Loading...
HomeMy WebLinkAbout08_NCS000544_IDDE Inspection Example_202209224L OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: Background Data Outfall ID: Subwatershed (if known): Today'sdate: . Time (Military): 426 Investigators: Form completed by: Temperature ff): ° \ Rainfall (in.): Last24 hours: CY�, Last 48 hours: Camera: Photo #s: Land Use in Drainage Area (Check all that apply): ❑ Industrial ❑ Ultra -Urban Residential XSuburban Residential ❑ Commercial ❑ Open Space ❑ Institutional Other: KnoNvn Industries: Notes (e.g.., origin of outfall, if known): Section 2: Outfall Descri tion LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED [il-RCP ❑ CMP [GCircular &-Single Diameter/Dimensions: In Water - PVC ❑ HDPE ❑ Eliptical ❑ Double I ❑ Partially El Fully losed Pipe ElSteel ❑ Box ElTriple With Sediment: ❑ Other: ❑ Other: ❑ Other: QFlo ❑ Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ Parabolic Top Width: ❑ rip -rap ❑ Other: Bottom Width: ❑ Other: Flow Present? ❑ Yes F"t Flow Description El Trickle ❑Moderate ❑Substantial (If present) Section 3: Physical Indicators for Both Flowing and Non -Flowing Outfalls Are there any physical indicators that are not related to flow present? ❑ Yes [J�o (If No, Skip to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ❑ Spalling, Cracking or Chipping ElPeeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal ❑ ❑ Excessive ❑Inhibited Vegetation ❑ Odors ❑ Colors ❑ Floatables ❑ Oil Sheen Poor pool quality ❑ ❑ Suds ❑Excessive Algae El Other: Pipe benthic gro%vth ❑ ❑ Brown ❑ Orange ❑ Green 0 Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitative Characterization for Flowing Outfalls Only Is flow present? ❑ Yes [�o (!f No, Skip to Section 6) FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT ❑Flow#1 Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only Ara thara anv Phvcirnl Tnrlirntnrc PrPcant in tha flnw?!—I Vac I-1 Nn (IfNn .akin fn .Qartinn M INDICATOR CHECK if DESCRIPTION RELATIVE SEVERITY INDEX (1-3) Present Odor ❑ Petroleum/gas ❑ Sewage ElRancid/sour El1 ❑ —Faint ❑ 2 —Easily detected El —Noticeable from a ❑ Sulfide ❑ Other: distance ❑ Clear ❑ Brown ❑ Gray ❑ Yellow ❑ 1 — Faint colors in ❑ 2 — Clearly visible in ❑ 3 — Clearly visible in Color ❑ ❑ Green El orange El Red El Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ 1 — Slight cloudiness ❑ 2 —Cloudy ❑ 3 — Opaque ❑ 2 — Some; indications ❑ 3 - Some; origin clear Floatables ❑ Sewage (Toilet Paper, etc.) ❑ Suds ❑ 1 —Few/slight; origin of origin (e.g., (e.g., obvious oil -Does Not Include Trash!! ❑ Petroleum (oil sheen) Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section 6: Overall Outfall Characterization E4"Unlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? Section 8: Signature Print Name •,���`' li��- •.�'�'�l-`q�i►�'.. ,-'r ` �.. y�.. ,1•:`I`ST��4 ,e�'t� , - I471� ,-';_�.f ,.,�`•e� .. ��^�' "I Al� � �'f'�' � f �` � ' � t� ` " a � r � ; I ; f!'�r� � . �F'~�� `l�• `�t S ; a7 � , 1 nN �t�,'�w��^-• "�--,! 4�. �:I-, `. ' `. ' {. ' -.. ;,, ' \ r ', _ ��,r..