NCG060299_DMR_20221109

IVA
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Storm ater Discharge Outs l (SDO)
QuaRitative Monitoring Report
For guidance onrillin.g out dais for,7n, please visit: http://port.al.ncdcur.or?J«Teb/wa/ws/sti/npdcssw4-tab
Permit No.: I�t/C/�/�/�/®/,2/`�/Y! or Certificate of Coverage No.: NIC/G/_/ /—/_/ /—/
Facility Name: Cle U 7dd�ccc�
County: A^sV7q Phone No. 7-76- —
Inspector: lVc,61f^ -,cle
Date of Inspection: 16- 2-?-
Time of Inspection: ov ,
Total Event Precipitation(inches): r !.
Was this a Representative Storm Event? (See information below) 10/Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event(requirements vary).
A "Representative Storm Event"is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days)in which no storm event measuring greater than 0.1 inches has
f: occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this si ature,I/certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
L Outl'all Description
Gutfall No. SW Structure(pipe, ditch,etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
w 4re Cti.^s are Dar lc'?
2, Color: Describe the color of the discharge using basic colors(red.,brown,blue, etc.) and tint
(light, medium, dark) as descriptors: - l f ar ��Sh - -
3e Oder: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, eu—'): Al'-' OX,
i
2Lt f nl:;
TLi_ 4 -20120v t 3

go Cu eL t7y. U710 SC'EIE:F Ut-libek wl'tich best describes LhE Clarity of ffie,discharge, where t is cloak`
and 5 is very cloudy:
2
1
o Floating solids: Choose the number vvhich best descfjbes the amou-na of floating solids in the �-
storrilwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 c 5
6. SuRspended So,Rd,s_o Choose die,number which best describes the annount of suspended solids in
the sLer water discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? fires Vo
8e Is there an oil sheen in the stormwater discharge? Ye's
9> Is there evidence of erosion or deposition at the outfall? Yes o
,C
10. Other Obvious Indicators of Stormwater Pollution-.
List and describe
Note: Low claiity,high solids,and/or the presence of foam,oil sheen.,or erosion/deposition InLay
be i.ndicaffive of pollutant exposure. These conditlons warrant farther investigation.
rr

I N-;C
Sto rfmwavter Discharge outrFaffl-I (EDO)
QviaRits-flivie Moniftorring Report
For guidmce on filling out ihisfionj'4 Pj.et7,Se))jSjj.'
(,1&16
Permit No.: NIC/'2 le) q191 or Certificate of Coverage No.: NICIGI I
Facility Name-: 'To dq
County: Phone No.
Inspector: aal
bate of ilispeed on:
Time of inspection: 7126,811
Total Event Precipitation(inches):
Was this a Representative Storm Event? (See information below) Z/Yes F-I No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event(requirements vary).
A"Representative Storm Event"is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days)in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sigi atur ,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
DeseLdIA-Ion:
Outfall No. A/ Structure(pipe, ditch,etc.)
Receiving Stream:
Describe the industrial activities that occur within the-outfall drainage area: X::
FF 4�2 a-Z.,
2. CoRor. Describe the color of the discharge using basic colors(yd,brown,blue, etc.) and tint
<-(light,medium, dark) as descriptors:
3. Odor- Describe any distinct odors th-f the discharge array IiEtve (Le,, smells strongly of oil,weak
chl ofirto odor,atc.):
S U-242-201127G-613

