NCG020708 - Glendale Springs

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000 l'1 C' 0 'o, 1 O
?'
Part A: Facility Information
Samples Collected In Calendar Year: A(% (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 0o® County of Facility
Facility Name Name of Laboratory
Facility Contact T -'-g" C �,,�l.� Lab Certification #
Facility Contact Phone No.
Part B: Land Disturbance and Process Area Monitoring, Requirements
Outfall
No.
Receiving Stream
Name
Date 50050' 00530
00076
00545
Sample Total
Total
'Collette - Suspended
d. Flow Solids
Turbidity
Settleable
Solids
Total
Flow
Oil and
Grease
mo/dd/ r MG' ing/l
NTUs
mm
��
�L�
o41
mg/l
unit ,
Part D.• Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours): 2,!1
Part E: Certification
Part C: Vehicle Maintenance Alfonitorinz Requirements
Outfall
No.
Receiving Stream
Name
Date
50050
00556
00530
00400
SampleTotal
Collette .
d
Total
Flow
Oil and
Grease
Suspende
d Solids
pH
mo/dd/yr
MG
mg/1
mg/l
unit ,
Total Event Precipitation (inches):
Event Duration (hours): I/4
(if a separate storm event is sampled)
"I certify, 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 information,
including the possibility of fines and imprisonment for knowing violation '
(Signat f Permittee) (Date)
Part F.• Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

„a SCATS a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/ l l_l I_l l_l or Certificate of Coverage No.: N/C/G/-Q/ Zl0l0 ®lQl
Facility Name: RAO PA S� — ( 6.1010t
County: este Phone No. e7 -t—” q ®9g.
Inspector: U rr.
Date of Inspection:
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
I. Outfall Description r�
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: U(M�,2 -5&.4JA P
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: _
3. Odor
using basic colors (red, brown, blue, etc.) and tint (light, medium,
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) A % a
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy: /0 104 e
1 2 3 4 5 6 7 8 9 10
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SWU-242-101599

5. Floating Solids /0
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids a IN
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam V lk
Is there any,foam in the stormwater discharge? Yes
8. Oil Sheen /U
J11V
Is there an oil sheen in the stormwater discharge? Yes
9. Other Obvious Indicators of Stormwater Pollutions 11
List and describe N� �m.tG I S ® h
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
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SVX-242-101599