NCG060372_MONITORING REPORT_20210107

STORMWATER DSICHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) SPPP Annual update DATA REVIEW FORM
Calendar Year: 2020
Individual NPDES Permit No. NCS
Certificate of Coverage (COC) No. NCG
or
This monitoring reportsummary of the calendar year should be kept on file on -site with the facilitySPPP.
Facility Name:
County:
Phone Number:
Harris Teeter, LLC Distribution Center
Union
704-844-3531
Total no. of SDO's monitored 4
Outfall No: 1
Is this outfall currently in Teir 2 (monitored monthly) ? YES NONX
Was this outfall ever in Teir 2 (monitored monthly) during the past year YES NO
If this outfall was in Teir 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DWQ to reduce monitoring frequency
Other
Was this SDO monitored because of vehicle maintenance activities? YES7 NO
Total Rainfall,
inches
Parameter, (units)
Benchmark
N/A
PH
PH Standard
TSS
TSS Standard
COD
COD Standard
Oil &
Grease
Oil & Grease
Standard
May 27, 2020
2.25
7.2
6 to 9
26
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/1
December 14, 2020
10.25
6.5
6 to 9
19
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
SWU-264-Generic Annual DMR
Last revised 511712013

Additional Outfall Attachment
Outfall No: 2
Is this outfall currently in Teir 2 (monitored monthly) ? YES NO X
Was this outfall ever in Teir 2 (monitored monthly) during the past year YES NO X
If this outfall was in Teir 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DWQ to reduce monitoring frequency
Other
Was this SDO monitored because of vehicle maintenance activities? YESFj] NOF�
Total Rainfall,
inches
Parameter, (units)
Benchmark
N/A
PH
PH Standard
TSS
TSS Standard
COD
COD Standard
Oil &
Grease
Oil & Grease
Standard
May 27, 2020
2.25
7.4
6 to 9
66
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
December 14, 2020
0.25
6.8
6 to 9
49
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
SWU-264 - Generic Annual DMR
Last revised 5/1712013

Additional Outfall Attachment
Outfall No: 3
Is this outfall currently in Teir 2 (monitored monthly) ? YES NO X
Was this outfall ever in Teir 2 (monitored monthly) during the past year YES NO X
If this outfall was in Teir 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DWQ to reduce monitoring frequency
Other
Was this SDO monitored because of vehicle maintenance activities? YESFAI NO�
Total Rainfall,
inches
Parameter, (units)
ICOD
loil
Benchmark
N A
P H
PH Standard
TSS
TSS Standard
D n and
CO Standard
&
Grease
Oil & Grease
Standard
May 27, 2020
2.25
7
6 to 9
21
1100
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
December 14, 2020
10.25
6.6
6 to 9
41
mg/I I
BRL 1120
mg/I
BRL OG
30 mg/I
SWU-264 - Generic Annual DMR
Last revised 511712013

Additional Outfall Attachment
Outfall No: 4
Is this outfall currently in Teir 2 (monitored monthly) ? YES NO X
Was this outfall ever in Teir 2 (monitored monthly) during the past year YES X NO
If this outfall was in Teir 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency X
Received approval from DWQ to reduce monitoring frequency
Other
Was this SDO monitored because of vehicle maintenance activities? YESF—] NOa
Total Rainfall,-,
inches
Parameter, (units)
Benchmark
N/A
PH
PH Standard
TSS
TSS Standard
COD
COD Standard
Oil &
Grease
Oil & Grease
Standard
January 24, 2020
1.S
6.2
6 to 9
71
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
February 6, 2020
3.75
6.2
6 TO 9
77
100 mg/I
BRL
120 mg/I
BRL OG
30 mg/I
May 27, 2020
2.25
8.1
6 to 9
480
100 mg/I
S8
120 mg/I
BRL OG
30 mg/I
December 14, 2020
0.25
7.5
6 to 9
310
100 mg/I
83
120 mg/I
BRL OG
30 mg/I
SWU-264 - Generic Annual DMR
Lost revised 511712013

" 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 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
Signature
Date �a t
and imprisonment for knowing violations."
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
9L0 433-3300
LSHMGTON REGIONAL OFFI
943 Washington Square Mall
Washington, NC 27889
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
5IiKGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
1617 Mail Service Center ^Topreserve, protect
Raleigh, NC 27699-1617 and enhance
[phone] 1 North Carvllnas water---
SWU-264 - Generic Annual DMR
Last revised-"72013

Harris Teeter Distribution Center
6001 Hwy 74 East
Indian Trail, NC 28079
NCGN0603I2 Contact:
Eli Tprwnw
Fad lty Malncenann Memger
)04- 3531
Possible Pollutant - Spill Log
2020
DATE LOCATION
arayFpnSpurke-
mrsomrptOlsmbmlpn
201�3560
CAUSE P WALPOLLUTANT AMOUNT WEATHER CONOn10NS
SPILLED
IOAtaonsl
RECEIVED
_ ofagville R�yl,:rldrl Gifice
ALTIONTA4
NOTES INIUNESor FIRE/
EXPLOSIONS
namaryJ,nwn LE030 Ounlae mukn8mmwm NEerWer PothY
Trull lma It, nl wl mud nalamrl
wale BMhbam,I
U, O,W,In Ae mop A0 I mm rraalm a
Momentum ask stew to am me spread of Amid and owned ltup
NONY
Edr.1ructdwr38
CwNnt
I1rea1. 118M rain all Memom
'j0 Elaud, 1, Of W, writ ralna
Amami
FMry. January A. 1030 FIMTNh51pp-MYlk wmlibleWl
Bbvnl Milan .,or Feeler Wakl� mare/
Wmagammt. atop, w arty Ne pRYa M 1puld am... It up
None
Ewbnt
U.. muck a rankr leaked me,el pre 1.1
mr-L UyM rain ail morning
dywlNn
§ Doum NgM
dotal
TueWry, feBwry b.N10 Pauementavmsfiommefalum.
m up Mime A
Usabraant wds and door optimism W Am as muN wR
mrrurerMaroum li Noan
N—WE
fuelmlo Uemmum m,
Mims ONme soft.
WMreaday, ManA 11,=0
Brain At Bader weft m me maMge dNA
peMMble dumping milk Into the wrong Mark
5 rMt, Yunrry am rums
Sol III pigs and U. milk hom 4.
NIXIE
drain SMUW MyeBuemtleuwera.
mtm uridwermrer»n
Sunday. Marty air. 2021a
UULW rmr[tlmmnwnr,'vat .I,
pk,ll M1lN kaYlgllpm lNek Effort Fuel
'ro
Onuymil cxliy
Mttagam w form Win to stop me aweae of squall oiled Nepam for
NONE
IeaYlrig fuel In bwer kt am at dxkdoa l8
pmwr dun up
nkky. 4nl A. Ape
Oakeom35tamec
Empire ra tNLY.waMpump staYllg Wakrilklam e/
'( Oear,m Gunny
Awabam did, plied downNONE
waM,manMheeee (oolanl
§I Oearamwamr
Aprab,nl YM1 and.111,
Ng1E
Sammwy. Mry lQ"in
Around 8,45 PM or 5auNry Mry lk asap
I Fualllrcmmendfiv ,kaYlryanM OkN F-I
.Nk,&Ot fplAN id. W m me
mlla8lpl
prvmMt and drain at duck door a0
20 N/A
LwrNy.luw]3,H120
MFtfPl gab
leabg Mp ..]am ktlMg Wmp and Bvdnulk fluid
AppaWna ka am spNl Mkt I
NIXIE
mal6Mwardvm
teal
MaMay,lue aS, aOas
twrtr wM1iri kk tM)l9
Uniontown . or canter katrd dkm
OkfeiFM
] Sam,. warm and formalAbsdwnt
Its am spill prig,
more
W pnmtM Wormmt
Wedmwy, Judy a, mo Moum )'to PM our manuumeM start
Fml lift katween me FM fiber to Ne OkfllfuN
3 Ab;ny imum r«B,awkf m man
Mtdwnt YNam earl mR
NONE
muovered luN paurma firms Oft rtMganhn
"in, Wsp bull.
unn m n Ira ilc, mil....at ad[dam as
comm.wamram Mmd
TMnfNN lWy AN10 O4xt asset � YNO Fuel Wand
End grand pone Warms marmi.I
Mprbnl tyxemwdy
NONE
weeks ,kmurtM=
aoumc gAiPMatOakirmi nitrating-
Fustramon8e2M unit mael FUN
2 MmtryclavlyrMaUuryeMNn
abaMnaMamparlyP
communist.
NONE
TA22

