NCG060397_2021 DMR_20220118

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. iviall the original, inal, signed hard co o the DMR to the appropriate DEMLR Regional Office.
y s N g° g copy
Certificate of Coverage No. NCG06 0397
I Person Collecting Samples: John Haffner
I Facility Name• Amazon,com Services I I C - RD Lam,
_..._, .
1 ahnratorjr Names Flarnfnc TectAmerira
Facility County: Durham
Laboratory Cert. No.: 269
Discharge during this period: Yes No (if no, skip to signature and date)
Has your, facility implemented mandatory Tier response actions
this sample periodfor any benchmark exceedes nccs? [] Yes �f vcr I
If so, which Tier (I, II, or 111)?
.,�,�,y �r �iir� a r,a3 ..f.,rCa..�u ^ r �r p
A copy of this D^nR has been "^l 2dcd c-Icctronicalle via htt s://edocs.deg.nc.go,
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Date Uploaded: 1/18/2022
D n IA j
.001
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Ben
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Parameter
I Parameter
( Outfall 001
( Outfall 002 �(�w Outfall
Code
C, NSW C, NSW
7•�rw nr2n I
I I Gl l �tLVL I 12/19/2021
0.67 )0.6T -
N/A
Receiving Stream Class
C, NSW
I Njii
Date sample CVIIe�ir'ed-i�+iiVIrDD yi�
I p / /
r� `e
12 19/L02 t
46529
24-Hour Rainfall in inches
0.67
00530
I TSS it rl m '' (100 or 50*)
1 �^
I_
1.9
I
PH in standard units (6.0-9.0 FW,
i 00400
6.8 — 8.5 SW)
17.38
7.-15
6.89
00556
Oil & Grease in mg/L(30)
INIA
IN/A
IN/A
I
Fecal Coliform per 100 ml of
31616
I freshwater (if required)11000)
N/A
� N/A
N/A
Enterococci per) 0 ml of saltwater
61211
(if required (500
(N/A
I N/A
�N/A
Chemical Oxygen Demand in mg/L
00340
I �17
114
9.6
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/i-iyarauiic Oil 1,. I
I I
VCviL
I Usage in gal/month I NiA I NiA ! NiA
Il
00552
I Non -Polar Oil & Grease in mg/L ` f NIA f N/A N/A
i f
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of All ether water classifications I'a"d9 a benchmark of Y67G1 mgj$
(Freshwater) (Saltwater)
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance YVltii t9 sySLCIYI uC]igilCla to 5]]UIC that l.luGrrriCU personnel properly gatherandelfali.IGtethe Ir11l7rmailC'lll JUVrIrllied. UaSCU on lily
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."
OL� v , (__- ..-,
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
l /(i;, Is
Date
[phone]
Phone Number