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HomeMy WebLinkAboutNCG060323_MONITORING INFO_20181203STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C� O Lv D 31;113 DOCTYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ oz YYYYM M DD' STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO- NCGO60000 D 3 CERTIFICATE OF COVERAGE NO. NCG06 FACILITY NAME Nu r�Lr �€ ►�`i PERSON COLLECTING SAMMPLES £ il G CERTIFIED LABORATORY . � li yt-F_ �v. Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED Dl]fU 1G CALENDAR YEAR: (This monitoring report is due at the Division rro later than 30 days from the date the facility receives the sampling results from the laboratory,) COUNTY PHONE NO. (__j PLEASE SIGN ON THE REVERSE � Ouffall: Na. ^Date :_.:,.00400 Sample 3 Collected; a:; mo7dd/ r . y -: ,, _ oa�a0:4 �.. �. r' i r,00556'rn TM TotaLSuspended ��� Solids, to /Lr s,_ ;t , , r pIi, `Standard unitsW ''Demand, ( , ,. ° '' Cliemlcal Oxygen j m` 2_! 4 . ,44Oli and Grease, mg/L ` d F� Fecdl`Coiiform; ; Cvlonles'per 100 ml Benchmark'. j,'- 1fl0 ° : VVithin,6:0 - 9:0 : 120 t. ' 30 , �000 oK L t'-- Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier l res 'prises See General Perniit text. `" C 0 Pn IQ Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes �no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Wvp7. ? �C FIDE, rto;� OutfalT, No: Date'. ;Saiirple'Coilected, inn/ddT r 00556 i 00530.:.:.: :00400 Ott grid Grease; k ' .gym AIL, ::,":,.; ` :,.Total Susd Solids; .m /L pH,:f ' Standard',.units c New Nlottir Ocl. Usage; Arinual'=vera e: al/mo Benchmark _ .,,.. ., _ _ _ Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. • STORM EVENT CH CTERISTICS: ! 1- (3- 1 t Date (first event sampled) J �� Total Event Precipitation (inches): ` Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 2. 1 Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 . VWT-UQ-1M n7 sA y� ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 602 VVindwill Way, Wilmington, NC 28405 • 91()_392.0223 i_ah • 910-392, 424 Fax 710 Bowsertown Road. Mantuu, NC 27954 • 2.52.471.5702 Ub Fax 255-A Wilmington Highway, Jacksonville., NC 28540 • 930.347.5843 Lab ffax ] Il �f1t<i?k:IFt"1 TOIl171i: t1 Silll'l1C IT3t � f �.C(]It] Duplin Winery Date of Report: Nov 24, 2018 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report #: 2018-18699 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-47380 Site: DF-7 11/13/2018 7:30 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 11/14/2018 Residue Suspended (TSS) SM 2W 0 12.5 mg/L 11/14/2018 COD SM 5220D <20 mglL 11 /19/2018 Comment: Reviewed by: Report #:: 201E-1 %99 Pace 1 of 1 ��� V'1 k rR� Stormwater Discharge Outfall (00) Qualitative Monitoring Report Pernut No.: NICI0I0I�/Ja/ J 1�1 or Certificate of Coverage No.: NICIG1 DI col of_1l? 13I Facility Name: -'o) 12 Y County: ` �✓ Phone No. q I D 12 D 9 - V1 -- Inspector: 'R, 8 4A r W L'Cle— Date of Inspection: t 1 tL By this sire, 1 certify tha.,this report is accurate and complete to the best of my knowledge: (Signature of Penzrittee or Designee) 1. Outfall Description Outfall No. � Structure (pipe, ditch, etc.) Recciving Stream: 2� c, I- Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischar a using basic dark) as descriptors: cezn-1 3. Odor (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.) Aj ch- 4. Clarity Choose the number which best describes the ciar3ry of the discharge where. I is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 1 0 Page 1 S WU-242-020705 a. Floating Solids 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: /0 2 3 4 7 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where l is no solids and 10 is extremely mudd}: i 2 3 4 5 6 7 8 9 10 7. Foam ON Is there any foam in the stormwater discharge? Yes 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes Na 11. Other Obvious Indicators of Stormwater Pollution List and describert-- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 n V k 3'4Z,� r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No..- NICItA101-14V lal or Certificate of Coverage No.: N/C/Q bl col 613 2-1d1 Facility Name: rJ .r County: Phone No. Inspector: �']�C ee- � -- Date of Inspection: /3 d r By this sia , I certify that this report is accuraand complete to the best of my knowledge: (SVnature(of Permittee or Designee) 1. Outfall Description .� - �� 2u , r�b�1� � Outfall No. _� Structure (pipeoar i.4 , ditch, etc.) ,ra 1� Receiving Stream: Describe the industrial activities that occur within the outfaIl drainage area: 2. Color Describe the color of the discharge using basic colors dark) as descriptors: 3. Odor Describe any distinct etc.) brown, blue, etc.) and tint (light, medium, that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, .414 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 SWU-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stonnwater discharge inhere 1 is no solids and 10 is the surface covered with floating solids- 1 V 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: i 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (50) 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes UNo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe � c <A F Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that, warrant further investigation and corrective action. Page 2 swU-242 020705 v4Are�r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC10101(A91_01c1a1 or Certificate of Coverage No.: N/C/G/ Dl6l 01_12111 Facility Name: u P Z.; A) LA) •'n) C '- County: Inspectoi Date of I By, this�ature,ertify that this report i ccurate and complete to the best of my knowledge: (SVnnature of Permittee. or Designee) 1. Outfall Description Outfall No. - Stqwture (pipe, ditch etc. Receiving Stream: '0 ' CA rz� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: ed 5Co.5 1 �r14 i x- using basic col rs (red, brown, blue, etc.) and tint (light, medium, I Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) Iq 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 1 � 3 4 5 6 7 8 9 10 Swu-242-020705 Page 1 S. Floating Solids 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 (D2 3 4 5 6 7 8 9 t0 6. Suspended Solids 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 5 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or inunediate�lly below the outfall?,. Yes No it. Other Obvious Indicators of Stormwater Pollution List and describe C( C A Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 swu-242-020705 OF yid A r Q. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Pernvt Na.: N/CI IOI�I(�lJplal or Certificate of Coverage No.: N/C/G/ bl6/ Facility Name: J2C,it) !_A) •-r+1 r �/ County: Phone No. g/ a r2 O 9 r Inspector: i uJ � C r � Date of Inspection: f By this si r I certify that this report isl,accurate and complete to the best of my knowledge: (Sig>�ture 4 Permittee or Designee) 1. Outfall Description ll Outfall No. . Structure (pipe, ditch, etc.) o rat' n" Receiving Stream: Describe the industrial activities that occur within the outfaIl drainage area: 2. Color Describe the color of the dark) as descriptors: _ 3. Odor Describe any distinct etc.) le using basic cgiors (red, brown, blue, etc.) and tint (light, medium, '-1 . _ , 1.7- that the discharge may have (i-e., smells strongly of oil, weak chlorine odor, IAJ . 4. Clarity Choose the number which best describes the clarity of the discharge where, I is clear and 10 is very cloudy: 10,,2 3 4 5 6 7 8 9 10 5WU-242-020705 Page 1 S. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 0 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Poll Lion List and describe L- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 VJ k T'P � r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/Cl l0l�l(�I l�l or Certificate of Coverage No.: NICIGI Q/col 0/ 3121�1 Facility Name: n1 ✓ County: < < r, Phone No. 910 62 9 q (>' Inspector: 'Al Date of Inspection: -- By this sign certifythyat this report is accurate and complete to the best of my knowledge: '�t�Y'! d.,/ /�i (SiKature of Permittee or Designee) 1. Outfall Description l Outfall No. p Structure (pipe, ditch, etc.) I /�is� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: �,� i ,14 ZZ 3. Odor (red, brown, blue, etc.) and tint (light, medium, � - — ,l -T Describe any distinct od Zrs that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 1 02 3 4 5 6 7 8 9 10 5 WU-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge«•here I is no solids and 10 is the surface covered with floating solids: 1 0 3 4 5 6 7 8 9 10 6. Suspended Solids 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: I \ 2J 3 4 5 6 7 8 9 10 7. Foam r Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil shun in the stormwater discharge? Yes oNo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes oNo Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Wkr Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1G 1�1(li©1 1�1�1 or Certificate of Coverage No.: NICIGI d/G/ 0/ 31?1 1 Facility Name: n1 r County: C" ,✓ Phone No. 910 9 l 1 1 Inspector: 64 f w' , - c ee- Date of Inspection: - &0j22&gd 3 - G f By t si tore, I certify that !ys report is accurate and complete to the best of my knowledge: :r Z4itnatte. of Perraittee or Designee) 1. Outfall Description Outfall No. 6 Structure (pipe, ditch, etc.) A Receiving Stream: -j 6tirr �� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: — 3. Odor Describe any distinct odors etc.) Y using basic colors (red, brown, blue, etc.) and tint (light, medium, �.,. n II ..0._ If T` the discharge may have (i.e., smells strongly of oil, weak chlorine odor, iL _ 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 1 ( 2 / 3 4 5 6 7 8 9 10 SwlJ-242-020705 Page 1 S. Floating Solids 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 10 3 4 5 b 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes o S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes tNo—) 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormaater Pollution List and describe CeAf Note; Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 swu-242-020'705 V4 A I'� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/Cl&101.,-1 1-91-!E101 or Certificate of Coverage No.: N/C/G/OI <014131213-1 Facility Name: n1 County: C r` ,✓ Phone No. I c� D q rLIS Inspector: 'R, Date of Inspection: f / r b t By this si re certify that this repogis accurate and complete to the best of my knowledge: �. U<ieanle of Pernzittee or Designee)- 1 . Outfall Description %� Outfall No. Structure (pi e, ditch, etc.) 1 END /p Receiving Stream:`� �r�UfE Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using ba, dark) as descriptors: C (,E AaJ ys (red, brown, blue, etc.) and tint (light, medium, ..:— 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) /&nf— L 4. Clarity Choose the number which best describes the clarity of the discharge where, I is clear and 10 is very cloudy: I O 3 4 5 6 7 8 9 10 S WU-242.020705 Page 1 a. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where t is no solids and 10 is the surface covered with floating solids: t ? 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes CNo S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes N 9. Deposition at Outfall Is there deposition of material {sediment, etc.} at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Ar Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-2a2-0207o5 V k r4Z9 � r `i Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.; NICI ICI 1_e1a1 or Certificate of Coverage No.: NIGG/OI col o1 121-31 Facility Name: County: r ` Phone Na.9/0 ^ L Inspector: w-- A rW �'CIV-- Date of Inspection: — _� j - %� �— ce- f F' By this a , I certify that this Ort is accrte and complete to the best of my knowledge: (Signature of Perrnittee or Designee-Y 1. Outfall Description Outfall No. _ _ f Structure (pipe, ditch, etc.) R f Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any di etc.) using basic I tint (light, medium, that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 14-,- 4. Clarity Choose the number which best describes the clarity of the discharge where, I is clear and 10 is very cloudy: 1 0 3 4 5 6 7 8, 9 10 SWU-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater dischargz 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 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 � 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes DNo 11. Other Obvious Indicators of Stormwater Pollution List and describe C C - -- - - Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 O� itd A, co e. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICIOU01 i9l QIa1 or Certificate of Coverage No.: NIC/GI OI G/ d 1 121 ! Facility Name: n) County: r ` Phone No. / d w 9 Inspector: Date of Inspection: / c� By thi a certify that th' report is accurate and complete to the best of my knowledge: ((S3gnature'of Pem*tee or Designee) 1. Outfall Description Outfall No. .Structure (pie, ditch, etc.) AOO .. 0,0, Receiving Stream: :/- TA- r Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: 3. Odor Describe any di etc.) etc.) and tint (light, medium, odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, %AA f r - 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 4 5 6 7 8 9 10 Page 1 S WLT-242-020705 5. Floating Solids 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: I 3 4 5 6 7 S 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 �' 2 j 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 8 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfatl? Yes 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe 0,_ E A-r Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5WU-242-020705 Of V4 Ark 3 � Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1Cl g101k1lot l�l�l or Certificate of Coverage No.: N/C/G/ D/ G/ 01112-13-1 Facility Name: ,A) County: < < ` x✓ Phone No. Inspector: 'A, H A 4 uJ Cle— Date of Inspection: -- argq� By this si e, l ertify that this rejptt is accurye and complete to the best of my knowledge: (S'igrfature'4 Pennittee or DesigneeY 1. Outfalll Description Outfall No. l b . Structure (pipe, di, , etc.) �i� c� � Receiving Stream: ' r 6I- -v Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischar a using basic dark) as descriptors: "L 3. Odor Describe any di: etc.) (red, brown, blue, etc.) and tint (light, medium, . n IL; odtyrs that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where. I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids 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 6 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes ti' No Yes o 9. Deposition at Outfan Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 swU-242-020705 O V4A;T' � Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/G 1�1(If�l Ql�l or Certificate of Coverage No.: N/C/G/ 0/G/ ol_l 2_131 Facility Name: County; I- ,I Phone No. 9/0 9 r V_ Inspector: /' w' _ C /'-_' - Date of Inspection: kC6125 -- ,k'd2a %/_ / 3 By �si-nacertify that this report is accufate and complete to the hest of my knowledge: !� w ,-�Signaturel Permittee or DesigneeT 1. Outfall Description � e Outfall No. �� . Structure (pipe, ditch, etc.) 6 r' 1J �` A •L_ Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basi colors r dark) as descriptors: C 'r a T blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odo s that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) AF 4. Clarity Choose the number which best describes the clarity of the discharge where, l is clear and 10 is very cloudy: 4 5 6 7 8 9 .l0 Page 1 SAT-242-020705 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: l 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 6 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 5 wU-242-020705 5,f W A r4�9 •l Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICIAIOILJ&I gl-4>lal or Certificate of Coverage No,: NICIQ/ OI dal o13121 j1 Facility Name: County: L3 x-1 Phone No. 1 o 9 f Inspector: 'R, 11) C le — Date of Inspection: m- By this s' a , I certify that this report is accurate and complete to the best of my knowledge: ,C _ / (Signature of Pemuttee or Designee) 1.. Outfalll Description Q �� ,� OutfalI No. / Structure i ditch etc. �/ ` V7 lJ r 4.'.,--) +� ` to � Receiving Stream: C /6 N BrilrjC14 Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any di etc.) using badic colors (red, brown, blue, etc.) and tint (light, medium, 7 /x f- / -'7'r-' • 1 i L '-r— odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, -h,_ n 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 1 4 5 6 7 S 9 10 S WU-242-020705 Page 1 5. Floating Solids 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 I` 2 3 4 5 6 7 S 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe 1 1� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 sw13-242-020705 �� 4 A 114�.9 a Nik� 11C Stormwater Discharge Outfalll (SDO) Qualitative Monitoring Report Permit No.: NIC10141k, &I,gJ-I�lal or Certificate of Coverage No.: NIC/GI DI <ol o1 121 I Facility Name: L,;�L)y ,(,) 2 r County: Q ce 9,(- ` ,✓ Phone No. / D 9 r Inspector: Date of Inspection: A - . _ - q4s0ff �L % R By this gna , I certify that thi eport is curate and complete to the best of my knowledge: (Signature of Permittee or Designee) I. outfall Description Outfall No. S cture (pipe. ditch. etc. 1 ! tJ� ��C (p P , )� Receiving Stream: nI e- Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L r- 3. Odor Describe any distinct etc.) PU that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, L 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 C3) 4 5 6 7 8 9 10 Page 1 5WU-242-020705 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the storrnwater discharge where I is no solids and 10 is extremely muddy: l 2 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes �No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes (NOD 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes Na 11. Other Obvious Indicators of Stormwater Pollution - List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-2427020705 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 CERTIFICATE Or COVERAGE NO. NCG06 V 11 FACILITY NAME 1Xf PL )d PERSON COLLECTING SAMPLES Iq CERTIFIED LABORATORY �Crj J, ee,, Lab # Lab # Part A: Specific Monitoring Requirements o� J SAMPLES COLLECTED DURL\G CALENDAR YEAR: Zp/ 3 (This monitoring report is clue at the Division no Iater than 30 days from the date the facility recei ves the sa ipling resyits from the laboratory,) P OO � E NO. L `''✓ ' 3 11 Pza�a �-— EASE SIGN ON THE REVERSE 4 F It C O� :;:Outfali,.. 00534 ;'.: '; 00400 :00340:, E 3'16I 6Date Nti.Sample fotuLSuspended r ;; pig, Chemical Oxygen'` sa011 and Grease, Fecal Colifor' . ColIected,a Solids: ­,, Stan daid iiiilts y 'Demand, Colonies:per I00 mI .f_•.h, - 1 -;'..x Fi M -. F}'ili lL tY ;+F. d ,mglL` 6 i .ya. Benchmark .•. - Z .'Z. �;.. ,100 '�;: r F;:.Within;6:0=:9.0: 120 ? ,+, ;,`30` ... _ I000.:..., . . 2 ►iti z. G 20 C L -�—� Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pFl, you must implement 'Pier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements ::.. 'Outfall: -No: :. : ,.,; Date'_ -.:Sam W'ColI'ected;•-" �; :-'liio/dd/r. �,. - 00556% : + 00530: 00400 Oil-" Grease -' oil.,- :.:Jdtal :. ":.•m _. 4. Suspended Solids, }`:..:: ' m''IL:' y :'pfi;* Stalidard.units .. New Motor Oil. Usage' g rn,.Anniial'aivera e: allmo;" 'Benchmark . 4 :;30':' z. 100 k ' :6.0 =.9 0 - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement `Pier i or Tier 2 responses. See General Permit text. STORM EVENT � CHARACTERISTICS: Date f rzveirst event sampled) lT Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 ti Wl i_744_ 10')1 n'7 _ 2 Environmental. Chemists, Inc. 6602 Windmill LVay, Wilmington, 1\C 28405 . 910.392.0Z23 Lab . 910.392.4424 Fax 710 Howsertown [toad, Nlanteo, NC 27954 . 252.473.5702 Lab/Fax 255-f\ Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax i nfo�;ens°ironmrnta[cheiE�ist�.eom Duplin Winery Date of Report: May 01, 2018 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention; Rob Cottle Report #: 2018-06364 Project 1D: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-15842 Site: Stormwater 4/24/2018 9:00 AM Water Russell Barwick Test v i✓ - t{o Method Results Date Analyzed Oil & Grease (O&G) EPA 1564 <5 mg/L 04/25/2018 Residue Suspended (TSS) SM 2540 D 12.2 mg/L 04125/2018 COD son 5220D <20 mg/L 04/27/2018 Comment: Reviewed by: Cklh4 QA , A Report #': 2018.06364 Dane I ne s Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICIiklQI 414/ D/ 4/ D/ Facility Name: G,' County: Z; Inspector: Date of Inspection: By this or Certificate of Coverage No.: N/C/G/ o/61Q 1 ?I Z 1 ? 1 `1'- c — a,/ l a igpaf-ure, I cetify that this repor.is accurate and complete to the best of my knowledge: Permittee or 1. Outfall Description Outfall No. ( Structured 'tch, etc.) A" Receiving Stream: £ O ! Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) A 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 Z 3 4 5 b 7 S 9 10 swu-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where l is no (1) olids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 6 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes L—No- 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe �Ve- 4- v2— Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242c020705 V4f1Tlp�� j :ram Y Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report 2 Permit No.: NICIIQI �0/01 pl 41 DI Facility I County: Inspector Date of Inspection: or Certificate of Coverage No.: N/C/G/ O/61a 1 ?I 31 1 . Ad -?- V/ ZD f B By thjs�-6,I certify that tbk report is accurate and complete to the best of my knowledge: ignaturelpf Permittee or Designee) >!. Outfall Description Outfall No. Stru re (pip , ditc , etc.) v �"'` �T�I, 6�6,-4�e SL146 Receiving Stream: _ 1 `rA� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: 3. Odor using bask colors (red own, 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.) 