NCS000593_UFP Rockwell LLC Permit Application_20171127

Please print or type in the unshaded areas only Form Approved OMB No 2040-0086
FORM
U S ENVIRONMENTAL PROTECTION AGENCY
I EPA I D NUMBER
6
T,A c
1
`���RA GENERAL INFORMATION
/�1
F
Consolidated Permits Program
D
GENERAL
(Read the "General Instructions " before starting)
2 3 14 75
LABEL ITEMS
GENERAL INSTRUCTIONS
If a preprinted label has been provided, affix it in the
designated space Review the information carefully, if any of it
I EPA I D. NUMBER
is incorrect, cross through it and enter the correct data in the
appropriate fill-in area below Also, if any of the preprinted data
is absent (the area to the left of the label space lists the
III FACILITY NAME PLEASE PLACE LABEL IN THIS SPACE Information that should appear), please provide it in the proper
fill-in area(s) below If the label is complete and correct, you
V FACILITY MAILING
need not complete Items I, III, V, and VI (except VI -B which
ADDRESS
must be completed regardless) Complete all items d no label
has been provided Refer to the instructions for detailed dem
VI FACILITY LOCATION
descriptions and for the legal authorizations under which this
data is collected
II POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any permit application forms to the EPA If you answer "yes" to any questions, you must
submit this form and the supplemental form listed In the parenthesis following the question Mark "X" In the box in the third column If the supplemental form Is attached If
you answer "no" to each question, you need not submit any of these forms You may answer "no" if your activity.)s excluded from permit requirements, see Section C of the
Instructions See also, Section D of the Instructions for definitions of bold-faced terms
Mark'X'
Mark W
YES
NO
FORM
ATTACHED
YES
NO
FORM
ATTACHED
SPECIFIC QUESTIONS
SPECIFIC QUESTIONS
A Is this facility a publicly owned treatment works which
B Does or will this facility (either existing or proposed)
results in a discharge to waters of the U.S? (FORM 2A)
X
Include a concentrated animal feeding operation or
X
aquatic animal production facility which results In a
16
17
16
19
20
21
discharge to waters of the U.S.? (FORM 2B)
C Is this a facility which currently results in discharges to�/
waters of the U.S. other than those described in A or B
X
�/
X
D Is this a proposed facility (other than those described In A
or 8 above) which will result in a discharge to waters of
X
above? (FORM 2C)
the U.S? (FORM 2D)
22
23
24
25
26
27
E Does or will this facility treat, store, or dispose of
F Do you or will you Inject at this facility Industrial or
hazardous wastes? (FORM 3)
X
municipal effluent below the lowermost stratum
X
containing, within one quarter mile of the well bore,
underground sources of drinking water? (FORM 4)
26
29
30
31
32
33
G Do you or will you inject at this facility any produced water
H Do you or will you Inject at this facility fluids for special
or other fluids which are brought to the surface In
processes such as mining of sulfur by the Frasch process,
connection with conventional oil or natural gas production,
X
solution mining of minerals, in situ combustion of fossil
X
Inject fluids used for enhanced recovery of oil or natural
fuel, or recovery of geothermal energy? (FORM 4)
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4)
34
35
36
37
1 3e
1 39
1 Is this facility a proposed stationary source which is one
J. Is this facility a proposed stationary source which is
of the 28 industrial categories listed in the instructions and�/
X
NOT one of the 28 industrial categories listed In the
X
which will potentially emit 100 tons per year of any air
instructions and which will potentially emit 250 tons per
pollutant regulated under the Clean Air Act and may affect
year of any air pollutant regulated under the Clean Air Act
40
d1
42
43
44
45
or be located In an attainment area? (FORM 5)
and may affect or be located in an attainment area?
(FORM 5)
c
1 SKIP UFP Rockwe 1, LLC dba Rob L.ins
Manu acturing7
15 16 — 29 30
69
IV FACILITY CONTACT
A. NAME & TITLE (last first, &title)
B PHONE (area code & no)
c
2 Josep ark
( 1) 3 5-1 9
16 16
45 46 46 1 49 51 52. 55
V FACILTY MAILING ADDRESS
A STREET OR P.O. BOX
3 2801 East Beltline Ave. NE
3
16
45 !v
B CITY OR TOWN
C STATE D ZIP CODE " OF a
c
4 Grand Rapids
I 4 525 CQ Z
15 16
40 41 42 47 51 0 3 B—
VI. FACILITY LOCATION
A STREET, ROUTE NO OR OTHER SPECIFIC IDENTIFIER 0
11 111 11111
��Idl
5 1 5 O d Mai oa
_0
5 16
45
B COUNTY NAME
Rowan
46
70
C CITY OR TOWN
D. STATE E ZIP CODE F COUNTY CODE (fknown)
c
5
RCiwilllC
I 2 1 8
15
16
40
41 42
47 51
52 54
EPA Form 3510-1 (8-90) CONTINUE ON REVERSE

CONTINUED FROM THE FRONT 2)5..5-33),3 53313 -5
✓
V I1..1. Il. V V UC.7 g-ai ir, in order or nonr
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2 813 8 ❑ YES © NO
52
15 ifi 40 41 42 47 - 57
X EXISTING ENVIRONMENTAL PERMITS
A FIRST
9 N 9 P
75 18 17 18 30 15 18 17 18 30
B. SECOND
C r i
c r 1
(specify)
(specify)
9 U
(specify)
7
2 4 91
18 30 15 16 17
118 30
C. RCRA (Hazardous Wastes) E. OTHER (s eci )
C
r
15
16 19
Wood Preserving
15116
19
9
75 16 17 18 30 1 15 1 16 17 118 30
XI MAP
C THIRD
location of each of its existing and proposed intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
D. FOURTH
XII. NATURE OF BUSINESS (provide a brief descnphon)
(specify)
7
reuses the process solution so no waste or effluent is created or discharged. There is no discharge of process
(specify)
are recycled back into the system via,a collection sump. The treatment plant has been designed to contain the
7
15 16
XIII. CERTIFICATION (see instructions)
16
18 19
am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
A NAME & OFFICIAL TITLE (type orprint) B. SIGNATURE
A NAME
Jeff Richard
B Is the name listed in Item
General Manager of Operations
/D/-1 7
VIII -A also the owner?
8 UFP Rockwell , LLC
COMMENTS FOR OFFICIAL USE ONLY
❑ YES D NO
15 16
5s fi6
C STATUS OF OPERATOR (Enter the appropriate letter into the answer box rf "Other, " specify)
D PHONE (area code & no )
F = FEDERAL
S = STATE M = PUBLIC (other than federal or state)
p
(specify)
°
A (7 7 0) 532-7189
P =PRIVATE O =OTHER (specify)
56
15 6 18 19 21 22 26
E STREET OR P.O BOX
1 510 d ail Road
26 65
I F. CITY OR TOWN I G STATE I H. ZIP CODE IIX INDIAN LAND
the facility located on Indian lands?
g ROCkwel lJ�NJCJJIs
2 813 8 ❑ YES © NO
52
15 ifi 40 41 42 47 - 57
X EXISTING ENVIRONMENTAL PERMITS
A. NPDES (Dischar es to Surface Water) D PSD (Air Emissions om Pro osed Sources)
C ] I 1 c r i
9 N 9 P
75 18 17 18 30 15 18 17 18 30
B. UIC Under ound In ection o Fluids EOTHER s ec:
C r i
c r 1
(specify)
9 U
9
15 18 1]
18 30 15 16 17
118 30
C. RCRA (Hazardous Wastes) E. OTHER (s eci )
C
r
i
c r i (specify)
9
R
9
75 16 17 18 30 1 15 1 16 17 118 30
XI MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries The map must show the outline of the facility, the
location of each of its existing and proposed intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
injects fluids underground Include all springs, rivers, and other surface water bodies in the map area. See instructions for precise requirements.
XII. NATURE OF BUSINESS (provide a brief descnphon)
Pressure treat lumber with micronized copper azole suspension. UFP Rockwell, LLC'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 solution 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.
XIII. CERTIFICATION (see instructions)
I certify under penalty of law that I have personally examined and'am familiar with the information submitted in this apphcation and all attachments and that, based on my
inquiry of those persons immediately responsible for obtaining the information contained in the application, 1 believe that the Information is true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
A NAME & OFFICIAL TITLE (type orprint) B. SIGNATURE
C DATE SIGNED
Jeff Richard
General Manager of Operations
/D/-1 7
COMMENTS FOR OFFICIAL USE ONLY
JCC
s 16 55
EPA Form 3510-1 (8-90)

