WQ0005555_Monitoring - 12-2021_20220127 (3)

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ00005555
Weyerhaeuser - Elkin OSB
Type *
Revised - 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 1.36MB
revised.pdf
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?* WQ00005555
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 3/29/2022

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?
cj Compliant E] Non -Compliant
i Non -Compliant
0 Compliant L j Non-Carnphant
2 Compliant E] Non -Compliant
2 Compliant 0 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
Certification No.: 1010630
Grade: SI Phone Number: 336-526-2094
Has the ORC changed since the previous NDAR-1? F] Y L:d No
7
Permittee:
Weyerhaeuser Company
Signing Official: Steve Kobelak
Signing Official's Title: Mill Manager
Phone Number: 336-526-6456 Permit Exp.: 8/31/25
..-----
22._
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Date
Signature Date
I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that aid qualified personnel properly 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 k-iformafion, 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, inctuding the 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 (NDAR-1)
Page 1 of 4
Permit No.: WQ0005555 I Facility Name: Weyerhaeuser - Elkin, NC
Did irrigation occur
at this facility?
RJ YES NO
Weather Code
Weather
E
H
Precipitation
in
Freeboard
c
O
N
[d.
min
01
2.17
0.25
20
0
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
G o
E
>oa
gal
co „Si
_E
1p
'C
min
n YES
c
�. C
o
J
in
02
2.17
Hay
0,25
20
E 7 C
o • C
2
in
ICounty:
Surry
2.17
Hay
Month: December
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated?
CD '0
E ._
3o
><
gal
.a
E Y
.�
I-
min
Year: 2021
❑YES
0 0
J
in
04
2.17
Hay
0.25
20
NO
in
0
2.5
2
2.51
0
2.49
4
0
2.5
5
0
2.5
6
PC
68
0
2.5
7
0
2.68
8
0
2.68
0
2.67
10
0
2.67
11
0.1
2.65
12
0.47
2.59
13
0
2.59
14
0
2.59
15
2.59
16
0
2.59
17
0
2.59
18
0
2,57
19
0.33
2.54
20
0.05
2.54
21
2.54
22
0
2.53
23
0
2.54
24
0
2.54
25
0
2.54
26
0
2.53
27
0
2.54
28
0
2.53
29
0
2.53
30
0.16
2.51
31
0
2.51
Monthly Loading:
2 Month Floating Total (in):
0.00 r //t 0 �i 0.00

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1
Page 2 of 4
Permit No.: WQ0005555
I Facility Name: Weyerhaeuser - Elkin, NC l County: Surry J Month: December
Year: 2021
1 v
G rt =
7.
N' 1,
so rr
❑
O
o — 7
O
a -I
Flekt I�iatlta;, 05
Field Name:
06
lelti�ec
{i7
Field Name:
08
At e(tlicr+ s]: 2.29
Area (acres):
1.3
Area (acres):
2.01
Area (acres):
2.08
aver Hey
Cover Crop:
Hay
Cover Crop:
Hay
H Y in): 0.25
Hourly Rate (in):
0.25
ourty e(111)C
52
Hourly Rate (in):
0.25
Annual Rate (in):
20
At10k i (I
= -
Annual Rate (in):
20
maid Irrigated? D YfE ❑ No
Field Irrigated?
D res El NO
e1d f g 8t1"
Q Yt NC1
Field Irrigated?
© YES 0 NO
Volume
Applied
Time
Irrigated
Co
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
jai
rent In
In
gal
min
in
in
gel
mitt
f
in
gal
min
in
in
1
0
2.5
2
0
2.51
3
0
2.49
4
0
2.5
5
0
2.5
6
PC
68
0
2.5
.12#'7
60 0.21
0.21
7
0
2.68
8
0
2.68
9
C
44
0
2.67
1"3,645
60 0.22
0.22
10
0
2.67
11
0.1
2.65
12
0.47
2.59
)
13
0
2.59
14
0
2.59
15
0
2.59
16
0
2.59
17
0
2.59
18
0
2.57
19
0.33
2.54
20
0.05
2.54
21
0
2.54
i
22
0
2.53
23
0
2.54
24
0
2.54
25
0
2.54
26
0
2.53
27
0
2.54
28
0
2.53
29
0
2.53
30
0.16
2.51
31
0
2.51
0.00
"r
Monthly Loading:
26,632
jrr'// 0.43
'r'�'%/,
0 /�,/� 0 00
�f
//��
0
f�,//fi' '
0.00
�/%//'/%
0
12 Month Floating Total (in):1,,,%r/'/r,/,%/, "
10.58
�,/'�,%/'%%ij44 12.30
;.
j //"/�V
1
7:50
,/,/%V
6,92

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page 3 of 4
Permit No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin, NC
] County: Surry
Month: December
Year:
2021
Did irrigation occur
at this facility?
I] YES Ell NO
Flreld Namo:
A
Field Name:
8
Fleid Nam+ez
CN
Field Name:
CS
Area( res).
2.8
Area (acres):
2,56
( );
1.96
Area (acres):
1.24
r
Cover Crop:
Ha -
`�rCro »�
HayCover
Crop:
Hourly Rate (in):
0.2
Hourly Rate (in):
0.25
Hourly Rate (in):
0,
Hourly Rate (in):
0.25
Annual tl3 (in)'.
81.$
Annual Rate (in):
31.8
Annual-i :(in).`
1.8
Annual Rate (in):
31.8
Day
Weather
Freeboard
Field lrri�?
. l
N0
Field Irrigated?
] YES [] NO
Reldlriga d^a
l
YeB tlo
Field Irrigated?
❑ Yes
NO
Weather Code
Temperature
c
o.
(I)
p
co
5-Day Upset (I
applicable)
tiA
m MtIt&
>° a
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
>
p
I+
t70
m
Volume
Applied
Time
Irrigated
m
13
is
Maximum
Hourly
Loading
in
ft
ft
l l
min
in
In
gal
min
in
in
8
mitt
In -
In
gal
min
in
in
1
0
2.5
2
0
2.51
3
0
2.49
,
4
0
2.5
5
0
2.5
6
PC
68
0
2.5
7
0
2.68
8
0
2.68
9
C
44
0
2.67
10
0
2.67
11
0.1
2.65
12
0.47
2.59
13
0
2.59
14
0
2.59
15
0
2.59
16
0
2.59
17
0
2.59
18
0
2.57
19
0.33
2.54
20
0.05
2.54
21
0
2.54
22
0
2.53
23
0
2.54
24
0
2.54
ti
25
0
2.54
26
0
2.53
27
0
2.54
,
28
0
2.53
29
0
2.53
30
0.16
2.51
31 _
0
2.51
V
Monthly Loading:
0
%' r//
0.00
✓','
0
�
0.00 w%
4 0
��,�' .
0.00
% ,J , 0
%
0.00
12 Month Floating Total (in):
f
'r'r �%
4.28
7' ,�V A
0,44
,'%"
i! .' %
1.18
V
7 4 0.70
f•

FORM: NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR)
Page
3
Sampling Person(s)
Name: Scott Miller
Name: Brody Edwards
Certified Laboratories
Name: WayPoint Anaylical - Cert. No. 402
Name: PACE - Cert No. 40 & 633
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Ed 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
Certification No.: 1010630
Grade: SI Phone Number: 336-526-2094
Has the ORC changed since the previous NDMR?
Yes [1] No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Weyerhaeuser Co.
Signing Official: Steve Kobelak
Signing Official's Title: Mill Manger
Phone Number: 336-526-6456
Signature
Permit Expiration: 8/31/2025
Date
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 properly 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 inforrnation, 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.: W00005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WWTF
I County: Surry I Month: December
I Year: 2021
PPI: 001
I Flow Measuring Point: j Influent J Effluent U No flow generated Parameter Monitoring Point: 71 Influent n Effluent [j Groundwater lowering : Surface Water
Parameter Code —►
50950
00310
y 161
00680
01M940
01034
31816
71880
00927
71900
ii0810
00625
00620
00600
00340
00400
m
ORC Arrival
Time
ORC Time On
Site
_
u
m
Total Organic
Carbon
v
tt!
m T
o
Ammonia
Total Kjeldahl
Nitrogen
oo.
z
24-hr
hrs
mg!L
mgIL -
mglL
+ l
mg1L
Itie mL
mglL
n 9l1..
mgfL
mg1L
mglL
mg/L
ttiglt -
su
1
0 638
_
8.54
2
ti
3
0
4
0;
5
0.
6
0
7
0
0
8.66
9
0
10
0
11
0
12
0
13
9 585
{
14
0
15
0
8.46
16
0
1
17
0
18
0
19
0
20
0
21
0
8.82
22
0
23
0
24
0
25
0
26
0
27
0
28
0
8.76
29
0
30
0
31
0
Average:
652
Daily Maximum:
10,638
8.82
Daily 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:
Coniinuous
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
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 No.: WQ0005555
Facility Name: Weyerhaeuser - Elkin OSB Mill WWTF
I County: Surry
Month: December I Year: 2021
PPI: 001
Flow Measuring Point: [�] Influent L] Effluent [] No flow generated I Parameter Monitoring Point: ❑ Influent [] Effluent Li Groundwater Lowering [] Surface Water
Parameter Code —
34894
00665
LYY`C4ll9
00931
00929
70300
00630
Day
ORC Arrival
Time
ORC Time On
Site
21
a
aar
c
o
p
splloS
peAiossla
24-hr
hrs
tglL
mg/L
titiglL
Ratio
rtglL
mglL
mgN,
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
Average:
#DIV/01
Daily Maximum:
0.00
Daily Minimum:
0.00
Sampling Type:
Grab
Grab
Calculated
Calculated
Grab
Grab
Grab
Monthly Limit:
Daily Limit:
Sample Frequency:
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year
3 X Year

PRETREATMENT SAMPL{NG LOG
Weyerhaeuser
pH Meter Callbraton:
Date i /> k Time
Sampler BE
4 7 10 Temp °C
4.01
7.03
10.02
20.1
7.02
pH Buffer Verification
pH sampling
ampling Location _ Spray Pond
er Composite
pH Grab Time
pH Sample Date a.A> / 1
Begin Day _N/A / Time_ NIA
End Day N/A N/A
10:10 pH Analysis Time 10:15
pH Result j. c - Temp °C , Yi
Notes:
Signature:
/-0(.1eet)

PRETREATMENT SAMPLING LOG
Weyerhaeuser
pH Meter Calibration:
Date a,/ % Time 7J
4
4.02
7.04
7.04
Sampler 8E
10 Temp°C
10.041 20.3
pH Buffer Verification
pH sampling
Sampling Location _ Spray Pond
mpler Composite
pH Grab Time
pH Result ' s 0
Notes:
Signature:
pH Sample Date l A �� 1
Begin Day N/A / Time_ N/A
End Day N/A N/A
9:10 pH Analysis Time _ 9:15
Temp °C /

pH Meter Calibration:
Date 12/01/2021
PRETREATMENT SAMPLING LOG
Weyerhaeuser
Time 6:00 Sampler JJ
4 7 10 Temp °C
4.02
7.01
10.02
21
7,02
pH Buffer Verification
pH sampling
Sampling Location Spray Pond
Sampler Composite
pH Sample Date 12/1/2021
Begin Day N/A / Time_ N/A
End Day N/A N/A
pH Grab Time 7:00 pH Analysis Time 7:10
pH Result 8.54 Temp °C 10.1
Notes:
Signature: Jason Jones

pH Meter Calibration:
Date 12/08/2021
PRETREATMENT SAMPLING LOG
Weyerhaeuser
Time 6:00 Sampler JJ
4 7 10 Temp °C
4.02
7.02
10.02
20
7.02
pH Buffer Verification
pH sampling
Sampling Location Spray Pond
Sampler Composite
pH Sample Date 12/8/2021
Begin Day N/A / Time_ N/A
End Day N/A N/A
pH Grab Time _ 7:00 pH Analysis Time 7:10
pH Result 8.66 Temp °C 10.4
Notes:
Signature: Jason Jones

pH Meter Calibration:
Date 12/15/2021
PRETREATMENT SAMPLING LOG
Weyerhaeuser
Time 6:00 Sampler JJ
4 7 10 Temp °C
4.02
7.01
10.02
20
7.03
pH Buffer Verification
pH sampling
Sampling Location Spray Pond pH Sample Date 12/15/2021
Sampler Composite
pH Grab Time
pH Result
Notes:
Begin Day N/A / Time® N/A
End Day N/A N/A
7:00 pH Analysis Time 7:10
8.46 Temp °C 4.4
Signature: Jason Jones