4. Clarity Choose the number which best describes the clarity of the discharge -where 1 is clear and 10 is very cloudy: ` r "1 2 3 4 5 6 7 8 9 10 Page 1 S WU-2a2-o20705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no s lids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Igo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Y j No 11. Other Obvious Indicators offSStormmwwater Pollution List and describes' Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-020705 VJ k Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report 6 Permit No.: N/C/jt & 61 DI Facility Name: _ �•1 A L County: Inspector: Date of Inspection: ' Dl Dl or Certificate of Coverage No.: N/C/G/0/61a / 71 A 1I I %J! --A,',e -V No. 91 o,-21g9 - V3r 13y this certify that this report is accurate nd complete to the best of my knowledge: a ,7 (S3gnature of Fermittee or Designee) 1. Outfall Description Outfall No. 12 Structure (pipe, ditch, etc.) _ j' ��.�� �r4�/1✓ Receiving Stream: _ �E Y rt/ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ' G 3. Odor Describe any distinct etc.) A 4. Clarity that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SwU-242-020705 5. Floating Solids 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: " I 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfali / Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 60 ] 10. Erosion at Outfall ��� Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-2427020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report 6 Permit No.: NICI 1ja1 4lO4 Facility Name: P-q p L; , County: Dt 4 T Inspector: ^RU SSA e I Date of Imp": Q/ a/ or Certificate of Coverage No.: NIC/G/ 0/ 6 lb / X l a D.Wc r l R: -'z By t}ji'sigrpt6re, I certify tha�tltis repo�eis accurate and complete to the best of my knowledge: (Signature of Permitfee or 1. Outfall Description Outfall No. Structur (pipe, ditch, etc.) YeZ4 Receiving Stream: A - d (04.1f*c Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: _ 3. Odor Describe any di etc.) 4. Clarity using basic colors (red, brown, blue, etc.) and tint (light, medium, odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloud/y:� /j 1� 2 3 4 5 6 7 8 9 10 Page 1 5WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: G2 3 4 5 b 7 8 9 10 6. Suspended Solids 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 b 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes ho 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes DNo 11. Other Obvious List and describe of Soormwater Pollution Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICK/ 1 1 O1 p14/ DI or Certificate of Coverage No.: Facility Name: c- , 4l,-4t _( County: Lr. Al Phone No. _ „r- U —2,?,?,, Inspector: - XLJ-V:S:jcs/ ! c IL Date of Inspection: �r !� - 2,Z_ zL By this si e, certify that re ort is ayturate and complete to the best of my knowledge: of Pem-iittee or Designee) 1. Out=Structure n Outfall No. (pipe, ditch, etc.) Receiving Stream: �dI b �' '�1 G 6 rP- , Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L6(k 3. Odor Describe any dist cybdorstha the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.) Q 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solidV s and 10 is the surface covered with floating solids: /2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where i is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 0 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes �Ho) 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 5WU-242-020705 VJAr�o Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report G Permit No.; NICI Ijll 1 DI o/ -O DI or Certificate of Coverage No.: NIC/G/0/6lal 3rlI I fI Facility Name: _J� i{ p C : ,-j r✓C rz County: t- Phone No. _ Q (v -2 R Inspector: u4f ce Tw j c c_ Date of Inspection: _�{ �J�I- .�� ? y d2 o 1.93 By th' si ure, I certify that this repo is accurate nd complete to the best of my knowledge: of Permittee or Designee) 1. Outfall Description D` escription Outfall No. Strycture (pipe, pi e, ditch, etc.) ��u '74 IfAll Receiving Stream: 1�1 at 4J� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the disc arge using basic dark) as descriptors: 3. Odor (red, brown, blue, etc.) and tint (light, medium, Describe any disIlIct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.) .yYj C-, 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 3 4 5 6 7 8 9 10 Page I S WU-242-020705 5. Floating Solids 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: l 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or irmediately below the outfall? Ye No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Ye rNo 11. Other Obvious Indicators of Stormwater Pollution List and describe '�fL C'q'Z-- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 sWU-242-020705 Stormwater Discharge Outfall (SDQ) Qualitative Monitoring Report G Permit No.: NIC/#/ 414/ Facility Name: pyo County: Inspector: s' S Date of inspection: t _!e/ al or Certificate of Coverage No.: NICIG/o/61d I I 1 l 2 r-'W dc: r By this sigr�e, jJertify that thiV6i6rt is accurate and complete to the best of my knowledge: of Perrrffttee or 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: ` Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: _ 3. Odor Describe any di etc.) 4. Clarity using ba ot colors (red, brown, blue, etc.) and tint (light, medium, P_ - --74e . e7 the discharge may have (i.e., smells strongly of ail, weak chlorine odor, L Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 SN LT-242-o2o7os $. Floating Solids Choose the number which best describes the amount of floating solids in the storrnwater discharge where I is no s�oliidds and 10 is the surface covered with floating solids: (� l/ 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the storrnwater discharge where l isis"no solids and 10 is extremely muddy: k 1/ 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes Q9 8. Oil Sheen Is there an oil sheen in the storrnwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and descnbe Yes � Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Permit No.: NICI1t,, Facility Name: County:a Inspector: Kq Date of Inspection: By this si �te,--� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report G �a 1 O/ Ol t 1 D/ or Certificate of Coverage No.: NIC/G/ o/ 6lb / 7l 2 I J 1 Phone No. V — - / f that this re �s accurate and complete to the best of my knowledge: (Signature ofTermiftee or Designee) I. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the dark) as descriptors: — 3. Odor Describe any; etc.) using bas color red, brown, blue, etc.) and tint (light, medium, that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 5WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: I 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: ZY2 3 4 5 6 7 8 9 10 7, Foam Is there any foam in the stormwater discharge? Yes No 8. OU Sheen Is there an oil sheen in the stormwater discharge? Yes 00 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes IVo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe _ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242.020705 G Permit No.: NIC/j/i Facility Name: County: =� Inspector: 4 Date of Inspection: O� VJ k IrA�.q Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report or Certificate of Coverage No.: EL(:XG1O161a l Y'I x I t1 By this si e certify that this re is r ( gpature of Permittee or Designee) 1. Outfall Description No. vie-) C) - O Aq If -"I and complete to the best of my knowledge: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: 3. Odor 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.) r; 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge inhere 1 is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes (E) Yes e 9. Deposition at Outfali Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 V4ATp Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI 1"a141Of O/ O/ al or Certificate of Coverage No.: NICIGI0/6laI Xl Z I I Facility Name: l; W ah,l+r County: -;U ,'- i 4/ Phone No. / a Inspector: i j '5S 4 I A'a ng Date of Inspection: T, L— By th' �ignture, I certify this report 4 i rate and complete to the best of my knowledge: ,(Bignadire of Permittee or Designee) 1. Outfall 1Description Outfall No. ` Structure ( ipe, ditch, etc.) tea' �� �k1 Receiving Stream: (a,rA0 r,' I . Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge dark) as descriptors: /? [. 3. Odor Describe any distinct etc.) ' .sic colors (red, brown, blue, etc.) and tint (light, medium, 3t the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 5 7 8 9 10 Page 1 5WU-242-020705 5. Floating Solids 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 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: t 2 3 4 5. 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Y No :) 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious indicators of Stormwater Pollution List and describe -_ ` A., _ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Permit No.: NIG Facility Name: _ County: -ate Inspector: Date of Inspection: By th�gnafiqre, I certify t is of Permittee or Designee) 1. Outfall Description �nr VJA Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report G t 21610l O/ D/ al or Certificate. of Coverage No.: NIC/G/ 0/ 6lb / Y'l 2.1 1 %4 Ft � W e v- -/ . and complete to the best of any knowledge: Outfall No. - !-- Structure (pipe, Pitch, etc.) f�-,p7 h r ^ d Receiving Stream: �� Ai.0 �- Describe the industrial activities that occur within the outfall drainage area. 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any distinct etc.) 4. Clarity using basiq colors„(red, brown, blue, etc.) and tint (light, medium, that the discharge may have (i.e., smells strongly of oil., weak chlorine odor, Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S Wti-242.020705 5.. Floating Solids 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: (0 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 61 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Ye oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes It. Other Obvious Inditors of Stomwater Pollution List and describe L /1-(Z--- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further 'investigation and corrective action. Page 2 swu-2427020705 v� tfd k T4 �9 0 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report G Permit No.: N/Cl j/QI 10! 0/ 4l al or Certificate of Coverage No.: Facility Na e: DyP Lj P L;!i ij'CY V County: Cc o L j' ell Phone No. _ 9�b — 2 �,— A31 C Inspector: A cv ' C /L Date of Inspection: A,Ay' Z+ — fkcr By th�gnatt e, I certify that t�"ort.is aS�urate and complete to the best of my knowledge: of Permittee or Designee) I. Outfall Description Outfall No. Structure {p'pe, ditch, etc.) 6 t' r�`` Receiving 5tr Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any etc.) 4. Clarity using basvcolors brown, blue, etc.) and tint (light, medium, that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I� 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes 0 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall Is there deposition of material {sediment, etc.} at or immediately below the outfail? Yes oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes fNo 11. Other Obvious Indicato of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 tt�l A rp9 UG); Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report G Permit No.: NQ / I4f D/ D/ DI or Certificate of Coverage No.: N/C/G/ofb!aI7l Z I I Facility Name: e .: +J I&A,kv 6J County: (,z Z Phone No. I O 2 3 J Inspector: Lty S f P r A), C l c Date of Inspection: — ez L 2 ,' j. L 0 J q By thi 'gnatur certify this reports accurate and complete to the best of my knowledge: Permittee 1. Outfall Description ` + Outfall No. Structure (pipe, ditch, etc.) C - N Receiving Stream: N c ff . _ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: ____ 3. Odor Describe any disti etc.) 4. Clarity basic co rs (re `brown, blue, etc.) and tint (light, medium, .12 i. .-- the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: l 0 3 4 5 6 7 8 9 10 6. Suspended Solids 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: V./ I 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 100 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes (" �1Vo / 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes ~No :) 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes( No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SAT-242-020705 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 7 GENERAL PERMIT NO. NCG060000 y�( SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG06 1 v G `� b (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sam lint; results IF om the laboratory.) FACILITY NAME (i A COUNTY _ �� y 2- PERSON COLLECTING SAMPLES RECF��[YNENO. /b CERTIFLE)D LABORATORY 5oj J , b fi W C Lab # ai G L! Part A: Specific Monitoring Requirements Lab # JUL 0 7 20J�LEASE SIGN ON THE REVERSE 4 CENTRAL FILES DWR SF!'Tlfl� Nd. Dte F, Simple Collected,: , .60400 44340 � 00556' , a15IbOutfAl 3 Total Suspended LSolids,, `, w , p1f, Stantlird�tltllts - Chemical Oxygen` Demand, s F /L {" Olt,andgGrease, mg�� Fecal:Cblifor►rt; :.. , �' Colonies per 100 tM1 , Benchmiik' ,` = ° `.... :;..'100 _'E;_. , - s .Within 6:'0 =9.0: I20 ,; i ,*,', �30 1000.., Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Pern-it text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Pan 13) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall. Nb. Date's Sample Collected; iris/dill' r ",00556`i` fi.w ,�.. `: ` 00530 .; ::00400,: - :011andCrease, Total Sus pended'$olids, p)EI NervMotorOilUsage;;.'. Aiinulil avers e.' allmo :' Benchrliark .:.. 30 , �a: 100 s , _ Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CH CTERISTICS: �J Date ��� 1 (first event sampled) 1 Total Event Precipitation (inches): < ar Date (list each additional event sampled this reporting period, and rainfall attiount) Total Event Precipitation (incites): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 C W1 T_?49_ 10')10'7 t -q ANALYTICAL. & CONSULTING CHEMISTS Environmental Chemists, Inc. 66D2 Windmill Way, Wilmington, NIC2`40.5 ` 91.0392.0223 Lab • 910.392.4424 Fax 71013ox'Sc rtt��+'n ffctl�l, Llattt�'p, i\�C ?79 a 252.473.5702 1,ab/Fax 255-A Wilmington Higlivvay, lacksunviIle. NIC.28540 • 91D 347.5843 Uib/Fax infitlri� itvironmen laIdtcntists.LctIII Duplin Winery Date of Report: Jun 26, 2017 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report #: 2017-07746 Project ID: Stormwater Lab ID Sample ID: Collect DatefTime Matrix Sampled by 17-18309 Site: OF-6 6/5/2017 2:43 PM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mglL 06/19/2017 Residue Suspended (TSS) SM 25d0 0 <2.7 mglL 06106/2017 COD SM 522oo 20 mglL 0611312017 Comment: Reviewed by:� Report A:: 2017-07746 page i of 5 G AnaMlwl E. Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 04 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 2841 OFFICE: 910-392-0223 FAX 910-392-44: InfaQonAronmontalchomists.Corn F kCLIENT: L, i(} j1A1jAJ.6e1 PROJECT NAME: REPORT NO: ADDRESS: ,j s/2 CONTACT NAME: PO NO: Al. t_^ �� REPORT TO: PHONEIFAX: r COPY TO: email:. j3 �.i� �Mry/ �e0 - 5arnoled Bv: SAMPLE TYPE: I = InfluenL E = Effluent. W = Well. ST W Stream. SO = Soil. Sl = gttidne Other: Sample Identification Collection � a n E o c i; .. c - " Q 7 PRESERVATION - - _�_ ANALYSIS REQUESTED Date Time Temp z Z z o = o O IEl a 46 C P G G C G 7 -- / G 2©` C P - C G P P X C C P _ G 7 G G G C P G G M Transfer R nqu hod By: Datefrime Rocelved By.- DateiTimo 2. Temperature when Received: Accepted: Rej led: Resample Requested: Delivered By: Received B- Date: S In Time: J S i.r,ntmNlelS' TItt7(UO ntlNn• 114As� Z; Ne Storlmwater. Dischar'ge Outfall (SDD) Qualitative Monitoring Report Permit No.: NICI61t>1 io0'1410/ 'or Certificate of Coverage No.: N/ClGlo L,6 a1 lL131 Facility Name: z"' 41 r County: Phone No. /e,- 2 Inspector: Date of Inspection: Ut" S 20 12 By this si I certify/that this ir(/e-port is/��{/�7�urate and complete to the best of my knowledge: (S ignature of Perrnitte�-& Designee) I. Outfatl Description Outfali No. _ Structure ditch, etc.) Receiving Stream: (pi ,n r A •� e l� Describe the industrial activities that occur within the outfall draiira ge area: r r 2. Color Describe the color of the discharge using basic colors (r d, brown, blue, etc.) and tint (.light, medium, dark) as descriptors: C r�, 3. Odor Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.) Uo 1 4. Clarity Choose ttie number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 S 5 7 8 9 10 Page 1 5wU-242-020705 5. Floating St1m Choose the mm3ber which best describes the ammmt 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 S 9 I0 5. Suspended Sods Choose the nunter which best describes the amouctt of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 2 3 4 5 6 7 S 9 10 7. Foam Is there any foam in the mmwater discharge? Yes & OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Oulf H Is there deposition of mawrial (sediment, etc.) at or mmxchateiy below the outfall? 10. Erodm, at Outfag Is there erosion at or imrnediately below the osafall? Yes No Yes` A5 11. Other Obvions Indicators Of Storfiawater Ponation List and dwxrft Note: Low clarity, high solids, and/or the pzeaeme of foam, oil sheen, deposifion or evasion may be it6=ve of condidom that wariw fib mvestiptm and eve action. Page 2 SWU-242-02M Stormwater. Discharge Outfall (SDD) Qualitative Monitoring Report Permit No.: NIC161r>1 /Ol6'I0/& or Certificate of Coverage No.: NICIGID1161 a1312-131 Facility Name: L'.t/ �✓ r County: hone No. /C - 2-. Inspector: S� 1/ �.✓ G Data of Inspection: Aft" ,A3 E- By this si l certify that this report isarrurate and complete to the best of my knowledge: (SignaturLyof Pertnitte�-& Designee) 1. Oatfall Description Outfall No. �_ Structure (pipe, ditch, etc.) l� � Receiving Stream: 4'-Q D r Jc-4- Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using bas' lots (red, brown, blue, etc.) and tint (.light, medium, dark) as descriptors: C � A� .T l 3. Odor Describe any distinct odors that the discharge may have (i.e., shells strongly of oil, weak chlorine odor, etc.) — A ID a. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy.- 1 2 3 4 5 6 7 8 9 10 Page i SAIU-242-020705 5. Floating Solids Choose the nuniber which best describes the arttount of floating solids m the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids. 2 3 4 5 6 7 8 9 10 6. Seceded Solids Choose the nun*= which best describes the ammint of suspended solids in the storrnwater dischargc where I is too solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam m the storm water discharge? Yes Na & OR Sheen Is there an ail sheen in the stormwaEter discharge? Yes No 9. Deposition at OstfaD Is there deposition of axial (sedbnmit, etc.) at or irrrrre dmtely below the outfall? 10: Erosion at Ootfaii Is there erosion at or itnrnedWely below the outWI? Yes DNo H. Other Obvkms hors Of Stir Portion List and describe oyf, t,/ Note: Low clarity, high solids, armor the presence of foarn, oil sheen, deposition or erosion may be indicative of conditions that warrant farther istvesrigabon and eve action. SWU-242-02M ti V4 AT > G Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NJC161 ni6 010101 -or Certificate of Coverage No.: I�TIGGf 171 I �I IL!?l Facility Name: ��' �/ i✓ r County: G:;✓ Phone No. 14, - 2- Inspector: Date of Inspection: �►a+b t! ��- o ► -7 By this si I certify that this report is actunate and complete to the best of my knowledge: (S igffatuN of Permitte r Designee) 1. Outfall Description Outfall No. Structure;pipe, ditch, etc.) `r Receiving Stream: dd J 16 <-'C. ,Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 4 3. Odor Describe any distinct odors that the dischar e may have (i.e.. smells stropgly of oil, weak chlorine odor, etc.) .4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I 2 3 4 5 5 7 8 9 10 Page I SM U-zaz-02MO5 { 5. Floating Soo s Ctsoose the number which best describes the amotmt of floating solids in the stormwater discbrge where I is no solids and 10 is the surface covered with floating solids: t 2 3 4 5 6 7 8 9 I0 6. Suspended Solids Choose the number which best describes the amm= of suspended solids m the stormwater discharge where I is no solids and 10 is extremely rmddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam m the stormwater discharge? Yes & Did Sbi:een is there an oil sign in the stormwater discb;arge? Yes No 9. Depesitiort at El Is there deposhim of mauxi I (sediment, etc.) at or immediately below the outfall? Yes No 10.. FAvsion at Onti'af Is there erosion at or inn x%hately below the ou fall? Yes No ii. Otber Obvioas Mors Of Starnmater Pellation List and descrfe Note: Low Clarity, high solids, and/or the presence of foam, oil sheen, deposraou or erosion may be indicative of conditions that warrant fmt= mvesagation and conechve action. Page 2 SWU-242-02M Stormwater. Dischalrge Outfall (SD4) Qualitative Monitoring Report Permit No.: NJCIGIz>lKl oQf0!Ol or Certificate of Coverage No.: NLc GIOI6 01312-131 Facility Name: C" or/ � r County: C/Al Phone No. _ /G - Z_ b l �_ Inspector: 44 X'g Date of Inspection: By this si I certify that this report isant rate and complete to the best of my knowledge: (5iratufgof Permittei#-&Designee) I. Out=Crure Qutfall No. (pipe, ditch, e e.) , Receiving Stream: Describe the industrial activities that occur within the outfa_ ll drai pe area: 2. Color Describe the color of the discharge using basic dark) as descriptors: L" t_A L (red, brown, blue, etc.) and tint (light, medium, 7�,//_T 3, Odor Describe any distinct odors that the discharge may have (i.e... smells strongly of oil, weak chlorine odor, etc.) 4. .Clarity Choose the number which best describes the clarity of the discharge where l is clear and 10 is very cloudy: 1. 