NCG120067_MONITORING INFO_20120124

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V rl
DOC TYPE
❑ HISTORICAL FILE
5�- MONITORING REPORTS
DOC DATE
❑ 3DI a 01
YYYYMMDD

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: he :/ 2 cnr. la .nc us! rmc mcn .htmgmi orms
Permit No.:1/G �1-j 013 J 1 1 or Certificate of Coverage No.: NIGGI_I_ J._ J 1 1J
Facility Name:
County: Phone No. 3 -WOO
Inspector:
Date of Inspection: 0/ `� --
Time of Inspection: O
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) yes ❑ No
Please check your permit to verify 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 ft Permittee or Designee) j /1
1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfal] 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, weak
chlorine odor, etc.):
Page Loft r
S"-242-11=8

Stormwater Discharge Outfali (SDO)
Qualitative Molilito 'ring Report
For guidance on filling out this form, please visit: h((i24,cnr.statc.nc usl n0prnvii)ocuments,hlmfmiscforms
Permit No.: HICl11- 0,131 I I I or Certificate of Coverage No.: NQ§i/— _•/
Facility
County:
Inspecto
Date of 1
Time of Inspection: —10,V Z
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) [Yes C] No
Please check your permit to verify f 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 to10-consecutive'hours of no precipitation.
By this signature. I certify that this report is accurate and complete to the best of my knowledge:
W Ott)
(Signature of Wrmittee or Designee)
1. Outfall Description: � � �y
Outfall No. �_ Structure (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 colors (red, brown, blue etc.) and tint
(light, medium. dark) as descriptors:
�r
3. Odor: Describe any distinct odors
chlorine odor, etc,): ,&
the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
HAI, kaIK�51•1

Stormwater Discharge Outfall (00)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: It JIh2�enr.stnte.ne,uslgylFornte n2cumcnts.htmmiscform5
Permit No.: NNQ / l f 0131JJ / ar Certificate of Coverage No.: 1GJ 1 1! I 1 1
Facility Name: ,tFa' R 1 .✓ - _
County: Phone No. _ 27t.9 , -WO—Q
Inspector:
Date of Inspection _ Time of of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 21/yes ❑ No
Please check your permit to verify 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 01 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'bours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of lirmittee or Designee)
1. Outfall Description:
Outfall No. � 3 Structure (pipe, ditch, etc.) _ j6owd ��OM--•� —
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red jtown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors
chlorine odor, etc.): .4 611
t the discharge may have (i.e., smells strongly of oil, weak
. -Page-1 of Z
SWU-242.11260E

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guldance on filling out this form, please visit: h E :/ e r na u/ mtsDocuments.hi0misgforms
Permit No.: �I/C! �1� �/31 1 1 / or Certificate of Coverage No.; �j! C1G1 1 1 I!1 1_I
Facility Name: —eta,✓
County: Phone No.
Inspector:
Date of Inspection: �" o—�'�'/ off• _,
Time of Inspection:
1l
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) [Yes ❑ No
Please check your permit to verify 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 PermlUce or Designee)
1. Outfall D erlption:
Outfall No. Structure (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 colors (red, bM5Mt ,.blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any
chlorine odor, etc.):
odors that the discharge may have (i.e., smells strongly of oil, weak
Page 1 of 2
swu-242-1126DB

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htIp:l/h2o.enr.s!,Q.nc.usloATs mg Pocuments.htmgm►�fntms
Permit No.: /1!1 0131 1_I
Facility Name:
County:
Inspector:
Date of Inspection:
or Certificate of Coverage No.:
No. W7i.-.Y
Time of Inspection: _ / 0 j 2-5_
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) UXes ❑ No
PIease check your permit to verify 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. meanuing 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 o0ermittee or Designee)
1. Outfall Description:
Outfall No. ^L Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfail 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, weak
chlorine odor, etc.):
Paget of 2
swu-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hhp:11h2o.enr.state.nc.us/su&mis__13gcumcnls,htin�rniscfosms
Permit No.: NIQ I1-�Y qJ1� 1JJ or Certificate of Coverage No.: N QG�_ 1 1 1 1 1 1
Facility -
County:
Inspectc
Date of
Time of Inspection: /0 : 30 _ --
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) E(Yes ❑ No
Please check your permit to verify 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 PeEinittee or Designee) NO
1. Outfall Description:
Outfall No. �� Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that otter within the'outfall drainage area:
L 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, weak
chlorine odor, etc.):
Page 1 of 2

3
L
'tea....'
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hilp://h2o,enr.stnIS.nc.us/sWFoMs Doegments,htmgmiscfomis
Permit No.: NIG II l7 0131 1 I / or Certificate of Coverage No.: NICJGI 1 _IJJ 1 I
Facility Name: '
County: Phone No. .3 -7100
Inspector: BSEV
Date of Inspection:
Time of inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monlroring 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 Oeermittee or Designee)
1. Outfall Description:
outfall No. Structure (pipe, ditch, etc.) Avol
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
I.
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, weak
chlorine odor, etc.):
Page t of 2
SAV.242-112608

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 I 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 I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stonnwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
14. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, andlor the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5wU-242• i i2W8

Jy&AA_.
+^i
Y
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hitn://h2o.tnr,statc.nc.us/su/F=orms_ Documcnts.hlm#misciorn�s
Permit No.: N,JC/ hit 0/31 I 1 I or Certificate.of Coverage No.: JGGI 1^I , 1!_I
Facility Name: k•
County: Phone No. 2,VL-9? 33 -2UO
Inspector:
Date of Inspection: 0 / /,2-
Time of Inspection: : O,S
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below)[�'/Yes ❑ No
Please check your permit to verify 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 d0emittee or Designee)
1. Outfall Description:
Outfall No. — Structure (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'colors (red, brown, b� I , etc.) and tint
(light, medico, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242-11260E

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
S. 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
b. 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? Yes
S. Is there an oil sheen in the stormwater discharge? Yes I
9. 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 may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU•242• l 12608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on f cling out this form, please visit: kitty:llh2o•cnr.statc.nc.�sCsulForms Docurncnls.htm_#miwforms
Permit No.: N�� l 0/3 I 11 or Certificate of. Coverage No.: NICIGI 1 1 1_1 1-1
Facility Name:
County; Phone No. X.;L—II' —'f l,) " MQQ _
Inspector:
Date of Inspection: 0/o2r
Time of Inspection: z=/0
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) [ /Yes ❑ No
Please check your permit to verify 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 Itermittee or Designee)
1. Outfall Description:
Outfall No. , 3_ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the Qtfall drainage area:
2. Color: Describe the color of the discharge using basic colors (rod, brow 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.): �-'I'LA. _ _.• _
Page 1 of 2
SwU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discbarge, where L 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:
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:
,Q 2 . 3 4 5
7. Is there any foam in the stormwater discharge?. , Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
Ul. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence fffoam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU•242.112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on frlling out this form, please visit. htIR:I t;2o.enr.statc.nc,uslsw?Qrms Documenls.htmgmiscforn�s
Permit No.: NICJ 'jl--ly 011 I !_! or Certificate of Coverage No.: �IICJGI 1 1 I_! 1_I
Facility Name:
County.
Inspector
Date of 1
Time of Inspection: 2:aD
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) [Yes ❑ No
Please check your permit to verify 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 Perri» ttee or Designee)
1. Outtall Description: ,
Outfall No, Structure (pipe, ditch, etc.)
Receiving Stream: A-&� .�-_- -- ,._ .—_ •
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, as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242.112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 0 3 4 5
S. 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:
V 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy.-
2 3 4 5
7, Is there any foam in the stormwater discharge? Yes
8. Is there an off sheen in the stormwater discharge? Yes
9. 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.
Page 2 of 2
ML1&UatrKT;1

A'
V
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: huP-.//h2o.ent;,stotc.nc,us1 n�FormR 17a�umenls.htm#misaturms
Permit No.: NIIC1111 13l l—1 1 or Certificate of Coverage No.: NICIGI�! I l�l I 1
Facility Name: A �R�,s,.re.✓
County: A Phone No. ��,-3 -7-soo
Inspector:
Date of Inspection_
Time of Inspection:
Total Event Precipitation (inches);
Was this a Representative Storm Event? (See information below) Vyes ❑ No
Please check your permit to verify 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 incites 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 lVrmittee or Designee) A)o , -
1. Outfall Dmriptlon: Q
Outfall No. _ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the oudall 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, weak
chlorine odor, etc.):
Page I of 2
SWtl•242.11260S

L.
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 I is no solids and'5 is extremely muddy:
1 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:
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•242-112608

Y�r SWte�
•Y
Stormwater Discharge Outfall (SDP)
Qualitative Monitoring Report
For guidance unfitting out this for►n, please visit: httn:ILh2o.enr.Witc,nc,uVsu/Forms_Documenls,him#miscforms
Permit No.: NJ.C! I1-9J 0131 1 1 1 or Certificate of Coverage No.: NIC1Gl 1— I_,_I U
Facility Name: _
County: Phone No. gam: '"#33-Woo
Inspector;
Date of Inspection: 0
Time of Inspection:
Total Event Precipitation (inches): /
Was this a Representative Storm Event? (See information below) 1'es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
stonx-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 M ittee or Designee)
1. Outfall Description: '
Outfall No. b Structure ipe, ditch, etc.) _ w�IA
Receiving Stream: U
Describe the industrial activities that occur within the olgall 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 dis ' ct odors that the`dischargc may have (Le., smells strongly of oil, weak
chlorine odor, etc.):„
Page 1 of 2
SWU-242-112WS

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
6 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:
© 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:
2. -3.- 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes (9
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence -of foam, oil sheen, or emsion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU•242.112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: h :I 2 nr .ne. s/su/ rms ments.htm#mi f rms
Permit No.: NBC/ �1� 0/3/JJ I or Certificate of Coverage No.: NIGG/f I01 �Zl
Facility Name: � _R�
County: Phone No. 224 — 33 -too
Inspector:
Date of Inspection:
Time of Inspection: , Leo o AIn_ � ...
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ZYes ❑ No
Please check your permit to verify 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 Pertatee or Designee)
/✓a D
1. Outfall D rlgtion:
Outfall No. Structure (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 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, weak
chlorine odor, etc.):
Page t of 2
SWU-242-112608

L f
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
S. 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 i is no solids and 5 is extremely muddy:
1 2 3 4 5'
7. is there any foam in the stormwater discharge? Yes No
l
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:
List and describe
Note: Low clarity, high solids, andlor the prestince.of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These'conditibns warrant further investigation.
Page 2 of 2
SWU•242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out dais jorrn, please visit. hhp:n7o.enr.skate.nc.us/su/Forms 0o0lnepts.h1mllmiscforms
Permit No.: NllG l y L3 JJ 1 or Certificate of Coverage No.: �+11CJGl I I 1_I 1 1
Facility Name
County: Phone No.
Inspector:
Date of Inspection.
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ZYes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed daring 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. T
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of&ermittee or Designee)
1. Outfall Description:
Outfali No. A''- Structure (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 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, weak
chlorine odor, etc.):
Pege I of 2
SWU.242.112609

1
4. Clarity: Choose the number which best descri6es the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
6) 2 3 4 5
S. 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
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
1 3 4 5`
7. Is there any foam in the stormwater discharge? Yes �N)
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes 10
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
5WU•242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: gip://h2o.enr.state.nc,ttV3w'Forms DocumcnIs.htm#miw(orms
Pergtit No.: JCI /fly
Facility Name: —,-To
County:
Inspecto
Date of ]
Time of Inspection: /l: 00 AM __---
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 0--Yes ❑ No
U/31 I I / or Certificate of Coverage No.: NICIGI
Please check your permit to verify 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. I 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)54rnittee or Designee)
1. Qud Description:
Outfall No. •3
Receiving Stream: 41
Describe the industrial activit
Structure (pipe, ditch, etc.)
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): -4e� 4 mndlJ -
Page 1 of 2
SWU-242-112609

4. Clarity: Choose the number which nest describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3i . 4
S. 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:
6 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? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes C
10. Other Obvious Indicators of Stornawater 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
5WU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: hgp�lh2o.¢nr; statr.nc,uslso�/Porms__Ducumcncs.htro#miscfurn�s
Permit No.: NICl 11t0/ / ! / or Certif cat& .of Coverage No.:
Facility Name:_
County: Phone No. ,_ g7•-�' 33 ��'
Inspector:
Date of Inspection: 0o2SI�
Time of Inspection: I t : 06,q 1K
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) E/ Yes ❑ No
Please check your permit to verify 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 of47ermittee or Designee) I ' , .
1. Outfall Description: /�
Outfall No. Structure (pipe, ditch, etc.) /"'
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: PI
2. Color: Describe the color of the digar a usin basic colors (red, brown, blue, etc.) and tint
(l nedium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242-112608

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
S. 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:
/1J 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:
69 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 6
S. Is there an oil sheen in the stormwater discharge? Yes ®v
9. Is there evidence of erosion or deposition'at the outfall? Yes tNo J
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-242-112609

