NCG210409_2022 DMR_20220207

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG210000
Timber Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMRI Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG210409 Person Collecting Samples: John Cecil
Facility Name: Domtar Paper Co - Bonsal Chip Mill Laboratory Name: Enco
Facility County. Wake Laboratory Cert. No.: CF00992
Discharge during this period: ❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sam ie period for any benchmark exceedances? ❑ Yes ✓0 No
If so, which Tier (I, II, or Ill)?
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc, ov Forms SW-DMR ❑✓ Yes ❑ No
Date Uploaded:01/07/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — RpnrhmarL-c in fP-4%
---- -_ -•�•_ r..... " —ST, ayuaniy waters Rngw), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional)
"I certify by my signature below, 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 properly 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, including the possibility of fines and imprisonment for knowing vioiations."
re of Permittee or Delegated Authorized Individual
02/07/2022
Date
Email Address [e-mail] Phone Number 919-367-9696