WQ0028749_Monitoring - 11-2016_20161230

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0028749 MONTH: November
Page of
YEAR: 2016
FACILITY NAME: Louisiana-Pacific Corporation - Roxboro OSB Facility COUNTY: Person
Formulas:
Daily, Loading (inches) _ [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / [Area Sprayed, (acres) k 43,560 -(square feet/acre)] OR
VolunQ4pplied (gallons) / [Area rayed (acres) x 27,152 Qllons/acre-inch)] E] -
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes)160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
.12 Month Floating Total (inches) =Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (days/month)] x 7 (daystweek)
Did Irrigation Occur At This Facility:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
Did Irrigation Occur On This Field:
Yes: No:
.......................................
FIELD NUMBER: 1
AREA SPRAYED (acres): 2.5
COVER CROP: Grass
PERMITTED HOURLY RATE (inches): 0.3
FIELD NUMBER:
AREA SPRAYED (acres):
COVER CROP:
PERMITTED HOURLY RATE (inches):
WEATHER CONDITIONS
PERMITTED YEARLY RATE (inches): 26.03
PERMITTED YEARLY RATE (inches ) -
D
A
T
E
Temper-
Weather
Code* ature at Precipita-
application tion
Storage
Lagoon
Tree-
board
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume Time Dail Y
Applied Irrigated Loading
Maximum
Hourly
Y
Loading
(°F) inches
feet
gallons
minutes
inches
inches
gallons minutes inches
inches
1
0
0
0.00
#DIV/01
2
0
0
0.00
#DIV/01
3
C 71 0
4.1
0
0
0.00
#DIV/0!
4
0
0
0.00
#DIV/0!
5
0
0
0.00
#DIV/01
6
0
0
0.00
#DIV/0!
7
0
0
0.00
#DIV/01
8
0
.0
0.00
#DIV/0!
9
P/C 64 0
4.1
0
0
0.00
#DIV/0!
10
0
0
0.00
#DIV/0!
11
0
0
0.00 ,
#DIV/0!
12
0
0
0.00
#DIV/01
13
0
0
0.00
#DIV/01
14
0
0
0.00
#DIV/0!
15
0
0
0.00
#DIV/0!
16
0
0
0.00
#DIV/0!
17
C 64 0.04
4
0
0
0.00
#DIV/0!
18
0
0
0.00
#DIV/0!
19
0
0
0.00
#DIV/0!
20
0
0
0.00
#DIV/01
21
0
0
0.00
#DIV/0!
o
22
0
0
0.00
#DIV/0!
' .
23
0
0
0.00
#DIV/0!
24
0
0
0.00
#DIV/0!
25
C 56 0.22
4
0
0
0.00
#DIV/0!
261
0
0
0.00
#DIV/0!
N ,
27
0
0
0.00
#DIV/0!
�f j
28
0
0
0.00
#DIV/0!
29
0
0
0.00
#DIV/0!
_
30
0
0
0.00
#DIV/0!
31
'....
Total Gallons/Monthly Loading (inches)
0
...........
0.00
..........
0 0.00
...........
12 Month Floating Total (inches)
;_> :.:.:.:.:.:.:.>:;;.:.::::.:;:.:;:.:_:::
>
1.49
Average Weekly Loading (inches)
:;?:;:j;:j;:;:;;:
; ;:::::: ;:: ; :: ;:;;
0
0
* Weather Codes: C -clear, PC -partly cloudy, CI -cloudy, R -rain, Sn-snow, SI -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Billy Joe Brightwell Phone: [phone]
ORC Certification Number:
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
1000087 Check Box if ORC Has Changed:
(SIGNATURE 6F OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE
TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page off,_ j
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA).in the.
compliant box. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. Y
2. Adequate measures were taken to prevent wastewater runoff from the site(s). �Y
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. �Y
4. All buffer zones as specified in the permit were maintained during each application. OY
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s) OY
specified in the permit.
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
i"1.r��A22 :2-
(Signature
Z(Signature of Permittee)* Date
Louisiana-Pacific Corporation Roxboro OSB Facility
(Permittee -Please print or type)
Boston Road
Roxboro, North Carolina 27574
(Permittee Address)
Mike Sarder
(Name of Signing Official -Please print or type)
Plant Manager
(Position or Title)
336-599-8080 4/30/2019
(Phone Number) (Permit Exp. Date)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (5/2003)

