NCG060391_2023 DMR_20230523

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG060000
Food and Kindred
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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. NCG060391 Person Collecting Samples:Brian Mahan(Pyramid Environmental)
Facility Name:Pepsi Bottling Ventures-Western Optimized Warehouse Laboratory Name:Pace Analytical Services, LLC
Facility County:Forsyth Laboratory Cert. No.:12 (Charlotte); 40 (Asheville)
Discharge during this period:0✓ Yes No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?QYes 0 No
If so,which Tier(I, II,or III)?
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 003 Outfall Outfall
Code
N/A Receiving Stream Class C C C
N/A Date Sample Collected MM/DD/YYYY 01/25/2023 01/25/2023 No Discharge
46529 24-Hour Rainfall in inches 0.8 0.8 0.8
C0530 TSS in mg/L(100 or 50*) 24.1 15.4 No Discharge
00400 pH in standard units(6.0—9.0 FW, 9.2 8.5 No Discharge
6.8-8.5SW)
00556 Oil&Grease in mg/L(30) Not Applicable Not Applicable Not Applicable
31616 Fecal Coliform per 100 ml of Not Applicable Not Applicable Not Applicable
freshwater(If required)(1000)
61211 (if Enterococciquired per 100 ml of saltwater Not Applicable Not Applicable Not Applicable
(if required)(500)
00340 (1;Chemical Oxygen Demand in mg/L 44.3 32.8 No Discharge
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 600 600 600
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L(15) <4.8 <4.8 No Discharge
* 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
FW(Freshwater)SW(Saltwater)
Notes(optional):Tier 1 response report for slight pH exceedance at Outfall 1 prepared 03/02/23 and maintained with SWPPP.
"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."
-5 7/6,00
Signature of ermittee or Delegated Authorized Individual Date
[e-mail] 919-865-7416
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