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HomeMy WebLinkAboutNCG060323_DMR_20230117 STORMWATER DISCHARGE OUTFALL(SDO) MONITORING REPORT GENERAL.PERMIT NO.NCG060000 O SAMPLES COLLECTED DURING CALENDAR YEAR: 240 2—L_ CERTIFICATE OF COVERAGE NO.NCG06 (This monitoring report is due at the Division no later than 30 days from �fA the date the facility receives the s mpling result from the laboratory.) FACILITY NAME i� . 4 'r�l `t Qr !1I r/ COUNTY r 14 PERSON COLLECTING SAMPLES PHONE NO.( D 4 CERTIFIED LABORATORY Lab# ��—"� — Lab# PLEASE SIGN ON THE REVERSE 4 Part A: Specific Monitoring Requirements Outfall Date 00530. `: ,00400 00340 00556 31616 No. Sample TotaLSuspended pH, Chemical Oxygen OlLand Grease, Fecal'Coliform,> Collected,:; Solids, Standard units Demand, mg/L'- Colonles'per 100 ml mo/dd/ r - Benchmark _ 1.00 :-. Within..6:0 -9.0 120 30 1000. UL Y Im 1L < jj cr Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses. p See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?—yes (if yes,complete Part B) Part B: Vehicle Maintenance Activity onitoring Requirements Outfall Date 00556 .',; 00530:,,;: . 00400 No. Sample Golle'cted, ; Oil and Grease, Total Suspended Sblids,> A,' New Motor Oil.Usage; . p mo/dd/`r m /L„', .. m Standard..umts : Annual'avers a al/mo Benchmark - 30 .' 100 60:=9.0 _ r Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERIST CS: Mail Original and one copy to: L� Division of Water Quality Date g(first event sampled) / If Attn:DWQ Central Files Total Event Precipitation(inches): / 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation(inches): O11 rT T n A n I fin I As r4%q T Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/ L/fr9 or Certificate of Coverage No.: N/C/G/D/Col O/ _121�1 Facility Name: n1 ►' County: L3 tp 10,4 x Phone No. 2 2 9 � Inspector• u 5 // Ar uJ"CIL Date of Inspection: By this s' a ,I certify that this re rt is accurate�n omplete to the best of my knowledge: (Signatur of Permittee or Designee L Outfall Description Outfall No. Structur pipe ditch,etc.) Receiving Strea ^ Describe the industrial activities at occur within the outfall drainage area: 2. Color Describe the color of the discharwusing b sic colors(re ,brown,b ue d tint(light,medium, dark) as descriptors: 3. Odor Describe any d' inct odors that the discharge may have(i.e., smells strongly of oil,weak chlorine odor, etc.) 1 f� 4. Clarity Choose the number which best describes the clarity of the discharge where.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids-in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes(/J 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes 00 - 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 A��� :•P t Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: kil 6>/(0/0 lQlal or Certificate of Coverage No.: N/CQ Dl<o/0/j/2/2/ Facility Name: ,A)T Y' County: ,' x Phone No. q / b q — 9 Inspector: • rW Cle- Date of Inspection: — 2 By this si a certify that this report is accu to and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. ��Structure(pipe,ditch,etc.) A ea -6A Receiving Stream: • P Describe the industrial activities Cat occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: /s / 4z 3. Odor Describe any distinct odgrs 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 10 is very cloud 1 2 3 4 5 6 7 8 9 10 _1 Page i SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Ye No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe i . Note: Low clarity,high solids,and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 WA- Ct Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/Q1CJ101LLV/--P1a1 or Certificate of Coverage No.: 1VlC/G/D/Col�l /Zl l Facility Name: •'nJ r County:. �' X.,/ Phone No. q I D O q Inspector: • l'W CAL Date of Inspection: ,� 4 'r P C Z By this a e,I certify that this ort is accura and complete to the best of my knowledge: c (6 ignature f Pernuttee or Designee) 1. Outfall Description Outfall No. . Structure(pj'pe,ditch,etc.) Receiving Stream: b% �/ is G Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: 4 4 6e1I 3. Odor Describe any distinct odorj that qie 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.I is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 -5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 0oam. 2 3 4 5 6 7 8 9 10 7. Is there any foam in the stormwater discharge? Yes 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes r io 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes N 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids,and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 ' Ar Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/G /�/L/(t9/�/Q/a/ or Certificate of Coverage No.: N/C/G/ Facility Name: •'n1 2 r County: < <` X/ Phone No. L=6 2 9 Inspector• Ru SsyA AfW C/L Date of Inspection: o /2•A �' 2 ?