NCG060327_Monitoring Report_20211215

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December 13, 2021
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North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources (DEMLR)
Mooresville Regional Office
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610 East Center Avenue, Suite 301
Mooresville, NC 28115
RE: Stormwater Discharge Monitoring Report (DMR) Form for NCG060000, Food and Kindred for
Lowe's Regional Distribution Center #960, 711 Tomlin Mill Road, Statesville, North Carolina
28265 (Permit Tracking # NCG060327)
Dear Sir/Madam:
Please find enclosed the Stormwater Discharge Monitoring Report (DMR) Form, for Lowe's Regional
Distribution Center #960 (Iredell County Distribution Center) located at 711 Tomlin Mill Road, Statesville, North
Carolina 28265. This report has been uploaded and certified electronically.
Please contact me at [phone] or [e-mail] with any questions.
Sincerely,
Laurie Litwin
Regional Environmental Compliance Manager
Loss Prevention, Safety, and HAZMAT Department
Phone: [phone]
Fax number: 877-315-5686

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
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. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0327
Person Collecting Samples: Willie Gregory
Facility Name: Lowe's Regional Distribution Center 960 (Iredell County)
Laboratory Name: Statesville Analytical
Facility County: Iredell
I Laboratory Cert. No.:440
Discharge during this period:
Yes TTNo
(if no, 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 https:Hedocs.deg.nc.gov/Forms/SW-DMR Q Yes [:]No
Date Uploaded: 1'2 /13 2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
11/4/2021
46529
24-Hour Rainfall in inches
0.05
C0530
TSSin mg/L(30oor50*)
<8.333-�
PH in standard units (6.0-9.0 FW,
00400
6.8-8.5SW)
6.59_=�_�
00556
Oil & Grease in mg/L (30)
<5.05
l
31616
Fecal Coliform per 100 ml of
N/A
freshwater (if required) (1000)
-
Enterococci per 100 ml of saltwater
m
61211
(if required) (500)
NIA
Chemical Oxygen Demand in mg/L
00340
(120)
<25
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic oil
NCOIL
Usage in al/month
N/A
00552
Non -Polar Oil & Grease in mg/L (15)
NIA
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (saltwater)
Notes (optional): There are no vehicle & equipment areas exposed to storm water at the facility.
"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 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
submitte is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inf�maAon,includir tflep6ssibilityoffinesandifnprisonmentfor knowing violations."
11/24/2021
or Delegated Authorized Individual Date
[e-mail]
Email Address
949-244-6719
Phone Number