NCG070160_MONITORING INFO_20181023

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
Iv L&('�-7 O (,o D
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
YYYYMMDD

4
ra
RECF—i !1 D
OCT 23 2018
Environmental
Qt,urty 1, 1 mAL FILES
Stormwater Discharge 4utfall (SDO) p iR SECTION
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.ne,gov/about/divisions/energy-mineral-land-resources/
npdcs-stormwatcr-gps
Permit No.: N/C/ (-., 101 "i/ 0/ U / 0/01 or Certificate of Coverage No.: N/C/G/ 0I-7/ 0/ 1
Facility Name: — T'�+s "N.3_—
County: )R,35v0 Phone No, 7o'�-Z?Z-7b`i7
Inspector; Mat!.goc-
Date of Inspection:
Time of Inspection: i �3Sa,�•. Rir GEE �1V Elrl _-
Total Event Precipitation (inches): , 25 OCT 2 4 2018
,;ENi-klAL FILES
DWR SECTION
-------- ------------ _.._-._.--_._-. _._.._.._.._._._..-.._....._,
AEI 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
outfali. 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 permittec 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. 1 Structure (pipe, ditch, etc.): cN-1
Receiving Stream:
tnw7Q� Crt��
Describe the industrial activities that occur within the outfall drainage area:
- Sfiecuv�. of s�aa �Na fnca�e.1
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ND toN%3?'
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ Na of ar
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
l� 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:
lO 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
Ol 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 0 No.
A. Is there an oil sheen in the stormwater discharge? QYes O� No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0 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

CENTRAt - F<4 -Es
OWR 1r.G�10�
Stormwater Discharge Ou>tfall .(SDO)
Qualitative Monitoring Report
Permit No.: N/CI 6l 01711710 / p / Q I or Certificate of Coverage No.: NICIG/ O/ '71
Facility Name, _ Tht &-AIhty& Co ,,l;e, _
County: 'RtiSva Phone No. 'Z0u-2`+2-1W17
Inspector: -- `Dau�d S �► - K.A
Date of Tnspection: y -lq -18 _
Time of Inspection: q'. 30 ar,
Total Event Precipitation (inches): 01 ft
Was this a Representative Storm Event? (See information below) 0 Yes [Z No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary),
' p
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. ,A,single storm evdnt,may contain up,to 40 consecutive hours of no precipitation. -
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. 1 Structure (pipe, ditch, etc.) '17'AL\,N
Receiving Stream: LO#ats Cite
Describe the industrial activities that occur within the outfall drainage area:
J ,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
r(light„medium; dark). as'desc_riptors: -: o'Cd1or—,--
.�.:• t.� 'il.,'i; `i' ti I�i..^�j� .>.r_'. ....k', i"�,. .((- ,? ' .-,3+ F,_, irk �."'. '.E _. .;
3'. ;. 5 Odor:;.Describe any distinct odors that the discharge may have {i.e., smells strongly of oil, weak
chlorine odor, etc.): _ t i 0 oc'
Page.] of 2
SWU-242-051308

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.:.�t��ll
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4. CIarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy;
1 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:
.0 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;
2 3 4 5
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
4. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes No
Yes o
Yes No
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
S WU•242.051308

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i,:1Si!?)�°I.L��''7�1i'�iyii` �1}�,C�'[�li�l�?T��iP (��il+l.•i±i,'�!III f��11111��11
Permit No.: Ili/C/ L /Q I 1 / O / 0/ 0 / O/ or Certif cate of Coverage No.: N/CIGI G I_71 G / 1 / 6 / 0/
Facility Name:
County: +( tgtw� _ Phone No. _loq-112-"1677
Inspector:---�a:��>3 Ss'r 4v - INA S` kA. —tr
Date of Inspection: l0-A� -1"I --- -- - WED
Time of Inspection: _jg Qn, __ ___-__�017
f -
Total Event Precipitation (inches): V4 CENTRAL FILES
DWR SECTION
Was this a Representative Storm Event? (See information below) ❑ Yes ® No
Please checkyaur permit to verify if QualiYntive Monitoring must be performed during a representative
storm event (re
quirements vary).
'IT JC ll
�A "ReRre�entat_iveStorm'-Eve t'. asisres'greater#han 0,'1 iiiclies of rail faii'and g at
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation,_ _ Y
3y;this'sig if%'th`at'thi5 report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
b. Outfali Destdp:tionn:
Outfall No.- Structure {pipe, ditch, etc.}
Receiving Stream - I,Wel cxtcK _
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
(1}ght medium; dark) as.descrlptors:
2Ttltijo �J,Cs 3 6.�E?� 77i� CGLi'S?:1 r) F0 T } .:CL?6'Ct��:AG i;ur? -c C7 uo r�L�C ]L"'S[_ �aC
3:� ,,; TQ �me' Describe:any5distirict odois#fia smel tfie'cliscfiarge may, Ave'(i.e., ls strongfy_of oil, weak__
chlorine
Page,] of 2
5 WU-342-05 1308

