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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NlCl61_ -LI01 D/ O/ bl or
Facility Name: L.ovlS6ur1)DP-k
County:
Inspector: rk
Date of Inspection: �D
Time of Inspection:
of Coverage No.: N/C//(%(
No. (9/i) 4fl;
Total Event Precipitation (inches):_
Was this a Representative Storm Event? (See information below) Yes ' ❑ No
NOV 16 2021
Please check your permit to verb if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storrs 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.
By this signature, I certify that this report is a rate and ompI1` o the best of my knowledge:
-- p
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. _I Structure pip etc.)
Receiving Stream: Fa?C Cre Q
Describe the industrial activities that occur within the outfall drainage area: �a
2. Color: Describe the color of the dischaa using basic C 10 s (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct
chlorine odor, etc.): /
that the discharge may have (i.e., smells strongly of oil, weak
SWU-242-051308
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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
b. 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 -
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �►/j
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.
11. Stormwater System Semiannual Inspection
Date Time A3,
- 1�41al-1 -
Comments Opt-4d� Teve r L�
Page 2 of 2
SWU-242-051308
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/6/-/-L/D/ O/ O/ b/
Facility Name: L 0 vi7bur' u
County:
Inspector:
Date of Inspection: A
Time of Inspection: 13
or Certificate of Coverage No.:
PM o-hr-4 Eo G/ /a
one No.
NOV 16 2021
1/1 a 01-101
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ZrYes ❑ No
Please check your permit 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 0.1 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.
By this signature, I certify that this repo is accu a and complete to best of my knowledge:
�
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. = Structure i c , etc.)
Receiving Stream: FfN— IC
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors
chlorine odor, etc.): A
brown, blue, etc.) and tint
the discharge may have (i.e., smells strongly of oil, weak
SWU-242-05I308
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O
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
b. 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:
- - 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 o
9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /1 y
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.
11. Stormwater System Semiannual Inspection
Date ldIA19 Timej-'jb-5';73
Comments &i ra I krA PrOdto 1` I t 1
Page 2 of 2
S WU-242-051308