HomeMy WebLinkAboutWQ0005555_Monitoring - 11-2023_20231227Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
Report Information
wg0005555
Weyerhaeuser Company
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
G W-59
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
11 2023 NDAR & NDMR.pdf 5.95MB
PDF Only
Nov GW-59 report.pdf 13.99MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
dennis.atkinson@weyerhaeuser.com
Dennis R Atkinson
�'.rLQ�:rOAa'
12/27/2023
This will be filled in automatically
Reviewer: Wanda.Gerald
Is the project number correct?* wg0005555
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/11/2024
FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_of_3_
Permit No.: W00005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WWTF
County: Surry
Month: November
Year: 2023
PPI: 001
Flow Measuring Point: Influent Ertlurnt No flow generate t
Parameter Monitoring Point: r' Influent ;rii,ent Groundwater Lowering Surface water
Parameter Code 11.
50050
00310
00916
00680
00940
01034
31616
71880
00927
71900
00610
00625
00620
00600
00340
00400
>
f6
m
E
U
�0
0
o
o
°
O
E
E
E
R
c2
L'
Uo
U
u_
�
'
O
OnQ
E
c
~-
Z
c
~
zO
O
Uco
_o
24-hr
hrs
GPD
mg/L
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
su
1
08:00
8
0
2
08.00
8
0
3
08.00
6
0
4
0
5
0
6
0&00
8
0
809
7
0
8
0
9
0800
8
0
101
08:00
6
0
11
0
12
0
13
0
7 79
14
0
15
0
161
0
17
0
18
0
19
0
20
10
7 61
21
0
221
0
23
0
24
0
25
0
26
0
27
08.00
8
0
7 75
281
0800
8
13,632
29
08,00
6
0
30
0800
8
0
296
30.1
716
183
0,0359
33
<0 5
25.1
<0.00200
1.06
60.5
<10.0
67 1
3280
9.1
31
08:00
1 6
Average:
454
296.00
30.10
716.00
183.00
0.04
33.00
000
25.10
0.00
106
60,50
0.00
67 10
3,280.00
Daily Maximum:
13,632
296.00
30.10
716.00
183.00
0,04
33.00
0.50
25.10
0,00
1.06
60.50
10.00
67 10
3,280.00
9.10
Daily Minimum:
0
296.00
30.10
716.00
183.00
0.04
33.00
0.50
25.10
0-00
106
60.50
10.00
67 10
3,280.00
761
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
28,800
Sample Frequency:
Continuous
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
I 3 X Year
Per Lvent
FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2_ of3_
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WWTF
County: Surry
Month: November
Year: 2023
PPI: 001
Flow Measuring Point: l Influent = Dtiuent No flow generatni
Parameter Monitoring Point: I Intlurnt Pffluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code -►
34694
00665
WQ09C
00931
00929
70300
00530
❑@
Q E
a>
E E!
n
O
C
C
(
o
a
0
:CE°
Ca
0 0
=O
'
Q
C:
_ O_
Y
Q
E
7
)0
U
O N
O
N O
nU)
v
v m0 C •6
C O
U)o
Cn
cn
24-hr
hrs
mg/L
mg/L
mg/L
Ratio
mg/L
mg/L
mg/L
1
08:00
8
2
08:00
8
3
0800
6
4
5
6
08:00
8
7
8
9
1 08:00
8
10
08:00
6
11
12
13
14
15
16
17
18
19
20
21
—
22
23
24
25
26
27
08:00
8
28
08:00
8
29
08:00
6
301
08:00
8
<0.005
3.54
24.9
1.3
1260
5460 1
110
311
08:00
6
Average:
#DIV/0!
3.54
24.90
1.30
1,260.00
5,460.00
110.00
Daily Maximum:
0.00
3.54
24.90
1.30
1.260.00
5,460.00
110.00
Daily Minimum:
0.00
3.54
24.90
1.30
1,260.00
5,460.00
110.00
Sampling Type:
Grab
I Grab
Calculated
Calculated
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR) Page _3_of_3_
Sampling Person(s) Certified Laboratories
Name: David Morris Name: WayPoint Anaylical - Cert. No. 402
Name: Brody Edwards Name: PACE - Cert No. 40 & 633
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dennis R. Atkinson
Permittee: Weyerhaeuser Co.
Certification No.: 15574
Signing official: Steve Kobelak
Grade: SI Phone Number: 336-526-6437
Signing Official's Title: Mill Manger
Has the ORC changed since the previous NDMR? ❑ yes E No
Phone Number: 336-5 -6456 Permit Expiration: 8/31/2025
/oL/ � d2
��. • 2-� Z 3
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel properly gathered and evaluated 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
WayPAoint
NALYTICAL
12/19/2023
Weyerhaeuser Corporation
Dennis Atkinson
524 Pride Way
Elkin, NC, 28621
Ref: Analytical Testing
Lab Report Number: 23-334-0020
Client Project Description: Wastewater EFF
Dear Dennis Atkinson:
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Waypoint Analytical, LLC (Charlotte) received sample(s) on 11/30/2023 for the analyses presented in the
following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters were performed in accordance with guidelines established by the USEPA (including 40 CFR 136
Method Update Rule May 2021) unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Terri W Cole
Laboratory Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 15
Waypoint.
