(Jan-June and July-Dec
Total Recoverable Copper 1/7/2020 0.0139 0.010 mg1L Grab ;emFannual(Jan-June and July-Dec
TSS 1/7/2020 8.0 100 mg1L Grab ;emi-annual(Jan-June and July-Dec
Results for Outfall 002(Southwest mid-point of property adjacent to Knobbs Creek)
SampleParameter: SampleDate: SampleResults: PermitBenchmark: Unit: SampleType: SampleFrequency:
BOD5 1/712020 13.0 30 mg1L Grab ;emFannual(Jan-June and July-Dec
COD 1/7/2020 <5.00 120 mg/L Grab ;emi-annual(Jan-June and July-Dec
Days Since Last Rain 1/7/2020 4 Report days Grab emFannual(Jan-June and July-Dec
Dissolved Copper 1/7/2020 0.00840 not required mg/L Grab ;emi-annual(Jan-June and July-Dec
PH 1/7/2020 8.2 6-9 SU Grab ;emiannual(Jan-June and July-Dec
Rainfall Amount 1/7/2020 0.24 Report Inches Grab ;emFannual(Jan June and July-Dec
Total Nitrogen 1/7/2020 5.94 30 mg/L Grab ;emFannual(Jan-June and July-Dec
Total Recoverable Copper 1/7/2020 0.0452 0.010 mg/L Grab ,emFannual(Jan-June and July-Dec
TSS 1/7/2020 48.0 100 mg/L Grab ;emFannual(Jan-June and July-Dec
Contacts: Aaron Creech
Report run from 12/112017 to 11130/2022 Page 1 of 1

Sample Results Summary
UFP Elizabeth City,LLC(Plant#258)
141 Knobbs Creek Dr.
N 7 Elizabeth City,NC 27909
Results for Outtall 001 O
Sample Parameter: SampleDate: SampleResults: PermilBenchmark: Unit: SampleType: Sample Frequency:
BDD5 1/7/2020 21.0 30 mg/L Grab ;emi•annual(Jan-June and July-Dec
GOD 1012020 <5.00 120 mg/L Grab ;emi-annual(Jan-June and July-Dec
Days Since Last Rain 1312020 4 Report days Grab ;emi-annual(Jan-June and July-Dec
Dissolved Copper 1/7/2020 0.00631 not required mg/L Grab ;emFannual(Jan-June and July-Dec
pH 117/2020 8.53 6-9 S.U. Grab ;emi-annual(Jan-June and July-Dec
Rainfall Amount 1/7/2020 0.25 Report inches Grab ;emi-annual(Jan-June and July-Dec
Total Nitrogen 1/7/2020 <0.500 30 mg/L Grab ;emi-annual(Jan-June and July-Dec
Total Recoverable Copper 1/7/2020 0.0139 0.010 mg/L Grab emimannual(Jan-June and July-Dec
TSS 1/7/2020 8.0 100 mg/L Grab :emi-annual(Jan-June and July-Dec
Results for Outfall 002(Southwest mid-point of property adjacent to Knobbs Creek)
SampleParameter: SampleDate: SampleResults: PermilBenchmark: Unit: SampleType: SampleFrequency:
BDD5 1/7/2020 13.0 30 mg1L Grab ;ernimannual(Jan-June and July-Dec
COD 117/2020 <5.00 120 mg/L Grab emi-annual(Jan-June and July-Dec
Days Since Last Rain 1/7/2020 4 Report days Grab emi-annual(Jan-June and July-Dec
Dissolved Copper 117/2020 0.00840 not required mg/L Grab ;emi-annual(Jan-June and July-Dec
pH 1/7/2020 8.2 6-9 SU Grab ;emi-annual(Jan-June and July-Dec
Rainfall Amount 1/7/2020 0.24 Report Inches Grab arnkannual(Jan-June and July-Dec
Total Nitrogen 117/2020 5.94 30 mg/L Grab zmkannual(Jan-June and July-Dec
Total Recoverable Copper 117/2020 0.0452 0.010 mg/L Grab ;emimannual(Jan-June and July-Dec
TSS 1/7/2020 48.0 100 mg/L Grab ;emi-annual(Jan-June and July-Dec
Contacts: Aaron Creech
Report run from 12J412017 to I M012022 Page 1 of 1

