NC0082821_Renewal (Application)_20240305

synTerra Science & Engineering Consultants
511 Keisler Dr# 102,Cary,NC 27518 1919.858.9898
February 22, 2024
Mr.John Hennessy RECEIVED
N.C. Department of Environment and Natural Resources
Division of Water Quality/ NPDES Unit MAR 0 5 2024
1617 Mail Service Center
Raleigh, NC 27699-1617 NCDEQ/DWR/NPDES
Reference: Reissuance of NPDES Permit Number NC0082821
Southern States Cooperative, Inc.
Statesville Fertilizer Plant
2582 Salisbury Highway
Statesville, North Carolina
Dear Mr. Hennessy,
SynTerra Corporation submits the enclosed permit application and required attachments for
reissuance of the NPDES permit on behalf of Southern States Cooperative, Inc. for the above
referenced site. If you have any questions or require additional information, please contact us at
[phone] or via email at [e-mail]
Sincerely,
SynTerra Corporation
jc-1,//4(g62,C)_
David McIntyre Chris Bagley-PE, OH, CHMM, QEP
Project Scientist Senior Engineer/Senior Industrial Hygienist
NC PE 38748
cc: Ms.Jennifer Bunting—Southern States Cooperative, Inc.
Enclosure: NPDES Permit Application—Short Form C—GW
NPDES Permit Number NC0082821
synterracorp.com
PA_Cary\Southern States\Statesville Fertilizer-50200\NPDES Permit\2024 Renewal\Letter of Transmittal.docx

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0082821
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name Southern States Cooperative, Inc.
Facility Name Statesville Fertilizer Plant
Mailing Address 6606 West Broad Street
City Richmond
State / Zip Code VA / 23230-1717
Telephone Number [phone]
Fax Number [phone]
e-mail Address jennifer.buntinggsscoop.com
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 2582 Salisbury Highway
City Statesville
State / Zip Code NC / 28677
County Iredell
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name SynTerra Corporation
Mailing Address 511 Keisler Drive, Suite 102
City Cary
State / Zip Code NC / 27518
Telephone Number [phone]
Fax Number ( )
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
Page 1 of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
5. Products recovered:
Gasoline El Diesel fuel El Solvents ❑ Other Ammonia, Nitrite, 86
Nitrate
6. Number of separate discharge points: 1
Outfall Identification number(s) 001
7. Frequency of discharge: Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
8. Treatment System Design flow 0.144 MGD
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Fourth Creek
10. Please list all additives to the treatment system, including chemicals or nutrients, that
have the potential to be discharged.
25% Sodium Hydroxide Solution
11. Is this facility located on Indian country? (check one)
Yes ❑ No
12. Additional Information
All applicants (including renewals):
A USGS topographical map (or copy of the relevant portion) which shows all outfalls
A summary of the most recent analytical results (effluent data, if available) containing the
maximum values for each chemical detected
NEW Applicants only:
Engineering Alternative Analysis
Description of remediation treatment system components, capacities, and removal
efficiency for detected compounds.
If the treatment system will discharge to a storm sewer, written approval from the
municipality responsible for the sewer.
A list of any chemicals found in detectable amounts at the site, with the maximum
observed concentration reported for each chemical (the most recent sample must be
collected less than one year prior to the date of this application)
For petroleum-contaminated sites-Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely to be present at the site and for phenol
and lead should also be performed.
For sites contaminated with solvents or other contaminants - EPA Method 624/625
analysis should be performed.
Page 2 of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment lar:tiines.
13. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jennifer Bunting Manager, Env. F'rogrrurrs
Printed?rth
name of Person Signing Title
of Applicant bate
lina General Statute 113-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25.000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
C-GW 03+05

Approximate
Location of
Outfall 001
SITE LOCATION
•
•
Thirri
NOTES:
1.USGS TOPOGRAPHIC MAP PROVIDED BY ESRI,LAST UPDATED APRIL 2023.
2.ALL BOUNDARIES ARE APPROXIMATE.
FIGURE 1
SITE TOPOGRAPHIC MAP
RAL IEGH SOUTHERN STATES COOPERATIVE
CHARLOTTE STATESVILLE FERTILIZER PLANT
y� /�y IREDELL _. STATESVILLE,NORTH CAROLINA
✓f■ Terr�y{.A v LMINGTON ,I
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TE E 04/E2/2023
COUNTY r IA ve;fu Dv E°MIRIAM! DATE Ob/Ofy2023 1,
I IE EAU)R1 I MIJ1IRERTS WE O6/08/2023
All-WIWI Ulry I M:kiAlf RTS GMT OC108U2023
www.synterracorp corn I-1,11U I MAtUA.III 1 WT.
P.0ARt211S PRI,PROJECT S.$OUIHERN_S TATES COORSTATESVLCEFEPTII IZFR7022.6w.ANNUAL REPORTGw ANNUA •Fr "'^a•

LEGEND' 1 ‘,,,,,l: ,,,,
N
TREATMENT SYSTEM DISCHARGE 1 \'''
LINE _j -L. •
- BOUNDARY OF WATER BODY
- BOUNDARY OF SUBJECT SITE — + �=.,
BOUNDARY OF ADJACENT TAX L ,f
PARCELS ,� :., •' DISCHARGE ��
POINT TO
„_ /,,,_ o .'OuRTH„HcEK A - --.'
• "'' ._CREEK
OUTFACE 001 ---,..
' $ f/J
FOUTHEKSGE TREATMENT PLANT 1 /
iEj ----*---7/ i i ,41, 4! ,,6:11 ''' I '
-..1. \ 1 ,,
tj.,,,,,,74,----i,, _. iLr r 7—t'--'-- ,_.
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SOUTHERN 4 STATES ., nill1H- 71111r41.-)14.':(;'
11 j� t. :", "FERTILIZERPLANT 11 p ~'_;It�l. i 1I
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, 1®
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s I_�la! � A'-n 1.AERIAL IMAGERY OBTAINED FROM ESRI,COLLECTED MARCH 20,2022.
'-s f r. - �'t 2.ALL BOUNDARIES ARE APPROXIMATE.
----\)
r 3T i
A rT � FIGURE 3
E' T' '� MAP OF TREATMENT SYSTEM DISCHARGE LINE
+ il* SOUTHERN STATES COOPERATIVE
/ STATESVILLE FERTILIZER PLANT 411010447
� �.. STATESVILLE,NORTH CAROLINA
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ENVIRONMENTAL GEOLOGISTS&ENGINEERS
DUNCKLEE 511 KEISLER DRIVE-SUITE 102
& DT T T . i ` CARY, NORTH CAROLINA 27518
U ll��ll11-11 /A�M OFFICE: [phone]
W W W.DUNCKLEEDUNHAM.COM
September 18,2018
John Hennessy
N.C.Department of Environment and Natural Resources
Division of Water Quality-NPDES Unit
1617 Mail Service Center
Raleigh,North Carolina,27699-1617
Reference: Reissuance of NPDES Permit Number NC0082821
Southern States Cooperative,Inc.
Statesville Fertilizer Plant
2582 Salisbury Highway
Statesville,North Carolina
Dear Mr.Hennessy:
Duncklee & Dunham, P.C. submits the enclosed permit application and required attachments for
reissuance of the NPDES permit on behalf of Southern States Cooperative, Inc. for the above
referenced site. If you have any questions or require additional information, please contact us at(919)
858-9898 or via email at [e-mail].
Sincerely,
Duncklee&Dunham,P.C.
,4414-
ly Walker
Staff Engineer
Chris Bagley,P.E.,CIH,CHMM,QEP
Senior Engineer/Project Manager
NC PE 38748
cc: Ms.Jennifer Bunting—Southern States Cooperative,Inc.
Enclosure: NPDES Permit Application—Short Form C-GW
NPDES Permit Number NC0082821
P:\Southem States\Statesville Fertilizer — 50200\NDODES Permit\2018 NDPES Permit Renewal\Letter of Transmittal
Statesville NPDES Renewal Application 18615.doc
MAILING ADDRESS - POST OFFICE Box 639 — CARY,NORTH CAROLINA 27512
NORTH CAROLINA BOARD OF EXAMINERS FOR ENGINEERS AND SURVEYORS LICENSE C-3559
NORTH CAROLINA BOARD FOR LICENSING OF GEOLOGISTS LICENSE C-261
NC DEQ REGISTERED ENVIRONMENTAL CONSULTANT NUMBER 00061

