HomeMy WebLinkAboutNCG030596_Monitoring Report_20220124NCDEQ 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 Monil
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to
Mtn
G
INA
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 (l, 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: I 101Lz
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
01/04/2022
01/04/2022
46529
24-Hour Rainfall in inches
1.5
1.5
C0530
TSS in mg/L(100 or 50*)
16
11
00400
pH in standard units (6.0-9.0)
7.36
7.72
01119
Copper, total recoverable in mg/L
.003
.003
(0.010)
01051
Lead, total recoverable in mg/ L
.002
.002
(0.075)
01094
Zinc, total recoverable in mg/ L
.977
.057
(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
5.9
Additional parameters for outfaIIs in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
N/A
N/A
Usage in gal/month
* 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."
of PerinittWor Delegated
18-JAN-2022
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."
I.
18-JAN-2022
Delegated Authorized Individual Date
Email Address KATE.RHINEHART@AMETEK.COM Phone Number 704-644-5002
1/18/22, 2:09 PM
Submission Completed
(DMR) Upload
Permit and Facility Information:
Please enter the permit number and other details for this
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.
Fields marked with a red asterisk* are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all O's)
NCG030596
Must begin with NCS or NCG
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/contact/regional-offices/mooresville
Monitoring Period Information:
.........._......._..._...._...................................................
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2
1 /18/22, 2:09 PM
Submission Completed
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 files here to attach document.
20220104 Stormwater Discharge Monitoring Rep... 1.33MB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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");
o 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");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name:* Kate Rhinehart
Name of person submitting this form
Email Address: * kate.rhinehart@ametek.com
Phone Number: * 7045781872
Signature: *
!G¢cf Wwfazt
Date: * 01 /18/2022
https://edocs.deq.nc.gov/Fonns/Form/Submit 2/2
PLLR
PROM PT•AOOLI RATE -RELIABLE
LABORATORIES, INC
W W W.PARLABS.COM
REPORT OF ANALYSES
Attn: KATE RHINEHART
CONTROLS SOUTHEAST, INC
12201 NATIONS FORD RD
PINEVILLE, NC 28134-
PROJECT NAME: JAN 22
DATE: 01/14/22
SAMPLE NUMBER-
143405
SAMPLE ID- CSI RUNOFF q1
SAMPLE MATRIX- WW
DATE SAMPLED-
01/04/22
TIME SAMPLED- 1250
DATE RECEIVED-
01/04/22
SAMPLER- KB
RECEIVED BY- DJ
TIME RECEIVED-
1530
DELIVERED BY-
TYPE SAMPLE- Grab
Page 1 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME BY
RESULT UNITS
pH VALUE
SM 4500H+B
01/04/22
1535 DJ
7.36 units
OIL & GREASE
EPA 1664
01/12/22
0905 CT
< 6.0 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
01/10/22
0815 DJ
16 mg/L
COPPER, TOTAL
EPA 200.7
01/11/22
1819 EV
0.003 mg/L
LEAD, TOTAL
EPA 200.7
01/11/22
1819 EV
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
01/11/22
1819 EV
0.977 mg/L
LABORATORY
DIRECTOR/��--
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Far: (704) 588-8335
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M.R
LABORATORIES, INC
CHAIN OF CUSTODY
Phone (704)588-8333
Fax (704)588-8335
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 Department of Environmental and Natural Resources.
Company Name (billing) Comments/ Specie
CONTROLS SOUTHEAST, INC
Address
12201 NATIONS FORD ROAD
City, State a zip code
PINEVILLE, NC 28134
Point of Contact it Telephone Number
2
Taken By:
-7'9-5-78-I172
h r-r le 0- r ra E 0-A-r- 1
IRKA4
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO _
"Sample Type: DW WIN GWMW 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): Dechiorination Necessary(YIN):
Bent Sample I.D.
Semple Location / Number)
Comp
Grab
Presery
Set Up
Date rime
Collection
Oster rime -terquestad
malyses,
-.
STORM WATER RUNOFF #1
X
< 4° C
Y��
H, TSS
X
H2501
ELG
'X
HNO3
3b, Cu, Zn
STORM WATER RUNOFF #2
X
< 4° C
f y aR
Z.
H, TSS
X
%10,
_
LL
O&G
X
HNO3
Pb, Cu, Zn
Relinquished by: DateTme Receives //-ualel me
/L _,.a_ l t)q-,22 h53D
Relinquished by: Date/rme Received by: Datefrtme 1
"C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Grounswater Monitoring Well HW=Hazardous Waste