NCG080697_2021 DMR_20210929 (2)

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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.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/O 10 /v /6 19 / 7 /
Facility Name: &Jer50Av:11
County: j4"e r 5o j Phone No. 3 7 6 - 2. 1 1 %
Inspector: �DJs I Mo Ff,- i f
Date of Inspection: is ` 3 1- 2o21
Time of Inspection: 3 :
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
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description:
Outfall No. -OF - 00 1 Structure (pipe, ditch, etc.):
Receiving Stream:
o r)
Describe the industrial activities that occur within the outfall drainage area:
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L e..r._ c-i�..►-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /j +,%--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very 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 1 is no solids and 5 is the surface covered with floating solids:
Cal 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:
(l 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes cdNo.
8. Is there an oil sheen in the stormwater discharge? OYes (21"No.
9. Is there evidence of erosion or deposition at the outfall? o Yes (2 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.
Page 2 of 2
SwU-242, Last modified 06/01/2018

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.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/D lei /a 1.6 /9 /7 /
Facility Name: H �cf5on U= Ile. Ua�a tc
County:-te..•derfo� Phone No. b 2.8 - 5 -7 6 - Z 117
Inspector: 14
Date of Inspection: 2©Z4
Time of Inspection: '(� i`•t
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 Permittee or
1. Outfall Description:
Outfall No.Of-O&L Structure (pipe, ditch, etc.):
K
Receiving Stream:
the industrial activities that occur within the outfall drainage area:
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C its
3. Odor: Describe a{y 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: a? 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:
6) 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:
01 2 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? o Yes CiNo.
Is there an oil sheen in the stormwater discharge? oYes C"No.
Is there evidence of erosion or deposition at the outfall? o Yes dNo.
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.
Page 2 of 2
SwU-242, Last modified 06/01/2018