HomeMy WebLinkAboutNCG030596_2022 DMR_20220425NCDEQ 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: ✓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 ✓Q 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 F/ Yes ❑ No
Date Uploaded: 4/25/2022
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
04/06/2022
04/06/2022
46529
24-Hour Rainfall in inches
1.46
1.46
C0530
TSS in mg/L (100 or 50*)
54 mg/L
29
00400
pH in standard units (6.0-9.0)
7.09
7.38
01119
Copper, total recoverable in mg/L
.010
.010
(0.010)
01051
Lead, total recoverable in mg/ L
.005
.002
(0.075)
01094
Zinc, total recoverable in mg/ L
.948
.160
(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)
5.7
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 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 inform on, including the passibility of fines and imprisonment for knowing violations."
of Permittee or Deleeate-dAuthorized Individual
Date
Email Address lavon.artis@AMETEK.COM Phone Number (704)-644-5044
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
Managem6t Plan included in/he Stormwater Pollution Prevention Plan."
04/25/2022
of Permittee or Delegateg Authorized Individual Date
Email Address lavon.artis@ametek.com Phone Number 704-644-5044
PAA R
PROMPT•ACCURAT !-RELIABLE
LABORATORIES, IIVC
«'R'WPARLABS.CON't
REPORT OF ANALYSES
Attn: KATE RHINEHART
CONTROLS SOUTHEAST, INC
12201 NATIONS FORD RD
PINEVILLE, NC 28134-
PROJECT NAME: APR 22
DATE: 04/22/22
SAMPLE NUMBER-
144157
SAMPLE ID- CSI RUNOFF #1
SAMPLE MATRIX- WW
DATE SAMPLED--
04/06/22
TIME SAMPLED- 1116
DATE RECEIVED-
04/06/22
SAMPLER- KB
RECEIVED BY- DJ
TIME RECEIVED-
1145
DELIVERED BY- KB
TYPE SAMPLE- Grab
Page 1 of 2
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
04/06/22
1150
DJ
7.09 units
OIL & GREASE
EPA 1664
04/13/22
0845
CT
< 5.7 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/11/22
0815
DJ
54 mg/L
COPPER, TOTAL
EPA 200.7
04/15/22
1523
EV
< 0.010 mg/L
LEAD, TOTAL
EPA 200.7
04/15/22
1523
EV
< 0.005 mg/L
ZINC, TOTAL
EPA 200.7
04/15/22
1523
EV
0.948 mg/L
LABORATORY DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335
P AA" R
PROM PT-AGOU RATE -RE LIABLE
LABORATORIES, INC
NVNNAV.RkllLABS.00.Nl
REPORT OF ANALYSES
Attn: KATE RHINEHART
CONTROLS SOUTHEAST, INC
12201 NATIONS FORD RD
PINEVILLE, NC 28134
PROJECT NAME: APR 22
DATE: 04/22/22
SAMPLE NUMBER-
144158
SAMPLE, ID CSI RUNOFF #2
SAMPLE MATRIX- WW
DATE SAMPLED-
04/06/22
TIME SAMPLED- 1116
DATE RECEIVED-
04/06/22
SAMPLER- KB
RECEIVED BY- DJ
TIME RECEIVED-
1145
DELIVERED BY- KB
TYPE SAMPLE- Grab
Page 2 of 2
ANAI,YSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
T)II VALUE
SM 4500HiB
04/06/22
1150
DJ
7.38 units
Oil-, & GREASE
EPA 1664
04/13/22
0845
CT
< 5.8 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/11/22
0815
DJ
29 mg/L.
('013PEP, TOTAL
EPA 200.1
04/15/2,2
1523
EV
0.010 mq/L
LEAD, TOTAI,
EPA 200.7
04/15/22
1523
EV
< 0.002 mg / L
ZINC, TOTAL,
EPA 200.7
04/15/22
1523
EV
0.160 mg/L.
LABORATORY DIRECTOR
2217 Graham Park Drive - Charlotte, NC 28273
Phone: (704) 588-8333 - Fax: (704) 588-8335
Prt.M...AA 0 A �•R
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 recoiled on this Chain of Custody document for acceptance by PAR Laboratones, Inc. and the North
Carolina Department of Environmental and Natural Resources.
Company Name (billing)
Comments/ Sesecial Instructions
CONTROLS SOUTHEAST, INC
Address
12201 NATIONS FORD ROAD
City, State 8 zip code
PINEVILLE, NC 28134
Point of Contact & Telephone Number
sa_Mgg q7g_ KATE RHINEHAR'I' 704-644-5002
Sample
Taken By: 9,,,�/� A f PRINTED
NAME
__SIGNATURE _
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO
"Sample Type: DW WW _ GWMW HW sou other �A
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):
client aampla 10- Set up ` CotlBCtion ` nalysea "
arrltt � n [Number) Cotra „ Preserv. Dateffir" Date/Iwo uiasteitTORM
WATER RUNOFF #1
< 4° C-
A�
PH TSS
O&G
X
H2SO4
"
, .
X
HNO3
Pb, Cu, Zn
STORM WATER RUNOFF #2
X
< 4° C
H, TSS — _ --
X
H2SO4
xk
aG
X
HNO3
�Pb,
Cu, Zn
Received
Relinquished by: J Datefrime Received by: % DaterTime
C=ComposRe G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste