NCG060229_2022 DMR_20220708

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 know] dga and belief, true, a urate, and complete. Lam aware that there are significant penalties for submitting (also information,
including the p S ibi t f f, si risonment for knowing violations."
Signature
Date
For questions, contact your local Regional Office:
DWQ Re tonal office Contact Information:
2EGIONW, A PI ..
TR-
A L OVI& 1i b t L 4 CI]
IQURESy_I� T 1tEtYTQNAI ;O IG
2090 US Highway 70
225 Green Street
610 East Center venue/Suite 301
A
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
9I0 433-3300
tAT?aCIGHR
iytt���ci�r��cxol�ra� or��c
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
IN$TOI SA LE14I RL� 7QIYAI, OFF
N CItAI OS Sc':
585 Waughtown Street
Winston-Salem, NC 27107
16I7 Mail Service Center
Raleigh, NC 27699-1617
^7.0 prose rue prA1#ecf
arirleehartr
(336)77]-5000
919 807-630Q
IVorthGerohne'stiyaler."
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

O
i
4y
M
tV
�
W i
d
z�CD
w�
`6
�0bi)
I
>o
o
w�•�
�z
� a
4� d)
�o
�H
Az
xo
r
as
O
O
O
O
co
CD
0
U
Z
cn
U
z
i
�7
z
a
O
0
G
0
Cd
w
kn
LO
NO
ID
0
U
Cd
N
U
O
�a
4�
QZ,
f..
O _d
Q
O
�w
off o�
zo
ro
i
0
d
b
iv
O
r-, ¢�
kn
H v
Jam!
-`a`37.7
e�
�
�AriaU
N
ca
�
�oz

N
O
G
CU O
a
O 'dON
"7 •,�-� .�.
O
•�
p a� N
�
� b!i
p� [,•�
f; '?gym �
0
c' � . G
•� O �
� •w�
•� O � V] p
v�i
Rr CS � f•.
w
r" Z
(D
c, v
� o c
w
owl m
�
.�
L i.
Ld
.d)
Q d r'0
� W O
cC C
_N
cK s+
ri i--f
F-i
�
� bA � � •�"
ccl
I
i
Q3 Xw o
c'9Ud
c�Ud
y v � �
C �' r
6l G
N
r•-i � Q
�
u
:d ed �' sI
41
Q>
�bQ
z7^
O
✓
�
A �"•� W
�
A F C
rn O ,Lt .�
v
F

Environmental
QuaUly
Stormwater Discharge ®utfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this form, please visit httl2s://deci.nc.coy/about/divisions/energy-mineral-land-
t esourceslenerR V-;mitieral-land-permits/stoi-trmwater-permits/np des-industrial-sw#tab-4
Permit No.: NICI I CAD/ Ql a 0-/ 0 or Certificate of Coverage No.: NIC/G/ C/ 6/ cy- 1 1
p'acility Name: MQYA VA CLAM - - —
County: `®/ an ca- _Phone, No. 2-5 2-- 4:1�5 1600
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):R � pA
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 pennittee 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:
of Pexrnittee or Designee)
1. Outfall ascription:
Outfali No. Structure (pipe, ditch, etc.):L� t
Receiving Stream: r,
Page I of 2
SwU-242, Last modified 07/28/2017

2. Color: Desci;ibe the color of the discharge using basic colors (red, brown, bloc, etc.) and tint
(light, megium, dark): as descriptors: ! '
3. Odor: Describe any distinct odors that the 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: ,
N\N 1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater dis6harg6, where 1 is no solids and 5 is the surface covered with floating solids:
n4
}� 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:
N�1\ 1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o No.
8. Is there an .oil sheen in the stormwater discharge? oyes o No.
9. Is there evidence of erosion or deposition at the outfall? O Yes Q 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 07/28/2017

For guidance on filling out this form, please visit htt s://de .nc. ov/about/divisions/ener -mineral-land-
resourceslenergvL� miiieral-land-permits/stormwater-permits/npdos-industrial-sw#tab-4
Permit No.: NICIG!IOl (Dl CW - 010 or Certificate of Coverage No.: N/CIGI C'I 4j/ `zvl
Facility Name: CAY-% VA CCile—
County: Y� (-q , Phone No. ` 5 — MS — 1600,
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):�4 \ N — N �,) �Aowi
All permits require qualitative monitoring to be performed during a "measurable storm event."
.i
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:
Of PAgEittee or
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.): V-,-N L t
Receiving Stream:.
Des ribe the industrial activities tha occur within the utfall drainage area: Q
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Des4"Ibe the color of th discharge using basic colors (red, brown, bl'Oc, etc.) and tint
(light, medium, dark):as descriptors: i V
3. Odor: Describe a ry distinct odors that the 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: ' N `
1 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:
N` N 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:
N�N 1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes Q No. NJ\
8. Is there an .ail sheen in the stormwater discharge? 0Yes O No.
9. Is there evidence of erosion or deposition at the outfall? o Yes Q 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, bast modified 07/2812017

