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HomeMy WebLinkAboutNCG030596_2021 DMR_20211228NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 Metal Fabrication Click here for instructions 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. Brumby 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 12/08/2021 12/08/2021 46529 24-Hour Rainfall in inches 0.5 0.5 C0530 TSS in mg/L (100 or 50*) 6 28 00400 pH in standard units (6.0-9.0) 7.03 7.09 01119 Copper, total recoverable in mg/L 0.003 0.017 (0.010) 01051 Lead, total recoverable in mg/ L 0.002 0.002 (0.075) 01094 Zinc, total recoverable in mg/ L 0.483 0.138 (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 6.2 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 TSS 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.4._� of Perm Delegated Authorized Individual 12/28/2021 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 (Tf0), 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." 12/28/2021 of Perh4Wee or Delegated Authorized Individual Date Email Address KATE.RHINEHART@AMETEK.COM Phone Number 704-644-5002 PA& PROMPT•ACCURATE-RELIABLE LABORATORIES,, INC W W W.PARLABS.COM REPORT OF ANALYSES Attn: SAM HOUFF CONTROLS SOUTHEAST, INC PO BOX 7500 CHARLOTTE, NC 28241- PROJECT NAME: DEC 21 DATE: 12/21/21 SAMPLE NUMBER- 143222 SAMPLE ID- CSI RUNOFF #1 SAMPLE MATRIX- WW DATE SAMPLED- 12/08/21 TIME SAMPLED- 1250 DATE RECEIVED- 12/08/21 SAMPLER- KB RECEIVED BY- DJ TIME RECEIVED- 1321 DELIVERED BY- KB TYPE SAMPLE- Grab Page 1 of 2 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS pH VALUE SM 4500H+B 12/08/21 1325 DJ 7.03 units OIL & GREASE EPA 1664 12/15/21 0750 CT < 6.0 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 12/13/21 0850 DJ 6 mg/L COPPER, TOTAL EPA 200.7 12/15/21 1742 EV 0.003 mg/L LEAD, TOTAL EPA 200.7 12/15/21 1742 EV < 0.002 mg/L ZINC, TOTAL EPA 200.7 12/15/21 1742 EV 0.483 mg/L LABORATORY DIRECTOR Lz 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 PA&F;Z PROMPT•ACCURATE• RELIABLE LABORATORIES, INC W W W.PARLABS.COM REPORT OF ANALYSES Attn: SAM HOUFF CONTROLS SOUTHEAST, INC PO BOX 7500 CHARLOTTE, NC 28241- PROJECT NAME: DEC 21 DATE: 12/21/21 SAMPLE NUMBER- 143223 SAMPLE ID- CSI RUNOFF #2 SAMPLE MATRIX- WW DATE SAMPLED- 12/08/21 TIME SAMPLED- 1250 DATE RECEIVED- 12/08/21 SAMPLER- KB RECEIVED BY- DJ TIME RECEIVED- 1321 DELIVERED BY- KB TYPE SAMPLE- Grab Page 2 of 2 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS pH VALUE SM 4500H+B 12/08/21 1325 DJ 7.09 units OIL & GREASE EPA 1664 12/15/21 0750 CT < 6.2 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 12/13/21 0850 DJ 28 mg/L COPPER, TOTAL EPA 200.7 12/15/21 1742 EV 0.017 mg/L LEAD, TOTAL EPA 200.7 12/15/21 1742 EV < 0.002 mg/L ZINC, TOTAL EPA 200.7 12/15/21 1742 EV 0.138 mg/L LABORATORY DIRECTOR" " ^—�- 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 PROMPT•A&-RELIABLE CHAIN OF CUSTODY Phone (704) 588-8333 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 Carolina nanartmant of Fnvirnnmantal anti Nathiral Rasnurmr Company Name (billing) CONTROLS SOUTHEAST, INC Comments/ Special Instructions Address 12201 NATIONS FORD ROAD City, State & zip code PINEVILLE, NC 28134 Point of Contact & Telephone Number O _ S"j'3- j %—I'Z 52 I6-ArT1E L l,-H av E w-ArILT Taken By: SIGNATURE l%b(,Qydt� PRINTED NAME ARE SAMPLES FOR STATE or EPA REPORTING? YES NO "Sample Type: DW WW GWMW HW soil 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 (Y/N): Dechlorination Necessary (YIN): Nant sample I.D. Sample Location / Number) Comp Grab Preserv. Set Up Collection DaWThne Date/Tlme naysas umftd TORM WATER RUNOFF #1 X < 4° C 2 : $ H, TSS X H,SO, &G X HNO3 b, Cu, Zn STORM WATER RUNOFF #2 X < 4° C j2- a H, TSS X H2SO4 O&G X HNO3 1Pb, Cu, Zn Relinquished by: Date/Time Received by: lateffirne ,. 4P Relinquished by: Date/Time Received by: Date/Time C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste