NCG081012_2022 DMR_20220708 (3)

For guidance on filling out this form, please visit https://deq,nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storm water-gps
Permit No.: NX/(� r,11 / 0. l 0 or Certificate of Coverage No.: NICIGIO I 1 / 1 `f
Facility Name:
County: �f"i,?y�"7 Phone No. = �, �q41 — Y, . rr'
Inspector:r� l 3
Date of Inspection: d r
Time of Inspection:
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
Office.
•
By this signature, I certify that this report is accurate and complete to the best of my luiowledge:
N
W1
1. Outfall Description: /j "
Outfall No. CStructure (pipe, ditch, etc.): 7L- - `
Receiving Stream: _
Describe the industrial activities that occur within the outfall drainage area:
t
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 2�. -�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Ale f;?, <7� �--
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I r
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:
IJ/ Z7\
/I 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
/1 2 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? OYes '0 No'
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 6N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe tyl
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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5W-242, Last modified 06/01/2018