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit; httplih2o.enr.state.nc ustsuftrms_Documants.htm4misefomis
Permit No.: NIC11 I
Facility Name:
County:
Inspectoi
Date of 1
Time of Inspection:
1 I I or Certificate of Coverage No.: NICIGI 11 1 1 I_I
It a a f)m _ 0
r�
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) O/Yes ❑ No
Please check your permit to verify 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 PeAhtee or Designee)
1. Outfall Description:
Outfall No. A-5
Receiving Stream:
Described indujtrW activities that occur within the outfall drainage area:
Structure (pipe, ditch, etc.) �..cil�i '
2. Color: Describe the color of the di azg us'ng asic 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, weak
chlorine odor, etc.): iV !
i
Page l of 2
SWU-242- t 12608

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
S. 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:
f11 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:
( DI 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 6
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
S Wu-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fornk please visit: hltp /1h2n:enr.sts�tic,nc.us/su/Forms Dacuments.htm miscf�m�s
Permit No.: I` c &I x, O 31 I,J_I or Certificate of Coverage No.:
Facility Name:
County:
Inspector:
Date of inspection:
Time of Inspection:
Phone No. I17L.V —
t�
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Z/Yes ❑ No
Please check your permit to verify 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 PeCkittee or Designee)
1. Outfall Description: _
Outfall No. jStructure (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 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, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242.1126DB

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 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 I is no solids and 5 is'extremely muddy:
1 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:
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-242-112MB

Stormwater Discharge Outf'all (SDO)
Qualitative Monitoring Report
For gWthtit er onfilliiig ottt rltis form, please visit: hu11alfl2o ns: I)ncckinivnts.htmtl:IIkcrorin,
PCrmit No.: NICI!f-_I_ —----/5—/ or Curli 'cute of Coverage No.: NICICi/al V I al
Facility Name: asjj- ,Y -' CoJ.� i � ryrZ t-fog — —
Count)': elt - , I'horle No. T -z-I '-1 3 - Y .3 !
Inspector:
Date of Inspection: 1 ` l t 1 __ -•---•_---
Timc of inslrrrtion:
Total Fivem Precipitation (inches):
Was [Iris ;t 1Z( I�r( s( ttt,tti�'e 5t(?rnl E:\'lllt:' (See information below) Y s ❑ No
Please check Your permit to verify if Qualiiative A9nniioring must be performed dw-ing a representative
storm evelir (r egttir cm(arrs vor ,).
A "Representative Storm I -vent" is a storm event that measures greater than 0.1 inches of rainfall and that
i is preceded by at least 72 hours Q days) in which no storm event measuring grealcr than 0,1 inches has
o"Llrrcd. n single storm uvcIlt ruay conittirl Lill to li) c(msecrltivr hour`s Of ncr precipwitioll,__..-
il\this signature, I certify that this repoil is accurate arid complete to the hest of my k-no 'ledg.c:
A �
(Signature of permitter. or Designee)
I. Outfall Desc•rililion: �� �j 1� i G_r {`i /c--{;a t_.
Outfall No. I . Structure (pipe, ditch, ctc,) -._PIQ
Receiving Stream:
Describe the industrial aviivitics that occur' within thcs (7utf,tll drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blur:, etc.) and tint
(light, medium, (lark) as descriptors: —
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weal:
chlorine odor, ctc:.):
f'sttc I of 2
S1Vt1.242-112WH

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 34 5
5. Floating Solids: 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:
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? ' ,. Yes No
8. Is there an oil sheet[ 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:
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
SW U-242-112608

Stormw ater Discharge Outfall (SDO)
Qualitative Monitoring Report
For gIIid, nre (it r friiitIg nrr; this fr+rrn, ipit, asc visit; h�tp:i/h2o.enr.;I:ue.nc.IISISulhorms DoCS)IIIV, nI5,JlIn1�m15Llfn'InS
Permit No.:
Facility Namc: tea' S_
County: Lc�.
hlspevor: -
Date of Inspection: ^ t t
'1•inte of Inspection: U_ i
/ or Certil'ieate of Coverage No.: NIC/G/ V Z/ O101 � /-7/
—...._..!'hone No•
'Dotal Event Precipitation (inches): _
Was this a Re-prescntativc. Storm E-:vent' (See information below) a Ye', D No
Please check your permit to verify if Qualitalive Moniloring must be performed during a represenurtive
storm evew (requiremems vam).
A -Rep ruse nu)tiYe Storm Event" is a storm event that MeasureS greater than 0. I inches of rainfall anti that
is preceded by at least 72 hours (.3 days) 1n which no storm event €17CaSkLring greater than 0.1 incltcs has j
uccurred. A single stor€n event may contain up to 10 conseL:utive hours of nu prrcipitatinn.
13y this Signau)rc, I ceriil'NJ that this report is accurate. and conip3etc to the hest of my knuwledbc:
E �� ✓ --- ----
(Signature of Permitter or Designee)
i- , _ -4%
1. Chttfull Description: 1\1'� Ca �) \ -5
Outfall No. YV 2 Structure (pipe, ditch, etc.) -P
}deceiving Stream:
Describe the industrial activities that cx'cur within the outrall drainage area:
2, Color: Describe the color cif the discharge using hasic colors (red, brtrwn, blue., etc.) and tint
(light, mctlivau, dart:) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine actor, etc.): _
Page 1 of .2
.SWU-?4 % 1 I7(A)5

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
S. 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
G. 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? 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:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosiorddeposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-2a2a t 2608

unll
S
StorniNvatcr Discharge Outf'all (SDO)
Qualitative Monitoring; Report
For guidance on filling nu; this form, please visit; http_l/lt?u.ertrstate.stc.us/su�I7(wus D(won:aus htmtlruisefortns
Permit No.: NICI 1
Facility dame:
County:
Inspector:
Date of Inspection:
•1lrllt' of Irts1wCtion:
l l l l l or Certificate of Coverage No.: NIOGI 1 /Z1010/G/ 7/
ca �`S jZ-,.1�L Wi'r5 c- ir-err'; C-sL-A
—.-.-.- __- Phone No.
Total Tivent Precipitation (inches): - Z l
Was this a Represcntativv- Sturm livens? (Scc inlurtriation Relies~•)
[Er-lycs ❑ No
Please check your permit to vet-ify if Qvuhiative rhfonircrritzg must be petforined during a representative
stories crent (r'e.�lrrirerruatts s urv).
11
A "Representative Storm Event- is a storm event that measures greater than l). l inches of rainfall and that
is preceded by at k'ast 72 hours (3 days) in which net storm event measuring; greater than 0.1 inches has
occurred. A singlc suornt evettt niay contuili up 10 If) consecutive hours ref net precipitation.
By this signature, I Certify that this report is accurate and complete to the hest of my knowledge:
(Signature of Permittee or Designee)
I. Outfall Description: yy" y i'� f J"t -1
Outfall No. = Structure (pipe, Glitch, etc.) � tT�- J J S'i f3 r-- o-jn P 4P 1
Receiving Stream: rJ A co _(l s n- S �_ C �i -Ps'j q
Dcscribe the industrial activities Pat occur within the outfiall drainage area:
Cyr rt.F� P e 'M J \ �p 0 E!--Lrg T arS
2. Color: Describe the C0101- of the discharge using hasi�' colnrs (red, brown, hluC, etc.) and tint
(light. medium, dark) as descriptors: 11 : ')•n')._•_,_6 i" rj
3. Odor: Describe any distinct odors that the discharge may have (ix- smells strongly of oil, weak
chlorine odor. uti.): ;'t;l,-.1 ) -)
Page I of 2

