NCG050152_MONITORING INFO_20121115

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
5( MONITORING REPORTS
DOC DATE
❑ 140 /a !) 1 1�
YYYYM M DD

SWE
•,r u� AP.
Stormwater Discharge Outfall (SDQ)
Qualitative -Monitoring Report
For guidance on filling out this form, please visit: Izlto:l/h�o.cnr-:,ta�t.nc.u;ltiti/f'urnss Docuntents,htm#n}i�cf'�tirms
Permit No.: N/G31 (1 /5 1 d 1 / D 1 �1 or Certificate of Coverage No.: N1/C/G1 61516 111T / I
Facility Name: Vc.% A rz4.1g _ [l:�,lc,,,�, _ LI—C _
County: Q:C%r•1 kY\ A c b" O - Phone No.
Inspector: _ PC nr,,4 1O&YkcicE
Date of Inspection: It I 15 1 A01 3-
Time of Inspection: w 3o A m / a: 3 o Prg
tt
Total Event Precipitation (inches): I
Was this a Representative Storm Event? (See information below) EKYes. ❑ No
Please check yourpermit to verify if Qualitative Monitoring must be perfonned 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 signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PertrAftee or Designee)
1. Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.) P, t _
Receiving Stream: ,4, kc %(cck
Describe the industrial activities that occur within the outfall drainage area: P. r l:SS
� urn
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: t,., J15 lot--
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No o 4-
Page 1 of 2
5 WU-242-112608

if
4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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:
1 3 4 5
7. Is there any foam in the stormwater discharge?
S. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfali?
Yes 1O
Yes Na
Yes 1� of
10. Other Mv;ous Indicators cf Storn "water 100Hution:
List and describe`_ +%eft Y`� O\Oqicus i ,c%iCc��n
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-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this forni, please visit: hiq�:i/h?u.eizr,tatr.nc.u,til;u/1=osms Dncumen�s.hlE�i#miscFurms
Permit No.. NIC/ (T 16 IS 1 01 010 / 01 or Certificate of Coverage No.: NIC1G10161 01_LIJ-ZI
Facility Name: Uc„ Drc M • r . o icy C
County; Phone No. i U -q131
Inspector: & , Nn wa tka c. e. (J
Date of Inspection: +11151 ,�Ol x
Time of Inspection; 111,3o A m 1 .12Q
Total Event Precipitation (inches): ______ I
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 signatge, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitt* or Designee)
1. Outfall Description:
Outfall No. a Structure (pipe, ditch, etc.) z
Receiving Stream: ' A; V d-c ork 1"r tP_�_
Describetheindustrial activities that occur within the outfall drainage area: P-c�-
r".,�t AGE -urn Y�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 6; C e1ov-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 0 c__ "Awr
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 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:
O 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:
1 O 3 4 5
7. 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 No
10. Other Obvious indicators of Siormwater Pollution:
List and describe Ale is5ues 6' po11�1 ;s,n _ �,�c�; cr: �e15 _ ro4ed d,✓
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
S WU-242-1126D8

SWPPP Visual Monitoring Record
Outfall:
( -' Z
Person Collecting/Examining Sample:
DP,n 7 cC--
QuartertYear:
Date & Time Collected:
Date & Time Examined:
9 1 `L
Rainfall Amount::
Qualifying: or No
Runoff Source: in a or Snowmelt
Parameter
Parameter Description
Parameter Characteristics
Color
Does the water appear to be colored?
Describe:
YES NO
Clarity
Is the water clear or transparent,
Which of the following best describes the clarity of
meaning can you see through it?
the water?
Z
YE5 NO
AR MILKY OPAQUE
Oil Sheen
Can you see a rainbow effect or sheen
Which of the following best describes the water
on the water surface?
sheen?
YES
OILY SILVER IRIDESCENT 8—
Odor
Does the sample have an odor?
Describe:
YES e
Floating Solids
Is there something floating on the
Describe:
surface of the sample?
n
v
YES
Suspended Solids
I there something suspended in the
Describe:
water column or sample?
ES NO
Settled Solids
Is there something settled at the bottom
Describe:
of the sample?
L
ES N O
5 p V,
Foam
Is there foam or material forming on the
Describe:
top of the water?
YES �lO
Detail any concerns or corrective actions faked, and any other obvious indicators of pollution present in the same
t-A s Qcc.�c �, cam-- e t�cj a f� • Q e_
Q
Collector's Signature:
EMS F446.02-1 Storm Water Inspection Form
Rev 1, Date: 04/14/12