NCG030412_DMR_20210118

- Environmental
Quality
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.:
Facility Name:
County:
Date of Inspection: / a / / Y /
Time of Inspection: /,�L D
/q/ or Certificate of
`A
Total Event Precipitation (inches): v - ;;-D
No.
N/C(G/(g /3 /V A+/ l /34
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
Regional Office.
By thi§-�ature, I certify that this report is accurate and complete to the best of my knowledge:
4-tiigbature of Permittee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.): 4Z a. E
Receiving Stream: UV
Describe the iPdystrial activities that occur wythin the/bt4fall drainage area:

2. Color: Describe the color of a discharge g basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �i
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
G) 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:
1 (Z)
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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes • No.
8. Is there an oil sheen in the stormwater discharge? OYes a No.
9. Is there evidence of erosion or deposition at the outfall? O Yes a 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.