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 a 5
S. Floating Solids: 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:
Ol .2 3. 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
1 2 3 4O 5
7. Is there any foam in the stormwater discharge? - Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 'J C
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, orerosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242-11=9

VAT? r
f•
Stormwater Discharge Outf'all (SDO)
Qualitative Monitoring Report
For guiduncef on filling ow this form, please visit; IatE:liil�(1.CE1S'.ti1atG.pC.aE515aa11' C111ti h(�CEEI1lClalti.Illnitf E1aISe((1E'nati
Ptrmit No.: NIC/ I l�l l_I 1 1 or Ccr�ificate' of Coverage No.: NIC/(;/ 1 /Z.J 41_0I �1_71
Facility Name: ,�'.S -{r.1 !L �,-� FI+5 i F C`� Fr.� acoc c---� -'
County;. Phone No. 91—
Inspector: i �t-� �S rir�ff2 -- -
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a Rcpresewative Storm Event? (Sec information below) Yrs ❑ No
Please check your perrnit to verify if Qualitative Monitoring must be perfar7ned during a rep re.sentafive
storm event {requirvinent.s var-vj.
A "Representative Storm went" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred, A single; storm event nE Ey contain up to 10 C(Srlsecutive hours of no prcc.rintatiotl.
By this sipature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perrnittce or Designee)
1. Outfall Description:
Outfall No. `-{_ _ Structure. (pil�, ditch, etc.) 4D a 3J S u r-+ �+ P t=
Receiving Stream: 41c-•i rs at r^�v _(LA 3t�� �Z tJ ;C-1L
Describe the It uiustrial ;Ectivities that occur within the outfall drainage area: �„_�� � �• ��- � �•
2. Color: ocvn, hluc, ete.f and tint
(light, medium, (lark) as descriptors: L_1 4.i ; 'tCOO)s rj
3. Odor: Describe any distinct odors that the discharge may have (i,r., smells strongly of oil, weak
chlorine odor. ctc.): i iLl� %-\-k j L .1 (01 A i
Page 1 of 2
Swu-2.E'2-E r.iws

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I Q 3 4 5
S. Floating Solids: 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:
p2 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 0 _.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 eo
9. Is there evidence of erosion or deposition at the outfall? Yes No
14. Other Obvious Indicators of Stormwater .Pollution:
List and describe rV, ') �
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.
. I
2.. S _ 3 '�j ��'`�
Sa 6V�t;aG'� Jw ' pFL�— QIlZ,
Page 2 o f 2
swU•242.11260$

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For greill, nCc! urr filling and this form, please, e• 0: hulr./!h?oxtit. statc.nc�iclswFcrrms I )oemments.him)lrnkctnrm,c
Permit No.: NICI I_I_l�l l_I 1 or Certificate of Coverage No.:
_. N/CIGI j_IL/ o I p IW ll
1-aciEty Name: GyM-'- _►l�
\_ kc
County: _ Phone No. _ _�' Z� t 3 9 — y 39 i
Inspector:
Date of Inspection: It
Time of lttspection:
Tom] Event Precipitation (inches): 2 `I
'A -',I,, this a Representative Storm E:vcnt? (Sec. information below) D' Yes [-j No
Please chock ,vorer permit to verify if Qualimlive .41oniloring rrmsi be perforated during a repr-esemative
ev
ent
veni (rerrlreirenrcrni,c
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 Q days) in which no storm e.vcnt measuring greaser than 0.1 inches has
�
single ............._.._,_... . P ...,...__._........ecutive hours of no precipitation.___...._ .__._ ...... occurred. A sm lu storm event may contain a to 111 eons,..._..---._-.._... „. ...__._ .....
By this signatme, I certify than this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Outfall No. _x Structure: (pipe, ditch, etc.) C 1 e E
Receiving Stream:
Describe the iudusiriatl activities that cx:eur within the outfall dlt;tinas;e area:
De-�cP
2. Color: Dcscrihe the color of the discharges using hasic coleus (red, brown, blue. etc.) and tint
(light, medium, dark) as descriptors: L i ; I-) 5,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): tJ rJp i 1 G_ ` u O a
Page l of 2
sWtl,2424i )(�N

4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: 1, S
1 2 3' a s
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:
(31 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 �0,1j s and 5 is extremely muddy:
1 }
I D 2 3 4 5
7, Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
4. Is there evidence of erosion or deposition at the outfall? Yes ON
10. Other Obvious Indicators of Stormwater Pollution:
List and describe _ ,i)
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.
Pagc2of2
swu•242•11260a

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For glrielance on filling our this f wrrr, peruse visit, hull:/1112c7.a nr. 1i11C.11C.ltSitiUll'Ali'111a�I�uit111h:IllS_}lllllffl11 "C[ill 11I%
Permit No.: NICl1 1 1_I�l_I_I or Ccrtiiicate of Coverage No.: 1til1C/GllR-1 0l0l 61'?1
Facility 'am �S a t �- 1'c t r`r`�fi'r,��� ,��e-� r �s k
County: fil q (L_ r Phone No,
Inspector: 1 rt- a ,s N E:-�-
Date of Inspection:
Time of inspection:
Total Event Precipitation (inches):
Was this a Representative Sturm Event? (See informati(1tt below) IYes ❑ No
Please check }our pe"mr to slerify if Qualitalive Monitoring must he perforated daring a representative
slortrt event (requirements vai-Y).
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 singic storm event may c011tai11 up to 10 consec:utivc 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)
I. Outfull Description: . y
Outfall No. -_ Structure (pipe, ditch. etc.) �+� W ..1 f--
Receiving Stream:
Describe the industrial telly ties that occur wllhln the oullall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and lint
(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, e(c.): -
Page l of 2
SwU-2.12.1 12008

