NCG210115_MONITORING INFO_20190718

WSJ
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a 0 D
YYYYMM DD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Pjermit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG210 1 1 5 SAMPLE COLLECTION YEAR 2079
FACILITYNAME weyerhaeuserNRCompany -Elkin SAMPLE PERIOD OJan-June❑July-Dec
COUNTY Surry or El monthly'
I (month)
PERSON COLLECTING SAMPLES Dennis Atkinson i`' CHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY Prism Laboratories Lab Cert. q 402 ECE1 v E� ❑Zero -flow ❑Water supply ❑SA
Comments on sample collection or analysis: JUL 1 S 2019 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE i
0\NR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/L
#1
6/17/19
1.9"
0
22
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SW U-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Outfall No.
Date Sample
r
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O8:G by EPA
1664(SGT-HEM)
Total Suspended Solids
Benchmarks
-
-
15 mg/L
100 mg/L or So mg/0
#1
6117/19
1.9"
6.8
22
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge' reports, within 30 days of receipt of the lab results (or at end
in the case of "No Discharge" reports) to:
Attn: DWR Central Files
1617 Mail Service Center _
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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.
am awareVVt e'_V' n a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 8/1/2018-7/31/2023
( ate)
SWU-245, last revised 8/6/2018
Page 2 of 2

,6M I S M Full -Service Analytical 8
Environmental Solutions
�DuaonnronieS INC
Weyerhaeuser Corporation
Dennis Atkinson
524 Pride Way
Elkin, NC 28621
NC Certification No. 402
NC Drinking Water Cert No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 06/19/2019
Prism Work Order: 9060271
i
Case Narrative i
7/1/19 14:42
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference
Reviewed By Jackie Ziner For Terri W. Cole
Project Manager
BB Blank value is outside of the control limits. Validity of the data not affected.
DO Difference between sample dilutions is greater than 30%.
HT Sample received and analyzed outside of the hold time.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364- Fax: [phone] Page 1 of 4

I
i Sample Receipt Summary
�P R I S M Full -Service Analytical 4
Environmental Solutions 07/01/2019
074YOMiOWEA iuc
Prism Work Order: 9060271
Client Sample ID Lab Sample ID Matrix Daterrime Sampled Date/Time Received
Stormwater 9060271-01 Water 06/17/19 9:00 06/19/19 8:30
Samples were received at 12.8 degrees C. See case narrative for further information.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 2 of 4

°\ Laboratory Report
/L R I S M I Fee -Service al Solutions
4
Environmental Solutions 07/01/2019
�Sueonwraars sec
Weyerhaeuser Corporation Project: Stormwater Client Sample ID: Stormwater
Attn: Dennis Atkinson Prism Sample ID: 9060271-01
524 Pride Way Prism Work Order: 9060271
Elkin, INC 28621 Sample Matrix: Water Time Collected: 06/17/19 09:00
Time Submitted: 06/19/19 08:30
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DateRme
ID
General Chemistry Parameters
Biochemical Oxygen Demand
44 BB, DD
mglL
2.0
0.20
1
'SM5210 B
6119119 8:56
CBM
P9F0316
Chemical Oxygen Demand
BRL
ni
50
10
1
'SM5220 D
6/24/19 14:18
SLS
P91`0361
Oil 8 Grease (SGT-HEM)
6.8
mg/L
5.0
1.6
1
'1664B
6127119 11:13
SLS
P91`0431
pH
6.6 HT
pH Units
1
'SM4500-H B
6120119 12:42
CBM
P91`0308
Total Suspended Solids
22
mg/L
8.3
0.70
1
'SM2540 D
6124119 16:05
CBM
P91`0360
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224.0543
Phone: [phone]-Toll Free Number: l-8001529-6364-Fax: [phone] Page 3o 44

1
CHAIN OF C
-1 Imes
PAoa I orouon.ro
PV S.;.:Ia ArolyBul 6 En.tor.n.ml Sol iaor a c , 2
Na ylxYlebrool,Read• P.O. Bas 2s0543. CludWb, HC 2&2ZC4 0 Project Nome: moo. m.
Phone 70457Pa3 -Fez 7"M25440P Shan Hold Analysis: (Yea)
Client Company Name: -Wp,�e Q1 Q eLl. -Pleaee ATTACH any project
Report T& Contact No n 1,\ 1 5teP�YIolana enNor OC.Roquln
Repotting Addresa: )!ILi'rl Ea- WcL'-
..,...,,.....��:. _-...Q—
Phone: Fax (Yea) (No):
Purchase Order No./Bllling Role
Emall (No) eymail Addross
RWodd lsd Dus' O t 020
EDD Typo: PDF-Q Excel_Other
�
9 DDay s
'WorfdnS Dsye" ,1 &9 Deye
SRe.Location Name: t}�3_t{Q_d- tiCQ
a Pi
Samples receHed ener 15:00 wlil ee A
Site Location Physical Addross:.54-r`MQ
Tumarourd UrIL+ It Becod on business
(FPRTERMa ♦CONI
RPN DEREDObREVEY
RENPRISM LABOMTOI
THE
MATRIX
SAMPLE CONTAINER
CLIENT
DATE
COLLECTED
(SOIL,
'TYPE
SAMPLE DESCRIPTION
COLLECTED
MILRARY
WATER OR
HOURS
SLUDGE)
SEE BELOW
NO,
SIZE
00
Milo
1 z b
ro®Y RECORD
mono anunoi'
UST Project (You) (No)
reporting (QC LEVEL 111111 IV)
a
O
a
da
m
a
:0 -
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
03 Days 0ADays 05 Days
- CertHitatiom NELAC_USACE_FL_NC
Im 10 days O Rush Work Must Ss
. Pro-Apprevod
SC— OTHER N/A
Teti next buatneas day.
—
eacludlnB weekends And holldays.
Water Chlorinated: YE§_ NO_
Hcplecuer�sErmce9
oR)
Sample Iced U o) f .tion: YES NO
ANALYSES REDUESTEOT_
PRESERVA-
TIVES
;I noY-\e
PRISM
REMARKS us
D NO.
n -" R.N. BY: 1 gruwrr - nle-- wr/�Hs>-7+'+ Additional Comments::
n•v wt G y aor J (l o n- n tbt'OL -
01
RecrNea ay: (Senewral ( O.b
xM By. ln,Bnwom) • .
B,ed Sy, l`+4^ewr?) Ra'.Fv. Pum Loawelatn By: .� - Da/s I„'�'�'�.�LC.
y �IW,nerq... Ly.M J/ T U FTRMSPOnTA_ •V 1 I V V� SAMPtFS ME NOT ACCEPTm AND VERIFltT ADAINSt COC UNTIL RECEIVED ATTNE UOORA Y.. ' -
. ❑D S ❑renemo "OPavn FLd S.N OO '—
UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
❑SC ONC OSCI ONC OSC 10NC OSC 100 NC ❑SC OONG OSCI ONCI OSC .ONC:•08C ONC OSC.
I t 1 O
'AMER TYPE CODES: A = Amhwr C v CIAPr r = hlaac P = Ploalim Ti = Tennn.l inns C.n t/ne - 1/nlm2n
/