NCS000294_MONITORING INFO_20181130

--"--STORIVIWATER-DIVISI"ON-COOING-SHEET--
PERMIT NO.
NC.�pa�y
DOC TYPE
❑FINAL PERMIT
M MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
El 11
YYYYMMDD

A?
of
'3PER wr NUMBER NCS
2i
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than. 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States — Creedmoor Fertilizer Plant
PERSON COLLECTING SAMPLES) Duncklee & Dunham, Lil
CERTIFIED LABORATORY(S) ESC Lab Sciences
Part A. Specific Monitoring Requirements
Walker
COUNTY Granville
PHONE NUMBER [phone]
LAB# ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
Outfall
Date
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen, 350.1
Nitrate -Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250 130
1120 17.2
110
2
Outfall 1 West
11/30/18
No Discharge
Outfall
Date
mg/L
mg/L
mg/L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
1 2540D
Total Nitrogen
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
120
1100
30
OutfaIl 1 West
11/30/18
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

TF777

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
7,7
Ouffall � . I "k I U - k&:' 100530jb- W,"
0—
T&alikdg(� Total Non polarIVew'Moto Oil'`
"r a
(Method 1664"�
'SGHEM),4% �J
T
1w
A 'A ft-*A- � , 'iz, V: IF [9GIF1 i4ll imwffi: Ar, M g IW A
STORM EVENT CHARACTERN171CS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): — (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): —
(only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Form SWU-247, last revised 21212012
Page 2 of 2

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NI certify, 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 ]mowing violations."
/lI%IB
(Date)_
Form SV rU-247, last revised 2/WO12
Page 3 of 2

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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NUMBER NCS 00294
FACILITY NAME Southern States — Creedmoor Fertilizer Plant
PERSON COLLECTING SAMPLE(S) Duncklee & Dunham, Lily Walker
CERTIFIED LABORATORY(S) ESC Lab Sciences
Part A: Specific Monitoring Requirements
RECEIVED
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Granville
PHONE NUMBER
LAB# ENV375
OCT 2 9 Z018
CENTRAL FILES 00
[phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
mgtL
m
m
mgLL
In
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
10/11/18
30
7.28
96.3
6.45
91.6
18.40
26.19
12.2
Outfall
Date
m
mg1L
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
rno/ddlyr
Minutes
6.0-9.0
20
100
30
Outfall 1 West
10/11/18
30
7.28
39.3
133
57.7
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
(if yes, complete Part S)
Part B: Vehicle Maintenance Activity Monitoring Requirements
'Outfall
Date jr :'
50050 ; ,A
f1��:
00556 ; �.
00530
00460 "
�Na
Sample �,
Total Fiow;.
Total �
Oil &�Grease.e
Non polar
Total
pH
oNewMotor,
Collected '
(if applicable)
Rainfall
(if appl) �
O&G1TPHl '�
Oily Usage .
} i•
`'
'EP- €� €;'
;;i ii
(Method Ii1�4'�
is'.
Solids 0+, F .
SGT=IEM), if
; !,0
A"
appL,.E,
§
kmolddl r ,:�
MGt. �rF: .,x-
inches:
m
�init
allmo
STORM EVENT CHARACTERISTICS:
Date: 10/ 11/ 18
Total Event Precipitation (inches): 2.14
Event Duration (hours): 0.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
1014 6
(Da(e)
Form SWU-247, last revised 21212012
Page 2 of 2

l fl
- ���T�RMONITORING
DISCHARGE OUTFACE (SDO)
REPORT
PERMIT NUMBER NCS 00294 _ACT 2 9 2018 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
CENTRAL FILES the date the facility receives the sampling results from the laboratory.)
CVJR SEC T ION
FACILITY NAME Southern States— Creedmoor Fertilizer Plant COUNTY Granville
PERSON COLLECTING SAMPLE(S) Duncklee & Dunham, Lily Walker PHONE NUMBER [phone]
CERTIFIED LABORATORV(S) ESC Lab Sciences LABfi ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
mgtL
m L
m L
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
9/30/18
No Discharge
Outfall
Date
m L
m L
m L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjehlahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mqMd/yr
Minutes
6.0-9.0
20
100
30
Outfall 1 West
9/30/18
No Discharge
Form S W U-247, lam revised 21212012
Page I of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
(if yes, complete Part B)
Part B: Vehicle Maintenance Act ity MonitoringRequirements
Outfall
No.
Date
Sample
Collected
50050
00556
005"
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/1'PH
(Method 1664
SGT-HEMj It
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
MRA
unit
zavmo
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
(if more than one stone event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1 b 17
"I certify, 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."
riq
t1D/zY/1B
(Date)
Form SWU-247, lust revised 21212012
Page 2 of 2

�+ STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
-r)
PERMIT NUMBER NCS 00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States — Creedmoor Fertilizer Plant COUNTY Granville
PERSON COLLECTING SAMPLE(S) Robert Lumley PHONE NUMBER [phone]
CERTIFIED LABORATORY(S) ESC Lab Sciences, tjb I1ffE)75
Part A: Specific Monitoring Requirements
SEP 0 7 201 SIGNATURE OF PERMITTEE OR DESIGNEE
CENTRAL FILE REQUIRED ON PAGE 2.
DWR SECTION
Outfall
Date
m
m L
m
m L
m
mgtL
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate, -
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
8/31/2018
No Discharge
Outfall
Date
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/yr
Minutes
6.0-9.0
20
100
30
Outfall 1 West
8/31/2018
No Discharge
Form SWU-247, lust revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — Yes X No
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall ; 3 r, ;:
Date
r
�O(1556 �
i
005 1 ,
;004 00''
No E
Sample °E E�
TotaC Flow ;,°"
g Total"
Oil & ease
Non; polar ;
TotalpH
New Motor:
Collect ed;` H �
(da" "lic 'ble '
PP )
Rainfall:
"Gw
if a L
( PP)
0&Grf PH '
Sus ended `�
P�
Qil jCJsa''e
g
" '
"(Method;1664
Solids
f L# ?
:s� t i� -IY
.. ..:
SGT-HEM), if
.3 a.. ,� jr �. :
i
_ at
_�{ 4 h I z;.�ii
4 v_
F
I@ i'
la li Y
mb/ddl'r
MG , s, t
inches""
pr
IT
tri'
unEt
"allmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files -
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
It --a
�.
(Signature of
1 06zar+
ittee)
WMw/
eft ffI?
(Date)
0.
Form SW-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERM4 NUMBER NCS 00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States _ Creedmoor Fertilizer Plant COUNTY Granville
PERSON COLLECTING SAMPLE(S) Jacob Goldstein NUMBER [phone]
CERTIFIED LABORATORY(S) ESC Lab Sciences XENV375
P 0 7 2018
CENTRAL FILES SIGNATURE OF PERMITTEE OR DESIGNEE
DVVR SECTION REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements -
Outfall
Date
mgfL
mgfL
m L
mgfL
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM521011
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall I West
07/30/18
30
7.51
156
0.0115
116
58.9
50.5
10.8
Outfall
Date
mall,
m
m L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dq/E
Minutes
6.0-9.0
20
100
30
Outfall 1 West
7/30118
30
7.51
206
16
264.9
Form S WU-247, lust revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uiremcnts
Outfall, i.
Date ,.
50050
00556 :i'i;..
i'i' .;ir
00530
00400 ,....3
}Total Flow
:. 41U
Total
Oil &:Grease-
appi:) �'
Non=p►larTotal
`.
;
°pH;;
New:Motor
tri
�.
No.,;
Semple
- r9.
Collected`
(if apphcable)
Ra�3iiall
{if
O&G/TPH
Sus nded
pe
Otl Usa e
g
Of
(1►I<
'Solids 0:.
E 6'-
T
2�
r 1
�EjN�r- 3g
'
�`3.:'
�SGT-HEM) ifs
1"-
'4.
E�
�.
.'
° E
mo/dd/
MG ° `
niches
m
-
'h:
ui—t
" al/uio E&
STORM EVENT CHARACTERISTICS:
Date: 7/30/ 18
Total Event Precipitation (inches): 0.24
Event Duration (hours): 0.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): - (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of P mittee) (Date)
Form SW-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NUMBER NCS 00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States — Greedmoor Fertilizer Plant Q �j Granville
PERSON COLLECTING SAMPLE(S) Robert Lumley PMUUMBER 919 528-1821
CERTIFIED LABORATORY(S) ESC Lab Sciences - S 0 f LM ENV375
F
L
G�NTRgFILES
EN AL SECTION SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
m L
mg1L
m
m
m L
mgfL
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
i0
2
Outfall 1 West
6/30/2018
No Discharge
Outfall
Date
m
m L
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
K,jeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/yr
Minutes
6.0-9.0
20
1100
1 30
Outfall 1 West
6/30/2018
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

Dogs this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
(if, -yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall <<
T
{# E 6 ffi d
Date"
Samp[ ' �� °.
p€€..
Collected ;
ggg[p,E,'
5065U?.
00556�.'
00500
30 ''
a00�-,
Total Flow,
(►f applicable}
FStggggyig. ii$±: _
t
Total �>
Rainfall € '
Ss :. '..,jN.
g4: .
OBITotal
{if ap$pl:) , ;
- €)e>8�s
P
O&G1TPH
I664
SGT-HEM), if
Suspended
- '+1#
Solids;<.
P A
*?Od
L:rt
N'e€W�''Motor
�.
Usage
§.
-
.
<moldd{ r,
MG;
inches
ni � ,€?' ��
� r,'.:
m
unit
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
)� i ft�s
(Signature of P r ittee) (Date)
,12o6e_� LUAA_y
Form SWU-247, last revised 21212012
Page 2 of 2

DUNCKLEE
& DUNHAM
To: Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
From: Robert Lumley
Date: 9/ 1 /2018
ENVIRONMENTAL GEOLOGISTS & ENGINEERS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: [phone]
W WV.LICKLEEDUKHAM.COM
LETTER OF TRANSMITTAL
The following document is attached:
❑ Draft Letter / Report
Final Letter / Report
❑ Laboratory Report
❑
Certification Forms
❑ Contract or Change Order
®
Other: SDO Monthly Submission
For the following action:
® For Your Review / Information
❑
For Your Signature & Return
❑ As You Requested
❑
Other:
Comments:
July 2018 SDO for the Southern States Creedmoor Facility. Permit Number: NCS000294
MAILING ADDRESS - POST OFFICE BOX 639 - CARY, NORTH CAROLINA 27512
NORTH CAROLINA BOARD OF EXAMINERS FOR ENGINEERS AND SURVEYORS LICENSE C-3559
y NORTH CAROLINA BOARD FOR LICENSING OF GEOLOGISTS LICENSE C-261
' NC DENR REGISTERED ENVIRONMENTAL CONSULTANT NUMBER 00061

7
:j
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NUMBER NCS 00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States — Creedmoor Fertilizer Plant COUNTY Granville
PERSON COLLECTING SAMPLE(S) RobertLumley 1 i PHONE NUMBER [phone]
CERTIFIED LABORATORY(S) ESC Lab Sciences — LAB# ENV375
SEP 0 7 2018
CENTRAL FILES SIGNATURE OF PERMITTEE OR DESIGNEE
DWR SECTION REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
m L
mg/L
mg&
mg1L
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
5/31/2018
No Discharge
Outfall
Date
m
m L
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/yr
Minutes
6.0-9.0
20
1100
30
Outfall 1 West
5/31/2018
No Dischaz e
Form SWU-247, last revised 21212012
Pagel of 2

Do4 this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — Yes X No
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date,"'5005t1
005�56'!l
005301 `
00400
A r
Total Flow
an'polar>
"Ttl ''
€
Na
ew Motor
iCollected
applicable) `
Rainfall : l�
(if appL) ' '_ '
' O&GITPW
Suspended
Usage,
�:'-
r
�.
(Method 1664+i
Solids 3, ...
C
= SGT `HEM), if.:4,
nolddl r-.,._;:
MG. .;,�_
inches a
m .;,
m
unit
aUmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of
1�11/t/1'1�1
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294
FACILITY NAME Southern States - Creedmoor Fertilizer Plant
PERSON COLLECTING SAMPLE(S) Adam Daniel
CERTIFIED LABORATORV(S) ESC Lab Sciences Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Granville
PHONE NO. 9[ 19 ) 528-1821
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
1
Date
Sample,
ollected
Flow:,,
i
i
U&NEWI
i
a �
I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ✓❑no
(if yes, complete Part B)
rart B: Vehicle Maintenance Activity Momtonne Heouirements
Out#ali`
;Date
50050
00556
00530
00400
-"
-�
`Total'Ftow ._
Toial
Oil & Grease
Non polar
Total
pH
New;Motor
No
Sample
Collected
(If lipphcsble)
Rainfall
(if ap�l.)`.
0&G/TPH
SuspendedQil
Usage
..
(Method 1(;",
Solids
SeVHEM)' ,if'
a 1,
tno%ddl r a
MG=-
inches
mzn
Llma
unit
alinio
001 West
I No Discharae
I No Discharae
I No Discharae
I No Discharae
I No Discharae
I No Discharae
I No Discharae
No Discharae
Form SW U-247, last revised 21212012
Page I of 2

J
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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,
including4he possibility of fines empris ment for-Uaewizrg-golations."
or e-
of Permittee) (Date(
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
{ MONITORING REPORT
Permit Number NCS 000294 REC — V SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
R 2 NIB (This monitoring report shall be received by the Division no later than 30 days from
AP the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States - Creedmo_or Fertilizer p NT T nF-
PERSON COLLECTING SAMPLE(S) Adam Daniel
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab #
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. 9( �9 ) 528-1821
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
f
I
Date
Sample
Collected
M�
Flo
i
1: I
II 1 • I
I I '
i
NoDischarge
•
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Cato
(if yes, complete Part B)
Part B: Vehicle Maintenance Act. ity MonitorinR Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
motddlyr
MG
inches
m
m
unit
al/mo
001 West
03/28/2018
No Discharge
No Discharge
No Discharge
No Discharge
No Discharge
No Discharge
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

r
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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,
Iations."
y z3 1
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294
FACILITY NAME Southern States - Creedmoor Fertilizer Plant
PERSON COLLECTING SAMPLE(S) Adam Daniel
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Granville
PHONE NO. 9( 19 ) 528-1821
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
iSample
Date
Collectediw
Total
(if app.)MEN
•:
i
NOTT, W.
NONE 4 :
. A w
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:]yes ✓]no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
inches
mgfi
m
unit
al/mo
001 West
0212812018
No Discharge
No Discharge
No Discharge
No Discharqe
No Discharge
No Discharqe
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
Z l�)
(Date)
Form SWU-247, last revised 2/212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294
FACILITY NAME Southem States - Creedmoor Fertilizer Plant
PERSON COLLECTING SAMPLE(S) Adam Daniel
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Granville
PHONE NO. 9( 19 ) 812-1417
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Fdutfali
1
Date
Sample
Collected
I I I
Total1
1(ifapp.)
,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:]yes /❑no
(if yes, complete Part B)
Part S: Vehicle Maintenance A ivity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
ap 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
in
in
unit
al/mo
001 West
01/31/2018
NO DISCHARGE
NO DISCHARGE
NO DISCHARGE
NO DISCHARGE
NO DISCHARGE
NO DISCHARGE
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):..
Event Duration (hours): (only if applicable -- See permit)
(ifmom than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
Mail Original and one copy to:
Division of Water Quality
Attu: Central Files
1617 Mail Service Center
Raleigh, North Carolina. 27699-I617
' I certify, 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 guaki8ed 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 bell4 true, accurate, and complete. I am aware that there are siignilicant penalties for submitting false information,
inNudiM the possibility of 5nes and imprisonment for ]mowing violations."
of Permittee)
Z, I kb
(Date)
Form SWU-247, last revised 2/120I2
Page 2 of 2

\:
�
\s
:_
® \
\
OP
�
� >
.
�\.
.
� >
\
\f \

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. L919�
CERTIFIED LABORATORY(S). ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
812-1417
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PACE 2.
1 Outfall 1 West 1 05/31/17 NO DISCHARGE I
I Out€all 1 West 1 05/31/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ^ Yes _ _ No X
Form S WU-247, last revised 21212012
Page I of 2

(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
;Outfall
Date
z54454' '_ 'Y`
'
t)0556 . _
00534
00400
'Now:
Saniple�
�Tota1
�OiC:& Grease
Non polar
Total:`
"pH:
New Motor
=
rv'Totai`Floiv
Collected
�f a l�cable --
( PP ) -
Rainfall
if�a l
�(PP�)�
�.O&G/�TPH�
-,..
pSuspended� -
'01 g
f v
�
_
���_.
(Method�lGb4
Sol ids:
3 ".r
T fi
S Mi
G
�
�.°° mo/ddl
.r,1VIGF''�
:inches :tom
m�•:,:
,.� .3.in
�' `_,ryx►
.uBit
aUmo.js ,*
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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,
includinSp4�sibility of fines and imprisonment for knowing violations."
of
ZfzllB
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative -Creed moor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. L919, 81211417
CERTIFIED L"ORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
I Outfall I West 1 06/30/17 NO DISCHARGE I
I Outfall 1 West 1 06/30/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes _ _ No X
Form SWU-247, last revised 2/2/20I2
Pagel of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
iOuffall
Date :.- ' '
50050'i° r_
.-.
0056
00530,.
00400
-
T,otatpFlow
Total-
`O�l°&tGrease
N..on polar
Total =
PH r-
New Motor
Na
Sample ;:;
(Colleed=
' a plcable
Rainfal
inf�a' "1
Q&G�7H
sa g
(M!6tl J664od.Solids
...
_
SGT HEM), dW'
iapp
1
'inches
Il
-
t
wunit.�
al/,mo
T�
. ,
m u
mM,
7��
r,
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): jonly if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, 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 pooibility of finq and imprisonment for knowing violations."
(Signatu
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coope rative-Creed moor
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. L919,
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
812-1417
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
I Outfall 1 West 1 07/31/17 NO DISCHARGE 1
I Outfall 1 West 1 07/31/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes _ —No X
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Fart ts: venicle Maintenance Activity ivionitormg meouirements
0utfall .w k
'No
Rafe, `fix ..::'S0050
Sample
„.`- ?
�x :7 - :
`OOSSb .:=`
"
'00530
44440
Total Flow,
Total _
Oil`& Grease
Non polar
Total°
pH
New Motor
Collected .(if
applicable)
Rainfall
(�f apply
O&GITI?H
iSuspendedr--
=Oi1'Usage'
. ="w
T
(Method I664 =.
;Solids:
tis
�SGT HEM) sf'�
F
mo/dd/vr -_ _ -'1VIG
-- '-?
inches- . _._mQ/lam:unit_-
igaVmo�F
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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 possibilytyy of fines and imprisonment for knowing violations."
(Signature of
0
;,� / 7, /1 tt�
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. (_919_)-
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
i Outfall 1 West 1 08/31/17 NO DISCHARGE
COUNTY Granville
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall 1 West 1 08/31/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes _ _ No X
Form SWU-247, last revised 21212012
Page I of 2

