NCG060351_MONITORING REPORT_20201019

RECEIVED
NCDEQ Division of Energy, Mineral and Land Resources
DENR-DEMLR
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000 M'Lesv lQuReg sectional on
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy ofthe DMR to theappropriat€DEMLR Regional Office.
Certificate of Coverage No. NCG06 Person Collecting Samplesrn�e��e_
Facility Name: ,,_A,,�,,we�y✓1'�Driwe�wc�. Laboratory Name:/ p� F �__/. �r�
Facility County: at Laboratory Cart. No.: ,
Discharge during this period: es ❑ No (rf no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? [r}Y'es ❑ No
If so, which Tier (I, 11, or III)? /w A,
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00556
Oil & Grease In mg/L (30)
(.
L
C0530
TSS In mg/L (100 or 50')
00400
pH in standard units (6.0 — 9.0)
31616
Fecal Coliform per 100 ml of
/4
/
A)1A
freshwater (1000)
/(-%
/U (A
61211
Enterococci per 100 ml of saltwater
t 1�
/'q
/
(500)
Av
/l1
00340
hemical Oxygen Demand in mg/L
i
n _ L
nO /
6 1
20i
Part B: Vehicle & Equipment Maintenance Areas —Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
gal/month
' Outfalis to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, 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
Signature of Permitt e or
Individual
O 0 o
Date

I C&
E"`f "mental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No,: NIC&0/ &0I0I0I d or
Facility Name: O AA—
(( LYr k4
County: GLC ` e— 1
Date of Inspection: !2 11-7 lap �
Time of Inspection: a
Total Event Precipitation (inches): ( • b O
of Coverage No.: N/C/G/O/&/4V /3 / S-7 /
No. -W�=84t — 396 6'
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
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 DEMLR
Regional Office.
By t ' tgn tore, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or
1. Outfall Description:
Outfall No.00 I_ Structure (pipe, ditch, etc.po}B
UA rzl_�
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L-;%4.4r- E,-,r!„, , n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 740
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:
(Z) 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:
CD,
2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes W No.
8. Is there an oil sheen in the stormwater discharge? 0Yes QpNo.
9. Is there evidence of erosion or deposition at the outfall? o Yes AD 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
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Em'fronmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stolmwater-gps
Permit No.: NlCl�j 6 lO to la U l or Certificate ficate of Coverage No.: N/C/G/O/�p/3 / - /
n , , . ,
Facility Name: / V Lo L
Date of Inspection:
Time of InspectiotC`J ` 1 O
Total Event Precipitation (inches): L k l�
All permits require qualitative monitoring to be performed during a "measurable storm event..,
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
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 DEMLR
Regional Office.
By this signature, II cc/errttiify/thhhaatt 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.):
Receivine Stream: A . _ ,
Page I of 2
area:
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2. Color: Describe the color of t e►discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descri tors: L4
r �
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:
a2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1' 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? OYes a No.
9. Is there evidence of erosion or deposition at the outfall? O Yes O 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
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NC-o
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisjorm, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.:
Facility Name:
Date of Inspection:
Time of Inspection:
of Coverage No.: N/C/G/O/6 /O/3/,S�/ / /
i .- . All _1 n . I .
Phone No. 2W R-Cg— 3904
Total Event Precipitation (inches): 11, �K
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
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 DEMLR
Regional Office.
By this ' ure, I certify that this report is accurate and complete to the best of my knowledge:
or Designee)
1. Outfall Description:
Outfall No.
Receiving Stream: /
Structure (pipe, ditch, etc.):U2
�
!1
SWU-242, Last modified 06/01/2018
Pave I oft

2. Color: Describe the color of a 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:
DI
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:
10
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 S
7. Is there any foam in the stormwater discharge? o Yes a No.
8. Is there an oil sheen in the stormwater discharge? oYes ! No.
9. Is there evidence of erosion or deposition at the outfall? o Yes 4&No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018