2(D 4 5 6 7 S 9 10 Page i SNAFU-242-OW705 a '0 % 5. Flouting Solids Choose the number which best describes the amount of floating solids in the stormwater discharge whm 1 is no solids and 10 is the surface covered with floating solids- 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the nunter which best describes the amount of suspended solids m the stormwater discharge where I is no sedids and 10 is extrAely muddy: 2 3 4 5 6 7 8 9 10 .7. Foam Is tyre any foam m the stormwater discharge? Yes LON� & Oti Sheen Is there an oil sheen is the stormwater discharge? Yes No 9. D11: sl oa at 11� Is there deposition of nmmrml (sediment, etc.) at or hoax diately below the ot:&H? Yes' Na 10.. Faosioa at Outfall Is there erosion at or immediately below the outfall? Yes o 11. Other Obvicas Mors Of Starer Pollution List and describe �- Note: Low clarity, high sobs, and/or the presence. of foam, oil sheen, won or erosion may be . indicative of condition that warrant €fir invesagabon and costive action. Page 2 SWU242-02WW V4 A% Stormwater. Discharge Outfali (SDO) Qualitative Monitoring Report Pernvt No.: N1Cl%1 c>41014/0101 'or Certificate of Coverage No.: 1j C/G1fJl�1 �lS1L13l Facility Name: &,'it% �✓ r 4 County: G!',✓ Phorie No. /b - 2-�QJ �_ 51 1 Inspector: sue!! w G rJ 2�r 7 Date of Inspection: moa" By this si I certify that this report is-, and corn plete to the best of my knowledge: (Stg'naturw of Permitted 6r Designee) 1. Outfall Description Outfall No. Structure (pi ,ditch, etc.} 10 Z.— Receiving Stream: A.) c-1,4. Describe the industrial activities that occur within the outfall drainage area: ✓Q 4 e 1!� c C- jr-- Z. Color Describe the color of the discharge using basic colors dark) as descriptors: _ _ 2 �C A,-- 1 3. Odor blue, etc.) and tint (.light,.medium, Describe any distinct odors that Elf ischarge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.) C 4. Clarity Choose the number Ach best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2. 4 5 6 i 8 9 10 Page l a Swu-242-02=5 a. busting Solids Choose the number which best describes the amottEZt of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with flog solids: 1 2 3 4 5 6 7 S 9 10 6. Suspended Solids Choose the nuniber which best describes the amount of suspended solids in the stonnwater discharge where 1 is no solids and 10 is extremely tddy: 2 3 4 5 6 7 8 9 10 .7. Foam Is there any foam m the stormwater discharge? Yes & OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Depa s inn at Outfan Is there deposition of material (sedin=-t, etc.) at or kmnedialely below the awtfali? Yes(ONO 10.. Erosion at Outfau Is there erosion at or immediately below the orafall? Yes Na .11. Other Obvkm buHadors of Storsiawater Potation List and describe Neu: Low chatty, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of condition first warrant further investigation and eve action. SWU-2a2 V4AT4Zi r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1C1 1c>1K1 aO'10I01 or Certificate of Coverage No.: N/C1Gf l,61 p1a1L131 Facility Name: County: Phone No. Inspector: 4-0, Date of Inspection: OW Z By this si I cenify that this r�port isurate and complete to the best of my knowledge: (SignaturLyof Pern3ittt?�-&Designee) 1. Outfall Description r Outfall No. Structure (pipe, ditch, etc.) L/ Receiving Stream: [1 b -'rJ lb r At- .l. Describe the industrial activities that occur within the outfall drainage area: &e_e £ ] 2. Color Describe the color of the discharge using basic olors dark) as descriptors: G brown, blue, etc.) and tint (.light,.rnedium, 3. Odor Describe any distinct odors that to discharge may have (i.e., smells strongly of oil, weak chlorine odor, et6 p 0 t^ 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: I .//'o 3 4 5 6 7 8 9 10 Page 1 5w'u-2a2-020705 5. Floating sonits Choose the number which best describes the amotmt of floating solids in the stormwater discharge.where I is no solids and 10 is the surface covered with floatag solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the nunta which best describes the amount of atspended solids m the stormwater discharge where I is no solids and 10 is extremely rmddy: 2 3 4 5 6 7 8 9 10 7. Foam Is thme any foam in the sWrmwater discharge) yes & Oil Sin Is there an Gil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall' is there deposition of nmaxial (sediment, etc.) at or immediately be the otafaff? yes No 10. FAMSiOM at OUtf2U Is there erosion at or immediately below the outfall? yes Na 11. Other Obvkm3s 18&cators of Sternmater Pollution List and desanbe Note: Low clanty, high solids, and/or dw presence of foam, oil sheen, deposition or erosion may be uAcative of coadiftom that warrant fm-tbff mvestigation and convaive action. Page 2 SWV-242-a2M ff%VA¢ �1 �* C_ Stormwater Discharge Outfall (SDQ) Qualitative Monitoring Report Perrnit No.: N1C1i]1 E>lK100,101 & 'or Certificate of Coverage No.: 1�1C1GI�1�l flI 1Z131 Facility Name: , uA� Gs� _1✓ r County: 6,74 Phone No. /G - 2 JEI Inspector: ig jr w `G Date of Inspection: AwUQ6 A% Z By this s I certify that this report is Anturate and complete to the best of my knowledge: (S igiatur6 of Per rnitte�-br Desi wee) I. Outfall Description Outfall No. ! Structure (pi , ditch, etc.) Receiving Stream: 6 vL) CA A/Za Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge us g basic dark) as descriptors: _ - C it 3. Odor Describe any distinct odors etc.) - 4. Clarity brown, blue, etc.) and tint (light, medium, ► — /i —/" the discharge may have (i.e., smells strongly of oil, weak chlorine odor, o PJ Choose -the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S►rU-242-020705 5. Floating Solids Choose the Homer which best describes the ansaunt of floating solids in the- stomwater discharge where 1 is no solids and 10 is the surface covered with floating solids- 2 - 3 4 5 6 7 8 9 10 6. Sug"ded Sods Choose the number which best describes the amount of suspended sobs in the stormwater discharge where l is no oiids and 10 is extremely nuLddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam is the stomwater discharge? yes & CQ Sly Is there as oil sheen is the storrawater discharge? Yes No 9. Depoaition at Ems' Is there deposition of material (sedi t, etc.) at or immouvely below the owl? Yes /DNo 10.. Erosien at Ot fail Is there erasion at or immediately below the oudall? Yes No .11. Other Obi Indcatoxs of St water Ponatian List and descrbe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, boa or erosion may be indicative of conditions that warrant further investigaum and cove actom Page 2 S%W 242-020705 Stormwater. Discharge Outfall (SDO) Qualitative Monitoring Report Pern-xit No.: N1061r>l 1 aO'10f O> or Certificate of Coverage No.: TLc Gl9 6I z)/3/gj31 Facility Name: trs'rr/ i✓r-r County: G.`,✓ Phone No. /b 2 ` 41 Inspector: Date of Inspection: AWXA& By this si I certify that this report isurate and complete to the best of my knowledge: i /L — (Signature' of Permitter& Designee) 1. Outfall Description Outfall No. Struc (pipe, ditch, etc.) Receiving Streaan: Describe the industrial activities that occur within the outfall drainage area: i. Color Describe the color of the discharge using basic dark) as descriptors: CL ' / s (red, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the dad ha ge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.) 1,/ 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page I SM"U-242-020705 Z. Fixating Solids Choose the nugrber which finest describes the amo= of floating solids in the storrawater dLwhame where I is no solids and 10 is the surface covered with floathig solids: [ 1) 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the nuwd-w which best describes the amount of suspended solids in ft stormwater discharge Where I is no solids and 10 is extt eritely muddy: t 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stoamwater discharFl Yes (( }Vo ] & 40 Sheen Is there an oil sheen in the stormwater discharge? Yes Na 9. De�n at E?tisH Is there deposition of €axial (sit, etc.) at or inmvdiately below the oudWI? Yes- Igo 10. Eresi4m at Uutfall is there erosion at or immediately below the ou#fall? Yes Na .11. Other Obvious Into rs of Sty Pollution List and e Note: Low clarity, high solids, and/or the presence of foam, oil she, deposidon or erosion may be indicative of condidons that wamnt ford= mvesdptm and eve action. Page 2 SWU-2424=% Stormwater Discharge Outfali (SDO) Qualitative Monitoring Report Permit No.: MCI �7101'610 �101 O/ or Certificate of Coverage No.: iC1G1171 �l flI IL! 31 Facility Name: '&-A1 r County; Pone No. /d - 2- - 51- Inspector: G Date of Inspection: By this si I certify that this report is acrurate and complete to the best of my knowledge: (Signature of Permitte2 Sr Designee) 1. Qntfall Description Outfall No. � Structure (pipe, ditch, etc. Receiving Stream: C' ��� � r ja4l'- ` .Describe the industrial activities that occur within the outfall drainage. area: 2. Color Describe the color of the discharge us' o basic colo (red brown, blue, etc.) and tint (light_, medium, dark) as descriptors: L E. -3— 3. Odor Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.) Y' jg, 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 5 6 7 8 9 10 Page 1 s'A;V-242-020705 J 41 � s - 5. noating Solids Choose the der which best describes the apt of floating solids in the stormwater discharge where 1 is no'solids and 10 is the surface covered with floating solids. 2 3 4 5 6 7 8 9 10 5. Suspended Solids Choose the number which best describes the amount of suspended solids m the stormwater discharge where I its no solids and 10 is extremely nxtddy: t/ 1/ 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stt water discharge? Yes ON� 8. OR Sheen Is there an oil sheen in the stonawater discharge? Yes bo 9. Depodflon. at Out€afl Is there deposes of macerW (se&n=zt, etc.) at or irmnuftately below tic outfall? 10.. Erosion at Ou fau Yes No Is there erosion at or imnxxt;arPly below the outfali? Yes No 11. Other Obvkas ors of Stormwater Pellntion List and describe YJ 4, Note: Low clarity, high solids, andlor the pie of foam, oil sheens, deposition or eansion may be indicative of coaditiorss that warrant further investigmka and txanvrfive aetiom PW 2 swv-242,020705 %14 A s"� a � Stormwater. Dischar-ge Outfall (SDO) Qualitative Monitoring Report Permit No.: NJC/6iz>41 o01 ai & or Certificate of Coverage No.: NCIGI04k p,3lZl31 Facility Name: L,"41 �✓�r _ County: Inspector Date of I By this s I certify that this,r�eport is acturate and complete to the best of my knowledge: (Sio�faturK of Permitte�-6r Designee) I. Outfall Description Outfall No. Structure (pipe, ditch etc.) Receiving Stream: C F-A. si e- Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharize u�2.r basic dark) as descriptors: s (red, brown,.blue, etc.) and tint (light, medium, ��. /ter 3. Odor Describe any distinct odors that the disc ge may have (i.e., smells strongly of oil, weals chlorine odor, etc.) .4. Clarity Choose the number which best describes the clarity of the discharge where l is clear and 10 is very cloudy: 1 2 3 4 5 5 7 8 g 10 Page 1 SWU-242-020745 _ K 5. Floating Solids Choose the mmAxT which best describes the amount of floating solids in the stormwater discFta gt where I is no solids and 10 is the surface covered with floating solids- C, 2 3 4 5 6 7 8 9 to 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the storrnwater dischne where I is no sdids and 10 is extiwnely muddy: (D 2 3 4 5 6 7 8 9 10 .7. Foam Is there any foam in the stormwater discharge? Yes & Oil Sheen Is there an oil sheets in the stormwater discharge? yes 9. De on at Oethffl Is them deposition of material (sediment, em.) at or aninediady below ft outfall? Yes' 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. other Owviow bmucators Of SternrWater Ponation List and desanh-- Note: Low cL-H*, high solids, and/or the P=a= of foam, oil sheen- deposition or erosion may be indicative of conditions that wan= fmther investigation and coutchve action. Pap 2 SWU-24242M Stormwater. Discharge Outfall (SDD) Qualitative Monitoring Report Permit No.: N1CIi71 a! 1 a6'1O1 D/ or Certificate of Coverage No.: NIGGl171$I 71 IL1 I Facility Name: Ls'rr/ r County: G�'� Phone No. �d' '3 Inspector: S € !/ ky G Date of Inspection: it" By this si , I certify that this rt is accurate and complete to the best of my knowledge: -. (SiWaturLyaf Permitted 6rDes]gnee) L Outfall Description Cutfa.11 No. ! L� Structure (pipe, di Receiving Stream: e A b4C Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic col (red brown, blue, etc.) and tint (light, medium, Clark) as descriptors: ' e- i'4 (— r 3. Odor Describe any distinct odors etc.) rdischarge may have (i.e., smells strongly of oil, weak'chlorineodor, 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 Swu-242-OW705 .•, :, r' e'. 5. FZoatiog S©N& Choose the number which best describes the ataottnt of flogn solids m the sto nnwater discharge where I is no -solids and 10 is the surface covered with float solids: I 2 3 4 5 6 7 8 9 10 6. Suspended SoH& Choose the nun6er which best describes the amount of suspended solids in the stormwater discharge where 1 is no so1i& and 10 is extrernely muddy: 1 2 3 4 5 6 7 8 9 t0 7. Foam Is there any foam m the stormwater discharge? Yes 0No 8. OU Sheen Is here an oil sheen in the stormwater discharge? Yes o 9. Depo dthm at OutfaH Is there deposition of mauxW (sedbnertt, etc.) at or immediately below the outfall? Yes, Na 10.. Erosim at Oudafl Is there erosion at or immediately below the otafall? Yes No .11. Other Qbvkms Mors of Stormwater PoUuOm List and describe _ 9.1 ! Note: Low clarity, hMh solids. andlor the prese;= of foa€tt, od sheen, lion or erosion may be . indicative of conditions drat warrant further investigation aid eve actiarr. PW 2 swu-24z-020705 t V4 A 74� Stormwater. Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI6 >1/001010/ or Certificate of Coverage No.: NIcLoLo1,6 O/3 z131 Facility Name: L,'rrl .. r County: Phone No. Inspector:€!I w L Date of Inspection. By this si I certify that this report isaccurate and complete to the nest of.my knowledge: (Sig aturgof Permitte?$r Designee) 1. Ontfail JDescription Outfali No. / Structure (pipe ditch, etc.) i Receiving Stream: "e-C H _ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic lors (red, brown, blue, etc.) and tint {light, medium, dark) as descriptors: 3. Odor Describe any distinct odors at the discharge may have (i_e., smells strongly of oil, weak chlorine odor, etc.) O AID 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I 2 3 4 5 6 7 8 9 IO Page I swlu-242-020705 5. Floating Solids Choose the Hiner which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with #lag solids: 1 2 3 4 5 6 7 8 9 10 6. ed Sokcls Choose the number which; best describes the afnmm of suspended solids in the stormwater dischage where 1 is no Aids and 10 is ext wriy muddy: QFearn 2 3 4 5 6 7 8 9 10 7. Is there any foam in the stormwater discharge? Yes nNo & OR Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Uetiaun at OutfaII' Is there deposition of maux l (se&tnm etc.) at or immediately below the outfall? Yes' N 10.. F at Outfau Is there erosion at or immediately below the osnfall? Yes a 11. Other O1vioas Indkm1ors of Storm ater Penation List and describe L t7 d g Note: Law clarity, high solids, anchor the presence of foam, oil sheen, position or erasion may be indicative of conditions that warrant finer mNesbgam and conwZve ac dcrL Nr2 8w[T z42.OWM5 Stormwater. Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: MClGiz>l KI al DIOf Of - or Certificate of Coverage No.: LNICIGdo -6 O13ILl31 Facility Name: County: lDaOL96.�Phone NO. /d - 2- Inspector: `G Date of Inspection: By this si I certify that this report isnepttrate and complete to the best of my knowledge: (SiO aturLy of Perrnitte�* Designee) 1. Outfall Description Outfall No. _ Structure (pipe, ditch, etc.) SIA LE Receiving Suram: Describe the industrial activities that occur within the outfalt drainage area: 2. Color Describe the color of the discharge using basic colors dark) as descriptors: _ — P ( cl 3. Odor Describe any distinct odors that the etc.) J� etc.) and tint (.Iight, medium, // '- may have (i.e., smeIls strongly of oil, weak chlorine odor, 4. .clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 S 5 7 8 9 10 Page I sy'U-242-020705 y FA S. Floating Solids Choose the mmiber which best describes the amaant of floats solids in ft stormwater Marge where 1 is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amourd of suspended solids in the stormwater disehaEge where 1 is no solids and 10 is extremely muddy: t 2 3 4 5 6 7 8 9 10 .7. Foam Is there any foam in the stmmwater discharge? Yes No & Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at OuftH Is -diem deposkian of ma ial (sedimmit etc.) at or immediately below the outfall? Yes No 10. F vsion a1 Chaall Is there erosion at or imnaediately below the oudbll? Yes No .11_ Other Obvious Indkators of Siormwraw PoEtation List and desadbe Note: Low clarity, high solids, and/or the preserve of foam oil spew deposition or erosion maybe indicative of conditions that wan -ant fmther mvestigatim and wive aeon. Page 2 sWU-24242071pS fi 1141, aT 6-6 RECEIVED DEC 2 9 zm CENTRAL FILES DWR SECTION Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: N/C/Gi0/610/ Sjz/31 Facility Name: -L,'41 County: c."T Phone No. la • 2- Inspector: Sig £ %/ W Gz.-f Date of Inspection: % Z - 6 - Z o 16 By this si I certify that this report is accurate and complete to the best of my knowledge: (Sib atumY of Permitte?"* Designee) 1. Outfall Description Outfall No.� Struc (pipe; ditch, etc.) �£- Receiving Stream: /! .oc1..- Describe the industrial activities that occur within the outfall drainage area:r-' PIA-1 _ 2. Color Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: G - ,,�' l 7- 3. Odor Describe any distinct odors that the discharge may have (i.e., smelIs strongly of oil, weak chlorine odor, etc.) AD 4. .Clarity Choose the number which best describes the clarity of the discharge where l is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page I Swv-242-020705 5. Floating Solids 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: to 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Ye< oNo 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No\ 11. Other Obvious Indicators of Stormwater Pollution List and describe'I��"�-� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Stormwater. Discharge Qutfall (SDQ) Qualitative Monitoring Report Permit No.: NIC161Dl KI 00101 Ol or Certificate of Coverage No.: NICQ/.0 610/a4L131 Facility Name: L+'rt! �✓ County: -Cy '�/ Phone No. 611e 2- Inspector, _„� s Dam of Inspection: By this si I certify that this report is of Permitter& Designee) and complete to the best of my knowledg 1. Outfali Description Outfall No. Stntcture Qpipej ditch, etc.) Receiving Stream: x7era, Describe the industrial activities that occur within the outfall drainage area: � - �� � F✓ iC o �d d �� .SC Q h /1; n/ 2. Color Describe the color of the discharge using basic dark) as descriptors: 3. Odor ors (red, brown, blue, etc.) and tint (light, medium, Describe any distinct Odors that the discharge ruay have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4119 W 4. Oarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: ( 1� 2 3 4 5 G 7 8 9 to Page 1 SNVU-242-020705 S. Floating Solids Choose the number which best describes the amoimt of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes Fo 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes �Vo 9. Deposition at Ouffall Is there deposition of material (sediment, etc.) at or irrinvdiairly below the outfall? Yes- LN�) 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 00 11. Other Obvions buticators of Stiormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 n SINU-242-=705 u V4 AT 4J Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC161 p1410 d 10101 Facility Name: nriAL� rt/ �sl; county:. fJ P Gi'�✓ Inspector: S g Date of Inspection: By this (S ignature of I certify that this Designee) 1. Outfall Description} or Certificate of Coverage No.: N!CIG1016I al_lz.l3l Phone No. /b • 2- w G� zQ f6 is accurate and complete to the best of my knowledge: Outfall No. � Structure (pipe, ditch, etc.) Receiving Strearn: ep 6, r- Describe the industrial activities that occur within the outfall drainage area: ctiJ S'e 4 b f A . 7✓ 2. Color Describe the color of the discharge using basic col rs (red, brown, blue, etc.) and tint (,light, medium. dark) as descriptors: ClLii�,f! a — 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes -the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 .`' 8''. 9 10 Page 1 SIAIU-242-02=5 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is nossolids and 10 is the surface covered with floating solids- 10 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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.- 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes �jl 11. Other Obvious Indicators of Stormwater Pollution List and describe -.— Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SAT-242M0705 ni- 6 T - 7 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC/(�lal l0— 6-fQl a or Certificate of Coverage No.: N/C(G/0/-6l al3lLl3l Facility Name: t County: C/ Al Phone No. /b 2 - 1?43 Inspector: Si; // �✓ G 4 Date of Inspection: / 2- — 6 ~ Z -0 ! b By this si I certify that Ns report is of Permitter& Designee) and complete to the best of my knowledge: 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: h j.�1 Describe the industrial activities that occur within! the outfall drainage area: u C / Se A /- C. do"f '-41 2. Color Describe the color of the discharge using basic colors (red, brawn, blue, etc.) and tint (light, medium, dark) as descriptors: 4 eL c' 3. Odor Describe any distinct odors that the discharge may have (i.e., smells smonbly of oil, weak chlorine odor, etc.) 4, Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 SAArU-242-020705 5. Floating Solids 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: J 1) 2 3 4 5 6 7 8 9 10 5. Suspended Solids 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: ( 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 00 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes (ONo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe A 0'-Y- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 `ldAT Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC1610IKI0010/ Di or Certificate of Coverage No.: N1CIG101 k1 ol3Izl?I Facility Name: z",J / r-r County: G!Al Phone No. 2- -`� � Inspector: 5' gr- , W G Date of Inspection: 2- — G By this si . I certify that this report is i 11 i (Sig aturLyofPermitte�-&Designee) and complete to the best of my knowledge: I. Outfall Description Outfall No. 5 Structure (pi , ditOL etc.) ' r Receiving Stream: CO b�'� rA 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, £,9 rz. Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.) 4, .Clarity Choose tiie number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 0 2 3 4 5 5 7 Page 1 8 9 10 S wU-242-0207o5 5. Floating Solids 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: 2 3 4 5 b 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater dischar-e where I iisno solids and 10 is extremely muddy: (10. 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 00 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes � J 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfa!!? Yes S 10. Erosion at Outfall Is there erosion at or immediately below the outfal!? Yes Na 11. Other Obvious Indicators of 5tormwater Pollution List and describe _ / ►� a ' Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 5WU-242-020745 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report PermitNo.: N/C/17 2/&0161014/ Facility i County: Inspector or Certificate of Coverage No.: N/CIG1 — —I— — — Date of Inspection: / 4 — 6 ` Z'0 J 6 By this sigpmtMI certify that this report is {Sib aturE of Permitted Sr Designee) and complete to the best of my knowledge: 1. Outfall Description ► Outfall No. Structure (pipe, ditch, etc.)u/10 Receiving Stream: CIN )- r r•l b r Describe the iustrial activities that occur within the outfall drainage area: � 6 ✓ LA a �7Y ` i r✓ 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.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 S 6 7 8 9 10 Page 1 s%VU-242-02Q705 r� Floating Solids 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: f 1 I 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (!9 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' t o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes LMo 11. Other Obvious Indicators of Stermwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant fttrther investigation and corrective action. Page 2 S WU-24ZO2d705 nr rr, � Stormwater Discharge Outfall (SDQ) Qualitative Monitoring Report Permit No.: N CL6-0/&00f01 OI or Certificate of Coverage No.: NICIGID 1 �l �l lL 131 Facility Name: L"'ZI f✓ r County: 64(0!2e-/A;Phone No. /O • z-- Inspector: Sa✓ %% w G Date of Inspection: By this si I certify that this report is X_ - (Sim ature'of 1. Outfall Description and complete to the best of my knowledge: Outfall No. 1-7 Structure ipe, 'tch, etc.) Receiving Stream: /� h� C Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: { 3. Odor Describe any di etc.) 4. Clarity irs (red, brown, blue, etc.) and tint (.light, medium. odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge ,&here I is no solids and 10 is the surface covered with floating solids: (t 1 2 3 4 5 6 7 8 9 10 6. ��--S//uspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: I 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes ,tNo J 8. Oil Sheers Is there an oil sheen in the stormwater discharge? Yes Tol 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes, No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 SNVU-242-020705 4� % T- C� NC:�!r . 11C Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NJCI (]1 of i�l 1 of o l 4I Facility Name:,,p'L�'.r% GtJ' County: Inspector-, or Certificate of Coverage No.: NIGG1fI1 �1 fl11L!?! Date of Inspection: % 2- — 6 ` Z a l b By this si rgtts I certify that this report is {Sib ature` of Permitte�-6r Designee) one No. yid - _Z � i and complete to the best of my knowledge: 1. Outfall Description IfOutfall No. Strut re (pipe, ditch, etc.) Receiving Stream: - Describe the industrial activities that occur within the outfall drainage area: n 6 r< Lc a, � r`/ 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 distiijq odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 54vi1-242-420705 5. Floating Solids 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: 0 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy. {� 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes Vo S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' Go 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes Ki0j 11. Other Obvious Indicators of Storrnwater Pollution List and describe A) Note: Low clarity, high solids, and/or the presence of foam oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 rye•{ Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: yp6 r—>1&go101 O! or Certificate of Coverage No.: NIC/G101 I a1 1L13! Facility Name: A✓irr County: Gigs/ Phone No. /b 2- � Inspector: — Date of Inspection: % 2- - By this si I certify that this report is accurate and complete to the best of my knowledge: x (S iW ature' of Permitter -6r Designee) 1. Outfall Description Outfall No. Structure (pipe, ditc etc.) _ Receiving Stream: CA b : rU 1-,4 _ — Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic colors ed, brown, blue, etc.) and tint (.light, medium, dark) as descriptors: _-L 3. Odor Describe any disti t odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor, etc.) 4. Clarity Choose the number which best describes -the clarity of the discharge where I is clear and 10 is very cloudy: I 2 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the storrnwater 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 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: l 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes (90 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes Na 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' ONO 10. Erosion at Outfall Is there erosion at or inunediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant ftirther investigation and corrective action. Page 2 SwU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI6lr,>l OfDIOI01 or Certificate of Coverage No.: NICIGIDI 1 DI lL131 Facility Name: 'L,"d1� J✓ r County: C "4✓ Phone No. A ' 2- Inspector: S %/ r.✓ G Date of inspection: 1,2- — 6 Z 1 b By this si I certify that this r port is acrcurate and complete to the best of my knowledge: (Sia aturL'of Perrrlitte�" r Designee) 1. Outfall Description (� Outfall No. Structure (pipe, ditch, etc.) 1 Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dis a_ rge using basic cold dark) as descriptors:. c e CA 2 I- , ,Zr' 3. Odor (red, brown, blue, etc.) and tint (light, medium, /� 7- Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: P2 3 4 5 5 7 8 9 10 Page 1 SM7U-242-020705 1 5. Floating Solids 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 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 Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' 10. Erosion at Outfall Is there erosion at or immediately below the outfall? 'Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 s WU-242.020705 �r W AT Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C/61E>41016101 D1 Facility Name.- Iiu�oL�'rrJ GtJ County: Inspector: 5g It or Certificate of Coverage No.: , 1C1G/j2 / / 0/3 z13/ Prone No. /B • 2- Date of Inspection: % Z - 6 - Z.0 i b By this sig3aftrr9i certify that this report is (Sio aturKofPermittei-iSrDesignee) and complete to the best of my knowledge: L Outfall Description Outfall No. ! Stmc i ditch tc. ��. (pipe, , etc.) Receiving Stream: lc7 e' r Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: eLEfin-p--j 3. Odor Mors (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.) _. s•• "L 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 Z. Floating Solids 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: i 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes o 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes CoNo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Q o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No it. Other Obvious Indicators of Stormwater Pollution List and describe A! -e- _ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWl1-242o2a7os J Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N!C/61r.>1(�1 o0'10101 or Certificate of Coverage No.: N1GGf1I1 �1OI IL13r Facility 1 County: Inspecto Date of Inspection: L — 6 - Z.a i b By this sib I certify that this report is (S ib ature of Permitter& Designee) and complete to the best of my knowledge: L Outfall Description Outfall No. /2-- Structure (pi , ditch, etc.) Receiving Stream: ►-) r4 Describe the industrial activities that occur within the outfall drainage area:.,. 2. Color Describe the color of the discharge darn) as descriptors: (r, 3. Odor basic colors (red, brown, blue, etc.) and tint (light, medium, all- - r Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 17 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page I swU-242-020705 • ; 'r ; S. Floating Solids 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 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 Is there any foam in the stormwater discharge? Yes a 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes a 11. Other Obvious Indicators of Stormwater Pollution List and describe / Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1C1 61 D1K1 oO'10101 or Certificate of Coverage No.: N1CI01 U *0131L31 Facility Name: L.a'rt/ �✓ r County: G!Phone No. /d - 2- �- `� � Inspector: _ u SS' — Date of Inspection: By this si I cenif /that this report is acjcurate and complete to the best of my knowledge: (SignaturKof Permitte�-6r Designee L Outfall Description Outfall No. - Structur (pipe, ditch, etc.) IZA Cx,- Receiving Si A) Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: _ 3. Odor Describe any di etc.) 4. Clarity age using basic colors (red, brown, blue, etc.) and tint (light, medium. odors that the discharge may have (i.e., smells strongly of ail, weak chlorine odor, Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy} 1`/ 2 3 4 5 5 7 8 9 lb Page I w S%%TU-242-020705 5. Floating Solids 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: l 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I iiss no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes a 9. Deposition at Outfall Is there deposition of material {sediment, etc.} at or immediately below the outfall? Yes DO 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes �i a it. Other Obvious Indicators of Stormwater Pollution List and describe Ao;'12-1 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 s WU-242-020705 J ,✓ FIL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL. PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO.tNCG06•��•-� . FACILITY NAME PERSON COLLECTIRG SAMPLES �LQc, SA- _ el? �,�w CERTIFIED LABORATORY Lab # Lab # fJ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ('Phis monitoring report is due'at the Division no later than 30 days from the date the facility receives the sampling results from title laboratory.) COUNTY Z ' PHONE NO./D PLEASE SIGN ON THE REVERSE 4 Outfalf: No, Date- !, Sample MO�dd/ =' pOS34r=, ::3;,, 4 0400 d=.00340 t::. s. «�.`r r� --• ,,. Y : •,: -.r<OO.S$b fit 3'16T6 Total Slispendecl rat' tia i rpH, Andal;d1 itnits ' Cltemical Oxygen Dell�atltt, r° Oi( and Grease, 4 ri2/D Fecal Coliform, Calanies'per.100 ml �00 0. Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) QP � R202 L) Part B: Vehicle Maintenance Activi onitoriniz Re uirements Alz„, : Outfall;: No: Date �`: Sample Collected, iris/dd/ r c OOS56 t `*. 00530 00411U :Qll ar�d Grease; G, , l� ; :� s Total SusPnded Sollds, m /L + pl1(, �,;' r `Standard units ; ' New Motor 011 .Usage, :' Aiilival liver a e al/lno ` Benchmark . . .�, Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Pennit'text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 T/0 pR�FS NONNI T Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 01 c STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO- NCG060000 0 -� CERTIFICATE OF COVERAGE NO. NCG06 � a FACILITY NAME PERSON COLLECTING SAMPLES 49 Ae 4,1' CERTIFIED LABORATORY_ f—nkL'R,�E "'� Lab # Lab # Part A: Specific Monitoring Requirements l� SAMPLES COLLECTED DURING CALENDAR YEAR: =Lt>/4 (This monitoring report is due at the Division no Iater than 30 days frorn the date the facility receives the s iplin rese is from the laboratory.) REGEN MO E NO. / MAR.1 0 t PLEASE SIGN ON THE REVERSE 4 CENTL FILES DWR SECS ON Outfall .-Date ;' •- .00530 „ ..00400 No. „Sample Total SuspeQded� �r , r pI3; Clieinlcal0xygen _ N Otl,andkGrease, 1 t ca1:Coliform; Collected, r Solids, °a Standard` utttts ".'Demand � mg1l Colantes'per I00 ml , `r io/dd/ r' �r ' ` `' m IL :ab� ;;. , tri ,. ; Within;60 -9:0 - 3- z o v o c Sr• .� Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part 13) Part B: Vehicle Maintenance Activity. Monitoring Requirements :.: . Out1'a11,' -No., ': llate:. :::.:.... SamplaColl'ected, ; :..; 011556 ; ;t„ 00530 00400of Orl and Grease; ToEa1 Susli,ended.Soltds,.; i, phi i _Standard units , ;New Motor OiLUsage;,: Annual avers e, al/mo:'' Benchmark: 6.0. ''9 0Apr Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (incites): _ Date (list each additional event sampled this reporting period, and rainfaIi amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attw DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SUR T-)44-1 fl? 107 r STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCrG06 Oe C2 f'� FACILITY NAME l ! 1 n(1X,�, :.[ . �.,�n. PERSON COLLECTING SAMIALES U CERTIFIEb LABORATORY 4Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: a ! C (This monitoring report is due at the Division no later than 30 days from the state the facility receives the samp4lne r i(ts from the laboratory.) COUNTY PIIONE NO. (2 6 ) PLEASE SIGN ON THE REVERSE 4 Outfall Date-:',-:,ObS30. *•. f: r S k .�.� �r .i31b1G No. !„ Sample Total Suspended t ' .:, ,x ,� ,;o:pH' - Chemf al0 gea Oilatid' 3eeA§cLl_ F&al.Coliform,. C 11`i?eted ¢ ,a , 4 �_ r$ollds , ' M �? Y Standard units ' , ,� nemant#, I �y ialg/Xr Colalil'es'per100 mI mo/dd/ J.4'- '.R f.• Benchmark - �.':+�.. ti'.Y �- ::; .Tin i �: Within,6.0 �9:0: �, ..}�. :.� I20 '4l ��" .10U •-�. : fi30. ;� �' OOl} is,Z- ?OIL 2 I , / 9 ,r L S" Z- - Z 01 -I .?.!7 rh G L L Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark rang'; for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements ' Qutfall,. No: ,. Date Sam le:CoiI&ted .: rma/d'd/'r-i. OOS56 �: 00534 ;' f s ' ::00400� ° _ r;::: .Osl aqd Grease, .:;,;.,r,- ,m 20 ,;, ,Toni! Suspended Solids : nt"/i, ?�pH,�. ,� _Standt;rd untfs-: ;:, NewMotoi QiLUsage;.. F ;:A�fi6hI:avera e: a. mo 'Benchmark .30 1b ;6 0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 16I7 Mail Service Center Raleigh, North Carolina 27699-1617 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENE RAI PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG06 �2 FACILITY NAME D uP 1. `,J PERSON COLLECTING SAMPLES ;s t ,,c /L CERTIFIED LABORATORY �� r.t r��- Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALE, NDA12 YEAR: G �� (This monitoring report is due at the Division no later than 30 days from the d:Ite the facility receives the sampling results from the Ic,boratory.) COUNTY Lr- A-j PHONE NO. Y n PLEASE SIGN ON THE, REVERSE -> Ouffall No.: :: :. :D�lte Sample _ICollected,' mo/dd/yr ,;: .0U53U . :.00400 _-'OU340:.t. ; .; , t ` P',U0556ii.w� -•''.' ' i 31616:.,,.-. Total Suspended Solids,S +` ' s. pII `+ iSta'ndard'_untts`':Dcinana Cfieimcal Oxygen' s'„ ri',' ; Otl and Grease, ',>•::'-m�lL=` p Fecal'Colifornt; " -Col`bnies'' er10 rril: P 0 Benchmark' k;.. 10U �Y: aWithin;6:6-;9.0' 1z030 3 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements 'Outfall :.: . -No. Date' Sample Collecfed; - 00556 `: " 00530 Oil and Grease; 'ti "/L ;t "t Total Suspended Solids, m /I, w pH* 'r Standard: units NeFv Motor 4i1. [Isage;;. Aririval'avefa e: al/mo!' Benchmark - ° ` 30_'i' 100 ,','-� 6:0;=,9 0 - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date, l� (first event sampled) -'{ Total Event Precipitation (inches): d Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Total Event Precipitation (inches): qwI 1_?dq_ l n? i m Permit No.: N/C/C Facility Name - County; Inspector: Date of Inspection: By this signs e, I Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report 100/0/0l . or Certificate of Coverage No.: IGIOI-161 1�13J Phone No. 0 / r rw.r that this report is accurate and complete to the best of my knowledge: (Signature of Permhtee or Designee) I. Outfall Description Outfall No. . Structure (pipe, ditch, etc.) -� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: /f :36 _ 2. Color Describe the color of the discharge using dark) as descriptors: � // 4,c rs (red, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) A&ILI C 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 10 3 4 5 6 7 8 9 IO Page i S WU-242-020705 5. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes CI 0 ) S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall '• Is there deposition of material (sediment, etc.) at or immediately below the outfal.l? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-02D705 v �N , c %Ares Q' Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC6I Q I OQ12101 . or C�,ztificate of Coverage No.; NIGGIDIA� /1/a� 3l Facility Name e County; Phone No. %l d —A? 1 Inspector: Date of Inspection: By this s' a , I certify that this report is accurate and complete to the best of my knowledge: (Signature.bf Permittee or Designee) 1. Outfall Description Outfall No. i, Structure (pipe, ditch, etc.) ReceivingStream: c- & � Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge i dark) as descriptors: G- trs (red, brown, blue, etc.) and tint (Iight, medium, "q W.'t 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) !� 4. Clarity Choose the number which best describes -the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 4 10 Page 1 swu-242-020705 S. Floating Solids 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: (01 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 "1. Foam ,� Is there any foam in the stormwater discharge? . Yes f 0 J S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at OutfaU '•� Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe ►V _�Z^'t� _. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 s WU-242-020705 CO Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI 60410 0I0 / or Certificate of Coverage No.: NICIGI�I �l D/ 31?l3 / Facility Name: i5tal—W A e1 14r5 �nJ County: Phone No. eo Inspector: S 5 l 1��P"";6— Date of Inspection: -- By this s' at I certify th this;/rt is accu to and complete to the best of my knowledge: of Permittee or Designee) 1. Outfall Description Outfall No. S clure: (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the 2. Color Describe the color of the dischar a using basi colo dark) as descriptors: 3. Odor I drainage area: 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 )7n-a-' 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 s wu-242-o2o7as S. Floating Solids 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 1 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where s o solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 14 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall ` . Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfail? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe _&:�-- --- - - - — - Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-02 OS O� V4 A a Stormwater Discharge Outfall (SDQ) Qualitative Monitoring Report Perrnit No.: NICIC� 1 a�/0/�l o Facility Name 0 e County: < Inspector: Date of Inspection: By this sierihture, I certify that this report is of Coverage No.: NICIO/02Ij!�I6111-la and complete to the best of my knowledge: (Signature of Permittee or Designee) I. Outfall Description Outfall No. . Structure (pipe, ditch, etc.) T Receiving Stream: C�14 PD,-,j -Z51-4 nJ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using dark) as descriptors: C L J�&/ (red, brown, blue, etc.) and tint (light, medium, �y 0 Lt 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) -A)&,-& — 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page I S WU-242-020705 S. Floating Solids 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 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: 01� 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfalll 'l Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes ON10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-Q20705 G� V4ATs _ � r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICA'Z'I Q 1 a D/Dl 0l . or Certificate of Coverage No.: NICIG/Ql �lls 111 3J Facility Name- A e, County: Phone No. g 157— Inspector: "Ha rw .0 Date of Inspection: By this , I certify that his reporlis accurate and complete to the best of my knowledge: (,kgnature of Permittee or Designee) 1. Outfall Description Outfall No. �. Structure (pipe, ditch, etc. Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: _ 14 A— _S'L�L4 - — 2. Color Describe the color of the discharge using basic lors ed, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe any distinct odors that/the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 6 W !;-:- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 � 3 4 5 6 7 8 9 10 5 WU-242-020705 Page 1 5. Floating Solids ` Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: I 2 3 4 5 6 7 8 9 10 b. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfali? Yes No 11. Other Obvious jIndicators of Stormwater Pollution List and describe Note: Low clarity, nigh solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 WR 7- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.; NIC6LC IO2IOIi Facility Name- e, County: ; Inspector: Date of Inspection: ;:R-- y By this si re certify that the re or Certificate of Coverage No.: NICQIDI-�16 l-Zlaa Phone No. q/0 —o`Z?67- cn— LI accurate angomplete to the best of my knowledge: (SigAtturd of Permittee or Designee) 1. Outfall Description Outfall No. . Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: C '1 --ts !fir Ik ' W 2. Color Describe the color of the discharg g basic dark) as descriptors: rown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids " 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 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: 01 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes o S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes (fo) 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 00 10. Erosion at Outfail Is there erosion at or immediately below the outfail? Yes oNo 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-742-020705 Off R Tsq Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: O 100/D/OI . or Catificate of Coverage No.: NIGG/QIjIj�-l�l�l 3J Facility Name. • e County: Phone No 0 —A? Inspector: Date of Inspection: By this signatu9cify that this rw is accurate and complete to the best of my knowledge: f _ (Signa&& of Permittee or Designee) 1. Outfall Description Outfall No. Structure ( ipe, ditch, etc.) e-'V� Receiving Stream: C3 AtM� Describe the industrial activities that occur within the outfalI drainage 2. Color Describe the color of the discharge using dark) as descriptors: � eid rz (red, brown, blue, etc.) and tint (light, medium, A- . ! _ - 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1//2) 3 4 5 6 7 8 9 10 Page 1 S WU-242--020705 5. Floating Solids 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: (j lj 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 0�0 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 0/ 11. Other Obvious Indicators of Stormwater Pollution List and describe�� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. i Page 2 swu-242-020705 V4 k T'4 � �y Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Perni t No.: 0410010101 . or Certificate of Coverage No.: N/CQ101&61 31 Facility Name- County- ; Phone No. O Inspector: Date of Inspection: _ �& By this si a certify that this report is accurate and complete to the best of my knowledge: . A (Sigfiature of Perrnittee or Designe< I. Outfall Description OutfalI No. Structure (pipe, ditch, etc.) f Receiving Stream: ,i Describe the industrial activities that occur within the outfall drainage area: LZ= & j A) 2. Color Describe the color of the discharge using basic colors (red, dark) as descriptors: c „L r— a- -,z- _ at, etc.) and tint (light, medium, E �" _/ 1 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 "2 3 4 5 5 7 8 9 10 svw-242-620705 Page 1 S. Floating Solids 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 f 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 -t 4 A TI�z% 0 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1061 Q' I 0 .oDI of, or C=if Cate of Coverage No.: NIGG/QI• !L46 I 1�13J Facility Name - e County: Phone No -- Inspector: d I w <G Date of Inspection: w By this sigma mfy that this r r;�7u'r,' te and complete to the best of my knowledge: /. (Signature of P`ermittee or Designee) 1. Ou!tfall Description r Outfall No. . Structure (pipe, ditch, etc.) Receiving Stream: -- 2AX3, f d 6 r' ,,1� - Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: _ I Odor Describe any distinct odors etc.) - i 4. Clarity using basic cgAorsV(re brown, blue, etc.) and tint (Iight, medium, the discharge may have (Le_ smeIIs strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 0 3 4 5 6 7 8 9 10 Page i SWU-242-020 05 S. Floating Solids 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: ff`11 2 3 4 5 6 7 8 9 14 - 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes LoNo S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 60, 9. Deposition at Outfall '<< Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 D A L) Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC,6I Q• I o- &2101 or Certificate of Coverage No.: NIGGI-011 j S 12Icl1 _J Facility Name• County: Phone No. -- Inspector: ' f iW , Date of Inspection: _ -�g- Y-:4- By this signp6e3a certify that this report is aScurate and complete to the best of my knowledge: (Signature 6f Perntittee or DesigneeeY 1. Outfall Description Outfall No. '� Structure (pipe, ditch, etc.) 7,to L Receiving Stream: ,t3 j n/ Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: e, 6 £ , (red, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 0 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I iis�no solids and 10 is extremely muddy: Q 1 ) 2 3 4 5 6 7 8 9 10 Foam. Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 00 9. Deposition at Outfall is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes ONO 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 6No� 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SwU-242-=705 �' • .. . r .. '7.:: ', y. ', . � � .... .r. - . Permit No.: N/K;C Facility Name- Z County: inspector: Date of Inspection: By this si e� 'NAT Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report f�l 00/0/01 or Certificate of Coverage No.: NICIG_/&j I 1 1�131 i-I F;. �2Lc� — _ n, Phone No. certify that this report i accurate and complete to the best of my knowledge: �r (Sig' fatureof Permittee or Designee) I. Outfall Description ` r Outfall No. �_ .Structure (pipe, ditch, etc.) Receiving Stream: e'r'113 �✓ .y Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: MCA — brown, blue, etc.) and tint (light, medium, l r _ --- 3. Odor Describe any distinct odcjrs that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) r 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SwtJ-242-020705 5. Floating Solids 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: 5 1 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which hest describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: (� 2 34 5 b 7 8 9 10 7. �L Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes Eo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfail Is there erosion at or immediately below the outfali? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/C Z'L I OQ/O/dl or C=ificate of Coverage No.: NIGG101 j I I , 31 Facility Name • e County: Phone No. 1/0 Inspector: ' r r:w: <[ ^ Date of Inspection: — By this si , I certify that this repo is accura and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. 11-2� . Structure (pipe, ditch, etc.) Receiving Stream: -- eg - j�r r,,i J Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic olors ed, brown, blue, etc.) and tint (light, medium, dark) as descriptors: €1z' 7J 3. Odor Describe any distinct odo that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 5WU-242-020705 r 5. Floating Solids 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 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No S. Oil Sheers Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall �J Is there deposition, of material (sediment, etc.) at or immediately below the outfall? Yes oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes o 11. Other Obvious Indicators of Stornawater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-=05 -. .. -, - r _ °f .. r �. .1 1, i . ,. � 7'., � . .y �. 'r. 0 "i Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: 1�1/C / Q I ��1�/d! or ^ icate of Coverage No.: NIGGID—I,lls 4111 31 Facility Name• County: 111VI,Phone No. 6ZO — Inspector / rw .0 Date of Inspection: By this 1si a e, I certify that this report is accurate and complete to the best of my knowledge: (9gnatme' of Perrnittm or Designee) 1. Outfall Description Outfall No.Zi--�St;;cture (pipe, ditch, etc.} C!`� • f r ply Receiving Stream LA gsi' Describe the industrial activities that occur within the outfall drainage area b ��� 41j 2. Color Describe the color of the discharge ,psing basic dark} as descriptors: (red, brown, blue, etc.) and tint (light, medium, � _ _ . z ,-- 3. Odor Describe any distinct odors that the discharge may have (Le., smelts strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 3 4 5 f 7 8 9 10 Page 1 SWU-242.=05 5. Floating Solids 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 b. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes �N S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Out€ail •. Is there deposition of material (sediment, etc.) at immediately below the outfall? Yef No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes o 11. Other Obvious Indicators of Stornnwater Pollution List and describe -' the presence of foam, oil sheen, deposition or erosion may be rrant further investigation and corrective action. Page 2 Eenvirocheom] ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 2&405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Flighway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info@environmentalchemists.com Duplin Winery Date of Report: Mar 03, 2016 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report #: 2016-01537 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 16-03597 . Site: OF-2 2/4/2016 11:30 AM Water Russell Barwick Test Method - Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mq/L 02/09/2016 Residue, Suspended (TSS) SM 2540 D <2.8 mg/L 02/05/2016 COD SM 5220D 20 mg/L 02/08/2016 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-03598 Site: OF-3 2/4/2016 11:35 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg1L 02/0912016 Residue Suspended (TSS) SM 2540 D 9.0 mq/L 02/05/2016 COD SM 5220D < 20 mglL 02/08/2016 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-03599 Site: OF-4 2/4/2016 11:40 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA IWA <5 mg/L 02/09/2016 Residue Suspended (TSS) SM2540 D 242 mg/L 02/05/2016 COD SM 5220D 67 mgll- 02/08/2016 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-03600 Site: OF-5 2/4/2016 11:42 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mq/L 02/09/2016 Residue Suspended (TSS) SM2540 D 12.1 mq/L 02/05/2016 COD SM 5220D 23 mg/L 02108/2016 Report #:: 2016-01537 Page 1 of 2 Environmental Chemists, Inc. envlirochem 6602 Windrnill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax ® 710 8owsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 I.ab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemismcom Duplin Winery Date of Report: Mar 03, 2016 P.O. Box 756 Customer P.O #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report #: 2016-01537 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-03601 Site: OF-6 2/4/2016 11.48 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 16U <5 mglL 02/09/2016 Residue Suspended (TSS) SM 2540 D 3.2 mg/L 02/05/2016 COD SM5220D 20 mg/L 02/08/2016 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 16-03602 Site: OF-7 2/4/2016 11:50 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 02/09/2016 Residue Suspended (TSS) SM 2540 D <2.7 mg1L 02/05/2016 COD SM5MD 25 mg/L 02/08/2016 Lab I❑ Sample ID: Collect Date/Time Matrix Sampled by 16-D3603 Site: OF-13 214/2016 11:55 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mglL 02/18/2016 Residue Suspended (TSS) SM 2540 D 9.9 mg/L 02/05/2016 COD SM 5220D 44 mg/L 02/08/2016 Cominent: Reviewed by: Report #:. 2016-01537 Page 2 of 2 ENVIRONMENTAL CHEMISTS, INC 602WiOFFIC ndmill W-D 23FAg1gn; �'2aO AnalyBral b Consufting Chemists NCDENR. DWQ CERTIFICATIONSID4 NCDHHS: DLS CERTIMA-nom #37M COLLECTION AND CHAIN OF CUSTODY CLIENT: Dupiin Wine PROJECT NAME: Storm water REPORT NO: , (-; ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONEIFAX: COPY TO: email: Sampled B SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO 0 Soil, SL = Sludge, Other: Sample Identification Collection CL A E it r `a . E m PRESERVATION REQUESTED Date Time Teen _ o a a,ANAI.Y513 r Z L �•o C P 3 ��! X X TSS; Oil and Grease, COD G G C P C�c� S-+ U X X TSS, Oil and Grease, COD G G C P n X X TSS, Oil and Grease, COD I_G5 G� d Fy �� • fL {—� rr ! � C P 300 K I I.X LL TSS, Oil and Grease, COD G C P X X _ TSS, Oil and Grease, COD G r C P 0� X X d .TS$. Oil and Grease, COD G /3 I < < i 3�3 X X c TSS, 031 and Grease, COD G C P G G C P G G C P G G N0710E- DECHLONfNATIM •Samples far A-rnpglk TKN. Cyanide, Phenol end Bacteria must be tie (02 ppm or lost) In the field et the Ume of collodion, Be* reverse for lnsltictlons Transfer Re nquish By: D'aftefflme Recglved 13. Dateffime w 2. TOm peratu re DeW:ered By: e Re tt feel•. `�- Gommenxsa_` TURNAROUND: DUPLIN WI\TFRY P 0 130X 756 ROSE HILL, NC 28458 800-774-9634 (910) 289-3888 FAX: (910) 289-3094 www.duplinwinery.com March 8, 2016 We have inspected OF- 4 and find no factors we believe would cause a high TSS level. OF-4 will be retested at the next significant rainfall event. Thanks you, Rob Cottle Dir. Of Operations Duplin Wine Cellars Inc. r, STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG06 l7 6 G D 3 FACILITY NAME t,►) �: 2 PERSON COLLECTING SAMPLES c CERTIFIEb LABORATORY e J %J : ILO e, 14 _� - _- Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling res its from the laboratory.) COUNTY IAP L.: ✓ PHONE NO. S I o 1 0 1 1 PLEASE SIG N THE REVERSE 011� :Outfall, :Date-: :.::OOS30, 'r ,, ;.OQ400 _00340;.; Total Suspended r r pH, Chemical Oxygen andyGrease, IFecaFC6liform,- No. Sample - Cpllected, , :Solids, , r ,` Stariilard� units}' �'Deman, �;; ��011 Y ;� { . tri /Lc { Col'onies ' er'100 nil p niO/ddl r '�.tf% /I.r , a' Sr�,z" , ° ca �^^'s si " N' a:. m r. .. .Wfln:Benehuark 60. ,.:.. ,._000:. 5 . c� P� -S r — Ir 2.� • ?, ,,,., L Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range tor pH, you must implement Tier l or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) 1 Part B: Vehicle Maintenance Activity Monitoring Requirements :.Outfall ::: 'No: ,., ;;- Date; Sample Collected, ". rv. 00$5fi 011 and Grease; R . .,m /I,,,.d,rF �r_ ,Tofai Suspended Sokds, . "Im! �S'tan iir unl#s- .New Motor Oil. Usage;;: -average aUmo 'Benchmark ::.. Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier i or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date S- t I' /first event sampled) f / Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 C o cn C= �� 4 c� Date (list each additional event sampled this reporting period, and rainfall amount) STORMWATER DISCHARGE OUT)NALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 p CERTIFICATE OF COVERAGE NO. NCG064 OG p_� Z FACILITY NAME /Dr t P L'') Ij1 Hi «` � PERSON COLLECTING SAMPLES r S e r`�✓� `ic CERTIFIEb LABORATORY Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: _ 0 s (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY . DrAP 1-10 PHONE NO. r v 3 PLEASE SIGN ON THE REVERSE -> Outfall.= :Date :` 00534 �; ;r,:.: 0 404 Total Suspended I' rpH, CheinicalOitygen :, *Oil and4Grease, ecal'Colifornn; ' No. ', Sample C011ected,ga Salad , ' `Standard units' ' ' 'Demari s , Ing g Colonies perlb rriI �e 1 r yr IL Itio�dd/ fLr 4 ; ,x l .BenchmarkC S-E'1' w ram, =300 I,Y. ;x :Within6:0-9:0. r:120 !«_30�-.:_::: G - rX A- L- 7.1- S '--( M C,.. o f - c. - fT 2. tv- ct 2— C zo,wt G JI­ - r s— ,- - -5 'L— C ? to ", 4 L--< Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance ActivitV onitoring Requirements Outiall . 'No:.=.. Date :...:::. Sample',Gollected, ; ; inv/drj/` r Y , z :'Q0556""� ",:.. . anOil and�Grease; r �: m /L, h ,. Total Suspended .Solids„ m /L �, pHr, r :St ffidhed' units New Motor Oil Usage;,. . �Anndal',avera' a al/mo Benchmark. -'� �- .;30 I i'.r a 100 :4.` ,,. ,, ;:G,90:.'..: Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: I/ -id Date (first event sampled) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date (Iist each additional event sampled this reporting period. and rainfall amarntl STORMWATER DISCIIARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG0600000 G a 3 2 CERTIFICATE OF COVERAGE NO_ NCG06 FACILITY NAME Q 10 G14 o iC61 PERSON COLLECTING SAMPLES S r wi G lG CERTIFIED LABORATORY �N .'� a, R r-- Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 061S. (This monitoring report is due at the Division no later than 30 days from the date the facility receives the samplin ults from the laboratory.) COUNTY `pyp G. re _� PHONE NO. ( Yl • ) � At ? l PLEASE SIGN ON THE REVERSE 4 ::-::Ouflall No. :.-. Date Sample C hected ^ 4 I OOS34 .:.. OQ404100340:; ,Ob55G.'; , � ' 31616 �otal Suspended T Solit�s, Standard�umts Chemical Oxygen .,; Demarid, f Oa (;and areas mgC�,' Fecal Ci iform' ies per 100 rril ColonMo Benchmark `1'00 ? �'4 Within: ,6.A-9b' 120 30' 0'00. l I - rj� qq..q tji- �- L •� S� � Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Vart Li: Vehicle Maintenance Activitv Ntozutorine Reauirements Outfall: No: DaYe'. Sample Collected, ,: OO556 ` r 00530 O:1 and Grease; Total Suspended Soitds, pH' New Motor Oil Usage, . . mo/dd/ Stan`dard..units°-' avers e: allmo :Annual' Benchmark30 100 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses See General Permit text. STORM EVENT CHARACTERISTICS: Date '�. ! r `t first event sampled) Total Event Precipitation (inches): 7 Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date (list each additional event sampled this reporting period, and rainfall amount) LL envirochem 0 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392,4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 + 910.347.5843 Lab /Fax info@environmentalchemists.com Duplin Winery Date of Report: May 22, 2015 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer 1D: 09060046 Attention: Rob Cottle Report #: 2015-05805 Project ID: Stormwater Lab ID Sample ID: Collect DatefTime Matrix Sampled by 15-13469 Site: OF-2 5/11/2015 7:20 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 16U <5 mg/L 05118/2015 Residue Suspended (TSS) SM254D 0 <2.8 mg1L 05111/2015 COD SM 5=D < 20 mgll- 05/18/2015 Lab ID Sample ID: Collect Daterrime Matrix Sampled by 15-13473 Site: OF-3 5/11/2015 7:40 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/18/2015 Residue Suspended (TSS) SM25400 3.5 mg/L 05/12/201.5 COD SM 522oD 21 mg/L 05/18/2015 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-13474 Site: OF-4 5/11/2015 7:45 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg1L 05118/2015 Residue Suspended (TSS) SM 254a D 8.3 mg/L 05/12/2015 COD SM 5220D 37 mg/L 05/1812015 Lab ID Sample ID. !_ - - --- Collect Datefrime Matrix Sampled by 15-13475 Site: OF-5 5111/2015 7:45 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1654 <5 mg1L 05/18/2015 Residue Suspended (TSS) SM 2540 D 7.0 mg1L 05112/2015 COD SM 5220D 21 mg1L 05/18/2015 Report #:: 2015.05805 Page 1 of 2 Environmental Chemists, Inc. envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax ® 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax M 255-A Wilmington Flighway, Jacksonville, NC 28540 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Duplin Winery Date of Report: May 22, 2015 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention. Rob Cottle Report #: 2015-05805 Project ID: Stormwater Lab lD Sample ID: Collect Date/Time Matrix Sampled by 15-13476 Site: OF-6 5/11/2015 7:50 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1064 <5 mg/L 05/18/2015 Residue Suspended (TSS) sM 2W D <2.8 mg/L 05/12/2015 COD SM $220D < 20 mg1L 05/18/2015 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-13477 Site: OF-7 5/11/2015 7:50 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1684 <5 mg/L 05/18/2015 Residue Suspended (TSS) SM 2540 D <2.9 mg/L 05/1212015 COD SM S220D < 20 mg/L 05/18/2015 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 15-13478 Site: OF-13 5/11/2015 8:00 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1W4 <5 mg1L 0511912015 Residue Suspended (TSS) SM 2540 D 99.9 mg/L 05/12/2015 COD SM 5220D 33 mg/L 05/18/2015 Comment: Reviewed by: 1&ko' Report #:: 2015-05805 Page 2 of 2 + ENV�} jon�j R� u 44 ■ IRONMENTAL Gi-LEMIS�1 Vy iNU 5602NlindmlliWay WIgnitieton,KC2540S OFFICE: 910.342LO223 FAX %10-392- 424 A:oaSa;cal S Consjn!ng Chom's;s ACDENR: DWQ CERTE RICATION 0 94 NCOH14S: DLS CERTIFICATION # 37729 •� VVLLECTION AND CHAIN 0r CUS70DY (CLIENT:' DygL%N COUNTY WINERY PROJECT NAME: REPORT NO: ADDRESS: gO Box 756 CONTACT NAME: R0t3 COTTL€ PO NO: !Toss Hill, NC-28458 REPORT TO; ROB COTTL.E PFIONEIPAX: t�r COPY TO: E-MAIL: N Samoled BY: SAMPLE TYPE: i = Influent E = Effluent W = Well. ST = Stfaarn. 50 = Sail. SL = Sludl>ie. Other: Sample Identification Collection & p _- E cp IV, B= ` e a. z g m 2 S n PRESERVATION ,ANALYSIS REQUESTED Dale Time Temp V b x u s z ti �F�7 4 - 2- 20 �o.� �r F. �{� 00 X BiiL3 SS- POd IE G p 13 x "m�SS-Coa- �-as Z o•� C "7rs5 - Gn a- Fla G G o 15- 1'5S - c oo - F Q 6 1) ¢ r- C P Ca o . woe s 7 11 sf L�. C P C P G G 'C J [� V `AP _ G C P G G NOTICE-DECHLORINATION: Samples for Amrnonla, TKN, Cranfde• Phenol and Baeterls must tK dochlorinatW (p.2 ppm or Ices) in lha field at thr If o of Ccslectlon, gee sevaris for Inatrvetlaaa Transfer Relinquished By; DatelT ime Received By: DatelTlme 2. a- 14mporalure wrlBtl tvea: gcceplEa:, _ Detivered By:_. Received �Rejectea: Resample Requested: c Date. / T Time: 1l/� TUR AROUND. . *. N O VJRr4�9 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/CI G O1'G-l01010l 0/ or Certificate of Coverage No.: NIC/G/O 16l Ol 31 f l31 Facility Name: c '� LJ,' wr-4 County: 41DPhone No. Inspector: n55c/f lSil,Pr,l.'rX Date of Inspection: By this sign , I ce 'fy that this report is accurate 4nd coniplete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.)-� Receiving Stream: k eox tl /. _/j A'CG Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: — using bi4ic colors (red, brown, blue, etc.) and tint (light, medium, I 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) p At _ .. 