t
NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: Wb0028749
FACILITY NAME: Louisiana-Pacific Corporation, Roxboro OSB
MONTH: November YEAR:
COUNTY:
Verson
Flow Monitoring Point:
Effluent:
❑
Influent:
0
Parameter Monitoring Point:
Effluent:
0
Influent:
ElSurface
Water (SW):. D
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility:
Yes:
Ld
No:Ll
.....................................
D
A
T
E
Operator
Arrival
Time Operator ORC
2400 Time On on
Clock Site Site?
50050
Daily Rate
(Flow) into
Treatment
System
00400
pH
50060
Residual
Chlorine
00310
BOD -5
20°C
00610
NH3-N
00530
TSS
31616
Fecal
Coliform
(Geo -metric
Mean')
625
TKN
630
Nitrate +
Nitrite
665
Total
Phosph
Orus
HRS Y/N
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
/100ML
MG/L
MGIL
MG/L
1
1285
2
1285
3
10:45 1 Y
1285
4
1386
5
1386
6
1386
7
1386
8
1386
9
1:00 1 Y
1386
6.65
0.87
18
6.8
<2.5
<1.0
14
2.1
1.4
10
1030
11
1030
12
1030
13
1030
14
1030
15
1030
16
1030 -
17
12:30 1 Y
1030
18
1346
19
1346
20
1346
21
1346
22
1346
231
1346
24
1346
25
10:00 1 Y
1346
26
1284
27
1284
2s
1284
291
1284
30
1284
31
Average
1253.3
:::::: ' :
0.87
18
6.8
#NUM!
14.
2.1
1.4
Daily Maximum
1386
6.651
0.87
18
6.8
0
0
14
2.1
1.4
Daily Minimum
1030
6.65
0.87
18
6.8
0
0
14
2.1
1.4
Monthly Limit(s)
NA
NA
NAI
NA
NA
NA
NA
NAI
NAI
NA
Composite (C) /Grab (G)
G
G IG
G
G
G
IS IG
IG
Operator in Responsible Charge (ORC): Billy Joe Brightwell Grade: SI Phone: [phone]
Check Box if ORC Has Changed: D ORC Certification Number: 1000087
Certified Laboratories (1): Conner Consulting, LLC (2): Enco-Cary
Person(s) Collecting Samples: Chad Leinbach
Mail ORIGINAL and TWO COPIES to:
ATTN: Non -Discharge Compliance Unit (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
Division of Water Quality AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (5/2003)

Page of ,.
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach -additional sheets if necessary.
"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."
M- 'SPFA-bf�q 12—I j-16
(Signature of Permittee)* Date
Louisiana-Pacific Corporation Roxboro OSB
(Permittee -Please print or type)
. 10475 Boston Road
Roxboro, North Carolina 27574
(Permittee Address)
Parameter Codes:
Mike Sarder
(Name of Signing Official -Please print or type)
Plant Manager
(Position or Title)
[phone] 4/30/2019
(Phone Number) (Permit Exp. Date)
-01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
Sodium
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
SAR
00310
BOD5
01042
Copper
00620
NO3
00745
Sulfide
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
TDS
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Available)
00010
Temperature
00940
Chloride
01051
Lead
00400
pH
00625
TKN
50060
Chlorine, Total
Residual
00927
71900
Magnesium
Mercury
32730
00665
Phenols
Phosphorus, Total
00680
00530
TOC
TSS/TSR
01034
Chromium
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone] ext. 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reporting
facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (5/2003)