NCG050416_MONITORING INFO_20190411

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 50 V / CD
DOC TYPE
❑ HISTORICAL FILE
Cy MONITORING REPORTS
DOC DATE
❑ c� �I I� 0 l l
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO,
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYM M DD

t nvirn01,11enIal
Qualm;
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance ou filling out this forin. please visit hops://deq.nc.gcw/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI I I I I I I/ or Certificate
Facility Name:
County:
Inspector:
Date of Inspection:
Time of Inspection: 2-ry-�
Total Event Precipitation (inches):
Coverage No
NICK/O /510A / I I
All pen -nits require qualitative monitoring to be performed during a "mcas�"ljslag; K-ent."
r+�T4-�Fetw F1L� i
A "measurable storm event" is a storm event that results in an actual discharge frets%the permitted site
\'�r;� ��
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour stone
interval does not apply if the pertnittee is able to document that a shorter interval is representative for
local stone events during the sampling period, and the pennittec obtains approval from the local DEMLR }
j Regional Office. ---- — --------- W—�� _
By this mature, I cctry- that t�is report is accurai tnplete to the best of my knowledge:
(Signature of Permittee
1. Outfall Description:
Outfali No. // 2- Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within th6 outf
1 drainage area:
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SWU-242, Last mudifed U610112018

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2. Color: Describe the color of the i
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): " o d&-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is eery cloudy:
6) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
6) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonnwater discharge, where I is no solids and 5 is extremely muddy:
,0 2 3 4 5
7. is there any foam in the stormwater discharge? O Yes v'No.
8. Is there an oil sheen in the stonnwatcr discharge'? 0Ycs Or No.
9. Is there evidence of erosion or deposition at the outf'all? O Yes e'No.
ill. Other Obvious Indicators of Stormwater Pollution:
List and describe
Nate: Low clarit-
y, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modilied U610112018
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