HomeMy WebLinkAboutNCG030301_2022 DMR_20220912NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload for within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No, NCG03 0301
Person Collecting Samples: Paul Hastings
Facility Name: AP Exhaust Technologies LLC
Laboratory Name: Microbac
Facility County: Wayne
Laboratory Cert. No.: K2A0336
Discharge during this period: Yes
No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark exceedances? El Yes ® No
If so, which Tier (I, II, or III)? 1
A copy of this DMR has been uploaded electronically via httos://edocs.deg.nc.gov/Forms/SW-DMR Yes FjNo
Date Uploaded: 9/12/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall3
Outfall5
Outfall7
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
08/12/2022
08/12/2022
08/12/2022
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
6.79
11.6
33.5
pH in standard units (6.0 — 9.0 FW,
00400
8.1
7.6
7.2
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.00441
0.00588
0.0208
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.00100
0.00100
0.00279
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.09S SW)
0.0864
0.0512
0.0821
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<7.5
<&9
<7.0
* outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) 5W (saltwater)
Notes (optional): This is the first month where outfall 7 is over compliance level, we are in tier 1 reporting until this is corrected
"I certify by my signature below, 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 significant penalties for submitting
false irifo7matign, including the possibility of fines and imprisonment for knowing violations."
9/12/2022
of Permittee or Delegated Authorized Individual Date
phastings@apexhaust.com
Email Address
919-580-2086
Phone Number
OMICROBAC ®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Project Description
Stormwater Samples - Outfalls, Monthly
For:
Danny Hammon
AP Exhaust Technology
300 Dixie TRL
Goldsboro, NC 27530
Administration
Brittany Smith
Monday, September 5, 2022
Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of
your report was completed by Microbac Laboratories, Inc. - Fayetteville. If you have any questions, comments, or require further
assistance regarding this report, please contact your service representative listed above.
I certify that all test results meet all of the requirements of the accrediting authority listed within this report. Analytical results are
reported on a 'as received' basis unless specified otherwise. Analytical results for solids with units ending in (dry) are reported
on a dry weight basis. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be
reproduced, except in full, without the written approval of Microbac Laboratories. The reported results are related only to the
samples analyzed as received.
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com
Page 1 of 15
0MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
AP Exhaust Technology Project Name: Stormwater Samples - Outfalls,
Monthly
Danny Hammon Project/ PO Number: NIA
300 Dixie TRL Received: 08/15/2022
Goldsboro, NC 27530 Reported: 09/05/2022
Case Narrative
Outfall 3 pH: 8.1
Outfall 5 pH: 7.6
Outfall 7 pH: 7.2
Sample Summary Report
Sample Name
Laboratory ID
Client Matrix
Outfall3
K2H0222-01
Aqueous
Outfall5
K2H0222-02
Aqueous
Outfall7
K2H0222-03
Aqueous
Sample Type Sample Begin
Grab
Grab
Grab
Sample Taken Lab Received
08/12/22 08:40 08/15/22 16:25
08/12/22 08:30 08/15/22 16:25
08/12/22 08:20 08/15/22 1625
Page 2 of 15
0MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Analytical Testing Parameters
Client Sample ID: Outfall 3
Sample Matrix: Aqueous Collected By: Paul Hastings
Lab Sample ID: K21-10222-01 Collection Date: 08/12/2022 8:40
Metals Total by ICP
EPA 200.7, Rv. 4.4 (1994)
Zinc
Metals Total by ICPMS
EPA 200.8, Rv. 6.4 (1994)
Copper
Lead
Inorganics Total
EPA 1664B
Oil & Grease (HEM)
SM 2540 D-2015
Total Suspended Solids (TSS)
Analyses Performed by: Microbac Laboratories Inc., - Marietta, OH
Result RL
Units DF
Note
0.0864 0.0200
mg/L 1
Result RL
Units DF
Note
0.00441 0.00200
m91L 1
<0.00100 0.00100
m91L 1
d
Analyses Performed by: Microbac Laboratories, Inc. -
Fayetteville
Result RL
Units OF
Note
<7.5 7.5
mg/t 1
6.79 3.21
mg/L 1
Prepared Analyzed Analyst
08/19/22 0834 08/21/22 0045 LSJ
Prepared Analyzed Analyst
08/22122 0700 08/22/22 1223 JYH
08/22122 0700 08/22/22 1223 JYH
Prepared Analyzed Analyst
09/01122 0808 09/01/22 0945 WPR
08/17/22 1255 BNS
Client Sample ID: Outfall 5
Sample Matrix: Aqueous Collected By: Paul Hastings
Lab Sample ID: K21-10222-02 Collection Date: 08/12/2022 8:30
Metals Total by ICP
EPA 200.7, Rv. 4.4 (1994)
Zinc
Metals Total by ICPMS
EPA 200.8, Rv. 6.4 (1994)
Copper
Lead
Inorganics Total
EPA1664B
Oil & Grease (HEM)
SM 2540 D-2015
Total Suspended Solids (TSS)
Analyses Performed by: Microbac Laboratories Inc., -
Marietta, OH
Result RL Units DF
Note
0.0512 0.0200 mg1L 1
Result RL Units OF
Note
0.00588 0.00200 mg1L 1
<0.00100 0.00100 mg1L 1
1
Analyses Performed by: Microbac Laboratories, Inc.
