NCG060299_DMR_20220427

SEMI-ANNUAL STORMWATER DISCHARGE MONlTOPIhhgG' REPORT
for North Carolina Division of Water Quality General per,mk No. HCGO6CN00u)
Date submitted IV- ?7- 22 t R ISlF�
CERTIFICATE OF COVERAGE NO. NCG06 9
— SAMPLE COLLECTION YEAR ,go,-? MAY 02 2022oZ _
FACILITY NAME ---CC//( 99 _ a�C� FACILITY ACTIVITIES INCLUDE(check all thai aPpBV➢: Dye RAL FILES
COUNTY cn Eluse/process meats Eluse animal fats/byproducts SECtION
PERSON COLLECTING'SAMPLES Zvi I�G 6o.Kc� DISCHARGING TO SALTWATERS? ❑VES �t�90
LABORATORY �4 C e Lab Cert.#
PLEASE REMEMBER TO SIGN ON THE REVERSE -3�
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or ❑ No discharge this period3
Outfali,No. Sample,.Collected, 795, pH,. COD, oWand Grease, Fecahcoliform;, Enterococci
mo/dd/yr mgJ,L Standard;units mg/L mg/L Colonies-per IGO ml colonies•per:100 MI.
Benchmark 100or50. Witfiin6.D-9:0 ,
: 120 30 1000 ;no
60
9, b
6
7. S
'Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on-site rain gauge.
aFor sampling periods with no discharge at anv outfalls.You must still submit this discharge monitoring report with a checkmark here.
See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?❑yes z/ no (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results:only for facilities avers ing>55 gal of new motor oil/month.
OutfaWNO: Sample Collected; .,` Olfand Grease, TSS, ptf, New'Motor.Oil:Usage,.
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark 30 1000r50° 6.0-9.0
Only applies to facilities that use/process meats,
''The total precipitation must be recorded using data from an on-site rain gauge.
aFor sampling periods with no discharge at anyoutfalls,you must still submit this discharge monitoring report with a checkmark here.
See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SW-249
Last Revised: October 18,2012

*FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑NO❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all"'No Discharge"reports, within 30 days of receipt of the lab results or at end o
monitoring period la the case of"NoVischarae"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOUR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who.manage the system, or those.persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are si-gnificant penalties for submitting false
information, including the-possibility of fines and imprisonment for knowing violations."
/CZ4 J_
�—
(Signature of Perrnittee) (Date)
Additional copies of this form may be downloaded at:http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised:Octvver 18, 2012'
Pate 2.of 2

J
MCDEN
( Stt®rrmmwatter Discharge Outffa ll (SDO)
Qualitative Monitoring Report
For guidance on filling out th s form please visit: ht :// orlat-ncdenr.orefweb/- /ws/su/n dessw#tab�
Permit No.: N/C/6l©l6/f�l�/ll�l or Certificate of Coverage No.: N/C/G/
Facility Name: C%ICS' Tdli g c ca
County: �6+ I �/I-A Phone No. F?,/ -
Inspector: I'CCI.r—
Date of Inspection: MAY 0$ 2n�_
Time of Inspection:
L;t:IVFRAL FILES
Total Event Precipitation(inches): R
)S " C SECTION
Was this a Representative Storm Event? (See information below) O'Yes ❑ 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
i 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 sign ture,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
f. Outfall Description:
Outfall No. _ A/ Structure(pipe,ditch, etc.) /✓i �G
Receiving Stream:
Describe the industrial activities that occur an the outfall drainage area:
IQ4H GS'� 7iavt Jul �L'>/��
2. Color: Describe the color of the discharge using{basicLcolors (red,brown,blue, etc.) and tint
(light,medium, dark) as descriptors:
3. Odor: Describe any distinct odoo s that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /Uo odG
;i
Page 1 of 2
SWU-242-20120613

Cla-rity: Choose the number which best desc�!Jibes d e cla`dty of'die discharge, where I is clear
and 5 is very cloudy: ;
LIj 2 3 4 5
S. M®afing 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 a 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:
ICE 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheers in the stormwater discharge? Yes o
9. Is there evidence of erosion or deposition at the outfall? Yes A01
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Mote: 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.
. rr •
Page 2 of 2
3w[J 242-s01'21OG 13

HICDEHR
i Sto rmwate ° Discharge OutfaU (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit. ham://portal.ncdear.orgZweb/wg/ws/Su/ni)dessw#tab-4
Permit No.: NICI'�/ 1 o"14/02l 9l 91 or Cer0cate of Coverage No.: NICIGI
Facility Name: C12
County: cYs-ci11-4 Phone No.
Inspector: C&
Date of Inspection: 2 2-
Time of Inspection: VS 4-f
Total Event Precipitation(inches):
Was this a Representative Storm Event? (See information below) �es ❑ No
Please check yourpermit 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 thism
,I certify that this report is accurate and complete to the best of my knowledge:
(Signature.of Permittee or Designee)
1. Outfall]Description:
Outfall No. .� Structure(pipe,ditch,etc.)
Receiving Stream
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors(red,brown,blue, etc.)and tint
(light,medium,dark)as descriptors:
3e Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chtorine odor,etc.): xa o'C',
Page•1 Gt 2
SWU 242-20120613

4. Ckrky: Choose die number which best deser-ibes tie clarity of the discharge, where 1 is clear
and 5 is very cloudy: "
.,� 2 3 4 5
S. 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:
C!:,,) 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 E / 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids,and/or the presence of foam,off sheen,or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page'-)of 2
AVU 242-201206I3

1 L
MCDENR
Stormwater Discharge 0utfhU (SDO)
QuaUt tive Monitoring Report
For guidance on filling out this form,please visit: 1it!p://porla1-ncdenr.orJNN1eb/wy1ws1su/npdess A#h-ab-4
Permit No.: NIC/AZ&?.412 9/ •or Certificate of Coverage No.: NIC/G/
Facility Name: 02,ff
County: r'.f Phone No. ,?,7Z, — 9JY— 77
L'
Inspector: vj ,Wc 6V,0.2-,C
Date of Inspection: �Z—fe- z Z Time of Inspection: of:SS 0.,*1
Total Event Precipitation(inches): •�. 7s
Was this a Representative Storm Event? (See information below) ❑/Yes ❑ 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 I
l
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. 1
By this signature,I certify that tbi.ss report is accurate and complete to the best of my knowledge:
— -/,y /7), a"Y
(Signature of Permittee or Designee)
I. Outfaii Description:
Outfall No. Structure(pipe,ditch,etc.) / c-
Receiving Stream:
Describe the industrial activities that
occur within the outffall drainage area:
2. Color: Describe the color of the discharge using basic colors(red,brown,blue, etc.)and tint
(light,medium,dark)as descriptors: C6C�r
3. Odor: Describe any f distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor, etc. : /yy 0
Page t of 2
SVM-242-20120613

4� Clarity: Choose the number wl-dcln best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where I 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:
&; 2 3' 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
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.
'age 2 of 2
swU-24a-a0120613

MCDE"MR
Qualitative Monitox M* g Report
For guidance on falling out this form,please visit: http://porW.ncdennorg/Ax=eb/c,glws/su/npdesswittab-
Permit No.: NICI 61 a/6 0/a?I V/ 91 or Certificate of Coverage No.: NICIGI l I I I l I
Facility Name: C/Z S %T G G'e _
County: Ac/TV�I Phone No. 9YY ;7 2a?7
Inspector: _ 1%�417 al Ac �olwGeel
Date of Inspection: �/—Ie-— 2 2-
Time of Inspection: 7:t✓.�- g,�-i
Total Event Precipitation(inches): 2
Was this a Representative Storm Event? (See information below) [ Yes ❑ 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 j
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sign tune,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. ®utfa11 Description:
Gutfall No. AlAl Structure(pipe,ditch,etc.) �.
Receiving Stream:
Describe the industrial activities that occur within the outf drainage area: �P�P .E
2. C61or: Describe the color of the discharge using basic�olors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: /C �'?�c�'u M
I Odor: Describe an}'�distinct odors that the discharge may have (i.e., smells strongly of oil,weals
chlorine odor,etc.): /yU D G
i
Page 1 of 2
SW-U 242-20120613

41 Cla-city: Choose Lhe nuJ.' bi �-winch best describes the clarity of the discharge. \lvhe-re 1 is clear .
and 5 is very czoudy:
t 3 4 5
f
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 �p 3 4 5
6. Suspended So1La°ds: 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 a 4 5
-)
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes 6P
9. Is there evidence of erosion or deposition at the outfall? Yes N
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
SWTJ-'42-'0120GI3