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Industrial Activity Areas Yes* No Description and Comments
Fuel Station (SP-1)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
recent spill not properly cleaned
X
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
X
maintenance (e.g. accumulation
Maintenance Shop (SP-2)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
�-
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Maintenance Shed (SP-3)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
x
recent spill not properly cleaned
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Corner (SP-4)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
X
Materials, processes, or wastes
----- - - ---
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Side (SP-5)

Semi -Annual Facility Inspection Worksheet
Tnis inspection recora must ne compietea
semi-annuauy.
rroviae rurtner aescription aria comments, it necessary, on the
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
X
up— --
_ - --
--- - - --- -- - - -- _ _—
Materials, processes, or wastes
exposed to stormwater or run-on
X
_
Stormwater conveyances need
maintenance (e.g. accumulation
�(
of debris and sediment in
Warehouse - Southwest Side (SP-6)
Good housekeeping practices
not being implemented
x
Spill present or evidence of
recent spill not properly cleanediin
is
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
BMPs
Wet Detention Basin in
northeastern comer of Facility
X
not functioning properly or needs
maintenance
Wet Detention Basin in
southeastern comer of Facility
X
not functioning properly or needs
maintenance
Dry Detention Basins in eastern
portion of Facility not functioning
X
properly or needs maintenance
--- ---
— ------------- - ----
----------- -
Drainage Swales not functioning
properly or need maintenance
X
Facility - General
Preventative maintenance and
good housekeeping practices
X
not implemented
Additional Remarks
The last significant rain fall was Friday night January 3rd into Saturday morning January 4, 2020. With .75 inch of rain fall.
We are not expecting any significant rain until Friday January 10, 2020

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Eli C.
Signature //w IdapllDate/Time Tuesday January 7, 2020 11:00 AM to 12:00 Noon

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Industrial Activity Areas Yes* No Description and Comments -
Fuel Station (SP-1)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
X
maintenance (e.g. accumulation
Maintenance Shop (SP-2)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
—
recent spill not properly cleaned
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Maintenance Shed (SP-3)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
recent spill not properly cleaned
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Corner (SP-4)
Good housekeeping practices
not being implemented
x
Spill present or evidence of
recent spill not properly cleaned
x
tin-
Materials,processes, or wastes
exposed to stormwater or run-on
x
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Side (SP-5)

Semi Annual Facility Inspection Worksheet
i nis inspection recora must De compietea
semi-annuauy.
eroviae runner oescnption ano comments, it necessary, on ine
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
i(
110_
- - -- - — - — — —
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
�(
of debris and sediment in
Warehouse - Southwest Side (SP-6)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
X
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
BMPs
Wet Detention Basin in
northeastern comer of Facility
X
not functioning properly or needs
maintenance
Wet Detention Basin in
southeastern comer of Facility
X
not functioning properly or needs
maintenance
Dry Detention Basins in eastern
portion of Facility not functioning
X
properly or needs maintenance
Drainage Swales not functioning
properly or need maintenance
X
Facility - General
Preventative maintenance and
good housekeeping practices
X
not implemented
Additional Remarks
The last significant rain fall was Thursday night April 30, 2020 into Friday morning May 1, 2020. With 3.125 inches of rain fall.
We have a predicition for 60% chance of rain on Tuesday May 5, 2020 by the National Weather service.