(if yes, complete Part B)
cart is: venicie iviamtenance.a►cttvity ivtonnormff Keouirements
O.utfall, '
No : _�
:Daate
Sample
50050'', •:
00556
00530.
00400
TOOFFlow
Total ; r
Oil:& Grease
No— Oolar •• `°
`Total':
`pH"
New Mdtor
Coliected'
(�f ap�phcable)
Rainfall
-(ifiappI ).= ;
.O&GITPH
Suspended--
Oil Usage
-.
(Method.,I664
Solids
.
rWs
balr
5i. ,,. -
3� `.'rf"tsr r:-•_-
- y t- ('_s.
ar w
lmolildlvr
-�.
inches ...
;mgLl . m . r.�
m2/1 - _ • _ _
2u`iiit_
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): ,(only if applicable "-- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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. l am aware that there are significant penalties for submitting false information,
including t oss' ' 'ty of fines and imprisonment for knowing violations."
Z Z �7
(Signatur,LlloPJrmittee) (Date
Form S"-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative -Creed moor_ •COUNTY Granville
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. (_919_) 812-1417 '.
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
I Outfall 1 West 1 09/30/17 - NO DISCHARGE I
I Outfall 1 West 1 09/30/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — Yes _ _ No X
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall _
Dafe
i50650 G-
z � aF
<DOSSb
-
-00530
00400 -
No
Sample
TotalXlow
Total ,;
�O�I�'& Grease
Non polar ,,
Total ` �
'pII
°New Motor
Collected
ifa licable
�.� pp. ) „
Rainfall
I
�f.a l
� pp
O&Gf,TPH ��
SSus endedx�
P
—w
:.
!Oil Usage
�
.�.
, i
(1Vletlib& 64 'i
Solids
F
SGT HEM),rif
4
�. A z
ririalddl
Anclies
.l , q_ :
�..,_ID
11��_:,
unit.
i-aVmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, 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 polsibility of fines and imprisonment for knowing violations."
(Signature
-Z 1lb
(Date)
Form S WU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. (_919_)
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNT_ Y Granville
812-1417
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
I Outfall 1 West 1 10/31/17 NO DISCHARGE I
Outfall 1 West 110/31/17 NO DISCHARGE
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ^ Yes _ _ No X
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part 13)
Fart H: Vetnele Maintenance Activity monitoring Requirements
Oiitfall „`a bate z r_,+-0-5{3b50: 40556.. '00530> 00400
No Sample Total Flaw _ ;Total p Oil '& Grease "polar ; : Total pH -New�Motor
x
. Coll cted , {if applicable) >Ramfall (ifsappl) tj&G/TPH,� F Suspen
,�, ...�„�,, ,a.;.-.•�--s.,� � ;": -�.� s{Method -1664,`
y -Emcties" rmSll - m�IL,:.x ,., unit .�allmoru 7
_ �.�.�..�.: smo/dd/ r,r,�..�;, -NiG , - . -:;•
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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 possijDility_Af fines and imprisonment for knowing violations."
(Signature of
Z ,
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-C reed moor
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. L919,
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
812-1417
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
No. Sample Rainfall pH, Stand ra d �KjeldahI Suspended Unitsids,ICN, 351.2 2540D
KePTIMIN
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes _ _ No X
Form SWU-247, last revised 21212012
Page 1 of

(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Ouffall
Date . _
50050" '.
r _
OOS56
ii0S30`
-00400 '..:
-
No
Sampled
Total FlowTotal
°O�l&Grease
1Von po[iir
Total
pH=New�Motor
�,
�Gollected
{if applicable) ;Rainfall
(�f apYpl )
O&GTP,H jai
SLOW
uspended«=
�O�I
Usage".
(Methodn1664 y
Solids-.
�
Sl]T HE"_ if 4.
nk
r
MG "C= =
imelies.
. "aUmox
�. �..
rmolddl - ,�
�,_.
�
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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 possibffjty of fines and imprisonment for knowing violations."
(Signature of
2 1
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME • Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Adam Daniel PHONE NO. L919_ 812-I417 -
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
L
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
I Outfall I West 1 12/31/17 NO DISCHARGE I
I Outfall I West 1 12/31/17 NO DISCHARGE I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes _ _ No X
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part 13)
Fart K: Vehicle Maintenance Activity Monttorine Keautrements
Outfall_4
No
Date:
Saple
=0055ti
00534 -'
.00440
Tbtat Plow
Total::
;,Oil Grease
Non polar :Total.:
pH=
NewslVlotor
_ y
aColleeted
f4a l"', a
( pP )
Rainfall-.
�f a! I
( PP }
O&GITPH
Sus ended .,
P
4,. -^
OBI Usage
(Method 1664..
SGT
.Solids.
m6ll,
":s
M _.:.
mill,..
unites .,a[/,mo
S >�
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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 thrpossibility of fines and imprisonment for knowing violations."
(Si
ittee)
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
' Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
May 3", 2017
SOUTHERN North Carolina Department of Environmental Quality
STATES
Central Files
Division of Water Quality
MAY 10 2017
1617 Mail Service Center
CFNTRAL FILES
Raleigh, North Carolina 27699-1617
DWR SECTION
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. Outfall 001 West is in a Tier II monitoring for nitrate -nitrite, total
nitrogen, ammonia nitrogen, total phosphorus and total kjeldahl nitrogen. Outfall 003
East is in Tier I monitoring for total phosphorus and is in Tier II monitoring for
nitrate -nitrite and total suspended solids. There was no discharge from Outfall 001
West or Outfall 003 East in March or April. The attached DMRs were signed by Mr.
Steve Beecraft, who is the Executive Vice President of Agronomy for SSC on May
2nd, 2017.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Samuel Anderson -General Manager of the Creedmoor Plant
Mr. Lucas Householder-SSC District Manager

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Danny Mays PHONE NO. (_919_) 812-1417
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
SIGNATURE OF PI;RMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
0utfall
inm
mg/L
mg/L _
m
-No'.Simple.:
=
Collected -
_-
sRainfall ='
Duration ,
pH„Standard-:
Units
'Sulfate,.--
405E
BOD;
SM5214B
COD,_ .
410.4'
Ammonia
Nitrogen,
-350:1.
Nitrate-
Nitrite,
905G
Total
Phosphorus;
-
3651.
-Benchmark.---,-.-=nio/dd/yr
_;:
Minutes
(6Q=9 0)_::
250:.
30
120
7_2
10.
2
Outfall I West
03/31/17 NO DISCHARGE
_Outfall:. ;:
DateT : _;
Y _::
-.
-m L -:
m
-m L-
No: ;
,Sam le`
p
;Collected "-;
_...
Rainfall =
..
Duration ,.
pH Standard '
Units _..
`Kjeldahl "
. Nitrogen;
TKN, 351.2
Suspended,.
Solid§,
2540D
>Total Nitrogen
-
Benchmark
mo/dd/ r .:-,
-Minutes = _
6:0-4:0 `
10' -
100' _
30
Outfall I West
03/31/17 NO DISCHARGE
`Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, Iasi revised 21212012
Page I of 2

(if yes, complete Part B)
AV -
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/ PH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
inches
m /l
m
unit
gal1mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME . Southern States Cootierative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Danny Mays PHONE NO. L919, 812-1417
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall .. _
:Date :. >
m
-m :
mg1L
m `_
:m L
m L
No: ":.
Sample .'
:Rainfall
pH; Standard °
;Sulfate,;=- .
BOD, :::_ _
COD,
Ammonia
Nitrate- -,
Total
°collected
Duration ;:�
Units
-9056
SM521OB
410.4
Nitrogen, ,_ =Nitrite,
Phosphorus,
..._
._
350.1
9056 ,,,
365:1
Benchmarki . _
moldd/yr:
iMinates
(6r0_9.0) .. ; �
.250 _-,
'30
`.
120
7.2 :_ . _
::i0
Outfall 1 West 1 04/30/17 NO DISCHARGE I
Qutfall-..; _
_Date` . _,
_ ,.:-
=
:m L.. - . .::.
-
-m L
m L
-
`No.
Sampled
~Rainfall
_-
pH =Standard ;
Xjeldahl -.:
=Suspended
Total Nitrogen
-''o
Irike&.J.
ura#ion
Units = .=
`Nitrogen, "
=Solids,:z
.
TK —351-2..
1540D
-
:Benchmark
molddl r:.... ,
Minutes..
60=9.0
20 -.,_.;
100._ ..:..
_ -.30
-
Outfall 1 West
04/30/17
NO DISCHARGE
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
�� Form SWU-247, Last revised 2/2/2011
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050 i00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
app.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m
m
unit
aUma
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): jonly if applicable — see permit.)
(if more than one storm.event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
S-Z-17
(Signature of Permittee) If
(Date)
Form SWU-247, last revised 21212012
i Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _
PERSON COLLECTING SAMPLE(S) _ PHONE NO. (_919_)
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
528-1821
SIGNATURE OF PERMITTER OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
mg1L
m
mgAL
m
mgfL
mg/L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM52108
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
J2nuary 2017
NO DISCHARGE DURING OPERATING HOURS
Outfall
Date
m
m
in
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 1 West
January 2017
NO DISCHARGE DURING OPERATING HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part $ )
Part B: Vehicle Maintenance Activity Monitorin Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GFTPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH 11
New Motor
Oil Usage
mo/ddl r
MG
inches
ar /l
m /l
unit
allmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS' 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME" Southern States Cooperative-_Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Danny Mays �- PHONE NO. L919, 812-1417
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab ##
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
mg/L
mg/L
MY&
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall I West
02/15/17
120
6.7
481
9.2
80.6
17.3
855.8
13.4
Outfall
Date
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall i West
02/15/17 1
120
6.7
0.0657
398
855.87
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appL
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
m
unit
gaumo
STORM EVENT CHARACTERISTICS:
Date 2/15/17
Total Event Precipitation (inches): 0.34
Event Duration (hours): 2 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
S=_, 3-1-17 _
(Signature of Permittee) (Date)
h,
Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
March 151, 2017
SOUTHERN North Carolina Department of Environmental Quality
STATES Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier Il
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. Outfall 001 West is in a Tier Il monitoring for nitrate -nitrite, total
nitrogen, ammonia nitrogen, total phosphorus and total kjeldahl nitrogen. Outfall 003
East is in Tier I monitoring for total phosphorus and is in Tier II monitoring for
nitrate -nitrite and total suspended solids. There was no discharge from Outfall 001
West or Outfall 003 East during December or January but there was a sample
collected in February from Outfall 001 West. The attached DMRs were signed by
Mr. Steve Beecraft, who is the Executive Vice President of Agronomy for SSC on
March I't, 2017.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Samuel Anderson -General Manager of the Creedmoor Plant
Mr. Lucas Householder-SSC District Manager

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2016 S
Individual NPDES Permit No. NCS000294 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March I" of the following year.
Facility Name: Southern States Cooperative Creedmoor Fertilizer Plant o q
County: Granville
Phone Number: 919) 528-1516 Total no. of SDOs monitored 2
Outfall No. 001west a
Is this outfall currently in Tier 2 (monitored monthly)? Yes ® No ❑ -
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ® No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? 4 ,
1
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approvalfrom-DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall
BOD
COD
Total Ammonia
Total
TKN
Nitrate/Nitrite
Total
Total.
mglL
mg1L
mgllL
Nitrogen
mg1L
mglL
Phosphorus
Suspended
"inches
mglL
mglL
Solids
m IL
Benchmark
N/A
30
120
7.2
30
20
10
2
100
Date Sample
Collected;
mmlddlyy
09119/2016'
1.3
6.4
83.3
7.58
16.3
8.7
44.0
6.85
10.5
06128/2016
1.25
9-85
84.2
8.16
18.8
10.6
17.3
9.68
18.3
05/17/2016
0.27
9.15
104
43.P
84.5
41.5
72.7
29.8
5.8
1
I
SW U-264-Generic-2510ay2010

Total
Rainfall
inches
BOD
mglL
COD
mglL
Total Ammonia
mg11L
Total
Nitrogen
mg1L
TKN
mglL
Nitrate/Nitrite
mglL
Total
Phosphorus
mglL
Total
Suspended
Solids
m IL
Benchmark
30
120
7.2
30
20
10
2
100
04/12/2016
0.85
16.5
41.9
119
M
194
77.94
92.2
12
Additional Outfap Attachment
Outfall No. 003 east
Is this outfall currently in Tier 2 (monitored monthly)? Yes ® No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ® No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
Sulfate
mg/L
pH
storm water
Benchmark
111
500
6-9
Date Sample
Collected,
mmlddlyy
�. �; SWU-264-Generic-25May2010

t
"I certify, under penalty of Iaw, 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."
Signature
Date 3 —
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
910) 433-3300
RALEIGII REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardirml Drive Extension-,
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
o test
� msem
Winston-Salem,NC 27107
Raleigh, NC 27699�-1617
[phone]
[phone]
f T d+fodh-Carolina's *a ten.
C�
•
SW U-264-Generic-2 5 M ay2010

Southern Stateserative, Inc.
6606 West Broa at
Richmond, Va. 2 1717
Mall Address: P.O.Box 26234
Richmond, Va 23260-6234
Z
L•.r
Telephone [phone]
©
July 14`h, 2016
f
A
f;
SOUTHERN North Carolina Department of Environmental Quality.
r--
,
STATES
Storm Water Division
LO
=•
,_,,�,,
co
1628 Mail Service Center
�
© -
Raleigh, North Carolina 27699-1628'
�
Attention: Central Files
a---
1 _
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. Outfall I West is in a Tier II monitoring for nitrate -nitrite, total nitrogen,
ammonia nitrogen, total phosphorus and total kjeldahl nitrogen. Outfall 3 East is in
Tier I monitoring for total phosphorus and is in Tier II monitoring for nitrate -nitrite
and total suspended solids. Duncklee & Dunham collected a sample from Outfall I
West on June 281h, 2016. There was no discharge from Outfall 3 East so a sample was
not collected. The attached DMR was signed by Mr. Donny Dunbar, who is the Vice
President of Agronomy for SSC on July 12`h, 2016.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. pen Gawron-General Manager of the Creedmoor Plant
Mr. Gil Slagle-SSC District Manager

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
I1
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY.NAME Southern -States Cooperative-Creedmoor
PERSON COLLECTING', MP SALE(S) ` Danny Mays PHONE NO. L919,
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
528-1821
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
mgAL
mg/L
m
in
m
m
No.
Sample.
Collected
Rainfall:
Duration
pH Standard '
Units
.Sulfate,
9056
BOD;
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate=
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark'''`
moldd/yfr
Minutes
(6.079.0)
250 ,
30
120.
7:2
10.
2
Outfall i West
06/28/16
120
6.42
67.3
9.85
84.2
8.16
17.3
9.68
Outfall
Date
m
m
MEL"
No.
Sample
Collected
Rainfall
Duration
pH, Standard `
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended.
Solids,
2540D
Total Nitrogen
M
r
Benchmark
mo/dd/yr
Minutes
6.0-9.0
20; .
100
30
t=—
Outfall 1 West
06/28/16
120
6.42
t0.6
18.3
18.8
ig
4t=
co fS ..
(C.'._`
.
.h
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
CJ
11
Form SWU-247, last revised 21212012
Page 1 of 2
•

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No,
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl-
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
Mel
Mgt,
unit
l/mo
STORM EVENT CHARACTERISTICS:
Date 6/28/16
Total Event Precipitation (inches): 1.25
Event Duration (hours): —2- (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a T _
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,
9=Luj�
sibility of fines and imprisonment for knowing violations."
I—/— /C�l
(Signature of P*rnittee) (Date)
Form S WU-247, last revised 2/2/2012
Page 2 of 2
•
•

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 _
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern- States Coo erative-Creedmoor
PERSON COLLECTING; SAMPLE(S) Danny Mays PHONE NO. L919_)
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
528-1821
SIGNATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
0
Outfall
Date
m
m
ME&
mgLL
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
3651
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
06/28/16
120
6.42
67.3
9.85
84.2
8.16
17.3
9.68
Outfall
Date
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
moldd/yr
Minutes
6.0-9.0
20
100
30
Outfall 1 West
06/28/16
120
6.42
10.6
18.3
18.8
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, Iastrevrsed Z,212012
Page 1 of 2
•

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total FIow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mold
MG
inches
mo
m
unit
I/mo
0
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Date 6/28/16
Total Event Precipitation (inches): 1.25 Central Files
Event Duration (hours): 2_ (only if applicable — see permit.) Division of Water Quality
(if more than one storm event was sampled) 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)--
"I certify, 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,
lading the possibility of fines and imprisonment for knowing violations."
L44j� -I- lc;2 — l�
(Signature of mittee) (Date)
I
Form SWU-247, lastrevrsed 2/2/2012
Page 2 of 2