- Fayetteville
Result RL Units DF
Note
<8.9 8.9 mg/L 2
11.6 3.23 mg1L 1
Prepared Analyzed Analyst
08/19122 0834 08121/22 0049 LSJ
Prepared Analyzed Analyst
08/22/22 0700 08/22/22 1226 JYH
08/22/22 0700 08/22/22 1226 JYH
Prepared Analyzed Analyst
09/01/22 0808 09/01/22 0945 WPR
06/17/22 1255 BNS
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 3 of 15
(�)MICROBAC`°
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Client Sample ID: Outfall 7
Sample Matrix: Aqueous Collected By: Paul Hastings
Lab Sample ID: K2H0222-03 Collection Date: 08/12/2022 8:20
Analyses Performed by: Microbac Laboratories Inc., -
Marietta, OH
Metals Total by ICP
Result RL
Units
DF
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4 (1994)
Zinc
0.0821 0.0200
mglL
1
08/19122 0834
08/21/22 0052
LSJ
Metals Total by ICPMS
Result RL
Units
DF
Note
Prepared
Analyzed
Analyst
EPA 200.8, Rv. 5.4 (1994)
Copper
0.0208 0.00200
mg1L
1
08/22/22 0700
08/22/22 1228
JYH
Lead
0,00279 0.00100
mg1L
1
08122/22 0700
08/22/22 1228
JYH
Analyses Performed by: Microbac Laboratories, Inc. - Fayetteville
Inorganics Total
Result RL
Units
DF
Note
Prepared
Analyzed
Analyst
EPA 1664B
Oil & Grease (HEM)
<7.0 7.0
mg/L
1
Al2
09/01/22 0808
09/01122 0945
WPR
SM 2540 D-2015
Total Suspended Solids (TSS)
33.6 4.55
mg/L
2
08117/22 1255
BNS
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 4 of 15
VMICROBACP'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Batch Log Summary
Method
Batch
Laboratory ID
Client / Source ID
EPA200.7, Rv.4.4(1994)
B2H1034
B2H1034-BLK1
B2H1034-BS1
K2H0222-01
Outfall 3
K21-10222-02
Outfall 5
K2H0222-03
Outfall 7
B21-11034-SRL1
M21-11210-03
Method
Batch
Laboratont ID
Client! Source ID
EPA 200.8, Rv. 5.4 (1994)
132H1116
62H1116-8LK1
B2H1116-BS1
B2H1116-SRL1
M21-11127-02
K21-10222-01
Outfall 3
K21-10222-01
Outfall 3
K2H0222-02
Outfall 5
K2H0222-02
Outfall 5
K2110222-03
Outfall 7
K21-10222-03
Outfall 7
B2H1116-MS2
K21-10222-03
Metjjod
Balch
Laboratory ID
Client! Source ID
SM 2540 D-2015
KH21610
K21-10222-03
Outfall 7
KH21610-BLK1
KH21610-DUP1
K21-10066-02
KH21610-BS1
K2H0222-01
Outfall 3
K2140222-02
Outfall 6
Method
Batch
Laboratory ID
Client! Source ID
EPA 1664B
K120001
K120001-BLK1
K120001-DUP1
K21-10222-02
K120001-BS 1
K120001-MS 1
K2 H0222-03
K21-10222-01
Outfall 3
K21-10222-02
Outfall 5
K21-10222-03
Outfall 7
Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville
Spike Source %REC RPD
Inorganics Total Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KH21610 - Wet Chem Aqueous - SM 2640 D-2016
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 5 of 15
VMICROBAC`p
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Spike Source %REC RPD
Inorganics Total Result RL Units Level Result %REC Limits RPD Limit Notes
Batch KH21610 - Wet Chem Aqueous - SM 2540 D-2015
PBW01 (KH21610-BLK1)
Prepared &Analyzed: 08/17/2022
Total Suspended Solids (TSS)
