NCG200533_2022 DMR_20220705 (3)

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/ G11/ d/ 0/ 0/ D/ 4/ 6r Certificate of Coverage No.: N/CIGI / �/ 0/ 6/ S/ 3
Facility Name: j/'VG r 1
County:A CCJ41,4 A Phone No. - $ ? 8 Yg
Inspector: lvf (vG'']�4f
Date of Inspection: - d
Time of Inspection: o
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;
G 8
(Signature of Permittee or Designee)
1. Outfall Description: _
Outfall No. �_ Structure (pipe, ditch, etc.): I(C
Receiving Stream:
Describe the �ihddustriactivities that occur within the outf 1 drainage area: 451 1 el
C �
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2. Color: Describe the color of the discharg using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe
chlorine odor, etc.): ___A
istinct odors that 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:
1 2 LJ 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:
] L:� 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 63D 4 5
7. Is there any foam in the stormwater discharge? 9 Yes dO No.
8. Is there an oil sheen in the stormwater discharge? 9Yes (V No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No.
V
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.
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SWU-242, Last modified 06/01 /2018