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0082821
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name Southern States Cooperative, Inc.
Facility Name Statesville Fertilizer Plant
Mailing Address 6606 West Broad Street
City Richmond
State / Zip Code VA / 23230-1717
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road 2582 Salisbury Highway
City Statesville
State / Zip Code NC / 28677
County Iredell
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name Duncklee& Dunham, P.C.
Mailing Address 511 Keisler Drive, Suite 102
City Cary
State / Zip Code NC / 27518
Telephone Number [phone]
Fax Number ( )
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
Page 1 of 3 C-G W 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
5. Products recovered:
Gasoline ❑ Diesel fuel ❑ Solvents ❑ Other Ammonia, Nitrite, &
Nitrate
6. Number of separate discharge points: 1
Outfall Identification number(s) 001
7. Frequency of discharge: Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
8. Treatment System Design flow 0.144 MGD
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Fourth Creek
10. Please list all additives to the treatment system, including chemicals or nutrients, that have
the potential to be discharged.
25% Sodium Hydroxide Solution
11. Is this facility located on Indian country? (check one)
Yes ❑ No
12. Additional Information
All applicants (including renewals):
A USGS topographical map (or copy of the relevant portion) which shows all outfalls
• A summary of the most recent analytical results (effluent data, if available) containing the
maximum values for each chemical detected
NEW Applicants only:
Engineering Alternative Analysis
• Description of remediation treatment system components, capacities, and removal efficiency
for detected compounds.
If the treatment system will discharge to a storm sewer, written approval from the
municipality responsible for the sewer.
• A list of any chemicals found in detectable amounts at the site, with the maximum observed
concentration reported for each chemical (the most recent sample must be collected less
than one year prior to the date of this application)
For petroleum-contaminated sites-Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely to be present at the site and for phenol
and lead should also be performed.
• For sites contaminated with solvents or other contaminants - EPA Method 624/625
analysis should be performed.
Page 2 of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
13. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jennifer Bunting Manager, Env. Programs
Printed name of Person Signing Title
i ature of Applican Date ///b//6
orth Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,
for a similar offense.)
Page 3 of 3 C-GW 03/05

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Source Map:U.SG.S Statesville East 7.5-Minute Quadrangle. North i.s 1 oeards Top ofPage-
DUNCKLEE&DUNHAM,P.C. Approximate Scale: Title: Site Location Map
ENVIRONMENTAL CONSULTANTS 1"=2000' USGS Topographic Map
511 KEISLER DRIVE -SUITE 102 Figure: Project:
CARY, NORTH CAROLINA 27511 Southern States Fertilizer Plant 1
Statesville,North Carolina

N
N
I I \ ."
I.
1 \
1 Outfal l 001
3 m •
�• FOURTH T \ .
/ C4.104
o Z / / j: ./--- .,. FOURTH
/ ( / • � CREEK
/� <�
I. / i SEWAGE 1/
/\. ,* TREATMENT
j .. PLANT
i Ij j I
I illh.\.. I
1 /
7
/
_ i o
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ir
j 1
._ NPDES Effluent
Line
/SOHE 7/
.r-
ATreatment System °�o
NIIP I ,/ 7- SOUTHERN STATES
` SITE
APPROXIMATE SCALE
\ I MN�
NMI
Extraction Wells1/4 0 1/4 MILE
\_J'--- t SITE LOCATION MAP
W. STATESVILLE, NORTH CAROLINA
j PREPARED FOR
SOUTHERN STATES
COOPERATIVE, INC.
Qt-28-94 ISSUED TO NCDEHNR ,,AN JCV CEA CanonbeEnvironmental
No. DATE ISSUE / REVISION OWN. BYCK'D BYAP'D BY DATE: '-14-94 Figure Taken From 1994
SCALE. AS SHOWN Corrective Action Plan

NPDES PERMIT NO.:NC0082821 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Southern States Fertilizer Plant CLASS:PC-1 COUNTY:Iredell
OWNER NAME:Southern States Cooperative Inc ORC:Jayson Anthony Kilcoyne ORC CERT NUMBER:992461
GRADE:PC-1 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050 00400 C0610 C0530 C0600 C066.5 00940 THP3B 01042
g "A 8
a - O
e z
s E m
.g Continuous 2 X month 2 X month 2 X month Monthly Monthly Monthly Monthly Monthly
.8 E < I; L
.g u° m 8 a
u Recorder Grab Grab Grab Grab Grab Grab Grab Grab
g e 7 r4
a g § § O Z FLOW PH NH3-N-Cone TES-Cone TOTAL N- TOTAL P-Cone CHLORIDE CER7DCHV COPPER
2400 clock Ho 2400 clock Ho Y/am mgd so mg/1 mg_/I ,mg/I mg/1 mg/I percent mg/I
1 0.071
2 0.071
3 0.071
4 0.071
' 1015 2.25 Y 0.069 6.40 2.6 <2.6 47 017 58 <01105
6 0.069
7 0.069
8 0.069
9 0.069
is 0.069
I I 0.069
122 0.069
i3 0.069
14 0.069
15 0.069
16 (1845 7 25 ti' 0.068 6.52 3
17 0.068
18 0.068
19 0.068
20 0.068
21 0.068 1
22 0.068
23 0.068
24 0.068
25 0.068
26 0.068
27 0.068
28 0.068
29 0.068
30 0.068
31 0.068
,
Monthly Average Limit: 7.8 30
Monthly Average: 0.068742 2.55 15 47 0.17 58 Il
Daily Maximum: 0.071 6.52 2.6 3 47 0.17 58 0
Daily Minimum: 0.068 6.48 2.5 0 47 0.17 58
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation-Adverse Weather;NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday

NPDES PERMIT NO.:NC0082821 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Southern States Fertilizer Plant CLASS:PC-1 COUNTY:Iredell
OWNER NAME:Southern States Cooperative Inc ORC:Jayson Anthony Kilcoyne ORC CERT NUMBER:992461
GRADE:PC-1 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
00620
E
F §
Y F 6
1 PG
m' $ Monthly
P. o` Grab
8 E a U C
6 4t' O Z' NO3-N
2400 clock Hrs 2400 dock Hrs Y/6/N mg/I
3
4
5 I015 2.25 Y 40
6
7
8
9
1
11
12
13
14
15
16 0845 72; Y
17
18
1'9
20
21
22
23
24
25
'_6
27
28
29
30
31
Monthly Average Limit:
Monthly Average: 40
Daily Maximum: 40
Daily Minimum: 40
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather; NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0082821 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Southern States Fertilizer Plant CLASS:PC-1 COUNTY:Iredell
OWNER NAME:Southern States Cooperative Inc ORC:Jayson Anthony Kilcoyne ORC CERT NUMBER:992461
GRADE:PC-1 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:08/26/2018
08/26/2018
ORC/Certifier Signature: Jayson A Kilcoyne E-Mail:[e-mail] Phone 4:919-858-9898 Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
08/26/2018
Permittee/Submitter Signature:*** Jayson A Kilcoyne E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:2582 Salisbury Hwy Statesville NC 28677 Permit Expiration Date:03/31/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Duncklee&Dunham
CERTIFIED LAB#:5484
PERSON(s)COLLECTING SAMPLES:Jayson Kilcoyne
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
of measurement designated in the reporting facility's NPDESpermit for reporting data.
Use only units eas g po g ty P g
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0082821 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Southern States Fertilizer Plant CLASS:PC-I COUNTY:lredell
OWNER NAME:Southern States Cooperative Inc ORC:Jayson Anthony Kilcoync ORC CERT NUMBER:992461
GRADE:PC-I ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:08 26 2018
08i 16'2018
ORC/Certif r Signature: Jayson A Kilcoyne E-Mail:jayson(adunckleedunham.com Phone #:[phone] Date
By this signature.I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant.please attach a list of corrective actions being taken and a time-table for improvements to he made as required by part I1.E.6 of
the NPDES permit
�� 08/26/2018
Permittee/Sub c Signature:••• Jayson A Kilcoyne E-Mail:jayson(u dunckleedunham.com Phone #:[phone] Date
Permittee Address. 582 Salisbury Hwy Statesville NC 28677 Permit Expiration Date:03/31/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Duncklec&Dunham
CERTIFIED LAB#:5484
PERSON(s)COLLECTING SAMPLES:Jayson Kilcoyne
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swpips/npdesifonns.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* dataentered forall of the parameters on the DMR
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result.there arc no to be en a o.d
for entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per I5A NCAC 8G.0204.
•••Signature of Permittee:If signed by other than the permitter.then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

*ESC A \ ALYTICAL REPORT myESC
May 17, 2018
Duncklee and Dunham
Sample Delivery Group: L991804
Samples Received: 05/08/2018
Project Number: 50200
Description: SS Statesville Fertilizer Plant
Site: NC0082821
Report To: Jayson Kilcoyne
PO Box 639
Cary, NC 27512
Entire Report Reviewed By:
Heather J Wagner
Technical Service Representative
Results relate only to the items tested or calibrated and are reported as rounded values.This test report shall not be
reproduced,except in full,without written approval of the laboratory.Where applicable,sampling conducted by ESC is
performed per guidance provided in laboratory standard operating procedures:060302,060303,and 060304.
4
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12065 Lebanon Rd Mount Juliet, TN 37122 615-758-5858 800-767-5859 www.esclabsciences.com

TABLE OF CONTENTS ONE LAB.NATIONWIDE. 111
Cp:Cover Page
Tc:Table of Contents 2
Ss:Sample Summary 3
1111
Cn:Case Narrative 4
3
Sr:Sample Results 5 Ss a
SAMPLE 1 L991804-01 5 4
Cn
SAMPLE 2 L991804-02 6
Qc:Quality Control Summary 7 5Sr
Wet Chemistry by Method 130.1 7
6
Wet Chemistry by Method 310.2 8 Qc
GI:Glossary of Terms 10 7GI
AI:Accreditations& Locations 11
Sc:Sample Chain of Custody 12 8Al
9
SC
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 2 of 13

SAMPLE SUMMARY ONE LAB.NATIONWIDE. ilk
Collected by Collected date/time Received date/time
SAMPLE 1 L991804-01 WW Brandon Wise 05/07/1811:20 05/08/18 08:45
Method Batch Dilution Preparation Analysis Analyst date/time date/time 2
Tc
Aquatic Toxicity by Method 1002.0 WG1111184 1 05/08/1815:15 05/08/18 15:15 SWS
Wet Chemistry by Method 130.1 WG1109480 10 05/11/1811:02 05/11/1811:02 KK
Wet Chemistry by Method 310.2 WG1109420 1 05/12/1814:45 05/12/1814:45 KK
4
Collected by Collected date/time Received date/time Cn
SAMPLE 2 L991804-02 WW AD 05/09/1811:20 05/10/18 08:45
5
Method Batch Dilution Preparation Analysis Analyst Sr
date/time date/time
Wet Chemistry by Method 130.1 WG1109480 5 05/11/1811:03 05/11/1811:03 KK 6
QC
Wet Chemistry by Method 310.2 WG1110635 1 05/15/1810:11 05/15/1810:11 KK
GI
II
Al
9
SC
ACCOUN
T: PROJECT: SDG: DAT
E/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 3 of 13

CASE NARRATIVE ONE LAB.NATIONWIDE.
All sample aliquots were received at the correct temperature,in the proper containers,with the �`p
appropriate preservatives,and within method specified holding times,unless qualified or notated within
the report. Where applicable,all MDL(LOD)and RDL(LOQ)values reported for environmental samples Tc
have been corrected for the dilution factor used in the analysis. All radiochemical sample results for
solids are reported on a dry weight basis with the exception of tritium,carbon-14 and radon, unless wet 3
weight was requested by the client. All Method and Batch QL ality Control are within established Ss
criteria except where addressed in this case narrative,a non-conformance form or properly qualified
within the sample results. By my digital signature below, I affirm to the best of my knowledge,all
problems/anomalies observed by the laboratory as having the potential to affect the quality of the data11111
have been identified by the laboratory,and no information or data have been knowingly withheld that
would affect the quality of the data. 5
Sr
6
QC
7
GI
Heather J Wagner
Al
Technical Service Representative
9
SC
Project Narrative
Please review all information in this report for accuracy and completeness. Contact our office within ten days if there are any
questions.
Chronic Test Methods are described in"Short Term Methods for Estimating the Chronic Toxicity of Effluent and Receiving Waters
to Freshwater Organisms"(EPA/600/4-89/001).
The Biomonitoring results in this report are only a summary of the tests performed. A detailed report will follow. The detailed
report(not this summary sheet)must be submitted to the appropriate regulatory agency.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 4 of 13

SAMPLE 1 SAMPLE RESULTS - 01 ONE LAB.NATIONWIDE.
Collected date/time: 05/07/18 11:20 L991804
Aquatic Toxicity by Method 1002.0 ,
Result Qualifier Analysis Batch Cp
Analyte % date/time
2
NOEC-C.dubia 6(PASS) 0 5/0 8/2 018 15:15 WG1111184 Tc
Wet Chemistry by Method 130.1 3Ss
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/I mg/I date/time 4
Cn
Hardness(colorimetric)as CaCO3 1520 300 10 05/11/2018 11:02 WG1109480
Wet Chemistry by Method 310.2
1111
Result Qualifier RDL Dilution Analysis Batch
6
Analyte mg/I mg/I date/time Qc
ALK 65.4 20.0 1 05/12/201814:45 WG1109420
GI
Al
9
Sc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 5 of 13