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 102 3 4 5 5 7 8 9 10 Page 1 SwU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where j 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 Choose the number which bast describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: L01 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes o 8. Oil Sateen Is there an oil sheen in the stormwater discharge? Yes No �} 9. Deposition at Outfall _J Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes oNo 10. Erosion at Outfali Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious 1n,dicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 WATe C �-I Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: NICISIO;1,81010IO1 or Certificate of Coverage No.: NICIG101610/31 z/31 Facility Name: C r A✓ �(�T•' 4J C T County: cn 4, 'W Phone No. ,( a 7— Inspector: s £" // t Date of Inspection: By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Pemuttee or Designee) 1. Outfall Description r Outfall No. Structure { ipe, cl jwh, etc.) Receiving Stream: £L Describe the industrial activities that occur within the outfall drainage area: ra a G ��� 2. Color Describe the color of the discharge using dark) as descriptors: (_ L ��ll 2 3. . Odor prs (red, brown, blue, etc.) and tint (light, medium, .Q.W-5F Describe any distinct offers that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) rN p r) 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 S 6 7 8 9 10 Page 1 S WU-242-o20705 5. Floating Solids 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; 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1/ 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes / 0 J 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. ' Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious indicators of Stormwater Pollution List and describe — k� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 r 1� %IJArc� ..J Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICIelbI 61 G 01 arl?) or Certificate of Coverage No.: N/CQ/ Gl' 6/ 0/ :9 � f1 e: y pL,`►T F Facility Nam County: P u 0 1- n- Phone No. 4 /a — Z 3 Inspector: ¢ 3 S je (1 o Date of Inspection: S'- 11 - !'C— By this signatur rtify that this ort is ac r ate an omplete to the best of my knowledge: (Signaffre of Permittee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) r Receiving Stream: e " .✓ QrAr✓ Describe the industrial acti it] es that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: T 3. Odor Describe any distinct odors etc.) n using basi colors (red, brown, blue, etc.) and tint (light, medium, CA'& Y 'ez f-{ 4he discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I - 3 4 5 6 7 8 9 10 S WU-242-020705 Page 1 S. Floating Solids 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 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. aam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 60 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe-� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Pcrnut No.: NIC1 V 10161®I v / 19l_9 or Certificate of Coverage No.: NICIG/ 0 / 610 /31 Z/ 3/ Facility Name: /� �� `1-jd E �Y, County: Pcr 4- ,v Phone No. Inspector: a JS s /l C Date of Inspection: !� By this sip ature ify that this repo is accurate and`complete to the best of my knowledge: �7 (Signa'iure of Permittee or Designee) 1. Outfall /Description Outfall No. 7 . Structure (pipe, ditch, etc.) Receiving Stream: Z 6A/ ''•f fay r Describe the industrial activities that occur within the outfall drainage area: 5764 &' ;y✓ 2. Color Describe the color of the discharge using basic lors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Llr- 3. Odor Describe any distinct o ors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) . lrw` 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 Ili 4 5 6 7 8 9 10 Page i swU-242-020705 5. Floating Solids 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 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 Is there any foam in the stormwater discharge? Yes Q S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 6No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes 6 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-020705 Vj A T4zq Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI lil�l � l �1 d / D/OI or Certificate of Coverage No.: N1C/G/-Ql-&101 P zl 31 Facility Name: 12 & C W GJ -61 2 County: t% t C, ',✓ _ Phone No. 4z a - Z o `J ff Inspector: �cfSsf�! ��/� w� c It Date of Inspection: By this sig e, I c 'fy that this report i� accurate and complete to the best of my knowledge: (3igrnature of Pennittee or Designee) 1. Outfall Description Outfall No. _ Structure (pipe, ditch etc.) Receiving Stream: f 46,-,,J ;� r A Ve- C. _ T Describe the industrial activities that occur within the outfall drainage area: '%2u(14- -Se4Ct= 0r4.fs-" 2. Color Describe the color of the discharge using basic dark) as descriptors: lZ '- 4a brown, blue, etc.) and tint (light, medium, il�— 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) !I/�4 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 '/ 2 / 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 S. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall t Is there deposition of material (sediment, etc.) at or immediately below the outfali? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes (/! 50 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 k( F V4Air Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC141616101010151 or Certificate of Coverage No.: NICIG1 D/ 6101.31Z S I Facility Name: b C=' J ; iu �/� County: -Pq o �� l Phone No. Ica " 3 l Inspector: w C K Date of Inspection: l l ,:r- By this sign r certify that thi eport is ccurate and complete to the best of my knowledge: /J0 I I- %/ z (Signature of Permittee or Designee) 1. Outfall Description Outfall No. �CL . Structure (pipe, ditt h, etc.) Receiving Stream: , "'j U r /I g&zq Describe the industrial activities that occur within the outfall drainage area: 1) ? n .}n/ 2. Color Describe the color of the discharge using dark) as descriptors: IL e4L/ 3. Odor colors (red, brown, blue, etc.) and tint (light, medium, `C./I T— Describe any distinct dor that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) � 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 20 3 4 5 6 7 8 9 10 Page i S )VU-242-020705 i - b 5. Floating Solids 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: fl j 2 3 4 5 6 7 8 9 10 b. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes o 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes oNo 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. r Page 2 S WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N/CI�i�I�101 til vl �l or Certificate of Coverage No.: NIGGIQI�I �Ij 12/3_/ Facility Na e: G.'AJ IJ : #J .f'• County: Cr C rs/ Phone No. ( 6 Inspector: uS.S'L r,.l c �� Date of Inspection: S- /(-_./. By this si atu certify that this report j,�Paccur4te and complete to the best of my knowledge: &*natur f Permittee or Designed) 1. Out all Description Outfall No. Structure (pipe, ditch, etc.) -, !r Receiving Stream: '-s r-A+� Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge dark) as descriptors: 3. Odor Describe any distinct etc.) sic colors (redbrown, blue, etc.) and tint (light, medium, t the discharge may have (i.e., smells strongly of oil, weak chlorine odor, iZjL1 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: l <D 3 4 5 6 7 8 9 10 S WU-242-020705 Page I �1 r 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: �( 1/ 2 3 4 5 6 7 8 4 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where Ibis no solids and 10 is extremely muddy: r, 1J 2 3 4 5 b 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall `•w Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No' 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious indicators o Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SwU-242-024705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC 1 4-0�—D/ of e OI or Certificate of Coverage No.: NICIG/b/6 /Bl ll�l r�l Facility Name: ,D t: J k77 v t' r Y County: pt. m;w Phone No. of o " ZBT -'J/; Inspector: 41cf1 11 64 r4*1 J 4 ec Date of Inspection: - t r — / By this signat ce 'fy that this re rt is acc ate and complete to the best of my knowledge: (Sig a Pe mitt or Designee) 1. Outfall Description r Outfall No, Structure (pipe, ditch, etc.) Receiving Stream: 1 r'-J ArAPJC1-- Describe the industrial activities that occur within the outfall drainage area: l` I�✓ 2. Color Describe the color of the dark) as descriptors: 3. Odor Describe any distinc etc.) using ing 1�6sic co. rs (Secjs/ brown, blue, etc.) and tint (light, medium, 9drs that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 61 3 -.•1 4 5 6 - 7 8 9 10 S WU-242-020705 Page i h 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 '5 6 7 8 9 10 7. foam Is there any foam in the stormwater discharge? Yes No 8. OR Sheen Is there an oil sheen in the stormwater discharge? Yes 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion, at or immediately below the outfail? Yes No 11. Other Obvious Indicators of 5tormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. S WU-242-020705 Page 2 �f V'1 A rah r va �, Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI6�?I `1'al d 1 DICE or Certificate of Coverage No.: NICIGI LOI 4 10I.l?X?I Facility Name: L1 fifJ',�i�r County: bu.0 r-. v✓ Phone No. D - Lkt r Inspector: 16,A S SC Y Al 1 r "( Date of Inspection: - r By this sign certify that this report is accurate and complete to the best of my knowledge: (SiA afore of P6rn-itfee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: ,Q tS; .J .3 Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the disc dark) as descriptors: 3. Odor Describe any distinct etc.) 4. Clarity using bask cars (rolbrown, blue, etc.) and tint (light, medium, :Yat the discharge may have (i.e., smells strongly of oil, weak chlorine odor, Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 ■ 5. Floating Solids 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 b. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes oNo j 9. Deposition at Outfall _J Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note-. Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 V4 k Tp/rr' /! `C Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: NICK 061 DlZ?I AI or Certificate of Coverage No,: NICIGI D161 D 13174 Facility Name: %Zp�+ ../ l�l.`.✓[ry1 _._.__�..... - — County: -04 11t i ry Phone No. l Inspector: _. & s S G [! zi A r a.,'c: le- Date of Inspection: By this sign certify that this report is accurEe and complete to the best of my knowledge: t3igraRue or rernattee or Uestgnee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: CA b .1 / Describe the industrial activities that occur within the outfall drainage area: /'?0,0 g- 0 r- el �^f 2. Color Describe the color of the discharge using colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e c 'q b tc 14 T 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) yva wQ _ 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I 2 3 4 5 5 7 8 9 10 Page 1 S W U-242-020705 It 5. Floating Solids - " 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: 0 2 3 4 5 6 7 8 9 10 1 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes To S. Oil Sheen CO there an oil sheen in the stormwater discharge? Yes !N r 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other ObviousJ Indicators of Stormwater Pollution List and describe Cal A AJ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Permit No.: NICK, Facility Name: County: 4 Inspector: Date of Inspection: By this sign e, 1 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report 51'710 /01 6?o or Certificate of Coverage No.: NIC/G/d 1 61414141f Phone No. �sfcK F1r�i c.(c - ((- 1 1, _ 2y that this report is accur to and complete to the best of my knowledge: (Si ature of Pe 'tree or Designee) 1. Outfall Description Outfall No. /y 5tructu e , i e ditch etc. �f (P P � � ) Receiving Stream: LA b . d f3 rA, Describe the industrial activities that occur within the outfall drainage area: rl.}, �✓ 2. Color Describe the color of the discharge dark) as descriptors: ors (r�d, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors t at the discharge may have (i.e., smells strongly of ail, weak chlorine odor, etc.) tv 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: l � 3 4 5 6 7 8 9 10 S WU-242-020705 Page 1 S. Floating Solids 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 S 9 10 6. Suspended Solids 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: D 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes To 9. Deposition at Outfall j •_ Is there deposition of material (sediment, etc.) at or immediately below the outfall? Ye o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. 1 Page 2 S WU-242-020705 ,,t VJ k T4�q J, ' Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG�I O/ 0/ n /OI or Certificate of Coverage No.: NIC/G/ Dl;�l dl 31?I 3,✓ Facility Name: G.'.r✓ `�►�/� County: C i Phone No. _ jy Z PC, - Inspector: .� r S L l/ frJ fj �.ri iL Date of Inspection:— e / _ J— By this s this report ccurate andFomplete to the best of my knowledge: (Si' iature of Perrittee or Designee) 1. Outfall Description �J Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: C' A b ,` IV O f-A V e /a Describe the industrial activities that occur within the outfall drainage area: R^s ft Qom` 2. Color Describe the color of the discharg ng basic dark) as descriptors: _ z A 2; 3. Odor brown, blue, etc.) and tint (light, medium, r Describe any disci t odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1Z2� 3 4 5 6 7 8 9 10 Page 1 S wU-242-02a705 5. Floating Solids 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 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: r 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? . Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall is there deposition of material (sediment, etc.) at or immediately below the outfall? Yeses No 10. Erosion at Outfall Is there erosion at or inunediately below the outfall? Yes No 11. Other Obvious indicators of Stormwater Pollution List and describe ®U& I� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 r Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: NIG�dI 41 DI 0/0/c)l or Certificate of Coverage No.: N/CIG/ c�I�l�l Zl 3 Facility Name: upL �'.✓ Lu ,'�,I �i_ �� _ _ . County: b ��� ��.✓ _ Phone No. J Inspector: ',!!Cy Srr/(' /5,0/-a ,'cIc- Date of Inspection: - /( - / By t�gte, 1 certify that thyreport accurate and complete to the best of my knowledge: S i urn of Permittee or Designee) 1. Outfall Description Outfall No. / 2— S�t ucture (pipe, ditch etc. Receiving Stream: C� b .'-u 41 Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic fors r dark) as descriptors: t V-1f- r' 3. Odor Describe any etc.) brown, blue, etc.) and tint (light, medium, k-k. odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 C2 3 4 5 6 7 8 9 10 S WL3-242-020705 Page 1 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I isis\\no solids and 10 is extremely muddy: y1 1 2 3 4 5 6 7 8 9 10 7. ��Foam Is there any foam in the stormwater discharge? Yes a 8. Oil Sheen Is there an oil sheen in the storrnwater discharge? Yes o 9. Deposition at OutfaB is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfali Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes S Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: 2jICIGI_7/ 6/ dl —? zl 31 Facility Name: c ' ,✓ County: 1 J ca p 4 Phone No. 671P " z00 1 Inspector: /QN // d r c / Date of Inspection: S- 1 1 Jr— By this sigDa6rc,-c6rtify that this report i accurate 4nd complete to the best of my knowledge: (Signature of Permittee or Designee) L Outfall Description Outfall No. Structure (pipe, ditch etc. +�' f r�F�(.� N Receiving Stream: �� �J r A,-t/. Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic to red, b}�+g�vn, blue, etc.) and tint (light, medium, dark) as descriptors r� ( 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of ail, weak chlorine odor, etc.) A/0--,� 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: l 3 4 5 6 7 8 9 10 Page 1 swU-242-020705 S. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes oNo 9. Deposition at Outfall `• Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 6No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes oNo 11. Other Obvious Indicators of Stormwater Pollution List and describe iV Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Datesubmitted 1/15/2015 CERTIFICATE OF COVERAGE NO. NCG06_Q602j_ SAMPLE COLLECTION YEAR 2014 FACILITY NAME Sanderson Farms, Inc. - Kinston Feed Mill FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Lenoir � ❑ use/process meats © use animal fats/byproducts � PERSON COLLECTING SAMPLES Wesley Suggs R E_E _I VCDISSCHARGING TO SALTWATERS? OYES QNO LABORATORY Environmental Chemists Lab Cert. #44 r nr, � � 201 5 PLEASE REMEMBER TO SIGN ON THE REVERSE � CENTRAL ALES Part A: Stormwater Benchmarks and Monitoring Results DWR SECTInKl Total event rainfall z or ❑ No discharge this period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo 002 12/22/2014 38 <5 NA NA ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 for sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 1" rain 0.9" rain (ice complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ X REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days a receipt o the lab results or at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 violations." (Signature of Permittee) 4 Q'a05 (bate) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18. 2012 Page 2 of 2 Sanderson Farms, Inc. • GENERAL OFFICES • Yost Office Box 988 • Laurel, Mississippi 39441-0988 Telephone (601) 649-4030 • Facsimile (601) 426-1461 Certified Letter Return Receipt # 7014 0510 0002 2853 7146 January 20, 2015 Division of Water Quality DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Sanderson Farms, Inc. Kinston Feed M111 Semi -Annual Storm Water Report COC NCG060321 Please find attached the Semi -Annual Storm Water Discharge Monitoring Report for reporting period July 2014 — December 2014. Samples were collected on two different days in December. Notice that the samples collected on December 22"d were incomplete and the pH meter was not operating properly; therefore storm water sample were collected a second time. Should you have any questions, please contact me at (601) 426-1467. Sincerely, Brenda B. Flick Manager of Environmental Services Regulatory and Compliance STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL. PERMIT NO. NCC060000 , `0 CERTIFICATE OF COVERAGE NO. NCG06 3223 FACILITY NAME t✓ q p 4x/ , Z'✓_• "1-6 -r PERSON COLLECTING SAMPLES Lr t3 F 1 .R r k// G 7Z CERTIFIED LABORATORY ✓' r d d!d E r,. Lab # 14-7 Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from ttl (lief:;}' eceives the sampling results from the laboratory.) Vim" V TY D u nc JAN 12 20PO" NO. _ ? CENTRAL FdL EASE SIGN ON THE REVERSE 4 DWR SECTION Ontfali No. ' _ Date.U0404 I,, Sample : C611ected, I a a003A0:T t 40556a., 1 �.; 31616. TotalSuspeQded Salids,h ', ' /�,f I h, f E .pli, { Standard�'tlults� s,_ I ClienikaLOxygen Demand, i_ �Nr S "1 mg ��011 andyGrease, i ��,' rmg 0 Fecal Coliform, ; .. Coloiiles%'per 104 1nI :=' I 1. -r Benchmark: ,d - ;.. `100 I,;: r F ;Within,&. ':9.0' 120 . 34{ '2 t 3 /1+ 23- i 3 - - (a 3s- Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part B) Part B. Vehicle Maintenance Activity onitoring Requirements '.'Outfall: 'No. - . Dste Sal' 'le Collected mo/dd/'rr I.; 00530 { T 00400 of and Grease' .Fin '}Total Sus ended Solids /L 1h 1 ' f y "€ =Standardiutu , New Motor Oil. Usa e,.: S ,, Anlivahavera a al/mo' Benchmark,, . ;.. ;: r. I'�:30 . 100 :a_r 6:0:•94 t _ Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date /!I - Z-3 -(first event sampled) / �f Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 I-1 Total Event Precipitation (inches): awl t_�a4_i m i n� STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 D CERTIFICATE OF COVERAGE NO. NCG06 FACILITY NAME P k P (- j k) k�' I;d E" PERSON COLLECTING SAMPLES Ko& C� CERTIFIED LABORATORY Cw a c-A 4 Lab # 47 !� Lab # Part A: Specific Monitoring Requirements t`� r w.ry SAMPLES COLLECTED DURING CALENDAR YEAR: '?c /`"- (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling; results from the laboratory.) COUNTY PHONE NO. f 1 PLEASE SIGN ON THE REVERSE 4 Outfall. No. Date Sample Collected, y; moldd/ r .. 00530 00400 40340.; Total Siispende d ��; Solids, ', : m �1 i1" n kpl3, ` `Standard units' !' i L` Cltemlcal Oxygen :Demand, eA s F { i �Otl and Grease, m` /L'' U a� Fecal`Colifornt; Caltinies' er 100 mI p. Benchmarks. Ti .. lOD " ' Witliin,6(0 = 9A : 120' E. 30 ,. I000:: 7 2 I, Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? —yes qho (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall, No: Date: Sample Collfected, ins/dd/"r;,'•„.::,". 00556 : , F 00530 00400 ,Oil and Gred§e, + .,m IL .,s Total Suspended Solids, m (L pH, , i :Stan'dard;units . , New Motor Ott Usage' °Arintial^avers i allmo: 'Benchmark - ._30''y:: a: a I00 =t 6.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or `Pier 2 responses. See General Peniiit text. STORM EVENT CHARACTERISTICS: )1-23—t 5' Date (first event sampled) / I Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files I617 Mail Service Center Raleigh, North Carolina 27699-1617 Total Event Precipitation (inches): CWT T-744-1 R)10'7 STORMWAT> R DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 ) CERTIFICATE OF COVERAGE NO. NCG06 j FACILITY NAME !✓'� �`�' (,J : ^+ t r PERSON COLLECTING SAMPLES _ �, 6 c D 1 E CERTIFIED LABORATORY J: r e E Lab #� Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from tbC laboratory.) COUNTY L .J PHONE NO. 1e 2 - -oe3el PLEASE SIGN ON THE REVERSE -!), Outfall No. Date I Sample Collected, r a ..: moYd d/Yi -. :...00530r �n 00400 ' 0556: ;31616:- Total Suspended Sohds,; p.: .'lAi m s1 ; pH, Standard untts Chemical Oxygen Demand IL._ Otl find Grease j g Fecal'Colifor,n ` ,...::. a Colonies per 100 Benchmark 120 , l' �'. 30 r:: -i000.. . 2-3 ( 2 r + '7.3 3 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier i or 'Pier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes o (if yes, complete Part B) Part B: Vehicle Maintenance Activity onitoring Requirements Outfaul No: :..: =': w. Date :, Sample. Collected, .. i00556 :00530 00400 1 Oil and Grease; .. „ !;TotaL Suspended'Sohds, T :m y pII,? Stalida�d',units .,:. - New Nlotor Oil. Usage; : ':,,:Annual`avcrti e: al/mo :` Benchmark .; .. 