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QUU1'ity
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ / l L1101.31 7l45l
Fnrility Name. 0.A r» I i .. n_ IC P 't c(, — M : t,- Ikf-s 9t., nDL L L- e-
County: i'r) R d S o 14 _ Phone No. 8 a- 'It� - 1, k & - 3 a 4/
Inspector: aC A-12-4 I!�o M
Date of Inspection: 3 1(i zo
Time of Inspection: 9 pa Aly,
Total Event Precipitation (inches)
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of lUrmittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): 4�L
Receiving Stream:
- Ire r o-V, r_->Ir 0 a A- T, v t` G
Describe the industrial activities that occur within the outfall
q ,
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area:
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SWU-242, Last modified 06/01/2018
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C jTk
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): r1 a r\ 4-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes jq No.
8. Is there an oil sheen in the stormwater discharge? QYes �iNo.
9. Is there evidence of erosion or deposition at the outfall? O Yes � No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
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SWU-242, Last modified 06/01/2018