NCS000449_Outfall Inspection Form_20220225

OUTFALL RECONNAISSANCE INVENTORY/ SAMPLE COLLECTION FIELD SHEET
Section 1: Background Data
Nearest House #: 1;Pr'P_
Outfall ID:
Today's date:
Time (Military): S- (i
Investigators:
Form completed by:
Temperature F :
p (°) �
Rainfall in.:
( )
Last 24 homs: r
Q, Z.S Last 48 hours:
Latitude:
Longitude:
GPS Unit:
GPS LMK #:
Camera:
Photo #s:
Land Use in Drainage Area (Check all that apply):
❑ Industrial
❑ Suburban Residential
❑ Rural Residential
Commercial
❑ Open Space
❑ Institutional
Other:
Known Industries:
Notes (e.g.., origin of outfall, if known):
Section 2: Outfall Description
LOCATION
MATERIAL,
SHAPE
DIMENSIONS (IN.)-.
SUBMERGED
FETCP ❑ CMPrcular
❑ Single
Diameter/Dimensions:
In Water
❑ PVC [I HOPE
HDPE
Elliptical
❑Double
J�
❑ No
Partially
El Fully
�ised Pipe
❑ Steel
❑ Box
❑ Triple
With Sediment:
❑ Other:
❑ Other:
❑ Other:
❑rI0
Partially
❑ Fully
❑ Concrete
❑ Trapezoid
Depth:
❑ Earthen
❑ Open drainage
❑ Parabolic
Top Width:
III
❑ rip -rap
❑ Other:
Bottom Width:
❑ Other:
"-Stream
IICrn-Stream
(applicable when collecting samples)
z
Flow Present?
es [I No
Flow Description
❑Trickle ❑Moderate ❑Substantial
(If present)
Section 3: Quantitative Characterization - Removed

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OUTFALL RECONNAISSANCE INVENTORY/ SAMPLE COLLECTION FIELD SHEET
Section 1: Background Data
Nearest House #: 6-o leer i 5 &,
Outfall ID:
Today's date:
Time (Military): S,
Investigators: C
Form completed by:
Temperature ff ):
Rainfall (in.):
Last 24 hours: Q Zi OLast 48 hours:
Latitude:
Longitude:
GPS Unit
GPS LMK #:
Camera:
Photo #s:
Land Use in Drainage Area (Check all that apply):
❑ Industrial
❑ Suburban Residential
❑ Rural Residential
Commercial
_
❑ Open Space
❑ Institutional
Other:
Known Industries:
Notes (e.g.., origin of cattail, if known):
Section 2: Outfall Description
LOCATION
MATERIAL
SHAPE:
DIMENSIONS (IN.)
SUBMERGED
GWCP ❑ CMP
❑ Circular
❑ Single
Diameter/Dimensions:
In Water:
❑ PVC ❑ HDPE
❑Elliptical
❑ Double
e:L�
W15itially
❑ Fully
93xfosed Pipe
❑ Steel
❑ Box
❑ Triple
With Sed" ent
El Other:
El Other:
El Other:
do
❑ Partially
❑ Fully
❑ Concrete
❑ Trapezoid
Depth:
❑ Earthen
❑ Open drainage
❑ Parabolic
Top Width:
❑ rip -rap
❑ Other:
Bottom Width:
❑ Other:
❑ In -Stream
(applicable when collecting samples)
Flow Present?
❑ Yes No
Flow Description
(If present)
❑ Trickle ❑ Moderate ❑ Substantial
Section 3: Quantitative Characterization - Removed

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