NCS000244_COMPLETE FILE - HISTORICAL_20200121

7 ----STORMWATER DIVISION GODING SHEET- -..
RESCISSIONS. -
PERMIT NO..
n j �j 00
`V
DOC TYPE
COMPLETE FILE- HISTORICAL
DATE OF
RESCISSION
❑ � L� C I � I
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS�000244 SAMPLES COLLECTED DURING CALENDAR YEAR: _ 4th Qtr 2019
(This monitoring 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 American Distillation COUNTY Brunswick
PERSON COLLECTING SAMPLE(S) Darlene Wells PHONE NO. L910, 371-0993
CERTIFIED LABORATORY(S) _Environmental ChemistsCab1#Q#9
Lab #
JAN 2 SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PACE 2.
Part A: Specific Monitoring Requirements CEN I t-,Al. FILES
DWR SECTION
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
.Rainfall
ROD
TSS
COD
TKN
Oil & Grease
Tert-Butyl
Alcohol
All Other
.Alcohols_
mo/dd/yr
MG
inches
mg/L
mg/L
mg/L
mg/L'
mg/L
mg/L;
mg/L.
001
11/5/2019
I.7 "
4
15.8
41
ND
ND
ND
ND
*The sample was taken from the entrance to the storm water pond and not Outfal1001 as it should have been.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _x_no
(if yes, complete Part B) `
Part A (continued): Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
00400
Ammonia
Nitrogen
pH
; '
mo/drl! r x'
m F
t nEC1907 �
001
11/5/2019
0.2
7.2
Form SWU-247, lay/ revised 21212012
Paget of 2

STORM EVENT CHARACTERISTICS:
Date _11/5/2019
Total Event Precipitation (inches): _13"
Event Duration (hours): —2 hr (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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-16I7
"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 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 ossibility of fines and imprisonment for knowing violations."
-zw �
, 1 -1 q -
(Signature of Permittee) (Date)
Form SWU-247. last revised 21212012
Page 2 of 2

: l
Environmental Chemists, Inc.
0 i602 VVkidmilI Way, Wilmingtim, NTC 2,4ti5 Lab + `It0-1192:ht24 F11y
710 Bowsertown 12twld, nlanlco, V, 2795-1 - 2??.473.57 D2
155-A WilntillgILtn I fi},ItWJr, Ja ksunviiiv, NC 2S540 - 910.3-17.5ti4Lab iFax
ANALYTICAL &.CONSULTING CHEMISTS intitri:;urn ir:rnr:ust„:}cizcrriis f�.i ,nt
American Distillation Date of Report: Exec 16, 2019
PO Box 400 Customer PO #:
Leland NC 28451 Customer ID: 09010037
Attention: Report #: 2019-18705
Project ID: Stormwater
Lab ID Sample ID- 4th Quarter Collect Date/Time Matrix Sampled by
19-47598 Site: 5tormwater 11/512019 3:30 PM Water Donald Outlaw
Test Method Results Date Analyzed
Oil & Grease (O&G)
PA 1864 With saca GO
<5 mg/L
11 /08/2019
Ammonia Nitrogen
EPA 33a.1
0.2 mg1L
11112/2019
Total Kjeidahl Nitrogen (TKN)
EPA351.2.
< 0,5mg/L
11/1312019
Residue Suspended (TSS)
SM25400
15.8mg1L
11/07/2019
pH
SM4,50089
7.69units
11/0812019
BOD
&M 5210 a
4 mq/L
11/06/2019
COD
SKI52201)
41 mg/L
11/1212019
Ethanol
sw 846 memos Bois
<5 mg/L
12/09/2019
isopropyl alcohol
sw a4s n>eem Bost
<5 mg/L
12/0912019
Methanol
SW 846 memod 8015
<5 mglL
12/09/2019
Tert-butyl alcohol
3w 846 inetnod 8015
<5 mg/L
1210912.019
Tert-butyl hydroxyperoxide
sw B4a nwhod 8015
<5 mg1L
12/09/2019
Comment:
Reviewed by:
ReDorr a.: 2019-;8705 P:wp 1 M t

ENVIRONMENTAL CHEMISTS, INCOFFICE-. 910-3 z-0�FA�9yaNC 44245
Analytical & Eonsulling ChemistsNCDENR: DWQ CERTIE1CAnON 4 94 NCVHHS: DLS CERTIFICATION 4 37729 into0environmentalchernists.com
COLLECTION AND CHAIN OF CUSTODY
Client: American Distillation
PROJECT NAME: Stormwater
REPORT NO;
ADDRESS: 1=.� t;0 60 S GL
CONTACT NAME: ai ., tale /kkS
PO NO:
4- eAllle . /V U. c� S4%
REPORT TO:
PHONE(FAX:[phone]
COPY TO:
Sampled BV: - , f Y) 0 4li- laZu SAMPLE TYPE, I = Influent, E = Effluent. W = Well. ST = Stream. SO = Soil, SL = Sludsre. Other:
Sample identification
Collection
a
m
� A
`o e
m
Cr.7
t `n
"
q
C
8
aW
m
$
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
Q
rt
Quarterly
C
P
t►�
X
BOD,COD
G
G
C
P
C.t,2-f
X
NH3. TKN
G
G
C
P
G
G
P
X
TSS, H
G
G
C
P
X
Oil and Grease
G
dGC
G
C
P
i
X
X
ethanol, methanol, isopro alcohol
G
C
P
X
X
t-but I alcohol,
G
G
C
P
i
X
X
t-but l h dro eroxide
G—F
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Datef True
Received sy:
DatelTime
1.
2.
Temperature when Received:.,—Z. !- — Accepted:—____ / Rejected: Resamplee RegvMect:
Delivered By. ____. _ Received By: _ , - Date• Time: �7

r- f-;
American Distillation, Inn.
PQ Box 400
Leland, hrC 28451
910-371-0993 Fcix 910-371-2971
AMERICAN
11-7-19
Walton Engineering
PO Box 895
Burgaw, NC 28425
Re: ADI Storm water Permit 4th Quarter 2019
Dear Mr. Walton,
Rainfall began @ 1 pm on 11-5-19 and continued until around 3 pm. Pond began discharging @
approximately 2:30pm and sample was pulled @ 3:30pm. Temp @ 68 degree.
Total rainfall 1.7" Ph 7.2
Darlene Wells