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Eli C.
Signature 11W QgAA� Date/Time Monday May 04, 2020 11:00 AM to 12:00 Noon

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Industrial Activity Areas Yes* No Description and Comments
Fuel Station (SP-1)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
exposed to stormwater or run-on
x
Stormwater conveyances need
X
maintenance (e.g. accumulation
Maintenance Shop (SP-2)
Good housekeeping practices
!�
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Maintenance Shed (SP-3)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
X
- , 1r% - - - - - -- ------ -----
Materials, processes, or wastes
_
-- --
-- - ------'�--------- ---
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Corner (SP-4)
Good housekeeping practices
not being implemented
x
Spill present or evidence of
recent spill not properly cleaned
x
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Side (SP-5)

Semi -Annual Facility Inspection Worksheet
This inspection recora must ne compietea
semi-annuauy.
rroviae runner aescnption ano comments, it necessary, on ine
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
)(
Materials, processes, or wastes
exposed to stormwater or run-on
)(
Stormwater conveyances need
maintenance (e.g. accumulation
�(
of debris and sediment in
Warehouse - Southwest Side (SP-6)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
x
—
- ---
--
—inn---
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
BMPs
Wet Detention Basin in
northeastern corner of Facility
X
not functioning properly or needs
maintenance
Wet Detention Basin in
southeastern comer of Facility
X
not functioning properly or needs
maintenance
Dry Detention Basins in eastern
portion of Facility not functioning
X
properly or needs maintenance
Drainage Swales not functioning
properly or need maintenance
X
Facility - General
Preventative maintenance and
good housekeeping practices
X
not implemented
Additional Remarks
The last significant rain fall was Thursday July 23, 2020 through Friday July 24, 2020. With .50 inches of rain fall combined
National Weather service is predicting significant rain later today August 3, 2020

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the
Eli C. Terrence
Signature I /%�j(' /J"kv Date/Time Monday August 3, 2020 10:00 AM to 11:00 AM

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annuallv. Provide further description and comments, if necessary, on the back
Industrial Activity Areas Yes* No Description and Comments -
Fuel Station (SP-1)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
X
maintenance (e.g. accumulation
Maintenance Shop (SP-2)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
X
recent spill not properly cleaned
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Maintenance Shed (SP-3)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
--
---
X
-- -- - - -- -- -- -- - ---V --
recent spill not properly cleaned
AM -
Materials, processes, or wastes
X
exposed to stormwater or run-on
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
Warehouse - Northwest Corner (SP4)
Good housekeeping practices
not being implemented
X
Spill present or evidence of
recent spill not properly cleaned
X
Materials, processes, or wastes
exposed to stormwater or run-on
x
Stormwater conveyances need
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features
Warehouse - Northwest Side (SP-5)
Good housekeeping practices
not being implemented
X

Semi -Annual Facility Inspection Worksheet
Tnls inspection recora must ae compietea
semi-annuaq.
rroviae runner aescnption ano comments, IT necessary, on the pacK
Spill present or evidence of
recent spill not properly cleaned
X
un -- — -
Materials, processes, or wastes
-
—
exposed to stormwater or run-on
x
Stormwater conveyances need
maintenance (e.g. accumulation
�(
of debris and sediment in
Warehouse - Southwest Side (SP-6)
Good housekeeping practices
X
not being implemented
Spill present or evidence of
recent spill not properly cleaned
X
up
-
Materials, processes, or wastes
exposed to stormwater or run-on
X
Stormwater conveyances need
---- -- --------------- ---- - --
maintenance (e.g. accumulation
X
of debris and sediment in
drainage features)
BMPs
Wet Detention Basin in
northeastern comer of Facility
X
not functioning properly or needs
maintenance
Wet Detention Basin in
southeastern comer of Facility
X
not functioning properly or needs
maintenance
Dry Detention Basins in eastern
portion of Facility not functioning
X
properly or needs maintenance
Drainage Swales not functioning
properly or need maintenance
X
Facility - General
Preventative maintenance and
good housekeeping practices not
X
implemented
Additional Remarks
The last significant rain fall was Monday evening August 31, 2020 into Tuesday morning September 1, 2020. With 2.75 inches
of rain. National Weather service is predicting significant rain Thursday September 17th and Friday September 18th due to
the remants of Hurricane / Tropical Storm Sally.

Semi -Annual Facility Inspection Worksheet
This inspection record must be completed semi-annually. Provide further description and comments, if necessary, on the back
Eli
Signature /'" Xd(M Date/Time Wednesday September 16, 2020 1:00 PM to 2:30 PM

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