NCS000294 DMR SW (10)

Permit Number NCS 000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR:' 2015252015
(This monitoring report shall be received by the Division no later than 30 days from
the date tht facility' receives the sampling results from the laboratory.)
FACILITY NAME Southern States Cooperative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak/Kevin Kelt
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
mg/L
mg/L
mg/L
mg/L
m
mg/L
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 3 East
11/02/2015
NO DISCHARGE
Outfall 1 west
11/02/2015
180
6.87
145
10.6 74.4
28.3
27.88
6.6
Outfall
No.
Date
Sample
Collected
m /L
mg/L mg/L
Rainfall pH, Standard Kjeldahl Suspended Total Nitrogen
Duration Units Nitrogen, Solids,
TKN, 351.2 2540D
Benchmark
mo/dd/ r
Minutes
6.0-9.0
120
100 30
Outfall 3 East
11/02/2015
NO DISCHARGE
Outfall 1 west
11/02/2015
180
6.87
28.6
40 56.9
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)
Part R: Vehicle Maintenance Activitv Monitorine 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 /I
m /l
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 11/02/15
Total Event Precipitation (inches): 1.5
Event Duration (hours): 3 (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,
in u ing the possibilit of fines and imprisonment for knowing violations."
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2

Permit Number NCS '000294
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoYing report shall be received by the Division no later than 30 days from
the date tht facility receives the sampling results from the laboratory.)
FACILITY NAME Southern States Coouerative-Creedmoor
PERSON COLLECTING SAMPLE(S) Andrew Rodak/Kevin Kelt
CERTIFIED LABORATORY(S) Environmental Science Corporation Lab # ENV375
Lab #
Part A: Specific Monitoring Requirements
COUNTY Granville
PHONE N67-(_919_) 528-1516
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
Rainfall
Duration
mg/L
m
m
mg/L
m
mg/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
Outfall 1 west
11/02/2015
11/02/2015
180
6.87
145
NO DISCHARGE
10.6 74.4
28.3
27.88
6.6
Outfall
No.
Date
Sample
Collected
Rainfall
Duration
pH, Standard
Units
/L
Kjeldahl
Nitrogen,
TKN, 351.2
mg/L m
Suspended Total Nitrogen
Solids,
2540D
Benchmark
mo/dd/ r
Minutes
6.0-9.0
20
100 30
Outfall 3 East
Outfall 1 west
11/02/2015
11/02/2015
180
6.87
28.6
NO DISCHARGE
40 56.9
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? X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date
No. Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/ 1TH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
m /l
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date 11/02/15
Total Event Precipitation (inches): 1.5
Event Duration (hours): 3 (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,
in u ing the possprisonment for knowing violations."
ibili of fines and im
Aw�
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2