NCS000294_COMPLETE FILE - HISTORICAL_20190605

STORMWATER DIVISION CODING SHEET - ...
RESCISSIONS .
PERMIT NO.
ni.GS 0,0
DOC TYPE
CICCOMPLETE FILE =HISTORICAL
DATE OF
RESCISSION
❑
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYY M M DD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PERMIT NUMBER NCS 00294 SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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) Duncklee & Dunham, Lily Walker PHONE NUMBER [phone]
CERTIFIED LABORATORY(S) ESC Lab Sciences LAB# ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
m L
m /L
ro L
m L
mgfL
m 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
moldd/yr
Minutes
(6.0-9.0)
250
30
120
7.2
10
2
Outfall I West
05/31/19
NO DISCHARGE
JUN IY7
ZDIy
Vi\ V
LTV i 1V1�
Outfall
Date
m L
m /L
m IL
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
05/31/19
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? —Yes 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
moldd/ r
MG
inches
mg/1
m Il
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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Sign4ore of Pkrfnittee)
Oc0/os/9-2oI i-
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
R EC E INAU i ORING REPORT
PERMIT NUMBER NCS 00294 MAY 2 0 2019
CENTRAL FILES
Dkflr'R SECTION
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
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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 [phone]
LAB# ENV375
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
m /L
m L
m /L
m /L
m /L
m /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
30
120
7.2
10
2
Outfall 1 West
04/30/19
NO DISCHARGE
Outfall
Date
m L
m L
m /L
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
100
30
Outfall 1 West
04/30/19
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? _ Yes 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&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
inches
m
m I
unit
at/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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signatyff of Pe
(Date)
os/l3//9
Form SWU-247, last revised 21212012
Page 2 of 2