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Certification Summary
Laboratory ID: WP CNC: Waypoint Analytical Carolina, Inc. (C), Charlotte, NC
State
Program
Lab ID
Expiration Date
North Carolina
State Program
37735
07/31/2024
North Carolina
State Program
402
12/31/2023
South Carolina
State Program
99012
07/31/2024
South Carolina
State Program
99012
12/31/2023
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2024
Florida
State Program - NELAP
E871157
06/30/2024
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2024
Illinois
State Program - NELAP
200078
10/31/2024
Kentucky
State Program
80215
06/30/2024
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program - NELAP
LA037
12/31/2023
Louisiana
State Program - NELAP
04015
06/30/2024
Mississippi
State Program
MS
11/14/2025
North Carolina
State Program
47701
07/31/2024
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program - NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2024
Tennessee
State Program
02027
11/14/2025
Texas
State Program - NELAP
T104704180
09/30/2024
Virginia
State Program
00106
06/30/2024
Virginia
State Program - NELAP
460181
09/14/2024
Page 1 of 1 00016/23-334-0020
Page 2 of 15
Waypoint.(2)
ANALYTICAL
Report Number: 23-334-0020
Client Project Description: Wastewater EFF
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Sample Summary Table
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
90539
EFF
Aqueous
11/30/2023
11:00
11/30/2023
13:55
90539
EFF
Aqueous
11/30/2023
11:00
11/30/2023
13:55
4500NH3D-2011
WP
MTN
90539
EFF
Aqueous
11/30/2023
11:00
11/30/2023
13:55
5310C-2011
WP
MTN
90539
EFF
Aqueous
11/30/2023
11:00
11/30/2023
13:55
8315A
WP
MTN
90539
EFF
Aqueous
11/30/2023
11:00
11/30/2023
13:55
4500NORGD-2011
WP
MTN
90540
Field
Aqueous
11/30/2023
11/30/2023
13:55
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN
Page 3 of 15
WayPAoint
NALYTICAL
Client: Weyerhaeuser Corporation
Project: Wastewater EFF
Lab Report Number: 23-334-0020
Date: 12/15/2023
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
CASE NARRATIVE
Total Metals Method EPA-200.7
Sample 90539 (EFF)
Analyte: Sodium
QC Batch No: V40962N40805
Matrix spike/matrix spike duplicate recoveries are outside of control limits. Acceptable LCS recovery indicates the
system was in control, but the reported result could be affected by matrix interference.
Mercury Method 245.1 (Prep)
Sample 90539 (EFF)
QC Batch No: V40972N40972
The sample was diluted due to the nature of the sample matrix. Reporting limits have been adjusted accordingly.
Anions by Ion Chromatography Method 300.0
Sample 90484
Analyte: Chloride
QC Batch No: V40883N40882
Matrix spike/matrix spike duplicate recoveries are outside of control limits. Acceptable LCS recovery indicates the
system was in control, but the reported result could be affected by matrix interference.
Sample 90484
Analyte: Nitrate-N
QC Batch No: V40883N40882
The MS/MSD recoveries are outside QC limits due to the level of analyte present in the parent sample relative to
the spike level. RPD is based on the MS/MSD results and should be evaluated as laboratory duplicates.
625.1 - Base/Neutrals and Acids by GC/MS Method 625.1
Sample 90539 (EFF)
QC Batch No: V40789N40760
Surrogate(s) were flagged for recoveries in the associated project sample. During the extraction step, the
extraction technician noted that a significant emulsion formed. Batch QC samples (Method Blank and Laboratory
Control Samples) all showed surrogate recoveries within QC limits, indicating that the biased recoveries were due
to the sample matrix.
Fecal Coliform MPN Method 9221E-2011
QC Batch No: V40774
Duplicate result: <2.0 MPN / 100ml
Volatile Organic Compounds - GC/MS Method 8260D
Sample 90539 (EFF)
QC Batch No: V41023N41022
The sample was diluted due to the nature of the sample matrix. Reporting limits have been adjusted accordingly.
Sample was a very dark brown hue. Lower dilution not possible.
Analyte: Ethanol
QC Batch No: V41023/V41022
Page 4 of 15
0
Waypoint.
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Analyte: tert-Amyl alcohol
QC Batch No: V41023IV41022
Relative Percent Difference (RPD) for the duplicate analysis was outside of the allowable QC limits.