30 1 `r.r,„•.: 100 1; ` 6.0 .9:0, ;>;;: - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: le-2 3-' `r Date (first event sampled) [ t Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Total Event Precipitation (inches): RWi T_?49-1 M 10'7 I t ` Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 29405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 6owsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Duplin Winery Date of Report: Dec 08, 2014 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report #: 2014-14538 Project ID: Stormwater Lab lD Sample ID: Collect DatelTime Matrix Sampled by 14-35651 Site: OF-2 11/23/2014 1,45 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA IVA <5 mg/L 12/04/2014 Residue Suspended (TSS) SM 2540 D 3.0 mg/L 11124/2014 COD SM 5220D 49 mg1L 12/07/2014 Lab ID Sample ID. Collect Date/Time Matrix Sampled by 14-35652 Site: OF-3 11/23/2014 1:55 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/04/2014 Residue Suspended (TSS) SM 2540 D 5.5 mg1L 11/24/2014 COD SM 5220D 58 mg1L 12/07/2014 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-35653 Site: OF-4 11/23/2014 2,05 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/04/2014 Residue Suspended (TSS) SM 2W D 32.2 mg/L 11/24/2014 COD SM 52201) 63 mg/L 12/07/2014 Lab ID Sample ID: Collect DateiTime Matrix Sampled by 14-35654 Site: OF-5 11/23/2014 2:15 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA i884 <5 mg1L 12/05/2014 Residue Suspended (TSS) SM 254a D 18.8 mg/L 11/24/2014 COD SM 5220D 54 mglL 12/07/2014 Report*: 2014-14538 Page 1 of I enviroch• ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way - Wilmington, NC 28405 (910) 392-0223 (Lab) - (910) 392-4424 (Fax) 710 Bowsextown Road - Manteo, NC 27954 (252)473-5702 NCDENIR: DWQ CERTIFICATE ##94. DL5 CERTIFICATE 4037729 Duplin Winery Date of Report. Dec 08, 2014 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Customer ID: 09060046 Attention: Rob Cottle Report M 2014-14538 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-35655 Site: OF-6 11/23/2014 2:25 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg1L 12/05/2014 Residue Suspended (TSS) SM 2540 D 9.6 mg/L 11/24/2014 COD SM 5220D 56 mg/L 12/07/2014 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-35656 Site: OF-7 11/23/2014 2:35 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/i_ 12/05/2014 Residue Suspended (TSS) sM2WD <3.1 mg/L 11/24/2014 COD SM52201) 40mg/L 12/07/2014 Lab ID Sample ID: Collect DatelTime Matrix, Sampled by 14-35657 Site: OF-13 11/23/2014 2:45 PM Water Rob Cottle Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1064 <5 mg/L 12/0512014 Residue Suspended (TSS) SM 2540 D 25.1 mg/L 11/24/2014 COD SM 5220D 83 mg/L 1210712014 Comment: Reviewed by: Report k 20M14538 Page 2 of 2 It ru q* r t� m 0 m E a r U Q L c W IL to m IU Dj m D Ira ~f Temperature who of d• Accepted: o Delivered BV: Received By: ENVIRONMENTAL CHEIVIISI S,-1m; ArtaZt�Gat Cons��4�g Cf ernrsLs KODENR: DWQ CERTf_RICATI0N 0 94 MC014NS: DLS CERTIFICATION M 37729 COLLECTION AND CHAIN OF CUST0DY 6602 Windmill Way Wilmington, NC 29405 OFFICE. 910-3924223 FAX 910.392-4424 CLIENT: DUPLIN COUNTY WINERY- PROJECT NAME: REPORT NO: _ T I� _/V�.�_� ADDRESS:Y PO Box 766 CONTACT NAME. NOCOTTL£_ PO NO. Rose HIII,.NC 28458 REPORT 70; ROB CO`TLE P)iONEfPAX: y G - _ COPY TO., E-MAIL: I C Samoled Bv: SAMPLE TYPE: I = Influent. E a Eitluant. W = Well. ST = Stream. SO = Soil. SL = Sludfle. Other: Sample Identification Col ectivn is o ° + m t� PRESERVATION ANALYSIS REQUESTED Date Time -Tem _ v x LO _ �� 2 rJ G P Y= A G G C P G G K;5 7 j G G G e P G G C P G G C L P G G NOTICE- DECKLORINATION: Samples for Ammord►, TKN, Cyanide. Phenol and Baatetiv must be dochlortaated (0.2ppm Or le1a) in ae! Reld at Itte Ams of t allsctlon her Mares For InstrW19AL Transfer Relinquished By:_ Dawrime Received By: DalofTl ne 1. Re>,emp>e l;teques ad: }4 Time' qD A- -TURNAROUND: YIa W A .Tp r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit ND.: NIG�I Oj L� o� 01 �l c�' or Certificate of Coverage No.: N/C/G/ U/ 6/ dl 3/ LI 31 Facility Name: I-,"V W . is tr r)", County: 0c4 P 1 f' rj Phone No. 4 e 1 Inspector: ' R o b Gp-f f C£ Date of Inspection: f 1— 2- By this signat ertify that this report is accurate and co plete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description -. Outfall No. St cture (pipe, ditch, etc.) r P Receiving Stream: 71. -.-P r A 3wJ C %e� Describe the industrial activities that occur within the outfall drainage area: ern nr a: n, 2. Color Describe the color of the discharge using bas' colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L z ,412 L i` � %f T 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) AID A) 'E- 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: I Z�) 3 4 5 6 7 8 4 10 S WU-242-020705 Page 1 5. Floating Solids 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: 10 2 3 4 5 6 7 8 9 10 6. Suuspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes G S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall `• _ Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describe Wrl t A, Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SwU-242-020105 O� WAT4qr Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC U/ L Z21010 / O/ or Certificate of Coverage No.: NICIG/019 / P 1?I0 -3I Facility Name: PN f Ci *-' Lj: +o 4.,r l _ County: (- i ►U Phone No. 1 'V Inspector: v b f_-pfd L Date of Inspection: 1 — Z- 3 — t By this signa ertify that this report is accurate and complete to the best of my knowledge: �% . A (Signature of Permittee or Designee) 1. Outfall Description Outfall No. Structure (pipe ditch, etc.) Receiving Stream: c e a r �ey C Describe the industrial activities that occur within the outfall drainage area: oof A ve-k Ad --- ea As Cr c -� 4C SCQb lirA V 2. Color Describe the color of the dark) as descriptors: 4 3. Odor using basic olors (red, brown, blue, etc.) and tint (light, medium, .4 ,2 L "< iJ 7-- Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) J'✓31GV - -- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 2 3 4 5 6 7 8 9 10 Page 1 SNVU-242-020705 ` 5. Floating Solids 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 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 Is there any foam in the stormwater discharge? Yes 00 S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes CQ, 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes a 10. Erosion at Outfail Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 V4 A, CO Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: NIC1G/ O /G / o 1-N1?131 Facility Name: A2,41eciv iJ "A-i County: b yP L : rtJ Phone No. / o Inspector: e-a�w < at Date of Inspection: /1- 2- By this signat , rtify that this repoq is accurate and complete to the best of my knowledge: (signature of em-dttee or Designee 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) , P Receiving Stream: A,%t/ / r A0 //-- f Describe the industrial activities that occur within the outfall drainage area: e' Yo c r g /-e .51 ab Dr 0,' .✓ — 2. Color Describe the color of the disc arge using dark) as descriptors: C� S -4®--- 3. Odor Describe any di etc.) 4. Clarity colors (red, brown, blue, etc.) and tint (light, medium, 1,- � T -- - ct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 1)JJf—' Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 � 3 4 S 6 7 8 9 10 SW'U-242-020705 Page 1 S. Floating Solids 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 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 Is there any foam in the stormwater discharge? Yes S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall t _ Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes (—!�) 11. Other Obvious Indicators of St_ornawater Pollution List and describe I n' Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 5 WU-242-a2o7o5 �fr V4 k T co Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: l Ol or Certificate of Coverage No.: NICQ a Ill of 314f1-.�1 Facility Name: p L ^' W f e County: D1,/ L1' K---) _Phone No. /o - 2 Inspector: A42_ Date of Inspection: it, 'L By this signa �Icfy that this rert is accl}rate and complete to the best of my knowledge: (Sigibgfure of Permittee or Design'dcr 1. Outfall Description Outfall No. . Structure (pipe, ditch, etc.) �P Receiving Stream: Ced h :n/ 6 r Are G �— Describe the industrial activities that occur within the outfall drainage area 2. Color Describe the color of the di dark) as descriptors: 3. Odor Describe any etc.) usingbasic olors (re , brown blue, etc.) and tint (light, medium, ' A!Ve r c tl %- odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, C 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 6) 4 5 6 7 8 9 10 r� SWU-242-020705 Page 1 5. Floating Solids 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 S 9 10 6. Suspended Solids 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: ' l_./ 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes o S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall t _ Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe _ 1 V i W== Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 SwU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI4101 bl D ld 101 or Certificate of Coverage No,: NlCQ(0 /L 014 Facility Name: County: b .Y .P L. ' ,J Phone No. e - Z Inspector: RoA C,44 L Date of Inspection: By this s' acre, I fy that this report is�ecurate anc�,eomplete to the best of my knowledge: (Signature of Perrhittee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: e A k)i X) _ ra►� t�� _. Describe the industrial activities that occur within the outfall drainage area: c M— - S<'- '4 / r-- ram,.! - - 2. Color Describe the color of the discharge using basic dark) as descriptors: I L rar" 3. Odor (red, brown, blue, etc.) and tint (light, medium, e — // fi'-- Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) �-%y/—L-,/_Z, 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 C2 3 4 5 6 7 8 9 10 S VX-242-020705 Page 1 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes SO) S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfail r Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 6;1 10. Erosion at Outfall Is there erosion at or immediately below the outfali? Yes Q0 11. Other Obvious Indicators of Stormwater Pollution List and describe /U F-'k� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be 11 indicative of conditions that warrant further investigation and corrective action. .1 Page 2 S WU-242-020705 Of V4A)- r ram.. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No,: NICK d1610/ D/ o/ d or Certificate of Coverage No.: NICIG/O/L 0 /3 /Z 151 Facility Name: qL.'n1 W ,'✓6lc County: 0 1- r ^ Phone No. 41 Inspector: Date of Inspection: n sign re, I c ' y that this report i ccurate and c plete to the best of my knowledge: (Signature of 15 Hnittee or`Designe4 1. Outfall Description Ouffall No. Structur (pipe, ditch, etc. Receiving Stream: . tW 43. vs/ l4rJG4 Describe the industrial activities that occur within the outfall drainage area: e'8 2. Color Describe the color of the discharge using basic olor (red, dark) as descriptors: _ e. T as y //L- blue, etc.) and tint (light, medium, 3. Odor Describe any distinct Pdors t t e discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 61 3 4 5 6 7 8 4 10 swu-242-020705 Page 1 5. Floating Solids 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 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 6<o 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 1 i 9. Deposition at Outfall _ Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or irmediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 VJk3' 9�- r.. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICATI pl-1�l a/ OI D/ DI or Certificate of Coverage No.: NICIG/ ,!1 O I 1 Zl l Facility Name: L.;,J !..%',c! cr County: J'�449 L-4V Phone No. 9iD Inspector: 'm * f'LC Date of Inspection: 11, By this ' atur ertify that this rep is accur and complete to the best of my knowledge: <5�' 7fyi��� lea—'O:Z� - — (Signature o ern-iittee or Designee) 1. Outfall Description Outfall No. _ Structure (pipe, ditch, etc.) + Receiving Stream: L'R 6 %h/ 13 r .•Jc LI Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the discharge using basic dark) as descriptors: _ (fL E 41z- 3. Odor (red, brown, blue, etc.) and tint (light, medium, 4 R Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) %Vo ?- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 /C2 3 4 5 6 7 8 9 10 5WU-242.020705 Page l 5. Floating Solids 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: 0 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 6) 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfail Is there deposition of material (sediment, etc.) at or immediately below the outfall? 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-02005 O VJkrp r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NJC& DJ 6l al �?I al cal or Certificate of Coverage No.: NICIG/ 0/tsl01,T1.—:gt TJ Facility Name: Q L r l) L,J.'rftJ JE County: DU PL % W Phone No. Inspector: D o f Y(-G L Date of Inspection: 3 - / cz By this sitr to , I certify that s report iccurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description � r Outfall No. Structure (pipe ditch, etc.) ce— Receiving Stream: 13 �� �✓ 4R : �-f Describe the industrial activities that occur within the outfall drainage area. F A+r4- 2. Color Describe the color of the discharge using basi colors (red, brown, etc.) and tint (light, medium, dark) as descriptors: ez c 3. Odor Describe any di Iinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: l � 3 4 5 6 7 8 9 10 S WU-242-020705 Page 1 5. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes (rsfo 1 9. Deposition at Outfail ` Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes (�O:)J 11. Other Obvious Indicators of Stormwater Pollution List and describe --- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 swU-242-020705 Vd A? Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: 1 or Certificate of Coverage No.: NICIG(d 1d �31 ZI0 Facility Name: L; N Ells County: fly Phone No. `710 3 1 i Inspector: m+ 7f Date of Inspection: /i 23 ^ 1 By this si re ertify that this reportVaccurate ano4 mplete to the best of my knowledge: (Ognature of Permitter- br Designee) 1. Outfall Description Outfall No. �_. . Structure pipe, ditch, etc.) Receiving Stream: C ,6, Q Ie— Describe the industrial activities that occur within the outfall drainage area: TOO 'A.7 2. Color Describe the color of the dark) as descriptors: e 3. Odor Describe any di etc.) 16 using basic 96lors (red, brown, blue, etc.) and tint (light, medium, � 5 —4-,`c!l T' odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, �s 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 (!�T) 3 4 5 6 7 8 9 10 5WU-242-020705 Page 1 5. Floating Solids 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: 10 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? . Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No �j 9. Depositions at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 10 10. Erosion at OutfaD Is there erosion at or immediately below the outfall? Yes 11. Other Obvious Indicators of Stormwater PoDution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be l indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: a I or Certificate of Coverage No.: N/C/G/CV6 /O 1 1z131 Facility Name: C-; rd , "J County: L & � Phone No. �% o Inspector: Rob Date of Inspection: By this sib a ce ify that this report1a^accurate and complete to the best of my knowledge: (SignEtune of Permittee or Designee) Y. Outfall Description Outfall No. Structure (pipe, ditch, etc.) / 1 Receiving Stream: ewb r r/ l3 rAWe f-(. Describe the industrial activities that occur within the outfall drainage a 2. Color Describe the color of the di dark) as descriptors: � I using basic e-A (r d, brown, blue, etc.) and tint (light, medium, 3. Odor ` Describe any distin odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 14 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 5 6 7 8 9 10 1 Page 1 5 WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Screen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfail Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: NIC/Gl-QlYl QIII113-1 Facility Name: DqRCAW 'A! f c County: Dq to L "/ _Phone No. ry Inspector: Ao b Co f-iL t- Date of Inspection: /(- Z 7- 1 By th�ature,rtify that this report icurate and complete to the best of my knowledge: ZSignature of Pemlittee or Mesignee)" L Outfall Description Outfall No. St ture (pipe, ditch, etc.) _ ,,QTr Receiving Stream: 21 d r �./ A 4, AJ'LL4. Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: using ba c colo (red, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any.diatinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) _ W C- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 S WU-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: CD2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I��is no solids and 10 is extremely muddy: ( 1 J 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes 60 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes oNo 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11, Other Obvious Indicators of Stormwater Pollution List and describe 0 rV 9-- Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 s WU-242-020705 V4 A fi4�.q r� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: NICIG1016 /Ql fl zl X l Facility Name: . rJ <'o p! County: L 4 ,�/ _ Phone No. =1 r b 2 dT— Inspector: do ;0 6n6l C — ----- Date of Inspection: I { —2 3 —1 ! By this sid re, 1 ce that this report is curate and�mplete to the best of my knowledge: (Signature of Permit'tee or Designee) 1. Outfall Description Outfall No. Structure (pipe, ditch, etc. Receiving Stream: r, V G Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: _ 3. Odor Describe any etc.) 'od>F- Dt-A " using basic lors red, brown, blue, etc.) and tint (light, medium, _-Ir®/- -c//7" that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 5 6 7 $ 9 10 AG Page 1 SW'U-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 S 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Ye oNo S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe / a _ All j' Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. ^_ J Page 2 S WU-242-020705 Of tFI A r T- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: or Certificate of Coverage No.: NICQ/QL4 I.L ZI. Facility Name: U' Al County: L ' Phone No. 2 &L She/ Inspector: - 'iya -/ L £ Date of Inspection: //- L 3- I - _ 13y this si re, I ify that this report is accurate and cpmplete to the best of my knowledge: (Sigbatfue of P'ermittee or Designee) 1. Outfall Description / ,/J % Outfall No. Structure (pipe, ditch, etc.) a E2 42eA`41 (S+�A� � Receiving Stream: ivc.i"' Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the disc dark) as descriptors: 3. Odor Describe any disti etc.) !/ using basic coloj (red, brown, blue, etc.) and tint (light, medium, . t— hat the discharge may have (i.e., smells strongly of oil, weak chlorine odor, ir- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 l% 4 5 6 7 8 9 10 f£ 5 WU-242-020705 Page 1 S. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stonmwater discharge? Yes (�OD & Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall `cY Is there deposition of material (sediment, etc.) at or immediately below the outfali? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 IRECOVED 0 JUN 0 $ 2014 CENTRAL FILES STORMWATER DISCHARGE OUTFALL (SDO) DWQIBOG MONITORING REPORT GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED D1jRING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG06 (This monitoringreport is due at the Division no later than 0 days from P y r m the date the facility receives the a Alin results from the laboratory.) FACILITY NAME u COUNTYc� r PERSON COLLECT G S LES PHONE N0. C2fo) --� CERTIFIED LABORATORY Lab # *_ Lab # PLEASE SIGN ON THE REVERSE -� Part A: Specific Monitoring Requirements A,.- 00534rt:;- , .. �. -. A0400 '-�00340 r` �: �' Y'. ,.� ',0055b. _-, :. „116iG No ' Sample , Total Suspended r s } pH, CheliucaC t?xygen ` Oil' andGrease, Fecal' Coltform; CollecteL. d � Sohds, `Standard units`' "' Demand, i mg/LL ColoniesTer 100 iril , mo%ddlye � m f ; .;. /L'r .I-.. Benchmark' ;.,.. 100 ` ". Withrn:6:'0 �:9.0 : way . ; y: :120; s H 490 4 5 f Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Tito (if yes, complete Part B) 777111 Part B: Vehicle Maintenance Activity Monitoring Requirements -No Date Sample Collected; .: ` .. :,. 00555" ,� _ :: 00534i 00,400 :. Oil and Grease, Total Suspended Solids, `.m pH,T , �, ' Stan'dard,units' :New Motor Oil Usage;;. . AiizivalAavera e �allmo Benchmark .; . :' . _ 7' r.:. ; 30:'i .< 100 t. + ., . , :; :6.0'-� Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier h or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: 01 Date/-/ ' f {first event sampled) 71 Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Total Event Precipitation (inches): S WU-249-102107 1 0 0 0 STORMWATER DISCHARGE OUTFALL (SDO) "'in" {r`t'nQrN'G REPORT GENERAL PERMIT NO. NCGO60000 CERTIFICATE OF COV E GE O. NC_G06 D FACILITY NAME PERSON COLLECTING SA LES r CERTIFIEb LABORATORY Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: . (This monitoring report is due at the Division no later than 30 days from the date the facility receives th mpii results from the laboratory.) COUNTY _ ()I) ,h PHONE NO. ( %±) <--?ff PLEASE SIGN ON THE REVERSE 4 Outfall Date ' : ' 00340 �` �. 1616` 3L. -.QQ530N:: . o,'..:.OQ404 a r. R v. ,-a;00556'ry ,, No ' 'Sample: Total S60ended Y -N� - r pH, CheinkalOxygen ` OiLand Grease, Fecal'Coliforiil { Collected; rSolids,, `Standard units ' Demand, �' mg/L` Colonies'per 100"ml a rnol Ingn . Y zu° �- Benchmark : •: ; a. ,: 100 .:.. .