<83.3
83.3
mg1L
LCSW01 (KH21610-BS1)
Prepared & Analyzed: 08/17/2022
Total Suspended Solids (TSS)
98.7
2.50
mg1L 100 99 95-105
Reactor #1D (KH21610-DUP1)
Source: K21-10066-02
Prepared &Analyzed: 0811712022
Total Suspended Solids (TSS)
6230
833
mg/L 6050 3 10
Batch K120001 - Wet Chem Aqueous - EPA 1664B
Blank (K120001-BLK1)
Prepared &Analyzed: 09/01/2022
Oil & Grease (HEM)
<5.0
5.0
mg/L
LCS (K120001-BSI)
Prepared & Analyzed: 09/01/2022
Oil & Grease (HEM)
33.7
5.0
mg/L 40.0 84 78-114
Duplicate (K120001-DUPI)
Source: K21-10222.02
Prepared & Analyzed: 09/01/2022
Oil & Grease (HEM)
<6.2
6.2
mg/L ND 18
Matrix Spike (K120001-MS1)
Source: K21-10222-03
Prepared &Analyzed: 09/01/2022
Oil & Grease (HEM)
51.2
7.7
mg1L 40.0 ND 128 78-114
Batch Quality Control Summary:
Microbac Laboratories Inc., - Marietta, OH
Spike Source %REC
RPD
Metals Total by 1CP
Result
MDL
RL
Units Level Result %REC Limits RPD
Limit Notes
Batch B2H11034 - 200.7 - EPA 200.7, Rv. 4.4 (1994)
Blank (B2H1034-BLK1)
Prepared: 08/19/2022 Analyzed: 08/21/2022
Zinc
<0.0100
0.0100
0.0200
mg/L
LCS (B2H 1034-BS 1)
Prepared: 08/19/2022 Analyzed: 08/21 /2022
Zinc
0.527
0.0100
0.0200
mg1L 0.500 105 85-115
Spike Source %REC
RPD
Metals Total by ICPMS
Result
MDL
RL
Units Level Result %REC Limits RPD
Limit Notes
Batch B2H1116 - 200.13W - EPA 200.8, Rv. 5.4(1994)
Blank (B2H1116-BLKII)
Prepared
& Analyzed:
08/22/2022
Copper
<0.00100
0.00100
0.00200
mg1L
Lead
<0.00050
0.000500
0.00100
mg/L
0
LCS (B2H1116-BS1)
Prepared
&Analyzed:
08/2212022
Copper
0.166
0.00100
0.00200
mg/L
0.160
104
85-115
Lead
0.0801
0.000500
0.00100
mg/L
0.0800
100
85-115
Matrix Spike (B21-11116-MS2)
Source: K21-10222-03
Prepared
& Analyzed:
08/22/2022
Copper
0.193
0.00100
0.00200
mg/L
0.160 0.0208
107
70-130
Lead
0.0901
0.000500
0.00100
mg/L
0.0800 0.00279
109
70-130
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, INC 28306 1910.864.1920 p I www.microbac.com Page 6 of 15
VMICROBAC4
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2H0222
Definitions
Al2: MS/MSD fail recovery, but the LCS passes criteria.
J: The result is an estimated quantity. The associated numerical value is the approximate concentration of the analyle
in the sample.
MDL: Minimum Detection Limit
m91L: Milligrams per Liter
RL: Reporting Limit
RPD: Relative Percent Difference
Cooler Receipt Log
Cooler ID: Default Cooler Temp: i8.9°C
Cooler Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (COC) Present?
Yes
COO includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on COC?
Yes
Correct type of Containers Received
Yes
Correct number of containers listed on COC?
Yes
Containers Intact?
Yes
COG includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match COG (Name, Date & Time?)
Yes
Samples arrived within hold time?
Yes
Correct preservatives on COC or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not reed.?
