NCG180003_MONITORING INFO_20140707

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v � I QbbbS
DOC TYPE
El HISTORICAL FILE
Nt MONITORING REPORTS
DOC DATE
❑ oo t7 � 71) �
YYYYMMDD

June 30, 2014
Division of Water Quality
Water Quality Section
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Sir,
RECEIVED
JUL 0 7 ZU14
CENTRAL F ILES
DWOIBOG
Our semi-annual Stormwater outfall qualitative monitoring report is enclosed. This
observation was made at the first available stormwater event.
"I certify, under penalty of law, that this document and all attachments were prepared
under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Ken Warren
Director -Manufacturing
Copy: Steve Dopp, Dennis Tarlton, Jim McGowan

RECEIVEL
Jul 0 Z 2014
NCDENR CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWQIBOG
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htto al n enr. r w w w u n p dessw#to -4
Permit No.: N/C/
Facility Name:
County: RUTo-f
Inspector: M 4
Date of Inspection:
Time of Inspection
11 / (9l-0l41
QF0L3-,b
OZ1t�
or Certificate of Coverage No.: N/C/Ga/ cB/�/0/,ila/
Total Event Precipitation (inches):
2)'-1-
Phone No. H2-8 — Z45— 9 S 71
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thiM6—
,Icertify tha , thi report is accurate and complete to the best of my knowledge:
1L�
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
outfall No. 1 Structy�re [pipe, di etc.) C ►' 1 P
Receiving Stream: IdaE C" I?fE bROrQ f 91A1
%be the industrial activities that occur within the outfall dranage area: CIS LA�I
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LI GWT &j li1W
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): NON E
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 C 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:
L% 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 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
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
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 10/25/2012