Southern Sta Cooperative, Inc.
6606 West Btreet •
Richmond, V 30-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
June 3 0`h, 2016
SOUTHERN North Carolina Department of Environmental Quality
STATES Storm Water Division
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Attention: Central Files
kit LrYµ,;,l �m:W,ikcrrY'@.;..�ia/
JUL Lll
7 2016
NC DENR RVelgh Regional 4l1`ice
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. Outfall 1 West is in a Tier II monitoring for nitrate -nitrite, total nitrogen,
ammonia nitrogen, total phosphorus and total kjeldahl nitrogen. Outfall 3 East is in
Tier I monitoring for total phosphorus and is in Tier II monitoring for nitrate -nitrite
and total suspended solids. Duncklee & Dunham collected a sample from Outfall I
West on May 17`h, 2016. There was no discharge from Outfall 3 East so a sample was
not collected. The attached DMR was signed by Mr. David Parker, who is the Vice
President of Agronomy Procurement for SSC on June 281h, 2016.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Ben Gawron-General Manager of the Creedmoor Plant
Mr. Gil Slagle-SSC District Manager

L
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT }'
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Danny Mays PHONE NO. (_919_)' 528-1821
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
•
Outfall
Date
mg/L
m
mg/L
mg/L
mg/L
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
I mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
05/17/16
480
6.50
351
9.15
164
43
72.7
29.8
Outfall
Date
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Z
n
Benchmark
molddl r
Minutes
6.0-9.0
20
100
30
M
Outfall 1 West
05/17/16
480
6.50
41.5
5.8
84.5
X
A
X
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, last revised 21212012
Page I of 2
0
cm

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appL)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
MO
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 5/17/16
Total Event Precipitation (inches): 0.27
Event Duration (hours): _8_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments w•ere.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 possibpt?of fines and imprisonment for knowing violations."
(Signature of Permittee)j (Date)
E
•
Form SWU-247, last revised 21212012
Page 2 of 2 ;`�

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/CI S / 0 / 0 / 0 / 2 / 9 / 4 / or Certificate of Coverage No.: N/C/G/ 1_l_I 1 /_l
Facility Name: Sou-T n States Creedmoor
County: Granville Phone No, (91.9) 5 2 8 -18 21
Inspector: Danny Mays
Date of Inspection: 0 5 / 17 / 16
Time of Inspection: 1 : 55 pm
Total Event Precipitation (inches): 0.27
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which nd storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I
(Signature of Permittee
that this report is accurate and complete to the best of my knowledge:
1. Outfall Description:
Outfall No. 01 west) Structure (pipe, ditch, etc.) Pipe _
Receiving Stream: Unnamed tributary. to Roberston Creek
Describe the industrial activities that occur within the outfall drainage area:
Storage and distribution area.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ light- tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page I of 2
S WU-242-1 L 2608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 O 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 2 l 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 O 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfalI? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH. 6.50
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-242-112606

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) �
°'� Y
Calendar Year 2014 FL63 2 0
Individual NPDES Permit No. NCS000294 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
NC DENR Rale;ch Regional Office
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1' of the following year.
Facility Name: _ Southern States Cooperative Creedmoor Fertilizer Plant
County: Granville
Phone Number: 919 528-1516 Total no. of SDOs monitored 2
Outfall No. 001west
Is this outfall currently in Tier 2 (monitored monthly)? Yes ® No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ® No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
;Parameter,. units
~
Total
BOD
:, COD
-
Total'Ammonia
Total
TKN
NrtrafelNitrite
Total
Total-r
Rainfall
,
mg/Lw,ry
=
mg1L
mgllL ;
Nitrogen"',.
mg.
,mg/L
°,Phosphorus..
; Suspended
pinches,"
:e-
_ ..,
mglL
.:
mg/L �� ��
Solids' -`=
m -Z ..
Benchmark•-`
N/A
30
'120
:. 72
30 ...:
20
10
2
.aUO.:.. .. .
Date Sample.
Collected;:
mmlddlyy'=-':
04/15/14-001
40
260
69
199
130
18.2
27
190
07121114-001
52
98
34
74
40
97
12
86
09124114-001
44
99
46
92
46
111.3
15
210
12116/14- 001
6.7
49
7.2
16.9
9.7
17.13
4.1
67
SW U-264-Generic-25May2010

Total
BOD
COD
Total Ammonia
Total
TKN
Nitrate/Nitrite
Total
Total
Rainfall,
mglL
mglL
mgllL
Nitrogen
mglL
mg1L
Phosphorus
Suspended
inches
mglL
mglL
Solids
m IL
Benchmark
30
120
7.2
30
20
10
2
100
04115114-003
10
71
3.2
9.9
6.7
4.6
3.2
35
07121/14-003
5.7
50
2.7
2.7
<0.7
14.22
2
78
09124114-003
1
5.5
47
2.2
6.8
4.6
14.09
2.6
146
12116114-003
1
1 3.6
40
0.88
2.48
1.6
4
1.3
280
ditionai Outfall Attachment
Outfall No. 003 east
Is this outfall currently in Tier 2 (monitored_ monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ® No ❑
Yes® No El
Yes ❑ No
Total
Rainfall;
inches
Parameter, units
-Sulfate
mglL
p H
;' .storm water
--
Benchmark
NIA
500
6-9
Date Sample
Collected,
mm/dd/yy
360
7.02
4115114-001
7121114-001
240
6.64
9/24/14-001
150
6.80
12116/14-001
98
6.53
4115/14-003
25
7.03
7121 /14-003
47
7.50
9124/14-003
45
6.76
12116/14-003
33
7.09
SW U-264-Generic-25 May2010

" 1 certify, 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
Signature
Date
ibility of fines and imprisonment for knowing violations."
Mail Annual DMR Summary Reports to:
DWO Re Tonal Office Contact Information:
"FIEVILL_E_RE_GIONAL.OFF_ICE
FA_ YET_TEVILLE;:REGIONAL_OFF..IC_E !
w
_MOO_R_ESVILLEeREGIONAL_OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL`OFFICE
WILMINGTONREGIONAV`OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone] 1
[phone]
WINSTON-SALEM REGIONAL OFFICE-
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
"To preserve, prded
Winston-Salem, NC 27107
Raleigh, NC 27699-1617 E
and erlharm
336) 771-5000
919 807-6300
r WIM Carolinas water—"
•
0
SWU-264-Generic-251Vlay2010

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NGS. 100294VSW SAMPLES COLLECTED DURING CALENDAR YEAR:, 20-16
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) _ PHONE NO. (_919_) 528-1821
CERTIFIED LABORATORY(S) ESC Lab Sciences Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
=
tei " L
m -
mg/L --m
L:.::
in _
=Sample "
n
MOD
CODRai
Ammonia
Nitr:
Total
Coll cte#1 V
Duration _
:-,
sUnits
9p56 -`
SM5210B _ -
:410.4
Nitrogen, ==
Nitrite,
Phosphorus,
3501
:-_-
9056
`3651
�Benchmarkz
amo/ddlyr r
minutes—
9 0)
250 �� � �
30 Y:� =
120 _
7 2;_ .
1.0 -
2
Outfall 1 West
December 2016
NO DISCHARGE DURING OPERATING HOURS
Outfall . `-
Date
.m ' L =
m L
m L
t
BNo. °- -
Sampte =
*Rainfall
pH;BtandardKjeldahl
`Suspended
Total Nitrogen
- -_
Collected:
`Duration -
Units
ifrogen, ^
Solids,
-
3512
2540D '<= =
sBeiictiiriark
no/ddL r_ ..' ,,._
wMinutes
.20. ;
A 0 -
-30
Outfall 1 West
December 2016
NO DISCHARGE DURING OPERATING HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?— Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a _l.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
-inches
m /l
m X ,
unit
Rallino
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of Permittee) IV (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME _ Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) _ PHONE NO. L919J 528-1821
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
mg/L
mg/L
mg/L
m L
mg/L
mgtL
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall I West
November 2016
NO DISCHARGE DURING OPERATING HOURS
= y
DAIR spri-iml
Outfall
Date
mg/L
mg/L
mg1L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 1 West
November 2016
NO DISCHARGE DURING OPERATING HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G(TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unitgal/me
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"i certify, 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations." M
>
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2
4

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) _ PHONE NO. (_919_) 528-1821
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
mg/L
m
m
m
mglL
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
November 2016
NO DISCHARGE DURING OPERATING HOURS
Outfall
Date
m
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
me/d r
Minutes
6.0-9.0
20
1100
30
Outfall 1 West
November 2016
NO DISCHARGE DURING OPERATING HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl-)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
mgn
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
_ _Q��,r 1 -I3
(Signature ofPermittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) ` PHONE NO. L919J 528-1821
CERTIFIED LABORATORV(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A. Specific Monitoring Requirements
Outfall':
Date:
m L
m L_
m L.
mr,1
m L
in L':
No
Sample
Rarnfa[I ;..
pH� Standard
Sulfate,
BOD,
COD,
Ammonia
Nitrate- .
Total
Collected
Duration -
Units
9056
SM521013
410:4
Nitrogen,
Nitrite,
Phosphorus,
-
- - -
_
--
350:1
9056
365.1
Benchmark
nso/dd/
Minutes
{6.0-9 0)
250
3D
120
7 2
10
2
.y.,
.. --...:
.,..
....: .-:
_
Outfall 1 West I
October 2016
NO DISCHARGE DURING OPERATING
HOURS
rr-r.
Outiall:
Date
m
;.
in L ';
m .
No.
Sample _
Rainfall"
pR -Standard
K—ldahF"
. Suspegded
Total Nitrogen
-
Collected
Duration
Units
Nitrogen;
Solids,
:..
a.
,TKN 351 2
2540D.
'
.Benchmark
Imo/dd/ r•
Minutes
6.0-9.0
20
100
30
Outfall 1 West
October 2016
NO DISCHARGE DURING OPERATING
HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
OR & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
gallmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
_�-13r17 J
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

r
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) _ PHONE NO. L9t9, 528-1821
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
_REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements -
Outfall
Date
mgtL
m
m
mg(L
m
mg1L
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall t West
October 2016
NO DISCHARGE DURING OPERATING
HOURS
Outfall
Date
m
mg1L
mgfL
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
moldd/ r
Minutes
6.0-9.0
20
100
30
Outfall 1 West
October 2016
NO DISCHARGE DURING OPERATING
HOURS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ Yes X No
Form SWU-247, last revised 21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G(TPH
(Method 1.664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
MO
m /l
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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."
(Signature of Permittee) V1(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mall Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
October l 1 ch, 2016
SOUTHERN North Carolina Department of Environmental Quality
STATES Storm Water Division
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Attention: Central Files
11sCs1VFp
OCTz4 2016
CENL DI>VR SECPON
1�N
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. Outfall 1 West is in a Tier I1 monitoring for nitrate -nitrite, total nitrogen,
ammonia nitrogen, total phosphorus and total kjeldahl nitrogen. Outfall 3 East is in
Tier I monitoring for total phosphorus and is in Tier 11 monitoring for nitrate -nitrite
and total suspended solids. Duncklee & Dunham collected a sample from Outfall 001
West on September 19`i', 2016. There was no discharge from Outfall 003 East on this
day. The attached DMR was signed by Mr. Donny Dunbar, who is the Vice President
of Agronomy for SSC on October 6`I', 2016.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Bern Gawron-General Manager of the Creedmoor Plant
Mr. Gil Slagle-SSC District Manager

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY•NAME. , . Southern States Cooperative-Creedmoor - COUN_T_Y Granville
PERSON COLLECTING SAMPLE(S) Kevin Kelt PHONE NO. L919_) 528-1921
CERTIFIED,LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
m
mg1L
m
m
m
m
No.
Sample
Collected"
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4_
Ammonia.
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr:,..
Minutes.
(6.0-9.0)_
250
30
120
7.2
10
2
Outfall 1 West
09/19/16
120
6.55
95.9
6.4
83.3
7.58
44.0
6.85
C
QWR
Outfall
Date
m PiL
m PJL
m
_
No,
Sample--
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
-Nitrogen,
TKN 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/yr
Minutes
6.0-9.0
20
100
30
Outfall 1 West
09/19/16
120
6.55
8.7
10.5
16.3
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form SWU-247, last revised 2/2/2012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd
MG
inches
m
m
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 9/19/16
Total Event Precipitation (inches): 1.3
Event Duration (hours): _2_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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,
inching the possibility of fines and imprisonment for knowing violations."
10^lp "11O
(SignatureofP r ittee) (Date)
Form SWU-247, lastrevrsed2/2/2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY -NAME . Southern States Cooperative-Creedm_oor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Kevin Kelt PHONE NO. ( 919, 528-1921
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
mg/L
m
m
mg/L
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 1 West
09/19/16
120
6.55
95.9
6.4
93.3
7.58
44.0
6.85
Outfall
Date
In
m
m
No.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mold
Minutes
6.0-9.0
20
100
30
Outfall 1 West
09/19/16
120
6.55
8.7
10.5
16.3
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —Yes X No
Form S"-247, lastrevised21212012
Page 1 of 2

(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appI.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
NewMotor
Oil Usage
mo/dd
MG
inches
m
m
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 9/19/16
Total Event Precipitation (inches): 1.3
Event Duration (hours): —2_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and aU 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,
inch)4ing the possibility of lines and imprisonment for knowing violations."
Apniilte L&:O� 10 -L-11
(Signature ofP ittee) (Date)
Form SWU-247, lastFMised2=012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS' 000294
FACILITY•NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak/Kevin Kelt
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # E
Lab 9
Part A: Specific Monitoring Requirements
NOV SAMPLES COLLECTED DURING CALENDAR YEAR: 2415- 52015
(This monitoring report shall he received by the Divisioniiotlater,than 30 days from
the date tht i'acilityl'receiLes the sampling results from helaboratory.) l
COUNTY Granville
PHONE NO. (_919_) 528-1516
NV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
No.
Sample
Rainfall ' IpH,'Stan
Umts
ulfate,
9056
IBOD,
SM521D13
COI}
430.4
Ammonia
Nitrogen,
t
1"5r6ae-
trite,
tr
TotaDuration
Phos350.1
.365.1
EB n hm ck
...__-..�...._._
mo/dd/ r
�. �Y
Minutes
�.—..__ .
` f
�(fi.Or9.0) .
�25Qa _ ::
"g '
� _ .. ,:,.
30 ' ''
�1.�2�0�
�x2� ,
110 _
Outfall 3 East
11/02/2015
NO DISCHARGE
Outfall 1 west
11/02/2015
180
6.87
145
10.6
74.4
28.3
27.88
6.6
Outfall
Date
rm "L
mM"
Nn.
Sample
Collected
Rainfall
Duration
pH, Standard
Units
Kjel`dafil
Nitrogen,
TKN, 351.2
Susp nded
Solids,
.254QD
Total Nitrogen
inumi
1Benchma k
mo ld"d/. r
I1VlinMtes
r ,� t
f 6.0-9.0
F20
0,00
,
30IMEMENIM
WASIAMAW
Outfall 3 East
11/02/2015
NO DISCHARGE
Outfall i west
11/02/2015
180
6.87
28.6
40
56.9
Form SWU-247, last revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part fi: Vehicle Maintenance ActivitV Monrtorine Kenuirements
Outfall
No.
Date:..
Sample.-.£-
>5405W.
00556
00534
00444
Total Flow>
Total
:Oil & Grease
Non -polar.; .:
Total
pH
Aew-Motor
Collected
(if apphcahie)
Rainfall
(if appl:)
O&G/TPH
Suspended ^
Oil Usage
(Me 6
(Method 1b 4 ,
SSolids
�
.:.
GT=HEM); if
'
a. 1. .
molddlvr
MG
inches
1 melt
_ _
1 mJl
unit
Izal/mo
STORM EVENT CHARACTERISTICS:
Date 11/02/15
Total Event Precipitation (inches): _ 1.5
Event Duration (hours): 3 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one.copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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,
in u ing the possibili of fines and imprisonment for knowing violations."
(Date)
Form S WU-247, last revised 21212012
f Page 2 of 2

#.
—�_ "-
Permit Number NCS %000294
-i .1 - r._. • t - 7
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoiing repori shall be received by the Division no later than 30 days from
the date tho facility receives the sampling results from the laboratory.)
FACILITYWAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak/Kevin Kelt
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
•.Outfall _
-No..
Date . ,
Sample
;Collected:
- .
mg/L
m
in g& ..m
m -
4m -=
'Rainfall
Duration
'pH;Standard' `Sulfate,
Units
9056
BOD;
SM5210B '
COD,
410.4
Ammonia
Nitrogen,
350:1
Nitrate-
Nitrite,
-9056;
`-Total.
(Phosphorus,
'365:1':
Benchmark..
mo/dd/yr
Minutes
`'(6.0-9.0)
250
'30
120
7.2
10
1
Outfall 3 East
11/02/2015
NO DISCHARGE
Outfall 1 west
11/02/2015
ISO
6.87
145
10.6
74.4
28.3
27.88
6.6
'Outfall. _
'No. .'
;Date
Sample. _. :,Rainfall
Collected'
-
.. m
=m — -
'm
Duration.
}011,;Standard
'.Units
',
,Kjeldahl :,Suspended-
'Nitrogen, -
'TKN; 351:1
'
'Solids,
254.0D
T- otal'Nitrogeni.
.'Benchmark" '.
4mo/dd/ r .:
-Minutes
6.0=9.0
,20 - .4100
'30
Outfall 3 East
11/02/2015
NO DISCHARGE
Outfall I west
11/02/2015
180
6.87
28.6
40
56.9
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitoring Requirements
!Outfall
'No.
�
Date
iSaoaple,.
!Collected --
'50050
`00556
;00530
'00400
'Total Flow
,(if applicable)
;Total,
Rainfall' -
Oil,& Grease
`(if appl.)
Non -polar
O&G/TPH
(Method 1664.
.SGT•-HEM),:if .
a 1.
:Total
Suspended
Solids
:pH _
.)New Motor
Oil Usage
mo/dd/ r
MG
:inches
:unit
aUmo
STORM EVENT CHARACTERISTICS:
Date - 11/02/15
2
Total Event Precipitation (inches): 1.5
Event Duration (hours): 3 (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one -copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
in u ing the possibili of fines and imprisonment for knowing violations."
16411N� IAS-5
(Date)
#, y Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monftorinj report shall be received by the Division no later than 30 days from
Eti ! the date the facility receives the sampling results from the laboratory.)
4• ��
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919_) 528-1516 �1
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitorine Reauirements
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2. .=
e a
Outfall. `
No
>. • ;
Date ....
Sample
Collected'
,.
,. - ., _..
mL
M.
n
an
m
m
Rainfall -- ;y r
Duration
SOH, Standard
:.Units,,.:,'9056;.
Sulfate,,-
BO.D;>
°SM5210B..
COD,
41Oi4 ..
Ammonia
Nitrogen,
n,
350.1.
Nitrate-
Nitrite,,: _
9056
Total'
Phosphorus;
365:T
Benchmarkz
moldil/yr
Minutes 4 . �.(6:0=9:0)
250;z ,.
30
120..
7.2
10
2
Outfall 3 East
08/31/15
NO DISCHARGE
Outfall 1 west
08/31/15
NO DISCHARGE
:Uutfall'
No
-
Date;.:'
Samples
Collected .>
-
s
a 2"- -
`m L'
m
Rainfall
:Duration s
pH Standard
riUiirts :; h
Kleldahl ;'_
SNitrogen, -
TKN;'351:2
Suspended -
Solids,
2540D
°Total Nitrogen
Benchmark...
;mo/dill r :,minutes
; :.
- 6 0-4.0 :':
20
100.. _ , .
30
Outfall 3 East
08/31/15
NO DISCHARGE
Outfall 1 west
08/31/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG.
inches
m
m /l
unit
gaVmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
i I ing the possibi 'ty of fines and imprisonment for knowing violations."
(Signature of P ittee) (Date)
s F'
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTEALL (SDO)
MONITORING REPORT
Permit Numumber NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 _
` s' . ` (This monilm '; epori shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919_) 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation_ Lab## ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample -
Collected
m
m
.mg/L
m
m
In
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark -
,mo/ddlyr
Minutes
(6.'0-9,0)
250
30
120
7.2
10
2
Outfall 3 East
08/31/15
NO DISCHARGE
Outfall 1 west
08/31/15
NO DISCHARGE
Outfall
No.
Date
Sample
Collected
m /L
m
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen.
Benchmark
mo/dd/ i
Minutes
6.0-9.0
20
100-
30
Outfall 3 East
08/31/15
NO DISCHARGE
Outfall 1 west
08/31/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall
.No.
'Date
Sample.
'Collected
•50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GlTPH
(Method 1664
SGT-HEM),if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
mg/1
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
i 1 ing the possibi ity of fines and imprisonment for knowing violations."
(Signature of P ittee) (Date)
1
Form SWU-247, last revised 21212012
Page 2 of 2

