NCG030596_Monitoring Report_20220414

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions �O0 ,1�q
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upl'cd �bfm within
30 days of receiving sampling results. Mail the original, signed hard copy w of the DMR to the appropriate DEMLR ReYoi al 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: 0 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 0 Yes ❑ No
Date Uploaded: April 8, 2022
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
03/10/2022
03/10/2022
46529
24-Hour Rainfall in inches
0.25
0.25
C0530
TSS in mg/L (100 or 50*)
11
5
00400
pH in standard units (6.0-9.0)
7.04
7.58
01119
Copper, total recoverable in mg/L
0.004
0.005
(0.010)
01051
Lead, total recoverable in mg/ L
0.002
0.002
(0.075)
01094
Zinc, total recoverable in mg/ L
0.901
0.096
(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)
7.3
6.0
Additional parameters for outfalls 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."
Signaturd of Perilnitt6e or Delegated Authorized Individual
Email Address [e-mail]
8-APR-22
Date
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."
8-APR-2022
of Peru letee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 704-644-5002

Environmental r�
Quality ,y
Stormwater Discharge Outfall (SDO) 00;!1:40
S�yQ°d�cc��
Qualitative Monitoring Report
9,
For guidance on filling out this form, please visit https:Hdeq.ne.gov/about/divisions/energy-mineral-land-resour?&W
npdes-stotmwater-gps
Permit No.: N/C/ 6 /0 /3 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/ 0 /3 /0 /5 /9 /6 /
Facility Name: _Controls Southeast, Inc.
County: Mecklenburg Phone No.
Inspector: e A-T-� P k-1- 1 t-) E 0-16,� i
Date of Inspection: I'1 N\P- Ll0 t b i ZO Z Z
Time of Inspection: l 1 = 1 O
Total Event Precipitation (inches): d �-
tiNpA--tl� �f--L)N.6-
..................... _ _......................................................................
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
L--t
(Signature of krmittee or Designee)
Page 1 of 2
SWU-242, Last modified 06/01/2018

1. 0utfa11 Description: ( 6 1 r- U N-b f7--F A l
Outfall No. I Structure (pipe, ditch, etc.): Pipe to Ditch
Receiving Stream: McCullough Branch
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L L E PY— I L 16 ti I T I�J T
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N O t� 1;
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 U) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ,X No.
8. Is there an oil sheen in the stormwater discharge? 0Yes P�No.
9. Is there evidence of erosion or deposition at the outfall? O Yes No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

1. Outfall Description: CS 1 2 U tJ 0 f--F= 44 ' -
Outfall No. 2- Structure (pipe, ditch, etc.): Pipe to Ditch
Receiving Stream: McCullough Branch
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C L!✓Ae L 1 c,, t4-T T7 N -T-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N '6 N 1<
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 a 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 a? 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 ()2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes )No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0, No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe —
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

4/8/22, 1:36 PM
Submission Completed
Permit and Facility Information:
Please enter the permit number and other details for this upload.
.... _ ._.............................................................................................................................................
lii1lP RTAN t.- l §dW yogir stortawater permit is registerod in tho cOU �ystera, a k 9 origirdal ,igned (pot
olityitally signer>l) lh�,wdoopy of the Dll R mu,,, �c he mailed to Me address in your porkaR, lea addidon r�-Co) U i
olactrokJc 11pload.
Permit Number's Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG030596
Must begin with NCS or NCG
Facility Name: * AMETEK/Controls Southeast
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:Hdeq.nc.gov/contact/regional-
offices/mooresville
Monitoring Period Information:
--.................................... _............. _...............
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2

4/8/22, 1:36 PM
Submission Completed
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless
specifically requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
DMR Upload* Click the upload button or drag and drop files here to attach document.
220310 Stormwater Discharge Monitoring Rep... 4.26MB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
o I agree that submission of this Discharge 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");
• 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: * [e-mail]
Phone Number: * 7045781872
Signature: *
ISM r—iAlW Zr
Date: * 04/08/2022
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2

f
P.:
PROM PT•Accu RATE• RELIABLE
LABORATORIES, INC
WWW.PARLABS.COM
REPORT OF ANALYSES
Attn: KATE RHINEHART
CONTROLS SOUTHEAST, INC
12201 NATIONS FORD RD
PINEVILLE, NC 28134-
PROJECT NAME: MAR 22
DATE: 03/23/22
SAMPLE NUMBER-
143964
SAMPLE ID- CSI RUNOFF #1
SAMPLE MATRIX- WW
DATE SAMPLED-
03/10/22
TIME SAMPLED- 1110
DATE RECEIVED-
03/10/22
SAMPLER- KB
RECEIVED BY- DJ
TIME RECEIVED-
1135
DELIVERED BY- KB
TYPE SAMPLE- Grab
Page 1 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
03/10/22
1140
DJ
7.04 units
OIL & GREASE
EPA 1664
03/16/22
0740
CT
< 7.3 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
03/14/22
0820
DJ
11 mg/L
COPPER, TOTAL
EPA 200.7
03/16/22
1724
EV
0.004 mg/L
LEAD, TOTAL
EPA 200.7
03/16/22
1724
EV
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
03/16/22
1724
EV
0.901 mg/L
/1 t-
LABORATORY DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: [phone] • Fax: [phone]

f L�
PROMPT* A CC LJ RATE -RE L I A BLE
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: MAR 22
DATE: 03/23/22
SAMPLE NUMBER-
143965
SAMPLE ID- CSI RUNOFF #2
SAMPLE MATRIX- WW
DATE SAMPLED-
03/10/22
TIME SAMPLED- 1110
DATE RECEIVED-
03/10/22
SAMPLER- KB
RECEIVED BY- DJ
TIME RECEIVED-
1135
DELIVERED BY- KB
TYPE SAMPLE- Grab
Page 2 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
03/10/22
1140
DJ
7.58 units
OIL & GREASE
EPA 1664
03/16/22
0740
CT
< 6.0 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
03/14/22
0820
DJ
5 mg/L
COPPER, TOTAL
EPA 200.7
03/16/22
1724
EV
0.005 mg/L
LEAD, TOTAL
EPA 200.7
03/16/22
1724
EV
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
03/16/22
1724
EV
0.096 mg/L
LABORATORY DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: [phone] • Fax: [phone]

Phone [phone]
F 4 Fax [phone]
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 Department of Environmental and Natural Resources.
Company Name (billing) Comments/ Specie
CONTROLS SOUTHEAST, INC
Address
12201 NATIONS FORD ROAD
City, State 8 zip code
PINEVILLE, NC 28134
Point of Contact & Telephone Number '� D LS% S _ 1 81 Z
S-AWH6 3#�47-&+7-52 t-t t Q G-- ttA-L i
Taken By: SIGNATURE
PRINTED NAME
Instructions
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 (YIN): Dechlorination Necessary (YIN):
Client Sample I.D.
Sample Location/Number) -
Comp
Grab
Preserv.
Set Up -.
Dateffime
Collection
DateTime
Analyses
Requested
STORM WATER RUNOFF #1
X
< 4 C
PH, TSS
X
H2SO1
OftG
X
HNO3
IF
Pb, Cu, Zn
STORM WATER RUNOFF #2
X
< 4° C
3l/o
PH, TSS
X
H2SO4
O&tG
X
HNO3
Pb, Cu, Zn
Hennqulsneci by:
water I Ime
Relinquished by: �-j Date/Time Received by: Date/Time
. C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste