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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: MC/ / / / / / / / or Certificate of Coverage No.: N/C/G/Q/ C/CY /1/ /
Facility Name: &a, NeNS
County: T v\S I Ju vt.,t, Phone No. 7,7A -s 7 7 - `h 3 Sct
Inspector: G Vu-5 UOICOSG�
Date of Inspection: I Z 4 /Zo Z.3
Time of Inspection: i 0 A-IAA-
Total Event Precipitation(inches): 0.7 3 Z,t
Was this a Representative Storm Event? (See information below) ELYes ❑ 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 ignature, I certif this report is accurate and complete to the best of my knowledge:
ilk
(SiMkf Permittee or esignee)
1. Outfall Description:
Outfall No. ( Structure(pipe, ditch, etc.) (((p e l K oc.L f7,4G ,,
Receiving Stream: S?IA, S h.. 0 c .3 r a,AL.
Describe the industrial activities that occur within the outfall drainage area: --,', et i v.i d o c
2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.) and tint
(light, medium,dark) as descriptors: e-l-e co c
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): lJ t, 0 r
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SWU-242-20120613
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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Ot
8. Is there an oil sheen in the stormwater discharge? Yes N9
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious
Indicators of Stormwater Pollution:
List and describe ICJ I A
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-242-20120613
ATA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/��/ / / / / / / or Certificate of Coverage No.: N/C/G/LI/�/Q/3/ /1/
Facility Name: H-eib S
County: 17,tuiS\f lS4u-fry;tk. Phone No. ZQ - 7 —'S jS
Inspector: ,,n i, tl. dar�bvl
Date of Inspection: (Z ifs-0
Time of Inspection: bO to wl
Total Event Precipitation(inches): C. 7 3 Z.,'
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 this si nature, I certify that this report is accurate and complete to the best of my knowledge:
(Signa e o ermittee or esignee
1. Outfall Description:
Outfall No. Z Structure(pipe, ditch,etc.) hi Re 3 "I -c j.. bu-Se
Receiving Stream: 5N. C��.4� i rc�,,•c\
Describe the industrial activities that occur within the outfall drainage area: .744
2. Color: Describe the color of the discharge using basic colors (red,brown,blue,etc.) and tint
(light,medium,dark)as descriptors: (,t-t ct('
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.): P/b a`Tokr
Page 1 of 2
SWU-242-20120613
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:
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 o solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes C)
9. Is there evidence of erosion or deposition at the outfall? Yes c),
10. Other Obvious Indicators of Stormwater Pollution:
List and describe / ) /A
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-242-20120613