Gladly. Choose dhe,r i-Inber-which.best describes t1le clarity of the disc€8r ge,X7,1 ere 1 is clew
and 5 is very cloudy:
i ILIP 3 4 5
e L�loating Solids- Choose the number which best describes the amount of float"Ilg solids in the
stormwater discharge,where I is no solids and 5 is the surface covered Nvith floating solids:
2 3 4 5
6. Stsgend.d Solndse Choose the nu aber which best describes the amount of suspended solids in
the stormwater discharge,where I is no solids and 5 is extremely muddy:
2 3 4 5
?o Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes O
10. Other Obvious Indicators of Stor mwater°PoUutdon-
List and describe
Note.- Low clarity,high solids,and/or the presence of foam,orl sheen,or erosion deposition may
be indicative of Fountant exposure. These condi'dons warrant, further investigation.
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A
NCDENR
Stormyvater Mehar-ge OutffaHj (SDO)
Qu a Raftadve Mouftormig Report
For guidance on filling out thisfiol-174 please visit. fiffluxl/bortal.ncdetir.org.-Iweb/%-,,,g/Gk,s/b,ulnr,desswF,taL,-4
Pern.-ni No.: NLCI&1-014 _94off/—9/—91 or Ccrtifficate of Coverage No.: NICIGI
Facility Name: CAAALC L-496co
County: -C-f" PhoneNo.
Inspector:
Date of Inspection: . 10-31-21
Time of Inspection: 11/0 AW
Total Event Precipitation(inches): Z-E
Was this a Representative Storm Event? (See information below) 2/yes 0 No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event(requirements vary).
A'Representative Storm Event''is a storm event that measures greater than 0.1 inches of rainfall and that
Is preceded by at least 72 hours (3 days)in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
W
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
A. Outfa U- Descripilon:
OutfaU No. Structure(pipe, ditch,etc.)
Receiving Stream:
Describe.,Vae industrial.activities that occur within the outfall drainage area:
A's-�-
2. Color. Describe the color of the discharge using basic colors(red,brown,blue, etc.)and tint
(light,medium, dark) as descriptors: Ca
3. Oder. Describe any distinct odors that the discharge may have(i.e., smelis strongly&11 1 ak
oi we T
chorine,odor,etc.): _ //C? oz/
SWLT-242-2019-C611 3

Co C flar ty- 07toose Cae;petlmbeF w-Mch best describes the ctarlty of the descha-r- ,wl�er c � iS t�ca%
and 5 S very cloudy:
age-
2 3 4 5
�o Fioating Bonds- Choose file number which best describes the amount of floating solids in the
sto-m-water discharge, iphere 1 is no.solids and 5 is the surface covered with otoati:eg solids:
2 3 A 5
6. Snspendvd BBB&- Choose the number which best describes the amount of suspended solids'n
the stormwater discharge,where 1 is�Do solids and 5 is e�tfernaly muddy:
l% L 3 A 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an dell seen in the stormwater discharge? Yes (Ao /
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater PoUutione
a.
i_,ist and describe
N'Toteo Low clarity,high solids,and/or the presence of foams aft sheen,or e1 usfon/deposition May
be indicative of polIntant eTTosur°ea These conditions warrant, further invesugatioiio
i f
'-Page-! r:_f'
206i

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MCD�
Quadi a-five M0111-1t or ing Report
t
For guidance on filling out.this fonn,please visit: h«tr!/uorEaf t�cdcF��.orJF�rebh��/ws/su/ pdesswv#ia7b
Permit No.: NICI 0/ X e/a/ /_�/ or CCrf-ICate of Coverage No.: NICI I / / /_/ / /
Facility Name:
County: crri ¢/ Phone,No.
Inspector: & 1 c/
Date of Inspection: 119-21-2 Z
Time of Inspection:
Total Event Precipitation(inches): �S
Was this a Representative Storm.Event? (See information below) [ Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event(requirements vary).
A "representative Storm Event"is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days)in which no storm event measuring greater than 0.1 inches has
. occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By tlais si ature,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Periinittee or Designee)
L Outfall Descidpi-ion:
Outfall No. 44y Structure(pipe, ditch,etc.) -- �/ G
Receiving Stream.
Describe the industrial activities that occur within Ile
tf, I drainage area: keq.-
/� l.J 4e/`C -/r g0'�e/S qre 94 e c/
2. Color. Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light,medium, dark) as descriptors_ C16ae-
3. Odor. Describe any distinct odors that the discharge may have(i.e., smells strongly o-oil, `diet Cr
c1 Tori_�-Fe odor,etc.): A(a �
iY
pacC f �Y J
&lj� 2a__-201120G B

