NCS000543_Monitoring Report_20220722

July 2022
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 -1st Half 2022
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 at 336-382-6849.
Sincerely,
rib
Jeff Gerlock, L.G.
NC Licensed Geologist # 1141
Attachment — SDO Form
Cc: Carus Corporation, Belmont, NC
Central Files
7356 Belmont Drive, Trinity, NC 27370 - Phone: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 0053
FACILITY NAME Carus
s
PERSON COLLECTING SAMPLE(S) Kellie Miller
°
CERTIFIED LABORATORY(S) Pace Analytical
Lab # 37712� a a
Lab # z
Part A: Specific Monitoring Requirements
o.
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.)
COUNTY Gaston
PHONE NO. 7( 04 ) 822-1441
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
m /L
MqO
m /L
m /L
m /L
m /L
Total
Flow if a
Total
Rainfall
Hardness
Ph
Phosphorus
TSS
Zinc
mo/dd/ r
MG
inches
mq/L
mq/L
mq/L
mq/L
mq/L
mq/L
OF-1
4-5-2022
2.74
5.55
6.7
3.6
81.5
0.596
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activi MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
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/ r
MG
inches
m /l
m /I
unit
al/mo
Not Applicable
Form SWU-247, last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 4-5-22
Total Event Precipitation (inches): 2.74
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
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 the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
7/ 18/2022
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2