-ri�r�_ � - }._ .. is=ski) L•. �Y� 1 r \ y i' 9• t V nG+`. tu ��s3L ► �> / = t ;. I = - % L It r„�1 $ )1 — ���-y�yi r� .,i. Nv mil• /� ':'�Ip. .4 t� f 771 Cr " `•[�`+'�j 4ate. ' '4 . LLLL n 4., ,i tii�7 �I �ti, � Q - •� - �i - •- • ` v��' 4g � i a� t , y (f �'�a�rf. Y , i' � } •jf` - � W i� t f- + -�'rli (R, /' \`. •ry� •� ,ice;. ... +, .. -- �''" ,.� .�.?5lc�:.+t, �,1.�.1'�.� ,'5.:�11,a.'}sr.��', � �' � {•' '����, tu.�1tr.�'�'1 #3 OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: BackEround Data Outfall ID: Subwatershed (if known): Today's date: 1 jo2'_ Time (Military): Q �2 Investigators: Fonn completed by: Q 1 Temperature ff): 7 y V Rainfall (in.): Last24 hours: Last 48 hours: Camera: Photo #s: Land Use io Drainage Area (Check all that apply): ❑ hidustrial ❑ Open Space r�-1, Ultra -Urban Residential ❑ institutional L�'SuUl�burban Residential Other: ❑ Commercial Know Industries: Notes (e.g.., origin of outfall, if known): Section 2: Outfall Description LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED CP ❑ CMP ❑ PVC ❑ HDPE N`Circular ❑ Eliptical i ingle ❑ Double Diameter/Dimensions: In Water::1 ❑ Partially ,�,� Lg'Closed Pipe ❑ Steel ❑ Box ❑ Triple El Fully ❑ Other: ❑ Other: ❑ Other: With Sediment: ❑b'1`lo ❑ Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ Parabolic Top Width: ❑ rip -rap ❑ Other: Bottom Width: ❑ Other: Flow Present? ❑ Yes [9No Flow Description (If present) ❑Trickle ❑Moderate ❑Substantial Section 3: Physical Indicators for Botli Flowing and Non -Flowing Outfalls Are there anv ohvsical indicators that are not related to flow present? ❑ Yes E+T16 (ff No, Skip to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ❑ Spalling, Cracking or Chipping ElPeeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal El El Excessive ❑Inhibited Vegetation ❑ Odors ❑ Colors ❑ Floatables ❑ Oil Sheen Poor pool grmlity ❑ ❑ Suds ❑ Excessive Algae ❑ Other: Pipe benthic gro%vth ❑ 0 Brown ❑ Orange ❑ Green ❑ Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitative Charafterization for Flowing Outfalls Only Is flow present? ❑ Yes Ei-No Qf No, Skip to Section 6) FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT ❑Flow#1 Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only Are there any Physical Indicators Present in the flow? I-1 Yes �o UfNo, Skip to Section 6) INDICATOR CHECK if DESCRIPTION RELATIVE SEVERITY INDEX (1-3) Present Odor ❑ ❑ Sewage ❑ Rancid/sour ❑ Petroleum/gas ❑ 1 —Faint ❑ 2 —Easily detected ❑ 3 —Noticeable from a ❑ Sulfide ❑ Other: distance ❑ Clear ❑ Brown ❑ Gray ❑ Yellow ❑ 1 —Faint colors in El — Clearly visible in ❑ 3 — Clearly visible in Color ❑ ❑ Green ❑ Orange ❑ Red El Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ 1 — Slight cloudiness ❑ 2 —Cloudy ❑ 3 —Opaque El 2 —Some, indications ❑ 3 - Some; origin clear Floatables ❑ Sewage (Toilet Paper, etc.) ❑ Suds ❑ 1 — Few/slight; origin of origin (e.g., (e.g., obvious oil -Does Not Include Trash!! ❑ ❑ Petroleum (oil sheen) ❑ Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section 6: Overall Outfall Characterization [G- Unlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? Section 8: Signature -- C l Print Name 4 IFl S4W