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:
I 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? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
14. 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-242-112608

r tV3�
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidar:re on,illin,>~ our rhisfornt, please visir: lrEtlr//h�i�.cnr.�lnlr.nc, i.hn111rrrns_I) �ctirncnt:,Ertrnt�nri,�l inn.
Permit No.: tN/C/ l 1_l_I-1_I-1 oi• Certificate bf Coverage No.: NICIG/Q/ �/ b/ G/ ? /
m Facility Nae: IT-12-k- -, ` — — —
County: J Phone No. `i 3 -k --y 3 9 ti
Inspector:
Date of inspection: 11
Time: of Inspection: 1 2 e,,,`
Total Event Precipitation (inches): ,j 1"}1
Was this a Representative Storm Event? (See information below) Yes ❑ No
Nkase check rnrrr permir to verify if Quaiitative rtilemitoring must he perforated during a relwesemarive
a701a1 event (reyuiremews veaa•).
A "Representative Storm Event" is a storm event that measures greater than 0. l inches of rainfall and that
is preceded by at least 72 hours 0 days) in which no storm event treasuring greater than 0.1 Inches has
occurred. A single storm event may contain ttp to 10 consecu[ivc 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. � \ Structure (pipe, ditch, etc.) _ �' P kr
Receiving Stream: —
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 of I, weak
chlorine odor, etc.)_ _
Page I. of 2
SWIJ-242- 142GU8

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
S. Floating Solids: Choose the number,which best describes the amount of floating solids in the
stormwater discharge, where l 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? 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:
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-242-1I2609

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For ;Guidance ora filling, ow dris ft nt, please visit: hl,itr//h?,iLLrrtir�tat�,}ic util.Illy_�tinn:_l),,, uln, rrrti,hEFirlhni,� turr�is
Permit No.: NICI 1
Facility Name:
County:
Inspector:
Date of Inspection: _
Time of Inspection,
'_I_I_I_I77"1 or Certificate of Coverage No.: N/C/G/ 1 I24 0/ (00/ �171
E. 1 �S 1 U �11 aCl_ `� J ]
'total i vcnt Precipitation (inches):
rPhhone No. Ze
irk S w
Was this a Representative Stores Event? (See information below) [ Yes ❑ No
Please check -your permit to verify if Qualitative Monitoring must be performed during a representative
dorm event (requirements var.v).
A "Representative Storm Event" is a stomi event that Measures greater than 0.1^ inches of rainfall and that
is preceded by at least 72 11OLIrS (3 days) in which -no storin event measuring Brewer than 0.1 inches has
occurred. A single storms event antty conutin ulz 10 10 West:ctttive Irotars of no precipitation_
By this signature, I certify that this report is accurate and complete to the hest of my knowledge:
(Signature of Permittee or Designee)
1, Outfall Description: +�
Outfall No. �A-- z— Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outl'all drainage area:
2. Color: Describe the colortrf tilt: discharge using basic colors (red, brawn, 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.):
Page l c,t' 2
S W U-742-1 12608

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 I is no solids and 5Is 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? 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:
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-242-112608

Stormwater Discharge Outiall (SDO)
Qualitative Monitoring Report
Forgiddance otr filtitrg Drll rlrrsfarnr, please visit: Illtlr.//h_41-eFir,hate.nc.us/sti ULttn._I)c:iunicni;,hfrir#irri.�t
P(:rmit No.: NICI
Facility Namc: _
County:
Inspector:
Date of Inspection:
Time of inspection:
or C_enificate of Coverage No.: i I CIGILILI
1�r\S \� C�.+�IJ Si �'iT "Hto�I`�� �` t'fCC��i ♦C "1
1t t1
'[bull Event Precipitation (inches): )� Z- tit
Phone No.
Was this a Rel)rescntative Sturm Event? (Scar information below) ❑g-";Y ❑ No
Please check your pe7ntit to verify if Qualitative Alonitoring must be performed during a representative
S10171J event (requirements van.).
A "Representative Storm Event" is a stomt event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours 0 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 Fermi€tee or Designee)
I. Oulfall Description:
Otufall No. 3Structure (pipe, ditch, etc.)
r
Receiving. Stream: -� ;?ram- i>n
Dt'scrlbe the ilidustrlal activities that ocet within the outfall drainage area: �a
CO D, ' 7rv"�- l 1 � A U S
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc,) and tint
(light, medium, dark) as descriptors: 'S u b N —, P IS" 6 ;3 A -a- -,r'j
3. Odor: Describe any distinct odors than the discharge may halve (i.e., stnells strongly of ail, weak
chlorine odor, etc,i: 6 - r.1 u'r% c a c3 L c,o qrt_
Page I of 2
swu-242-1 s2Ws

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: 1.5
1 D 2 3 t 5
5. Floating Solids: Choose.the number which hest describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 Z1 5
6. Suspended Solids: Choose tlhc number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
GJ 2 3 d S
7. Is there any foarn 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 \ D
to. Other Obvious Indicators of Storrnwater Pollution:
List and describe
b ,-� ZZ
Note: ]row clarity, high solids, acid/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
swv2-12-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
l-nrtlu, ance rju frllirr� runt tAis fru7rr, please vr:rit: Nnita/h'n.enr.stale,nc,us/satll'n,,na_[)ocullWII IS.lrt+iIihni.sct+)rnrs
Permit No.: NICI-1_I I 1_I_I I r Certificate of Coverage No.: NICIGI 1 1Z-1 01 UI bJ_:?/
Facility Name: 4 5 �--­6 M ry�'�, ^-` �� �, �, T -I
County: .U� —_ f'II 1tc No. g y 3 L 3 9 i
inspector: -
Date (if Inspection:
Time of inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) 2'Yes ❑ No
Please check vm4r pennit to verify if Qualitarive Monitoring, nm.vt be performed during a representative
.loan event (re.'(faur[7N7(,w.S vai-v),
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 inc lies has
occurred. A single storm event ntay contain up toW 10 consecti6ve 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) -47
-�k-
I. Outfall Description:
Outl::11 No. _)�, 1�_ ` Structure (pipe, ditch, etc.) _Q1QC;-t o
Receiving Stream: U rJ Y- t-r1r"r`-'-
Describe the industrial activities that occur within the outfnll drainage area: Ltj .)____j
iTI " - J —
2. Color: Describe the color of the discharge using; basic colors (reel, brown, blue, etc.) and lint
(light, medium, dark) as descriptors: <' c-i (, kri- 7- CL,— e UIS ri (� ae�, w 2
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of nil, weak
chlorine: odor, e(c.): N p rJ cis , t c-;F—r)-'.3 k_+C G 0 e L— -
P:aix I of 2
SWU-:•12-1 12608

