WQ0005555_Monitoring - 11-2016_20161222 (3)

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page -L of--�
Permit No.: W00005555
Facility Name:
Weyerhaeuser - Elkin, NC
County:
Surry
Month:
November
Year:
2016
PPI: 002
Flow Measuring Point:
ElInfluent [_]Effluent [-]No flow generated
Parameter Monitoring Point:
❑Influent
[2]Effluent
❑Groundwater Lowering
❑surface water
Parameter Code 0
50050
00916
00680
00940
01034
00340
31616
71880
00927
71900
00630
00610
00625
00400
34694
00665
m
QE dy
O x
O
3
o
E
M
°
F-
o
c
v
v
E
0 o
T
°
a°
EO
c
+>
: i
=
cm
E
e
°
0
c m
�o
aw
a
24 -hr hrs
GPD
mg/L
mg1L
mg/L
mg/L
mg/L #1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
1
07:30 8
0
110
9030
210
0
29000
0
0
120
0
0.23
310
390
8.8
320
27
2
07:30 8
9,022
3
07:30 8
1,737
4
07:30 8
11,176
5
12,207
6
0
7 1
07:30 8
10,628
8
07:30 8
0
9
07:30 8
0
10
07:30 8
0
11
07:30 8
0
n
12
0
,
131
0
^
141
07:30 8
0
16 f _
�Tl
��
.. .T
V UL
15
07:30 8
0
,y
OCrri r
16
07:30 8
5,221
"art
'AbT
-
17
07:30 8
0
18
19
07:30 8
0
0
rl, Iviv
[,'.s:;(?:,:.11:1,, ;;�,i• r_»�±a
..,•,•
201
0
21
07:30 8
0
22
07:30 8
0
23
07:30 8
0
24
Holiday
0
25
Holiday
0
261
0
27
0
28
07:30 8
0
29
07:30 8
0
30
07:30 8
0
31
Average:
1,666
110.00
9,030.00
210.00
0.00
29,000.00
#NUM!
0.00
120.00 1
0.00
0.23
310.00
390.00
320.00
27.00
Daily Maximum:
12,207
110.00
9,030.00
210.00
0.00
29,000.00
0.00
0.00
120.00
0.00
0.23
310.00
390.00
8.80
320.00
27.00
Daily Minimum:
0
110.00
9,030.00
210.00
0.00
29,000.00
0.00
0.00
120.00
0.00
1 0.23
310.00
390.00
8.80
320.00
27.00
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. 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
3 x Year
3 x Year

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page .2— of 3
Permit No.: 11111
Weyerhaeuser
• •'
1 •
11
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- FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of3
Sampling Person(s) Certified Laboratories
Name: Dale Mace Name: Prism Lab - Cert. No. 402
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 2Compliant ❑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
Certification No.: 15574
Signing Official: Debbie Tadlock
Grade: SI Phone Number: 336-526-6437
Signing Official's Title: Mill Manager
Has the ORC changed since the previous NDMR? ❑Yes ONo
Phone Number: 336-526-6498 Permit Expiration: 4/30/2019
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 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 violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617