� By this si ,I certify that this r rt is accura a and complete to the best of my knowledge: C. (Si afore o Permittee or Designee) 1. Outfa"Desc 'ption Outfail No. Structure(pipe,ditch,etc.) Receiving Strea T Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: ✓'— 3. Odor Describe any distinct odors that a di charge 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,I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where i is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspled Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No' 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes oNo 11. Other Obvious Indicators of Stormwater Pollution List and describeL 9-4 AL Note: Low clarity,high solids,and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 WA ca Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICIIAIOILIl9l-lQlal or Certificate of Coverage No.: N/C/G/O/6 O/_LZI3/ Facility Name: .'nl T Y County; ,' x/ Phone No. o2 9 47 Inspector' Date of Inspection: /7-_.. 9- 2 Li 4thiture,I certify that thi port is accu to and complete to the best of my knowledge: f Permittee or Designee) 1. Outfall Description Outfall No. Structure(pipe,ditch,etc. �G Receiving Stream: 'ja An At Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: ' o 3. Odor Describe any distinct dors that the discharge may have(i.e., smelIs strongly of oil,weak chlorine odor, etc.) A) FV 4. Clarity Choose the number which best describes the clarity of the discharge where,I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 E Page 1 SWU-242-020705 � 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: V 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes 0 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam, oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 WA TAB - 7 r- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG I0/k1-9/-& >Ial or Certificate of Coverage No.: N/C/G/DI 6 01 2-13J Facility Name: •'nl 2 r County: L3 C Pg 4 <` X/ Phone No. 9 / 0 o2 2 q � Inspector: l'ul C lL Date of Inspection: Z. _ _ Z. By ' si e,I certify that this eport is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description J Outfall No. ��L. Structure(Pipe,ditch,etc.) e�^' z Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischalge using basic colors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: y 4== i r 3. Odor Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak chlorine odor, etc.) d�Ar�6 4. Clarity Choose the number which best describes the clarity of the discharge where.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 -5. Floating Solids Choose the number which best describes the amount of floating solids*in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes N 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? 'Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes(CN�) 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant farther investigation and corrective action. Page 2 SWU-242-020705 A. t Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/ /0l-6/0/ or Certificate of Coverage No.: N/C/G/D/Co/�/ /2/ / Facility Name: :n1€ ✓' County: L3 wo,4 , Phone No. Inspector• Wu A f W c C le— Date of Inspection: By this si e,I certify.thatAhis report is accurate and complete to the best of my knowledge: (Signat&e of Pennittee or Designee) 1. Outfall Description Outfail No. . Structure(pipe,ditchhetc.) �L/`E�� �� Receiving Strea . Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic color (red brown,blue,etc.)and tint(light,medium, dark) as descriptors: 3. Odor Describe any distinct o rs 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.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stdrihwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (90 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam, oil sheen,deposition or erosion may be indicative of conditions that wan-ant further investigation and corrective action. Page 2 SWU-242-020705 Y D AT 1 Stormwater Discharge Outfall (00) Qualitative Monitoring Report Permit No.: N/G /0/�/�9/�/Q/�/ or Certificate of Coverage No.: Facility Name: :n1€ Y County: L3 X/ Phone No. 9 / O Inspector: Date of Inspection: 12 By th' fature,I certify that is report is ccurate and complete to the best of my knowledge: ( ignature of Permittee or D ignee) 1. Outfall Description P lA Outfall No. . Structure(pipe,ditch,etc.) Receiving Stream: c4AW)K. r Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the disch ge using ba 'c colors(red,brown,-blue,etc.)and tint(light,medium, dark)as descriptors: 3. Odor Describe any distinct dors at 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.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 A SWU-242-020705 5. Floating solids Choose the number which best describes the amount of floating solids in the stonhwater discharge where 1 is no solids and 10 is the surface covered with floating solids: l 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (90 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes PNo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids,and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that wan-ant further investigation and corrective action. Page 2 SWU-2427020705 A *Ark 1 Stormwater Discharge Outfall (SRO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: Facility Name: :n1 T ►' County: Q tege C r` X/ Phone No. q / o Inspector• u S-T 6 A r W C le— Date of Inspection: By this ign 2e,I certify that this r art is acc rate and complete to the best of my knowledge: 6 (Signature of Pemuttee or Designee) L Outfall Description Outfall No. _�. Struc a(pipe}ditch,etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic color (red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: 