Page 5 of 15
Waypointo
ANALYTICAL
00052
Weyerhaeuser Corporation Project
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-334-0020
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Wastewater EFF
REPORT OPANAL YSIS
Report Date : 12/19/2023
Received : 11/30/2023
Lab No : 90539
Sample ID : EFF
Matrix: Aqueous
Sampled: 11/30/2023 11:00
Test
Results
Units MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Fecal Coliform MPN/g
33.0
MPN/100ml-
2.0
1
11/30/23 14:32
JMD
9221E-2011
Sodium Absorption Ratio
1.30
Ratio
0.100
1
12/05/23 18:07
CALCULATION
Plant Available Nitrogen
24.9
mg/L
0.100
1
11/30/23 17:55
CALCULATION
Ammonia Nitrogen
1.06
mg/L 0.040
0.100
1
12/08/23 16:01
DJJC
4500NH3D-2011
Biochemical Oxygen Demand (5-day)
296
mg/L
2.0
1
11/30/23 13:09
SLO
5210E-2015
Chloride
183
mg/L
50.0
50
11/30/23 17:55
NDL
300.0
COD (Chemical Oxygen Demand)
3280
mg/L
90
1
12/04/23 13:46
SLO
5220D-2011
Nitrate (NO3-N)
<10.0
mg/L
10.0
50
11/30/23 17:55
NDL
300.0
Nitrite (NO2-N)
6.58
mg/L
5.00
50
11/30/23 17:55
NDL
300.0
Nitrate+ Nitrite- N
6.58
mg/L
5.00
50
11/30/23 17:55
300.0
Total Dissolved Solids
5460
mg/L
50
1
12/06/23 13:30
RLW
2540C-2015
Total Suspended Solids
110
mg/L
26.5
1
12/04/23 09:20
JMD
2540D-2015
Total Kjeldahl Nitrogen
60.5
mg/L 17.1
25.0
1
12/14/23 12:53
ANH
4500NORGD-2011
Total Nitrogen
67.1
mg/L
25.0
1
11/30/23 17:55
CALCULATION
Phosphorus
3.54
mg/L
0.100
1
12/12/23 14:40
JKC
EPA-200.7
TOC
716
mg/L
100
100
12/10/23 14:25
ASH
531OC-2011
Calcium
30.1
mg/L
0.400
1
12/06/2314:17
JKC
EPA-200.7
Chromium
0.0359
mg/L
0.0060
1
12/06/2314:17
JKC
EPA-200.7
Magnesium
25.1
mg/L
0.200
1
12105/2318:07
JKC
EPA-200.7
Mercury (Total)
<0.00200
mg/L
0.00200
1
12/07/23 16:44
JKC
245.1
Sodium
1260
mg/L
16.0
20
12/06/2314:03
JKC
EPA-200.7
Qualifiers/ Outside QC Limit DF Dilution Factor
Definitions J Estimated value MQL Method Quantitation Limit
Page 6 of 15
0
Waypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00052
Weyerhaeuser Corporation Project Wastewater EFF
Dennis Atkinson Report Date : 12/19/2023
524 Pride Way Information : Received : 11/30/2023
Elkin , NC 28621
Report Number : 23-334-0020 REPORT OPANALYSIS
Lab No : 90539
Matrix: Aqueous
Sample ID: EFF
Sampled:
11/30/2023
11:00
Analytical Method: 625.1
Prep Batch(es):
V40760
12/01/23 10:04
Prep Method: 625.1 (Prep)
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Batch
Phenol
<0.005
mg/L
0.005
1
12/01/2314:53
AMP
V40789
Surrogate: Phenol-d5
3.98 *
Limits:
10-63%
1 12/01/23 14:53 AMP
625.1
Surrogate: 2-Fluorophenol
4.90 *
Limits:
22-84%
1 12/01/2314:53 AMP
V40789
Surrogate: 2,4,6-Tribromophenol
4.74 *
Limits:
31-144%
1 12/01/2314:53 AMP
V40789
Analytical Method: 8260D
Prep Batch(es):
V41497
12/07/23 09:00
Prep Method: 5030E
Test
Results
Units
MDL
MOL
DF
Date / Time
By
Analytical
Analyzed
Batch
Acetone
120
Ng/L
18.0
50.0
10
12/07/23 20:20
MSA
V41498
Acrolein
<20.0
Vg/L
20.0
50.0
10
12/07/23 20:20
MSA
V41498
Acrylonitrile
<2.30
Ng/L
2.30
50.0
10
12/07/23 20:20
MSA
V41498
Benzene
<1.80
Ng/L
1.80
5.00
10
12/07/23 20:20
MSA
V41498
Bromobenzene
<2.10
ug/L
2.10
5.00
10
12/07/23 20:20
MSA
V41498
Bromochloromethane
<4.20
Ng/L
4.20
10.0
10
12/07/23 20:20
MSA
V41498
Bromodichloromethane
<1.60
Ng/L
1.60
5.00
10
12/07/23 20:20
MSA
V41498
Bromoform
<15.0
Ng/L
15.0
50.0
10
12/07/23 20:20
MSA
V41498
Bromomethane
<2.80
ug/L
2.80
10.0
10
12/07/23 20:20
MSA
V41498
n-Butylbenzene
<1.85
Ng/L
1.85
10.0
10
12/07/23 20:20
MSA
V41498
sec -Butyl benzene
<2.00
Ng/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
tert-Butyl benzene
<9.20
Ng/L
9.20
20.0
10
12/07/23 20:20
MSA
V41498
Carbon Disulfide
<1.50
Ng/L
1.50
50.0
10
12/07/23 20:20
MSA
V41498
Carbon Tetrachloride
<1.80
Ng/L
1.80
5.00
10
12/07/23 20:20
MSA
V41498
Qualifiers/ * Outside QC Limit
DF
Dilution Factor
Definitions I Estimated value
