NC0082821_Fact Sheet_20190708

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact
Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc)
that can be administratively renewed with minor changes, but can include facilities with more complex
issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance
concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily DelDuco 02/07/2019
Permit Number
NCO082821
Facility Name
Statesville Fertilizer Plant (GW Remediation)
Basin Name/Sub-basin number
Yadkin — Pee Dee 03-07-06
Receiving Stream
Fourth Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No, already included
Does permit need TRC limits/language?
No, already included
Does permit have toxicity testing?
Yes
Does permit have Special Conditions?
Toxicity & High Rock Lake reo ener
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since lastpermit?
No
New expiration date
March 31, 2024
Compliance History (this permit cycle
No enforcements since 2010.
NOV-2018-LV-0648 5/2018- exceeded monthly avg ammonia limit (27.5%)
NOV-2017-LV-0287 2/2017- fell below daily pH minimum (5%)
NOV-2016-LV-0557 06/2016 - fell below daily pH minimum (4%)
NOV-2016-LV-0286 01/2016 — exceeded TSS daily max (93%), monthly avg
(43.5%)
Discharge Summary
Flow (MGD)
nl Maximu
14
0.08
0.09
311
15
0.07
0.09
149
16
0.07
0.09
264
17
0.07
0.09
238
18
0.07
0.14
335
Average monthly flow from Dec 2015-Dec2018 (36 months) = 0.0695 MGD
Highest average monthly flow in same period (36 months, Qw) = 0.137 MGD (used for RPA)

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
eDMR Summary (Dec 2014-Dec2018)
Analysis Variable: Value
arameter
I Meanj
Maximum)
N
0400 - pH
-
8.95
86
0620 - Nitrogen, Nitrate Total (as N)
40.76
130.00
37
0940 - Chloride (as Cl)
48.67
200.00
37
1042 - Copper, Total (as Cu)
0.55
5.00
37
0050 - Flow, in conduit or thru treatment plant
0.07
0.14 1017
'0530 -Solids, Total Suspended -Concentration
5.72
87.00
71
'0600 - Nitrogen, Total - Concentration
42.79
150.00
37
'0610 -Nitrogen, Ammonia Total (as N) -Concentration
1.83
17.00
71
'0665 -Phosphorus, Total (as P) -Concentration
0.24
1.80
37
'GP3B - Pass/Fail Static Renewal 7Day Chronic Ceriodaphnia
1.08
2.00
24
'HP3B - CHV STATRE May Chronic Ceriodaphnia
8.50
9.00
24
Copper: No detects
Chloride: No Reasonable Potential, Predicted max <50% of allowable Cw
Changes to draft permit:
• Hardness monitoring and reporting was added to the effluent characteristics table in
Part 1. Section A. (1.). Effluent hardness sampling and instream hardness sampling
is being inserted into all permits with facilities monitoring for hardness -dependent
metals.
• Footnotes 3,4, and 5 were added to Part 1. Section A. (1.).
• HUC was added to the outfall description on page 2.
• The outfall map has been updated.
• Regulatory citations were added as necessary.
• Section A. (3) was updated to be current.
Comments on Draft:
From: Chris Bagley
Sent: Thursday, March 14, 2019 11:46 AM
To: emily.delducokncdenr.gov
Cc: Jennifer Bunting <jennifer.buntingksscoop.com>
Subject: Public Comment Draft NPDES Permit NCO082821
Dear Ms. DelDuco:
Duncklee & Dunham submits this comment on behalf of our client Southern States Cooperative,
Inc. regarding the draft NPDES permit NCO082821 for the Southern States Fertilizer Plant
(facility). As noted in your cover letter to the draft permit, dated February 20, 2019, hardness
sampling of the effluent and of the receiving waters (Fourth Creek) upstream of the facility's
discharge is inserted as a new requirement in the draft permit. An additional new requirement is
that the instream hardness sampling of Fourth Creek "...shall be representative of the hardness in
the receiving stream." Obtaining a representative sample for hardness in the receiving waters
upstream of the facility's discharge is not feasible.

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
The discharge of facility wastewater into Fourth Creek is approximately one mile away from the
facility's physical location, and is on private property not owned by Southern States, nor does
Southern States have a right-of-way allowing access to this area of Fourth Creek. The nearest
potential upstream access is from a bridge on Bell Farm Road, which crosses Fourth Creek
upstream and to the west of the Southern States outfall. Any sample obtained at this location will
not be representative of the in -stream hardness upstream of the Southern States outfall because
the Fourth Creek Wastewater Treatment Facility (NPDES Permit NC0031836) is permitted to
discharge up to 6.0 MGD of effluent in between the Bell Farm Road bridge and the Southern
States outfall. Thus, any sample taken at the bridge will not include the impact on in -stream
hardness due to effluent discharge from the Fourth Creek Wastewater Treatment Facility.
Duncklee & Dunham requests that the requirement to sample instream hardness upstream of the
facility's discharge be removed from the permit because it is not feasible to obtain a
representative sample for hardness analysis, as described above.
Thank you,
Chris Bagley, P.E., CIH, CHMM, QEP
Senior Engineer
Duncklee & Dunham, P.C.
In response to this comment, upstream hardness sampling (and corresponding footnotes) was
removed from the final version of the permit. The region was contacted and agreed that there was
not a suitable upstream location for sampling.
The region also commented that this facility is consistently in violation of its Nitrogen cap for
their groundwater wells.