3. Odor Describe any distinct odors at a discharge may have(i.e., smelIs strongly of oil,weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: IEI 2 3 4 5 6 7 8 9 _ 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 90 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes(oNo 11. Other Obvious Ilndicat rs of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that wan-ant further investigation and corrective action. Page 2 SWU-242-020705 A Ar > y Stormwater Discharge Outfall (00) Qualitative Monitoring Report Permit No.: N/C/ /Ol or Certificate of Coverage No.: NlC/G/D/Col O/ 121 l Facility Name: :n1 9! Y County: C d ,�ul Phone No. / 1) 9 r f Inspector: A r w"C1L Date of Inspection: By ature,I certify this report is accurate and complete to the best of my knowledge: Z. (Sign ture of Permitteee-or Designee) 1. Outfall Description r Outfall No. . Structure(pipe,ditch,etc.) evipp b Receiving Stream: (fA b 0 od do ^4 _ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischar a using basic colors ed,brown,blue,etc.)and tint(light,medium, dark)as descriptors: 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.I is clear and 10 is very cloudy: 2 3 4 5 6 7 8 91 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the storthwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 _ 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that wan-ant further investigation and corrective action. Page 2 SWU-242-020705 > Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI /0/ or Certificate of Coverage No.: N/C/G/d/(o/�l J?1 1 Facility Name: :n12 r County: L3 w,014',' x/ Phone No. q /D ^ Inspector: Wu SSs A A, Z� Ie— Date of Inspection: By th' i afore,I certify th is repo is accurate and complete to the best of my knowledge: (Signature clPermittee or Designee) 1. Outfall Description / Outfall No. �_. Structure(pipe,ditch,etc.) �Q ✓�! Receiving Stream: r Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic olors(red,brown,blue,etc.)and tint(light,medium, dark) as descriptors: • r 3. Odor Describe any distinct dors 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,I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which crest describes the amount of floating solids in the storthwater discharge where 1 is no solids and 10 is the surface covered with floating solids: r l 2 3 4 5 6 7 8 9 _ 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes CNo 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam, oil sheen,deposition or erosion may be indicative of conditions that wan-ant further investigation and corrective action. Page 2 SWU-242-020705 , _ . Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG-q/0)'k or Certificate of Coverage No.: N/C/G/D/Co/O/ / Facility Name: ;n1 r County: L3 Pop 4',1 n/ Phone No. / O ^ 9 77 Inspector: Wu Ss // 1A A 1,Vj clL Date of Inspection: By thi i tore,I certify that this port is accurate and complete to the best of my knowledge: (Signature of Pernnttee or Designee) 1. Outfall Description Outfall No. Structure(pipe ditch,etc.) lk S j-,- v eAA fr Receiving Stream:_� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischazpysing basi colors d,brown,blue,etc.)and tint(light,medium, dark) as descriptors: /' 3. Odor Describe any distinct od r 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.I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids . Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: D- 7. 2 3 4 5 6 7 8 9 10 oam Is there any foam in the stormwater discharge? Yes o 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes qNo 11. Other Obvious Indira ors of Stormwater Pollution List and describe Note: Low clarity,high solids, and/or the presence of foam, oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 k A. co Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/G,q/0 or Certificate of Coverage No.: 1VlC/G/D/<o/O/�/2/mil Facility Name: :n1!C r County: 4 "` X Phone No. ! / o 9 " .? Inspector• u Date of Inspection: f Ste. ! — .-7— By this si a ,I certify that this report is accurate and complete to the best of my knowledge: !Z::: ignature of Permittee or Designee) r 1. Outfall Description Outfall No. � . Structure(pi ,ditc tc.) � F Per 4V 42��f r �f Receiving Stream: �,�!'f A U �� .,,&i Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic col s(red,bro nbl e,etc.)and tint(light,medium, dark) as descriptors: 3. Odor Describe any distin 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,I is clear and 10 is very cloudy: 1 2 r, 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 S. Floating Solids . Choose the number which best describes the amount of floating solids in the stormswater discharge where 1 is no solids and 10 is the surface covered with floating solids: ; 1 rt 2 3 4 5 6 7 8 9 10• - 6. Suspended Solids . Choose the number which best describes the amount.of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 3 4 5 6 7 8 9 10 7. Foam •Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material(sediment,etc.)at or immediately below the outfall? Yes 10. Erosion at Outfall Is there erosion-at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity,high solids,and/or the presence of foam,oil sheen,deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page SWU 242-020705 y