NCS000373_MONITORING INFO_20181029

STORINIWATER DIVISION CODING SHEET
PERMIT NO.
/\JCS
DOC TYPE
❑FINAL PERMIT
MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ 10 Z-°l
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS_000373_ RECEIVED SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
OCT 2 9 2018 (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.)
CEN"t kAL FILES
FACILITY NAME _Michelin Aircraft Tire Company)WR SECTION M � COUNTY Stanl
PERSON COLLECTING SAMPLE(S) _Heather Ashby PHONE NO. (_704-) 474-8136
CERTIFIED LABORATORY(S) _Pace Analytical Lab #_PAST-C_
_Pace Analytical Lab #_PASI-A_
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
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Does this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _yes X_no
(if yes, complete Part B) 4
Form SWU-247, last revised 21212012
Pagel of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date _09/10/18 Attn: Central Files
Total Event Precipitation (inches): ,0.46' 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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,
includ7797
imprisonment for knowing violations."
(Signature of P�rmiftee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000373 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 Michelin Aircraft Tire Company, a Division of Michelin NA Inc COUNTY Stanl
PERSON COLLECTING SAMPLE(S) Heather Ashby PHONE NO. 704 474-8136
CERTIFIED LABORATORY(S) Pace Analytical Lab # PASI- ED� EIVED
Pace Analytical Lab # PASI-A �
SEP. 2 0 2018 SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements CENTRAL FILES
DV'JR SECTION
Outfall
No.
Date
Sample
Collected
50050
Tota!
Flow if.a .)
__
,
T to al
Rainfall;
Oil &Grease
pH
COD
i
3
01
R a z
-
mo/dd/, .r
[W
riches
m .
NStd. Units
m ,l
SDO1
*See Attached
NIA
SD02
*See Attached
NIA
SDO#1
9/10/2018
NIA
0.46
*See attached
7.23
*See attached
SDO#2
9/10/2018
N/A
0.46
*See attached
6.20
*See attached
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)
Fart B: Vehicle Maintenance Activity Monitoring Kequirements
Form SWU-247, last revised 21212012
Pagel of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date _*See Attached Attn: Central Files
Total Event Precipitation (inches): _ 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date _9/10/2018
Total Event Precipitation (inches): —nly if applicable — see permit.)
"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 p ssihility f fines a imprisonment for knowing violations." 91131118
(Signature of Permitte (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

W' MICHEL/N
v 4
NC Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NCS # 000373
Michelin Aircraft Tire Company,
a division of Michelin North America
40589 S. Stanly School Rd.
Norwood, NC 28128, Stanly Co.
Semi -Annual SDO Monitoring Report: 3/1/18-9/1/18
To Whom It May Concern,
Sept. 12, 2018
The site is making known that for the sampling period from March 1, 2018 to September 1, 2018
a stormwater sample was not obtained for the NPDES stormwater permit NCS000373. As of the last
sampling, the site was not under any Tier programs and there was flow during this monitoring time. An
analytical monitoring did not occur due to the inability of the terms of the permit and the plant safety
protocols to align.
Our area had a season of very unpredictable storms that would begin overnight and our sampling
locations are not safe to test in the dark. In addition to this, we had a wet season and a storm would last
for multiple days. Thus, over the entire time period, there were only four days at the site that met the
criteria of a "representative storm event" as stated in the permit. These four days did not meet the site's
criteria of a safe sampling event due to the hours in which they began.
Date
Time of Beginning
of Rain Event
Total Daily
Precipitation
May 16
1:00 AM
0.3 in
May 28
5: 00 AM
0.12 in
June 25
8:00 PM
0.4 in
Aug18
7:40 PM
0.25 in
The site was able to get a stormwater sample on September 10, 2018. We are still awaiting the lab
results at this time, but have included pH in the current report. The completed SDO Monitoring report for
this event will be sent in once we receive the results. We are currently taking action on ways to make
sampling safer so that we do not have this same issue in the future.
Please contact the Plant Manager — Shannon Bernhardt ([e-mail] 704-
474-7757) or the Technical Contact — Heather Ashby (Information in signature) for any further
development on this issue.
Respectfully,
11�GC.( Gi (n
Heather Ashby
EHS Manager
704-474-8136 (phone)
heather.ashby@,michelin.com

STORMWA=ECHARGE OUTFALL (SDO)
�RING REPORT
Permit Number NCS 000373 MAR 0 7 2018 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
,ENTRAP FILES the date the facility receives the sampling results from the laboratory.)
5WR SECTION
FACILITY NAME Michelin Aircraft Tire Company, a Division of_Michelin N_ A_ Inc COUNTY StanlLr _
PERSON COLLECTING SAMPLE(S) Heather Ashby _ _ PHONE NO. (_704 ) 474-8136
CERTIFIED LABORATORY(S) Pace Analytical Lab # PASI-C
Pace Analytical Lab # PASI-A _
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
LOntfall
No.
Date
Sample
Collected
r6050i��_"
Total
Flow if a
To al
Rainfall
Oil & G er ase
'
pH
COD
°�'��
r
x� .. _. a ._ ,_ ,
b
'�
»-
ma/d'd/ .r
i<MG
finches
fSt�d Unitsm
SDO1
02/07/18
NIA
0.12
ND
6.39
ND
SD02
02/07/18
NIA
0.12
ND
7.21
65
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 B: Vehicle Maintenance Activitv Monitoring Requirements
'�Owu. tfall
No.
Date
Sample
_ .,. ..
50050
Total Flow
..-. .:se•
- - _..,._
U055b
�¢�I (j`',•;l..UVJ3.V�a
�„
Lm�
�V U4UO�yr�it ':.5,, :.]i
2""c.4,�h -z ;�,:. F - i'
_ _R�`
Total
Oil & Gr ase
ppl.)cSuspend:
:.
No polar
(Method IUD,
Totall "H4New`Motor
olids
s ;�
O 1 Usage .
` .-. r w
mo/aa . r
i1VIG _,.
finches _ -,
/l, _. '
,. _
�m , l
1un�tY
' al/inos ;R
Form SWU-247, last revised 21212012
Page l of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 2/7/2018 Ann. Central Files
Total Event Precipitation (inches): _0.12 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one;storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- see permit.)
"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 a imprisonment for knowing violations."
L�L aIR7
(Signature of Permittee) 45(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE Ol1TFALL (SDO)
MONITORING REPORT
Permit Number NCS000373
FACILITY NAME Michelin Aircraft Tire Company, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(S)_. Heather Ashby
CERTIFIED LABORATORY(S) Pace Analytical Lab Lab # PASI-C
Pace Analytical Lab Lab # PASI-A
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(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.)
COUNTY Staniv
R Cf!,Vfff NE NO. ( 704 ) 474-8136 _
SEP 0 6 019IGNATURE OF PERMiTTEE OR DESIGNEE
CENTRAL REQUIRED ON PAGE 2.
DWR SECTION
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 H: Vehicle Maintenance Activity Monitoring Requirements
Form SWU-247, last revised 21212012
Page] of 2

r'
STORM EVENT CHARACTERISTICS:
Date 8/11/2017
Total Event Precipitation (inches): 0.1
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 po ibility of fines and imprisonment for knowing violations."
8/a
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000373
FACILITY NAME Michelin Aircraft Tire Compare, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(S) Heather Ashhy
CERTIFIED LABORATORY(S) Pace Analytical Lab Lab # PASI-C
Pace Analytical -Lab Lab # PASI•-A
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(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.)
COUNTY St_ anly
PHONE NO. ( 704 47) 4_8136�
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
-
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Does this facility perform Vehicle Maintenance Activities using more than 55 gaIlons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
Outfall Date {50450 �" [00556 g n f00530 �0040.0 --
No. Sample Total Flow Total Oil & Grease Non polar Total pH New Mot"'o
Collected (if applicable} Rainfall (if appl.) O&G/TPH Suspended Oil Usage �:
(Method 1664 Solids
Wa-
A. a4`r.r.
�z ..
m0/dd . j " INIG lin-Weis ' im ' m Curiit r aUmieo e
Form SWU-247, last revised 21212012
Pagel of 2

e;
STORM EVENT CHARACTERISTICS:
Date 1/20/2017
Total Event Precipitation (inches): 0.3
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 an4 imprisonment for knowing violations."
(Signature of Permittee)
a1911(7
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2016
Individual NPDES Permit No. NCSI
Certificate of Coverage (COC) No. NCG
or
This monitoring report summary of the calendar year should be kept on Me on -site with the facility SPPP.
Facility Name: Michelin Aircraft Tire Company- a Division of Michelin North America, Inc.
County: _ Stanly
Phone Number: 704 474-8136 Total no. of SDOs monitored
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
�� `tk X1P
%oy„p1!
- -
Parameter,. units
v
Total v
Rainfall,
inches
pH'
TPH,'(mglll
Chemical:
Oxygen
Demand, (mg/1)
Benchmark
N/A
6.0-9.0
15
120
Date Sample,
Collected,
mmlddlyy
08/02/16
0.25
6.0
Not Detected
29
01/20/17
0.3
5.9
Not Detected
33
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

