NCG060229_DMR_20220507

STORMWATER DISCHARGE OUTFALL(SDO)
a MONITORING REPORT
Permit Number NCS NCG0600 0 SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Mars Petcare COUNTY Vance
PERSON COLLECTING SAMPLE(S) N/A PHONE NO. 2( 52 ) 438-1600
CERTIFIED LABORATORY(S) Microbac Laboratories, Inc.Lab# NC 11
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total
Collected Flow if a Rainfall
mo/dd/yr MG inches
1 March 2022 0 N/A No Flow ;
3 March 2022 0 N/A No Flow
4 March 2022 0 N/A No Flow MAY j t
5 March 2022 0 N/A No Flow
6 March 2022 0 1 N/A I No Flow I VEM RA _
SECT
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?©yes .)no
(if yes,complete Part B)
i
Part B:Vehicle Maintenance Acti ity Monitoring Requirements
Outfall Date 50050 00556 00530 0 400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/ r MG inches m /l m utiit al/mo
Form SWU-247,last revised 611212015
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STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Date NIA Attn:Central Files
Total Event Precipitation(inches): NIA 1617 Mail Service Center
Event Duration(hours): N/A (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): , (only if applicable—see permit.)
"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 m owl ge nd belief,tr e,a curate,and complete. I am aware that there are significant penalties for submitting false information,
including t e p ib'i of s d i prisonment for knowing violations."
(Sign Lure of Permittee (Date)
Form SWU-247,last revised 611212015
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