NCG140478_DMR_20220329

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ 1 /4 / 0 / 4 / 7 / 8 /
Facility Name
County: IREDELL
LANE TEMPORARY BATCH PLANT-STATESVILLE
Phone No. 704-309-1128
Inspector: MANNY PRIVETTE
Date of Inspection: 12/30/21 Time of Inspection: 3 PM R Cc
C E I,,/li n
APR 0 6 2022
Total Event Precipitation (inches): 0.10 INCHES CENTRAL FILES
DWR SECTION
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:
W-77ZF_
(Signature of Pe l&ttee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.): PIPE
Receiving Stream:
DAVIE LOCAL
Describe the industrial activities that occur within the outfall drainage area:
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BUSINESS STORAGE
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: g FAR
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NONE
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
Ol 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:
Ol 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 O2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? Q. V No.
9. Is there evidence of erosion or deposition at the outfall? o Yes ! No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE PRESENT
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