MQL
Method Quantitation Limit
Page 7 of 15
Waypointo
ANALYTICAL
00052
Weyerhaeuser Corporation Project
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-334-0020
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Wastewater EFF
REPORT OF ANAL YSiS
Report Date : 12/19/2023
Received : 11/30/2023
Lab No : 90539
Sample ID : EFF
Matrix: Aqueous
Sampled: 11/30/2023 11:00
Analytical Method: 8260D
Prep Batch(es):
V41497
12/07/23 09:00
Prep Method: 5030E
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Batch
Chlorobenzene
<1.90
N9/L
1.90
5.00
10
12/07/23 20:20
MSA
V41498
Chlorodibromomethane
<1.90
U9/L
1.90
5.00
10
12/07/23 20:20
MSA
V41498
Chloroethane
<4.30
u9/L
4.30
10.0
10
12/07/23 20:20
MSA
V41498
Chloroform
<2.20
N9/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
Chloromethane
<2.20
u9/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
2-Chlorotoluene
<2.00
u9/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
4-Chlorotoluene
<2.00
N9/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
Di -Isopropyl Ether (DIPE)
<9.60
N9/L
9.60
50.0
10
12/07/23 20:20
MSA
V41498
1,2-Dibromo-3-Chloropropane
<11.0
N9/L
11.0
20.0
10
12/07/23 20:20
MSA
V41498
1,2-Dibromoethane
<2.00
N9/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
Dibromomethane
<2.30
N9/L
2.30
5.00
10
12/07/23 20:20
MSA
V41498
1,2-Dichlorobenzene
<2.20
pg/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
1,3-Dichlorobenzene
<1.90
N9/L
1.90
5.00
10
12/07/23 20:20
MSA
V41498
1,4-Dichlorobenzene
<2.10
N9/L
2.10
5.00
10
12/07/23 20:20
MSA
V41498
Dichlorodifluoromethane
<12.0
N9/L
12.0
50.0
10
12/07/23 20:20
MSA
V41498
1,1-Dichloroethane
<2.40
N9/L
2.40
5.00
10
12/07/23 20:20
MSA
V41498
1,2-Dichloroethane
<1.50
u9/L
1.50
5.00
10
12/07/23 20:20
MSA
V41498
1,1-Dichloroethene
<1.50
u9/L
1.50
5.00
10
12/07/23 20:20
MSA
V41498
cis- 1,2-Dichloroethene
<2.00
u9/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
trans-1,2-Dichloroethene
<1.80
N9/L
1.80
5.00
10
12/07/23 20:20
MSA
V41498
1,2-Dichloropropane
<1.90
N9/L
1.90
5.00
10
12/07/23 20:20
MSA
V41498
1,3-Dichloropropane
<1.30
N9/L
1.30
5.00
10
12/07/23 20:20
MSA
V41498
Qualifiers/ * Outside QC Limit DF Dilution Factor
Definitions I Estimated value MQL Method Quantitation Limit
Page 8 of 15
0
Waypoint. 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00052
Weyerhaeuser Corporation Project Wastewater EFF
Dennis Atkinson Report Date : 12/19/2023
524 Pride Way Information : Received : 11/30/2023
Elkin , NC 28621
Report Number : 23-334-0020 REPORT OFANAL YSIS
Lab No : 90539
Matrix: Aqueous
Sample ID : EFF
Sampled:
11/30/2023
11:00
Analytical Method: 8260D
Prep Batch(es):
V41497
12/07/23 09:00
Prep Method: 5030E
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Batch
2,2-Dichloropropane
<2.10
pg/L
2.10
20.0
10
12/07/23 20:20
MSA
V41498
1,1-Dichloropropene
<2.00
pg/L
2.00
5.00
10
12/07/23 20:20
MSA
V41498
cis- 1,3-Dichloropropene
<2.10
pg/L
2.10
5.00
10
12/07/23 20:20
MSA
V41498
trans-1,3-Dichloropropene
<1.50
pg/L
1.50
5.00
10
12/07/23 20:20
MSA
V41498
Ethylbenzene
<1.70
pg/L
1.70
5.00
10
12/07/23 20:20
MSA
V41498
Ethyl Tertiary Butyl Ether (ETBE)
<18.0
pg/L
18.0
100
10
12/07/23 20:20
MSA
V41498
Hexachlorobutadiene
<3.50
pg/L
3.50
20.0
10
12/07/23 20:20
MSA
V41498
n-Hexane
<13.0
pg/L
13.0
100
10
12/07/23 20:20
MSA
V41498
2-Hexanone
<3.80
pg/L
3.80
50.0
10
12/07/23 20:20
MSA
V41498
Isopropylbenzene
<1.80
pg/L
1.80
50.0
10
12/07/23 20:20
MSA
V41498
4-Isopropyl toluene
<0.890
pg/L
0.890
5.00
10
12/07/23 20:20
MSA
V41498
Methyl Ethyl Ketone (MEK)
<7.10
pg/L
7.10
50.0
10
12/07/23 20:20
MSA
V41498
Methyl tert-butyl ether (MTBE)
<1.40
pg/L
1.40
5.00
10
12/07/23 20:20
MSA
V41498
4-Methyl-2-Pentanone
<10.0
pg/L
10.0
50.0
10
12/07/23 20:20
MSA
V41498
Methylene Chloride
<3.30
pg/L
3.30
10.0
10
12/07/23 20:20
MSA