H RECEIVED
y{/�y�j
i !�'�P fw���V
STORMWATER DISCHARGE OUTFALL (SDO)
Mo 2 5 Mis
Permit Number NCS 000294
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
MONITORING REPORT 1 mow"
SAMPLES COLLECTED DURING CALENDAR VEAR5ty015M QUALITY �—
'•5 0 :57ht7nj•n,n��C7C^'i1'Tii I^
(This momtorjdg:rep90'shall be received by the DivisibW'," Later tltan-30 FR)Vfrom
the date the tacility receives the sampling results from the laboratory.)
CERTIFIED LABORATORY(S) Environmental Science Corporation_ Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville �7
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
�Outfall3 East 10/31/15 NO DISCHARGE
East 10/31/15 NO DISCHARGE
Outfall 1 west 10/31/15 NO DISCHARGE
Outfall 3 East 10/31/15 NO DISCHARGE
Outfall 1 west 10/31/15 NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

J
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part H: Vehicle Maintenance Activity Monrtorine Keouirements
Outfall.
No
-Date;_:
;!Sample:
50050
00556
00530
00400
Total;Flow :..
Total=:.,
Oil &Grease
Non -polar.:
Total`
pH;
New -Motor
Collected
(if ippli6ble)
Rainfall `
.(if appl.)
O&G1TPH _
Suspended
Oil Usage r
(Mettiodj1664 :
Sohds-
�.
SGT=H M) if
moldd/vr
MG _ _
inches
mQ/l
_ _
Mel-
unit =
gal/ma
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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,
in 'ng the possibili of fines and imprisonment for knowing violations."
' -
(Signature of P ittee) (Date)
_ f,
Form SWU-247, last revised 21212012
Page 2 of 2

lk
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
���
" (This monh'ridg-re ort shalI be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L919, 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample _
-C6I1ecfed
m gAL.
m rL
m
m /L
m
m
Rainfall
-Duration
pH; Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
.Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
=Benchmark
.mo/dd/yr_,
Minutes
(60-9.0)
250
30
120
7.2
10
2
Outfall 3 East
10/31/15
NO DISCHARGE
Outfall 1 west
10/31/15
NO DISCHARGE
Outfall -
,No.,
'�
Date _
Sample ,
�C611ecfed,.
m /L
m
m
.Rainfall
`Duration
..PH, Standard
;Units.
-Kieldahl
'Nitrogen,..
TKN, 351.2
Suspended
Solids,
-2540D
Total Nitrogen
,
-Benchmark _
Ino/dd/ r
Minutes
6.0=9.0 .420
-
;100
30
Outfall 3 East
10/31/15
NO DISCHARGE
Outfall 1 west
10/31/15
'NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
";Outfall
NO.'= ,
--: —
'Date
+Sampte w
'Collected
'50050
00556
00530
00400
Total Flow
(if applicable)
Total
'Rainfall -
Oil & Grease
{if appl.)
Non -polar
O&iG/TPH
(Method 1664
SGT-HEM), if
alepl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
mg/1
unit
gallmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
in ng the possibili of fines and imprisonment for knowing violations."
i l--13AS
(Signature of P ittee) (Date)
Form SWU-247, last revised 21212012
} Page 2 of 2
a

' STORMWATER DISCHARGE OUTFACE (SDO)
MONITORING REPORT
;�y�
Permit Number.NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 12015 1Q�
i_ {� .s , ; -•r_ F,�- '•r '�' < t. ; (This monitoring report shall be received by the Division noolater'than,30 days from
the date the facility receives the sampling results from the laboratory), 11��
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919_) 528-1516 TqM
CERTIFIED LABORATORY(S) Environmental Science Corporation_ Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
No
OW
Outfall
No.
Date
Sample
Collected
m /L
m L
m
m L
m /L
m L
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
molddlyr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall3 East
09/30/15 _
NO DISCHARGE
Outfall 1 west
09/30/15
NO DISCHARGE
Outfall
No.
Date
Sample
Collected
m
m /L
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
25401)
'Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
1100
30
Outfall 3 East
09/30/15
NO DISCHARGE
Outfall 1 west
09/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
1MG
inches
m /l
mg
_unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
intWing the possibilijy of fines and imprisonment for knowing violations."
Up" &ALky)ul M1Z5w115
(Signature of Pe ee) (Date)
Form SWU-247, last revised 21212012
` Page 2 of 2
S

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number_NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
? , (This monitoring report small be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919_) 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
- REQUIRED ON PAGE 2.
Part A. Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
m /L
m
m
m
m
m
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
09/30/15
NO DISCHARGE
Outfall 1 west
09/30/15
NO DISCHARGE
Outfall
No.
Date
Sample
Collected
m
m
m (L
Rainfall
Duration
pH, Standard
Units
K;eldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
'Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
`100'
1 30
Outfall 3 East
09/30/15
NO DISCHARGE
Outfall 1 west
09/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
"Date
Sample
Collected
50050
00556 1 1
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
linches
m /l
m
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Fifes
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify,.under penalty of Iaw, 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,
irqNing the possibilik of fines and imprisonment for knowing violations."
4?�� DAA� II -Q5711
(Signature of Pe ee) (Date)
Form SWU-247, last revised 21212012
_ ` Page 2 of 2

Hexion — STORM WATER SAMPLING REPORT
Certificate of Coverage No.: NCS000156
Columbus County, North Carolina
Personnel Collecting Samples: P. Busovne/D. MaddoxIS. /SAdOM rey
Certified laboratories: hEcobac Lab ID: 11
Environmental Testing Solutions, Inc. _ Lab ID: 37
tom'
ANALYTICAL RESULTS
FjZ
4rCOp`
00530
00310
00340
00610
00625
00630
00665
77885
50060
718a0
01042
01992
01051
00556
00400
TA.A3B
Outran
Date
molddlyr
- TSS
mgA
DOD
mgp
COD
Mtn
NH3
mgA
TKN
Mg/1
NW+NO2
angA
Total
Phosphorus
mgA
Alethanot
mgA
TRC
mgA
Hesamloe
mgA
Formaldehyde
mgA
Total
Capper
mgA
Total
zinc
mgA
Total
Lead
mgA
Nan -Polar
O&G
mgA
pH
&U.
Acute
Tovcity
LC50
003-DryProjects
6I3R015
3.50
20.70
34.60
730
9.7
11,00
0.231
<1.0
0.01
<10
2.410
0.0400
0.047
�0.003
<5.00
7,07
004-RCHO
6I3f1015
3.60
1 6.9
1 499
m-100
1 4.9
1 11.50
1 0.117
1 <1.0
1 0.01
<10
15360
1 0.0190
1 0.054
�*.003
<5.00
7.40
006-Duck Poad
6/3/2015
' 25.00
17.90
80.40
<0-100
I
4.6
3.18
0.014
<1.0,
0.022
<10
1 0.152
1 <0.002
0.015
<0.003
<5.00
721
009-Maim Shop
MMOI5
L40
1 <2.00
<10
m.100
I <1.00
1.270
0.046
<1.0
0.011
1110
1 0.201
1 0.0030
0.032
<0,003
<5.00
7.72
STORM EVENT CHARACTERISTICS
Total Event Precipitation (ins.): 0.4
Permit Sampling Period: L�
Now No Qualifying rain event
CER CATION ATENJENT
By ttre, I rtify 'report is accurate and complete to the best of my knowledge.
- Company Information
1 Momentive
333 Neils Eddy Road
Stature 017perte or Designee Date Riegelwood, NC 28456
[phone]
EXT 5248
M t Name and Title
RECEIVED
DENR-LAND QUALITY
STORMWATER PERMITTING
Submit 1 (original) Farm AT-1 (no DMR) to:
NC DENRIDWQIEnvironmental Sciences Section
1621 Mail Service Center
Raleigh, NC 27699-1621
Submit 1 copy DMR (original) and Form AT -I to:
Division of Water Quality
Water Quality Section
Attu: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Submit 1 copy DIVIR (copy) and Form AT-1 to:
Storm\vateI Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
P� r
Jz:November 19"', 2015 NoV ,2 .
SOUTHETRNS STA
North Carolina Department of the Environment and Natural Resources ,�Atl) Q1Division of
Mail ServieCter
Yenral &Land ResourcesF�����`,���F1
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States.Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier 11
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall I is in a Tier 11 monitoring for nitrate -nitrite, total
phosphorus and total suspended solids (TSS). The West Outfalt 3 is in Tier I monthly
monitoring for sulfate, BOD and TSS and is in Tier lI monitoring for ammonia
nitrogen, nitrate -nitrite, total phosphorus, total Kjeldahl nitrogen and total nitrogen.
Duncklee & Dunham normally collects samples from both outfalls (91 West & #3
East) for the Tier II monthly monitoring but there was no discharge from Outfall 3
East during this rain event. The attached DMRs were signed by Mr. Donny Dunbar,
who is the Vice President of the Agronomy division for SSC on November 18'h,
2015.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr, Ben Gawron-General Manager of the Creedmoor Plant

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mall Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
November 17th, 2015
SOUTHERN RN North Carolina Department of the Environment and Natural Resources
STADivision of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
Nov 25 2015
5T RMWA ��QUALITY
PERMIT i'IP4
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall is in a Tier II monitoring for nitrate -nitrite, total
phosphorus and total suspended solids (TSS). The West Outfall is in Tier I monthly
monitoring for sulfate and Tier II monitoring for BOD, ammonia nitrogen, nitrate -
nitrite, total phosphorus, total Kjeldahl nitrogen, TSS and total nitrogen. Duncklee &
Dunham normally collects samples from both outfalls (41 West & #3 East) but they
were not able to collect samples during August, September and October for the Tier
I1 monthly monitoring. The attached DMRs were signed by Mr. Donny Dunbar, who
is the Vice President of the Agronomy division for SSC on November 13`h, 2015.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Gil Slagle-SSC District Manager
Mr. Ben Gawron-General Manager of the Creedmoor Plant
Mr. Mike Ciborowski- Regional Manager

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT�
Permit Number NCS 000294
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
I.,
SAMPLES COLj E_C lrED DURING CAL�4�'17 R: 2015
(This monitoring :report shall beg c�,4thet�y2ln no later than
the date the facility receives the s � 9m the laboratory.)
Rp 417 ,
COUNTY Granville o11?/NG,
PHONE NO. (_919_) 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation_ Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
30 days from
ENINOM
�7.
Bg�
Outfall
No.
Date
Sample
Collected
m /L
mg/L
mg/L
m
m
mCIL
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrife,
9056
Total
Phosphorus,
365.1
Benchmark
tmo/dd/yr• -
Minutes
(6,0-•9.0)
250
30
120
7.2
10
2
OutfaIl 3 East
06/30/15
NO DISCHARGE
OutfalI 1 west
06/30/15
NO DISCHARGE
'Outfall
No— '
,.
Date -
•Sample
Collected
m
m
MgLL
Rainfall
Duration
pH, Standard
Units -
Kjeldahl
.Nitrogen, _
TKN, 3511
Suspended-
Solids,
2540D
Total Nitrogen
Benchmark
mo/ddl r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
06/30/15
NO DISCHARGE
Outfall 1 west
06/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.:
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar.
O&G/TPH
(Method-1664
SGT-HEM),.if
apiDL
-Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddlyr
MG
inches
m
m /l
unit
gaumo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): ` (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1
"I certify, 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,
in ding the possibility of fines and imprisonment for knowing violations."
L 144
(Signature of Pe ttee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
v
(This monitorhxg , reliortshs11 be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
QED ON PAGE 2.
Outfall-
No.
-
Date
:Sample --
Collected.'
-
'mg/L
m
mg/L
m
mg/L
m
-Rainfall - -'
Duration
^.pH; Standard
Units
Sulfate,
9056
-BUD,
SM5210B
'COD,
410.4
Ammonia
Nitrogen,
350A
Nitrate-
Nitrite,
9056
Total-
Phosphorus,
365.1.
Benchmark
mo/dd/yr.- _ .
Minutes,
(6,0-9.0)
250
-30
120
7.2-
10
2
Outfall. 3 East
07/31/15
NO DISCHARGE
Outfall 1 west
07/31/15
NO DISCHARGE
:Outfall---- -'-Date----
-No.- -
:Sample.
-Collected'
- - -
—
m 2 - - -- . _�
.m
m
Rainfall
Duration
.pH, Standard `
Units
,Kjeldahl —Suspended
Nitrogen,- •:.:Solids,
TKN, 351.2
2540D
Total Nitrogen•
Benchmai-h
mo/dd/` r:_
"Minutes
64-9.0
.20 -
100
30
Outfall 3 East
07/31/15
NO DISCHARGE
Outfall 1 west
07/31/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.,
:1
`Date
Sample
'Collected
50050
00556
00530
00400
Total Flow
;(if applicable)
Total
Rainfall
Oil &Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/
MG
inches
m /1
mall
-unit
gavino
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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,
i ding the possibility roes and imprisonment for knowing violations."
(Signature of Pe ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 006294 _
FACILITY NAME _ Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab #
Lab #
Part A: Specific Monitoring Requirements
R�Cz�i�
AUG V�D
SAMPLES COLS ECTED DURING CALENDAR Y1 110E 5 31 2015
(This monitonnglreport sball be received by the Drvisio�h 8p!pA QOR days from
the date thge'facilit'y receives the sampling results from the labor 99,%11
NG
COUNTY Granville
PHONE NO. (_919_) 528-1516
ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfallz M'
lNo 1
t . µ
Date
:Sam Ie,r" n.;;Rainfall�_
Collected
m,,
{Duration >-
Standard
Unjts -
Sulfate, ;
:9056r
BOD,
rSM521'OB
COD,
410�4
�Ammoma ;
nNitrogen,; ;
�350.1
Nitrate-
Nitrite,'
9056
Total
"l hosphorus,
=3651x.
Beiictimark Yl
r'mo/dillyr z "_
Miiiiites 4 :..
(6t0 9 0)N
_ __.
;250 r
_. _
;30 s
120. =
Y7 2'
_.
10
2 :
Outfall 3 East
06/30/15
NO DISCHARGE
Outfall 1 west
06/30/15
NO DISCHARGE
Qutfall� ,�
-No -
rf
9Date
Sam le
p
wCollected`
kRainfali
ii "s.
Duration
p H; Standard �
,[Trots
, eldahl
J
dN�tro en; �_
TKN35
Suspended
gSohds;`
f2540Dx
Total Nitrogen
fi; s
3: •t
F
= ,
Outfall 3 East
06/30/15
NO DISCHARGE
Outfall I west
06/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Ouifall
Date _
50050..
00556 ,..
W530
00400`
#
Sample"` _,
Collected
ToiaL*low
if a I�cable ,
( PP )
Total
Rainfall
Oil & Grease
Non polar ,
0&G/TPH
(Method 1664
Total:-
Sus ended
p
Solids
pH, ~_
:New Motor
Uil lisae`
g
_
SGT-HEM), if
a
appl.
mo/ddl r.
MG
inches
to
m -:unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _(only if applicable —see permit.)
(if more than one stonn event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division.of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
inAding the possibility of fines and imprisonment for knowing violations."
$•2 -!
(Signature of Pe ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitbkh g rellort;shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919_ ) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall 3 East 107/31/15 NO DISCHARGE
Outfall 1 west 07/31/15 NO DISCHARGE
Outfall 3 East 07/31/15 NO DISCHARGE
Outfall 1 west 07/31/15 NO DISCHARGE
Form SWU-247, last revised 21212012
Page l of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity MonitoringRe uirements
Otitfall
No. `'
_.
Date ;
Sample
Collected
' S0050 .
;00556
00530
00400
LTotal Flow `"'
,(if applicable)
Total
Rainfall
s
Oil & Grease
(if appl.)
Non -polar
O&GITPH :
(Method:1664,
SGTHEM), if:
.appi.
Total
Suspended
;Wids
pH
-New Motor.
Oil Usage
ino(ddl.' r
MG`d.
inches
m .�
m n
=unit
allmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Fifes
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
i ding the passibility roes and imprisonment for knowing violations."
(Signature of Pe►Wittee) (Date)
q Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
'1 }
August 241h, 2015
SOUTHERN
STATES North Carolina Department of the Environment and Natural Resources R��gT�NOQU Off
Division of Energy, Mineral & Land Resources
1612 Mail Service Center R'°FRTT7y
Raleigh, North Carolina 27699-1612 N�
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall is in a Tier 11 monitoring for nitrate -nitrite, total
phosphorus and total suspended solids (TSS). The West Outfall is in Tier I monthly
monitoring for sulfate and Tier II monitoring for BOD, ammonia nitrogen, nitrate -
nitrite, total phosphorus, total Kjeldahl nitrogen, TSS and total nitrogen. Duncklee &
Dunham normally collects samples from both outfalls (# 1 West & #3 East) but they
were not able to collect samples during June and July for the Tier II monthly
monitoring. The attached DMR was signed by Mr. Donny Dunbar, who is the Vice
President of the Agronomy division for SSC on August 2l't, 2015.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Gil Slagle-SSC District Manager
Mr. Ben Gawron-General Manager of the Creedmoor Plant
Mr. Mike Ciborowski- Regional Manager

