NCG210290_DMR_20210415

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted y-1i-7-N
CERTIFICATE OF COVERAGE NO. NCG21 0 7-- c?1 � SAMPLE COLLECTIO YEAR 7,0ZA
SAMPLE PERIOD Nlan-June ❑ July -Dec
FACILITY NAME TC.y 1 f Ii, �.J I kN� �r or []Monthly' (monthl
p
COUNTY 0°dti><U*1 t� EC E 15l E CHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA
PERSON COLLECTING SAMPLES yo\rd W %APIS ❑Zero -flow ❑Water Supply []SA
LABORATORY ak, Lab Bert• # — APR 26 2021 ❑other
Comments on sample collection or analysis: CENTRAL FILES
f1UNYr 1/ R SECTION PLEASE R2 MEPABER 10 SIGN ON THE REVFRSE -�-
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?z
Date Sample 24-hour rainfall
Dutfall No. Collected' amount, Chemical Oxygen Demand Total Suspended Solids
Benchmarks =�=> , • - - 120 mg/L 100 mg/L or 50 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outf all.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
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 text.
SWU-245, last revised 7/31/2013
Permit Date: 8/1/2013-7/31/2018 Page 1 of 2

APR 26 2021
GEN T RAL FILES
`g DWR SECTION
NCDENR
stormwater Discharge Outfall (00)
Qualitative Monitoring Report
Forguidanceonfillingout thisform,pieasevisit.• httn.//nortalncdenrorgl eb/Ir/nodes-stormwat
Permit No.: or Certificate of Coverage No.:
Facility Name: oa" m I, .
County: To�aSsunl i, �n�—Phone No. �1\� AM NNE
Inspector: _U.
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 01 \5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[JYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or measureablestorm 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 j
precipitation.
i
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 i
interval is representative for local storm events during the sampling period, and the permittee
`obtains approvalfroxrj the local DWQ Re bnal Dffice_
lay this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

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I. Ontfall Description: ,6ULn%6��
Outfall No. Structure (pipe, ditch, etc.) �� �� 02
Receiving Stream: ''�
Describe the industrial activities that occur within the outiail drainage area:
•�Q-gal, -
Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
2. (light, medium, dark) as descriptors: I COLA
3.
Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
tY 4.
clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: 2 r 4 5
1 V
e the number which best describes the amount of floating solids in
S. Floating Solids: Choose
the sto
rmwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0
5'
P 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 No
g. Is there an oil sheen in the stormwater discharge? Yes
deposition at the outfall? Yes
or de No
9. Is there evidence of erosion P
10. Other Obvious Indicators of Stormwater Pollution:
�
List and describe OA�
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sure. These conditions warrant further investigation.
may be indicative of pollutant expo
SwU-242, Last modified 10/25/2012

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