NCG210438_DMR_20210111

PIC Department of
Ernviro;i'?;ei'Lai Qualit
Received y
J'-'r 1 1 2 `'1
Winston-Salem
Regional Office
December 2020
NCDEQ
Division of Energy, Mineral, and Land Resources
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
Subject: Report of Stormwater Sampling —Second Half 2020
Pallet Express, Inc.
6306 Old 421 Road
Liberty, Randolph County, North Carolina
NCDEQ Certificate of Coverage #NCG210438
Ladies/Gentlemen:
Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at 336-382-6849.
Sincerely,
Jeff Gerlock, L.G.
NC Licensed Geologist #1141
Attachment — Semi-annual Stormwater Discharge Monitoring Report form (2)
Cc: Pallet Express, Inc.
7356 Belmont Drive, Trinity, NC 27370 - Phone: [phone]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted Dec202o
CERTIFICATE OF COVERAGE NO. NCG210 4 3 8
FACILITYNAME Pallet Express
COUNTY Randolph
PERSON COLLECTING SAMPLES Jeff Gerlmk
LABORATORYMertech Lab Cert. # 165
Comments on sample collection or analysis:
NC Dppartment of
Emdircnri er. al Quality
Received
JAN 11 221
Winston-Salem
SAMPLE COLLECTION YEAR 2020 Regional OiJce
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Mother Ws-v
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/L°
OF-1
12/4/2020
0.84
.706
333
OF-2
12/4/2020
0.84
106
259
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example. do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX ml:/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==>
-
-
15 mg/L
100 mg/L or 50 mg/0
OF-2
12/4/2020
0.84
<5
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [MNO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all 'No Discharge" reports, within 30 days of receipt of the lab results (or at end
in the case of "No Discharge" reports) to:
AtIn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Permit Date: 8/1/2018-7/31/2023 SWU-24S, last revised 8/6/2018
Page 2 of 2