:. 3 , -w "- ":,. N, I 2� -. -,:.
-I ib

A , I
4. Clarity: Choose the munber which h•esl describes the clarity of •zhe dischargre, ,where 1 is clear
and 5 is very cloudy:
d 2 3 4
€. 1DziLi ➢p 80 1 c: C—loose "t 1'?'-cJ ' e`t G it es ar h i _ a �; - 5 ? '.
� � � is i%d,li Fi D � :�e5 ? D.,., fife-17Di3r1' G' '���D_i_L, G1=-_� ii e
stornw,later discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stoaanwater discharge, where 1 is no solids and 5 is extremely muddy:
�1 2 3 4 5
7. Is there any foam in the storlhwater discharge? Yes Na
c�. Is there an owl sheen in the sto_rmwatei discharge? Yes Rio
9. Is there evidence of ero5ioo or deposition at the outfall? Yes
10. Other Obvious �adiccz'$olrs of Sgorrmw,a'�er lPol➢a-lion -.
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 o; 2
5WC1.2d2•a5130a

e . I k

. � s
F
d,. srur a
RECEIVED
APR 2 8 2015
CENTRAL FILES
CWR SECTION
Stormwater Discharge Outfall {SD®)
Qualitative Monitoring Report
Permit No.: N/C/ l 1013 0 / o / o / OI or Certificate of Coverage No.: N/C/G/ 0 / 7 / 0 / i l 6 / 01
Facility Name: T-e a.•i1f.►rtr Compam;ej _
County: ,v Phone No. 70'i-27Z-7477
Inspector: _ _ bau', Smock, NO-1 MQ,,, er -
Date of Inspection: y ) is i -i 5_
Time of Inspection: 10: 3 O Ab
Total Event Precipitation (inches): W/rt
Was this a Representative Storm Event? (See information below) ❑ Yes ® No
Please check your permit to verb if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
I A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event m6asuririg greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature ofPermittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) Q VVG�
Receiving Stream: Laves Crtck
Describe the industrial activities that occur within the outfall drainage area:
S�'ocAg� 0� Sc�Na Aid p'CAyt,i '
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: wwter 'S li M [ CI'wr
3. Odor: Describe any distinct -odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):.. 'No-aaGr aae&k
Page.] oft
SWU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 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:
0 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:
O 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution: 01 1z"
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
5 WU-242-051308

M
Stormwater Discharge Outfall .(SDO)
Qualitative Monitoring Report
Permit No.: NlC/h/ 01 `? 1 O / 0 / 0 / o / or Certificate of Coverage No,: NICIG/ O/7 / OI 1 b / 01
Facility Name: Tl',e Qu`.Uro Cor► itQt
County: boscL' Phone No. "7�4-212-"1631
Inspector: _ SJw,a Sg�dar_ a,rt jt�cr�'D
Date of Inspection: 04 —19 -1-1
Time of Inspection: ei,30am APR 2 5 gnu
Total Event Precipitation (inches): CENTRAL FILE+qDWFJ 81~Cr1j3N
Was this a Representative Storm Event? (See information below) ❑ Yes ® No
Please checkyourpermit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary)---
A+"Representative: Storm rE,vent";is.,a,storm;event that-measures=greater than 0:1•`inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best cf my knowledge:
(Signature of Permittee or Designee) _
1. Outfall Description: + "• -
Outfall No. — Structure (pipe, ditch, etc.)
Receiving Stream: boats k
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: _!JG C4\er L _
3. Odor: Describe any.distinct odors that thetdischarge may have (i:e:, smells strongly of oil, weak'
chlorine odor, etc.):
Page,] oft
5WU-242-051308

oF
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
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:
O 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:
lO 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes I�1
S. Is there an oil sheen in the stormwater discharge? Yes
4. Is there evidence of erosion or deposition at the outfall? Yes
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 maybe
indicative of pollutant exposure. These conditions warrant further investigation.
S WU.242-051308
Page 2 of 2

Stormwater Discharge Outfall ,(SD®)
Qualitative Monitoring Report
Permit No.: NICI b 1 I i / 0 / 0 / 0 I / or Certificate of Coverage No.: N/C/QI 0l11 vl } 1 101
Facility Name: __ T1ne Qi AYre1's Cvm&3- es
County: Njop-i Phone No. 1D4-2'77-1b-y 1
Inspector: Lk4+3 S.-16r-- ho,"k M"er - -- _ is rr n C l► I ED
Date of Inspection: io -10- lb
Time of Inspection: --_ Visrar► - - - DST- 2 4 2016
Total Event Precipitation (inches):
011%
Was this a Representative Storm Event? (See information below) ❑ Yes R No
CENTRAL FILES
DWR SECTION
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
A "Representative, Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least! 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
L" 649!�`'
(Signature of Permittee or Designee) If
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) t)WLIn
Receiving Stream: _ L wts Utdk
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: WAW 13 QW 'Abco\or
3. Odor: Describe'any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ No , AoPS
Page,i of 2
Swu-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
10 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:
lO 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes �o
8. Is there an oil sheen in the stormwater discharge? Yes Q
9. Is there evidence of erosion or deposition at the outfall? Yes 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•242-051308