4. Clarity: Choose the number which hest describes the clarity of the discharge, where l is clear
and 5 is very cloudy: f\ �.S
1 V 2 3 it 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater disch:u'ge, where I is no solids and 5 is the surface covered with floating solids:
( I } 2 3 ,1 5
G. Suspended Solids: Choose the number which hest describes the alnotitit of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely mudcly:
0 2 3 it 5
7. Is there arty foam in the stormwater discharge? • Yes No
ti. is there an oil sheen in the stormwater discharge'? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes CND
10. Other Obvious Indicators of Stortnwaler Pollution:
List and describe�C� --�
,'dole: Low clarity, high solids, and/or the presence of foam, oil shccn, ur erosion/deposiliun may be
indicative of pollutant exposure. "These conditions warrant further investigation.
Page 2 ai 2
SWU-2.12-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance ors filling unt thisfonn, I?le(?.ve s•i.ril: hlalsa/h?c�.��rn.st il_ � iir�s�,J�ii/1 ��rinw!)s��siiss�ti�s.h�in�lsTritivli�rsn:
Penttit No.. NICf_I_I_l or Certificate of -Coverage No.: N/ClGlllal �l�l aciliEy Name: —Z
i -
County: n��
Phone No.Intipector: ��sDate of Inspection:
Time of Inspection:�1 b '. y S jq,
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See illfi�rrtuation below) Z yes No
Please check your permit to verify if Qualitative Mnnitnring must be performed during a representative
.vtorm evetlt (requirements vurv).
A "Representative Storm Event" is it storm event that n}easures greater than 0. I inches of rainfall and that
is preceded by at bast 72 Fours (3 days) in %vllich no titornt went measuring greater than 0.1 inches has
occurred. A single, storm event may contain tip to 10 conSccutive hours of no precipitation.
By this signature. I certif , thnt this report is accurate and complete to the best of my knowledge:
(Signature of Perrnittee or Designee)
I. Oulfall Description:
Outfall No.—* S Structure (pipe:, ditch, etc.) f?�PG _
Receiving Stream:
Describe [lie industrial activities that occur within the outf.tll drainage area:
2. Color: Describe the color of the discharge using; basic colors (red, brown, Flue, etc.) and tint
(light, medium, dark) as descriptors: _ T
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil. weak -
chlorine odor, etc,):
Pap 1 of 2
SWU•2•t2-11?,6AlS

. rr 17•� ..
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-
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? Yes No
8. 1s them 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 Polludon:
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
S WU-242-1126M

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanc•eun filling owthisform, please visit: lit tlr_iIE,'_c�,�nr.�r;�lc.ncmu /Snll'rrno. t)aycun,ci,rs,trunllnriacl�untz
Permit No.: N/C/ / !
I;acilit), Name:
County: �J
Inspector:
Date of Inspection:
Time of Inspection: _
! 1 1 1 or Certificate of Coverage No.: NICIGI_�I_2_ 1 LY g Q
6sS r AS S BIZ 1�f3S t Ar,+flca�^�`
o .1
Tl�l
Total Event Precipitation (inches): 1)-1-
Phone No. q ZH j `I 3 9^ Lt 3 9 1
A- r-^
Was this :r Representative Storm (:,vent:' (See inforimition below) Q�Yes ❑ No
rlt-t i-, a-'-1
Please check your permit to verify if Qualitative Monitoring roust be petfornted 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 fours (3 (lays) in which no storm event measuring greater than 0.1 inches has
occurred. A single store) event may contain up it) 10 consecutive hours of no precipitation.
By this signature, I certify that this report iS accurate annd complete to the best of my knowledge:
�—01,rZ'L-1 . 1;11_e_—
(Signature of Permittee or Designee)
1. OutralI Description:
Outfall No, e iP Structure (pipe, ditch, etc.) i t� �Ly� P W Y i L-
Receiving Stream: �-? fir^ c� ��^ �3 7 C_.�
Describe the industrial activities that occur- within the outfall drainage •rrca:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) is descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): '-%� y tJ -a> t -,- _,:r U,j a ^ --.
Pate t of 2
SWU-242- t i 2W8

4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is clear
Mid 5 is very cloudy:
1 V 2 3 4 5
5, bloating Solids: Choose the number which best describes the amount of 110ating solids in the
stormwater discharge, where I is noossolids and 5 is the surface covered with noatinL solids:
(I} 2 3 4 5
G. Suspended Solids: Choose the number which hest describes the amount ol' suspended solids in
the siorinwater discharge, where I is tit) solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the storinwater discharge? Yes Nc
8. Is there an oil sheen in the stormwater discharge'? Yes No
i. Is there evidence of erosion or deposition at the outfall:? Yes ONO'
10. Other Obvious Indicators of Stormwater Pollution: n
List and describe uy u � Z
Note: Low clarity, high solids, and/or the presence of foam, oii sheers, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 20 h
SNVU-242•I 120)K

Stormwater Discharge'Outfall (SDO)
Qualitative Monitoring Report
permit No.:' N/9IL9kgU-/JJ or Certificate of Coverage No.: N/9 1 1 J U-i
Facility
County:
Inspecte
Date of
13y this. signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perrnittee orDesignea) /v n
1. Outfall Description f�
Outfall No. Structure (pipe, ditch,
Receiving Stream:
Describe Stream
activities that occur within the,outfall drainage area:
2. Color
Describe the color of the discharge using basic colQrs (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,)
4. parity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2. 3 4 5' -6 7 S 9' 10.
Pogo 1

yL: + i rub
Stormwatelr Discharge Outfall (00)
Qualitative Monitoring Report
Permit No.: �l1CJ,,�1aI 1 1 / •or Certificate of Coverage No.:
Facility Name:
County: Phone No. = .S'0
Inspector:
Date of Inspection:
By this signature, I certify that this reprt is accurate and complete to the best of my knowledge:
(Signature of Pen>tiaw or Designee)
1. Outfall Description
Oistfall No. Structure (pipe. ditch, etc.)
Receiving Stream:
Describe tharindustrial activities that parr within the outfgll drainage are4:
2. COIDE'
Describe the color of the discharge aging basic cot= (red, brown• blue, etc.) and tint.(Ijh 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.)
4. Clarity
Choose the number which best describes_ the clarity of the discharge where 1 is clear and 10 is very
cloudy:
I ...3 .. 4 5 6 7. 8 9' to.

