HomeMy WebLinkAboutNCG030596_2021 DMR_20211201NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructi
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0596
Person Collecting Samples: K. Rhinehart
Facility Name: Controls Southeast Inc
Laboratory Name: Par Labs
Facility County: Mecklenburg
Laboratory Cert. No.: 20
Discharge during this period:❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ❑✓ No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall1
Outfall2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
11/12/2021
11/12/2021
46529
24-Hour Rainfall in inches
1.74
1.74
C0530
TSS in mg/L (100 or 50*)
5
12
00400
pH in standard units (6.0 — 9.0)
7.37
7.43
01119
Copper, total recoverable in mg/L
0.003
0.015
(0.010)
01051
Lead, total recoverable in mg/ L
0.002
0.002
(0.075)
01094
Zinc, total recoverable in mg/ L
0.666
0.087
(0.126)
78141
Total Toxic Organics (TTO) in mg/L(1)
N/A
N/A
(if required)
00552
Non -Polar Oil & Grease in mg/L (15)
6.0
5.8
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
N/A
N/A
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional): Elevated zinc levels previously reported to Mr. Zahid Khan
"I certify by my signature below, 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."
a—Q,4— L _ Lit.... t
12/01 /2021
Signature of Permi6ee r Delegated Authorized Individual Date
Email Address KATE.RHINEHART@AMETEK.COM Phone Number (704)-644-5002
Total Toxic Organics Certification:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring
requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no leak, spill, or dumping of
concentrated toxic organics into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since
filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Management Plan included in the Stormwater Pollution Prevention Plan."
-�-
12/01 /2021
Signature bf Permkee-o Delegated Authorized Individual Date
Email Address KATE.RHINEHART@AMETEK.COM Phone Number 704-644-5002
PA&
C CIJ RATE• RELIABLE
LABORATORIES, INC
WWW.PARLABS.COM
REPORT OF ANALYSES
Attn: SAM HOUFF
CONTROLS SOUTHEAST, INC
PO BOX 7500
CHARLOTTE, NC 28241-
PROJECT NAME: NOV 21
DATE: 12/01/21
SAMPLE NUMBER-
143049
SAMPLE ID- CSI RUNOFF #1
SAMPLE MATRIX- WW
DATE SAMPLED-
11/12/21
TIME SAMPLED- 0625
DATE RECEIVED-
11/12/21
SAMPLER- KR
RECEIVED BY- DJ
TIME RECEIVED-
0950
DELIVERED BY- SB
TYPE SAMPLE- Grab
Page 1 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
11/12/21
0955
DJ
7.37 units
OIL & GREASE
EPA 1664
11/17/21
0820
CT
< 6.0 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
11/15/21
0810
DJ
< 5 mg/L
COPPER, TOTAL
EPA 200.7
11/23/21
1807
MR
0.003 mg/L
LEAD, TOTAL
EPA 200.7
11/23/21
1807
MR
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
11/23/21
1807
MR
0.666 mg/L
�1
LABORATORY DIRECTOR
f
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335
LL
PROM PT•ACCURATE• RELIABLE
LABORATORIES, INC
WWW.PARLABS.COM
Attn: SAM HOUFF
CONTROLS SOUTHEAST, INC
PROJECT NAME: NOV 21
PO BOX 7500
DATE:
12/01/21
CHARLOTTE, NC 28241-
SAMPLE NUMBER- 143050
SAMPLE ID- CSI RUNOFF #2
SAMPLE MATRIX- WW
DATE SAMPLED- 11/12/21
TIME SAMPLED- 0630
DATE RECEIVED- 11/12/21
SAMPLER- KR
RECEIVED BY- DJ
TIME RECEIVED- 0950
DELIVERED BY- SB
TYPE SAMPLE- Grab
Page 2 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
11/12/21
0955
DJ
7.43 units
OIL & GREASE
EPA 1664
11/17/21
0820
CT
< 5.8 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
11/15/21
0810
DJ
12 mg/L
COPPER, TOTAL
EPA 200.7
11/23/21
1807
MR
0.015 mg/L
LEAD, TOTAL
EPA 200.7
11/23/21
1807
MR
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
11/23/21
1807
MR
0.087 mg/L
LABORATORY
DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335
CHAIN OF CUSTODY
Phone (704) 588-8333
aMPT•Att UMATE+WELIABLB Fax (704) 588-8335
LABORATORIES, INC
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North
caronna ue artmenr or tnwronmentar ana rvalurai Kesources.
Company Name (billing) Comments/ Special Instructions
CONTROLS SOUTHEAST, INC
Address
12201 NATIONS FORD ROAD
City, State a zip code
PINEVILLE, NC 28134
Point of Contact ft Telephone Number -704— G—T S i %-72
SMA I IOUFf 4%-9 53 V_JS j--E i2 N t to 6 +I• A; OLT
Sample
Taken By: SIGNATURE .Ci--'r PRINTED NAME L� k,%— F 9_l$1 N E N'A -t
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO
"Sample Type: DW WW GWMW HW sou other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
"*Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n/a
Residual Chlorine checked at time of sampling (YIN): Dechlorination Necessary (Y/N):
iient sannipie'l 0 Set Up Collection} names
i3a)ripk Ltx Lion tNumber) Comp Grab Presenr. Daterrime6aban1 ie Reqea*de_
STORM WATER RUNOFF #1 X < 4° C = I i tz zt PH' TSS
V : Z5A ,
X H2504 &G
X HNO3 w Pb, Cu, Zn
STORM WATER RUNOFF #2 X AHNO3
It IZ� Dl PH, TSS
X l &G
X Pb, Cu, Zn
Rel' quished by: Daterrime Keceiveo uace, 111110
_a
Relinquished by: DaterTime Received by: Date/Time
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste