NCG060412_2022 DMR_20230120 (2)

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. NCG060412 Person Collecting Samples:Madison Shoemaker
Facility Name:Amazon.com Services LLC-CLT9 Laboratory Name:Eurofins Test America Savannah
Facility County:Mecklenburg Laboratory Cert. No.:269
Discharge during this period:Q 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)? Tier II
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 Parameter Outfall 001 Outfall 002 Outfall Outfall Outfall
Code
N/A Receiving Stream Class WS-IV;CA WS-IV;CA
N/A Date Sample Collected MM/DD/YYYY 11/25/2022 11/25/2022
46529 24-Hour Rainfall in inches 0.51 0.51
C0530 TSS in mg/L 6.1 3.2
00400 pH in standard units
8.97 10.4
31616 Fecal Coliform per 100 ml of N/A N/A
freshwater(if required)
61211 Enterococci per 100 ml of saltwater N/A N/A
(if required)
00340 Chemical Oxygen Demand in mg/L
<5.0 <5.0
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil N/A N/A
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L N/A N/A
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 other water classifications have a benchmark of ,
(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 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,including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] [phone]
Email Address Phone Number