NCS000189 DMR SW (4)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S000189 or
Certificate of Coverage Number: NCG
FACILITY NAME Domtar Paper Company, LLC
PERSON COLLECTING SAMPLE(S) Lorenza Palin
CERTIFIED LABORATORY(S) Columbia Analytical Lab# 527
Domtar Paper Company Co, LLC Lab# 171
Wastewater Lab -Plymouth
Part A: Specific Monitoring Requirements
Samples Collected During Calendar Year 2015
(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 Martin and Washington
PHONE NOS _a 052)793-8611
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorma Reauirements
Outfall
No.
Total
Rainfall
Inches
50050 556 530 400
Total Flow Oil and Total pH New Motor
Grease Suspended Oil Usage
Solids
mo/dd/yr
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorma Reauirements
Outfall
No.
Date
Sample
Collected
50050 556 530 400
Total Flow Oil and Total pH New Motor
Grease Suspended Oil Usage
Solids
mo/dd/yr
MG mg/I mg/I unit gal/mo
Yes No X
Note: There is a garage onsite, however it is fully contained and drains directly to our
wastewater treatment system. Also, there are no outfalls located in this area.
Form SWU-246-051100
SWDOMR S \Environmental\Waler_slorm\Tier 11 Reporls\2015 June Tier 2 ReportAs Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 6/2/2015
Total Event Precipitation (Inches) 0.65
Event Duration (Hours) 24
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches)
Event Duration (Hours)
Mail Original and one copy to:
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
" 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 fines and imprisonment for knowing violations."
(Signature
(Date)
Form SWU-246-051100
SWDOMR S \Environmental\Water_slorm\Tier 11 Reports\2015 June Tier 2 Report xis Page 2 of 2