AV-1 4&'-
Additional Outfall Attachment
Outfall No. 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter,.(units) _ -
pH
TPH, (mgll)
Chemical'
Oxygen
Demand,;(mgll)
}
s
Benchmark
15
120
Date=Sample
Collected;
.mmlddlyy
JIMAW6.1-9.0
08/02/16
0.25
6.3
Not Detected '
29
01/20/17
0.3
6.6
Not Detected
87
SWU-264 - Generic Annual DMR
Last revised 511712013

j..-i..
" 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 in
formation, 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 i
Signature A�z
Date- a/��
DWQ Regional Office Contact Information:
rmation, including the possibility of fines and imprisonment for knowing violations."
For questions, contact your local Regional Office:
MHEV�LVREGIONAL_OFFICt
iI;AYETTEYILLE?REGIONAI:�OFFICF]
O.ORESV I$LE REGION'AI: OFFIC
_ 2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RAI EIGWREGIONAG:OFFIC9
�WASHINGTON`REGIONAL OFETCEI
WIi1VIINGT0N REGIONAL OF 'IC
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WMSTON-SALEM. REGIONAL:OFMCEj
CENTRAL;.OFFICE
1617 Mail Service Center."%p�e�eiv`�,pti?t�ctY
{
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
4errd.`eiie,,:
[phone]
919 807-6300
`i°1°�'4
SWU-264 - Generic Annual DMR
Last revised 5 IM2013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000373
FACILITY NAME Michelin Aircraft Tire Company, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(SLHeather Ashby
CERTIFIED LABORATORY(S) Pace Analytical LobT Lab # PASI-C
Pace Analytical Lab Lab # PASI-A
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(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.)
COUNTY Stanly
PHONE NO. ( 704 474-8136
11
SIGNATURE OF PERMITTEE OR DESIGNEE
REOWRED ON PAGE 2.
1
e
is
SampleA�
r,,
. r
.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes CLno
(if yes, complete Part B)
Part Rc Vehicle Maintenanre Activity Mnnitnrinv Rennirements
Outfall :..
No. 4
Date -
Sample
Collected °
n
SOOSO
00556 "...
00530 ..
00400
Total Flow .
(if applicable)
Total e
Rainfall > >-
Oil & Grease
(if appl.) ,
Non -polar
:O&GCTPH' .
(Method 1664
SGT-HEM),,if
Total
Suspended,,,.
Solids;
pH
1
New Motor
Oil Usage _
mo/d r ..
MG ,
inches
m
m . : .;
unif
allmo'
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 08/02/2016
Total Event Precipitation (inches): 0.25
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.)
44
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 t4p4m99"ity of fines and imprisonment for knowing violations."
(Signature of Permittee)
�/a Y/Ik
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2015
Individual NPDES Permit No. NCS a] o❑ p❑©0© or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
/9
�L,
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.+oo^��� 4F�
msG/PG��4F
Facility Name: Michelin Aircraft Tire Company, a Division of Michelin North America, Inc._ '
e .�`'P
County: Stanl P'a� O'CI.
Phone Number: ( 704 ) 474 -8136 Total no. of SDOs monitored 2 d"(Z
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter,. (units)
Total
`-Rainfall;
inches ,
_ pH,- ..
'.
TPH, mgll
Chemical.
Oxygen
=-Demand,.mgll-.
.
Benchmark
I N/A
6.0-9.0
15 mg11
120 mg11
' Date'Sample`.
,A oIlectbd,. -,
m mlddlyy
10.18
=1�==
07120115
7.0
Not Detected
89
12/14/15
.25
6.6
Not Detected
31
SWU-264 - Generic Annual DMR
Last revised 511712013

`Additional Outfall Attachment
Outfall No. 2
is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall;,
'inches...
Parameter, (units)
:. pH
TPH, .rnglf• : ;
Chemical
, Oxygen
Demand, mgll`•
Benchmark
N/A
6.0-9.0
15 mg/1
120 mg11
•Date.Sarnple
Collected,
`mmldd/yy
07/20115
1.44
5.6
Not Detected
27
12/14/15
0.25
6.9
43.3
54
SWU-264 - Generic Annual DMR
Last revised 5/172013