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators
MAXIMUM DATA POINTS = 58
REQUIRED DATA ENTRY CHECK WQS
Table 1. Project Information
Facility Name
WWTP/WTP Class
NPDES Permit
Outfall
Flow, Qw (MGD)
Receiving Stream
HUC Number
Stream Class
❑Apply WS Hardness WQC
7Q10s (cfs)
7Q10w (cfs)
30Q2 (cfs)
QA (cfs)
1Q10s (cfs)
Effluent Hardness
-------------
Upstream Hardness
-------------
Combined Hardness Chronic
-------------
Combined Hardness Acute
Data Source(s)
❑CHECK TO APPLY MODEL
❑CHECK IF HQW OR ORW WQS
Souther States Fertilizer Plant
PC-1
NCO082821
001
0.137
Fourth Creek
030401020402
C
7.50
11.30
46.50
6.23
25 mg/L (Avg)
-------------------
25 mg/L (Avg)
-------------------
25 mg/L
-------------------
25 mg/L
- - - - - - - - - - - - - - - - - - -
Table 2. Parameters of Concern
Name WQS Type Chronic Modifier Acute PQL Units
Par01
Par02
Par03
Par04
Par05
Chlorides
Aquatic Life
NC
230
FW
mg/L.
Par06
Par07
Par08
Par09
Par10
Par11
Copper
Aquatic Life
NC
7.8806
FW
10.4720
ug/L
Par12
Par13
Par14
Par15
Par16
Par17
Par18
Par19
Par20
Par21
Par22
Par23
Par24
NCO082821 RPA 2019, input
2/7/2019

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
REASONABLE POTENTIAL ANALYSIS
H1
H2
Use"PASTE SPECIAL
Use"PASTE SPECIAL
Effluent Hardness
Values" then "COPY"
Upstream Hardness
Values" then "COPY"
. Maximum data
. Maximum data
points = 58
points = 58
Date Data BDL=1/2DL Results
Date Data BDL=1/2DL Results
1
25 25 Std Dev.
N/A
1
25 25 Std Dev.
N/A
2
Mean
25.0000
2
Mean
25.0000
3
C.V.
0.0000
3
C.V.
0.0000
4
n
1
4
n
1
5
10th Per value
25.00 mg/L
5
10th Per value
25.00 mg/L
6
Average Value
25.00 mg/L
6
Average Value
25.00 mg/L
7
Max. Value
25.00 mg/L
7
Max. Value
25.00 mg/L
8
8
9
9
10
10
11
11
12
12
13
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
24
24
25
25
26
26
27
27
28
28
29
29
30
30
31
31
32
32
33
33
34
34
35
35
36
36
37
37
38
38
39
39
40
40
41
41
42
42
43
43
44
44
45
45
46
46
47
47
48
48
49
49
50
50
51
51
52
52
53
53
54
54
55
55
56
56
57
57
58
58
NCO082821 RPA 2019, data
-3- 2/7/2019

