NCS000189 DMR SW (6)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S000189 or Samples Collected During Calendar Year 2015
Certificate of Coverage Number: NCG (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.)
FACILITY NAME Domtar Paper Company, LLC COUNTY Martin and Washington
PERSON COLLECTING SAMPLE(S) Velma Faucette PHONE NO. - [phone]
CERTIFIED LABORATORY(S) Columbia Analytical Lab# 527
Domtar Paper Company Co, LLC Lab# - 171 (SIGNATURE -OF PERMITTEE OR DESIGNEE)
Wastewater Lab -Plymouth By this signature, I certify that this report is accurate and
complete to the best of my knowledge. "
Part A: Specific Monitoring Requirements
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes No X
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
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/1 mg/1 unit gal/mo
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 U Wty Documents\Environmental\Stormwater\Tier 2\2015\2015 March Tier 2 Repon xis Page 1 of 2

STORM EVENT CHARACTERISTICS: ' Mail Original and one copy to:
Division of Water Quality
Date 3/5/2015 Attn Central Files
Total Event Precipitation (Inches) 0.15 1617 Mad Service Center
Event Duration (Hours) 24 . Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event'Precipitation (Inches) ;
Event Duration (Hours)
"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."
K2
y�3i�s
(Signature of Permittee (Date)
SWDOMR U \My Documents\Environmental\Stonnwater\Tier 2\2015\2015 March Tier 2 Report As
Form SWU-246051100
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