HomeMy WebLinkAboutNCG030596_Monitoring Report_20220107NCDEQ Division of Energy, Mineral and Land Resources RrCEIVED
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! 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 mandatoryTier 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
Code
Parameter
Outfall1
Outfall2
Outfall
Outfall
Outfall
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
TSSin mg/L (100 or 50*)
6
28
00400
pH in standard units (6.0-9.0)
7.03
17.09
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)
16.0
16.2
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."
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 (TT0), 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 PeripiLt'ee or Delegated Authorized Individual Date
Email Address KATE.RHINEHART@AMETEK.COM Phone Number 704-644-5002
0
Permit and Facility Information:
Please enter the permit number and other details for this upload.
IMPORTANT., Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed
hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload.
x
Fields marked with a red asterisk are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 01s)
NGG030596
Must begin with NICE or NCO
Facility Name:* Controls Southeast, Inc.
County: * Mecklenburg
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contacVregional-offices/mooresville
Monitoring Period Information:
Monitoring Period Met is the YEAR of the sample details)?
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years
with a new submittal form.
Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload* Click the upload button or drag and drop tiles here to attach document.
20211208 Stormwater Discharge Monitoring Report
2.25M6
Signed.pdf
Only Fi am accepted.
Comments:
* v By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
e I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
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P ROMPT•ACCURATE•RELIABLE
LABORATORIES, INC
W WW.PARLABS.COM
REPORT OF ANALYSES
Attn: SAM HOUFF
CONTROLS SOUTHEAST, INC PROJECT NAME: DEC 21
PO BOX 7500 DATE: 12/21/21
CHARLOTTE, NC 28241-
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
M.R
ABOR
LIES, INC
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
Phone (704)588.8333
Fax(704) 588-8335
It Is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Labon,Wnes. Inc. and the NAM
Camunn nnnnnment of Environmanlal AM Natural Resource.
Company Name (billing)
CONTROLS SOUTHEAST, INC
Comments/ Special Instructions
Address
12201 NATIONS FORD ROAD
City, State a zip code
PINEVILLE, NC 28134
Point of Contact a Telephone Number '-i O �{_ S'1'3-- 1 %-7Z.
52 IGA'f E L 0-t N E 04W T
Sample
Taken By:
PRINTED NAME
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO
"Sample Type: DW WW GWMvV HW soil other
Sample Temp at time of sampling: e C Sample Temp upon receipt: e 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):
Ilene Sample I.D.
(sample Location /Number)
Comp
Grab
Preserv.
Set Up
Date/Time
Collection
Data/Tine
Analyses
Requested
STORM WATER RUNOFF #1
X
< 4° C
tL 5o�v
PH, TSS
X
HISO,
HNo,
1311
X
IF
Pb, Cu, Zn
STORM WATER RUNOFF #2
X
< 4° C
i Z 8
2% D
H, TSS
X
Hso
FtG
X
HNO3
b, Cur Zn
Relliinq,,uiishhed,,by:
Daterrii%m�el Received by: terlma
/701
Relinquished by: clate/rime Received by: Daternme
C-Composite G-Gmb OW -Drinking Water WW=Wastewater GWMW=Groundwater Monitonng Well HW=Hazardous Waste