1 0.5 0 1
MILES
M
N4-
17. NLS N
0° 24
]AILS
NORTH
FIGURE 1— Site Location Map
UFP Rockwell, LLC
7.5'

0 Feet 100
NORTH
LEGEND
Approximate Location of Property Boundaries U
1— Office Building
2 —Covered Lumber Treating Plant
3 — Covered Drip Pad
4— Lumber Storage Building
5 — Former Showroom (Vacant)
6 — Unpaved Areas with temporary Treated Lumber Storage
7 — Wooded Area
8 — Vegetated Areas
9 — 500 -Gallon Diesel AST
FIGURE 2 — Site Layout Map
UFP Rockwell, LLC
Rockwell, NC
10—Forklift MaintenancefAreas (under roof)
11— Fire Cabinet (indoors)

0 Feet 100
NORTH
LEGEND
Approximate Location of Property Boundaries
1— Office Building
2 — Covered Lumber Treating Plant
3 — Covered Drip Pad
4— Lumber Storage Building
5 — Former Showroom (Vacant)
6 — Unpaved Areas with temporary Treated Lumber Storage
7 — Wooded Area
8 — Vegetated Areas
9 — 500 -Gallon Diesel AST
FIGURE 3 — Storm Water Flow Map
UFP Rockwell, LLC
Rockwell, NC
10 - Forklift Maintenance Area (under roof)
11— Fire Cabinet (indoors)
Storm Water Flow Direction �►
Storm Water Ditch

EPA ID Number (copy from Item 1 of Form 1) Form Approved OMB No 2040-0086
Please orint or tvoe in the unshaded areas only. I ADDroval exDves 5-31-92
FORM�'
2F
NPDES
U S. Environmental Protection Agency
Washington, DC 20460
�`"', EPA Application for Permit to Discharge Storm Water
Discharges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 28 6 hours per application, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate, any other aspect
of this collection of information, or suggestions for improving this form, including suggestions which may increase or reduce this burden to Chief, Information Policy
Branch, PM -223, U S Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, or Director, Office of Information and Regulatory
Affairs, Office of Management and Budget, Washington, DC 20503.
(.Outfall Location
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water
A Outfall Number D Receiving Water
(list) B. Latitude C. Longitude (name)
001 35.00 31.001 58.13 80.00 23.001 2.43 Tributary to Second Creek
II. Improvements
A. Are you now required by any Federal, State, or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application? This includes, but is not limited
to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions
2 Affected Outfalls 4 Final
1 Identification of Conditions, Compliance Date
Agreements, Etc number source of discharge 3 Brief Description of Project a req Lb prol
NA NA NA
r
B You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your discharges) you now have under
way or which you plan. Indicate whether each program is now under way or planned, and indicate your actual or planned schedules for construction
III. Site Drainage Map
Attach a site map showing topography (or indicating the outline of drainage areas served by the outfalls(s) covered in the application if a topographic map is unavailable)
depicting the facility including each of its intake and discharge structures, the drainage area of each storm water outfall, paved areas and buildings within the drainage
area of each storm water outfall, each known past or present areas used for outdoor storage of disposal of significant materials, each existing structural control measure
to reduce pollutants in storm water runoff, materials loading and access areas, areas where pesticides, herbicides, sod conditioners and fertilizers are applied, each of
its hazardous waste treatment, storage or disposal units (including each area not required to have a RCRA permit which is used for accumulating hazardous waste
under 40 CFR 262.34), each well where fluids from the facility are injected underground, springs, and other surface water bodies which received storm water discharges
from the facility.
EPA Form 3510-2F (1-92) Page 1 of 3 Continue on Page 2

