NCG180023_Vanguard Furniture Monitoring Report_20220107

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/abouVdivisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/, /, /, / / / / / or Certificate of Coverage No.: N/C/G/,1/8 /o 1, 0/;, /3 /
Facility Name: VOn/6k fl nVnAl?,l PUI-fT
County: �a�a kX& Phone No.
Inspector:
Date of Ins
Time of Inspection:
Total Event Precipitation (inches): 0,5
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pez64tee or Designee)
1. Outfall Description: /, �"
Outfall No. I Structure (pipe, ditch, etc.): �k�g/ —4011 A70I�
Receiving Stream:
Ulrle/
Describe the the industrial activities that occur within thg outfall drainage area
Page 1 of 2
SWU-242, Last modified 06/01/2018

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
chlorine odor, etc.): -4,�YIE
the discharge may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes
8. Is there an oil sheen in the stormwater discharge? QYes
No.
0 No.
9. Is there evidence, of erosion or deposition at the outfall? Q Yes 0 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

Environmental
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
PermitNo.: N/C/, /, /, / / / ( / or Certificate of Coverage No.: N1C/G/b$)D/O1-;Z-13/
Facility Name: (/a»Gt „r ,( ?Zd» Hb✓d '
County: ��%aw�jg ✓ Phone No. e2-3-- 3Xr'5&
Inspector: 6"i)l SnQ¢�
Date of Inspection: je"1
Time of Inspection: /V?-3p fY✓1
Total Event Precipitation (inches): o b
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 stone
interval does not apply if the permittee is able to document that a shorter interval is representative for
local stone events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pennittee or Designee)
1. Outfall Description:
Outfall No. _ �-- Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, last modified 06/01/2018

2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): )7
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 20 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:
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? Q Yes 9 No.
8. is there an oil sheen in the stormwater discharge? QYes 9 No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes No.
10. .Other Obvious Indicators of Stormwater Pollution:
List and describe Ak)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.
Page 2 of 2
SWU-242, Last modified 06/01/2018

Mr.
Envhunmental
Quallty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hUps:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/. / / / / / / / or Certificate of Coverage No.: N/C,//G/ //�/V /D/� /3/
Facility Name: lianyyAd n ttuYP� P�1� /
County: ra-�,Ayjq V Phone No. $29--AA95 5�o
Inspector:
Date of Inspection: /o2!//�o; %
Time of Inspection:
Total Event Precipitation (inches): r A/
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 stone events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PermKee or Designee)
1. Outfall Description:
Outfaii No. 3 Structure (pipe, ditch, etc.): yd„Wit✓
Receiving Stream:
Describe the the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S WU-242, Last modified 06/01/2018

• R a
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A10)7
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 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:
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:
(0 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 9 No.
8. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 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 0£ 2
SWU-242, Last inodified 06/01/2018

Environmental
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-stotmwater-gps
Permit No.: N/C/ / /./ / / / /% / yor Certificate of Coverage No.: N/C/G/, / /`$/D / 0 / $-/.5/
Facility Name: !%Gy<runv/A rZJ1nit✓cl
County: Phone No.
Inspector:
Date of Inspection:
Time of Inspection: a? �O 2M
Total Event Precipitation (inches):
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permit or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, last modified 06/0W018

2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
ing basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): -4 OY7C.
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:
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 rio solids and 5 is extremely muddy:
1 (T 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes O No.
8. Is there an oil sheen in the stormwater discharge? OYes - No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Ifl
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

NCO
Environmental
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.: N/C/ / /. / / / / / or Certificate of Coverage No.:: N/C/G/1 /e/0 /0 /9-/�/
Facility Name: / Ilan q& YI1d �'7,f/n i✓c/ p� 11 G ��
County: C4-4 Phone No. 3.2 $ -Sol
Inspector Gh 15710
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): B 5V
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitt&or Designee)
1. Outfall Description:
Outfall No. 2 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: ' '
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Aayie,- -
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 0 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 (D 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 0 3 4 5
7. Is there any foam in the stormwater discharge? 9 Yes 4,10 No.
8. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No.
10. Other Obvious Indicators of Stormwater.Pollution:
List and describe '4100112�
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

