NCS000593_MONITORING INFO_20181112

STORMINATER DIVISION CODING SHEET
PERMIT NO.
�C� �� Fj Gi
DOC TYPE
❑FINAL PERMIT
MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ 2oI8 I I IZ
YYYYMMDD

CE
Universal Forest Products, Inc.
November 12, 2018
Division of Water Quality
Surface Water Protection Section
ATTF.,NTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Discharge Monitoring Report
UFP Rockwell, LLC, Rockwell, NC
Permit No.: NCS000593
Dear Sir or Madam:
Enclosed please find the Discharge Monitoring Report for the period July 1, 2018
through December 31, 2018 for the above -referenced facility.
If you have any questions, please contact me at 616-365-1591 or imark2 a ufpi.com .
Th ou,
C/� �n
Joseph Mark, CPG, RG
Regulatory Compliance Admiriistratur
encl.
RECEIV'ED
NOVzB20a
DW T� F►LES
R SECTION Ajao
Corporate Headquarters
2801 East Beltline NE Grand Rapids, MI 49525 Tel: [phone] Fax: [phone] www.ufpi.c;om

STORKWATER AGE ODTF'ALL (om)
h[CdW 'ORMG DORY
Pcrtah Nimnber NCS 000593
FACUM NAME UFP Rockwell, LLC
MMSONCOLLIW C.ISAMpiE(5'{j Wa ter rnit
CERTDrIKD IABORATORT(b") NA f.ab #
Lab #
Pnrt A: Specie Monkoring Rophvmmb
SAMPLES COUZ TED DDR MC, CALZNDAR YBA]L2018
(Till ambeing report dmK be nmtvad by Me MvMm mo Wier than 30 dada fray
the dkie the to ci ftr receives fie = mplfng tesnm Drew the hboratm y.)
OOi1NTY Rowan
PHONE NQ b 1
SIGNATURE OF PZR116iT= OR DIGNEE
�tRQUlRED ON PAGE 2.
1'
�1�
1'1-iClfi�i►.[ijFall�
i
1 1
i
1 1
Doan fts 6 aft pmft V&i* Maffft x ActvitW nsfmg mme gm 55 galim of nm motes od per man&? _ yes X no
(3YCS, CCWPIdZ P*t B)
t
Foam SWU M7 AW mvr and XJ2WI2
Page 10 2

STORM 1CVVTT CE ARACr%>OSIIM-
Dated 018
TOW Event Pree4ptation (leak 4.0
Event Duration (hours): 7 (oely if applicable — see pomk)
(ffmace that One swnn evardwas sampled)
Dabs NA
Tabu Ereet inn (baits)- NA
>tvest Duration Oman): NA (rely ff aE g li Ile — see permit)
Mail Orighual and one ropy bx
Div!z= of W8Ur QWbIY
Atlm tcai Ffics
1617 Matt SwAx C.mW
Raiag. No tea 27699-1617
"I aertffF, candler pewdo of lave, that this document sad all aftechnimb were prepared wader my direction or supervi dmw to sccordaaoe wI& a
sysbtsa dedVud to assum that qualified persousW properly and evainats the iwt%rassdow sa end. Based oa my =gsby of Ge pew
or peaaoss who numatie the agatem, or those pe sons dh+eedy rerponsfble for g -I I an hLhwmadm the hdwmdm wed J& to the best
of my knowledp tad billet, true. aecarate, and eompkbr, i am aware that there are signiflaSt peaaibm for submifthig tube fulbrowtiM
befoding the pwdb ty of floes and impribanaaeat for howiog vickdons."
\We Z--� - ��Ier / / /�. �
) (Pate)
C, .
Fam SWU 247, last rrv=d 2Jil1012
Pap 2 of2

STORMWATl3R DISCHARGE ODTFALL (SDO)
MOMTORM REPORT
Permit r4 mbW 1gC3 000593 P<E C E d VE DwmuS CWJZC'M D[lRM CALMDAR y11: &. 2018
JUL 17 2m Aca >� p bytba er � )3o .yl u=
,yACUMNANX UFP Rockwell, LLC CENTRAL Fii ES coum'Y Rowan
P$RMN QoLt&CIIfG & - - - - vv >� SEGTI N PEIOP NM (61 1- -
1591
ClatTEREDLABORATMY(S) NA Lab#
iab #
SIGMAUME, OF PZRbffr= OR DESIGNER
ON PAGE Z
Pant A: SpedEc Moaib+risg Regairem ft
11
� � r
< t � v.
� � �I�t
•"�i'e����-'-�
i i
Fii�iSiii �.■aYi�/:[��ii7�1�A13�:1F.iiPstiixaiS��tl��ti�s
�� � � � ■ � �_ i.
i,� t GPI
1
Does *b j fi- EI Vcbidc MBbimom c Acdvifim usmiS maie d= i5 plil: W ofnew raroton ollpoor lmodh? —yes X Qo
cirym P&t B)
P&A R: uebidle hf � Amity mate
1,
:!i 1 ,
-
Form SWLF-747, fmt Awned 2 O12
Polp l of 2

10
-�SrOAM Z VRNr CffARACrERNrIC&
Dj*_N A
ToW Rvut ftwW adm (mclsmk NA
Rvast Daration (mrs): NA (only if appfim ble — see permit)
(if more tlm one storm mma was saatpled)
Date NA
ToW Sreat ft ii-- (inebes): NA
gvsat Daration Omm)- NA (a* If fe — see permit.)
Mail Original and one dopy om
Division of wow Qw ty
Ann: Control. PH=
1617 mail Savior center
Raleigt, Na& CmoE= 27699-1617
" I earthy, ender penalty of law, tint &b douAmmt and nd attaebmeats were prepared under my dQootion or eapavim6m in meordaaee wift a
spsteaa designed to amttr+e dM aaaRiled personal pr+oped ly gethm and evalas to tis inbrizab a sobinkte & Bowdon my d9m7 cd the pumm
or peraoas wbo mange dm sysmc, o r fbme person directly ragms►bk for &e kN=atio; the Mwmsdm mbmt ted b. to flee best
of my kmmwbdge and bdK true, acewmft, and couplet lam aware that there are sigei6esnt penalties hoc admd ties Wse infunnation,
Including the pouMM ► of fines MA idprismoest for k umng vieLtbu&-1
/ 7 T ZL9
Fmm SWU-247, Wmob d?/y1 12
Page 2 of 2