NCS000543_MONITORING REPORT_20201215

December 2020
NCDEQ
Division of Energy, Mineral, and Land Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Subject: Report of Stormwater Inspection / Sampling - Second Half 2020
Carus Corporation
181 Woodlawn Street
Belmont, Gaston County, North Carolina
NCDEQ Permit #NCS000543
Ladies/Gentlemen:
Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at336-382-6849.
Sincerely,
P,
Jeff Gerlock, L.G.
NC Licensed Geologist #1141
Attachment — SDO Form
Cc: Carus Corporation, Belmont, NC
7356 Belmont Drive, Trinity, NC 27370 - Phone: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000543
FACILITY NAME Carus Corporation
PERSON COLLECTING SAMPLE(S) Victor Collins
CERTIFIED LABORATORY(S) Pace Analytical Lab #377
Lab 9
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2020
(This monitoring report shall be received by the Division no later than 30 days from
the datedhe facility receives the sampling results from the laboratory.)
o=
° COUNTY Gaston
v�
J� a PHONE NO. [phone]
W a SIGNATURE OF PERMITTEE OR DESIGNEE
" v REQUIRED ON PAGE 2.
J p
O
Outfall
No.
Date
Sample
Collected
50050
100
2
0.067
6-9
Benchmarks
Total
Flow (if app.)
Total
Rainfall
Total
Suspended
Solids
Total
Phosphorus
Total Zinc
pH
Water
Hardness
mo/dd/vr
MG
inches
m I
mg/1
m l
standard
mg1l
OF-]
11/12/2020
3.13
42.2
0.44
0.0385
6.6
29
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(ifappl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
incites
mg/1
m
unit
gaumo
Not Applicable
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date _11-12-2020 Attn: Central Files
Total Event Precipitation (inches): 3.13 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
"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 knowledgpf nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the ossibility of fines and imprisonment for knowing violations."
(Signature o mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2