is
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294
v
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab 4 E
Lab ##
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring-report,shall be received by the Division no later than 30 daysol"
the date the faciliiy `receives the sampling results from the laboratory.)
COUNTY Granville
PHONE NO. (_919 ) 528-1516
NV375 C003
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall 3 East 1 05/31/15 1 NO DISCHARGE
rOutfall 1 west 05/31/15 1 NO DISCHARGE
Outfall 3 East 1 05/31/15 I NO DISCHARGE
Outfall I west 05/31/15 1 NO DISCHARGE
Form SWi1-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No. '
Date
Sample,;.
-Collected'
50050
00556
00530
00400
Total.Flow :
(if applicable) "Rainfall.
Total
O.il:&:Grease
(if a pp!:
Non -polar -;
O&G4PH
(Method' 1664
sSGT=HEM);"if
appl.
Total-
Suspended
Solids:
pH
New Motor
Oil Usage
mo/dd/vr
MG
;inches
m Il
m /l
unit
" aUitao`W
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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."
Iv-/N5
(Signa re of Per ittee) (Date)
##IW
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date:
Sample,
Collected
m
mg/L
_m
m
m
m
Rainfall'
Duration
pH,'Standard
Units
Stilfate,
9056
BOD;
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
.Benchmark _
-and/dd/yr
Minutes
(6.0-9:0)-
250
30
120
7.2
10
2
OutfaIl 3 East
05/31/15
NO DISCHARGE
Outfall 1 west
05/31/15
NO DISCHARGE
Rra-bm
)
OEhl
_
ORM
gii 1Ty
"i► T/G
Outfall --
No. -
Date -
Sample
Collected
mgAL,
m
m
-
Rainfall
Duration
pH,. Standard
_Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended-
Solids,
12WD
'Total Nitrogen,
Benchmark .- :.mo/ddl
r
Minutes
6.0-9.0
20 •
100
1 30
Outfall 3 East
05/31/15
NO DISCHARGE
Outfall 1 west
05/31/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using.more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfatl
Nora
Date
(Sample
tCollected
'S0050
100556
00530
00400
,Total Flow
(if applicable)
Total
Rainfall
-
Oil & Grease
(if appl.)
Non -polar ;-
O&GITPH
(Method 1664
SGT-HEM),'if .
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
- -
'
;md/dd/' r
:MG
finches'
,m
;m /i
unit
a1/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
16I2 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
lv-l7-1
(Signa re of Pe ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
'telephone [phone]
a
June 19`', 2015
SOUTH ES North Carolina Department of the Environment and Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit 9NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier II
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall is in a Tier 1I monitoring for nitrate -nitrite, total
phosphorus and total suspended solids (TSS). The West Outfall is in Tier I monthly
monitoring for sulfate and Tier II monitoring for BOD, ammonia nitrogen, nitrate -
nitrite, total phosphorus, total Kjeldahl nitrogen, TSS and total nitrogen. Duncklee &
Dunham normally collects samples from both outfalls (41 West & #3 East) but they
were not able to collect samples during April and May for the Tier lI monthly
monitoring. The attached DMR was signed by Mr. Donny Dunbar, who is the Vice
President of the Agronomy division for SSC on June 171h, 2015.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
REcENEfl
I'd 9 3 2015
Lauren B. Faulkner
Environmental Project Manager DENR_tAND QUALITY
STORMWATER PERMITTING
Cc: Mr. Gil Slagle-SSC District Manager
Mr. Ben Gawron-General Manager of the Creedmoor Plant
Mr. Mike Ciborowski- Regional Manager

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
t. In —
Permit Number NC_S 000294 _ SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
< .`' 3<< '= ` .' r •" (This monitoring report shgll he received by the Division no later than 30 days from
rt
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919_) 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERM ITTEE OR DESIGNEE
REQUIRED ON PACE 2.
Part A: Specific Monitoring Requirements
.rr
s. utfall
,No,•,
:.
�
Date
Sample's"r
Collected,
Rainfallv�;pH_
-Duration f.
Standard
tUnits�9056
m
Sulfate",,
, :; ,:
BOD,
SM5210B r
COD,
.410.4
;'
Ammoniaitrate-
Nitrogen, .
?350 1
.
_Nrtr�te,.,-
9056, .
Total:
Phosphorus,
365rl.:
Benchmark
'mo/iid/}+ram,,
Minutes 5
(6 C 0) x
250�;
z30
.120
�7 2
10
2
Outfall 3 East
04/30/15
NO DISCHARGE
Outfall 1 west
04/30/15
NO DISCHARGE
_ s
r
ISam le
p r�
Collected
A
411
Rainfall�<,
L
.P,":"..
IDuration� , ,,-L
H Standard'
nf. 'c':x.i ';.••
?Units 4 v
'K eldahl.=
i Y.'.`. --
Nitrogen;
1
N352
aSus^`ended w'
.`
P
;Solids;s'y
2540DF.
eTotal�Nitro en
g
E`
::
JU 2 3
"a F1 _-i?{
0�5 .,
-�
41gt
Benchmark
Ymo/ddl _�_
'Miiiutesl _
6:0 9 0 .
`20
100r
:3U _jTT4
Outfall 3 East
04/30/15
NO DISCHARGE
Outfall l west
04/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page I of 2
as I
�7
■dC

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part H: Vehicle Maintenance Activriv Monitorme xeouirements
Outfall
Date ,;
Sample""
50050'
:.00556°
00530
00400
Total'Rlow
Totah.Oil&:Grease"
-;'Non-
ai%Total'
rpH'
New„Motor
Collected y.
if a hcable .
( pp )
Rainfall
if a 1.
( pp }
O&GITPH
'Suspended
p
Oil Usage
g
t
(Metliod4 U'4
;Solids
SGTHEM),
appl..
moldd/vr'
I MC
linches
I mm
I
I mell _ :_
unit
eal/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
I
"I certify, 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. 1 am aware that there are significant penalties for submitting false information,
includ the possibility of fines and imprisonment for knowing violations."
(Signs re of Pe ittee) (Date)
Form SWU-247, Iasi revised 21212012
Page 2 of 2

► i;.
Permit Number NCS 000294 .
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED -a I DURING CALENDAR YEAR: 2015
(This monitaring"reppzt shlill be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab 4
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTER OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall:
Na.
_Date
Sample �
Collected
-
m
m
In
mg/L
mg/L.
mg/L
Rainfall
Duration
pH, Standard
Units
Sulfate;
9056
BOD,
SM5210B
COD,
410.4
-
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark.
•mo/dd/yr
'Minutes
16.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
04/30/15
NO DISCHARGE
Outfall 1 west
04/30/15
NO DISCHARGE
i P3
Outfall , -
Wo.- - °
Date. _
Sample
Collected
_ . __ _ - . _ . __
_ . _ _ :
_m
m
m
- -
'D Q
AL
Rainfall,
'Duration.
pH, Standard
Uriits 4-Nitrogen,
1,, eldall
TIKN, 351.2.
Suspended
Solids,
2540D
TotalNitrogen
PE
RMITTING
Benchmark
mo/dd/ r.
Minutes..
6.0=9.0
20
1,100
30
Outfall 3 East
04/30/15
NO DISCHARGE
Outfall 1 west
04/30/15
NO DISCHARGE
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
'Outfall
No.Sample
YDate -
,Collected
'50050
'00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
gip— pl.)
Non -polar..
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r'
:MG
.inches
m
m /l.- .
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
includWe the possibility of fines and imprisonment for knowing violations."
Sion
(Signa re of Pe ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Numb r NMS 000294
FACILITY NAME _ Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date th;JAcQ�ity�rece'ives the sampling results from the laboratory.)
COUNTY Granville
PHONE NO. L919, 528-1516
ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
:Bate
Sample
Collected
m
m L
m
m L
mg/L
m L
Rainfall
Duration
pH, Standard
Units
Sulfate,
y9056
BOD,
SM521013
.:.
COD,
410.4
Ammonia.
Nitrogen,
350.1
Nitrate- ,
Nitrite,
9056
Total
Phosphorus,
365.1
;Benchmark ;-;
mo/dd/yr
Minutes
(6:0-9.0) r�
250
s30 ; ' x
1120
7:2
10
2 .
Outfall 3 East
February 2015
NO DISCHARGE
Outfall 1 west
February 2015
NO DISCHARGE
DENR-LAND
11AI
STORMWATER
`Outfall
No.
-
Date
Sample
Collected
Qm IL
m L
m L
Rainfall pH,`Standard _
Duration Units
Minutes ;. 6.0-9.0)__
NO DISCHARGE
NO DISCHARGE
�Kjeldahl
`Nitrogen,'
TKN, 351,2
Suspended
Solids,
12540D
1100
Total Nitrogen
!
SOUTHERN STATES
Lauren B. Faulkner
Erwiromnental Project Manager
Southern States Cooperative, Inc. Phone: [phone]
6606 West Broad Street (23230) Fax: [phone]
Post Office Box 26234 Mobile: [phone]
0: rl..v. ...1 17: _._: _: _
Benchmark
moldd/ r
Outfall 3 East
February 2015
Outfall 1 west
February 2015
...�...,..,.. Abu �a -�cuu
lau ren. fau lknerL''sscoop.com
w w w.Sou thernStates.corn
wilic

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activi MonitoringRequirements
Outfail
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(ifappl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oifusagc
mo/dd/ r
MG
inches
mgn
m /l
unit
gallmo
STORM EVENT CHARACTERISTICS:
Date February 2015
Total -Event Precipitation (inches): NO DISCHARGE
Event Duration (hours): _ (only if applicable — see pen -nit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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 T;
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
i uding the possibility of fines and imprisonment for knowing violations." ,-
(Signature of "If -Lmittee) (Date)., „•M
' >
Form SWU-247, last revised 21212012
Page 2 of 2
r

}
Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitgrlpg repoi t,shall be received by the Division no later than 30 days from
the date the faciliq'receives the sampling results from the laboratory.)
FACILITY NAME _ Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A. Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REARED ON PAGE 2.
Outfall
No.--
Date
"'Sample
Collected
,.,
m
m L-
mgtL
m
mg1L
m
;Rainfall ft-
Duration
pH, Standard
Units
Sulfate,
9056,
�BOD E
SM5210B
„COD; °
410.4
Ammonia °
Nitrogen,
350:1
'Nitrate-
`Nitrite,
9056
Total
Phosphorus,
3651`
Benchmark.
mo/ddlyr
Minutes 3
(6.0-9.0)
250
30
120
.7.2
10
2
Outfall3 East
03/27/15
90
6.55
17
5.9
24
0.240
3.34
1.1
Outfall 1 west
03/27/15
90
7.20
%200
42
61
200
49.6
14
Outfall
No:..'
Date
Sample
Collected
m /L
m L
m
Rainfall
Duration
PH; Standard .
Units
Kjeldahl
Nitrogen,
TKN, 351.2:
Suspended
Solids,
2540D
:Total Nitrogen.
Benchmark
mo/dd/ r
. Minutes
6.0-9.0
20
100
30
Outfall3 East
03/27/15,
90
6.55
1.9
210
2.14
Outfall 1 west
03/27/15
90
7.20
220
100
420
Forth SWU-247, lust revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
gallmo
STORM EVENT CHARACTERISTICS:
Date 03/27/15
Total Event Precipitation (inches): 0.30
Event Duration (hours): - L5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
16I2 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
igcluding the possibility of fines and imprisonment for knowing violations."
ftwaq LLAJ)V�—
-1'�4ti5
(Signature of mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring repoif shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (-919—) 528-1516
CERTIFIED LABORATORY(S) Environmental'Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
m [L
mg/L
mgtL
mgfL
mgfL
mgfL
Rainfall
Duration
pH, Standard
Units
Sulfate,
9656
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
03/27/15
90
6.55
17
5.9
24
0.240
334
1.1
Outfall 1 west
03/27/15
90
7.20
1;200
42
61
200
49.6
14
Outfall
No.
Date
Sample
Collected
mg&
m
m
Rainfall
Duration
pH, Standard
Units
K,jeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
03/27/15
90
6.55
1.9
210
2.14
Outfall 1 west
03/27/15
90
7.20
220 1
100
420
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG-
inches _.. _
mgA
m
unit
gallino
STORM EVENT CHARACTERISTICS:
Date 03/27/15
Total Event Precipitation (inches): 0.30
Event Duration (hours): -1.5 (only if applicable --see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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."
(Signature of mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

_ 1•
Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report,shall be received by the Division no later than 30 days from
the date the facility'receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
EREO
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
m
mg/L
m
m
mg1L
m
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
03/27/15
90
6.55
17
5.9
24
0.240
334
1.1
Outfall 1 west
03/27/15
90
7.20
1;200
42
61
200
49.6
14
Outfall
No.
Date
Sample
Collected
m /L
in
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
03/27/15
90
6.55
1.9
210
2.14
Outfall 1 west
03/27/15
90
7.20
220
100
420
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Out fall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GFTPH
(Method 1664
SGT-HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/d r
MG
inches
mgA
m
unit
9211mo
STORM EVENT CHARACTERISTICS:
Date 03/27/15
Total Event Precipitation (inches): 0.30
Event Duration (hours): - 1.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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." ,
D&" UA6_k� -
(Signature of ittee) (Date)
Form SWU-247, last revised 21212012
,. Page 2 of 2

[ RPCEIVED
STORMWATER DISCHARGE OUTFALL (SDO) JAN 12 20 i
MONITORING REPORT
DENR-LAND QUALITY
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR $tAM-PERI�
(This monitoring report shall he received by the Division no later than d ' ys' from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 5M1516
SIGNATURE OF PERMITTEE OR DESIGNEE r�
REQUIRED ON PAGE 2.
Outfall
No
'
'Datet.'m
Sample
Collected
s
1
mg/L:
;m
m L
in
RainfaIl . ;
Duration
pH,?Standard
Units
:5nlfate'
�9056
BOD,
-SM5210B
'COD;
1 0 4-,
Ammonia-.:
Nitrogen,
350.1
?Nitra'te-
Nitrite,
190561
Total=
Phosptio ,..
Benchmark :
;mo/dd/yr _...Minutes
�(6.0=9.0) s
250 ;
30
120:;
7:2
a10 .. .
2
Outfall 3 East
12/16/14
90
7.09
33
3.6
40
0.88
4
13
Outfall 1 west
12/16/14
90
6.53
98
6.7
49
7.2
17.13
4.1
Outfall
No
:Date
_Sam`"pled
Collected
{ Y
rm
:m_
m
AM
Rainfalls
Durateon
-pH ,StandaM .
,Units
i
Xj6ldahl,
°Nitrogen,
T",•351.2
'Suspended*
-Solids,
2540D '
Total§_Nitro°gent
.. 30 J
SOUTHERN STATES
2.48
169 ,' Lauren B. Faulkner
Environmental Project Manager
I
Southern States Cooperative, Inc. P17one: [phone]
6606 West Broad Street (23230) Fax: [phone]
Post Office Box 26234 Mobile: [phone]
Richmond, Virginia 23260
lauren.faulkne «sscoop.com
Benchmark,M
o/dd/gr
Minutes, :
6.0=9.0 '
'20 ,:,
a00
Outfall3 East
12/16/1 4
90
7.49
1.6
280
Outfall 1 west
12/16/14
90
6.53
9.7
67
wwiv.Sou thernSta tes, cam
- -- — -- - -- - --� Page 1 of

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity Monitorin Re uirements
Outfall
No.
.Date'
Sample
Collected
50050
00556
00530
00400`
Total Flow
(if applicable)
x.
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GiTPH
(Method 1664
•SGT-HEM), if
appl.
Total
Suspended . - .
Solids
pH
New Motor
Oil Usage,
me/dd/ r
MG
inches
m
mgA
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 12/16/14
Total Event Precipitation (inches): 0.32
Event Duration (hours): 1.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
(Signature of a mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME _ Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation 'Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfal! . -,,:
No. '-a; "'Sample
Date3;,. z, rit
Collected.
:E,
r., , - -
. -
.m L"
m
;m
m
m
m
Rainfall
-Duration
•_, x-
pH, Standard
Units
Sulfate,
9056
'BOD,
:SM5210B
:COD, =
'410.4
;Ammonia 'Nitrate-
'Nitrogen,
1350.1
Nitrite,
9056'
Total
,Phosphorus;
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
'250
'30
:120
7.2
10
2
Outfall 3 East
12/16/14
90
7.09
33
3.6
40
0.88
4
1.3
Outfall 1 west
12/16/14
90
6.53
98
6.7
49
7.2
17.13
4.1
;Outfall-
:No.. - .- •
Date
SaI plew-• '-
Collected
m
!Rainfall ••• •
-Duration
jpH;'Standardo
-Units
^Kjeldahlh .
-Nitrogen.." -
TKN,151.2'
iSuspended
!Solids, •
i254013f
�Total:Nitrogen:
v..
r
._rM,
.Benchmark.
�motdd/ r,
Minutes:
6.0-9.0
•20
400"
N30
Outfall 3 East
12/16/14
90
7.09
1.6
280
2.48
Outfall 1 west
12/16/14 1190
6.53
9.7
67
16.9
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part 13)
Part B. Vehicle Maintenance Activi MonitoringRe uirements
Outfall :
No. _
Date-
Sample, �.,
Collected-
.50050
'00556-
-00530-: -'
'00400`
Total Flow
.(if- applicable)
_
Total
•Rainfall-
Oil -&'Grease
(if.appl.)
_
- _
Non -polar —
O&GITPH ::Suspended
,(Method:1664,.
.SGT-HEM),:if
'Total-- "'
-........
:Solids'
:pH` "
..Oil;Usage....
`New Motor
.
mo/dd/ r
-MG "'
inches
m '
m ' "'
'unit.
al/wo
STORM EVENT CHARACTERISTICS:
Date 12/16/14
Total Event Precipitation (inches): 0.32
Event Duration (hours): 1.5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
NPrLX\KV I-S .
(Signature of a ittee) (Date)
Farm SWU-247, last revised 21212012
Page 2 of 2

