NCG060229_DMR_20221020

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS NCG060000 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) Martv Garrett PHONE NO. 2( 52 ) 438-1600
CERTIFIED LABORATORY(S) Microbac Laboratories, Inc.Lab#NC 11
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total
Collected Flow(if app.) Rainfall
mo/dd/yr MG inches
Outfall 1 9/30/2022 3.8
Outfall3 9/30/2022 3.8 -
Outfall4 9/30/2022 3.8
Outfall5 9/30/2022 3.8
Outfall 6 9/30/2022 3.8 -N'11'fV
LIVVR 5L
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?®yes ono
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity MonitoringRe uirements
Outfall Date 50050 00556 00530 00400
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 /l unit 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 9/30/22 Attn: Central Files
Total Event Precipitation(inches): 3.80 1617 Mail Service Center
Event Duration(hours): 24 (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 Af my knowledge and belief,tyue,accurate,and complete. I am aware that there are significant penalties for submitting false information,
inch c ing t e o sibility of fines d imprisonment for knowing violations."
(Signature o'Perm ee) • (Date)
Form SWU-247,last revised 611 212 01 5
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