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
REASONABLE POTENTIAL ANALYSIS
Par05
Date Data
1 11/3/2015
2 12/8/2015
3 1 /7/2015
4 4/26/2016
5 5/10/2016
6 6/6/2016
7 7/19/20166
8 8/8/2016
9 9/15/2016
10 10/13/2015
11 11/18/2016
12 12/19/2016
13 1/11/2017
14 2/13/2017
15 5/12/2017
16 6/13/2017
17 7/26/2017
18 8/10/2017
19 9/14/2017
20 10/16/2017
21 11/10/2017
22 12/7/2017
23 2/2/2018
24 3/7/2018
25 4/3/2018
26 5/7/2018
27 6/8/2018
28 7/5/2018
29 8/9/2018
30 9/10/2018
31 10/16/2018
32 11 /16/2018
33 12/11 /2018
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Chlorides
BDL=1/2DL
Results
71
71
Std Dev.
40
40
Mean
52
52
C.V.
38
38
n
37
37
36
36
Mult Factor =
31
31
Max. Value
36
36
Max. Pred Cw
31
31
34
34
35
35
36
36
35
35
36
36
21
21
35
35
23
23
35
35
28
28
25
25
36
36
36
36
24
24
39
39
38
38
200
200
60
60
58
58
54
54
55
55
54
54
53
53
54
54
Use "PASTE SPECIAL -
Pall
Values" then "COPY". Copper
Maximum data points =
58
44.7
0.6772
33
1.2
200.0 mg/L
238.0 mg/L
Date
Data
BDL=1/2DL
Results
1
11/3/2015
<
10
5
Std Dev.
2
12/8/2015
<
10
5
Mean
3
1/7/2015
<
21
10.5
C.V.
4
4/26/2016
<
21
10.5
n
5
5/10/2016
<
21
10.5
6
6/6/2016
<
10
5
Mult Factor =
7
7/19/20166
<
1
0.5
Max. Value
8
8/8/2016
<
1
0.5
Max. Fred Cw
9
9/15/2016
<
1
0.5
10
10/13/2015
<
1
0.5
11
11/18/2016
<
1
0.5
12
12/19/2016
<
1
0.5
13
1/11/2017
<
1
0.5
14
2/13/2017
<
1
0.5
15
5/12/2017
<
10
5
16
6/13/2017
<
1
0.5
17
7/26/2017
<
10
5
18
8/10/2017
<
10
5
19
9/14/2017
<
10
5
20
10/16/2017
<
5
2.5
21
11/10/2017
<
10
5
22
12/7/2017
<
10
5
23
2/2/2018
<
1
0.5
24
3/7/2018
<
1
0.5
25
4/3/2018
<
1
0.5
26
5/7/2018
<
25
12.5
27
6/8/2018
<
1
0.5
28
7/5/2018
<
5
2.5
29
8/9/2018
<
10
5
30
9/10/2018
<
10
5
31
10/16/2018
<
20
10
32
11/16/2018
<
10
5
33
12/11/2018
<
10
5
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Use "PASTE SF
Values" then "i
Maximum c
points = 5
3.9545
0.9070
33
1.25
12.50
15.63
NCO082821 RPA 2019, data
-4- 2/7/2019

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
Souther States Fertilizer Plant
NCO082821 Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators
MAXIMUM
Qw (MGD) =
0.1370
IQIOS (cfs)=
6.23
7QI OS (cfs) =
7.50
7QIOW (cfs)=
11.30
30Q2 (cfs) =
NO 30Q2 DATA
Avg. Stream Flow, QA (cfs) =
46.50
Receiving Stream: Fourth Creek HUC 030401020402
DATA POINTS = 58
WWTP/WTP Class: PC-1
IWC% @ IQIOS =
3.296157458
IWC% @ 7QIOS —
2.753376079
IWC% @ 7QIOW =
1.844540863
IWC% @ 30Q2 =
N/A
IW%C @ QA =
0.454590702
Stream Class:
C
Outfall 001
Qw = 0.137 MGD
COMBINED HARDNESS (m¢/L)
Acute = 25 mg/L
Chronic = 25 mg/L
PARAMETER
NC STANDARDS OR EPA CRITERIA
(n
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
TYPE
J
M
Applied
Chronic Acute
n # Det. Max Pred Cw Allowable Cw
d
StandAcute:
NO WQS
Chlorides
NC
230 FW(7QIOs)
mg/L
33 33
238.0
Chronic: 8,353.4
No RP, Predicted Max < 50 % of Allowable Cw - No
No value > Allowable Cw
Monitoring required
Acute: 317.70
No detects
Copper
NC
7.8806 FW(7QIOs) 10.4720
ug/L
33 0
15.63
--Chronic:----286.22
---------------------
No detects
NO DETECTS
Max MDL = 25
NCO082821 RPA 2019, rpa
Page 6 of 6 2/7/2019

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
From:
Watson. Edward M
To:
DelDuco, Emilv
Subject:
RE: NCO082821 Southern States fertilizer
Date:
Wednesday, July 3, 2019 12:55:57 PM
Attachments:
imaae001.pna
Emily,
Sounds good. Thanks.
Ed
From: DelDuco, Emily
Sent: Wednesday, July 3, 2019 12:54 PM
To: Watson, Edward M <[e-mail]>
Subject: RE: NCO082821 Southern States fertilizer
Hi Ed,
Just wanted to update you on this. We've decided to just remove upstream hardness sampling from
the permit. They have not been reporting Cu down to the appropriate PQL, so we can't remove that.
As far as nutrient limits, I'm not seeing anything that would trigger that right now. The permit does
contain the High Rock Lake reopener, in case of future changes to TMDLs.
From: Watson, Edward M
Sent: Thursday, June 27, 2019 7:56 AM
To: DelDuco, Emily <Emily.Del Duco(@ncdenr.gov>
Subject: NCO082821 Southern States fertilizer
Emily,
The permit draft looks fine. This permit currently requires that the permittee monitors and report
for Cu. I have looked back at this permit to 2004 and there have not been any issues for Cu. The
geologic regime where this operation is located is not an area where Cu would be an issue, would
removing Cu as a hardness dependent material from the permit also remove the hardness
requirement from the permit? Due to the limited access to the stream at this facility, in stream
hardness would be difficult for the permittee to collect. Is it possible to calculate hardness from the
sample collection point at the plant?
Also, the permit draft still only has the monitor and report status for nutrients (Nitrates, Nitrogen &
Phosphorus). Have surface water nutrient levels been established under 213? If not, are the
establishment of nutrient levels forthcoming?
Thanks.