Al V'll Q ", NA OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: Back round Data Outfall ID: SUbwatershed (if known): Today'sdate: 1 OM- Time (Military): oY3C( Investigators: Fenn completed by: Temperature ff ): S O Rainfall (in.): Last 24 hours: --,Q- Last 43 hours: Camera: Photo #s: Land Use in Drainage Area (Check all that apply): ❑ Industrial ❑ Ultra -Urban Residential uburban Residential ❑ Commercial ❑ Open Space ❑ Institutional Other: Known Industries: Notes (e.g.., origin of outfall, if known): Section 2: Outfall Description LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED El'vCP ❑ CMP ❑ ircular mgle Diameter/Dimensions: In Water: ❑ PVC ❑ HDPE ❑ Eliptical ❑ Double El No (K Partially Closed Pipe ElSteel ❑ Boa ❑ Triple El Fully With Sediment: ❑ Other: ❑ Other: ❑ Other: ❑ No Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ rip -rap ❑ Parabolic Top Width: ❑ Other: Bottom Width: - ❑ Other: - Flow Present? ❑ Yes KNo Flow Description (If present) Trickle ❑ ❑Moderate ❑Substantial Section 3: Physical Indicators for Both Flowing and Non -Flowing Outfalls Are there any physical indicators that are not related to flow present? ❑ Yes ]o (If No, Skip to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ElSpatIing, Cracking or Chipping ❑ Peeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal ❑ ❑Excessive ❑Inhibited Vegetation ❑ Odors ❑ Colors ❑ Floatables ❑ Oil Sheen Poor pool quality ❑ ❑ Suds El Excessive Algae El Other: Pipe benthic groNvth ❑ ❑ Brown ❑ Orange ❑ Green 0 Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitative Char terization for Flowing Outfalls Only Is flow present? El Yes 2 No QfNo, Skip to Section 6) FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT 7Flow#1 Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only A.-o+I,.,- o. Ph.,o:­ I r.,.t:­f-, Pro f it the fl—OF-1 VP I D." th'AT, chin A) INDICATOR CHECK if DESCRIPTION RELATIVE SEVERITY INDEX (1-3) Present ❑ Sewage ElRancid/sour ❑ Petroleum/g ❑ 3 -Noticeable from a Odor ❑ Elas 1 -Faint ❑ 2-Easily detected distance ❑ Sulfide ❑ Other: Color ❑ ❑ Clear ❑ Brown ❑ Gray ❑ Yellow ❑ I - Faint colors in ❑ 2 -Clearly visible in ❑ 3 -Clearly visible in ❑ Green ❑ Orange ❑ Red ❑Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ 1 - Slight cloudiness ❑ 2 - Cloudy ❑ 3 - Opaque ❑ 2 - Some, indications El3 - Some; origin clear Floatables ❑ Sewage (Toilet Paper, etc.) ❑ Suds El I -Few/slight; origin of origin (e.g., (e.g., obvious oil -Does Not Include Trash!! ❑ ❑ Petroleum (oil sheen) ❑ Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section 6: Overall Outfall Characterization [g Unlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? l Section 8: Signature Print Name J?c,V ' ,r. � I��• � � �� ��. �� � �, ,' y� / /�/// � /(ter . J. ; �'� �� i ., � �, � ,I���� ���. .4 •� 1'•0'}, `^�y `,��,�� \ �jf,,��y �• yi�L+ � t4!/�"��ip �`r66�J 1jt` �� _ Mai or h is ►� �"� ��.: }' `c, i N TIN R ,�^ f.t \�.arC�� .ail', j!\\"� ` _akp,�f�`-2�.k��_�.: �. .• \ f it VIP �7� Y, \� 11� 5 � r f I ��t � y {� -�, n'. I�t 4Pd ,+ i i, ''. ''i�r , ` i�~� �Vli y 1 % 21!!• ti �,�< �; f� t1.7. � , , ►y . 