SAMPLE 2 SAMPLE RESULTS - 02 ONE LAB.NATIONWIDE. Mk
Collected date/time: 05/09/18 11:20 L991804
Wet Chemistry by Method 130.1
Cp
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/I mg/I date/time
Hardness(colorimetric)as CaCO3 815 150 5 05/11/201811:03 WG1109480 Tc
Wet Chemistry by Method 310.2 3Ss
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/I mg/I date/time 4 Cn
ALK 87.4 20.0 1 05/15/201810:11 WG1110635
111
6QC
7
GI
Al
9SC
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 6 of 13

WG1109480 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. .40
Wet Chemistry by Method 130.1 L991804-01,02
Method Blank (MB) 1
Cp
(MB)R3308964-1 05/11/1810:31
MB Result MB Qualifier MB MDL MB RDL 2
Analyte mg/I mg/I mg/I Tc
Hardness(calorimetric)as 3.25 J 1.43 30.0
CaCO3 — 3
SS
L992648-04 Original Sample(OS) - Duplicate(DUP) 4Cn
(OS)L992648-04 05/11/18 10:54•(DUP)R3308964-7 05/11/18 10:55
DUP RPD s
Original Result DUP Result Dilution DUP RPD DUP Qualifier Limits Sr
Analyte mg/I mg/I % %
Hardness(calorimetric)as 127 122 1 4.02 201111
CaCO3
7
GI
L991781-02 Original Sample(OS) • Duplicate(DUP)
(OS)L991781-02 05/11/18 10:58•(DUP)R3308964-8 05/11/18 11:01
VAI
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
9
Analyte mg/I mg/I % % SC
Hardness(colorimetric)as 219 194 5 12.4 20 I
CaCO3
Laboratory Control Sample(LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS)R3308964-2 05/11/18 10:31•(LCSD)R3308964-3 05/11/18 10:32
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec.Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/1 mg/I % % % % %
Hardness(colorimetric)as 150 150 148 100 98.7 85.0-115 1.34 20
CaCO3 i
L992648 01 Original Sample (OS) • Matrix Spike(MS) • Matrix Spike Duplicate(MSD)
(OS)L992648-01 05/11/18 10:48•(MS)R3308964-5 05/11/1810:51•(MSD)R3308964-6 05/11/18 10:52
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I mg/I % % % % %
Hardness(calorimetric)as 150 128 224 224 64.0 64.0 1 80.0-120 E J6 E J6 0.000 20
CaCO3
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 7 of 13

WG1109420 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE.
Wet Chemistry by Method 310.2 L991804-01
Method Blank(MB)
Cp
(MB)R3309271-1 05/12/18 14:18
MB Result MB Qualifier MB MDL MB RDL 2
Analyte mg/I mg/I mg/I Tc
ALK U 6.30 20.0
3
SS
L991757-02 Original Sample(OS) • Duplicate(DUP)
(OS)L991757-02 05/12/18 14:31•(DUP)R3309271-4 05/12/18 14:32 4Cn
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD s
Limits
Sr
Analyte mg/I mg/I % %
ALK 140 140 1 0.000 20
QC
L991822-01 Original Sample (OS) • Duplicate (DUP) 7GI
(OS)L991822-01 05/12/1814:46•(DUP)R3309271-7 05/12/18 14:47
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Al
Limits
Analyte mg/I mg/I % %
ALK 192 193 1 0.519 20 9
SC
Laboratory Control Sample(LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS)R3309271-2 05/12/18 14:19•(LCSD)R3309271-3 05/12/1814:20
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec.Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I % % % % %
ALK 200 189 190 94.5 95.0 85.0-115 0.528 20
L991781-01 Original Sample(OS) • Matrix Spike(MS) • Matrix Spike Duplicate (MSD)
(OS)L991781-01 05/12/18 14:36•(MS)R3309271-5 05/12/18 14:37•(MSD)R3309271-6 05/12/18 14:38
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I mg/I % % % % %
ALK 100 134 208 210 74.0 76.0 1 80.0-120 J6 J6 0.957 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 8 of 13