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
Ed
Edward Watson
Hydrogeologist
Water Quality Regional Operations Section
Division of Water Resources
North Carolina Department of Environmental Quality
704 235 2198 Office
704 235 6040 Fax
edward.watson(@ncdenr.gov
610 E. Center Ave.
Suite 301
Mooresville, NC 28115
1Vothing Compares
C.-
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
Statesville Record & Landmark
Advertising Affidavit
PO Box 968
Hickory, NC 28603
NC DENR/DWQ
ATTN: WREN THEDFORD
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
3142720
Date
February 22, 2019
Date Category Description Ad Number Ad Size
02/22/2019 Legal Notices
Notice of Intent to Issue a NPDES Wastewater Permit
The Ned Carolina Environmental Management Commission proposes to
issue a NPDES wastewater discharge permit to the person(s) listed below.
Written comments regarding the proposed permit will be accepted until
30 days after the publish date of this notice. The Director of the NC Divi-
sion of Water Resources (DWR) may hold a public hearing should there he
a significant degree of public interest Please mail comments and/or inlor-
mation requests to DWR at the above address. Interested persons may vis•
it the DWR at 512 N, Salisbury Street, Raleigh, NC to review information
on file. Additionaf information on WES permits and this notice may be
found on ourwebsite: hftp:/Idea.nc.govlaguVdi4Dns/water•resources
s,or by calling (9l9) 707{301. NCO082121: Southern States Cooper -
Inc. requested renewal of permit for its Statesville Fertilizer Plar:t in
County: facility discharges remediated groundwater to Fourth
in the Yadkin -Pee Dee Over Basin. Currerdly, ammonia nitrogen is
quality limited,
h: iebruary 22, 2019.
Public Notice North Carolina Environmental Management Corm 0000544340 2 x 24 L
Publisher of
Statesville Record & Landmark
Iredell County
Before the undersigned, a Notary Public of Iredell County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, in said
County and State; that he/she is authorized to make this affidavit and sworn
statement; that the notice or other legal advertisement, a copy of which is attached
hereto, was published in the Statesville Record & Landmark on the following
dates:
02122/2019
and that the said newspaper in which such notice, or legal advertisement was
published, was a newspaper meeting all the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina.
Assistant Bookkeeper
Newspaper rererenee: 0000544340
Sworn to and subscribed before me, this 45 day of Lebrtdr , 2019
Notary Public
My Commission expires:
THIS 1S NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU
W Qo.
ea foty public
!
cel/ County
10
CARO
�''•'rnl�Rirrfti�����

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
__[�DUNCKLEE
& DUNHAM
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
ENVIRONMENTAL GEOLOGISTS & ENGINEERS
511 KEISLER DRIVE - SUITE 102
CARY, NORTH CAROLINA 27518
OFFICE: [phone]
W W W.DUNCKLEEDUNHAM.COM
Reference: Reissuance of NPDES Permit Number NCO082821
Southern States Cooperative, Inc.
Statesville Fertilizer Plant
2582 Salisbury Highway
Statesville, North Carolina
Dear Mr. Hennessy:
RECEIVED/DENR/DWR
OCT 0 3 2018
Water Resources
Permitting Section
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 lily(a-)dunckleedunham.com.
Sincerely,
D'un�ckk/l'e`e & Dunham, P.C.
V7
Lily 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 NCO082821
P:\Southern States\Statesville Fertilizer - 50200\NPDES Permit\2018 Renewal\Letter of Transmittal-] 8615.doc
MAILING ADDRESS — POST OFFICE BOX 639 — CARY, NORTH CAROLMA 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

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
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 P,�C /QENRJDWR
€ivEn
Telephone Number
[phone]
n
Fax Number
[phone]
e-mail Address
[e-mail] Water KesoUrces
�grmittin9 Section
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 Duncklee & Dunham, P.C.
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
4. Ownership Status:
Federal ❑
511 Keisler Drive, Suite 102
Cary
NC / 27518
[phone]
State ❑
Private
Public ❑
Page 1 of 3 C-GW 03105