�l RE
CEIVED
STORMWATER DISCHARGE OUTFALL (SDO) JAN 13 2015
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALEN ALITY
(This monitoring report shall be received by theN.ivi I-Wdays from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab 4
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516 r,
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUiRED ON PAGE 2.
Outfall�:
No..Sainple�
s
Date
.,`
Collected z
m
m
Al
m
Rainfall
'Duiat�on
;pH, Standard
Units° �`' _-.
Salfafe, :
9U56 <:
BOD,
SM5210B :"
COD
�410 4
Ammonia"
'Nitrogen;
`35
Nitrate-"
Nitrite,
90563651
Total;
Phosphorus
;Bencliinark
10/2014
Minutes E:; .
;{6:a9.0)'
25D
30-
a2D -
•7.2102
Outfall 3 East
No Discharge
Outfall 1 west
No Discharge
OutfallDate_
No g
-..
'Sample
`Collected
.a
mm
'm
Rainfall
'D ration
t
�pH :Standard
=Units'
:Kjeldahl
Nitrogen, �'
TKN,,3512 -;•.:
Suspended'-`
SOlids'
2540D1.
Total Nitrogen
`Benchmark „
410/2014. ;:s
:10/2014 , �Y: , j�
: 6:0-9,0 ; a
:20 < :
100
30
c;
Outfall 3 East
No Discharge
Outfall I west
No Discharge
Form SMIU-247, last revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date,
50050
00556
:00530
,00400 h
Na:
Sample
Total Flow
Total
Oil?&`-Gr6a9e
Non -polar �
Total-
pH:
New'Motor
- -'Collected
(if<applicable}
Rainfall ;
'{if apl):O&G/TPH
;Suspended
Ol''Usage
..
6
6 (Method 4
Solids
_
SGT-HE , if
-
-
molddl r, .
MG
inches
m
m
unit.
al/mo
STORM EVENT CHARACTERISTICS:
Date 10/2014
Total Event Precipitation (inches): No discha[g!� _'
Event Duration (hours): _ (only if applicable — see permit:)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and band Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
I --1
(Signature of rmittee) (Date)
Form SWU-247, last revised 21212012
��"- Page 2 of 2

ti
r STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORV(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
...
No
.•
iDate .
Sample _..
Collected,:
m
m
m
Rainfall
Duration
pH Standard
J Units
fat
Sal e,
9056
D,w� :.ti
BOr'
SM5210B t.
COD,
;4104
A mmonia
Nitrogen;.
350 1, r .9056:
Nitrate-
NEtr�te,,:;
Total
Phosphoris,,Ri'
3651,
;Benchmark
11/2014,.„.::,
Minutes ..., ' '
(6 0-9.0) „ :
250
30,
420.
7.2', x , ;
10
2,
Outfall3 East
No Discharge
Outfall 1 west
No Discharge
'Outfal[
�No �:.
���
Date
Sample '�
�
aCollected °°
Rainfall �
Duration
pH; Standard"
�U.nits "'
r-
�Kleldahl
iN�trogen;
1'"2
Sus ended°
p..
Solids,
§46
Total Nitrog�en�'
" :?
0�d...
�3
h=. �•, sRy+ry' a
'.`fie,
r
rah
$Senchmark.�
11/2014r .
a10/10l4t =, "
°100'.,
'301,
�.
Outfall 3 East
No Discharge
Outfall 1 west
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall ��,
No.
Date
Sample ,
Collected
....
50050�_
00556
00530
Total Flow
(if applicable)
Total
Rainfall
Oil &Grease
(if appl-) '
-
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
Total `
Suspended ;.s. ".:
Solids
;pH
'
New Motor '
Oil Usage
mo/ddl r
MG
inches
m
m
unit
allmo
STORM EVENT CHARACTERISTICS:
Date 11/2014
Total Event Precipitation (inches): No discharge
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
(Signature of Pe ittee) (Date)
` Form SWU-247, last revised 21212012
f. Page 2 of 2
r

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Coruoration Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
m
m
m
m
mg1L
mgtL
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
10/2014
Minutes
(6.0-9.0)
250
30
120
7.2
10
2 i
Outfall3 East
No Discharge
Outfall 1 west
No Discha e
Outfall
No.
Date
Sample
Collected
m
m
mrL
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
10/2014
10/2014
6.0-9.0
20
100
30
Outfall 3 East
No Discharge
Outfall 1 west
No Discharge
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part Rt Vehicle Maintenance Activity Monitoring Requirements
4 uNalli; °� `Date
p
Y
50050.�. _ ��
..._. ____:_ _._ _..
d00556- _ _:_:'
...... :_ _ 3
100530 _ "
100400_
'No
Sample
Total Flow>; g
rfapplscable)
Total . '
Rainfall . ,4(if
[Oil &lGrease;
appl.)
N6n=polar'; ,
O&G�PH a�
1R.pH
[Gta
p° a d`~edOil(Usag
fNew1Motor
-
.:'tllO�s64
_ _
...., ,,
tea{.. ,
v-
i$O11a5 s•
ft4^. ,4 ,tt
s` m..0
,w�f
:�Y _
i35.ca'a.� i. ���
SYL'ii_ _ __�
�� :iJ-D �..�1
�u�p.�i. __�
is l.� -aG'� _ �
vi:��'a4:'a.et "i,
v}'Sl
�� i ..-•J�_'�•
1
I"mtild r
IMG: <
linches•
4fi
s
m
:dnit _
STORM EVENT CHARACTERISTICS:
Date 1OR014
Total Event Precipitation (inches): No discharge
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event'Duration (hours): (only if applicable -- see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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�;W� LJZ2�
l a 222-14-
(SigX!2ture of rmittee) (Date) If
Form S WU-247, last revised 21212012
Page 2 of 2
�m

i
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number.NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L919, 528-1516
CERTIFIED LABORATORV(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTER OR DESIGNEE
REQUIRED ON PAGE 2. '
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
m
m
m
mgLL
m
m
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
SOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,1
365.1
Benchmark
11/2014
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
No Discharge
Outfall 1 west
No Discharge
i
Outfall
No.
Date
Sample
Collected
m
m
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 3511
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
W2014
10/2014
6.0-9.0
20
100
30
Outfall 3 East
No Discharge
Outfall 1 west
No Discharge
Form SWU-247, last revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Oiitfa11
No�
��
Date" rt, „ � '
Sam 1'`
Collected
fS00S0 . __
�_ __
IOOSS6- .
100530
i00400=_ .
Total Flow °'
(dapplrcable}
y�Y
.�d5-#_�.?._
Total ' :
Rainfall -
�'r,',w
Otl & Greased;;
(�f appl,)..
.�.�1
-r
N -po _ ` ,4
Q G/4TI'H,
. ,
{11ie °d><GGdSohds
SGT� HE1vI),,�f -,
�Alr:�---..e�
Total
Sus ended
w. p,� :. .
-
L:r"w•:.,Ci_.:�}..�
pfi
1
-
Fu. :-l..es..�
New?Motor
OBI Usa a "�
m g
Fbs .-----._.
?.,.
"
lino""/ddl r
k MG
iinches.
��a
m s_. - -
r a
_
3m F
r .y�_.
:unit r..
allmo
STORM EVENT CHARACTERISTICS:
Date 11/2014
Total Event Precipitation (inches): No discharge
Event Duration (hours): _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only, if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
(Signature of Pe ittee) (Date)
~ Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mall Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
January 6 h, 2015
SOUTHERN
STATES North Carolina Department of the Environment and Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier I
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall is considered to be in a Tier II condition for nitrate -
nitrite, total phosphorous and Tier I for total suspended solids. The West Outfall is in
Tier I1 monthly monitoring for sulfate, BOD, COD, ammonia nitrogen, nitrate -nitrite,
TKN, TSS, Total Phosphorus and Total Nitrogen. Duncklee & Dunham normally
collects samples from both outfalls (#1 West & #3 East) but they were not able to
collect samples during October and November for the Tier 11 monthly monitoring.
The attached DMR was signed by Mr. Donny Dunbar, who is the Vice President of
the Agronomy division for SSC on December 271h, 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
RECEIVED
Lauren B. Faulkner JAN 13 2015
Environmental Project Manager
r
Cc: Mr. Gil Slagle-SSC District Manager DENR-LAND QUALITY
STORMWATER PERMITTING

SOUTHERN
STATES
Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address. P.O.Box 26234
Richmond, Va 23260-6234 i
Telephone [phone]_.
May 9", 20t4
IMAYWI 6 �0114 �!„J
North Carolina Department of the Environment and Natural Resources
Division of Water Quality.
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: DWQ Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall and that there have been no storm
events in the previous 72 hours with more than 0.1 inches of rainfall. Duncklee &
Dunham collected samples from both outfalls (#001 & #002) on April 151h, 2014.
The attached DMR shows the sample results for the 1" half of 2014 and was signed
by Mr. Donny Dunbar, who is the Vice President of Agronomy division for SSC on
May 8", 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Gil Slagle-SSC District Manager

STORMWATER DISCHARGE OUTFAUL (SDO)
MONITORING REPORT I
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility' receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L919, 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
,.
mg1L
mg/L
agil,
m
mg/L
m
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
1
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark-
mo/d r
Minutes-
6.0-9.0
250
30
120
7.2
10
2
Outfall 3 East
04/15/14
120
7.03
25
10
71
3.2
4.6
3.2
Outfall 1 west
04/15/14
120
7.02
360
40.0
260
69
18.2
27
I
I
I
I
i
-
I
I
I
Outfall
No.
Date
Sample
Collected
m
m
m
Rainfall
Duration
pH,•Standard
Units
Kjeldahl.
Nitrogen,
TKN, 351.2
Suspended_ __ ..
Solids,
2540D
,Total Nitrogen
1
I
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
04/15/I4
120
7.03
6.7
35
9.9
Outfall I west
04/15/14
120
7.02
130
190
I 199
I
I
I
I
I
I
I
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity Monitorin Re uirements
Outfall
No.
Date
Sample
,Collected
50050
00556
-06530
00400
Total Flow
(if applicable)-
Total-
Rainfall -
Oil & Grease
(ifappl:)-
-Non-polar-
O&GfFPH-- w
(Method 1664 _
SGT-HEM)„if.
appl.,
-Total
-Suspended
Solids. _
�.
pH
-New Motor
Oil -Usage -
moldd/ r
MG
.inches
m A
M
unit
gallmo
I
I
I
STORM EVENT CHARACTERISTICS:
Date 04/15/14
Total Event Precipitation (inches): 1.32
Event Duration (hours). 2.0 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, under penalty of law, that this document and all attachments were prepared under niy 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."
Aorvyw J _ 1-
(Signature of rmittee) (Date)
Form SWU-247, last revised 2/1/2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT I
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility' receives the sampling results from the laboratory.)
I
FACILITY NAME Southern States Cooperative-Creedmoor _ _ COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L919, 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab # t
SIGNATURE OF PERMTTTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample - •
Collected
. ,
mg/L
mg/L
ff
m
m L
m
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410:4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/ r. - -
Minutes •
6.0-9.0
250
30
120
7.2
10
2
Outfall 3 East
04/15/14
120
7.03
25
10
71
3.2
4.6
3.2
Outfall 1 west
04/15/14
120
7.02
360
40.0
260
69
18.2
27
I
I
I
I
I
I
I
i
Outfall
No.
Date,
Sample
Collected
m
m
m
Rainfall
Duration
pH, Standard •
-Units
,Kjeldahl
Nitrogen,
TKN 351.2
Suspended -
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.04.0
20
100
I 30
Outfall 3 East
04/15/14
120
7.03
6.7
35
9.9
Outfall 1 west
04/15/14
120
7.02
130
190
I 199
I
I
I
I
I
I
I
Form SWU-247, last revised 21212012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements 4
Outfall
No.
Date
Sample
Collected
50050
00556
-00530
00400
Total -Flow
(if applicable)
Total•
Rainfall
Oil•& Grease
(if•appl.).
-Non-polar
O&GITPH --
(Method 1664
SGT-HEM)„if
appl.
-Total •
Suspended
Solids
TH
-New Motor
Oil Usage -
moldd/ r
MG
inches
m
MRA
unit
gavmu
f
I
I
STORM EVENT CHARACTERISTICS:
Date 04/15/14
Total Event Precipitation (inches): 1.32
Event Duration (hours): 2.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, under penalty of law, that this document and all attachments were prepared under niy 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."
i
(Signature of rmittee) (Date)
Form SW-247, last revised 21212012
Page 2 of 2

\ Southern States Cooperative, Inc.
6606 West Broad Street
F J Richmond, Va. 23230-1717
r Mall Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
August 11 `h, 2014
SOUTHERN
STATES
North Carolina Department of the Environment and Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall and that there have been no storm
events in the previous 72 hours with more than 0.1 inches of rainfall. Duncklee &
Dunham normally collects samples from both outfalls (#I West & #3 East) but the
first sample for the July monthly Tier lI monitoring was collected on July 21", 2014.
The attached DMR was signed by Mr. Donny Dunbar, who is the Vice President of
the Agronomy division for SSC on August 8`h, 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
RECEIVED
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Gil Slagle-SSC District Manager
AUG 14 2014
DENR-LAND QUALITY
STORMWATER PERMITTING

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall;r
No. _
Date :
Sample:; t=
Collected'
mg/L
-'mgfL
xng1L
mg1L
mg/L
mg/L _
Rainfall
Duration
pH, Standard
;Units;
Sulfate,
9056
BOD,
SM5210B
:COD,
410.4
'Ammonia'.
Nitrogen,
'350.1
Nitrate-
Nitrite,
10561.
Total
Phosphorus,
365.1
Benchmark
mdlddly r
Minutes
(6.0-9 0)�,
�30 .. -: .-
IM "-
=7.2
10
2
Outfall 3 East
07/21/14
180
7.50
47
5.7
50
2.7
14.22
2
Outfall 1 west
07/21/14
180
6.64
240
52
98
34
100.5
12
Outfall
No.
Date
Sample
Collected
m
mrJL,
m
Rainfall
Duration
pH, Standard :.
Units -
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D'
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0)
20
1W
30
Outfall 3 East
07/21/14
l80
7.50
< 0.7
78
2.7
Outfall 1 west
07/21/I4
180
6.64
40
86
74
AUG
STORMWATERPERMITTIN
Form SWU-247, last revised 21212012
Page l of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
•
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage'l-I
moldd/ r
MG
inches
m
m
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 07/21/14
Total Event Precipitation (inches): _2.09
Event Duration (hours). 3.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
if
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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. 1 am aware that there are significant penalties for submitting false information,
inclu¢ipg the possibility of fines and imprisonment for knowing violations."
(Sign ture of P ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
mg]IL
mg/L
mg1L
m
mg/L
m L
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/ r
Minutes
6.0-9.0
250
30
120
7.2
10
2
Outfall 3 East
07/21/14 1
180
7.50
47
5.7
50
2.7
14.22
2
Outfall 1 west
07/21/14
180
6.64
240
52
98
34
100.5
12
Outfall
No.
Date
Sample
Collected
m L
m L
m L
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
07/21/14
180
7.50
< 0.7
78
2.7
Outfall 1 west
07/2.1/14
180
6.64
40
86
74
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
—
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
-Solids
pH
New Motor
Oil usage `
mo/ddJ r
MG
inches
m
m
unit
al/mo .
STORM EVENT CHARACTERISTICS:
Date 07/21/14
Total Event Precipitation (inches): 2.09
Event Duration (hours): 3.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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,
inclu#ipg the possibility pf fines and imprisonment for knowing violations."
IVOMIWIAI��� B-S-14
(Sign Lure of P ittee) (Date)
Form S WU-247, last revised 21212012
Page 2 of 2 .

