NCS000218 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000218 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: UFP Salisbury, LLC COUNTY: Rowan
PERSON COLLECTING SAMPLE(S): Steve Hicks/Curtis Pressley PHONE NO: [phone]
CERTIFIED LABORATORY(S): Prein & Newhof Lab #
Lab# RECEIVE
i SIGNATURE OF PERNIITTEE OR DESIGNEE
Part A: Specific Monitoring Requirements J U L 2 3 2O 15 WOMBED ON PAGE 2.
MCollected
t i lSample 1 1:1
1: 1 1
F:
I
00556
00530
00400
II Foll1
1
OR & Grease
(if appL)
1 I I 1 I 1 '• I 1 I < II 1'
Total _
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
nWfl
M94
unit
Rallmo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes R no
(if yes; complete Part B)
Part B: Vehicle Maintenance Activity Mnnitnrinv Renuirements
Outfall Date
No. Sample
Collected .
"
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
OR & Grease
(if appL)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total _
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
nWfl
M94
unit
Rallmo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS: - Mail Original and one copy to:
- Division of Water Quality ,
Date: June 11; 2015 _ Attn: Central Files
Total Event Precipitation (inches): 0:3 1617 Mail Service Center
Event Duration (hours): 3 (only if applicable - see_ peimit.) Raleigh, North Carolina 27699-1617
(if more than one'storm `event was sampled)
Date
Total Event Precipitation, (caches):
Event Duration (hours): = (only if applicable - see permit )
"I certify, under penalty of law, that this document and all attachments were prepared undermy direction of 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 violations."
01
(S ) (Date)
Form SWU-247, last revbed'2MO12
_ Page 2 of 2