1 , �. .��. ...• J, .. .- 1�.1:y� �'. ; .5,�liG �'',{I'y:! __ 1. �,'dl�:�+ •!'� ��� '..1rt. ?t. , �.`�; 1w:..i�Y�`iw .. , � - . ----� t ` �; � . f ., ,,, ,/ ' � � � ��r.;. .�[� sa `t�6. r���ut�YG r��s ^t�tir {l �'L4�'h���,��� R ,, 'i i i 9 9 OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: Background Data Outfall ID: Subwatershed (if known): T, � Time (Military): Vy % V Investigators: Fonn completed by: Temperature ff ): Rainfall (in.): Last 24 hours: "(�A_ Last 48 hours: -Gk Camera: Photo #s: Land Use in Drainage Area (Check all that apply): ❑ Industrial ❑ Open Space ❑ Ultra -Urban Residential ❑ Institutional Other: uburban Residential ❑ Commercial Known Industries: Notes (e.g.., origin ofoutfall, ifknown): Section 2: Outfall Description LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED CP ❑ CMP ❑ PVC ❑ HDPE Circular ElEliptical ingle ElDouble Diamete imensions: 3 J In Water: Nkl0 ❑ Partially ❑ Fully �- losed Pipe ElSteel ❑ Box ElTriple ❑ Other: ❑ Other: ❑ Other: With Sediment: ❑ Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ Parabolic Top Width: ❑ rip -rap ❑ Other: Bottom Width: ❑ Other: Flow Present? ❑ Yes t�ivo Flow Description (If present) El Trickle El Moderate ❑Substantial Section 3: Physical Indicators for Both Flowing and Non -Flowing Outfalls Are there any physical indicators that are not related to flow present? ❑ Yes F4 (If No, Ship to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ❑ Spatting, Cracking or Chipping ElPeeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal El ❑Excessive El Inhibited Vegetation ❑ Odors ❑ Colors ❑ Floatables ❑ Oil Sheen Poor pool grility ❑ ❑ Suds ❑Excessive Algae ❑Other: Pipe benthic growth ❑ 0 Brown ❑ Orange ❑ Green ❑ Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitative Chara rization for Flowing Outfalls Only Is flow present? El Yes [ o (If No, Skip to Section 6) FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT ❑Flow#I Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only A, rl,o — , P1,., ;­1 T A;­t­ Pra t in the flr,.aOn VP I -Nl tr"Alr' A) INDICATOR CHECK if DESCRIPTION RELATIVE SEVERITY INDEX (1-3) Present Odor ❑ ❑ Sewage ❑ Rancid/sour ❑ Petroleum/gas ❑ I —Faint ❑ 2 —Easily detected ❑ 3 — Noticeable from a ❑ Sulfide ❑ Other: distance ❑ Clear El Brown ❑ Gray ❑ Yellow ❑ I — Faint colors in ❑ 2 —Clearly visible in El —Clearly visible in Color ❑ ❑ Green ❑ Orange ❑ Red ❑Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ I —Slight cloudiness ❑ 2 — Cloudy ❑ 3 — Opaque ❑ 2 — Some; indications El3 - Some; origin clear Floatables ❑ Sewage (Toilet Paper, etc.) ❑ Suds ❑ I — Few/slight; origin of origin (e.g., (e.g., obvious oil -Does Not Include Trash!! ❑ ❑ Petroleum (oil sheen) ❑ Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section 6: Overall Outfall Characterization Unlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? Section 8: Signature Print Name & iC/ ! �� 1 e' _WB 4 -ften INA -1 rsil-,M ! a t4 A 'It's S?i AE 41, - 41W wl, 40! V,- rl-17--le" V�j A? Olt 11 ~Ns FRI-, -IVA 42, 71, �ZV 7F al N�Al go k T%z - m_ OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: Background Data Outfall ID: Subwatershed (if knowi): Today's date: / �j�Z Time (Military): 6' jI Investigators: Form completed by: rJ Temperature ff): �� n Rainfall (in.): Last24 hours Last 48 hours: Camera: Photo #s: Land Use in Drainage Area (Check all that apply): ❑ Industrial ❑ Ultra -Urban Residential i urban Residential ❑ Commercial ❑ Open Space ❑ Institutional Other: Known Industries: Notes (e.g.., origin of outfall, if known): Section 2: Outfall Description LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED CP ❑ CMP ircular mgle Diameter/Dimensions: In Water: Q o ❑ PVC ❑ FIDPE ❑ Eliptical ❑ Double ' 0 ❑ Partially ❑ Fully D'eflosed Pipe ❑ Steel ❑ Box ❑ Triple With Sediment: ❑ Other: ❑ Other: ❑ Other. No ❑ Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ Parabolic Top Width: ❑ rip -rap ❑ Other: Bottom Width: ❑ Other: Flow Present? ❑ Yes EKO Flow Description ❑Trickle ❑Moderate ❑Substantial (If present) Section 3: Physical Indicators for Both Flowing and Non -Flowing Outfalls Are there any physical indicators that are not related to flow present? ❑ Yes F -<o (If No, Skip to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ❑ Spalling, Cracking orChipping ElPeeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal ❑ ❑ Excessive ❑ Inhibited Vegetation ❑ Odors ElColors ElFloatables ❑ Oil Sheen Poor pool quality ❑ ❑ Suds ❑ Excessive Algae ❑ Other: Pipe benthic grmvth ❑ ❑ Brown ❑ Orange ❑ Green ❑ Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitative Characterization for Flowing Outfalls Only Is flow present? ❑ Yes ED,--1,5` (If No, Skip to Section 6) FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT ❑Flow#1 Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only Are there any Phvsical Indicators Present in the flow? I J Yes rue/1 UfNo, Skip to Section 6) INDICATOR CHECK if Present DESCRIPTION _ RELATIVE SEVERITY INDEX (1-3) Odor ❑ ❑ Sewage ❑ Rancid/sour ❑ Petroleum/gas ❑ 1 —Faint ❑ 2 —Easily detected ❑ 3 —Noticeable from a ❑ Sulfide ❑ Other: distance Color ❑ ❑ Clear ElBrown ElGray ❑ Yellow ❑ 1 —Faint colors in ❑ 2 —Clearly visible in ❑ 3 —Clearly visible in ❑ Green ❑ Orange ❑ Red ❑Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ l — Slight cloudiness ❑ 2 —Cloudy ❑ 3 — Opaque El 2 — Some; indications El 3 - Some; origin clear Floatables Not Include ❑ El Sewage (Toilet Paper, etc.) [I Suds ❑ 1 — Few/slight; origin of origin (e.g., (e.g., obvious oil -Does Trash! ! ❑ Petroleum (oil sheen) ❑ Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section • Overall Outfall Characterization Er-u--nlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? Section 8: Signature / Print Name -4 7 OUTFALL RECONNAISSANCE INVENTORY FIELD SHEET Section 1: Bacic round Data Outfall ID: Subwatershed (if known): Today's date: /jZ Time (Military): Investigators: Form completed by: e , Temperature ff): Rainfall (in.): Last 24 hours: '& Last 48 hours: Camera: Photo #s: Land Use in Drainage Area (Check all that apply): ❑ Industrial ❑ Ultra -Urban Residential urban 1esidential ❑ Commercial ❑ Open Space ❑ Institutional Other: Known