WQ0005555_Monitoring - 12-2021_20220127

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0005555
Weyerhaeuser - Elkin OSB
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Dec 2021 NDAR NDMR.pdf 1.36MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Phillip W Shookman
Reviewer: Gerald, Wanda
1 /27/2022
This will be filled in automatically

Is the project number correct?* WQ0005555
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
3/29/2022

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page —3— of —3—
Sampling Person(s) 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? L/I compliant 71 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
0uvfjk.Y/ ta1 v.,. -tta", ­n­­ ­­ ..
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Phillip Shookman
Permiftee: Weyerhaeuser Co.
Certification No.: 1010630
Signing Official: Steve Kobelak
Grade: Sl Phone Number: 336-526-2094
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 Date
By this signature, I certify that this 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
accordance with a system designed to assure that all qualified personnel property 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.
Mail Original and Two Copies to:
Division of Water Resources
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: December
Year: 2021
PPI: 001
Flow Measuring Point: �,J, tnnuent :3 Effluent U No flow generated Parameter Monitoring Point: Influent Effluent L] Groundwater Lowering —1 Surface Water
Parameter Code ---i►
SM
00310
OMS
00680
00W 01034
31816 71880
00927 71900
00010 00625
00820
00600
00W
00400
_>
E
O
c
O
O
O
to
cs
a
`o
c
�—
E
p
v
m
a" �
U.
o
U.
s
C
z
�
h
C
o
21O
At
z
_a
24-hr
hrs
GPD
mg1L
rn L
mg/L
mWtmg/L
#1400 mL mg/L
mq1L mg/L
mg/L mg/L
muL
mg/L
mWt,
su
1
10,
8.54
2
0;
3
0
4
0'
5
0'
6
0'i
7
0'
8
0
8.66
9
0',
10
0!
III
1
0
121
1
0
131
1
9,685
141
1
0
15
1
0
8.46
16
0'
17
0;
18
0'
19
0
20
0
21
0
8.82
22
0
23
0
24
0
261
0
26
0
27
0
28
0
8.76
29
0
30
0
311
0 ;
Average:
662
Daily Maximum:
10,638
8.82
Daisy Minimum:
0
8.46
Sampling Type:
Recorder
Grab
Grab
Grab
Grab Grab
Grab + Grab
Grab Grab
Grab Grab
Grab
Grab
Grab
Grab
Monthly Limit:
28,800
Daily Limit:
Sample Frequency:1
Continuous
3 X Year
3 X Yeer >
3 X Year
3 X Year ' 3 X Year
3 X Year 3 X Year
3 X Yeear 3 X Yrt
3 X Year 3 X Year
3 X Year
3 X Year
3 X Year `
Per Event

FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _2_ of _3_
Permit Na.: WQ0005565
Facility Name: Weyerhaeuser - Elkin QSB Mill WWTF
County: Surry
Month: December Year: 2021
PPI: 001
Flow Measuring Point: Lj Influent ❑ Effluent n No flow generated Parameter Monitoring Point: [ influent [J] Effluent ( Groundwater Lowering [ j Surface Water
Parameter Code —►
34694 00665
V11009C
00931
00929 70300
0030
E
i) F-
Q
c
a
Mj
tY
O
2
ya F0_ o
0
CL
tif
Q
_
-a �g —
o 1
�
'o
G Imo— 0, °
� ca
i .5
24-hr
hrs
m fL mg/L
m
Ratio
mg1L mgtL
mg/L
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Auerage:
#DI V/01
Daily Maximum:
0.00
Daily Minimum:
0.00
Sampling Type:
GrabGrab
Calculated
Calculated
Grab Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency: I
3 X Year 3 X Year
3XYear
3 X Year
3 —XYew 3 X Year
3 X Year

PRETREATMENT SAMPLING LOG
Weyerhaeuser
IL 41 za k ___L_ — Date Time +-*CC) Sampler
4 7 10 Temp *C
L 4-01
7.02 pH Buffer Verification
sampling
ripling Location _ Spray Pond pH Sample Date
Composite
Begin Day __NJA I Time NIA
End Day — N/A NIA
Grab Time 10:10 pH Analysis Time 10:15
Result J, s'-), Temp *c 4_1 - dr ' C-
R Notes:
I

PRETREATMENT SAMPLING LOG
Weyerhaeuser
12/15/2021 Time 6:00 Sampler
4 7 10 Temp *C
1 4.021 7.011 10.021 _20
1 7.03 pH Buffer Verification
�pH sampling
Sampling Location Spray Pond pH Sample Date 12/15/2021
Begin Day _N/A— / Time— N/A
End Day _ N/A N/A
Grab Time 7:00 pH Analysis Time _
Result 8.46 Temp *C _ 4.4
I Notes:
Signature: Jason Jones e-
7:10

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?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Compliant
❑ NorCoMpliant
Compliant
Non•Compliant
Compliant
LJ Non -Compliant
P,1 Compliant
❑ Non -Compliant
tElj Compliant
:,j 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 Permittee Certification
ORC: Phillip Shookman Permittee: Weyerhaeuser Company
Certification No.: 1010630 Signing Official: Steve Kobelak
Grade: SI Phone Number: 336-526-2094 Signing Official's Title: Mill Manager
Has the ORC changed since the previous NDAR-1 ? Ll Yes J No Phone Number: 336-526-6456 Permit Exp.: 8/31/25
4,-j 2412-2-
Signature Date Signature Date
By this signature, I certify that this report is acourrato 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 accordance
with a system designed to assure that al qualified personnel property 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 ft possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT fNDAR-11 Page 1 of
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: December
Did irrigation occur
at this facility?
=' w
ii : » ` . � • I
, lll�"�
.'r� ' 1 � e
I pi III,. !, ,III+
i
iiri.
iaiii
NNN, 0 t Ml M/M.1:Ill
11
irrrr,
t.
. .. ...
�rrrrrrr�rrrrr,� � « rrrrr.�.rrrrirr,�;
rrrrif,®rrrrrrrr��rrrrrrr�rrrrr,�
rrrrrr:��rrrrrrr�
�irrr�;�mrrrrrr.

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT fNDAR-11 Page 2 of 4
Permit No.: 000,I,IIIIIIIIIFacility
Name: Weyerhaeuser
MoDecember
Did irrigation occur
at this facility?
Lij YES [I NO
M
I
e p i
W ....III I
I I - .
i ?
i ' . -
�I• I.
I
.
..III
/j
• . , ..
x
., rt
� �I : . �,�
� � U1 � •
®
�
/////r
�rrrr/
®;rrrrrrr
r,N/M11 r/.�r/.e
{
///,/,.
rr//// /////, ;
rrr///,
,rrirr�rrrrrrrr,
err///// V/r//,/..: . A r////,�/"V,
r
�/00/1
11
�rrrrrr,/1

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 4
LPermil No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin, NC
County: Surry
Month: December
Did irrigation occur�+
at this facility?
C=
r
M
r
•
r ��/// ;�, .o.�, ,
ir, ��,;.
,�,0/, /1/1///. ,,
iW.���/,ter
V////