WG1110635 QUALITY CONTROL SUMMARY ONE LAB.NATIONWIDE. ilk
Wet Chemistry by Method 310.2 L991804-02
Method Blank (MB)
(MB)R3309782-1 05/15/18 09:53 Cp
MB Result MB Qualifier MB MDL MB RDL
2
Analyte mg/I mg/I mg/I Tc
ALK U 6.30 20.0
'3
Ss
L991749-03 Original Sample (OS) • Duplicate(DUP) 4
(OS)L991749-03 05/15/18 10:02•(DUP)R3309782-4 05/15/1810:05 Cn
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD s
Limits
Sr
Analyte mg/I mg/I % %
ALK 82.6 81.1 1 1.83 20
Cc
L992874-01 Original Sample (OS) • Duplicate(DUP) 7GI
(OS)L992874-01 05/15/18 10:20•(DUP)R3309782-7 05/15/18 10:21
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD s
Limits Al
Analyte mg/I mg/I % %
ALK 43.5 43.4 1 0.230 20 9
Sc
Laboratory Control Sample(LCS)• Laboratory Control Sample Duplicate (LCSD)
(LCS)R3309782-2 05/15/18 09:54•(LCSD)R3309782-3 05/15/18 09:55
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec.Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I % % % % %
ALK 200 190 190 95.0 95.0 85.0-115 0.000 20
L992648-01 Original Sample(OS) • Matrix Spike(MS) • Matrix Spike Duplicate (MSD)
(OS)L992648-01 05/15/18 10:12•(MS)R3309782-5 05/15/18 10:13•(MSD)R3309782-6 05/15/18 10:14
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec.Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I mg/I % % % % %
ALK 100 103 187 185 84.0 82.0 1 80.0-120 1.08 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 9 of 13

GLOSSARY OF TERMS ONE LAB.NATIONWIDE. ,at
Guide to Reading and Understanding Your Laboratory Report ,C
p
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation,and if you have additional questions please contact your project representative.
2
Abbreviations and Definitions Tc
MDL Method Detection Limit.
3
RDL Reported Detection Limit. SS
Rec. Recovery.
RPD Relative Percent Difference. 4
SDG Sample Delivery Group. Cn
U Not detected at the Reporting Limit(or MDL where applicable).
The name of the particular compound or analysis performed.Some Analyses and Methods will have multiple analytes
Analyte Sr
reported.
If the sample matrix contains an interfering material,the sample preparation volume or weight values differ from the
standard,or if concentrations of analytes in the sample are higher than the highest limit of concentration that the 6
Dilution laboratory can accurately report,the sample may be diluted for analysis.If a value different than 1 is used in this field,the QC
result reported has already been corrected for this factor.
These are the target%recovery ranges or%difference value that the laboratory has historically determined as normal
Limits for the method and analyte being reported.Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample The non-spiked sample in the prep batch used to determine the Relative Percent Difference(RPD)from a quality control 8
sample.The Original Sample may not be included within the reported SDG. Al
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier reported.If a Qualifier is present,a definition per Qualifier is provided within the Glossary and Definitions page and e
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. Sc
The actual analytical final result(corrected for any sample specific characteristics)reported for your sample.If there was
no measurable result returned for a specific analyte,the result in this column may state"ND"(Not Detected)or"BDL"
Result (Below Detectable Levels).The information in the results column should always be accompanied by either an MDL
(Method Detection Limit)or RDL(Reporting Detection Limit)that defines the lowest value that the laboratory could detect
or report for this analyte.
A brief discussion about the included sample results,including a discussion of any non-conformances to protocol
Case Narrative(Cn) observed either at sample receipt by the laboratory from the field or during the analytical process.If present,there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary(Qc) analytical methods to assist in evaluating the validity of the results reported for your samples.These analyses are not
being performed on your samples typically,but on laboratory generated material.
This is the document created in the field when your samples were initially collected.This is used to verify the time and
Sample Chain of date of collection,the person collecting the samples,and the analyses that the laboratory is requested to perform.This
Custody(Sc) chain of custody also documents all persons(excluding commercial shippers)that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples.These results are provided
Sample Results(Sr) by sample ID and are separated by the analyses performed on each sample.The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary(Ss) This section of the Analytical Report defines the specific analyses performed for each sample ID,including the dates and
times of preparation and/or analysis.
Qualifier Description
The analyte concentration exceeds the upper limit of the calibration range of the instrument established by the initial
calibration(ICAL).
J The identification of the analyte is acceptable;the reported value is an estimate.
J6 The sample matrix interfered with the ability to make any accurate determination;spike value is low.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 10 of 13