Yes
Project Requested Certification(s)
Microbac Laboratories Inc., - Marietta, OH
583
NC Dept. of the Environment and Natural Resources
Microbac Laboratories, Inc. - Fayetteville
11
North
Carolina DENR NPDES
Report Comments
Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to���
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents only the
sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are Brittany Smith
present and an authorized signature is included. The services were provided under and Administration
subject to Microbac's standard terms and conditions which can be located and
reviewed at airttns://www.microbac.com/standard-terms-conditions?. Reported: U910512022 17:05
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 7 of 15
* M IR ®B A C " Chain of Custody Lab Manager: Brittany Smit
111111111111ll E11111111111111111111111IN
Microbac Laboratories, Inc. - Fayetteville K2H022CO
TAT 7 days 0-
AP Exhaust Technology Project Name: Stormwater Samples - Outfalls,
Monthly
Danny Hammon
300 Dixie TRL
Goldsboro, NC 27630
Phone: (919) 580-1940
Client Sample ID: Outfall 3
Lab Sample ID: K2HO222-01
Matrix: Aqueous
Type: Grab
ProjecUPO Number: NIA
Tenatively Scheduled: 8/15/2022
Route:
Sampled Date & Time p V on Ow
Analysis
Method Field Results/Comments
200.8 Cu
EPA 200.8, Rv. 5 A (1994) limit 0.007 mg/i
200.8 Pb
EPA 200.8, Rv. 5.4 (1994)
HEM-OG E1664B
EPA 1664B
TSS SM2540-D
SM 2540 D-2015
200.7 Zn
EPA 200.7, Rv. 4.4 (1994) limit 0.067 mg/L
Container(s)
1 L-Bottle Glass Amber-H2SO4
1 L-Bottle Glass Amber-1-12SO4
1 L-Bottle HDPE
500ml-Bottle HDPE-HNO3
Client Sample ID: Outfall 5
Lab Sample ID: K2HO222-02
Matrix, Aqueous
Type: Grab
Hold Time
180.00 days
180.00 days
25.00 days
7.00 days
180.00 days
Designator
A
B
C
D
Sampled Date & Time: n l id um, Os"
Analysis
Method Field Res uIts/Comm ants
200.8 Cu
EPA 200.8, Rv. 5A (1994) limit 0.007 mg/l
200.8 Pb
EPA 200.8, Rv. 5.4 (1994)
HEM-OG El664B
EPA 1664B
TSS SM2540-D
SM 2540 D-2015
200.7 Zn
EPA 200.7, Rv. 4.4 (1994) limit 0.067 mg/L.
Container(s)
1 L-Bottle Glass Amber-H2SO4
1 L-Bottle Glass Amber-H25O4
1 L-Bottle HDPE
500ml-Bottle HDPE-HNO3
Client Sample ID: Outfall 7
Lab Samplo ID: K21-10222-03
Matrix: Aqueous
Tvne, Grab
Vfl-. I, �
Hold Time
180.00 days
180.00 days
25.00 days
7.00 days
180.00 days
Designator
A
B
C
D
Sampled Date & Time: U� �� '��'� OD Iry
�rl �
Microbac Laboratories, Inc. Page I of 2
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p j vvww.microbac.com
0 M I C R O B A C' Chain of Custody
AP Exhaust Technology
Danny Hammon
300 Dixie TRL
Goldsboro, NC 27530
Phone: (919) 580-1940
Microbac Laboratories, Inc. - Fayetteville
Lab Manager: Brittany Smil L.
IIIIIIII III IIIIII till IIIII IIIII l[III IIII IIII15
K2H022CD
m
ca
Project Name: Stormwater Samples - Outfalls,
Monthly
Project/PO Number: NIA
Tenatively Scheduled: 8/15/2022
Route:
Analysis
Method Field Results/Comments
200.8 Cu
EPA 200.8, Rv. 5.4 (1994) Limit 0.007 mg/l
200.8 Pb
EPA 200.8, Rv. 5.4 (1994)
HEM-OG E1664B
EPA 1664B
TSS SM2540-D
SM 2540 D-2015
200.7 Zn
EPA 200.7, Rv. 4.4 (1994) limit 0.067 mg/L
Container(s)
1 L-Bottle Glass Amber-H2SO4
1 L-Bottle Glass Amber-112SO4
1L-Bottle HDPE
500ml-Bottle HDPE-HNO3
Hold Time
180.00 days
180.00 days
25.00 days
7.00 days
180.00 days
Designator
A
B
C
D
ampled by / Relinquished by:
Date ime:
q I � ����
Received by:
Daterrime:
Printed Name: Paul Hastings
Printed Name:
Relinquished by:
DO � �.l� G �/
O l
2G
J
Received by:
I5ilne:
17
1CPW
Printed Name:
Printed Names` !, „
�L�t
Relinquished by:
DateMme:
Received by:
Daterflme:
Printed Name:
Printed Name:
As Received at Laboratory. On Ice: es No Temp: 7SL E C 'Thermometer ID: '1--�J'f Total Containers: 12.00
Microbac Laboratories may be unable to perform a portion of the requested testing In which case we will subcontract the analysis to on
appropriately accredited laboratory. By signing this document you are acknowledging that you have been informed by Microbac that testing
could be subcontracted and agree with this arrangement.
