WQ0005555_Monitoring - 10-2021_20211122

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
wg0005555
Weyerhaeuser Company
Year:* 2021
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Oct 2021 NDAR & NDMR.pdf 584.75KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Dennis R. Atkinson
Signature:
Date of submittal: 11/22/2021
This will be filled in automatically
Initial Review
Reviewer: Lloyd, Chloe D

Is the project number correct?* WQ0005555
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
12/3/2021

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT INDAR-11 Page 1 of 4
Permit No.: W00005555
Facility Name: Weyerhaeuser- Elkin, NC
County: Surry
Month: October
Year: 2021
Did irrigation occur
at this facility?
❑ YES ❑ NO
Field Name:
01
Field Name:
02
Field Name:
03
Field Name:
04
Area (acres):
2.17
Area (acres):
2.17
Area (acres):
2.17
Area (acres):
2.17
Cover Crop: �P'
Hay
Cover Crop:
Hay
Cover Crop:
Hay
Cover Crop:
Hay
Hourly Rate (in):
0.25
Hourly Rate (in):
025
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
20
Annual Rate (ln):
20
Annual Rate (in):
20
Annual Rate (in):
20
Weather
Freeboard
Field Irrigated?
❑ YEs ❑ No
Field Irrigated?
❑ YES [' NO
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
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12 Month Floating Total (in):
0
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14.10
13.120
0.22
13.50
11,169
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17.17

FORM' NDAR-1 08-11 mf'jN..nigrFIARr'.F APPI IC`_ATInM PFPrIPT fmnAP_i1. Pane 2 of 4
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: October
Year: 2021
Did irrigation occur
at this facility?
El YES ❑ NO
Field Name:
05
Field Name:
06
Field Name:
07
Field Name:
08
Area (acres):
1.3
Area (acres):
2.29
Area (acres):
2.01
Area (acres):
208
Cover Crop:
Hay
Cover Crop::.
Hay
Cover Crop:
Hay
Cover Crop:
Hay i
Hourly Rats (In):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (In):
20
Annual Rate (in):
20
Annual Rate (in):
20
Annual Rate (in):
20
Weather
Freeboard
Field Irrlgated?
0 YES No
Field Irrigated?
❑ YEs No
Field Irrigated?
❑ YEs 21 NO
Field Irrigated?
❑ YEs j] No
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12 Month Floating Total (in):
3.973
0;11
10.15
0
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12.30
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7,50
fl
0 00
6.92

FORM- NCAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 4
Permit No.; W00005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: October
Year: 2021
Did irrigation occur
at this facility?
L'j YES ❑ No
Field Name:
A
Field Name:
B
Field Name:
CN
Field Name:
CS
Area (act):
2.8
Area (acres);
256
Area (acres):
1.96
Area (acres):
1.24
Cover Crop:
Hay
Cover Crop:
Hay
Cover Crop:
Hay
Cover Crop:
Hay
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Hourly Rate (in):
0.25
Annual Rate (in):
31.8
Annual Rate (in);
31.8
Annual Rate (in):
31.8
Annual Rate (in):
31.8
Weather
Freeboard
Field Irrigated?
0 YES ❑ No
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YE5 0 No
Field Irrigated?
❑ YES Q No
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Monthly Loading:
12 Month Floating iotal (in):
5,564
0.07
4.49
O
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0.44
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0.00
1,18
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D.00
0.70