V41498
Naphthalene
<4.70
p9/L
4.70
10.0
10
12/07/23 20:20
MSA
V41498
n-Propylbenzene
<1.90
pg/L
1.90
5.00
10
12/07/23 20:20
MSA
V41498
Styrene
<2.20
pg/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
1, 1, 1,2-Tetrachloroethane
<1.60
pg/L
1.60
5.00
10
12/07/23 20:20
MSA
V41498
1,1,2,2-Tetrachioroethane
<1.60
pg/L
1.60
5.00
10
12/07/23 20:20
MSA
V41498
Tetrachloroethene
<2.20
pg/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
Toluene
<2.20
pg/L
2.20
5.00
10
12/07/23 20:20
MSA
V41498
Qualifiers/ * Outside QC Limit
DF
Dilution Factor
Definitions J Estimated value
MQL
Method Quantitation Limit
Page 9 of 15
Waypointo
ANALYTICAL
00052
Weyerhaeuser Corporation Project
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
Report Number : 23-334-0020
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Wastewater EFF
REPORT OFANALYSIS
Report Date : 12/19/2023
Received : 11/30/2023
Lab No : 90539
Sample ID : EFF
Matrix: Aqueous
Sampled: 11/30/2023 11:00
Analytical Method: 8260D
Prep Batch(es):
V41497
12/07/23 09:00
Prep Method: 5030E
Test
Results
Units
MDL
MQL
DF
Date /Time By
Analytical
Analyzed
Batch
1,2,3-Trichlorobenzene
<3.80
pg/L
3.80
20.0
10
12/07/23 20:20 MSA
V41498
1,2,4-Trichlorobenzene
<3.10
pg/L
3.10
10.0
10
12/07/23 20:20 MSA
V41498
1,1,1-Trichloroethane
<1.60
pg/L
1.60
5.00
10
12/07/23 20:20 MSA
V41498
1,1,2-Trichloroethane
<0.960
pg/L
0.960
5.00
10
12/07/23 20:20 MSA
V41498
Trchloroethene
<1.80
p9/L
1.80
5.00
10
12/07/23 20:20 MSA
V41498
Trichlorofluoromethane
<1.80
pg/L
1.80
5.00
10
12/07/23 20:20 MSA
V41498
1,2,3-Trichloropropane
<2.70
pg/L
2.70
10.0
10
12/07/23 20:20 MSA
V41498
1,3,5-Trimethyl benzene
<1.80
pg/L
1.80
5.00
10
12/07/23 20:20 MSA
V41498
Vinyl Acetate
<10.0
pg/L
10.0
20.0
10
12/07/23 20:20 MSA
V41498
Vinyl Chloride
<1.70
pg/L
1.70
5.00
10
12/07/23 20:20 MSA
V41498
o-Xylene
<2.10
pg/L
2.10
5.00
10
12/07/23 20:20 MSA
V41498
m,p-Xylene
<4.20
pg/L
4.20
10.0
10
12/07/23 20:20 MSA
V41498
Xylene (Total)
<2.1
pg/L
2.10
5.00
10
12/07/23 20:20
V41498
Surrogate: 4-Bromofluorobenzene
103
Limits:
80-124%
10 12/07/23 20:20 MSA
V41498
Surrogate: Dibromofluoromethane
97.8
Limits:
75-129%
10 12/07/23 20:20 MSA
V41498
Surrogate: 1,2-Dichloroethane - d4
93.0
Limits:
63-136%
10 12/07/23 20:20 MSA
V41498
Surrogate: Toluene-d8
101
Limits:
77-123%
10 12/07/23 20:20 MSA
V41498
Qualifiers/ * Outside QC Limit DF Dilution Factor
Definitions I Estimated value MQL Method Quantitation Limit
Page 10 of 15
Waypointo
ANALYTICAL
00052
Weyerhaeuser Corporation Project
Dennis Atkinson
524 Pride Way Information
Elkin , NC 28621
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Wastewater EFF
Report Date : 12/19/2023
Received : 11/30/2023
Report Number : 23-334-0020 REPORT OFANAL YSIS
Lab No : 90539 Matrix: Aqueous
Sample ID: EFF Sampled: 11/30/2023 11:00
Analytical Method: 8315A Prep Batch(es): L720177 12/03/23 16:00
Prep Method: 8315A
Test Results Units MDL MQL DF Date / Time By Analytical
Analyzed Batch
Formaldehyde
Qualifiers/ Outside QC Limit
Definitions J Estimated value
<500 Ng/L
500 1 12/04/23 15:26 KDL L720486
DF Dilution Factor
MQL Method Quantitation Limit
Page 11 of 15
0
Waypoint, 449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalytical.com
00052
Weyerhaeuser Corporation Project Wastewater EFF
Dennis Atkinson Report Date : 12/19/2023
524 Pride Way Information : Received : 11/30/2023
Elkin , NC 28621
Report Number : 23-334-0020 REPORT OFANAL YSIS
Lab No : 90540 Matrix: Aqueous
Sample ID : Field Sampled: 11/30/2023 0:00
Test Results Units MQL DF Date / Time By Analytical
Analyzed Method
pH 9.1 s.u. 1 11/30/2311:00 FLD FIELD
Temperature 6.0 C 0.1 1 11/30/23 11:00 FLD FIELD
Qualifiers/ * Outside QC Limit
Definitions 3 Estimated value
DF Dilution Factor
MQL Method Quantitation Limit
Page 12 of 15
(D
Waypoint .