Stormwater Discharge Outfau (SDO)
Qualitative Monitoring Report
Permit No.: �1G.11.�Q1.,�1 I_JJ or Certificate of Coverage No.:
Facility Name:
County: Phone No. = ��
Inspector.
Date of Inspection:
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. Structure (pips, ditch, etc.)
Receiving Stream:
Describe the -industrial activities that pccur within the outfall drainage are4, •
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 o4ors that the discharge may have (i.e , smells strongly of oil, weak chlorine odor,
4. parity
Choose the number which best describes the clarity of the discharge where l is clear and 10 is very
cloud):
I 2 3 4 5 6 7 Q' 10
Page t '

Stormwater Discharge Outfali (SDO)
Qualitative Monitoring Report
Permit No.: Z11_CJll-flj g/-3L / 1 1 or Certificate of Coverage No.:
Facility Name:
County: one No. r 223= .SD
Inspector.
Date of Inspection:
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
Oittfall No..� Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the4ndustrial activities that occur within the outfAll drainage area:
2. Color
Describe the color of the discharge using basic colojrs (red, brown, blue, etc.) and tint {li h medium,
dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e., smtlls 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:
I 2 03. 4 5 6 7 8 9' 10
page I

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: • j j( I1 &9JJLJJ-j or Certificate of Coverage No.:
Facility Name:
County:
Inspector
Date of I
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. - Structure (pipe, ditch, etc.) '
Receiving Stream
Describe the-industrial'activities that occur within the outfAll drainage are4:
2. Color:
Describe the color of the discharge using basic colts (red, brown blue, etc.) and tint ligh 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.)'
4. Clarity
Choose the number which best descdbr4 the clarity of thr discharge where 1 is clear and 10 is very
cloudy,
oI 2. 3 4 5 6 7 8 9' to.
Page l

. T
Stormwater Discharge Outfall (00)
Qualitative Monitoring Report
Permit No.:' ��11-pi}�/ J /� or Certificate of Coverage No.:
Facility Name: '
CDUnn"• , Phone No. r 0
Inspector.
Date of Inspection: U -c—
13y this signature, I certify that this report is accurate and complete tD the best of my knowledge:
(Signature of PenWttoe or Designee)
1. Outfall Description
Oittfall No. Structure (pipe, ditch, etc.)
Receiving Sties=
Describe tba-irdtatrial activities that occur within the outfAll drainage are&:
2. Color
Describe the color of the discharge using basic cobs (m4LLrown blue, etc.) and tint medium,
dark) as descriptors: ,
3. Odor
Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor,
etc.)
4. Mrity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
�- 2. 3 4 5 6 7 8
Page t
5w13-24I.0207Q5

S. Floating Solids
Choose'the number which best describes the axmoutit of floating solids in the stormwater discharge where
I is no solids and 10 is. the surface covered with flag solids:
2 3 4 5 6 7 g 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stonnwater discharge
where 1 Is no solids and 10 is extremely muddy:
J 2 3 4 5 6 7 S .9 10
7. Foam
Is there any foam in the stormwater discharge? Yes li
S. Oil Sheen
is there an oil sheen in the storniwaterlischargo? Yes
9. Deposition at Onttall
Is there deposition of matetial (sediment, etc.) at or inuaediately below the outfail? Yes
to. Erosion at Ontfall
Is then erosion at or immediately below the outfall? Yes to
11. Other Obvious Ind kotors of Storn}water Pollution .
List and describe
Notev Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion tray be
Indicative of conditions that warrant further investigation and coawive'action.
Page 2
SWU-242-MO705

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit or Certificate of Coverage No.: agg JJ 1 I I l
Facility Name:
County: one No. SO
Inspector.
Date of lnsped�-om—
By
(Signature of Pennittee or Designee)
1. Outfall Description
Outfall No. _ Structure (pipe, ditch, etc.) Z&4wt
Receiving Stream:
Describe the -industrial activities that occur within the outfgll drainage Kq:
2. COW
Describe the color of the discharge using basic cobs (redjxW, blue, etc.) and tint (light, dr> e�i
dark) as.descriptors; -
3. Odor
Describe any distinct odors that the discharge may have (Le., mulls strongly of oil, weak chlorine odor,
etc.)
4. Rarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 4 5. b 7 8 9• .10
Page l
SWU-242-020705

S. Floating Solids
Choose the number which best describes the argourit of floating solids in the stormwater discharge where
1 is no solids and 10 is: the surface covered with floating solids:
2 3 4 5 6 7 B. 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
8. ' Oil Sheen
Is there an oil show in the stormwater discharge? Yes �o
9. Deposition at Outfall
Is there deposition of maiecial (sekliment, etc.) at or in mediately below the outfau? Yes /No%
• J
14. Erosion at Outfall
Is there erosion at or immediately below the ouifall? Yes,
U. Other Obvious indicators of Stormwater Pollution
List and describe
ti
Note Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further inwAgation and cotrective'action.
Page 2
5WU•2424=705

A
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Pennit No.:' Nf9J-/.24 d l-3/ 1L 1 or Certificate of Coverage No.:
Facility Name: .
County: Phone No. SO
Inspector: '
Date of Inspection: —
By this signature, I certify that this report is accurate and complete to the best of my knawiedge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No. _ . Structure (pipe, ' etc.)—a.c.►-��' '
Receiving Streane
Describe tb"pdustrial Atic—SLImat ne rwiffintheoutf4lidminage":
2. Color.
Describe the color of the discharge using basic colgrs (red, bMwn blue, etc.) and tint (ii medium,
dark) as descriptors;
3. Odor
Describe any distinct odors that the discharge may have (i.e., srnells strongly of oil, weak chlo.iin' t odor,
etc,)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 3 4 5 b 7 8 91 10
age
5WU-242-020705 .