For guidance on filling out this form, plegse visit https:Hdeg.nc.eov/about/divisions/energy-mineral-land-
resourceslenerg)L-mineral-land-permits/stormwater-permits/np des-industrial-swlltab-4
Permit No.: NICIGI -0l �l �1 PW -1—Q-1 Ql or Certificate of Coverage No.: N/C/G/ C/ O-C /
Facility Name:
County: V Cairn T — ...—Phone No.
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 'o �AOA
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 dischaege 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 perznittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval froze the local DEMI.,R
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of zny knowledge:
or Designee)
1. Outfall Description_ :
Outfall No.
Receiving Stream:,
Structure (pipe, ditch, etc.): Q) ;
the industriaf activities that occur within the
Page I of 2
drainage area:
tln5. 1%
SwU-242, Last modified 07/28/2017

2. Color: Deser`be 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 the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):. \ 1[�
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:
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.
N \N 1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes Q No. SA,
8. is there an .qil sheen in the stormwater discharge? QYes O No. N Vlss
i
9. Is there evidence of erosion or deposition at the o€ztfall? O Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, anal/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
SW-242, bast modified 07/28/2017

For gzridance on filling out this form, please visit https://deg.nc.aoy/about/divisions/energy-mineral-land-
resourceslener mineral -land- ermits/stornrwater- ermits/n des-industrial-sw#tab-4 '
Permit No.: NICI�I 1 l �l 8 1 1 or Certificate of Coverage No.: N/C/G/ C/ mil_` `Z/ l
Facility Name:?-Acchl
County: an Phone No. 2-5 2-- 4-1�5 1600
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): , M v �A ow
All permits require qualitative monitoring to be performed during a "measurable storm event."
't
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 DEMI,R
Regional Office.'
By this signaturg, I certify that this report is accurate and complete to the best of my knowledge:
(SignAture of PermilW dr Designee)
1. Outfall Description:
Outfall No. �Ey Structure (pipe, ditch, etc.):
Receiving Stream: ti
C-\/)
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
SWU-242, Iasi modified 07/28/2017

2. Color: Desc6be the color of the discharge using basic colors (red, brown, bllte, etc.) and tint
(light, medium, dark): as descriptors:
3. Odor: Describe a y distinct odors that the discharge may have (Le., 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:
1N 1 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:
N�N 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:
5 `t\N 1 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes Q No. N%
8. is there an oil sheen in the stormwater discharge? QYes Q No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes o 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 07/28/2017

For guidance on filling out this form, please visit baps://deg.ne.gov/about/divisions/energyy-mineral-land-
resorirceslener mineral -land- ermits/stormwater- ermits/n des-industrial-swfftab-4
Permit No.: NICI I �l I ! l l or Certificate of Coverage No.: N/C/G/ C/ 4J, -7 I
Facility Name: (C—al
County: faYN CA, Phone No. (000
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): IN \ N , N v ivi
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 sioature, 4ertify that this reppft is accurate and complete to the best oft . y knowledge:
'1/ g/ el /
(Si nature o Permit e or Designee)
1. Outfall Description: \\ ii
Outfall No. Structure (pipe, ditch, etc.): V)'%•}C_V1
Receiving Strearn:
Desc ibe the industrial activities teat occur within tkee outfall drainage area: a� It I
Page 1 of 2
SwU-242, last modified 07128/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark): as descriptors: c
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describestheclarity 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:
\� 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 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?' OYes q No.
4
9. Is there evidence of erosion or deposition at the outfall? o Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe \1 MN
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
s M-242, Last modified 07/28/2017

For guidance on filling out this form, please visit https:Hdeq.ne.gov/about/divis,ions/enerjzy-mineral-land-
resources/ener mineral -land- ermits/stormwater- ermits/n des-industrial-sNv#tab-4
Permit No.: NIC101016/ 0 CV 0/ 0 or Certificate of Coverage No.: NICIGI C U_0 2I7,Jq/
Facility Name: MCAYS A- C' M
County: \( (an Cjy, Phone No. Z5 ?_"® 4�5 "-- „1 6C)o
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 1�
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:
of Permifte/e or
1. Outfall Description:
OutfalI No. I
Receiving Stream:
Describe the industrial activit
Structure (pipe, ditch, etc.)
D ,"
C_V_-e,
that occur within the outfall drainage area:
Page 1 of 2
SWU-242, Last modified0712812017

2. Color: Describe the color of the
(light, medium, dark)'as descriptors:
large 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.): fi
1 \L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
N\N 1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
i ' \N
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonnwater discharge,
�where 1 is no solids and 5 is extremely muddy:
4�`* 1 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes Q No. i V
S. Is there an oil sheen in the stonnwater discharge? 0Yes O 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 4 �➢
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 07/28/2017