Industries: Notes (e.g.., origin of outfall, if known): Section 2: Outfall Description LOCATION MATERIAL SHAPE DIMENSIONS (IN.) SUBMERGED CP ❑ CMP rcular 111-&i g e Diameter/DVpensions: / In Water: ❑ PVC ❑ HDPE ❑ Eliptical ❑ Double o ❑ Partially losed Pipe ❑ Steel ElBox ElTriple ❑ Fully With Sedi nt: ❑ Other: ❑ Other: ❑ Other: No ❑ Partially ❑ Fully ❑ Concrete ❑ Trapezoid Depth: ❑ Earthen ❑ Open drainage ❑ Parabolic Top Width: ❑ rip -rap ❑ Other: Bottom Width: ❑ Other: Flow Present? ❑ Yes No Flow Description rickle ElModerate ❑Substantial (If present) Section 3: Physical Indicators for Both Flowing and Non -Flowing Outfalls Are there any physical indicators that are not related to flow present? ❑ Yes E.P6 (If No, Skip to Section 4) INDICATOR CHECK if Present DESCRIPTION COMMENTS ❑ Spatting, Cracking or Chipping ElPeeling Paint Outfall Damage ❑ ❑ Corrosion Deposits/Stains ❑ ❑ Oily ❑ Flow Line ❑ Paint ❑ Other: Abnormal ❑ ❑ Excessive ❑ Inhibited Vegetation ❑ Odors ❑ Colors ❑ Floatables ❑ Oil Sheen Poor pool quality ❑ ❑ Suds ❑Excessive Algae El Other: Pipe benthic growth ❑ ❑ Brown ❑ Orange ❑ Green ❑ Other: Outfall Reconnaissance Inventory Field Sheet Section 4: Quantitativ Characterization for Flowing Outfalls Only Is flow present? s ❑ No (If No, Skip to Section 6) .,1 1 X'"t FIELD DATA FOR FLOWING OUTFALLS PARAMETER RESULT UNIT EQUIPMENT ❑Flow#1 Volume Liter Bottle Time to fill Sec ❑Flow #2 Flow depth In Tape measure Flow width Ft, In Tape measure Measured length Ft, In Tape measure Time of travel S Stop watch Section 5: Physical Indicators for Flowing Outfalls Only Are there anv Phvsicnl Tnrlicntnrs Present in the flnw?F Ve il-kh (IfNin .Chin rn.Cvrtinn Fi INDICATOR CHECK if Present DESCRIPTION RELATIVE SEVERITY INDEX (1-3) ❑ Sewage ❑ Rancid/sour ElPetroleum/gas ❑ 3 —Noticeable from a Odor ❑ ❑ I —Faint ❑ 2 —Easily detected distance ❑ Sulfide ❑ Other: Color ❑ El Clear El Brown El Gray ❑ Yellow ❑ I —Faint colors in ❑ 2 —Clearly visible in ❑ 3 —Clearly visible in ❑ Green ❑ Orange ❑ Red ❑Other: sample bottle sample bottle outfall flow Turbidity ❑ See severity ❑ 1 —Slight cloudiness ❑ 2 —Cloudy ❑ 3 —Opaque Floatables ❑ Sewage (Toilet Paper, etc.) ❑ Suds ❑ 1 — Few/slight; origin ❑ 2 — Some; indications of origin (e.g., ❑ 3 - Some; origin clear (e.g,, obvious oil Does Not Include Trash!! ❑ ❑Petroleum (oil sheen) ❑Other: not obvious possible suds or oil sheen, suds, or floating sheen) sanitary materials) Section 6: Overall Outfall Characterization ttCJnlikely ❑ Potential (presence of two or more indicators) ❑ Suspect (one or more indicators with a severity of 3) ❑ Obvious Section 7: Any Non -Illicit Discharge Concerns (e.g., trash or needed infrastructure repairs)? Section 8: Signature Print Nam a Ile I 4k' V \. y� \ . 1, � � � � r ,� �� / � �' I ` A 'r r �' • y - ilk r � • � _ Ate{ t � ^ •� i r / .i ,. -~z'�`_ ` ! till,"� ,. - �' /' r �, ,'��;� ✓�� /.•��`__ , ,`` � ,����� •;.� ;�, a,�• "' �1Apr 1_ %� l� � �;f� " -�' +�. - yi -_�� _ Ir tf WT to AA '1611 a'�� � v ��; �� l-. 1 h,V•a� � .�1 �\'mac. 1. �� �y� �'!!��•• s1 �r_ ,- �� / _ � — •`� Ali ' l� ; 0 4 -` � � �^ - y