`"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 possib' ' of fines and imprisonment for knowing violations."
Signature
Date I/ 20/10
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ATSI3E�yII,LE REGION�AL�Q FICEi
I r0 ON OFFICk7
MOUR SF [�LE3REGION7ALCOFFICF3
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
914 433-3300
���E[GH REGIONAL O
AGTR
ONGI
LO
GACE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WI>\TSsTONrS'A�LEM�REGION'ALKOFyFICkI
CENTrT,R�A�I�OFFIC�S
1617 Mail Service Center
Raleigh, NC 27699-1617
r 7opresenre P�
andertharxe
585 Waughtown Street
Winston-Salem, NC 27107
336 771-5000
919 807-6300
`� .' ►vortli Gerntir�a's water`._:"
SWU-264 - Generic Annual DMR
Last revised 5117/2013

Remit -umber-NCS000373
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 Iaboratory.)
FACILITY NAME Michelin Aircraft Tire Company, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(S) Heather Ashby —�
CERTIFIED LABORATORY(S) Pace Analytical Lab Lab # 9227981400V I • ,
Pace Analytical Lab Lab # 92279814002 AN 2 6 2016
Partd.: Specific Monitoring Requirements
CL,,-rRA, L 1=ILES
0AlR !Z: —10N
COUNTY Stanly
PHONE NO.( 704 ) 474-8136
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall' ", :-'
'.Date
Sample
Collected
50050
Total,'
Flory ifa
Total, -
Rainfall
Oil &Grease
PH
r.
COD
r_.. ,.
mo7ddf " r
MG . _
fi elies.,
M
:Std .•Units
m
SDOL
12/14/15
N/A
0.25
ND
6.6
31
SDO2
12/14/15
N/A
125
43.3
6.9
54
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 i3)
PartR: Vehicle Maintenance A ivityMonitorin Requirements
€}i 11'
IYa.
`Date
Sample
Colleeted
50050�
00556
00530
00400;_
Total Fldw
(if applicable)
Total
Rainfall
Oil & Grease:
(if rippL)'
Non pola'r."
O4- Q/;T H .'
(Mct[iod 1664
SGT HEM),.if
ap P1'
Total
Seispended
Solids
pH
New Motor
Oil Usage.
166/d4l r
MG
inches
mg/1
m
unit.
galfino.
Form SWU-247, last rn sed 21212012
Page T of 2

STORM EVENT CHARACTERISTICS:
Date 12/14/15
Total Event Precipitation (inches): 0.25
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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. 1 am aware that there are significant penalties for submitting false information,
including the ssibility of lines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
ti
Form SWU-247, last revised 21212012
Page! oft

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000373
FACILITY NAME Michelin Aircraft Tire Company, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(SI- Heather Ashby
CERTIFIED LABORATORY(S) Pace Analytical Lab Lab # PASI-C
Pace Analytical Lab Lab # PASI-A
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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.) .
RECRG> stanix
AUG NO. 704 474-8136
173
pW WRE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Oil & Grease
pH
COD
mo/dd/ r
MG
inches
MgA
Std. Units
Ingn
SDO1
07/20/15
NIA
0.18
Not Detected
7
89
SD02
07/20/15
NIA
0.18
Not Detected
7
36
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 B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
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
MO
m gn
unit
al/mo
Form SWU-247, last revised 21212012
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date 07/20/15
Total Event Precipitation (inches): _ 0.18
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 Water Quality
Attu: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 Permittee)
(Date)
Form S WU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2014
❑❑❑❑❑❑ 'XISION Ur ZHNU fjESOUi�i;;i_;_ Individual NPDES Permit No. NCS ti a o 3 � 3 or t-AND QUquTy SECTlpp
Certificate of Coverage (COC) No. NCG❑❑❑OFF ""en/an
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. BAN 3 0 2015
Ukl'Hri 1 [YlL1,F i Ur- s-A- UNME
Facility Name: Michelin Aircraft Tire Company, a Division �of Michelin North America. Inc. *NA m6runp'4'''esoumxs
County: Stanly
Phone Number:( 704 ) 474 -8136 Total no. of SDOs monitored 2
Outfall No. 1
Is this ou#fall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SWU-264 - Generic Annual DMR
Last revised 51172013

Additional Outfall Attachment
Outfall No. 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter, (units)
pH
TPH, mgll
Chemical
Oxygen
Demand, mg/1
Benchmark
N/A
f 6.0-9.0
15 mg/1
120 mg11
Date Sample
Collected,
mmlddlyy
06/15/2014
1."
5.6
Not Detected
27
12/14/2014
0.25
6.0
Not Detected
97
SWU-264 - Generic Annual DMR
Last revised 5/172013