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit littps:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stolmwater-gps
Permit No.: N/C/ / / /, / /. / / or Certificate of Coverage No.: N/C/G/l l0 i'010 /gl-, l
Facility Name: �%✓n— County: Phone No. n-y' — 3,.Zr— 54,1
Inspector:
Date of Inspection:
Time of Inspection: 3>�19yj1
Total Event Precipitation (inches): • lq
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Peratittee or Designee)
1. Outfall Description: Outfall No. _ 3 Structure (pipe, ditch, etc.): Oak A
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors at the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A 0n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
10 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:
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: .
(0 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes O No.
S. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yet Q No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe��
Note: Low clarity, high solids, and/or the presence of foam, on 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

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.ne.gov/abouttdivisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NIC/try / 1 191.0 / O / / / 2.1 orCertificateof Coverage No.: N/C/G/ / l P/ 0 /0 / / / ?-,"
Facility Name: Oamquovo{ �u✓nt�!`4✓�/ Cvr+,�pnyl/{%n/1,
County: Phone No. k'X?-37
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 51
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Petmittee
1. Outfall Description:
Outfall No. _� Structure (pipe, ditch, etc.): dla,n
Receiving Stream:
C/i new Yee
Describe the industrial activities that occur within the outfall drainage area:
�irnrlar4.✓ /L1enu-Fa��Jna
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the d'scharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ G 7e. aV'
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Alb z-,'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
(9 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:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes * No.
8. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A4CL'0�
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 I
SWU-242, Last modified 06/0I/2018

MCI -
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/abouttdivisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/,G/ 1 /$7 O/ 0/ / / 7-1 or Certificate of Coverage No.: N/C/G/ 1 l FlO / 0 // /'Y/
Facility Name:
County: 67-hw wb q V Phone No. Y71 ' 3,2?6;ed
Inspector:
Date of Ins
Time of Inspection: /9> �3D ern
Total Event Precipitation (inches): a 61
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee
1. Outfall Description: I /
Outfall No. Z— Structure (pipe, ditch, etc.): n iTC
Receiving Stream:
C�)nP� �✓eeiL.
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of
5 W U-242, Last modified 06/01/2018

2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): PP,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 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 0 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 9 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /howl.
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

KC
EnNronmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out thisform, please visit bttps://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-Stormwater-gps
Permit No.: N/_C/ 6'/ 1 / n6 / 0 /O / / l ;-1 or Certificate of Coverage No.: N/C/G/ / l.S' lO /O l / 12-f
Facility Name: _
County: Cct(
Inspector:
Date of Inspection:
Time of Inspection:
3;
Total Event Precipitation (inches): . /I/
No. 3?7 8 3;Zr— Q7/
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permifree or Designee)
1. Outfall Description:
Outfall No. 3— Structure (pipe, ditch, etc.): 61sy 5-4011 41a Ise
Receiving Stream: /�
C�AJ17 ai /vnoK—
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S W U-242, Last modified 06/01/2018

2. Color: Describe the color of the disc arge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: G Pa
3. Odor: Describe any distinct odors tha>; the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ,".
4. Clairity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 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:
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:
a2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? QYes v No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Ab Q11)
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 06/01/2019

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit litips://deq.ne.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/,&"/ ) If / D / 0 / I / Z/ or Certificate of Coverage No.: N/C/G/, / l F/ 010l / l 2 h
Facility Name: �j�n4✓1 �la✓n ��✓� ��ih9�✓� f — A) A
County: �A741J�jQ Phone No. rw-3; F -55e&%
Inspector:
Date of Inspection:
Time of Inspection: /o? tab nYYI
Total Event Precipitation (inches): 151
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PelmittelKr Designee)
1. Outfall Description: 'Z
Outfall No. _ Structure (pipe, ditch, etc.): �Y i/ ,77 Y &a'A
Receiving Stream:
Describe the the industrial activities that occur within the outfall drainage area:
Pagel of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that they discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Irk MI
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 (9 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 (9 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes v No.
8. Is there an oil sheen in the stormwater discharge? QYes a No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe / o% My )
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

KC
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.ne.gov/abouttdivisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/.t/, / 11. J / 0 / 0/ / / 7 / or Certificate of Coverage No.: N/C/GI.I l 8/0 / 0 /l l '�7
Facility Name:
County: C_�77a1r/7u Phone No. Y7- "374r-5101
Inspector:
Date of Ins
Time of Inspection: 12
Total Event Precipitation (inches): • b
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, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perfiktee or Designee)
1. Outfall Description: /�
Outfall No. 15 Structure (pipe, ditch, etc.): 4;5 y Adtri
Receiving Stream:
&-eek -
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S WU-242, Last modified 06/012018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: cMar
3. Odor: Describe any distinct odors that a 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:
0 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:
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:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 9 No.
8. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 9 No.
1.0. 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