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294, SAMPLES COLLECTED DURING CALENDAR YEAR: 20M
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L9I9, 528-1516
CERTIFIED LABORATORY(S) Environmental Science CoMoration Lab # ENV375
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall r
No F
r
'Date.:-
Sample
'Collected
t '
sm
m -
m L
mg/L
in=m
L
Rainfall
Du ton -
{pH; Standard :;
;Units
°Sulfate;
,9056 �
;BOD,; k.�
'SNi5210B ' `
-COD, a
4
r 10:4
�Ammon�a ``
:._
Nitrogen,
s'350.1
Nitrate-
-
N itr`ite,
9056�
Total
Phosphorus,
365.1r.:,
Benchmark��
moldd/ r
y
Minutesl�,,_ < .
(6:0-9.0
250 ,
30. , ," ' ,
`120' -,
-
Outfall 3 East
09/24/14
240
6.76
45
5.5
47
2.2
14.09
2.6
Outfall 1 west
09/24/14
240
6.80
150
44
99
46
111.30
15
'Outfall -
No
Y.- b
SaoEple
,Collected _ --' >
=
=m
<.-
Rainfall '-
Duration,
pH; Standard
Units"
`Kleldahl
!trogen; ;
TKN,-3512 _
Suspended
;Solids;,_
2540I) A
Total Nitrogen'
•..
4-
J.
;Benchmark
mo/dd/ r;
Minutes
6.0 9.0
20
100
30
Outfall 3 East
09/24/14
240
6.76
4.6
140
6.8
Outfall 1 west
09/24/14,
240
6.80
46
210
92
Forst SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity MonitoringRequirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPII
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r -
MG
inches
m
m
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 09/24/14
Total Event Precipitation (inches): _ 3.02
Event Duration (hours): 4.0 (only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
h222:U2 Li�,� —
(Signature of P ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

5tormwater Discharge Outfall (5DO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ S / 0 / o / o / 2 / 9 / 4 / or Certificate of Coverage No.: NIC/GI_/_I I 1 1 I
Facility Name. SFu-nern States Creedmoor
County: Granville Phone No. (8 0 4) 2 81-118 9
Inspector: Andrew Rodak
Date of Inspection: n 9 /24 414
Time of Inspection: 01: 3 5 pm
Total Event Precipitation (inches):
3.02
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By(Ns signature, I ce 'fy that this report is accurate and complete to the best of my knowledge:
Npv� LL-4t�
(Signature of PUmittee or Designee)
1. Outfall Description:
Outfall No. 03 (east) Structure (pipe, ditch, etc.) Ditch
Receiving Stream: Unnamed tributary to Roberston Creek
Describe the industrial activities that occur within the outfall drainage area:
Storage and distribution area.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: XP1 c)wish-hrnwn, medium t- int•
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-112608

or
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 � 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 O 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 O 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No significant erosion
in ditch entry
10. Other Obvious Indicators of Stormwater Pollution:
List and describe PH. 6.76
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
S WU-242-11260s

1
r 4, +
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ 510 / 0 10 / 2 / 9 / 4 / or Certificate of Coverage No.: N/C/G/—/ / 1 1 /_I
Facility Name: Sout-Hern States Creedmoor
County: Granvi Ile Phone No. (8 0 4) 2 81-118 9
Inspector: Andrew Rodak
Date of Inspection: 0 9 / 2 4 / 14
Time of Inspection: 01 : 2 S Pm
Total Event Precipitation (inches): 3.02
Was this a Representative Storm Event? (See information below) R Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
-.-----«._.._-
- - - --- - -------------------- -- , .--- ._ _. - - _._...._ _ - _......_ - — - - -- -- _ — _ _....------- --
A Re resentative Storm Event,_g is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
signature, I certify( that this report is accurate and complete to the best of my knowledge:
(Signature of Pe(i littee or Designee)
1. Outfall Description:
Outfall No. 01 (west) Structure (pipe, ditch, etc.) Pipe.
Receiving Stream: Unnamed tributary to Roberston Creek
Describe the industrial activities that occur within the outfall drainage area:
Storage and distribution area.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Vel 1 owi ar-hrnkin., medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
S WU-242-112608

'r ,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 � 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:
lO 2 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 (D 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes S
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe PH: 6.80
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
S WU-242-112608

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
aREQ
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
m L
in
m
m
M&I
mgjL
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall 3 East
09/24/14
240
6.76
45
5.5
47
2.2
14.09
2.6
Outfall 1 west
09/24/14
240
6.80
150
44
99
46
11130
15
Outfall
No.
Date
Sample
Collected
m
m
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
moldd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
09/24/14
240
6.76
4.6
140
6.8
Outfall I west
09/24/14
240
6.80
46
210
92
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No. '
�D`ate
,Sample,
Collected
`�50050
..... ...a
,00556•
i00530.. ­00400
MPtal'Flow
(iC2pplicable)
Total
Rainfall
Grease-
•(ifappl.)•
:Non -polar a
O&G/TPH
(MethodJ664
SGT-HEM), if
appl.
-Total--.
.Suspended
Solids
TH• -
•New•Motor
Oil -Usage
mo/dd/ r
MG
inches
m
m
unit
al/MO
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Date 09/24/14 Attn: Central Files
Total Event Precipitation (inches): 3.02 1612 Mail Service Center
Event Duration (hours): 4.0 (only if applicable — see permit.) Raleigh, North Carolina 27699-1612
(if more than one storm event was sampled)
Date —
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"I certify, 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."
(Signature of P ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

-i
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.ne.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ s / 0 / a / 0 12 / 9 / 4 / or Certificate of Coverage No.: NICIGI 1_I 1 / 1 I
Facility Name: SoutHern States Creedmoor
County: Granville Phone No. (8 0 4) 2 81-118 9
Inspector: Andrew Rodak
Date of Inspection: 0 9 / 24/14
Time of Inspection: 01 : 35 pm
Total Event Precipitation (inches):
3.02
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By Ns signature, I cet�y that this report is accurate and complete to the best of my knowledge:
(Signature of IC;mittee or Designee)
1. Outfall Description:
Outfall No. 03 (east) Structure (pipe, ditch, etc.) Ditch
Receiving Stream: unnamed tributary to Roberston Creek
Describe the industrial activities that occur within the outfall drainage area:
Storage and distribution area.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: YP1 lnwish-brown, medium tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page I of 2
S WU-242- l 12608

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 2 n 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I n 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 O 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes S
9. Is there evidence of erosion or deposition at the outfall? Yes No significant erosion
in ditch entry
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH: 6.76
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 W U-242-112608

. STATZ
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: httt)://h2o.enr.state•nc.us/su/Forms_Documents.htm#miscforms
Permit No.: NICI S 1010 101? 1 9141 or Certificate of Coverage No.: NICIGI_I_I I I_I_I
Facility Name: Southern States Creedmoor
County: Granville Phone No. (8 04) 2 81-118 9
Inspector: Andrew Rodak
Date of Inspection: 09 f 24 f 14
Time of Inspection: 01 : 2 S pm
Total Event Precipitation (inches): 3.02
Was this a Representative Storm Event? (See information below) M Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pe r ittee or Designee)
1. Outfall Description:
Outfall No. 01 (west) Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Unnamed tributary to Roberston Creek
Describe the industrial activities that occur within the outfall drainage area:
Storage and distribution area.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ye11Qwi -,b-hrnwn, marli i3m_t- i nt-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): No distinctive odor
Page 1 of 2
SWU-242-112608

t
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
I 2 O 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:
(os1 J 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 O 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe PH: 6.8 0
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
S WU-242-1 l 2608

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
RECEIVED
OCT 3o2014
THERN October 271h, 2014 DENR-LAND QUALITY
SOUS7ATES STORMWATER PERMITTING
h 1' d
Nort Caro ma Department of the Environment an Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier I
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit. The East Outfall is considered to be in a Tier 1I condition for nitrate -
nitrite, total phosphorous and Tier I for total suspended solids. The West Outfall is in
Tier II monthly monitoring for sulfate, BOD, COD, ammonia nitrogen, nitrate -nitrite,
TKN, TSS, Total Phosphorus and Total Nitrogen. Duncklee & Dunham normally
collects samples from both outfalls (#I West & #3 East) and the sample for the
September monthly Tier I1 monitoring was collected on September 241h, 2014. The
attached DMR was signed by Mr. Donny Dunbar, who is the Vice President of the
Agronomy division for SSC on October 23rd, 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc:. Mr. Gil Slagle-SSC District Manager

Southern States Cooperative, Inc.
6606 West Broad Street
f " Richmond, Va. 23230-1717
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
August 19th, 2014
SOUTHERN
STATES
North Carolina Department of the Environment and Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit 9NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall. Both outfalls are now in Tier I
monitoring for one or more parameters that exceeded the benchmark that is listed in
the permit.The East Outfall is considered to be in a Tier 1 condition for phosphorous,
and the West Outfall is in a Tier I condition for sulfate, ammonia, TKN, TSS, and
Total Nitrogen. Duncklee & Dunham normally collects samples from both outfalls
(#1 West & #3 East) and the sample for the July monthly Tier II monitoring was
collected on July 21", 2014. The attached DMR was signed by Mr. Donny Dunbar,
who is the Vice President of the Agronomy division for SSC on August 181h, 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely, RECEIVED
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Gil Slagle-SSC District Manager
AUG 22 2014
DENR-LAND QUALITY
STORMWATER PERMITTING

0
Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative -Creed moor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No. -" ':' x
Date
Sample
Collected
_
mgtL
m " `
tm .r
m " ;- '
--.mg/L..
m L ' t'F
Rainfall 1_
Duration
pH, Standard'i
Units
Sulfate, F
9056
BOD,
SM5210B
COD,
4104
Ammonia--
Nitrogen;
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/ r
Minutes
60-9.0 "'
250
30 :
120' ' °
7.2
10
2 _
Outfall 3 East
07/21/14
180
7.50
47
5.7
50
2.7
14.22
2
Outfall 1 west
07/21/14
180
6.64
240
52
98
34
97
12
Outfall
No. ....: 4
"
'TKN,
Date
Sample
Collected
:
m L "
m L
m
Rainfall e
Duration
p H;;Standard .
•
Units
• j
K e[dahl
Nitrogen,
351:2...
.Sus ended �
p
'Solids
2540D
Total Nitrogen
`
-
Benchmark
mo/dd/ r
Minutes
6.0-9.0
-
20
100` :-
_
30
-
Outfall3 East
07/21/14
180
7.50
<0.7
78
2.7
Outfall 1 west
07/21/14
180
6.64
40
86
74
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
-sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
ms
Oil & Grease
(if appL)
Non -polar
O&GITPH
(Method'1b64Solids
SGT-HEM), if
TotaF
Suspended
pH
a� .
New Motor
Oil.Usage
mo/dd/ r
MG
inches
m I __
m -_
,unit
al/mo --
STORM EVENT CHARACTERISTICS:
Date 07/21/14
Total Event Precipitation (inches): _2.09
Event Duration (hours): 3.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"1 certify, 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 gatber 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. 1 am aware that there are significant penalties for submitting false information,
inc}uding the possibility of fines and imprisonment for knowing violations."
of
sh S It
(Da e)
Form S WU-247, last revised 21212012
Page 2 of 2

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
.r
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor PERSON COLLECTING SAMPLES) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. L919, 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
1
Outfall
No.
Date
Sample
Collected
m
'm
°mglt,
m
m
m L
Rainfall
Duration
pH = Standard'"'
Units
Sulfate,
9056 -
'BOD, -
•SM5210B
COD;
-410.4
Ammonia- -
°Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/ r
Minutes
6.0-9.0
250
30
120
7.2
10
2
Outfall 3 East
07/21/14
180
7.50
47
5.7
50
2.7
14.22
2
Outfall 1 west
07/21/14
180
6.64
240
52
98
34
97
12
Outfall
No.
Date
Sample
Collected
m L
m L
'm L
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN 351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100
30
Outfall 3 East
07/21/14
180
7.50
< 0.7
78
2.7
Outfall 1 west
07/21/14
180
6.64
40
86
74
Form SW-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m l
m Il
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 07/21/14
Total Event Precipitation (inches): 2.09
Event Duration (hours): 3.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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,
inc}uding the possibility of fines and imprisonment for knowing violations."
V
(Sig ature of mittee) (Da e)
Form SWU-247, last revised 21212012
Page 2 of 2

Southern States Cooperative, Inc.
6606 West Broad Street
Richmond, Va. 23230-1717
Mail Address: P.0.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
July 7th, 2014
SOUTHERN
STATES
North Carolina Department of the Environment and Natural Resources
Division of Energy, Mineral & Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Central Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam Moss Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The permit states that the samples must be taken during a representative storm event
that generates more than 0.1 inches of rainfall and that there have been no storm
events in the previous 72 hours with more than 0.1 inches of rainfall. Duncklee &
Dunham normally collects samples from both outfalls (#1 West & #3 East) but no
sample was collected during June. The attached DMR states that there was no
discharge for the 1st month of monthly Tier II monitoring and was signed by Mr.
Donny Dunbar, who is the Vice President of the Agronomy division for SSC on July
0, 2014.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner v
Environmental Project Manager
cur, a o 2014
Cc: Mr. Gil Slagle-SSC District Manager

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 _ SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
y (This monitoring report'shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor _ COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. L919, 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Tier II Monitoring: June 2014 SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
tOutfall >, -
`No.
p A
;Date; .
Sample,
Collected
mg/L •:'
_
m L':
m
m
m
mglL
Rainfall
Duration
pH; Standard :
Units F,
Sulfate; : -
9056
+; ..
BOD; :COD,
SM5210B ^1
410.4
Ammonia
Nitrogen',
3�501_9056:'3G5:1..
Nitrate -.
Nitrite,
:Tote!
Phosphorus,
Benchmark '.
mold r
-Minutes .:.: . ;.
6i0-9:0 ; -` r.<
i250 ;?
30 .
-12©x.
7:2 s
10
`2
Outfall 3 East
NO
DISCHARGE
Outfall 1 west
NO
DISCHARGE
.Outfallm,
No.
;Date
ISamplelz
'Collected ^
in
m 1;:
m
Rainfall
:Duration
;`pH,Standard`
viiits� "'
Kjeldahl
Nitrogen,
TKN,'3512:-'
Suspended,,'
Solids,
25401)
Total Nitrogen'
Benchmark,
mold ri:
Minutes.,
6:0=9:0) ,
20, -
160 -
.30 J
Outfall3 East
NO
DISCHARGE
Outfall 1 west
NO
DISCHARGE
DU
E n,j�
JUL
- MIfA
Al ffY
Form SWU-247, last revised 21212012
Page I of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Act' ity MonitoringRe uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
..
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
apo.
Total
Suspended�--
Solids
pH 'i
:New Motor' '
mo/dd/ r
MG
inches
m
mg -
unit
allmo
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
2_6unz L"(_� -7--1
(Signature of mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor_ COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_95) 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Tier I1 Monitoring: June 2014 SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
m
mgtL
In
mgfL
m L
In
Rainfall
Duration
pH, Standard
Units
Sulfate,
9056
BOD,
SM5210B
COD,
410.4
Ammonia
Nitrogen,
350.1
Nitrate-
Nitrite,
9056
Total
Phosphorus,
365.1
Benchmark
mo/dd/ r
Minutes
6.0-9.0
250
30
120
7.2
10
2
Outfall 3 East
NO
DISCHARGE
Outfall I west
NO
DISCHARGE
Outfall
No.
Date
Sample
Collected
m
m
m
Rainfall
Duration
pH, Standard
Units
Kjeldahl
Nitrogen,
TKN, 351.2
Suspended
Solids,
2540D
Total Nitrogen"
Benchmark
mo/ddl r
Minutes
6.0-9.0
20
100
30
Outfall3 East
NO
DISCHARGE
Outfall 1 west
NO
DISCHARGE
Form SWU-247, last revised 21W012
Pagel of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
galtMo.
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
"I certify, 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."
-lesAL�e" A
----I�-
(Signature of mittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

NCDE VWR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section Pat McCrory, Govemor
Tracy E. Davis, PE, CPM John E. Skvarla, III, Secretary
Director
September 30, 2014
CERTIFIED MAIL #70121640 0001960S 7836
RETURN RECEIPT REQUESTED
Ms. Lauren B. Faulkner
Southern States Cooperative, Inc.
PO Box 26234
Richmond, VA 23260
Subject: Notice of Deficiency
NOD-2014-PC-0189
Southern States Cooperative - Creedmoor
NPDES Stormwater Permit NCS000294
Granville County
Dear Mr Faulkner:
On September 4, 2014, Dave Parnell, from the Raleigh Regional Office of the North Carolina Division of
Energy, Mineral and Land Resources (DEMLR) conducted a compliance evaluation inspection (CEI) at the
referenced facility, located at 2089 Sam Moss Road Hayes Road, Creedmoor, North Carolina. The facility
lies in the watershed of an unnamed tributary (UT) to Robertson Creek, Class WS-IV, NSW waters, in the
Neuse River Basin.
The following observations were noted during the DEMLR inspection and file review. -
This facility is an agronomy plant, has on -site tanks which are fitted with the required secondary
containment. Mr. Ben Gawron-wason site during the inspection and provided valuable assistance to our
staff.
1628 Mall Service Center, Raleigh, North Carolina 27699-1628
Location: 3800 Barrett Drive, Raleigh, North Carolina 27609 ta
Phone: [phone] FAX: [phone] CarolinaInternet: http:portal,nodenr,orglwebllrl U //�
An Equal Opportunity 1 Affirmative Action Employer ` I

Stormwater run-off generated at this facility is regulated by an indivdual NPDES stormwater permit. The
DEMLR Stormwater Permitting Program has issued certificate of coverage (CDC) NCS000294. The
permit was on site and current. The Stormwater Pollution Prevention Plan (SPPP) was reviewed by
DEMLR staff. The SPPP satisfied most of the requirements of the permit. The plan lacked the following: a
detailed site map with outfalls denoted with corresponding drainage areas; and a list of significant spills -
for the last three years.
The monitoring reports were reviewed during the inspection. Although limited, the data from the reports
indicated that the facility is functioning under Tier 2 of their analytical monitoring requirements. Mr.
Gawron was not clear on the number of Stormwater Discharge Outfall (SDO) and their locations.
Clarification of the outfalls is needed at this time. Mr. Gawron was not able to produce the required
qualitative monitoring reports.
Requested response: You are directed to respond to this letter in writing to DEMLR at the address
provided below within 30 days of receipt. Please address the following items noted in bold:
• Please fully develop the Stormwater Pollution Prevention Plan by placing a list of
significant spills during the last three years, as well as a site map detailing the SDQ
locations and their corresponding drainage areas.
• Please provide the latest qualitative reports.
• The latest analytical monitoring indicated benchmark exceedences. Please adhere to the
requirements of the NPDES permit with respect to the Tier program. Indicate the tier level
at the time of your response.
Please respond to:
Dave Parnell
NCDENR/DEMLR
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
1628 Mail Service Center, Ralegh, North Carolina 27699-1628
Location: 3800 Barrett Drive, Ralegh, North Carolina 27609
Phone: [phone] FAX: [phone] Noe
Carolina
Internet http:portal.ncdenr.orglwebllrl N� //I I
An Equal Opportunity 1 Affirmative Action Employer atu` ll