"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 fines and imprisonment for knowing violations."
Signature
Date
For questions, contact your local Regional Office:
DWQ Re ional Office Contact Information:
SHErYILLE REGIONAL OFFICE
AYE�T'TE�ILLE REGIONAL OFFICE
iVIOORESVI HE REGIONAL OFFICIi
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
' Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGION L OFFICE
WASHINGTON 1, REGIONAL OFFICII
WILNiINGTON REGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SAL�EM REGIONAI.OFFICE
CENTRAL'OFLICF7
1617 Mail Service Center
Raleigh, NC 2.7699-1617
y "TO preserve protect
andenhanoe
WW
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
[phone]
North Carolina's water_.^
SWU-264 - Generic Annual DMR
Last revised 5(17120 i 3

STORMWATER DISCHARGE OUTFALL (SDO)
r MONITORING REPORT
Permit Number NCS000373 SAMPLES COLLECTED DURING CALENDAR YEAR: .2014
(This monitoring report shall be received by the Division no later than 30 djys from
the date the facility receives the sampling results from the laboratory.) r"
FACILITY NAME Michelin Aircraft Tire Company, a Division of Michelin NA Inc
PERSON COLLECTING SAMPLE(S) Heather Ashby
CERTIFIED LABORATORY(S) Pace Analytical Lab Lab # PASI-C
Pace Analytical Lab Lab # PASI-A
Part A: Specific Monitoring Requirements
COUNTY Stanly C+2
PHONE NO. 704 474-8136
MREO
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
0W-P a * ,7
Pum
aft
1 El
ME
�ri a _ '�-��
4"44RT/Hat_
MR _ -, Q
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 B: Vehicle Maintenance Activity Monitoring Requirements
J06tfiffillDate
Sample
CoIIected
[50050'
Total Flow
(if applicable)
(U0556
*.[00530"
[00400
Total
Rainfall
Oily& Grease
(if apply
°Non p©lar
08zGlTPH
SGTHEM), i€
Total
aSuspended
pH
New Motor
Oil Usage
-
[ ;
rmo/%V
JMG
iinch-es `
fm `
m[�/l
lunit
r al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 12/16/2014
Total Event Precipitation (inches): 0.25
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 th ssibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form S WU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS000373
FACILITY NAME: Michelin Aircraft Tire Company
PERSON COLLECTING SAMPLE(S) Robert Wilkins
CERTIFIED LABORATORY(S) Pace Analytical Lab #PASI-C
Pace Analytical Lab #PASI-C
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(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.)
COUNTY Stan
PHONE NO. f205)391-6456
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
e
Date
sample
bil & Grease
Does this facility perform Vehicle Maintenance Activities using more than 55 galIons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
;00556-
00530
00400
Total Flow
(if applicable) :.Rainfall
Total.
Oil & Grease
(ifappL)
Non -polar.
O&G/TPH
(Method 1664
-SGT-HEM), if
appl.
Total
Suspended,
Solids
.pH
New Motor
Oil Usage
mo/ddl r.
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 21212012
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date 5/15/2014
Total Event Precipitation (inches): 1.44 in
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 ssibilky of fines and imprisonment for knowing violations."
�Iagt
(Signature of Permittee) v (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

V1 el
MICNELIN
J�y
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
RE: Stormwater Permit # NC000373
Michelin Aircraft Tire Company,
a division of Michelin North America
40589 S. Stanly School Rd.
Norwood, NC 28128, Stanly Co.
Semi -Annual Report for period 3/01/14 - 08/31/14
To Whom It May Concern,
August 26, 2014
In accordance with terms set forth in North Carolina Stormwater Permit NC000373, Section E
(Reporting Requirements), attached is the requested information regarding Michelin Aircraft
Tire Company, a division of Michelin North America, Inc. stormwater discharge outfalls'
Qualitative Monitoring Reports.
All relevant information is presented in the format provided by the Division of Water Quality.
Sampling for the monitoring was performed on May 15, 2014 and results were received on
August 1, 2014. Results showed that stormwater discharge outfall #02 had a pH that was outside
the suggested benchmark range for Analytical Monitoring. In accordance to the permit, a Tier
One response was initiated.
Please don't hesitate to call with corrections or recommendations to the enclosed report. We
will be glad to initiate any corrections immediately or in the next reporting submission due.
Thank you for your time and consideration.
Respectfully,
Heather Ashby
Environmental Coordinator
704-474-8136 (phone)
704-474-7753 (fax)
heather. ashby(a,us.michelin.com
Michelin Aircraft Tire Company, Telephone: [phone]
a division of Michelin North America Inc. Facsimile: [phone]
One Parkway South www.airmichelin.com
Greenville, South Carolina 29615 USA