NCS000151 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000151
FACILITY NAME Arauco Panels USA, LLC.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Enco Lab # 591
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Chatham
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
SM5210B SM5220D
EPA 353
EPA 351.2 EPA 420.1 EPA 365.4
Total
Flow if a
Total BOD COD
Rainfall
Total Nitrogen
Total Kjeldahl Phenols Total
Nitrogen Phosphorous
Oil & Grease
(if appl.)
mo/dd/ r
MG
inches
New Motor
Oil Usage
mo/dd/ r
004
inches
m
m
unit
006
004
No representative storm event occurred during the month which discharged during normal working hours,
therefore no stormwater ample was collected for the month of November 2014.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Reauirements
A#
COD
M
Outfall Date
Sample
Collected
50050
00556
00530
00400
maEA
JC
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
004
Form SWU-247, last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date November 2014
Total Event Precipitation (inches): N/A
Event Duration (hours): N/A (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 fines and imprisonment for knowing violations."
(Signature
1,2- -'S , -1 �
T
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2