ANALYTICAL
449 Springbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 00052
Customer Name: Weyerhaeuser Corporation
Report Number: 23-334-0020
Shipping Method
0 Fed Ex 0 US Postal (# Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IIRT152.2C
Shipping container/cooler uncompromised?
# Yes
0 No
Number of coolers/boxes received
Custody seals intact on shipping container/cooler?
0 Yes
0 No
# Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
0 Not Present
Chain of Custody (COC) present?
* Yes
0 No
COC agrees with sample label(s)?
# Yes
0 No
COC properly completed
* Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
0 No
Water - Sample containers properly preserved
Yes
0 No
0 N/A
Water - VOA vials free of headspace
# Yes
0 No
0 N/A
Trip Blanks received with VOAs
0 Yes
* No
0 N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
(# N/A
High concentration container (48 hr)
F_ High concentration pre -weighed (methanol -14 d)
Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes # No
Comments:
Signature: 'Angelo Norvell Date & Time: 11/30/2023 15.01.07_'
Page 13 of 15
Waypoint.
ANALYTICAL
449 Springbrook Road • Charlotte. NC 28217
Phone 704/529-6364 • Fax: 704/525.0409
Client Company Name:_�4uS�.�r
Report To/Contact Name:
Reporting Address:
CHAIN OF CUSTODY RECORD
LA13 USE ONLY
PAGE OF 2 QUOTE a TO ENSURE PROPER BILLING:_. _
Samples INTACT upon arrival?
YES NO
NIA
Project Name:
Received IN ICE?
Short Hold Analysis (Yes) (No) UST Project: (Yes) (No)
PROPER PRESERVATIVES Indicated?
_
'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
Received WITHIN HOLDING TIMESI
provisions and/or QC Requirements
CUSTODY SEALS INTACTI
Invoice To:
VOLATILES reed W/OUT HEADSPACE?
PROPER CONTAIN RS used?
TEMP Therm ID: Observed ���
_
G /Corr'C
Phone:___ Fax (Yes)(No): _ ��� ��lN�! !!�!, ! !! '3-334-0020
111111I11111I111IIU1111IU11III111II1NII��I���l�lllll��l�
TO BE FILLEDIN BY CLIENT/SAMPLING PERSONNEL
Email Address: 005-1
—_
'o'
EDD Type: PDF_ Excel_Other _ Wewrhaeusen Coroomoon t�5906'
Certification: NC _ SC
waslav�der
Site Location Name:
Site Location Physical Address:
Other— N/A - ---
Water Chlorinated: YES_ NO ✓
/
Samples
RENDERED BYWAYPUINI ANALTIILAL.LLL SU�U=r.,,
Iced Upon Collection: YES Y NO_
TIME MATRIX
CLIENT DATE COLLECTED (SOIL,
SAMPLE DESCRIPTION COLLECTED MILITARY WATER, OR
SAMPLE CONTAINER
.g LYg ,i S ED \
PRESERVA- 0 -
TIVES�! /� REMARKS ID NO.
'TYPE I
HOURS SLUDGE)
SEE BELOW NO.
SIZE
��� ��/x�
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,rt 'J
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Flo
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-
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N &S FJ4 1
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f
—
P
I
I
Samplers Signature _ Sampled By (Print Name)IMIA Qrt_LS I Affiliabon q�
t
o USE e NLY
Upon relinquishing, this Chain of Cu tody Is your authorization for Waypoint Analytical to proceed with the analyses as requested above. An
changes must be
submitted in writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized.
She Arrival Time:
Ro!,vl iS:g, Recetmd By 'Sgnatwel Date Wilar ,Houn
s Additional Comments. Site Departure Time:
Race,,W13y ISgnah, - Date
Field Tech Fee:
Rrrna,n.nc-0 dy ,S,p^at a... Recerreo For Iftyr.'"rd Aniyt Gat
Mileage:
Meatoa M Srvtnten: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. I COC Gfouo No
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY
A
J Fed E. J UPS J
wamgmu M.
nruea: ull: UrWUNLJVVAI CKr UKmrr,rnv YYA1LK: SULIU WASiE: KGKA: 13KWNFLU i LANDFILL OTHER:
JNCJSC JNC JSC JNC JSC JNC JSC JNC JSC JNC JSC JNC JSC'JNC JSC JNC JSC
J J J J — J J J J .. J ORIGINAL
'CONTAINER TYPE CODES' A n Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cat) VOA = Volatile Orqanics Analvsis (Zero Head SDacel
1
Waypoint_
ANALYTICAL
449 Springbrook Road • Charlotte, NC 28217
Phone 704/529-663644-FFax: 7�04115�25-0040,9r-
Client Company Name:W J�u.]C�t----
Report To/Contact Name:-_
Reporting Address:
Phone: �� Fax (Ye�s)� N j:
Email Address: _
EDD Type: PDF— Excel —Other —
Site Location Name:
Site Location Physical Address:
CHAIN OF CUSTODY RECORD
PAGE L_ OF Z QUOTE R TO ENSURE PROPER BILLING:_ -
Project Name:
Short Hold Analysis (Yes) (No) UST Project: (Yes) (No)
'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
- provisions and/or QC Requirements
Invoice To:
Address:
Ilu Illn IIIII II1I1I III11 IIII IIII 1INI IIII IIII IIIII INI II11 °°,a
Weyerhaeuser ::01mla11on :4 59 06
Waslev.Wer
ILR t1SE C
YES NO NIA
Samples INTACT upon arrival?
