NCS000294 DMR SW

Permit Numb
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEA
(This monitoring report shall be received by the Division no later than 30 days from
the date tbefacilitq receives the sampling results from the laboratory.)
e
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
No.
Date
Sample
Collected
Rainfall
Duration
m L
m L
m L
m L
m L
m L
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
February 2015
NO DISCHARGE
Outfall 1 west
February 2015
NO DISCHARGE
DEPJ -
STORMWAT
Outfall
No.
Date
Sample
Collected
Rainfall pH, Standard
Duration Units
m /L
Kjeldahl
Nitrogen,
TKN, 351.2
m L
Suspended
Solids,
2540D
m
Total Nitrogen
Benchmark
mo/dd/ r
Minutes 6.0-9.0
20 1100
30
Outfall 3 East
February 2015
NO DISCHARGE
Outfall 1 west
February 2015
NO DISCHARGE
Form SWU-247, last revised 2/2/2012
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)
in. D 17 6:..1 1%A ­+­­ Aetivity Mnnitnrina Rennirements
Outfall Date
No. 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 /I
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date February 2015
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,
irlejuding the possibility of fines and imprisonment for knowing violations."
7-1.5
(Sign fi5re of mittee)� (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2

- _4P
Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 "
(This monitgripg 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
No.
Date
Sample
Collected
Rainfall
Duration
pH, Standard
Units
m L
Sulfate,
9056
m L
BOD,
SM5210B
mg1L
COD,
410.4
m L
Ammonia
Nitrogen,
350.1
mg1L
Nitrate-
Nitrite,
9056
m
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
3.34
1.1
Outfall 1 west
03/27/15
90
7.20
1,200
42
61
200
49.6
14
Outfall
No.
Date
m /L
m
m
Sample Rainfall pH, Standard Kjeldahl Suspended Total Nitrogen
Collected Duration Units Nitrogen, Solids,
TKN, 351.2 2540D
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, ldst revised 2/2/2012
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)
n_� n- u
If ]_:.-1 1%4 :.. �..........n A..*,w:fi. Mnnitnrina RPnuirements
rat a u. • c.a..c---------
Outfall Date
No. 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
gaumo
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
"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 mittee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2