NCS000543 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO) a
MONITORING REPORT
Permit Number NCS000543 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 . Carus Corporation COUNTY Gaston
PERSON COLLECTING SAMPLE(S) Victor Collins "' -PHONE NO.'(704).822-1441-
CERTIFII3D LABORATORY(S) Pace Analytical Lab #37712
Lab #'
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements -
Outfall`,, ` c =,-{ Date
Sample
?�v;d•�ryy, ur,xlr J`r�.�d.'.:rk i
Collected
50050 100 • ' '
Total Total: Total
-
Suspended
Flow (if app.) Rainfall,n Suspe de
..Solids
2 0.067 , 6-9
Total' Total Zinc'",'"pH'
;;t '•r'n
p -.-,
Phos horns`
Water
Hardness
�',F �.�,,� ;i• .�'•��.qP
f?.•;, :;. ,� 4 `y
mo/dd/ r
MG
inches Jjj2A
MRA
Total Flory
standard
Oil &ti Grease,;
Non=polar ;',
017-1 11/2/15
pII�
1.5 13.7-
0.078
0.0185 ,
6.2
16.7
O&G/TPH,
Suspended '
Oil Usage
:�
��' ; �•� �
�'
4"
(Method 1664`
Solids.' ,•�'1
��
gi,1,•'ti�, ::�oryt�,il�;s`n, y�', ,i
a,
ti;,• ,.,r ,; •N,� ;ybn,.•
_ s„•� ..�,..; ,r;
c
SGT-HEM)"ifs
_
-,
mo/dd/
MG
inches,�....•2'
m°'
m 'q,,
unit
r"
aUmo'
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 Activitv Monitorina Requirements
=Outfall:?::"� `+Date;
50050
00556 ''�
�U.- - "^-
00530
00400'..,
No=''����"'Sair►ple
Total Flory
Total "'-
;�......:
Oil &ti Grease,;
Non=polar ;',
Total
pII�
New Motor,
.�,;� ;:
,Collected ,'
.
(if applicable)
, ,
Rainfall;'.
(if�appl.)
O&G/TPH,
Suspended '
Oil Usage
:�
��' ; �•� �
�'
4"
(Method 1664`
Solids.' ,•�'1
��
gi,1,•'ti�, ::�oryt�,il�;s`n, y�', ,i
a,
ti;,• ,.,r ,; •N,� ;ybn,.•
_ s„•� ..�,..; ,r;
c
SGT-HEM)"ifs
_
-,
mo/dd/
MG
inches,�....•2'
m°'
m 'q,,
unit
r"
aUmo'
Form SWU-247, last revised 21212011
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 11/2/15
Total Event Precipitation (inches): 1.5
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
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 knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including th"ossibility of fines and imprisonment for knowing violations."
I�-2,1- 1�
(Signat re of P ttee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2