_-
Received IN ICE?
PROPER PRESERVATIVES indicated?
Received WITHIN HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLATILES rec'd WIOUT HEADSPACEI
PROPER CONTAt S usedl
TEMP: Therm ID:Observed
?.:'�C /Corr 9.2'C
TO BE FILLEDIN BY CLIENT/SAMPLING PERSONNEL
Certification: NC�/ SC_____
Other_ N/A -
Water Chlorinated: YES__ NOI/
samples Iced upon Conecuon: 7 ca nv_
CLIENT
DATE
TIME
COLLECTED
MATRIX SAMPLE CONTAINER
(SOIL.
PRESERVA-
ANALYSIS REQU TED
%-'� 0�
�/ REMARKS ID NO.
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER. OR { 'TYPE NO I SIZE
TNES
✓ ! �"(L
'`9 d
HOURS
SLUDGE) SEE BELOW
C FIP %3yz3
�/o
I 25o Noive
(OCO No
P
l
2 0
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_..
.—
._._
(A
2
1c co,
42-SNX
Sampler's Signature _ _ Sampled By (Print Name)
Affiliation%�:
Upon relinquishing. this Chain o Custody is your authorization for Waypoint Analytical to proceed with the analyses as
requested above. An changes must be Site Arrival Time:
submitted In writing to the Waypoint Analytical Project Manager. There will be charges for any changes after analyses have been initialized.
K my By c ky Rece"a ey Ismyaneer
1k1,Z3 13�5
Dale i nna IaryrHo„n Additional Comments: Site Departure Time:
Refrm, lyna;wei Rece«ea By I SAnatu—
I
Dar. r Field Tech Fee:
Re4nObfheO By fSx}rlawn � -- --- -- --- Rrrahvad For Wayro,..' ,�• B�
a -- — /�i1 , l Mileage:
2 j� I V
3e /3S
II
kwhoa o! Srmp"M NOTE. ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEAL R TRANSPORT ORATORY. .00 �ou0 No
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY
JFea E. J UPS J Hi1hA iP1Mre11 yplfnl Ate, IV1:'.1� FrWq SeJ1: Krf J ()thbr _ _
NPD S: I UST: GR NOWATER: DRINKING WATER: SOLID WASTE: I RCRA: BRWNFLD LANDFILL OTHER:
JNCJSC -INC JSC J C JSC JNC JSC JNC JSC -INC JSC I JNC JSC ' JNC JSC JNC JSC
-f-- IJ---- IJ-- -- I J IJ J_ J J__ J
•rnr,nrn r►Ico Tvoc rnnl=c• a = Amhpr r = innapr A- Gla%R P a Plastic: TL = Teflon -Lined Can VOA =Volatile Organics Analysts (Zero Head Space)
ORIGINAL
H
W
O
Ln
w
FORM NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-11 Page 1 of
Permit No.: W00005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: November
Year: 2023
Did irrigation
Field Name:
01
Field Name:
02
Field Name:
03
Field Name:
04
occur
Area (acres):
2.17
Area (acres):
2.17
Area (acres):
2.17
Area (acres):
2.17
at this facility?
Cover Crop:Ha
Y
Cover Crop:
P�
Ha Y
Cover Crop:
p�
Ha Y
Cover Crop:
P�
Ha Y
YES NO
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
20
Annual Rate (in):
20
Annual Rate (in):
20
Annual Rate (in):
20
Weather
Freeboard
Field Irrigated?
❑ YES 0 NO
Field Irrigated?
C7 YES NO
Field Irrigated?
i 1 YES - NO
Field Irrigated?
= YES _ NO
T
a�
O
E
3
f`
o
!9
m
m
O
iv v
V) .0
�' U_
>+ O_
,� n.
a, v
E .2
7 a
o a
9
d y
E 01
i-
rn
T E
la
o o
E M
7` C
X p f�0
ca 2 0
E d
a
o a
Ql
E
F L
rn
C
O p
E rn
7 C: C
'X O
a 2 a
m
E d
7 a
o a
v
d .U..