4. Cilarit— Choose tfie nai ber which best describes the clarity of the discharge, where 1 is clear
1
and 5 is very cloudy:
/ ' 4 5
Se 1111oating SoUdso Choose the number which best describes the amount of floatial-solids in`be t
store-iwater discharge, where 1 is too solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended BOB&- Choose the number which best',describes the mount of su.spenided solids in
the stornnwater discharge,where 1 is no solids and 5 is extremely rauddy:
' 1 2 3 4 5
?e Is there any foam in'die storiawater discharge? Yes
8. Is there an ogli sheen in the story water discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall.? Yes /k 4kqo
10. Other Obvious Indicators of Stornmwater PoRution-
List and describe
Note: Low cRaLrity,high s®hds,and/or the presence of foams off sheen,or erosion/deposition may
be indtcative of p®flutant exp®sm-eo These conditions warrant fuxt her investigation.
3

' 9
for North Carolina Division of Water Quality General Permit No. MG0600000
®ate submitted
CERv IRCCATE OF COVERAGE NO. h9CGQ6 d a 9 � SAMPLE COLLECTION YEAR �4�,2
FACILI` Y NAMFI, FACILITY ACTIVITIES INCLUDE(check all that alppl]yD-
COUN Tyr^ ❑ use/process meats ❑ use an6rro'9al fats/byproducts
PERSON.COLLC COLLECTING ShMPLES DISCHARGING TO SALTHYVATERS? ❑VES gCO
LA6ORA70FORV /face____ Lab Cert.
PLEASE REMEMBER ER TO S[Knill
Part A.Stormrowater Benchmarks an&Monitoring Results Total event rainl`a112 or ❑ No discharge this period3
GantfallNo. amrople';Collected, ➢SS; PH, COD, Oil and-Grease, Fecal'Coflforrna1,' Etnteroco.cci',
ono/dd/yr rmg/L Standard-traits Mg/L. mg/L Colonies-.per 100.mv CoIonids per 190 rnI
BenchmarkI -' 100 or 504 Within 6:0.—9.0' .. 1z0 .30 1000 500
7-2 y
� a
L 7, o
3.Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data From an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkrnark here.
"See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
CO d this facility[perform vehicie Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes 5?fj-io (if yes, complete Part B)
Curt 13o Vehicle Maintenance Area Monitoring.Results. only for facilities averaging>55 gaI of new motor oil/month.
oaetfaIl�9®. Sani'ple:Collected; Oil an.cl:.�rease; 1fSS; pall;. View:Motor OiWsage,
mo/d'd/yr mg/L mg/L Standard.units Annual average gap/m o
Benchmark - 30 100 or 50a 6.0-9.0
i Only applies to facilities that use/process meats.
2The-total precipitation must be recorded using data from an on-site main gauge.
3 For sampling periods with no discharge at�!ny outfalls,you must still submit'this discharge monitoring report with a checkmark here.
`See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 ]Last Revised: October 18,2012

FOR PART A AND) PART B MONITORING RESULTS°
A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIlREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROIN FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUMEMEN ITS. SEE PERMIT PART II SECTION B.
TIER'3'e HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F] NO
REGIONAL OFFICE CONTACT NAME:
and oni �pe®F this D61 R oncludi t all ,,,No Disc9a�r�e"rep®a°ts, within 39 days®f aeceayT of The lab rresufts for at
monit® rwerriac in the case®4""NO DAseharge" gpor s)to.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a,
systern 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
information, including the possibility of fines and imprisonment for knowing violations."
QSWgnatu.orre of Perrrrruuttee) QDate�
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orgZweb/wq/ws/su/npdessvi.#tab-4
SWU-241'
]Last Revised: _rr 18,2012
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