NCG060395_2021 DMR_20211015

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitorin
g Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via t��towater NPD
30 days of receiving sampling results. Mail the original, signed ES Permit Data Monitorin Report DMR upload form within
fined hard copy of the DMR to the ap
propriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0395
Facility Name: Amazon.com Services LLC - CLT2 Person Collecting Samples: Darrin Peine
Facility County: Mecklenburg Laboratory Name: Eurofins TestAmerica
Laboratory Cert. No.: 269Dischar e duringthis period: Yes No fno, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes ✓ No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via httos://edocs deo nc Gov/Forms/Sw DMR
Date Uploaded: IEi�L)`7s,7i Yes �No
Analytical Monitoring Requirements for Outfalis with Industrial Artivitio�
Parameter
Outfall
Outfall
Outfall Outfall
Code
Parameter
Outfall 001
N/A
Receiving Stream Class
B, CA
N/A
Date Sample Collected MM/DD/YYYY
8/3/2021
46529
24-Hour Rainfall in inches
0.12
C0530
TSS in mg/L (100 or 50*)
9.4
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
7.64
00556
Oil & Grease in mg/L J30)
NIA
Fecal Coliform per 100 ml of
31616
freshwater (if required) 1000)
NIA
Enterococci per 100 ml of saltwater
61211
(if required) ;500
N/A
Chemical Oxygen Demand in mg/L
00340
(120)
27
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
N/A
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
N/A
d P ;­,
Alnrcory Aroac fPNnl
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) an r
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of
(Freshwater) (Saltwater)
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
n my
accordance with a system designed to assure that qualified personnel p� p directly ly responsibler and uforgathering the the� forrbatlionathe ie oromat on
inquiry of the person or persons who manage the system, or those p complete. I am aware that there are significant penalties for submitting
submitted is, to the best of my knowledge and belief, true, accurate, and comp violations."
false information, includin a ossibilit of fines and imprisonment for knowing
2O
Date
Signature of Permittee
[e-mail]
Email Address
Authorized Individual
(484} 2�8
Phone Number