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Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visithttps://deq.nc.2ov/about/divisions/energ\-mineral-land-
resources/en ergy-mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/C/C/a/ /0/0//1fe/ or Certificate of Coverage No.: N/C/G/(2/S/p/V/. /7/
Facility Name:f� �fA �, � �{ ` /��' Lc �Yiv�_1�t` /U� e ZC7 7
County:. Phone No. —
Inspector: 1 \AS.-424.4
Date of Inspection: GI/ I` /Z
Time of Inspection: 9 S (.t VA—
Total Event Precipitation (inches): G�
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 's report is accurate complete to the best of my knowledge:
-ez1,c404--)A-#2 - -t7
(Signature of Permittee or Designee) pvk
1. Out Il Description: 1 ( , ,, f
Outfall No. `b-'?- Structure (pipe,ditch, tc.) 1 G k-
g
Receivin Stream: 3 - 4 (P Al-P
Describv the industrial act'vities that occur within the oAfall drainage area: •
b 1 )f i-e,v� } / wt.i Y WI� r P C( � c.
v[� " c,ov 1
2. Color: Describe the color of the discharge using basic colors (red,brown,blue,etc.) and tint
(light,medium,dark)as descriptors: o ` /
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.): t One-----
PERMIT DATE: 11/1/2012-10/31/2017
SWU-245, LAST REVISED 10/25/2012
PAGE 1 OF 3
Environmental
Qualify
4. Clarity: Choose the number hich 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:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids
in the stormwater discharge,where is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes D;e
8. Is there an oil sheen in the stormwater discharge? Yes I 'L
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Y D Y' '
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.
PERMIT DATE: 11/1/2012-10/31/2017
SWU-245, LAST REVISED 10/25/2012
PAGE 2 OF 3