Continued from the Front
IV. Narrative Description of Pollutant Sources
A. For each outfall, provide an estimate of the area (include units) of imperious surfaces (including paved areas and building roofs) drained to the outfall, and an estimate of the total surface area
drained by the outfall
Outfall
Area of Impervious Surface
Total Area Drained
Outfall
Area of Impervious Surface
Total Area Drained
Number
(provide units)
(provide units)
Number
(provide units)
(provide units)
001
39,540 square feet
210,900 square
NA
NA
NA
feet
B. Provide a narrative description of significant materials that are currently or in the past three years have been treated, stored or disposed in a manner to allow exposure
to storm water, method of treatment, storage, or disposal, past and present materials management practices employed to minimize contact by these materials with
storm water runoff, materials loading and access areas, and the location, manner, and frequency in which pesticides, herbicides, sod conditioners, and fertilizers are
applied
Raw materials (brite lumber) are delivered bt truck. This lumber is either stored in sheds or outdoors on gravel. The lumber
stored outdoors is typically covered. The primary activities that occur outdoors are material handling (loading and unloading)
and temporary storage of untreated and micronized copper azole -treated wood products. All manufacturing activities are conducted
under cover.
Poles treated with copper, chromium, arsenic (CCA) preservative and railroad ties treated with creosote are temporarily staged
in the Storage Yard. These products are manufactured at other, off-site facilities and are only distributed from the UFP
Rockwell, LLC facility. The poles and railroad ties are "drip free" when they arrive at the UFP Rockwell, LLC facility
C For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce pollutants In storm water runoff, and a
description of the treatment the storm water receives, including the schedule and type of maintenance for control and treatment measures and the ultimate disposal
of any solid or fluid wastes other than by discharge
Outfall
List Codes from
Number
Treatment
Table 2F-1
001 Untreated and treated lumber is stored under cover (in buildings or tarped)(Figure 2 and Figure 4-A (Indirectly -
3). No maintenance, outside of typical building maintenance, is required to maintain these see explanation
structural best management practices (BMPs). in previous box)
Outfall 001 is located at the end of a short,vegetated, storm water ditch This outfall
discharges to a drainage ditch located along the east side of Johnson Dairy Road (Figure 3).
V. Nonstormwater Discharges
A I certrfy under penalty of law hat the ouffall(s) covered by this application have been tested or evaluated for the presence of nonstormwater discharges, and that all
nonstormwater discharged from these outfall(s) are Identified in either an accompanying Form 2C or From 2E application for the outfall
Name and Official Title (type or punt)
Signature
Date Signed
Jeff Richard, General Manager of O
/ d Z q l 7
B. Provide a description of the method used, the date of any testing, and the onsite drainage points that were directly observed during a test.
Visual Observations of Outfall 001 made during the Annual Facility Site Compliance Inspection (AFSCI) and during the semi-annual
routine facility inspections, are used to identify the presence of non -storm water discharges. The AFSCI and the semi-annual
routine facility inspections are conducted during dry weather
VI. Significant Leaks or Spills
Provide existing Information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three years, including the
approximate date and location of the spill or leak, and the type and amount of material released
o significant spills or leaks of toxic or hazardous pollutants associated with the activities at the facility have occurred in
areas exposed to storm water or have have drained to a storm water conveyance during the previous three years.
U
EPA Form 3510-2F (1-92) Page 2 of 3 Continue on Page 3

