NCG050419_DMR_20200529

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httv:Hh2o.enr.state.ne.us/su/Forms Documents.htm#miscforms
Permit No.: I N I C I G I 0 1 5 1 0 1 0 1 0 I 0 or Certificate of Coverage No.: 1 N I C I G 10 15 10 14 11 19
Facility Name: LydallThermal/Acoustical, Inc.
County: Yadkin
Inspector: Thomas
Date of Inspection:
Phone No. 336.485.8522
Time of Inspection: 11:00 AM
Total Event Precipitation (inches): 0.51
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please checkyourpermit 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 Pemrittee or Designee)
Outfall Description:
Outfall 001 /002/003/004/005 Structure (pipe, ditch,
No. etc.)
Receiving Stream: Unnamed Tributary of Rocky Branch
Describe the industrial activities that occur within the outfall drainage area:
Automotive Products
Color:
REGl I\/I=n
JAN 0 4 2021
CENTRAL FILES
DWR SECTION
Drainage Swales and Pipes
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as
descriptors:
Liaht brown
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3 Odor:
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):
No odor noted
4 Clarity:
Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 Q 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 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 O 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
10 Other Obvious Indicators of Stormwater Pollution:
List and describe
Outfall #3 had some plastic shrink wrap on bank of impoundment.
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.
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