NCG060395_2022 DMR_20220718

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.
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Certificate of Coverage No. NCG060395 Person Collecting Samples: Parker Cliatt
Facility Name: Amazon.com Services LLC - CLT2 Laboratory Name: Eurofins Test America Savannah
Facility County: Mecklenburg 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 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•//edocs.deg.nc.gov/Forms/SW-DMR 0 Yes ❑ No
Date Uploaded: t)-7 ) 1 41 Z p ` _ '),,,
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code7nrea
meter
Outfall 001
Outfall
Outfall
Outfall
Outfall
N/A ReClass
B, CA
N/A Dacted MM/DD/YYYY
6/14/2022
46529 24ranan inches
0.1
C0530 TSS in mg/L (100 or 50*)
21
00400 pH in standard units (6.0 — 9.0 FW,
6.8-8.55W)
8.8
31616 Fecal Coliform per 100 ml of
freshwater (if required) ; k)
N/A
61211 Enterococci per 100 ml of saltwater
N/A
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
22
Additional parameters for outfalls in drainage areas that use >SS gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
N/A
00552 Non -Polar Oil & Grease in mg/L ! -51 s
N/A
uutraiis to uutstanaing Kesource waters (urtw), Hign LtuanTy waters (H(jw), 1 rout Waters jr) 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
(Freshwater) )vv (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 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, inclurfing the possibility of fines and imprisonment for knowing violations."
Signature of Permid r
[e-mail]
Email Address
legated Authorized Individual
Date
[phone]
Phone Number
08270A PM Fp1 aC nrr nnno