NCG210212_DMR_20201229

STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
GENERAL PERMIT NO.: NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2020
CERTIFICATE OF COVERAGE NO.: NCG210212 (This monitoring report is due at the Division no later than 30 days
FACILITY NAME: Pallet Resource of NC from the date the facility receives the sampling results f oft the
PERSON COLLECTING SAMPLES: Susan Feir laboratory.) N� Department of
CERTIFIED LABORATORY: Meritech,Lab# 165 COUNTY Davidson Environmental Quality
PHONE NO. [phone]Received
PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements
Outfall
Date
TOTAL SUSPENDED
SOLIDS. ,
m1g.
COD
mg/I
pH
Standard units
Benchmark
100
Within 6.0— 9.0
PRNC #1
11/11/20
<2.5
<15
6.8
PRNC #2
11/11/20
1110 '.
<15
7.2
DEC 2 9 2020
Winston-Salem
Regional Office
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
00556 {'` 0p5 p ;
00400
11 New Motor Oil usage average gallons/month
Oil and Grease otal Suspended Solids
mg/l _,e mg/l
0
pH
Standard units
With in6.0-9.0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2
responses. See General Permit text.

a
STORM EVENT CHARACTERISTICS:
Date: 11/11/2020 (first event sampled)
Total Event Precipitation (inches): 0.27"
Mail Original and one copy to:
NC Department of Environmental Quality
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
s stem desi designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or pe sons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to
the best of m 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 iimprisonment for knowing violations."
(Signature of Permittee)
(Date)

STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
GENERAL PERMIT NO.: NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2020
CERTIFICATE OF COVERAGE NO.: NCG210212 (This monitoring report is due at the Division no later than 30 days
FACILITY NAME: Pallet Resource of NC from the date the facility receives the sampling results from the
PERSON COLLECTING SAMPLES: Susan Feir laboratory.)
CERTIFIED LABORATORY: Meritech, Lab # 165 COUNTY Davidson
PHONE NO. ( 3361731-8338
PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements
Outfall
Date
TOTAL SUSPENDED
SOLIDS
mg/I
COD
mg/I
pH
Standard units
Benchmark
100
Within 6.0 — 9.0
PRNC #1
11/11/?0
<2.5
<I5
6.8
PRNC #2
11/11/20
110
<15
7.2
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?— yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
00556
00530
00400
Oil and Grease
to 1
Total Suspended Solids
mg/I
pH
Standard units
New Motor Oil usage, average gallons/month
Benchmark
30
100
Within 6.0 — 9.0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2
responses. See General Permit text.

STORM EVENT CHARACTERISTICS:
Date: 11/11/2020 (first event sampled)
Total Event Precipitation (inches): 0.27"
Mail Original and one copy to:
NC Department of Environmental Quality
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
"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 Permittee)
(Date) I 2 (Z2 ( zg2 Z'J