SUMMARY OF VISUAL MONITORING
RESULTS

SUMMARY of STORM WATER BEST
MANAGEMENT PRACTICES (BMPS)
IMPLEMENTED AT FACILITY

Summary of Storm Water Best Management Practices
Implemented at
UFP Elizbeth City,LLC
Elizabeth City,NC
In order to prevent contamination of storm water at the plant,the following best management practices
(BMPs)will be implemented:
Good housekeeping procedures will be utilized by the facility personnel to reduce the potential for
accidental spills and safety hazards. Housekeeping procedures will include prompt cleanup of all spills
and orderly material storage. Housekeeping practices will also include ensuring sufficient aisle space is
available for the movement of spill or emergency response equipment through the facility, as needed.
The need and reasons for good housekeeping and BMPs will be communicated and emphasized to each
employee and contractor working in the facility. Housekeeping practices will be part of each person's
job,with emphasis on preventing contamination,as opposed to remediating contamination after it has
occurred. Each supervisor is responsible for assuring that housekeeping will be completed as part of
each person's job.
The following lists provide various structural and non-structural BMPs specifically developed for wood
industry facilities as identified through various industry and regulatory sources.These BMPs will be
implemented,as applicable.The BMPs will be inspected and evaluated on an annual basis,and a record
of such activities will be maintained.These BMPs identify methods and practices employed by the
facility to minimize the contact of its products and equipment to storm water.
1.Housekeeping Practice BMPs
• General Policy.
o Floors are to be kept dry and free of waste material.
o Garbage and other waste material will be regularly collected and disposed of in appropriate
dumpsters. (OMP-Policy#7004,General Work Place Safety Rules)
o Sawdust accumulation that does occur will happen only in areas not exposed to storm
water.
o Every employee is responsible for good housekeeping and management will conduct
inspections.
• Trash Pickup.
o Trash and debris will be picked up as often as necessary to maintain the area. Exterior
dumpsters should remain covered and filled only to capacity.
• Loading and Unloading.
o These areas of the Storage Yard will be inspected regularly and kept free of clutter and
trash.
• Fuel Storage.
o Only authorized staff properly trained in spill prevention and response is authorized to
conduct fueling operations.Small releases during fueling operations(i.e.,drips)will be
cleaned up immediately.
• Product Storage.
o Areas will be kept free of clutter and trash. Storage areas will be located on stable,well
drained areas.
Page 1 of 2

• Equipment Maintenance.
o Areas are inspected regularly and kept clear of debris and discarded items.Vehicle
maintenance should be conducted in covered, paved areas to prevent exposure to storm
water.
2.Preventative Maintenance&Visual Inspections BMPs
• General Policy.
o The parking lot and plant yard are to be cleaned of any debris daily.
o Gutters,swales,ditches,and downspouts will be checked to ensure proper drainage as
needed.
o Fueling of vehicles will be done only by authorized staff properly trained in spill prevention
and response.
o Minor spills of fuel or oil around the yard will be absorbed with appropriate materials and
disposed of in an appropriate manner.
o Inventory control of the lumber products will be performed. During inventory,the storage
yard will be visually inspected to ensure that pollution prevention practices are being
implemented in the raw material and finished products'storage areas. (APM-Policy
#2501,Inventory Count Policy)
o Forklifts will be checked daily for leaks of petroleum or hydraulic fluid(OMP-Policy#7320,
Forklift Operator Safety and Qualifications).
o As a general rule,all plants are discouraged from using herbicides for weed control. If plant
management opts to use an herbicide for vegetation control,only non-restricted herbicide
will be used and all manufacturer's label directions be followed. (OPM—Policy#7105,
Hazard Communication/Right to Know).
3.Runoff Management BMPs
• Grading immediately around the buildings diverts surface storm water away from buildings and
material storage areas.The facility slopes downward to the northeast corner of the property where
storm water is conveyed into a dry,detention basin.This basin is covered by a well-established,
thick vegetative cover. The majority of storm water discharged into this basin infiltrates into the
ground.Discharges from this basin only occur during significant rainfall events.
4.Manufacturing Operations BMPs
• UFP's wood preserving operation is located within a building.The preservative is applied
within a closed cycle system that recycles water and reuses the process suspension so no waste
or effluent is created or discharged.There is no discharge of process waters that have come
into contact with the treatment chemicals or the treated wood product.All process waters
are recycled back into the system via a collection sump. The treatment plant has been
designed to contain the volume of all tanks inside the plant in the event of simultaneous
failure.
• Hydraulic oil,new motor oil,transmission fluid,and used motor oil are stored indoors.The forklifts
are serviced on a paved surface,under a roof and all fluids generated during these activities are
stored on-site pending proper disposal. Because these materials are stored and used under cover,
it is not likely they will be exposed to storm water.
• All liquid petroleum ASTs are located under roofs and only properly trained staff are authorized to
conduct vehicle fueling activities.
Page 2 of 2