Continued from Page 2 1
EPA ID Number (copy from Item 1 of Form 1)
VII. Discharge Information
A, B, C, & D See instructions before proceeding Complete one set of tables for each outfall Annotate the outfall number in the space provided.
Table VII -A, VII -B, VII -C are included on separate sheets numbers VII -1 and VII -2
E Potential discharges not covered by analysis — is any toxic pollutant listed in table 2F-2, 2F-3, or 2F-4, a substance or a component of a substance which you
currently use or manufacture as an intermediate or final product or byproduct?
✓❑ Yes (list all such pollutants below) ❑ No (go to Section 1X)
Copper
VIII. Biological Toxicity Testing Data
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 3 years?
❑ Yes (list all such pollutants below) ❑✓ No (go to Section UQ
IX. Contract Analysis Information
Were any of the analyses reported in Item VII performed by a contract laboratory or consulting firm?
© Yes (list the name, address, and telephone number of, and pollutants
❑ No (go to Section X)
analyzed by, each such laboratory or firm below)
A Name
B Address
C Area Code & Phone No
D Pollutants Analyzed
Prein & Newhof Environmental
3260 Evergreen Drive
[phone]
BOD, COD, pH, Total
Laboratory
Grand Rapids, MI 49525
Nitrogen, Total Copper, TSS.
X. Certification
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 I am aware that
there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations
A Name & Official Title (Type Or Print)
B Area Code and Phone No
Jeff Richard, General Manager of Operations
[phone]
C Signature
D Date Signed
is " / 7
EPA Form 3510-2F (1-92) Page 3 of 3

EPA ID Number (copy from Item 1 of Form 1) Form Approved OMB No 2040-0086
Approval expires 5-31-92
VII. Discharge information (Continued from page 3 of Form 2F)
Part A — You must provide the results of at least one analysis for every pollutant in this table Complete one table for each outfall See instructions for additional details
Pollutant
and
CAS Number
(if available)
Maximum Values
(include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Oil and Grease
Not sampled
NIA
Not sampled
NA
10.00
NA
Biological Oxygen
Demand (BODS)
14 0 mg/L
NA
15.55 mg/L
NA
10 00
Natural organic material/sawdust
ChemDemand al
Demand (COD)
)
150 mg/L
NA
88 15 mg/L
NA
10.00
Natural organic material/sawdust
TotalSuspendedpe)
S
Solids (T
167 /L
mg
NA
29 08 /L
mg
NA
10 00
Sdit f
Sediment from gravel used in yard
Total Nitrogen
11.8 mg/L
NA
3.83 mg/L
NA
10.00
Natural organic material
Total Phosphorus
Not sampled
NA
Not sampled
NA
10.00
NA
pH
Minimum 6 031
Maximum 7.761Minimum
6.031Maximum
7.76
10.00
Part B — List each pollutant that is limited in an effluent guideline which 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
Pollutant
and
CAS Number
(if available)
Maximum Values
(include units)
Grab Sample
Taken During
First 20 Flow -Weighted
Minutes Composite
Average Values
(Include units)
Grab Sample
Taken During
First 20 Flow -Weighted
Minutes Composite
Number
of
Storm
Events
Sampled Sources of Pollutants
NA
NA NA
NA NA
0 00 NA
EPA Form 3510-2F (1-92) Page VII -1 Continue on Reverse

Continued from the Front
Part C - List each pollutant shown in Table 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present See the instructions for additional details and
requirements Complete one table for each outfall
Pollutant
and
CAS Number
(if available)
Maximum Values Average Values
(include units) (include units) Number
Grab Sample Grab Sample of
Taken During Taken During Storm
First 20 Flow -Weighted First 20 Flow -Weighted Events
Minutes Composite Minutes Composite Sampled
Sources of Pollutants
Nitrate -
Nitrite*
NA NA NA
NA 0.00
Naturally occuring organic material
TKN*
NA NA NA
NA 0.00
Naturally occuring organic material
OilGrease*
NA NA NA
NA 0.00
Releases from vehicles
T Arsenic*
NA NA NA
NA 0.00
Possibly from CCA -treated poles
TChromium*
NA NA NA
NA 0.00
Possibly from CCA -treated poles
T Copper*
NA NA NA
NA 0.00
Treated lumber products
T Zinc*
NA NA NA
NA 0.00
Galvanized metal, tires, oil
Cresol*
NA NA NA
NA 0.00
Possibly from railroad ties
*-
Pollutants may be present based on
experience with
facilities in simmilar settings
performing
similar operations.
Part D — Provide data for the storm event(s) which resulted in the maximum values for the flow weighted composite sample
1.
Date of
Storm
Event
2.
Duration
of Storm Event
(in minutes)
3
Total rainfall
during storm event
(in inches)
4
Number of hours between
beginning of storm measured
and end of previous
measurable rain event
5
Maximum flow rate during
rain event
(gallons/minute or
specify units)
6
Total flow from
rain event
(gallons or specify units)
NA
NA
NA
NA
NA
NA
7 Provide a description of the method of flow measurement or estimate
NA
EPA Form 3510-217 (1-92) Page VII -2

