NCS000354_2022 DMR_20220330

N, Z�1,
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/ 5 /0 / © 4) / 3/ 5-1 Y / or Certificate of Coverage No.: N_/C/G/
Facility Name:
County: VA�Ab „ Phone No. , 3 7 -T?16 j
Inspector: _ SILeALAA
Date of Inspection: _ 311-1.1 a 0 as
Time of Inspection: O K 15 I,. �S ,
Total Event Precipitation (inches): 0, ya
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 regort is accurate and complete to the best of my knowledge:
(Sign re of I ermittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): R. ROM PCt<A41i 11 Po-q Cl
Receiving Stream:
4�k Cr-�t k
Descripe the industrial activities that occur within the outfall drainage area: 5 0 154&*�.e
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors: L f,
:harge using basic colors (red, brown, blue, etc.) and tint
r A ro,-j A
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): M 0 t.-*—
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 � 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)so2 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:
10 3 4 5
7. Is there any foam in the stormwater discharge? 9 Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes QPNo.
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/O1/2018

L
�o
oa
NT
LO
M
O
O
O
U
0
z
�r
a
E
Q
q
w
0
0

U
Op
R ::
rn
a
$'an
v N N
49
r
to
w
•°�a"
b 4" Uj O
y
o q. zPC
O
u, as�ow
as
PC 0 a
h �
�oow
aPOb
q
C4 y � ed
+r
GO
aa.°�°
un
Po a o
I
I
a O b �+
aay
it
CPC
0 q ,r
cq >,
>,
C cu
of o
o
o 0 ;C
V
�+
u
a
�J q>
a
o w pa
W
y
N
"yam Vi
s.
O
.rrA
O
O
O
a
O
a a bL�
�
CJ
Ugo
PC
N
o
o
� q
e�Le
V
a
o
a a
W Ctf O>
AFW
:..
C* O>
AFW
My rA y u
y q
s o.c
O
F
N
N
0
N
6
CO
(0
2
0

Nf ei tech, .inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Natasha Wicker
Report Date:
3/29/2022
Client: Star Pet INC
801 Pineview Rd
Asheboro, NC 27204
Date Sample Rcvd:
3/18/2022
Meritech Work Order # 031822109 Sample: Stormwater ID# 853950 Grab
3/17/22
Parameters
Rem
Analysis Date
Rmrting Limit
Method
BOD, 5 day
6.9 mg/L
3/18/22
2.0 mg/L
SM 5210 B
COD
32 mg/L
3/22/22
15 mg/L
EPA 410.4
Total Suspended Solids
12 mg/L
3/23/22
2.5 mg/L
SM 2540 D
pH
7.0 S.U.
3/21/22
1.0 -14.0 S.U.
SM 4500-HB
I hereby certify that I have reviewed and approve these data (1
2Z
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fa3L(336)342-1522

o v� ? 00
Q'
a v
2
c
EO N
H
-"
O
❑
`�
CL
s C
� M
; Z
c�
t0
a, g
a
(CU ,n
U
c
J O a
E
E
O �+
Q
Y
H
•
W
C
y
1
J
o.
z
.pc
a l.L
W
io
a
M.
is
•�
a
web
E
�"'
a+
o
rjO
tt
C
y
lL/
Al
•
\)
N
`�
C
m
En
=
ei
a �
W
C Y/
GJ
c
IA-ZA
>.
=
a
0� o.
m
'm
0�
�
.�(
v
O co
�Sj
Q
E
N
H
IV
3
o
ow
VI)_
0 � c
in
�
u
oS
i
C
Q
U Q
Q
a V (7
Z
0
ui
5i
ai
as
E
E]
E
E
E
a
07 F'-
01a
m
N
w_
v.N
1- '�
u
�
�
V
a
Ln
V
E
al
m
u
y
E
o c
o
0
4�
O
t6
m
M
m
w
m
_
M
ECL
c
a
O
U
c
a"i
OD +
E
c
a
s
0.
m
U.
L Vl
4J
H tp
a
3 j
L
O
t1le'M
� ■ ,
W
F
7
,�
E �
�
� r
N
C
v
1.
i
H
W
p
z
E L
U
7
Z
m
w 1i1
0
p
y
w
` rc1
Q d
d
w
M
c
c
e
0
O
i
V
z
t;
O
4
O
#'
>
Gl
E
N w O
a 'a
G1
s
E
�
CL
'� 2-o
R
m o
_
❑ 11 ❑