Summary of Storm Water Best Management Practices
Implemented at
UFP Elizbeth City,LLC
Elizabeth City,NC
In order to prevent contamination of storm water at the plant,the following best management practices
(BMPs)will be implemented:
Good housekeeping procedures will be utilized by the facility personnel to reduce the potential for
accidental spills and safety hazards. Housekeeping procedures will include prompt cleanup of all spills
and orderly material storage. Housekeeping practices will also include ensuring sufficient aisle space is
available for the movement of spill or emergency response equipment through the facility,as needed.
The need and reasons for good housekeeping and BMPs will be communicated and emphasized to each
employee and contractor working in the facility. Housekeeping practices will be part of each person's
job,with emphasis on preventing contamination,as opposed to remediating contamination after it has
occurred. Each supervisor is responsible for assuring that housekeeping will be completed as part of
each person's job.
The following lists provide various structural and non-structural BMPs specifically developed for wood
industry facilities as identified through various industry and regulatory sources.These BMPs will be
implemented,as applicable.The BMPs will be inspected and evaluated on an annual basis,and a record
of such activities will be maintained.These BMPs identify methods and practices employed by the
facility to minimize the contact of its products and equipment to storm water.
1.Housekeeping Practice BMPs
• General Policy.
o Floors are to be kept dry and free of waste material.
o Garbage and other waste material will be regularly collected and disposed of in appropriate
dumpsters. (OMP-Policy#7004,General Work Place Safety Rules)
o Sawdust accumulation that does occur will happen only in areas not exposed to storm
water.
o Every employee is responsible for good housekeeping and management will conduct
inspections.
• Trash Pickup.
o Trash and debris will be picked up as often as necessary to maintain the area. Exterior
dumpsters should remain covered and filled only to capacity.
• Loading and Unloading.
o These areas of the Storage Yard will be inspected regularly and kept free of clutter and
trash.
• Fuel Storage.
o Only authorized staff properly trained in spill prevention and response is authorized to
conduct fueling operations.Small releases during fueling operations(i.e.,drips)will be
cleaned up immediately.
• Product Storage.
o Areas will be kept free of clutter and trash. Storage areas will be located on stable,well
drained areas.
Page 1 of 2

• Equipment Maintenance.
o Areas are inspected regularly and kept clear of debris and discarded items.Vehicle
maintenance should be conducted in covered,paved areas to prevent exposure to storm
water.
2.Preventative Maintenance&Visual Inspections BMPs
• General Policy.
o The parking lot and plant yard are to be cleaned of any debris daily.
o Gutters,swales,ditches,and downspouts will be checked to ensure proper drainage as
needed..
o Fueling of vehicles will be done only by authorized staff properly trained in spill prevention
and response.
o Minor spills of fuel or oil around the yard will be absorbed with appropriate materials and
disposed of in an appropriate manner.
o Inventory control of the lumber products will be performed.During inventory,the storage
yard will be visually inspected to ensure that pollution prevention practices are being
implemented in the raw material and finished products'storage areas. (APM-Policy
#2501,Inventory Count Policy)
o Forklifts will be checked daily for leaks of petroleum or hydraulic fluid(OMP-Policy#7320,
Forklift Operator Safety and Qualifications).
o As a general rule,all plants are discouraged from using herbicides for weed control. If plant
management opts to use an herbicide for vegetation control,only non-restricted herbicide
will be used and all manufacturer's label directions be followed. (OPM—Policy#7105,
Hazard Communication/Right to Know).
3.Runoff Management BMPs
• Grading immediately around the buildings diverts surface storm water away from buildings and
material storage areas.The facility slopes downward to the northeast corner of the property where
storm water is conveyed into a dry,detention basin.This basin is covered by a well-established,
thick vegetative cover. The majority of storm water discharged into this basin infiltrates into the
ground.Discharges from this basin only occur during significant rainfall events.
4. Manufacturing Operations BMPs
• UFP's wood preserving operation is located within a building.The preservative is applied
within a closed cycle system that recycles water and reuses the process suspension so no waste
or effluent is created or discharged. There is no discharge of process waters that have come
into contact with the treatment chemicals or the treated wood product.All process waters
are recycled back into the system via a collection sump. The treatment plant has been
designed to contain the volume of all tanks inside the plant in the event of simultaneous
failure.
• Hydraulic oil, new motor oil,transmission fluid,and used motor oil are stored indoors.The forklifts
are serviced on a paved surface,under a roof and all fluids generated during these activities are
stored on-site pending proper disposal. Because these materials are stored and used under cover,
it is not likely they will be exposed to storm water.
• All liquid petroleum ASTs are located under roofs and only properly trained staff are authorized to
conduct vehicle fueling activities.
Page 2 of 2

NARRATIVE DESCRIBING
SIGNIFICANT CHANGES IN
INDUSTRIAL ACTIVITIES AT
FACILITY

Significant Changes in Industrial Activities
UFP Elizabeth City LLC
Elizabeth City,NC
There have not been any significant changes in industrial activities at the permitted facility during the
course of this permit term.

Significant Changes in Industrial Activities
UFP Elizabeth City LLC
Elizabeth City,NC
There have not been any significant changes in industrial activities at the permitted facility during the
course of this permit term.

CERTIFICATION OF DEVELOPMENT
AND IMPLEMENTATION OF A STORM
WATER POLLUTION PREVENTION
PLAN

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources— Stormwater Program
Facility Name: UFP Elizabeth City,LLC
Permit Number: NC500o336
Location Address: 141 Knnbbs Creek Drive
Elizabeth City.NC 27909
County:
Pasquolank
"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
"l 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.
4---- 05/26/2022
Signature X Date
Gabriel High Operations Vice President,UFP Retail,LLC-South
Print or type name of person signing above Title
SPPP Certification 10113

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources- Stormwater Program
Facility Name: UFP Elizabeth City,LLc
Permit Number: NC5000336
Location Address: 141 Knobbs Creek Drive
Elizabeth City,NO 27909
County: Pasquolank
"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 STOR-MWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
+-.- 05/26/2022
Signature X Date
Gabnel High Operations Vice President.UFP Retail,LLC-South
Print or type name of person signing above Title
SPPP Certification 10/13