NCS000218_MONITORING INFO_20190730

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
/Ycs 000Ql O
DOC TYPE
❑FINAL PERMIT
$ MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
El C) UI Cl
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
_ MONITORING REPORT
Permit Number: NCS 000218 EOEI'\fI,SAMPLES COLLECTED DURING CALENDAR YEAR: No Discharge
Jf� (This monitoring report shall be received by the Division no later than 30 days from
U�� �9 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: UFP Salisbury, LLC CCNIKZL FILES COUNTY: Rowan
PERSON COLLECTING SAMPLE(S): NA D(R SECT)ON PHONE NO: [phone]
CERTIFIED LABORATORV(S): NA Lab # Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
RE�UIitED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
TSS
Total
Copper
pH
mdddl
MG
inches
m
MZIL
so
001 and 002
Insufficient
Rainfall
To
Cause
Discharge
From The
Outfalls
During
The
Monitoring
Period
From
January 1,
2019
Through
June 30, 2019.
Does this facility perform Vchicie Maintenance Activities using more than 55 gallons of new motor oil per month? _yes K_no
(if yes, complete Part B)
Part 8: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
i Non -polar
O&G/CPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moiddtvr
MG
inches
MgA
m
unit
al/mo
Form SWU-247, Iasi revised 21212012
Page l of 2

STORM EVENT CHARACTERISTICS:
Date: NA
Total Event Precipitation (inches): NA
Event Duration (hours): NA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date _NA
Total Event Precipitation (inches): _NA
Event Duration (hours): _NA (only if applicable —see permit.)
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 property 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,
incleadi g the possibility of fines and imprisonment for knowing violations."
(S' atur ermittee) (Date)
s41-7, �c �
Form SWU-247, last revised 212,20I2
Page 2 of 2