NCG060403_2022 DMR_20220729

NCDEQ Division of Energy, Mineral and Land Resources
Sio iiwater Discharge iO oi1itoring Report (DidiR) Foi'iii for NCU-0ou0Gu
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Storm water 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, NCG060403
Person Collecting Samples: John Haffner
Facility Name: Amazon.com Services LLC - DLT2
Laboratory Name: Eurofins Test America Savannah
Facility County: Guilford
Laboratory Cert. No.: 269
Discharge during this period: ❑ Yes 0 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 (1, ll, or III)?
A copy of this DMR has been uploaded electronically via http5://edocs.deg.nc.gov/Forms/SW-DMR ❑ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Cade
parameter
Outfall001
Clutfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
N
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (i 00 nr 51)*)
a
00400
pH in standard units (6.0-9.0 FW,
Q
S n- Q 5 Glrl
t
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
)
w
61211
Enterococci per 100 ml of saltwater
(if required) (cnni
16 t
Chemical Oxygen Demand in mg/L
00340
z°
1, 120)
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 gal/month
DD552
Non -Polar Oil & Grease in mg/L (15)
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/t.. All other water classifications have a benchmark of 100 mg/L
PIN (Freshwater) SW (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,
d, is, to the best my kn ledge a d belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false ' fo m ion, incl mg t e o ibility o fines and imprisonment for knowing violations."
1111)V1:ZW"k-
si�`ure Permi tee r Delegated Authorized Individual Date
[e-mail] [phone]
Email Address Phone Number

No Discharge Form
ERM
State Code
Site Code
Site Address
NC
DLT2
7941 National Service Road Colfax North Carolina 27235
Monitoring Period Frequency
Monitoring Period Frequency
Quarterly
Month
Quarter
C2
Period
Year
Monitoring Point(s) Description
Outfall 001
Notes
The detention basin water level was approximately 2 feet
beneath discharge point for outfall. No discharge was observed
for the outfall.
Assessor Name
John Haffner
Date of No Discharge Determination
June 27, 2022
Certification by Legally Responsible Official or Duly Authorized Representative
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 gathered and
evaluated the information contained therein. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information, the information contained 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 fine and imprisonment for knowing
violations.
DLT2
7941 National Service Road Colfax North Carolina 27235
June 27, 2022 6:23 PM
Page 1 of 2

No Discharge Form
cm
ERR
Name
Title
Signature
Date Signed
June 27, 2022
Inspector Signature
D LT2
7941 National Service Road Colfax North Carolina 27235
June 27, 2022 6:23 PM
Page 2 of 2