NCS000294 DMR SW (6)

RP'CEIVE®
STORMWATER DISCHARGE OUTFALL (SDO) JAN 112 20,
MONITORING REPORT
DENR-LAND QUALITY
Permit Number NCS 000294 SAMPLES COLLECTED DURING CALENDAR SERlvIttING
(This monitoring report shall be received by the Division no later than '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
Rainfall
Duration
pH, Standard
Units
mg/L
Sulfate,
9056
mg/L
BOD,
SM5210B
mg/L
COD,
410.4
mg/L
Ammonia
Nitrogen,
350.1
mg/L
Nitrate-
Nitrite,
9056
mg/L
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
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 3 East
12/16/14
90
7.09
1.6
280
2.48
Outfall 1 west
12/16/14
90
6.53
9.7
67
16.9
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)
Vnr* Its Vahiela Maintananen Activity Manitarino Reauirements
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
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."
Ljo_�_t_ 1-5-1
(Signature ofa mittee) (Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2