r•
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52; -:
UFP Rockwell, LLC "` �,~•
175 Old Mail Road ,4-� qj; o` F
" ZOO � Rockwell, N68138 ,
A504r
Am
42
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1 0.5 0 1
M➢LES
M
»� N
NORTH
FIGURE 1—Site Location Map
UFP Rockwell, LLC
Rockwell NC Source: 2016 USGS Rockwell NC and Gold Hill NC 7.5' Quadrangles)

0 Feet 100
NORTH
LEGEND
Approximate Location of Property Boundaries
1— Office Building
2 — Covered Lumber Treating Plant
3 — Covered Drip Pad
4— Lumber Storage Building
5 — Former Showroom (Vacant)
6 — Unpaved Areas with temporary Treated Lumber Storage
7 — Wooded Area
8 — Vegetated Areas
9 — 500 -Gallon Diesel AST
FIGURE 2 —Site Layout Map
UFP Rockwell, LLC
Rockwell, NC
10— Forklift Maintenance Areas (under roof)
11— Fire Cabinet (indoors)

0 Feet 100
NORTH
LEGEND
Approximate Location of Property Boundaries / 1
1—Office Building LTJ
2—Covered Lumber Treating Plant
3 — Covered Drip Pad
4 — Lumber Storage Building
5 — Former Showroom (Vacant)
6 — Unpaved Areas with temporary Treated Lumber Storage
7 — Wooded Area
8 — Vegetated Areas
9 — 500 -Gallon Diesel AST
FIGURE 3 — Storm Water Flow Map
UFP Rockwell, LLC
Rockwell, NC
10 - Forklift Maintenance Area (under roof)
11— Fire Cabinet (indoors)
Storm Water Flow Direction �►
Storm Water Ditch

Universal Forest Products, Inc.
October 30, 2017
LLtz k%oL& Lg
North Carolina Department of Environmental Quality D
Storm Water Permitting Program NOV 0 2017.,
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center DEQ.
Raleigh, NC 27699-1612 401 & B FFER pFo A—. S
RE: Individual Industrial Storm Water Permit Application
UFP Rockwell, LLC, d.b.a. Robbins Manufacturing, 175 Old Mail Road, Rockwell, NC
Dear Ladies and Gentlemen:
Attached are completed and signed US EPA Form 1(General Information) and US EPA Form 2F (Application for
Permit to Discharge Stormwater Discharges Associated with Industrial Activity) for the above referenced facility.
Also attached is a $860.00 check to cover the individual permit storm water permit application fee a "minor"
individual NPDES storm water permit.
Please note:
• Under direction of the North Carolina Department of Environmental Quality, Form 2F is being submitted
instead of Form 2C as specified on Form 1.
• The business entity at the facility changed due to the recent acquisition of certain business assets.
• The facility is identified as a conditionally exempt small quantity generator (NCO 000 145 474) of
hazardous waste (F035).
• No historical storm water analytical data exists for the facility. Under guidance of the North Carolina
Department of Environmental Quality, the analytical results presented in Form 2F are from a North
Carolina facility producing the same items (MCA pressure treated wood products), in a similar setting (all
gravel Storage Yard), and utilizing similar storm water best management practices (BMPs).
Please contact me at either [phone] or [e-mail] if you have any questions or require additional
information on this matter.
Joseph Mark, CPG, RG
Regulatory Compliance Administrator
Corporate Headquarters
2801 East Beltline NE Grand Rapids, MI 49525 Tel: [phone] Fax: [phone] www.ufpi.com