NCG060419_2022 DMR_20220729

NCDEQ Division of Energy, Mineral and Land Resources
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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. NCG060419
Person Collecting Samples: John Haffner
Facility Name: Amazon.com Services LLC - DLT7
Laboratory Name: Eurofins Test America Savannah
Facility County: Guilford
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 Q No
If so, which Tier (I, II, or 111)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Q Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfail 001
Outfall002
Outfall003
Outfall004
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,nnnr 5n*)
00400
pH in standard units (6.0-9.0 FW,
y
c o— w r c%AA
t
s
Fecal Coliform per 100 ml of
1O
31616
freshwater (if required) rinnnt
oo
P
°°1`°
61211
Enterococci per 100 ml of saltwater
(if required) 1500;
CU
:q
u t
00340
Chemical Oxygen Demand in mg/L
z rr
rr
6
rr
f i'�nl
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
00552
Non -Polar Oil & Grease in mg/L (ib)
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/L. All other water classifications have a benchmark of 100 mg/L
FVV (Freshwater) SVJ (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-iIs, to the ber�e of my"Towledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inf�rnatipn, incj(dirossibilijy of fires and imprisonment for knowing violations."
[e-mail]
Email Address
[phone]
Phone Number

No Discharge Form
ERM
State Code
Site Code
Site Address
NC
DLT7
6495 Franz Warner Parkway Whitsett North Carolina 27377
Monitoring Period Frequency
Monitoring Period Frequency
Quarterly
Month
Quarter
Q2
Period
Year
Monitoring Point(s) Description
Outfalls 001, 002, 003, and 004
Notes
Water in detention basins were well below discharge points. No
discharge observed from outfalls.
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.
DLT7
6495 Franz Warner Parkway Whitsett North Carolina 27377
June 27, 2022 7:48 PM
Page 1 of 2

No Discharge Form
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Name
Title
Signature
Date Signed
June 27, 2022
Inspector Signature
G
D LT7
6495 Franz Warner Parkway Whitsett North Carolina 27377
June 27, 2022 7:48 PM
Page 2 of 2

cm No Discharge Form
ERM
Name
Title
Signature
Date Signed
June 27, 2022
l�
V G
Inspector Signature
AM
6495 Franz Warner Parkway Whitsett Borth Carolina 27377
June 27, 2022 7:48 PM
Page 2 of 2