Should you have questions regarding these matters, please contact Dave Parnell at [phone].
Sincerely,
L. Holley, Jr., PE, rPESC
onal Engineer
igh Regional Office
cc: Stormwater Permitting Program Files - with attachment
DEMLR Raleigh Regional Office Files - with attachment
1628 Mail Service Center, Raleigh, North Carolina 27699-1628
Location: 3800 Barrett Drive, Ralegh, North Carolina 27609 tCarol
Phone:[phone] FAX:91M71-4718 ina
Internet http:portal.ncdenr.or0ebArl Ua /;An Equal Opportunity 1 Affirmative Action Employer ` "

•
•
Compliance Inspection Report
Permit: NCS000294 Effective: 02/01/11 Expiration: 01/31/16 Owner: Southern States Cooperative Inc
SOC: Effective: Expiration: Facility: Southern States Coop-Creedmoo
County: Granville 2089 Sam Moss Rd
Region: Raleigh
Creedmoor NC 27522
Contact Person: David B€ssette Title: Phone: [phone]
Directions to Facility:
System Classiflcatione:
Primary ORC:
Secondary ORC(s):
On -site Representative(s):
Related Permits:
Inspection Date: 09/03/2014
Primary Inspector: David R Parnell
Secondary Inspector(s):
Entry Time: 02:00PM
Reason for Inspection: Routine
Permit Inspection Type: Stormwater Discharge, Individual
Facility status: ❑ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Certification:
Phone:
Exit Tlme: 03:30PM
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

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permit: NCS000294 Owner - Facl ty: Southem States Cooperative IN
Inspection Hate: 0910312014 Inspection Type: Compliance Evaluation Reason for Visit Routine
Inspection Summary:
Page: 2

permit: NCS000294 owner - Facility: Southem States Cooperative Inc
Inspection Date., 09/03/2014 Inspection Type: Compllance Evaluation Reason for Visit:
Routine
StonTiwate2r Pollution Prevention Plan
Yes No NA NE
Does the site have a Stonnwater Pollution Prevention Plan?
❑ ❑ ❑
# Does the Plan Include a General Location (USGS) map?
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ ❑ ❑
# Does the Plan Include a detailed site map including outfall locations and drainage areas?
❑ 0 ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ 0 ❑ ❑
# Has the facility evaluated feasible altematives to current practices?
E ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
■ ❑ ❑ ❑
# Does the Plan include a BMP summary?
E ❑ ❑ ❑
# Does the Plan Include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑ ❑ ❑
# Does the Plan include a Stormwater facility Inspection Program?
❑ ❑ ❑
Has the Stormvv Ater Pollution Prevention Plan been implemented?
0 ❑ ❑ ❑
Comment: Please provide a gite man including accWrate ouffall locations -and drainage areas
Please provide a list of significant spills ocurring during the last three years.
Qualitative Monitorfrin
Yes No NA NE
Has the facility conducted Its Qualitative Monitoring semi-annually?
❑ 0 ❑ ❑
Comment: Noqualitative monitoring reports available.
Analytical Monitoring
Yea No NA NE
Has the facility conducted its Analytical monitoring? E ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? 1301111
Comment: Facility is on Tier 2, reported by Bert Gayvron - not enough data for me to discern - Dave Parnell
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑ ❑
# Were all outfalls observed during the Inspection? ❑ ❑ ❑ ❑
# if the facility has representative outfall status, is it properly documented by the Division? ❑ Cl ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ Cl ❑ ❑
Comment:
Page: 3

L�
STORMwATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility; receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor COUNTY Granville
PERSON COLLECTING SAMPLE(S) Andrew Rodak PHONE NO. (_919, 528-1516
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lob #
SIGNATURE OF PER11 rmE OR DESIGNEE
REOUMED ON PAGE 2.
Part A: Specific Monitoring Requirements
,.:
'7*
:m
..
m
m
No. .:
Sampli
.Rainfall
pA, Standard:..
S ifate, ..,..:.-:..BOD;COD;,:
iAmmonia:.:,
: ;r
Nitrate-
:.
Total ...
::Collected
:Duration
Units•: ' _.. _::
9056
SM5210B
410 a
Nitrogen,
Nitrite,
Phosphorus; .'
.. ..
_ :....:.
,...
...
.:. _-:.�.........
..
�-� .::�
350.1::.:.....905G
":
Benchmark- ::::
mo/dd/vr :::.: s
Minutes
<..
(6.0-9.0)..: ::
250:.::..:.....:.."
.:
-30 , ... .:.:
..
120 ::::................7.2
.. :..::,:.
�0 >:::
..:2......:...-,........
Outfali 3 Lasf 104/15/14 1120 1 7.03 ,-1. 1 13-2
Outf2ll1 west, 04/15/14 1 I20 1 7.02 360 . 40.0 126 69 118.2 1 6-27
Outfall Date . :::. .: ..:.:... .; .,._..
No.'.. ": Sample' -- -Rainfall: - ?:::.::; -pH, Standard
Collected ::' Duration ."... Uaits:,:.::.:.:::...:
Benchmark -:::ma/d Minutes .. - -. 6:0-9.0
Outfall 3 East 04/15/14 120 7.03
Ontf2111 west 04/15/14 1120 1 7.02
'—gen >..:.
0

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorinz Reauirements
X no
OutfaU .:. ; ..
Date :.: :....:::.::
50050 :,
::..,:.:vn.. r. :..00556
00530 .:: ° .>.'::' ;:::.00400--.
$ample .:
TotafFIew :': <
Total :':°<:
'Oil&:Greasy
Non -;polar
Total
pH :: -;
-New :Viator.-::.
COUeMed ::::°
rfa 1'rmble
C Pp ) .
Rainfall
of"a 1:
C pl►)
O&G/TPH
us ended
Oil iJsaQe -
e
...
(Method'1664
So hP�
T HEM).,
.a: h
_:.:::
moldd/vr::.:.:r.
MG :.:,::•• : i,:::<
iriclies . :;:°, `i
)mgJl.` ,.:..
..
rn/i:;
STORM EVENT CHARACTERISTICS:
Date 04/15/14
Total Event Precipitation ('inches): 1.32
Event Duration (hours): ___Z.0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attn: Central Files
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
i
"I certify, 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of rmit#ee) (Date)
Form SWU-247, last revised 12/2012
Page 2 of 2
r 1
L_J
0

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
('Phis monitorim; repot rshall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coo erative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Tier n Monitoring: a 2014
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE NO. (_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
In FA:.:
mom;
mom,.., : ; .....
m
m
No.
Sample
Rainfall.-.-.
pH,Standard";,
Sulfate;:
:Ammonia:.:;:":
Nitrate- :
Total
:.
Collected' :
Daratian:
Units -:
9056
SMS210B
=
410:4
Nitrogen,
Nitrtte,
=
Phosphorus,:..
350.1..
`- 9056::::.: , ....
`
365.1
Benchmark.:;:=.,;
.aio/ddlvr.::.
Miuutes :
{6.0-9:0}.,.. :. ;
250 ::----- .
:., a
'30
10'......... ....:
Outfall 3 East I NO
Outfall 1 west NO
DISCHARGE
Outfap Date ;• ma m :.... m
No' :, ' .Sam le Rainfall pH; Standard K�eldahl Suspended.".-.. Total Nitrogen
v. P
Collected Duratron::; Uprts Nitirogen, Sands,
TKN; 351.2 2540D . .
Benchmark�:.s., mo/ddlvr'::-:.,:
Outfall 3 East i NO
Outfall 1 west I NO
Form SWU-247, lost revised2/212012
Page 1 of 2
•
•

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X no
(if yes, complete Part B)
Part B: vehicle rdalntenanceAca monito xequirements
OutGq ..
Date
'
..::.00556...........:.:::
: _.:..`:
00530 :..
00400.... ......:
.
Sample
TotalFo
Total;:..:
,.
Toal
pH
New:Moto.r:`.i&GreaeNonpolarw.
Coll
ble}
infall
/H >Susp
,e;nded
-oil:..
Usage.:,.:e..
(Method 1664.:`
Solids
app
�o/ddivr
::r. .:°:::1VIG
::';
: innc�s.r_.'
^ ;:.mPJI ;
: .. ';,.
m�Jl::: : :...:......
. nnif:...:.::
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
•
Mail Original and one copy to:
Division of Energy, Mineral, and Land Resources
Attu Central Files
1612 Mail Service Center
Raleigh, North Carolina 21699-1612
•
"I certify, 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." Aon�nw
(Signature of ittee) (Date)
Form SWU-247, Iasi rev!xd212/2012
Page 2 of 2

11
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STORMWATER DISCHARGE OUTFALL (SDO){ 1; . .
ANNUAL SUMMARY DATA MONITORING REPORT: (DMR) +
Calendar Year 2013 f � MAR - 3 2014 +� ,
Individual NPDES Permit No. NCS000294 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1 5t of the following year.
Facility Name: Southern States Creedmoor Fertilizer Plant
County: Granville
Phone Number: L919__)_528-1516 Total no. of SDOs monitored 2
Outfall No. 3 East
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
`Total
Rainfall,`
:inches."
Parameter, (units)
B
(mS
k
pH
standard
units'
Phosphorous
{mglL)
TSS , .
{mglL)
Total N.
m 1L
( 13 )'
Nitrate
Nitrite 1
{mg L)
Ammonia N
(m IL ' "
g )
TKN
m 1L
(' g y
COD
m IL
( 9 )
Sulfate
m IL
( 9 )
Benchmark
N/A
6.0- 5.0.
2
100:
30
10
7.2 .
20
120
250
30 _ ::
Date
Sample
Collected,
mmlddl
06/26/13
0.3
6.88
2.0
150.0
2.84
2.20
0.44
2.40
69.0
9.60
9.70
12/23/13
1.38
7.80
1.80
60.0
2.04
0.73
0.54
1.50
8.30
7.40
2.40
S WU-264-Generic-25 May2d 10

'~Additional Outfall Attachment
Outfall No. t West
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
..
x
Parameter, (units),
:Total
Rainfall
inci�es�
pH,
standard
units
Ph roux-
(mg1L)
TSS
(mg1L]
Total N.
(mg
Nitrate +
Nitrite
(mg1L)
Ammonia
o
. N (mg1L)_.
y
TKN'(mglL}
� COD
(mg/L)
Sulfate
(mg/L),t
zB D
Q
(mg/L)
`Bent"hmark
N/A
6:0 — 9.0
2
100
30
10
7.2
20
720
250
30
Date Sample
Collected,
-m mlddlyy
06/26/13
0.30
6.6
1.2
120
1.44
1.1
0.51
0.93
24.0
8.4
15
12/23/13
1.38
7.73
7.10
38.0
10.80
3.35
4.40
6.40
130.0
19.0
11.0
S WU-264-Generic-25May2010

\
I
0

`"" I certify, 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 po§sioility of fines and imprisonment for knowing violations."
Signature
Date <
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETfEVILLE REGIONAL_OFFICE
225 Green Street
MOORESVILLE REGIONAL' OFFICE
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON_REGIONAL OFFICE
..
WILMINGTON,REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON4ALEM REGIONALOFFICE_
.CENTRAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
1617 Mail Service Center
Raleigh, NC 27699-1617
"Topesenne, prated
and enhance
(336 771-5000
919 807-6300
Cardirta's water...'
F-A
•
SVI1U-264-Generic-25May2010

Southern States rative, Inc.
` 61 West Bros Ydo Richmond, Va. 23'1717a� y��a�ea
Mail Address: P.O.Box 26234
Richmond, Va 23260-6234
Telephone [phone]
ROZ 8 Z NVP
January 23`d, 2013 n
SDUTHERN STATES
North Carolina Department of the Environment and N
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, North Carolina 27609
Attention: DWQ Files
RE: Southern States Creedmoor facility (NPDES # NCS000294) located at
2089 Sam7M6l s Road in Creedmoor, NC
Dear whom it may concern,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources CDENR the Southern States SSC
'V Creedmoor facility is required to submit an Annual Summary Data Monitoring
Report. This facility is located at 2089 Sam Moss Road in Creedmoor, North
Carolina and is covered under NPDES storm water permit #NCS000294. The storm
water runoff from this site allows the site to discharge storm water into an unnamed
tributary of the Neuse River Basin.
z
This annual report summarizes the 2012 sampling data that was collected from both
[� of the outfalls at the facility on December 261h, 2012. There were no significant rain
+"1 events during the I" half of 2012 so No Discharge was reported for the ls' semi-
annual DMR for 2012. Mr. Donny Dunbar who is the Vice President of Retail
Operations for SSC signed this report on January 23`d, 2013.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager
Cc: Mr. Paul Kelley -SSC Creedmoor Service

-ry �.
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2012
Individual NPDES Permit No. NCS000294 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1-" of the following year.
Facility Name: Southern States Creedmoor Fertilizer Plant
County: Granville
Phone Number: (_919_)_528-1516
Total no. of SDOs monitored 2
Outfall No. 3 East
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No
Yes [I No®
Yes ❑ No
•g
=.
Total,
R
Rainfall;.
indlies_. s
Parameter,
4.
p
standard
"units
;'
Phos hor0us
- P .:
t '{mglL) 3
TSS r
_ _
'
"=Total N
_,
; (mglL) `
1 ik
Nitrate;+ a
Nitrite (mgll_)
°cAmmoma N
(rriglL) `:
;;TKN
(mglL) p
L.
COD
} (mg11:)r
Sulfate
ate
(mglL) .'
G 3
1
BO
{mglL _
A•
Benchmark'
N/A
6.0— 9.0 '
2
100
30 -
10
7:2
20
120 '
250
'30
Date
Sample
C011e6tel,4 L
i mmiddlyp
1.42
7.20
1.2
380
12.1
11.0
0.1
12.0
44
6.4
12/26/12
< 2.0
S WU-264-Generic-25May2010

Additional Outfall Attachment
Outfall No. 1 West
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ 'No
Was this outfall ever in Tier 2 (monitored. monthly) during the past year? Yes ❑ ,No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
.. :�.
Phosphorous
91, M.
..Sample
yy
I
S WU-264-Generic-25 May2010

I certify, 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 poftibility of fines anAimprisonment for knowing violations."
Signature �A16-/I/b
Date
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
'ASH_EVIL•LE REGIONALOFFICE
FAYE7TEVILLE:REGIONAL'OFFICE
MOOR_ESVILL_E_REGIONAL OFFICE
610 East Center Avenue/Suite 301
2090 US Highway 70
225 Green Street
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
(828) 2964500 -
Fayetteville, NC 28301-5043
[phone]
910 433-3300
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL: OFFICE
943 Washington Square Mall
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609.
Washington, NC 27889
Wilmington, NC 28405-2845
(919) 7914200
(252).946-6481
[phone]
WINSTON-SALEM_REGIONAL OFFICE_
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
, Topreseme proted
and enhance
585 Waughtown Street
Winston-Salem, NC 27107
336 771-5000
919 807-6300
No& Carolina's wafer--"
•
•
SWU-264-Generic-25May2014 ..

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in Feb, 2011, 7
.SOUTHERN STATES
Lauren. B. Faulkner
Fiiirianins�°nfnl Prefect Momager
Southern Slates C:t)opera�ive, Inc. E,aY11e [phone]
6606 West Broad Street (23230) M
Post Office l3ox 26234 obile: [phone]
Richmond, Virginia 23260
lauren.faulknerC sscoaP.com
w%vw.Southern5tates.co,n
i

Southern States erative, Inc.
6606 West Broad eet
Richmond, Virginia 23230-1717
Mail Address: P.O. Box 26234
Richmond, Virginia 23260-6234
Telephone [phone]
July 29th, 2010
SOUTHERN
North Carolina Department of the Environment and Natural Resources
STATES
Raleigh Regional Office
Division of Water Quality
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Attention: Mr. Dave Parnell
RE: Southern States Creedmoor facility (NPDES # NCS000294) in Creedmoor, NC
Dear Mr. Parnell,
As a requirement of the National Pollutant Discharge and Elimination System
(NPDES) permit that was issued by the North Carolina Department of the
Environment and Natural Resources (NCDENR), the Southern States (SSC)
Creedmoor facility is required to collect storm water samples twice a year. This
facility is located at 2089 Sam Moss Road in Creedmoor, North Carolina and is
covered under NPDES storm water permit #NCS000294. The storm water runoff
from this site allows the site to discharge storm water into an unnamed tributary of
the Neuse River Basin.
The assistant manager at the Creedmoor facility, Mr. David Bissette, attempted to
collect these samples but has had difficulty meeting all the sampling parameters on
multiple occasions. The permit states that the samples must be taken during a
representative storm event that generates more than 0.1 inches of rainfall and that
there have been no storm events in the -previous 72 hours with more than 0.1 inches
of rainfall. Mr. Bissette tried to collect storm water samples during the months of
April, May or June but was not able to because one or more of the sampling
parameters could not be met. A copy of the DMR form stating that no samples were
collected is attached.
Thank you for your assistance and cooperation with this and if you have any
questions or comments, please call me at [phone].
Sincerely,
Lauren B. Faulkner
Environmental Project Manager n-
I '
Cc: NCDENR Central Office AUG —{�
Mr. Paul Kelley do Mr. David Bissette-SSC Creedmoor Service 22
t

Permit Number NCS n 9'I
1
AUG - 2 MO
STORMWATER DISCHARGE OUTFALL (SDO),
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2olo
(This monitoring report shall be received by the Division no later than 30 days from
`1, the date the facility receives the sampling results from the laboratory.)
FACILITY NAME SONil1Lr S S G?Ammr ��A !
PERSON COLLECTING SAMPLE(S) QUi 5 e
CERTIFIED LABORATORY(S) n i c.ro b c.Lc_ Lab # YC 41 i 1 r3771q
Lab #
Part A: Specific Monitoring Requirements
COUNTY G rorr, 1 ! e
PHONE (i-il9l 5' —15
(SIGNATURE OF P R MITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate •
complete to the best of my knowledge.
1 �.
A•
Sample
Collected
k k I
1W, F,
INEXIM
rLWAI m
WAMOR
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
S0050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/M r
MG
inches
unit
gavinio
Form SWU-247-062310
Page 1 of 2

0
•
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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
ar persons who manage the system, or those persons directly responsible forgathering the information, the information submitted is, to the best
of any 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."
7- zg- 10
(Signature of Permittee) (Date)
Form SWU-247-062310
Page 2 of 2