Notes.
Microbac Laboratories, Inc. Paget of
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NIC/ J 1, 1 1, 1 / 1 or Certificate of Coverage No.: NICIGI V l 3?4 0/ 31 c) 1 JI
Facility Name: /1-t 6 M I5 y1a N S
County: 1]Cl A N6 Phone No. ���� J J r 7—e),Fe:
Inspector: f°r S %JAJG 5
Date of Inspection: _
Time of Inspection:
q - tom- %z Z-
y6 (AM
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 signaAure, I certify that this report is accurate and complete to the best of my knowledge:
Permittee or Designee)
1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within he outfali
�
Page 1 of 2
SWU-242, Last modified 0610112018
area:
LO
CM
Q
Ln
r
O
2. Color: Describe the color of the discharge using basic col o s (red, brown, blue, etc.) and tint r
(light, medium, dark) as descriptors: _C,C� cr.,r !hJ i �1'L► �n f Oro
o_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): k/ 0 6IC5
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
61 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 3 4 5
b. 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:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o No.
NO
8. Is there an oil sheen in the stormwater discharge? UYes o No. Al D
Is there evidence of erosion or deposition at the outfall? o Yes o No. AAO
10. Other Obvious Indicators of Stormwater Pollution:
List and describe M AI&I
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.
* K2H O222*
Page 2 of 2 1IIIIIIII�II�II�IIIIIRIII�l�1114111
SWU-242, Last modified 06/01/2018
t-'`
Environmental' i7
Quality
Stormwater Discharge Outfall (SDO) /
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.no.govlabouVdivisioWenergy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_ICI 1 1 I I I 1 I or Certificate of Coverage No.: NICIGIOI 31 DI 1 c71 11
Facility Name: 15510 l S
County:1� ft 1 C Phone No. / - '— b
Inspector: s
Date of Inspection: 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 Opnature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. Outfall Description:
Outfall No. C Structure (pipe, ditch, etc.): % It 1-7
Receiving Stream:
Describe the industrial activities that o our within the outfall drainage area:
Ko 1Nr)1 Al tl�IZ-6'411 C
Page 1 of 2
SWU-242, Last modified 0610112018
i�n�sO222�m'�
0
N
N
0)
M
IL
Ln
0
2. Color: Describe the color of the discharge using basic colors (red brown, blue, etc.) and tint `r'
(light, medium, dark) as descriptors: fit
cc
o_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Ara NG
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 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 1 is no solids and 5 is the surface covered with floating solids:
1 61 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 l2� 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? oYcs o No. /Vd
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
Note: Low clarity, high solids, andlor the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
p,.,of, i�iiM�mii�w
SWU-242, Last modified 06/0112018
Environmental • 0 //,7 1'
Qualify
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit httpsa/deq.no.gov/about/divisionsfenergy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI I / I 1 / I I or Certificate of Coverage No.: NICIGI J vl ' 16I vl L
FacilityName: ,; N S
County: n- It N Phone No.[`%y
Inspector: 01K L 1-0 5P 465
Date of Inspection: 1 Z " Zv Z
Time of Inspection: i 'Zd l) M
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 tA signa"e, I certify that this report is accurate and complete to the best of my knowledge:
or Designee)
1. Outfali Description:
Outfall No. 7 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities th t occur within the outfall drainage area: 1)1 'T c-A IS
' Fh2 i v
Page 1 of 2
*K2HO222*
S W U-242, Last modified 06/01/2018
w
0
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L119 a K
n_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ,aLA66(
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
V 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 V 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 0 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o No. N t7
8. Is there an oil sheers in the stormwater discharge? oyes o No. /tea
9. Is there evidence of erosion or deposition at the outfall? o Yes o No. /' e)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /JO
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 .o,a 19�19NI
SWU-242, Last modified 001/2018