NCG030390_DMR_20210222 (3)

Environmental -
Qualiry
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NlClr'! llil3+10/!//�/
Facility Name:
County: A /
Inspector:
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/C/G/ el-3/ el3/ -fl Q
W-7, �r
17
Phone No. 44f
Total Event Precipitation (inches): //� A�r m�� NOV r
I
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 Designee)
1. Outfall Description:
Outfall No. T� Structure (pipe, ditch, etc.):
Receiving Stream: /
Describe the industrial a vities that occurwitI4 the�ou all dr,ainage area:
NOV 12 2021
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2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors
chlorine odor, etc.):
the discharge may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Sords: 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:
ev
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:
'1 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes No.
8.
9.
Is there an oil sheen in the stormwater discharge? OYes (SNo.
1
Is there evidence of erosion or deposition at the outfall? Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
G
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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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-rriineral-land-resources/1
npdes-stormwater-gps
Permit No.: N/C/G/�/,3/d 4�7/�O/ or Certificate of Coverage No.: N/C/G/�/. �d �l'Yl a
Facility Name: Z11141 k4w A4, CO.
County:
Inspector:
Date of Inspection:
Time of Inspection:
Z/
No.
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 Designee)
1. Outfall Description:
Outfall No. W-2— Structure (pipe, ditch, etc.):
Receiving Stream: t / 1/
Describe the
-Vz
r
!i>
e
i
sXg4i
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2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:/ e1/l fi /�i��iSyl7
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:
1 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 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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o;N0'.S.Is there an oil sheen in the stormwater discharge? oYes o
9. Is there evidence of erosion or deposition at the outfall oYes o 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