NCS000543_COMPLETE FILE - HISTORICAL_20190211

December 2019
Central Files
NCDI Q
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
L
5LUE RIDGL.
GEOLOGICALsravlCES, InC.
RECEIVED
FEB 11 2419
YLCr i�i;C ON
DVS. T -
Subject: Report of Stormwater Inspection 1 Sampling - Second Half 2019
Carus Corporation
181 Woodlawn Street
Belmont, Gaston County, North Carolina
NCDEQ Permit #NCS000543
Ladies/Gentlemen:
Attached is a stornnvater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at 336-382-6849.
Sincerely,
9
Jeff Gerlock, L.G.
NC Licensed Geologist #1 141
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
FACILI,rY NAVE Carus Corporation
PERSON COLLECTING SA\1PLE(S) Victor Collins
CERTIFIED LABORATORY(S) Pace Analvtical Lab #37712
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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.)
COUNTY Gaston
PHONE NO. [phone]
SIGNATURE OF PERkMITTEE OR DESIGNEE
REQUIRED ON PAGE 2,
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/yr
MG
inches
m /i
m /l
m /I
standard
mg/1
017-1
Second Half
2019 - No Flow
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
Rainfa❑
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
mg/1
m /I
unit
al/mo
Not Applicable
Form SNNIU-247, last revised 21212012
Page 1 of 2

STORY[ EVENT CHARACTERISTICS: Mail Original and one coPy to:
Division of Water Quality
Date 9-13-19 Attm Central Files
Total Event Precipitation (inches): f0.19 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
Date _10-16- l9
Total Event Precipitation (inches): —y if applicable — see permit.)
Date _11-12-19
Total Event Precipitation (inches): —y if applicable — see permit.)
Date _12-17-19
Total Event Precipitation (inches): —y if applicable — see permit.)
"1 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 hest
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in, 11ing c ossihility of fines and imprisonment for knowing violations."
(Signatu of Pe iittee) ( ate}
Form SWU-247, last reused 21212012
Page 2 of 2