�. Withln;60 — 9:0 120.1000 D < Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Ano (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall.' No..::. ::: Date Sample Colle`cfed; 'mo/ddl r 4�.. .-,00556`-t ,, 00530< 00400 ` '� OlI and Grease; m /L,",i.,., 4 .Total Suspended Sohds; :m IL''. : „pH,T r ' "Standarrd units New Motor OiLUsage;=.,. :Aiimual uvera a al/mo: Benchmark ., . " ... .. •• - ' :.kr�,30 = a ' 69 0:. . Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier Ior Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 O O O STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT AL PERMIT NO. NCG060000 CERTIFICATE ATE OF COVERAGE NO. NCG06_ FACILITY NAME a PERSON COLLECTING §AMPLES CERTIFIED LABORATORY Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED D[JRING CALENDAR YEMWW (This monitoring report is due at the Division no later than 30 days from the date the facility receives the pli results from the laboratory.) COUNTY PHONE NO. — PLEASE SIGN ON THE REVERSE 4 Outfall _ No.:S.am :Date p Ie:: Collected;, - Fri r. .00400 F 00340,. r, l> `';,,�,.00556 ; M. , •; :i31616' ,IotalSns ended €y p S61lds , ,; ❑ r ; pH '.� 'Standard�_umts � 1- it Chemical Oxygen Demand :i - '''` ia'°y��"YM Oil! nri Grease, " mglL r acr - , - . � ecal:Cohform Colonies er 1o0'ml p '- �.: Withlli.6:'0 -:9A '12Q r, .30 ;' }' 1000 - r415- Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements OutfaB" No: = :Date Sample. Collected; :. 00556'' 00530 .: :.00400 aOtl and Grease; r Total Suspended Solids, T -,mg IL:' pII, , 2 y :rStandard,uiiif§� :New.Motor O1LUsage;;: AiinualYavera e. aUmo' Bencbniark ., . :..,; ......; _ ! :. 3Q 1Q0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date —(frl first event sampled) Total Event Precipitation (inches): _ Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): S WU-249-102107 J Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road a Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DES CERTIFICATE #37729 Duplin Winery Date of Report: May 13, 2014 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Report #: 2014-04376 Attention: Rob Cottle Report to: Rob Cottle Project ID: Starmwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-10512 Site: OF-2 4/15/2014 8:45 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/08/2014 Residue Suspended (TSS) SM 2540 D <2.8 mg/L 04/15/2014 COD SM 5220D <20 mg/L 04/23/2014 Lab ID Sample ID: Collect Datefrime Matrix Sampled by 14-10513 Site: OF-3 4/15/2014 8.50 AM Water Russell Barwick Test Method Results . Date Analyzed Oil & Grease (O&G) EPA 16M <5 mg/L 04/1612014 Residue Suspended (TSS) SM 2540 D 2.8 mg/L 04/15/2014 COD SM 52201) <20 mg/L 04/2312014 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-10514 Site: OF-4 4/15/2014 9:00 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 04/22/2014 Residue Suspended (TSS) SM 2540 D 28.3 mg/L 04/15112014 COD SM 5220D <20 mg/L 04/2312014 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-10515 Site: OF-5 4115/2014 9:10 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 rnglL 04/22/2014 Residue Suspended (TSS) SM25400 16.1 mg/L 04/16/2014 COD SM 5220D <20 mg/L 0412312014 Report #: 2014-04376 Page 1 of 2 Environmental Chemists, Inc. envirochem 6602 Wmdmill Way e Wilmington, NIC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) ® 710 Bowsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE 494. DIS CERTIFICATE #37729 Duplin Winery Date of Report: May 13, 2014 P.O. Box 756 Customer PO #: Rose Hill NC 28458 Report #: 2014-04376 Attention: Rob Cattle Report to: Rob Cottle Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-10516 Site: OF-6 4/15/2014 9:20 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 04116/2014 Residue Suspended (TSS) SM 2540 D 21.9 mg/L 04/15/2014 COD SM5220D <20mgIL 04123/2014 Lab ID Sample ID: Collect Daterrime Matrix Sampled by 14-10517 Site: Of-7 4/15/2014 9:20 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1W4 <5 mg/L 04124/2014 Residue Suspended (TSS) SM2540 D <2.9 mg/L 04/15/2014 COD SM5220D <20mg/L 04/23/2014 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-10518 Site: OF-13 4/15/2014 9:30 AM Water Russell Barwick Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 04/22/2014 Residue Suspended (TSS) SM 254D D 65.1 mglL 04/15/2014 COD SM 6220D 98 mg/L 04/23/2014 Comment ,�(}� , Reviewed by: t � Report*: 2014-04376 Page 2 of 2 ENVIRONMENTAL CHEMISTS, INC 6602Windmill Way Wilmington, NC28405 OFFICE: 910-392-0223 FAX 910-392-4424 A ,+ Ucal S Consulting Chemists NCDENR: DWQ CERTIFICATION 4 94 NCDHHS: DLS CERTIFICATION 9 37729 2 _ COLLECTION AND CHAIN Of CUSTODY r3�� CLIENT: ef PROJECT NAME: REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: t PHONEIFAX: COPY TO: E-MAIL: Sampled BY: SAMPLE TYPE: II = tnfluent, E = Effluent, W = Well, ST - Stream, SO = Soil, SL a Sludge, Other: Sample identification Collection EF `o e il u a a , PRESERVATION ANALYSIS REQUESTED Date Time Tempo o lib92- ''�f 0 o G G G� C P G G -3 r Ia513 �. � � .� t7 S�c P YJ C P G G C P G G C P G G NMCE - OECHLORIMATION: Samples for AmmonAATKN, CYSM104, Phaegl and Bacteria must be dschlodmW (0.2 PPm or Iess) In the 11eid at tM tlma of Collsctlon. Son rswras for Inchuctlons Tlansshr RefinguLsW gyZ Daterrime Recelved 8 : Daterrime 1. 2. Temp turo w eI� Accepted: jected: Resample u iiverod B Recei+red B l�7 Data: Time: x Comments: TU 7RU D: _ r Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC 6602 02Wi: millWay -02 31FAgton. NC 2WS OFFICENCDENR: DWQ CERTIFICATION 4 94 NCDHHS: DLS CERTIFICATION 0 37729 COLLECTION AND CHAIN Of CUSTODY CLIENT: L 6"f Zr - 141, ._ „ / PROJECT NAME: REPORT NO: ADDRESS: r CONTACT NAME: PO NO: _ ,4t:1 REPORT TO: PHONEIFAX: COPY TO: E-MAIL: Sampled BY'7 A4,/"W 0�``f SAMPLE TYPE: I - Influent E = Effluent, W - Well, ST = Stream, SO = Soli, SL = Sludge, Other: Sample Identification Collection 6 a `c a " r, S 7 z PRESERVATION ANALYSIS REQUESTED Elate Time Temp q u s x _ 0 6 a /.S� �t �l- C P � G G C P J� LV SS G G C I P G I G �I� 2d.� /� G G ,r- ' � 1 ` . 1'r de v 7 C P �r G GQ a ` .• !� �1.---- ! G G C P G G C P G G C P G G NOTICE - DECHLORINAMN: Samples for Amm fa, TKN, Cyaro6, Phenol and Bacteria must be dechforinated 0.2 ppm or less In the field at the time of collection. I rsvirs- for'nabvc iom Transfer Reling0whed Or DaterTime Received By: DateMme 1. 2. Tempefflul Delivered E ' Comments Analytical d, Consulting Chemists ENVIKUNMIENTAL. CHEMISTS, INC 6602Windmill Way Wilmington, NC28406 OFFICE: 910-392-0223 FAX 010-392-4424 NCDENR: DWQ CERTIFICATION ail 94 NCDHHS: DLS CERTIFICATION 11137729 ' COLLECTION ANQ CHAIN OF CUSTODY f CLIENT:, �/j,��.,,�'&V-1 PROJECT NAME: REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: ' PHONEII+AX: 4 COPY TO: E-MAIL: Sampled By: SAMPLE TYPE: I - Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection E n A $ U `o 0 o V +A Z PRESERVATION ANALYSIS REQUESTED Date Time Tem Z i o f •/ �� �-! C P /! cv G G ' Z/. 7 C P /Y G G C P G G ` /J q ,2o Z I L G G G G G� C P G G C P G G C P G G NOTICE - OECHLORINATION: Samples for Ammonia, TKN, c midi, PhsnW and Bectsda must be deohlorinaW (0.2 ppm or Wes) In the field at the tlme of collection. See arwna for Instrur, Transfer RellowIshed Daterrime Received By: Daterrime 1. 2. TempeAwre wh eiv Accepted: �Rejt Refsample Rego ted: Delivered By: Received By: L Date: 1 '4 Time: Commons: TUR AR UND: r ENVIRONMENTAL VHEM151 5j NU 66021IkindrrllifWayWilmington, NCZ&IOi 01`FICE: 910.392.0223 FAX 910-392.4424 1�tt8�4;ca1 S Cars+�� rtg Clem ss NCOENR_ DWO CERTERICAT[DN 0 94 NCDHHS; DLS CERTIFICATION N 37729 COLLECTION AND CHAIN OF CUSTODY f I i Q' CUIENT: DUPLIN COUNTY WINERY PROJECT NAME: REPORT NO: ADDRESS: PO Box 766 CONTACT NAME: ROS CgnLE PO NO: Rose Hill N 28458 REPORT 70: ROB CATTLE PHONE&AX, COPY TO: E-MAIL.- Sarrtloted ff3v /��r�s SAMPLE TYPE_ 1 : influent. E � Effluent. W = Well. ST = Stream. SO Q Soil. SL = Sludce. (Xher: Sample Identification Colleckion -t � ;t u 0W PRESERVATION ANALYSIS REQUESTF-0 Date Time Temp � � s c Z f, 9 G P '` ,x' i r t{- if r a C P r -� i G G C P G G C P G G C P G G C P G G C P G G G P G G C P G G NOT{tE-0ECHL0RINl7{0N; 5:mpleeforAmrno is,TKN,eyieidr,PhenolAnd 6acteAemustbedechiorineud CO. 2ppmorlrssl e0eiartUwLime ofraliectlon. See love rsefor [ncuvcio.-is Transfer Relinclui d By-- Date/Time Received F : Dateffime Temperature whn afved: Accepted; _ ec a Reslimple Re u 'e o Delivered By: F�ece lved By. , ._. /� uN'"� Dtlte: 1S T T TI�RkAR f3ND: IJ WAr4�q �G Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI6-I I60 /0 /6I0 or Certificate of Coverage No.: NICIGl0l60131,2131 Facility Name: County: hone N Inspector. Date of Inspection: By is sign e �)ert his re o curate and complete to the best of my knowledge: (SignaturC of Perri -Re or Designee) 1. Outfall Description OutfalI No. r Stru ture pipe, itch, [ �� Receiving Stream: Describe the industrial activities that occur ithin the outfall drainage area: 2. Color Describe the color of the discharge usi g basic dark) as descriptors: 3. Odor Describe any i etc.) blue, etc.) and tint (light, medium, odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, n cif 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where Ji 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1) 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? . Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 6No 9. Deposition at Outfall 'a Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes oNo 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Vj # rA.9 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: N1G611 I �ld /0 /010 or Certificate of Coverage No.; N1CIGl�I �le�l� l 31 Facility Name: i'�C✓� County: hone N Inspector: Date of Inspection: By this s' afore, c ify ati,aR is accurate and complete to the best of my knowledge: (Signature of Pemitfee owe ggriee) 1. Outfall Description Outfall No. . S c (pi ditc , tc.) Receiving Stream: Describe the industrial activitjbs th4t-qcg pAthin tVe outfall drainage area: 2. Color Describe the color of the dischar using basic 1 rs (r own, blue, etc.) and tint (light, medium, dark) as descriptors: C� 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: CID 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 -' S 5. Floating Solids 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: f 1 ) 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge?. . Yes CN)o 8. Oil Sheen is there an oil sheen in the stormwater discharge? Yes oNo 9. Deposition at Outfall_ Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion. at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 I Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: NIG6I l610 /old l0 or Certificate of Coverage No.: NQUO �It�131 131 Facility Name: i'%et/' County: hone N Inspector: Date of lnspection: By this si a�,ifyaty4iyy6port is accurate and complete to the best of my knowledge: (Signature of Pernfittee or Designee) 1. Outfall Description Outfall No. S ctur (pipe, d' etc.) Receiving Stream: Describe the industrial activities thaa#cur v thj outfal j4ainaage area: 2. Color Describe the color of the discre sing basic co r (red, ro n blue, etc_.) and tint (light, medium, dark) as descriptors: f 3. Odor Describe any dis 'nct odors that the discharge may have (i.e., smells strongly of ail, weak chlorine odor, etc.) /\- 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 CID 3 4 5 6 1 8 1 10 Page 1 5wu-242-020705 S. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 1 j 2 3 4 5 6 7 8 9 10 6. Sususpended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes e S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfali? Yes S 11. Other Obvious Indiiccators, ,of Stormwater Pollution List and describe A_�Uy� a _ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. i Page 2 S WU-242-020705 O NNA rZ� ? Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NlG6-,l 160 /d Ig or Certificate of Coverage No.: NIGQ/Q1 �IQI 1 131 Facility Name: heP'^ County: hone N Inspector: Date of Inspection: By th ignature fy Ot t ' report is accurate and complete to the best of my knowledge: 1. Outfall Description Outfall No. . Struc ( ipet" di tc.) `ems Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dischar using basic of s (re , b own, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: ��'�� 1 2 0 4 5 6 7 8 4 10 Page 1 S W1U-242-020705 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes o 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes (Noj 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes (No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes N/ o 11. Other Obvious Indicators of Stormwater Pollution List and describe Note. Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 s WU-242-020705 4 Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report Permit No.: N/C/6-,I 1 �, Facility Name: County: Inspector: Date of Inspection: ' Bye I qeM' (Signatthe of P�rmittee or U 1. Outfall Description Outfall No. Str Receiving Stream Describe the industrijl activi 2. Color Describe the color of the dark) as descriptors: — is accurate and complete to the best of my knowledge: (pipe, dita�h, etc.) Lt occur within a outfall djainage area. -- using basic Ks a brown, blue, etc.) and tint (light, medium, a 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page i S W U-242-020705 S. Floating Solids r`1 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 9 t0 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or inunediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes CNo it. Other Obvious Indicators of Stormwater Pollution List and describe�3Y Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 O� V4 A. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.; NIGGI 1 �10 /� /d l0 or Certificate of Coverage No.: NICIGIQ0131 131 Facility Name: r�C� County; hone N Inspector: Date of Inspection: By (s signs r i c rt' is report is accurate and complete to the best of my knowledge: (Signature of"Perntittee or Designee) 1. Outfall Description Outfall No. Struc i ditc { per .} Receiving Stream: Describe the,�ndustrial activities that occur within the outfall drainage area: � _ ! . _ 2. Color Describe the color of the disch ge using dark) as descriptors: OeIA brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) / L�— r)-1— �.., . ... 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 S WU-242-020705 S. Floating Solids O 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: Cl 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? . Yes /No 1 S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 'j 9. Deposition at Outfall V Is there deposition of material (sediment, etc.) at or immediately below the outfalt? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe A/, 0 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG6T/ I610 /D /010 or Certificate of Coverage No.: NICIG/0 1k �l Facility Name: County: hone N Inspector: Date of Inspection: — By this signs ,Ice ' t thi, Wepory>-�kccurate and complete to the best of my knowledge: (Signature of Perini[t6e or Designee) 1. Outfall Description Outfall No. . S {pi , etc.) Receiving Stream: f Describe the industrial activities that occur within the outfall drainage area: 2. Color Describe the color of the dark) as descriptors: blue, etc.) and tint {light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 L� 3 4 5 5 7 8 9 10 Page 1 SWU-242-020705 S. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where I is no solids and t0 is extremely muddy: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes 6) 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes e 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes 3No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Pernvt No.: N/G �77 8 60 /d_1616 Facility Name: County: Inspector: Date of Inspection: By signs jcfy at rep, or Certificate of Coverage No.: NICIG101 k1Q131 '31 is accurate and complete to the best of my knowledge: (Signature of Fe—rnittee or Designee) 1. Outfall Description Outfall No. S tur (pipe, di tc.) c Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the dark) as descriptors: using blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor, etc.) - , D13 ?2 1 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 0 3 4 5 6 7 8 9 10 S)VU-242-020745 Page 1 S. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 $ 9 10 6. Suspended Solids 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: 0 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? . Yes e S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes CNo 9. Deposition at Outfall f� `k Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious (Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 Ir r > Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG6rol 14,10 ID ld /0 or Certificate of Coverage No.: NICIG/0/61)13 lal 3/ Facility Name: W nC t� County: hone N Inspector: Date of Inspection: By thi�re, I^fy t*thi*ydport is accurate and complete to the best of my knowledge: (SignatuM o0iimittee oMesignee) 1. Outfall Description OutfalI No. . Struc . (p pe, ditch, Receiving Stream: (Sk�21zn r Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the disc h e using 15�2 rs b own, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 20 33 4 5 6 7 8 9 10 Page 1 S WU-242-020705 5. Floating Solids 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 Choose the number which best describes the amount of suspended solids in the stormwater discharge where 11iis no solids and 10 is extremely muddy: f 1 ) 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? Yes .No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of nmterial (sediment, etc.) at or immediately below the outfall? Yes Na 10. Erosion at Outfall Is there erosion at or 'immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. i Page 2 S WU-242-020705 WN A r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIG6TI /0 Facility Name: County: Inspector: Date of Inspection: — or Certificate of Coverage No.: NICIG/O 3 lal'31 By this,; -certify thaytf�is report- is accurate and complete to the best of my knowledge: (Signature ofgermittee or Designee) 1. Outfall Description Outfall No. Receiving Stream: ' Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the dischar a using dark) as descriptors: blue, etc.) and tint (light, medium, 3. Odor Describe aan�= idischarge may have (i.e., smells strongly of ail, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 26 33 4 5 6 7 8 9 10 Page i S WU-242-020705 W S. Floating Solids 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 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: d ( 1 ) 2 3 4 5 6 7 s 9 10 7. Foam Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes Na 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 f`. r� 04 W A 1 � Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI �Tl / 60 /0 l d l g or Certificate of Coverage No.: NIC/GIQI 6QQ /a131 Facility Name: — nC� County: hone N Inspector: 1 Date of Inspection: ` By is si t, i ertify�that;Vre accurate and complete to the best of my knowledge: (Signature of—Permittee or Designee) 1. Outfall Description Outfall No. cture (• i , �ditch,a .) Receiving Stream:Tj Describe the industrial activities that occur within the outfall drainage ar 2. Color Describe the color of the dischar a sing dark) as descriptors: 4wn, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) - 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 3 4 S 6 7 8 9 10 Page 1 S WU-242-020705 r� 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: D2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? . Yes 5 S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No �j 9. Deposition at Outfall _J Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 SWU-242-020705 0 O� V4A Stormwater Discharge 4utfall (SDQ) Qualitative Monitoring Report Permit No.: N/c/6i l -14 /4Q /d /0 or Certificate of Coverage No.: NIQQ101 k1�13 lal 31 Facility Name: nCor County: hone N Inspector. Date of Inspection: By this a em'fl)thpthisipport is accurate and complete to the best of my knowledge: (Signature of Perm ittee or Designee) 1. Outfall Description OutfalI No.� . S (pipe, Oiqrh, etc.) Tfl�or_ Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the discharge sing basic Zrs , brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) _6.� 4. Clarity Choose the number which best describes the clarity of the discharge where I is clear and 10 is very cloudy: 1 3 4 5 6 7 8 9 10 Page 1 swu-242-020705 10 5. Floating Solids 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: 2 3 4 5 6 7 8 9 10 6. Suspended Solids 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: 2 3 4 5 6 7 8 9 10 7. Foam Is there any foam in the stormwater discharge? . Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes o 9. Deposition at Outfall .F ` Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes' o 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes o 11. Other Obvious Indicators of 5torruwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-02ff]o5 y Perniit No.: NIG&I Facility Name: � County: Inspector: Date of Inspection: _ e < tb,? 5 � Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report or Certificate of Coverage No.., NIC GIQI �1 Q1-? /j 31 By thi�gnatur�j'ckifyrth is report is accurate and complete to the best of my knowledge: (Signature of Fermittee or Designee) 1. Outfall Description Outfall No. S c e (pipe, rtc , etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage 2. Color Describe the color of the discharge ing basic dark) as descriptors:10 blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of ail, weak chlorine odor, etc.) 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 M S WU-242-020705 5. Floating Solids 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: O2 3 4 5 6 7 8 9 10 6. Suspended Solids 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 Is there any foam in the stormwater discharge? Yes No 8. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall � Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes (No ] 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 5WU-242-020705