NCS000541_COMPLETE FILE - HISTORICAL_20191206

"- - ----STORMWATER DIVISION GODING-SHEET , _,..., '
RESCISSIONS.
PERMIT N0..
1 vc� L 0c)
DOC TYPE
L� COMPLETE FILE- HISTORICAL
DATE OF
OF
RESCISSION
------------
❑ �U� I C� I � � "'
YYYYMMDD

PERMIT NUMBER NCS 000541
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
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 Cooperative — Lumberton Fertilizer COUNTY Robesc
PERSON COLLECTING SAMPLE(S) Art Barnhardt PHONE NUMBER
CERTIFIED LABORATORY(S) BDX, Environmental, PLLC he: ~as r:— LAB# ENV375
Part A: Specific Monitoring Requirements
DEC 06 2019
C,ENTt1=RES
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
Date
m L
In L
m L
m L
m L
m L
No.
Sample
Collected
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
(6.0-9.0)
500
30
120
7.2
10
2
001
11/8/19
6.80
17.6
<2.00
<10.0
1.90
6.36
1.10
Outfall
Date
m L
m /L
m L
No.
Sample
Collected
pH, Standard
Units
Kjeldahl
Nitrogen, TKN,
351.2
Suspended
Solids,
2540D
Total Nitrogen
Benchmark
mo/dd/
6.0-9.0
20
100
30
001
11/8/19
6.80
2.60
46A
8.96
Form SWU-247, last revised 21212012
Page] 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
mo/dd/ r
MG
inches
m l
m l
unit
gaumo
N/A
NIA
NIA
NIA
NIA
NIA
NIA
NIA
STORM EVENT CHARACTERISTICS:
Date: 11/8/19
Total Event Precipitation (inches): 0.35
Event Duration (hours): NIA (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 possibility of fines and imprisonment for knowing violations."
re oWeofiittee)
LE lag/ r q
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2