ACCREDITATIONS & LOCATIONS ONELAB.NATIONWIDE. 1111
ESC Lab Sciences is the only environmental laboratory accredited/certified to support your work nationwide from one location.One phone call,one point of contact,one laboratory.No other lab
is as accessible or prepared to handle your needs throughout the country.Our capacity and capability from our single location laboratory is comparable to the collective totals of the network
laboratories in our industry.The most significant benefit to our one location design is the design of our laboratory campus.The model is conducive to accelerated productivity,decreasing
turn-around time,and preventing cross contamination,thus protecting sample integrity.Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
•Not all certifications held by the laboratory are applicable to the results reported in the attached report.
'Accreditation is only applicable to the test methods specified on each scope of accreditation held by ESC Lab Sciences. 2
Tc
State Accreditations
3
Alabama 40660 Nebraska NE-OS-15-05 SS
Alaska 17-026 Nevada TN-03-2002-34
Arizona AZ0612 New Hampshire 2975
4
Arkansas 88-0469 New Jersey—NELAP TN002 Cn
California 2932 New Mexico' n/a
Colorado TN00003 New York 11742 6
Connecticut PH-0197 North Carolina Env375 Sr
Florida E87487 North Carolina' DW21704
Georgia NELAP North Carolina 3 41 5
Georgia' 923 North Dakota R-140 Oc
Idaho TN00003 Ohio—VAP CL0069
Illinois 200008 Oklahoma 9915 7
Indiana C-TN-01 Oregon TN200002 GI
Iowa 364 Pennsylvania 68-02979 _
Kansas E-10277 Rhode Island LA000356
'Kentucky'6 90010 South Carolina 84004 Al
Kentucky 2 16 South Dakota n/a
Louisiana A130792 Tennessee'° 2006 9
Louisiana' LA180010 Texas T 10 470 42 4 5-17-14 SC
Maine TN0002 Texas 5 LAB0152
Maryland 324 Utah TN00003
Massachusetts M-TN003 Vermont VT2006
Michigan 9958 Virginia 460132
Minnesota 047-999-395 Washington C847
Mississippi TN00003 West Virginia 233
Missouri 340 Wisconsin 9980939910
Montana CERT0086 Wyoming A2LA
Third Party Federal Accreditations
A2LA—ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789
A2LA—ISO 17025 6 1461.02 DOD 1461.01
Canada 1461.01 USDA P330-15-00234
EPA—Crypto TN00003
'Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity °Chemical/Microbiological 5 Mold 6 Wastewater n/a Accreditation not applicable
Our Locations
ESC Lab Sciences has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies.If you would like assistance from one of our support offices,please
contact our main office.ESC Lab Sciences performs all testing at our central laboratory.
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MS AL 1110,
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ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 11 of 13

Billing Information Analyses/Container/Preservative i:haui of Custody Paps I nl
Duncklee and Dunham Jayson A.Kilcoyne
I rr•. *ESe.C.511 Keisler Drive,Suite 101 ''t hk ` -PO Box 639 Cary,NC 27518Cary,NC 27512Fs—'� E .-
Report to. imad to.jaysonedunckieedunham.com; raov".ri:p,r�,TN attl 0 '''���
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immediately / _Two Day _to Day(Bad Only) IA" ti z
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Billing Intormat.on , s/f halYSrs/Container/Press*tiaLve
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a 2 Q sh pped via:PedEX Ground .
Time ICrttrs yeO < ors-r.r. ;an+n�.•a;lyu;..a.�
Sample ID Comp/Grab Mare• Depth Date
I SAMPLE 2 niat`10 41 ill i 1 1Z,Co 3 X X X
t I
- I
f
53i&.).L ReCelctt Check
_. --- -
•Matra Remsrks:Sample N2-Collect a grab sample on Wednesday 5/9, Ship overnight to arrive atpIi limp rx Seal Present�tntect: P y _r+
moit
SS•Sort AIR-Air i-filter ab on Thursday 5/10/2018. COCO Seal Present ate, + _N
Settlers active intact: aLY _'1
GW-Groundwater a Bioassay Flow _ Other__ __ '_
Caccect bottles used: �'
W ri kngWar Soffiolent volume seat: /Y _.,
OW Drinking Water Samples returned via_ [ �/ It ll�ylit=aLlg
OT Other _UPS _FedER _Courier _ Trackingq :iir �D 3`T46 VOA Seto lkesdapeee: Y R
r n iDate
Trip Blank Received Yes/� fie-erv«tt •'r. !orrect,Cheohed, r/�f n
Time ue.rr�ed by �; a: ' HCL/MeoH
� - , ' TEA
Rrl•nqunhed by ISignaturel Date
Time R,• edits. S. re) Temp. aC Bathes erre.yera it preservation required by login Date/Time
.. 3.c*qa 3
Date: T+me. Halo: Conditi
Pei nqurshed by g5,gnaturel Date me. Received for Lab by {SsRnatur i ff it QK
4,-l"g 0g`fY-