E n
!- -
rn
1 C
A
O o
E rn
7 >' C
'X =p M
m 2 0
m o
E N
7 Q
o a
N .�,
E m
F-
rn
>. C
M
o o
E m
> >' C
E LE
'K p M
w 0 o
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0
2.74
2
0
2.76
3
0
2.77
4
0
2.41
5
0
2.42
6
0
2.42
7
0
2.55
8
0
2.56
9
0
2.57
10
0
2.57
11
0.13
2.69
12
C
59
0
2.69
3,832
15
0.07
0.07
7,517
30
0.13
0.13
131
0
2.54
14
0
2.54
15
0
2.55
16
C
70
0
2.56
8,503
30
0.14
0.14
T574
30
013
0.13
17
0
2.79
18
0
2.8
191
0
2.22
20
0
2.21
21
0.52
2.16
22
1.1
2.04
23
0
2.14
24
C
59
0
2.14
7,537
30
0.13
0.13
8.763
30
0.15
015
251
0
2.35
26
C
47
0
2.36
8,433
30
0.14
0.14
27
0
2.55
28
0
2.55
29
0
2.55
30
C
61
0
2.55
8,426
30
0.14
0.14
31
Monthly Loading:
0
0.00
0
0.00
36,731
0.621
23.854
0 40
12 Month Floating Total (in):
12.33
12.01
59
17,55
FORM: NDAR-1 08-11 NnN-nISCHARGF APPI ICATInN RFPnRT INnAR-11 Page 2 of 4
Permit No.: W00005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: November
Year: 2023
Did irrigation occur
Field Name:
05
Field Name:
06
Field Name:
07
Field Name:
08
Area (acres):
2.29
Area (acres):
1.3
Area (acres):
2.01
Area (acres):
2.08
at this facility?
Cover Crop:Ha
Y
Cover Crop:
p�
Ha Y
Cover Crop:
P�
Ha Y
Cover Crop:
P�
Ha Y
YFS NO
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
20
Annual Rate (in):
20
Annual Rate (in):
20
Annual Rate (in):
20
Weather
Freeboard
Field Irrigated?
YES No
Field Irrigated?
❑ YES 171 NO
Field Irrigated?
i YES - NO
Field Irrigated?
! YES :_ NO
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0
2.74
2
0
2.76
3
0
2.77
4
0
2.41
5
0
2.42
6
PC
72
0
2.42
8,832
30
0.14
0.14
7
0
2.55
8
0
2.56
9
0
2.57
10
CL
62
0
2.57
8,592
30
1 0.14
0.14
11
0.13
2.69
121
C
48
0
2.69
6,325
30
0.12
0.12
13
0
2.54
14
0
2.54
15
0
2.55
16
0
2.56
17
0
2.79
181
0
2.8
19
0
2.22
20
0
2.21
21
0.52
2.16
22
C
60
1.1
2.04
7,872
30
0.14
0.14
23
0
2.14
241
0
2.14
25
0
2.35
26
CL
49
0
2.36
6,334
30
0.12
0.12
27
0
2.55
28
0
2.55
29
0
2.55
30
0
2.55
31
Monthly Loading:
17,424
0.28
0
0.00
20,531
0.38
0
0.00
12 Month Floating Total (in):
13.43
12.951
9.11
10.45
FORM NDAR-1 08-11 Nr7N_IIIS('HARrF APPI ICATInN RFPORT INnAR-11 Page 3 of 4
Permit No.: W00005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: November
Year: 2023
Did irrigation
Field Name:
A
Field Name:
B
Field Name:
CN
Field Name:
CS
occur
Area (acres):
2.8
Area (acres):
2.56
Area (acres):
1.96
Area (acres):
1.24
at this facility?
Cover Crop:Ha
Y
Cover Crop:
P�
Ha Y
Cover Crop:
P�
Ha Y
Cover Crop:
P�
Ha Y
Y[ S NO
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
31.8
Annual Rate (in):
31.8
Annual Rate (in):
31.8
Annual Rate (in):
31.8
Weather
Freeboard
Field Irrigated?
YES ] No
Field Irrigated?
YES [-1 NO
Field Irrigated?
' _' YES 7 NO
Field Irrigated?
! YES NO
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
0
2.74
2
0
2.76
3
0
2.77
4
0
2.41
5
0
2.42
6
0
2.42
7
0
2.55
8
0
2.56
9
0
2.57
10
0
2.57
11
0.13
2.69
12
0
2.69
13
0
2.54
14
1 0
2.54
151
0
2.55
16
0
2.56
17
0
2.79
18
0
2.8
19
0
2.22
20
0
2.21
21
0.52
2.16
22
1.1
2.04
23
0
2.14
241
0
2.14
25
0
2.35
26
0
2.36
27
0
2.55
28
0
2.55
29
0
2.55
30
0
2.55
31
Monthly Loading:
0
0.00
0
0.00
0
a00
0
0.00
12 Month Floating Total (in):
2 01
-
0.27
1 71
1. 11
FORM NDAR-1 08-1 1 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of 4
Did the application rates exceed the limits in Attachment B of your permit?
l] Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? (]Compliant El Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? El Compliant [I Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 2Compliant El Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El Compliant El Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dennis R. Atkinson
Permittee:
Weyerhaeuser Company
Certification No.: 15574
Signing Official: Steve Kobelak
Grade: SI Phone Number: 336-526-6437
Signing Officials Title: Mill Manager
Has the ORC changed since the previous NDAR-1? ❑ Yes LJ No
Phone Number: 336-526-6456 Permit Exp.: 8/31/25
t W ` .1-
2� L3
gnature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 all qualified personnel properly gathered and evaluated 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 viotations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617