NCG210290_DMR_20230905

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanceon filling out this faun, please visit. htti2: f /portal ncdenr org/web/ir/nodes-stonnwater/
Permit No.: N/C/­�6/Z/ 1 /- }/-d/-G/-Q/ or Certificate of Coverage No.:
Facility Name: MiN G. ini;ll;d►ML- S4AL =- _ --
County: 7TOY1ttS�i s[1 Phone No. Om- nm —!Am
Inspector: ffi
Date of Inspection: �1-13 Z3
Time of Inspection:
ram?
r 12 2021
Total Event Precipitation (inches): C).V) CENT
FILES
Was this a "Representative Storm Event or "Measureable Storm Event as defined by the permit? 1CiTV
(See information below.)
4 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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.
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 DWQ Regional Office._��_ -
By this signature, I certify that thisreport is accurate and complete to the best of my knowledge:
--r-k. 1,44 '
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 01W Structure (pipe, ditch, etc.) WtT 09SU*Tt': �)
Receiving Stream: Lick
Describe the industrial activities that occur within the outfall drainage area:
LOU 1riMt rJ
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ' 0 -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): PO&
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 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 0 3 4 5
5. Susnended 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 ()3 4 5
7. Is there any foam in the stormwater discharge? Yes S
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe -- 101
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted GI-�
CERTIFICATE OF COVERAGE NO. NCG210 Z ©1
FACILITY NAME F rn
COUNTY O
PERSON COLLECTING SAMPLES
LABORATORY—_YAQL - Lab Cert. #
Comments on sample collection or analysis:
Poop,
SAMPLE COLLECTION YEAR 7-OZ3
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑:Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches_3 Chemical Oxygen Demand
Benchmarks ===> _ - 120 mg/L
No discharge this period?Z
Total Suspended Solids.
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
3 For sampling:periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For examrle. do not rei3ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they+ must be rer-,orted in the format. "<XX m _1L"; where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
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