ST
Stormwater Discharge Outfall (SDO) MAY 0 3 2016
Qualitative Monitoring Report
Permit No.: N/C/ b / o / 1 / 0l 010 101 or Certificate of Coverage No.: N/CIG/ 0 l-Il 0 /-U b / O 1
Facility Name: 2%t Qu%AU QaftL w --- ------ - -
County: s,aa Phone No. -Z72-1167'
Inspector: _ Dam S► &' - Q►o•3'�cr
Date of Inspection: 4_i -16
Time of Inspection: _ )):,JS AM
Total Event Precipitation (inches): A
Was this a Representative Storm Event? (See information below) ❑ Yes ® No
Please check your permit to verb if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation,
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Out -fall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) WN
Stream:
Receiving St�q,at+,a �tf wk _ _-
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 the discharge may have (i.e., smells strongly of oil, weals
chlorine odor, etc.): -VA O
Pagel of t
S WU-2a2-os 1308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy;
lO 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:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where i is no solids and 5 is extremely muddy:
O 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes Qo
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe N 1 A
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.
V
Page 2 of 2
SWU-242-051308

•
d.. y7A7re�
r
v
RECEIVED
OCT 28 2og
"'NR-LAND "' LITY
STORMWATSR ASRMI7TING
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/G 101 r /Q/ a / 01 p I or Certificate of Coverage No.: NICIG/d /1 6 1 L / 6101
Facility Name: Ca W+,� �1
County: Av► $ oh - Phone
Inspector: 1�avry Cnall.��
Date of Inspection:
Time of Inspection: /d. o o ,
Total Event Precipitation (inches): N 1A_
_7a I -Ala- 7j�7r
Was this a Representative Storm Event? (See information below) ❑ Yes Z No
Please check yourpermit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a stone event that measures greater than 0.1 inches of rainfall and that
is preceded by at ledh 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours'of no precipitation.
By this signature, I certify that this Kep'ort-i&accurate and complete to the best of my knowledge:
au+r OZS bl°
(Signature of Permittee or Desig ee)
1. Outfall Description:
OutfalI No. .1 - - Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall draina a area:
cra uS6,t,4
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc,) and tint
(light, medium, dark) as descriptors:
Colef GEati-" Tchislat
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
a O vCci
Page] of 2
5 WU-242-05I308

4. )8hoose the number which best describes the clarity of the discharge, where 1 is clear
Cl
and 5 is very cloudy: .
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:
,, lO 2 3 4 5•
6. Suspended Solids: Choose the number which best dekcribes the amo�l t of suspended solids in
the stormwater discharge, where 1 is no solids. and 5 is extremely, muddy:
2 3..4.. 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes CNo
9. Is there evidence of erosion or deposition at the outfall? Yes C
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 wan -ant further investigation.
•
Page 2 of 2
5 WIJ-242-051308

A
e "` a4
U
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.:
Facility Name: "Tte� Q., iSra
County: an
Inspector: -- M"Ar y c7cc (ec
Date of Inspection: 3
Time of Inspection: O:aa
RECEIVED
APR 0 4 2014
CENTRAL FILES
DWO/BOG
or Certificate of Coverage No.: N1C/G/ 4111 01_L i4101
Total Event Precipitation (inches): A
Was this a Representative Storm Event? (See information below) ❑ Yes 5d No
Please check your permit to verb if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Stone Event" is a storm event that measures greater than 0.1. inches of rainfall and that
is preceded by at lest 72.hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to' 10 consecutive hours of no precipitation.
By this signature, I certify that this
(Signature of iPermittee or Des
1. OutfaIl Description:
Outfall No. - Structure (pipe,
Receiving Stream:
Describe the industrial activities th
and complete to the best of my knowledge:
etc.) U 6'4 t-L
occur within the outfall drainaee area:
2. Color: Describe the -color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C1c __..
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals
• chlorine odor, etc.): _ o r� Qc C9t:t 6e 44e.�r-JC-4
Pagel of
S WU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy; •
(D 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
ti
6. Suspended Solids:' Choose the nuinber which,best,describes.the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely
2 3 4 5 .
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes (E0
9. Is there evidence of erosion or deposition at the outfall? Yes 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 maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2'
SWU-242-051309 - _ - -- - - - - -