NCS000336_MONITORING INFO_20190114

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STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
/� � � S �� o-� �j liJ
DOC TYPE
❑FINAL PERMIT
X MONITORING REPORTS
0 APPLICATION
❑ COMPLIANCE
❑ OTIiER
DOC DATE
❑ Q131 -I O
YYYYMMDD

Universal Forest Products, Inc.
January 8, 2019
North Carolina Division of Water Quality
Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report
UFP Elizabeth City, LLC
NPDES Permit: NCS000336
Dear Sir or Madam:
REC OVED
JAN 14 2019
G s. ­ v, . F11 I-"';
v�llri� �1 '..TION
Enclosed, please find the storm water report for July 1 through December 31, 2018
Monitoring Period at the above -referenced facility.
Please do not hesitate to contact me at [phone] or jmark2 n ufpi.com if you have
any questions or require additional information on this matter.
"Thank youI ?" ,
/ y/
Joseph Mark, CPG, RG
Regulatory Compliance Administrator
Enclosure
Corporate Headquarters
2801 E?ast Beltline NE' Grand Rapids, M1 49525 Tel: [phone] Fax: fi16.361.7534 www,ufpi.com

STORMWATRR DLSCHARGR OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000336
FACELM NAME UFP Elizabeth City
PE LSON COLLECTING _ NA
CIMToMM LABORATORYLab #
Lab #
Part A: Speak Manitoring Regatre�nmb
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This moaftoring report d wU be reedved by the Division no later than 30 days from
the date the faelity receim the sampUng resaits from the laboratory.)
COUNTY Pasquotank
PHONR Na (616 )_ 365-1591
E
NATURE OF PEPJdrr '� OR DESIGNEE
�UIRED ON PAGE 2.
1 : ..,I
11 11IM.1
M1 1 1
1 f 1 f�li.�l.
1.1 ei111
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Dons this Isdliiy perform Vdude Mamtwauce AAavitm using more than 55 pliaa>,s ofnew motor o1T par maath? __._ yes Xno
(iYC4 COMPItft Pwt B)
Part B: Vehide M:irtananre Amfivity Meaitn>rine Raeaireseents
•� 1
77f
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Form SWU-247. lart rewsed212M12
Page I of 2

STORM EVEtwr C2UPUCTERIUMCS. Marl Owig nil and one Copy to:
Drmm of water Qualty -
ihft NA Alm C.ratral FPS
Total Event Prestpdtatbn (mthak NA 1617 Mail Service C Dlcr
Event Duration (bows): NA _ (only if applicable — em pemiL) Raleigh, Nomh Car+obna 27699-1617
Of nano than CM id— event was sssPled)
Data
Told Svcsrt PreckAbdow (iaebes): CIA
Event Darntion ' . NA (fir if a rplicable we permit)
"I cerft, nailer penalty of brw, that Ws doeament and all atbuchmesets were prepared ender my direction or sapervbdom In accordance with a
'yslr:$ deigned to assert thrrt gsal ed pwwuad property gzther and evalsate tee iatormatiaa sabmittcd. Based an my iagdary► of the person
or persons who manage the system, or that persons dam► responsible for gatbering the lnformadon, the k6rawAm submitoed ls, to the bed
of my knowledge and bdid, true, aearate, and complete. I am aware that there are slgsiirant penattks for submWing false u ommadoe,
buft the lima and impriso for beowing ymatlom"
(Sipstare ) )
Pam SWit-247, last mbed 2012012
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