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Home My WebLink AboutNCG200460_MONITORING INFO_201907082-,�Zo STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v b y(0 DOC TYPE ❑ HISTORICAL FILE C MONITORING REPORTS DOC DATE ❑ 0O YYYYM M DD M7-�) STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. D c� 3 / I' DOC TYPE ❑ HISTORICAL FILE li MONITORING REPORTS DOC DATE ❑ Do I / o o YYYYMMDD ®osw�® NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidanceonfillingout thisform,please visit: up://pm-tahicdenrorg/we!/Ir/nhdgs-swrmwaLei / Permit No.: N/C/ Facility Name - County: Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): N&1G1 1G1-jQ/_Xi1d_7 RECEIVE JUL U B W9 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? . (See information below.) C[NdTFtAL t-iLt Q DtnJf2 SECTION! 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. a t is signre, I\certify that this report' accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 = O M U 01 CO i z 3,N } x z 1• Outfall Description: v 0 X Outfall No. d w z —,< Structure (pipe, ditch, etc.) .�_� 0 1—(gyp M toLL Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 0�2 LL -- 2. Color: Describe the color of the discharge tlsi L basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: s �s j (� �Q, X A, 3. Odor: Describe any distinct odors that the discharge cJ e may have (i.e., smells strongly of oil, weak chlorine odor, etc.): __-N� Mp e- 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 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and S is extremely muddy: l-% 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes CIS' 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 n may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U-2Q. Last modified 7/31/2013 n No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L4 001 OS/31/2019 0.15 ND<4.1 5.80 Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark you must implement Tier 1 Tier 2 or Tier 3 responses. See General Permit. FOR PART A AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 ev information submitted. Based on my inquiry of the person or persons who manage the system, or rhos e s directly responsible for gather' a information, the ormation submitted is, to the best of my knowledge and belief, true, accurate, and complete. am are tha there are significant penal[' s for submitting false informs 'on, including the possibilof fi s and imprisonment for knowing violations." 1 (Signature of Permittee) (Date) Permit Date: 02/02/2015-12/31/2019 SWU-256, last revised 1/28/2015 Page 2 of 2