FORM- NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 4 of 4
Did the application rates exceed the limits in Attachment B of your permit?
Q Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E) Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Ej Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? p Compliant ❑ 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
I ORC: Dennis R. Atkinson
Certification No.- 15574
Grade: SI Phone Number: 336-526-6437
Has the ORC changed since the previous NDAR-1? ❑ yes E] No
9
Permittee Certification
Pennittee: Weyerhaeuser Company
Signing Official: Steve Kobelak
Signing Official's Title: Mill Manager
Phone Number:
Permit Exp.: 8/31/25
W. /.s ,)
Signature Date Signature L7at1 r
By IN$ signature I certify that this report is ac urrate and complete to the best of my knowledge 1 certify, under penalty of law that this document and an attachments were prepared under my direction or supervision in accordance
with a system designed to assure that an qualified personnel property gathered and evaluated the information submitted Based on my
inquiry of Itre person or persons who manage the system, or thosr 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 [here are significant
penalties for submit[Ing false Information, Including the possib4lity of fines and imprisonment for knowing vmlatrons
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _1_ of_3_
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WWTF
county: Surry
Month: October
Year: 2021
PPi: 001
Flow Measuring Point: ❑' Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent F±) Effluent ❑ Groundwater Lowering ❑ Surface water
Parameter Code —►
50060
00310
00916
00680
00940
01034
31616
71880
00927
71900
00610
00625
00620
00600
00340
00400
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su
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6
0
2
0
3
0
4
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8
0
5
07.30
8
0
6
07:30
8
0
7
07:30
8
0
8
07:30
3
0
9
0
10
0
11
07:30
8
0
12
07:30
8
0
874
131
07:30
8
0
141
07:30
8
0
15
07,30
6
0
16
0
17
0
18
07:30
8
0
19
07; 30
9
7 463
872
20
07;30
10
0
21
07:30
8
0
22
0730
8
0
23
0
24
0
25
0730
8
0
26
07.30
8
0
8.74
27
07.30
0
3.832
28
07-30
8
3.528
29
0730
6
0
30
0
311
0
Average:
478
Daily Maximum:
7,463
8.74
Daily Minimum:
0
8.72
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Limit:
28,800
Daily Limit:
�_3
Sample Frequency:
I 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
X Year
3 X Year
3 X Year
Per Event

FORM: NDMR 45-16
NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_of_3_
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WVVTF
County: Surry
Month: October
Flow Measuring Point: influent [I Effluent [j No flow generated
Parameter Monitoring Point. influent F±j Effluent Groundwater Lowering C1 Surface Water
MIT".
0---��---------�-
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-
-
-
-
-----

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page-
3-of-3-
Sampling Person(s) 11 Certified Laboratories
Name: Scott Miller Name: WayPoint Anaylical - Cert. No. 402
Name: Brody Edwards Name: PACE - Cert No. 40 & 633
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? p compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space betow t" reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and desmibs the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dennis R. Atkinson
Permittee: Weyerhaeuser Co.
Certification No.: 15574
Signing Official: Steve Kobelak
Grade: SI Phone Number: 336-526-6437
Signing Official's Title: Mill Manger
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 336-526-6456 Permit Expiration: 8/31/2025
Signature Date
Signature Dad
By this signature. I cerlify that Ibis 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
aocordarice with a system designed to assure [hat all qualified personnel property gathered and evaluated the information
submitted. Based on my inquiry of the person or persons who manage the syslarn, or those persons directly responsible for
gathering the information the information submitted Is. to the best of my knowledge and belief, We, 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

PRETREATMENT SAMPLING LOG
Weyerhaeuser
off Meter Calibration:
Date 10/12/2021 Time 6:00 Sampler JJ
4 7 10 Temp °C
4.02 7.02 10.03 21.8
7.04 pH Buffer Verification
PH sampling
Sampling Location Spray Pond pH Sample Date _ 10/12/2021
Sampler Composite
Begin Day _NIA I Time_ NIA
End Day NIA NIA
PH Grab Time 7:00 pH Analysis Time _ 7:10
PH Result 8.74 Temp °C 20.1
Notes:
Signature: Jason Jo

PRETREATMENT SAMPLING LOG
Weyerhaeuser
PH Meter Calibration:
Date 10/19/2021 Time 6:00 Sampler JJ
4 7 10 Tem "C
4.03 7.02 10.02 21.9
7.03 pH Buffer Verification
pH sampling
Sampling Location Spray Pond pH Sample Date 10/19/2021
Sampler Composite
Begin Day _NIA 1 Time_ NIA
End Day NIA NIA
pH Grab Time _ 7:00 pH Analysis Time _ 7:10
pH Result 8.72 Temp °C 20.8
Notes:
Signature: Jason Jon

PRETREATMENT SAMPLING LOG
Weyerhaeuser
off Meter Calibration:
Date 10/26/2021 Time 6:00 Sampler JJ
4 7 10 Temp °C
4.03 7.03 10.03 21.6
7.03 pH Buffer Verification
pH sampling
Sampling Location Spray Pond pH Sample Date _ 10/26/2021
Sampler Composite
Begin Day _N/A 1 Time_ N/A
End Day N/A N/A
pH Grab Time _ 7:00 pH Analysis Time _ 7:10
pH Result 8.74 Temp °C 20.1
Notes:
Signature: Jason Jones
f