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
S. 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 03105

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
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
of
Date
r!
North 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

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
f C>�'� ,/l/7 k
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Approximate
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Source Map: US G.S. Statesville East 7.5-Minute Quadrangle. North is Towards To ofPage.
DUNCKLEE & DUNHAM, P.C. Approximate Scale: Title: Site Location Map
ENVIRONMENTAL CONSULTANTS I" = 2000' USGS Topographic Map
511 KEISLER DRIVE - SUITE 102 Figure: Project:
CARY, NORTH CAROLINA 27511 Southern States Fertilizer Plant
Statesville, North Carolina

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
SITE
A1-28-94 ISSUED TO NCDEHNR MAM ACV CEA
No. DATE ISSUE / REVISION .- K'D BY AP'D I
APPROXIMATE SCALE
7 1/4 0 1/4 MILE
SITE LOCATION MAP
STATESVILLE, NORTH CAROLINA
PREPARED FOR
SOUTHERN STATES
COOPERATIVE, INC.
CBn tleEnviro=ental
1-14-94 Figure Taken From 1994
AS SHOWN Corrective Action Plan

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
NPDES PERMIT NO.: NCO082821 PERMIT VERSION: 4.0
FACILITY NAME: Southern States Fertilizer Plant CLASS: PC-1
OWNER NAME: Southern States Cooperative Inc ORC: Jayson Anthony Kilcoyne
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Iredell
ORC CERT NUMBER: 992461
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
C
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O
;
O
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50050
00400
C0610
C0530
C0600
C0665
00940
THP311
01042
Continuous
2 X month
2 X month
2 X month
Monthly
MonthlyMonthly
Monthly
Monthly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
PLOW
I pH
NH3-N-Cone
TSS - Cone
TOTAL N-
TOTAL P - Coot
CHLORIDE
CER7DCHV
COPPER
2400 clock
Hrs
2400c1ock
H.
Y/B/N
m d
so
mg/1
.&A
m
MOA
mpercent
m /I
1
0.071
2
0.071
3
0.071
4
0.071
5
1015
225
Y
0.069
6.48
2.6
<2.6
47
0.17
58
<0.005
6
0.069
7
0.069
8
0.069
91
0.069
to
0.069
11
0.069
12
0.069
13
0.069
14
0o69
15
0.069
16
0845
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Y
0.068
6.52
2.5
3
17
0o68
1s
0o68
19
0o68
20
0.068
21
0.068
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 Avemg*:
0.068742
2.55
1.5
47
0.17 158
0
Daily M-imam:
0.071
6.52
2.6
3
47 10.17
58 1
10
Davy minimum:
0.068
6.48
2.5 10
147
0.17
58 1
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
NPDES PERMIT NO.: NCO082821 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 -I 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)
2
A
Y
y
e
E
1 U
FF
e
2
8
F
E"
6
O
O
F
O
°g
#
U
O
K`
Z
00620
Monthly
Grab
NO3-N
2400 clock
Hrs
2400 clock
Hrs
Y1WN
m
2
3
4
5
I015
2.25
Y
40
6
7
8
9
IO
1
12
13
14
15
16
0845
17.25
Y
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MontM-v Average Limit:
Monthly Average:
40
D.i]-v Maximum:
40
Daily Mialmam:
40
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
NPDES PERMIT NO.: NCO082821
FACILITY NAME: Southern States Fertilizer Plant
OWNER NAME: Southern States Cooperative Inc
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Jayson Anthony Kilcoyne
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Iredell
ORC CERT NUMBER: 992461
STATUS: Processed
SUBMISSION DATE: 08/26/2018
08/26/2018
ORC/Certifier Signature: Jayson A Kilcoyne E-Mail:[e-mail] 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 be made as required by part II.E.6 of
the NPDES permit.
08/26/2018
Perm ittee/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 [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* 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).

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
NPDES PERMIT NO.: NCO082821 PERMIT VERSION: 4.0
FACILITY NAME: Southern States Fertilizer Plant CLASS: PC -I
OWNER NAME: Southern States Cooperative Inc ORC: Jayson Anthony Kilcoync
GRADE: PC -I
eDMR PERIOD: 07-2018 (July 2018)
COMPLIANCE STATUS: Compliant
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Iredell
ORC CERT NUMBER: 992461
STATUS: Processed
SUBMISSION DATE: 0826/2018
08/26/2018
ORC Ccrtif' r Signature: Jayson A Kilcoync E-Mail:jaysonw dunckleedunham.com Phone u: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 ILE.6 of
the NPDES nerrnit.,%
08/26 2018
Permittce/Subtt r ct Signature:*** Jayson A Kileoyne E-Mail:jayson(adunekleedunham. coin Phone #:[phone] Datc
Permittee Address. 58 SalisburyHwy Statesville NC 28677 Permit Expiration Date: 03/31/2019
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 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: Duncklcc & Dunham
CERTIFIED LAB #: 5484
PERSON(s) COLLECTING SAMPLES: Jayson Kilcoync
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.t)rglweb/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
' No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result. there arc 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 permitted, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

