NCS000593_MONITORING INFO_20200121

M-14
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
)(MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ ,;) oU U � a
YYYYMMDD

C�)
Universal Forest Products, Inc.
January 13, 2020
JAN 21 2020
Division of Water Quality GF.�h rr: TI O� n~
Q Y D�'Jh� SEC�i!
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Discharge Monitoring Report
UFP Rockwell, LLC, Rockwell, NC
Permit No.: NCS000593
Dear Sir or Madam:
Enclosed please find the Discharge Monitoring Report for the period July 1, 2019
through December 31, 2019 for the above -referenced facility.
If you have any questions, please contact me at 616-365-1591 or jmark20aufpi.com .
91-lhlkyou,
Joseph Mark, CPG, RG
Regulatory Compliance Administrator
encl.
Corporale Headquarters
U01 Fast 130thne NE, Grand Rapids, N11 49525 Tcd: 616.364.6161 Fax: [phone] www.4pi.c:om

SMRMWATRR DISCHARGE OUITALL {SD))
MOpiITORIIYG RE PORT
Permit Plumber NCS ODa593 _ SAMPLES COjjjZ rM DtWgG CALEpWAR YEAR. 2019
CM mono rung report sh O be meeived by the Division no filer tkan 30 days b m
the date the facifty seceiv tine sampting reaa!#e hum Me laboratory.)
FACELX y NA " UFP Rockwell, LLC
PSRWN COLLRCMG SANW1& S) W ter mit
C8R'IHii{D LABORATORY(S) NA Lab 0
Lab #
Part A. Specific MoaitorJng Requh ments
coumy Rowan
PNO.[6161365-1591
SIGNATURE OF PERbErrM OR DESEGNU
REODIItED ON PAGE Z.
...
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ICI
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l l l as
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f _ 11
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f' � l
v f Y. a V V v 1.\ ,
Does &n fecffity perform, Vehicle Mamtmance Acuvibm mdgg more than 55 galim of new motor oil per momh? _ yea X no
(i'nk Complete PWB)
Part & vebide iM mistam met Aedviiv Mnmit wiu Reaemoeats
Pom SWU-247, lam mmvd Zl2WIZ
pap 1 of 2

STORM V VENT CE ARAC ERI MCS: MA Ortgsal and one copy tix
Divi of Watar Qoatity
Deft NA Ater: Central Res
Total Event Predphadon (iadesk _HA 16171W Savioe Camw
Event Duration (boars): NA (only tf applicable — see pcmtiL) Rakdgh, North Carohna 27699-1617
Of mom thaw ame q eveut VM sal kdj
Daft NA
TOW Erect n (iaebes): NA
gveat D+a vd= (hozrs):' NA- - -. (6*W k: — see Pit)
"I ewft, wader pmalty of law, that this docameat and Q atbmhmeata were prepared ewer my direction ar mgmr+rWm in aomrdamee with a
system dedped to swum that goaiihed perrsonnd propcdy gather and evaluate the "rsatiaa submitted. Band an my bagalry of the persois
or persoa, wbo otaaage the ayrtem, or those persons dbvctly r+gaasibie for gaftexing the inbrmatios, the b hrmnum sabudited * to the bad
of nq knowlednApd belie!, irnc, accurate, and complete. I am aware that there are dgaffiiaW pensltirs for tabmlttag false Wforam ice,
iarle�eg and imprisanmeat for lmowft viol."
(Daft)
Farm SWi-247, lw rev#aed ZW012
Pap 2 aft

9MRMWATERMCHARGE OUTFAX„L (SDO)
MONITORING R13PORT
p*rMit Nnmber NCS 000593 SAMPLES COLLECTM DURING CALENDAR YEAR: 2019
CM monitoring report dwH be received b7 the Division no brier than 30 dxp froln
the date the &dTdy mce#ves the sampling mu to treta &e laboratory.)
FACILITY NAME UFP Rockwell, LLC
PERSON COLLECTING SAM X(S) —Walter Smith
CZRTB'M LABORATORY(S) NA Lab #
Lab #
Part A. SperiSc MovAcring Rego¢meats
COUNTY Rowan
PHONE Na 61 6
SiGNATCIRE OF Ozitmrkm OR DESIGNEE
REQUIRED ON PAGE x.
I z
moron
Does this f wdstyr pcdorm Vducle MamU naam Activities using mare than 55 &alioas of new motor oil per martb7 _ yea X no
(ifym compkto PareB)
Part B. Vey dV 740h9tMa3ee AC iVkV Moaitotri= Reandaeaseata
Mr
Fom SW[7-M7, Ian wised Zl "12
ftv 1 of

S RM EYE14T CHARACrE] UCS: Mad Ortgiaal and one copy t=
Divimoa of Wader Quality
Date NA AV= Central Fuca
Total Rvent Pndpftaifan_NA _ 1617 MMU Saviee Curter
Event DmaSon (boars): NA (only if applicable — ue petit:) liakW6 North Caaliaa 27699-1617
Ofnweetha n am sb M eyleat was saaPkd)
Dstz NA
Total Event j6dpa&tian aneMes): NA
Event Dmwdose (hoars):' -NA:' - (=Iy if applicable -- sae pernziQ
'Z eertifF, under pmalty of law, that fhb dacama d and nU attachments wen prgmvd node r my direction or sapervidoa in accords sce with a
system designed to assure that gaakfied pawned properiS' Wstber aM evalsaft the hdarnab a subwAtad. Based on my ingalry of the person
or persons who manage the systan, or those persons directly responsible for ptipring the hdorntatina, the informxdoa sabmitled * to the best
of my knorwled belief, true, access!:, and complete. I am aware that thenre at4pif eW penalties for snbmli S&C inforaeatioa,
hcclnsrM9 and imprisonment for knowing vivhtim&
7'/o'ZZ:>
(—Sig r4rof HFULifteef (Date)
Form SWU-247, last revlaed 2=0I2
Page 2 of 2