S. 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 orating solids:
1� 2 3 4 5 6 7 S. 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:
2 3 4 5 6 1 9 .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 .60
9. Deposition at Wall
Is there deposition of matetiai (sediment, etc.) at or immediately below the outfall? Yes
.10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes T,o�
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 maybe
indicative of conditions that wan vi further investigation and comoctive'aWon.
Page 2
SWU-242-MOM

4V R� Storlinwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.:' T�JI (' ,I/ J-3 I_ fU or Certificate of Coverage No.: N1 GIJ IJ ! 1 1
Facility Name:
Caunty: Phone No. S4
Inspector.
Date of Inspection: _.... —1 -
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(S ignature of Permittee or Designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe th"ndustrial activities that occur within the outfall drainage aw:
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.c.,'srneNs strongly of oil, weals chlorine Odor,
etc.) - -
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8
agc
5WU-242-02070S

S. Floating Solids
Choose the number which best describes the amourit of floating solids in the stormwater discharge when
1 is no solids and 10 is: the surface covered with flaating 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 storrnwater 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 discbarge7 Yes No
8:: OR Sheen
Is there an oil sheen in the storrawater discharge? Yes No
9. Depositioe'at Outfatl
Is there deposition of rnatetial (sediment, etc.) at or immediately below the outfall7 Yes No'
• 10. Erosion at OutfaU
Is then erosion at or immediately below the ouifall? Yes No.
1-I. Other Obvious Indlcators 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
5WU•242-MO705

Storinwater Discharge Outfall (SDO)
I V Qualitative Monitoring Report
Permit No.: ' ?191/2 1-Kj -1J or cats of Covempe No.: k1ICJGIJ IJJ 1 1
Facility Name
County: Phone No. r 1IRTSO
Inspector.
Date of Inspection: —
By this signature. I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PmWttee or Designee)
�. Outfall Description
Outfall No. Structure (pipe, ditch, etc.)
Receiving Shun -
Describe the -industrial activities that occur within the outf kil drainage are4:
2. Color
Describe the color of the discharge using basic colgrs (red, brown, blue, etc.) and tint (light, rrredium,
dart) as descriptors: -
3.. Odor
Describe any disturct 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 10 is very
cloudy.
1 2 3 4 5 6 7.
Fage t
S"-242-MO705

S. 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 It 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids In the stonnwater discharge
where I is no solids and 10 Is extremely muddy:
1 2 3 4 5 6 7 9 -.9 10.
7. Foam
Is there any foam in the stormwater discharge? Yes No
& ° Oil Sheen
Is theme an oil sheer; in the stormwater discharge? Yes No
9. Deposition at Outfall
.. ti
Is there deposition of matetial (sedment, etc.) at or bn mediately below the outfall? Yes No
.10. Erosion at Outfall
Is there erosion at or immediately below the ouiul? Yes No.
31. Other Obvious indicators of Stormwater Pollution
List and describe
Note:, Low clarity, high solids, an&or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective -action.
Page 2
5 WU-242-020705

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: ' NI _CJ LL9& 5Y_.1_IJJ or Certificate of Coverage No.: W99J_ JJJJ!
Facility Name: AM AAwl .
County: one No. r 0
Inspector.
Date of Inspection:
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pennittee or Designee)
1. Outfall Description
WWI No.. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the -industrial activities that occur within the outfgll drainage
2. Color
Describe the color of the discharge using basic colgFs (red, wn blue, etc.) and tinti" medium,
dark) as descriptors -
3. Odor
Desc x any &tinct'odors that the discharge may have (Le-, smells strongly of oil, weal; chlorine odor,
etc.) - : A/OV�-.
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 3. a 5 6 7 8. 9.' 10.
igc
5WU-742-MO705

S. Floating Solids
Choose the number which best describes the amo ult of floating solids in the stormwater discharge where
t is no solids and 10 is the surface covered with floating solids:
2 3 4 S 6 7 8 9 to
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:
I (P. 3 4 5 6 7 8 .9 to
7. Foam
Is there any foam in the stormwatex discharge? Yes ® .
& ° Oil Sheen
is there an oil sheen in the stormwater discharge? Yes l�o
9. • Deposition at Outfall
Is there deposition of matdtial (sediment, etc.) at or immediately below the outfall7 Yes to '
14. Erosion at Outten
Is there erosion at or IrmTtk&ately below the ouifall? Yes.
11. Other Obvious Indicators of Stormyrater Pollution
List and describe
Notev 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'acdon. ,
Page 2
5WU-242-02005

Stormwater Discharge OWN (SDO)
Qualitative Monitoring Report
Permit No.: .Il 0/ /� /� or Certificate of Coverage No.: hY GI 1 1 —J 1 1
Facility Name:
County: AA aPhone No.
Inspector:
Date of Inspection: �-
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PerzWttee or Designee.)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.) .
Receiving Stream
Describe the -industrial activities that occur within the outfAli drainage arm4:
2. Color
Describe the color of the discharge using basic colon (red bE2ma"ue, etc.) and tint l t, medium,
dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor,
etc.)
4. Qarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
4 S 6 7 8 9 '10
Paps 1
sWU-242-020705

S. Floating solids
Choose'the number which best describes the amount of floating solids in the stoimwater discharge where
I is no solids and 10 is; the surface covered with floating malids:
1 b: 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 Q 3 4 5 6 7 8 .9 10
7. Foam
Is there any foam in the stormwater discharge? Yes
6; = On Sheen
Is there- an oil sheen in the store mW4 discharge? Yes ® '
9. Deposition at owall
Y
Is there deposition of maWal (sddin=e etc.) at or;mmatiately below the outfa117 Yes '
10. Erosion at Outfall
Is there erosion at or immediately below the ouffall? Yes
11. Other Obvious Lidlcators of Stormwater Pollution
List and describe
Notes Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that wanwd further investigation and conwive'vegan.
Page 2
5WU-242-MG705

Stormwater Discharge OutfaU (SDO)
Qualitative Monitoring Report
Penrrit No.: N/C11j pZ}� _/J� j or Certificate of Coverage No.: N199- j I-,J-i-i
Facility Name:
County: Phone No. 7,1V
Inspector:
Date o€ Inspection:
By this signature. I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittoe or Deslgnee)
Z, Outfall Description
f0atfa1l No. Struchne (pipe, ditch, etc.)
Receiving Stream
Describe tho-industrial activities that occur within the outf411 drainage amp:
2. Co10r
Describe the color of the discharge using basic colas (reSkaw+ blue, etc.) and tint li 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 uumber which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 3 4 5 6 7 8 910
_ ...._ .._._...w. _.. - :............_....... ....... Pago- - I
SWU-�,2�20705

S. Floating Solids
Choose'the number which best describes the amowit of boating solids in the stormwater discharge where
l is no solids and 10 is the surface covered with floating solids:
1 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:
�l 2 3 4 5 6 7 8 .9 10
7. Foam
Is there any foam In the stormwater discharge?
8: ' Oil Sheen
Is there an oil sheen in the stormwater discharge?
9. Deposition at Outfall
Yes
Its there deposition of matetial (sediment, etc.) at or immediately below the outfall? Yes
10. Erosion at Outfau
Is there erosion at or immediately below the ouifall? Yes
11. Other Obvious Indlcators of Stormwater pollution
List and describe
Note:,,Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicadve of conditions that warrant further investigation and corr=tive'action.
Page 2
5WU-242-020705