DocuSign Envelope ID: CE09F386-1C34-4CEB-6476-38E5F37F2553
*ESC ANALYTICAL REPORT myESC
May 17, 2018
s
Duncklee and Dunham
Sample Delivery Group:
L991804
Samples Received:
05/08/2018
Project Number:
50200
Description:
SS Statesville Fertilizer Plant
Site:
NCO082821
Report To:
Jayson Kilcoyne
PO Box 639
Cary, NC 27512
Entire Report Reviewed By: 4��
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.
1*4400 oily-

DocuSign Envelope ID: CE09F386-1C344CEB-13476-38E5F37F2553
TABLE OF CONTENTS ONE LAB. NATIONWIDE.
Cp: Cover Page
Tc: Table of Contents
2
E
Ss: Sample Summary
3
■
Cn: Case Narrative
4
Sr: Sample Results
5
E
SAMPLE 1 L991804-01
5
SAMPLE 2 L991804-02
6
Fn
Qc: Quality Control Summary
7
Fr
Wet Chemistry by Method 130.1
7
Wet Chemistry by Method 310.2
8
FC
Gl: Glossary of Terms
10
Al: Accreditations & Locations
11
F
Sc: Sample Chain of Custody
12
FAI
FC
ACCOUNT: PROJECT: S DG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 08/17/1815:02 2 of 13
J

DocuSign Envelope ID: CE09F386-1C344CEB-6476-38E51F37F2553
SAMPLE
SUMMARY
ONE
LAB. NATIONWIDE.
Collected by
Collected date/time
Received date/time
SAMPLE 1 L991804-01 WW
Brandon Wise
05/07/1811:20
05/08/1808:45
RP
Method
Batch
Dilution
Preparation
Analysis
Analyst
date/time
date/time
FTC
Aquatic Toxicity by Method 1002.0
WG1111184
1
05/08/1815:15
05/08/1815:15
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
Collected by
Collected datettime
Received date/time
Cn
SAMPLE 2 L991804-02 WW
AD
05/09/1811:20
05n0n808:45
Method
Analyst
5
SC
Batch
Dilution
Preparation
Analysis
date/time
date/time
Wet Chemistry by Method 130.1
WG1109480
5
05/11/1811:03
05/11/1811:03
KK
QC
r
Wet Chemistry by Method 310.2
WG1110635
1
05/15/1810:11
05/15/1810:11
KK
GI
[Al
FC
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 3 of 13

DocuSign Envelope ID: CE09F386-1 C34-4CEB-B476-38E5F37F2553
CASE NARRATIVE ONE LAB. NATIONWIDE.
All sample aliquots were received at the correct temperature, in the proper containers, with the
RP
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
rTC]
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
weight was requested by the client. All Method and Batch Quality 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 data
have been identified by the laboratory, and no information or data have been knowingly withheld that
would affect the quality of the data.
r—sr
4�Z
FC]
F
Heather J Wagner
Technical Service Representative
FAI
RC
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

DocuSign Envelope ID: CE09F386-1 C34-4CEB-B476-38E5F37F2553
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
FP
Analyte %
date / time
NOEC- C.dubia 6(PASS)
05/08/201815:15
WG1111184
FC
Wet Chemistry by Method 130.1
FS
Result Qualifier
RDL Dilution Analysis
Batch
Analyte mg/I
mg/1
date / time
Fn
Hardness (colorimetric) as CaCO3 1520
300 10
05/11/201811:02
WG1109480
Wet Chemistry by Method 310.2
Result Qualifier
RDL Dilution Analysis
Batch
Analyte mg/1
mg/I
date / time
FQ
ALK 65.4
20.0 1
05/12/201814:45
WG1109420
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Duncklee and Dunham 50200 L991804 05/17/1815:02 5 of 13

1 DocuSign Envelope ID: CE09F386-1 C344CEB-13476-38E5F37F2553
SAMPLE 2 SAMPLE RESULTS - 02 ONE LAB. NATIONWIDE.
Collected date/time: 05/09/18 11:20 L991804
Wet Chemistry by Method 130.1 ,
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
Wet Chemistry by Method 310.2
Result
Analyte mg/I
ALK 87.4
Qualifier RDL Dilution Analysis Batch
mg/1 date / time
20.0 1 05/15/201810:11 WG1110635
ACCOUNT: PROJECT:
Duncklee and Dunham 50200

