NCG130073_MONITORING INFO_20180717

m zt ()
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U� I'j
DOC TYPE
❑HISTORICAL FILE
A MONITORING REPORTS
DOC DATE
❑ Lo� b l /7
YYYYMMDD

NCDEENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: h=://portal.ncdenr.orgiweblwq-lws/su/nl2dessw#itab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/-Q/! / j/3
Facility'Name:
County Affordable Concrete , one No.
Inspector: C.onc4xd.NG 28027
Date of Inspection: 6n. L3 o.
Time of Inspection:
�rNT�ti. F1�.C�S
Total Event Precipitation (inches): _UWR SF-CiT'ON
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
ZI 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 01 inches of rainfall
3
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 Re;
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
sWU-242, Last modified 10/25/2012

}
1. Outfall Description:
Outfall No.. I — Structure (pipe, ditch, etc.) C\ i-3 c k� n 0 „
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
,mod z,=o _.' _S -
2. Color: Describe the color of the 1disharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: h �-:2
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.). 0 11
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:
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 Storinwater Pollution:
List and describe rl o n e_ _-
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 2of2
SWU-242, Last modified 10/25/2012

NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: h=://portal.ncdenr.org/web/wa/ws/su (jVdessw#tab-4
Permit No.: N/C/�/ / l-6 �/J/ - or Certificate of Coverage No.: • I /�/G/,_,�/,�%�/
Facility Name: fm ilwlilr Finn ia"n lreruM
County: 4324Republic ClNW I Phone No.
Inspector:
Date of Inspection: l *;L-3 6 - 11
Time of Inspection: q Q m
Total Event Precipitation (inches): �—
q
Was this a "Representative Storm Event" or "Measureable Stortn?Event" as duned by the permit?
(See information below.)
Yes []No cn '-n
rn � ry
Please verify whether Qualitative Monitoring must be performed -during i;"representative storm
event" or "measureable storm event" (requirements vary, depending on the pe Hilt).
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;; 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 DW(
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
. _ . / i ,
(Signature of Permittee or Designee)
Page t of 2
SWU-242, Last modified 10/25/2012

r '
i
1. Outfall Description: f
Outfall No. I Structure (pipe, ditch, etc.) 1 + b w Of- 5 hS -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Dr-o[ . to „7<fco:e- r-aj�
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.):
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 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 11 o R e-
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

►I .
=G`®
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. http://12ortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4:
Permit No.: N/C/ r-�/1/3/ c3 / d/7/-2/ or Certificate of Coverage No.: N/C &1—L/ !1-&1 b / 7 /-3/
Facility Name: ,1.—,,,�"�
County: ['u 6ov-nJJ 1 4324 Republic Ct NWzou2t - Phone No.
Inspector:
Date of Inspection:
Time of Inspection:
C -30- l-7 Wr, (JU
Gl +n
CENTRAL L
Total Event Precipitation (inches): ❑WR SEC7fON
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 this signature, I certify that this report is accurate and complete to the best of my knowledge -
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: aa
Outfall No. Structure (pipe, ditch, etc.) �� Ul s C �04 e.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using b is colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _
3. Odor: Describe any distinct odors that the discha ge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): n zQ
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 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 r)..0 0 P_�
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 10/2S/2012

yA RECEIVED
AA NCDENR .
Stormwater Discharge Outfall (SDO) JAIL Z Z9f8
Qualitative Monitorinig. Report CENTRAL FILE
°W_R SECTION
Forguidance on fdling,out thisform, please visit: bttp://portal,ncdenr,org/web/=/wsf su/npdg 5w#tab-
Permit No.: N/-C/ / ! / 3/ C/.L�/ �/ 3/ or Certificate of Coverage -No.; N/Q/�./ 1 /:3/L /d /I/3 /
Facility Hamer- �' E� d«b It eo ncre 4e 5- o"V. _
County: Nb orra s Phone No.
Inspector
Date of Inspection: ! 2�- 3 1- 1 57
_
Time of Inspection: Cxm
Total Event Precipitation (inches)'
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[,2 Yes 0 No
Please verify whether Qualitative Monitoringgmust 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,
I 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.
i
A "mcas::rable storm event" is a storm evert that results in an actual discharge from the
permitted site outfall. The previous measurable storm event musrhave 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 DWQRegional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge;
7lUr.���.,/i1
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

! a
1. Outfall Description: Outfali No. Structure (pipe,'ditch, etc:)' K, ar fro0�n`�i
Receiving Stream: V t! 1'I a ni e 6. .
Describe the industrial activities that occur within the. outfall-drainage area: o 4 iW r
(4i5C11crr c. [ Vr�'.�:-/YL�✓1r�u^`n� 57P/'�('�� .
2. Color: Describe the color of the discharge using basic colors (red, brown, }flue, etc.) and tint'
(light,medium, dark) as descriptors: %ct
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3. 4 :5
V
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 1 is no solids and 5:is extremely muddy:
1 2. 3 4 5
7. Is,there any foariiin.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 Storruwater. Pollution: .
List and describe___4 0 12c.,
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

P "'A
i..�.
NCDENR
Stormwater Discharge Oufall (SDO)
Qualitative Monitoring -Report
Forguidance on filling out this form, please visit httl2.-//portal.ncdeni,.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N1.Q1�6l f l l�l�l l 3l ,or Certificate of Coverage'No.:
Facility Name:. L�•i jQ jelb lie (�A cco•e S.p�✓
County: 11o� ornts Phone No.
Inspector: _ O Er,; ,i4,S.
Date of Inspection:
Time of Inspection: l r; u m _ _ _ JUL 012015
Total Event Precipitation (inches);
CENTRAL, FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by.the permit?
(See information below.)
0 Yes ❑ No
Please verify whether Qualftative 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 bee ifat•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 this signature, I certify that this report is accurate and complete to the best of my knowledge:
i
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

I
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) ' , U, Pr
Receiving Stream:
Describe the industrial activities that occur, with_ in the.outfall drainage area: N,-
J2P
2. Color: Describe the color of the discharge using basic colors (red, brown; blue, etc.)'and tint
(light, medium, dark) as descriptors: _ n )a
3. Odor:. Describe any distinct odo1.rs that the discharge may have.(i.e., smells strongly of oil,
weak chlorine odor, etc.): j�.h
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
r
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. 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, Last modified 10/25/2012