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
WG1109480 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Wet Chemistry by Method 130.1 L991804-01,02
Method Blank (MB)
Cp
(MB) R3308964-1 05/11/18 10:31
a
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mg/I mg/I
Fc
Hardness (colorimetric) as
3.25 J 1.43 30.0
CaCO3
FS
L992648-04 Original Sample (OS) • Duplicate (DUP)
FCn]
(OS) L992648-04 05/11/18 10:54 • (DUP) R3308964-7 05/11/18 10:55
Original Result DUP Result Dilution DUP RPD DUP Qualifier
DUP RPD
Limits
FSr
Analyte mg/I mg/I %
%
Hardness (colorimetric) as 127 122 1 4.02
CaCO3
20
E
L991781-02 Original Sample (OS) • Duplicate (DUP)
(OS) L991781-02 05/11/18 10:58 • (DUP) R3308964-8 05/11/1811:01
El
Original Result DUP Result Dilution DUP RPD DUP Qualifier
DUP RPD
Limits
Anatyte mg/1 mg/I %
%
Fc
Hardness (colorimetric) as 219 194 5 12.4
20
CaCO3
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3308964-2 05/11/18 10:31 • (LCSD) R3308964-3 05/11/1810:32
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Anatyte mg/I mg/I mg/I % % % % %
Hardness (colorimetric) as 150 150 148 100 98.7 85.0-115 1.34 20
CaCO3
L992648-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L992648-01 05/11/18 10:48 • (MS) R3308964-5 05/11/18 10:51 • (MSD) R3308964-6 05/11/18 10:52
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec.
Analyte mg/I mg/I mg/I mg/I % %
Hardness (colorimetric) as 150 128 224 224 64.0 64.0
CaCO3
Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
1 80.0-120 E J6 E J6 0.000
RPD Limits
20
ACCOUNT:
Duncklee and Dunham
PROJECT:
50200
SDG: DATE/TIME:
L991804 05/17/1815:02
PAGE:
7of13

DocuSign Envelope ID: CE09F386-lC34-4CEB-B476-38E5F37F2553
WG1109420 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Wet Chemistry by Method 310.2 L991804-01
Method Blank (MB)
Cp
(MB) R3309271-1 05/12/1814:18
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mg/I mg/I
c
F
ALK U 6.30 20.0
FS
L991757-02 Original Sample (OS) • Duplicate (DUP)
(OS) L991757-02 05/12/18 14:31 • (DUP) R3309271-4 05/12/18 14:32
Fn
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
Analyte mg/I mg/I %
%
Fr
ALK 140 140 1 0.000
20
L991822-01 Original Sample (OS) • Duplicate (DUP)
�GI
(OS) L991822-01 05/12/18 14:46 • (DUP) R3309271-7 05/12/18 14:47
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
Ai
Analyte mg/I mg/1 %
%
ALK 192 193 1 0.519
20
E
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/1 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/1 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:
Duncklee and Dunham 50200 L991804
DATE/TIME:
05/17/1815:02
PAGE:
8of13

DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
WG1110635 QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Wet Chemistry by Method 310.2 L991804-02
Method Blank (MB)
(MB) R3309782-1 05/15/18 09:53
H
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mg/I mg/1
FTc
ALK U 6.30 20.0
FS
L991749-03 Original Sample (OS) • Duplicate (DUP)
(OS) L991749-03 05/15/1810:02 • (DUP) R33097824 05/15/1810:05
Fn
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Sr
Analyte mg/1 mg/I % %
r
ALK 82.6 81.1 1 1.83 20
L992874-01 Original Sample (OS) • Duplicate (DUP)
7G1
(OS) L992874-01 05/15/1810:20 • (DUP) R3309782-7 05/15/1810:21
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Al
Analyte mg/I mg/I % %
ALK 43.5 43.4 1 0.230 20
Fc
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 05/15/1810:12 • (MS) R3309782-5 05/15/1810:13 • (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

Doc�nvelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
GLOSSARY OF TERMS ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
The information below
is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
F-1p
intended as a comprehensive
explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions FTC]
MDL
Method Detection Limit.
RDL
Reported Detection Limit. E
Rec.
Recovery.
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
FC
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported. F
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field,the
E
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
0
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
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
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
FSC
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere 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
E 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

DocuSign Envelope ID: CE09F386-1C344CEB-6476-38E51`371`2553
ACCREDITATIONS & LOCATIONS ONE LAB NATIONWIDE 26
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
I aboratories 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
Cp
turnaround 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 bythe 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.
FC
State Accreditations
Alabama 40660
Nebraska
NE-OS-15-05
FS1
Alaska 17-026
Nevada
TN-03-2002-34
Arizona AZ0612
New Hampshire
2975
Arkansas 88-0469
New Jersey—NELAP
TNO02
Fn
California 2932
New Mexico'
n/a
Colorado TN00003
New York
11742
Connecticut PH-0197
North Carolina
Env375
FSr
Florida E87487
North Carolina'
DW21704
Georgia NELAP
North Carolina 3
41
6
Georgia' 923
North Dakota
R-140
(� C
Idaho TN00003
Ohio—VAP
CL0069
Illinois 200008
Oklahoma
9915
Indiana C-TN-01
Oregon
TN200002
GI
Iowa 364
Pennsylvania
68-02979
Kansas 0
Rhode Island
000356
Kentucky 18 90010 10
90
South Carolina
8484004
Kentucky Z 16
South Dakota
n/a
Louisiana A130792
Tennessee' "
2006
Louisiana' LA180010
Texas
T 104704245-17-14
FSC
Maine TN0002
Texas'
LABO152
Maryland 324
Utah
TN00003
Massachusetts M-TNO03
Vermont
VT2006
Michigan 9958
Virginia
460132
Minnesota 047-999-395
Washington
C847
Mississippi TN00003
West Virginia
233
Missouri 340
Wisconsin
9980939910
Montana CERT0086
Wyoming
A21-A
Third Party Federal Accreditations
A21-A— ISO 17025 1461.01
AIHA-LAP,LLC EMLAP
100789
A21-A — ISO 17025 5 1461.02
DOD
1461.01
Canada 1461.01
USDA
P330-15-00234
EPA—Crypto TN00003
' Drinking Water 'Underground Storage Tanks ' Aquatic Toxicity "Chemical/Microbiological 5 Mold '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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DATE/TIME: PAGE:
05/17/1815:02 11 of 13

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DocuSign Envelope ID: CE09F386-1C34-4CEB-B476-38E5F37F2553
MONITORING REPORT(MR) VIOLATIONS for:
Permit: NCO082821 MRs Between 5 - 2014 and 5 - 2019 Region: %
Facility Name: % Param Name % County: %
Major Minor: %
Report Date: 07/03/19 Page: 1 of 1
Violation Category% Program Category:
Subbasin:% Violation Action: %
PERMIT: NCO082821 FACILITY: Southern States Cooperative Inc - Statesville Fertilizer COUNTY: Iredell REGION: Mooresville
Plant
Limit Violation
MONITORING VIOLATION UNIT OF CALCULATED %
REPORT OUTFALL LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
05 -2018
001
Effluent
Nitrogen, Ammonia Total (as
05/31/18
2 X month
mg/I
7.8
9.95
27.6
Monthly Average
Proceed to NOV
N) - Concentration
Exceeded
06 -2016
001
Effluent
pH
06/23/16
2 X month
su
6
5.77
3.8
Daily Minimum Not
Proceed to NOV
Reached
12 -2016
001
Effluent
pH
12/29/16
2 X month
su
6
5.88
2
Daily Minimum Not
Proceed to NOD
Reached
01 -2017
001
Effluent
pH
01/31/17
2 X month
su
6
5.88
2
Daily Minimum Not
Proceed to NOD
Reached
02 -2017
001
Effluent
pH
02/24/17
2 X month
su
6
5.69
5.2
Daily Minimum Not
Proceed to NOV
Reached
01 -2016
001
Effluent
Solids, Total Suspended -
01/07/16
2 X month
mg/I
45
87
93.3
Daily Maximum
Proceed to NOV
Concentration
Exceeded
01 - 2016
001
Effluent
Solids, Total Suspended -
01/31/16
2 X month
mg/I
30
43.5
45
Monthly Average
Proceed to NOV
Concentration
Exceeded
08 - 2016
001
Effluent
Solids, Total Suspended -
08/31/16
2 X month
mg/I
45
60
33.3
Daily Maximum
No Action, Facility
Concentration
Exceeded
Reporting Error
02 -2019
001
Effluent
Solids, Total Suspended -
02/11/19
2 X month
mg/I
45
74
64.4
Daily Maximum
Proceed to NOV
Concentration
Exceeded
02 -2019
001
Effluent
Solids, Total Suspended -
02/28/19
2 X month
mg/I
30
37
23.3
Monthly Average
Proceed to NOV
Concentration
Exceeded
03 -2019
001
Effluent
Solids, Total Suspended -
03/25/19
2 X month
mg/I
45
54
20
Daily Maximum
Proceed to NOV
Concentration
Exceeded
Reporting Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
05-2014 07/01/14 Late/Missing DMR Proceed to NOV
06 -2014 07/31/14 Late/Missing DMR Proceed to NOV
10 -2014 001 Effluent Chloride (as CI) 10/31/14 Monthly mg/I Sampling Location No Action, Facility
Missing Reporting Error