NCS000391_ROS Request_20200115

Division of Energy, Mineral & Land Resources
S"+
t;a Stormwater Program
, National Pollutant Discharge Elimination System
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
E.T' �:' -6, F
020
G
Environmental REPRESENTATIVE OUTFALL STATUS (ROS) JA�9 15 2 3� ip0
y REQUEST FORM
nC(1_AVGT 1/III [ Dcninnini nr
If a facility is required to sample multiple discharge locations with very similar Stormwater discharges; the -
permittee may petition the Director for Representative Outfall Status (ROS). DEQ may grant Representative
Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL outfalls are still subject to the qualitative monitoring
requirements of the facility's permit —unless otherwise allowed by the permit (such as NCG020000) and DEQ
approval. The approval letter from DEQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status.
For questions, please contact the DEQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N I, C S`0 10 10 13 1 1 N I C I G
2) Facility Information:
Owner/Facility Name The Goodyear Tire & Rubber Co
Facility Contact
Street Address
City
County
Telephone No.
Elijah Herrington
6650 Ramsey Street
Fayetteville
Cumberland
910 630-5678
State NC
E-mail Address
Fax:
ZIP Code 28311
elijah_her([e-mail]
3) List the representative outfall(s) information (attach additional sheets if necessary):
Outfall(s) 002 is representative of Outfall(s) 001
Outfalls' drainage areas have the same or similar activities? 9/yes ❑ No
Outfalls' drainage areas contain the same or similar materials? v/yes ❑ No
Outfalls have similar monitoring results? Vy es ❑ No ❑ No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
Outfall(s)
is representative of Outfall(s)
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No ❑ No data*
Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
The Goodyear Tire & Rubber Co - Fayetteville plant (Goodyear) is requesting representative status for storm water outfall 002. Both
outfall 001 and 002 receive storm water from buildings, grounds and roadways on the property. Both outfalls are impacted by city water which is discharged
under a different permit but utilizes the same outfalls as storm water. Outfall 001 also receives process wastewater, which is subject to NPDES permit NCG500000
Outfall 002 will have a lesser impact from city water and is preferred in order to obtain a storm water sample that is less impacted by the process
wastewater which continually flows through Outfall 001. Both outfalls are impacted by process and support operations as well as loading and
operations.
Allowing outfall 002 to serve as the designated outfall will result in a representative discharge of storm water from the site.
5) Certification:
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record,
report, plan, or other document filed or required to be maintained under this Article or a rule implementing this
Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case
under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device
or method required to be operated or maintained under this Article or rules of the [Environmental Management)
Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
ten thousand dollars ($10,000).
I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: David Cumbo
Title: Manufacturing Director ,
(Signature of Applicant)
(Date Signed)
Please note: This application for Representative Outfall Status is subject to
approval by the NCDEQ Regional Office. The Regional Office may inspect your
facilitv for compliance with the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
m" This completed form.
w' Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be included in Question 4.
❑ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
❑ Summary of results from monitoring conducted at the outfalls listed in Question 3.
❑ Any other supporting documentation.
Page 2 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
Mail the entire package to:
NCDEQ DEMLR at the appropriate Regional Office (See map and
addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request is granted by DEQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For questions, please contact the DEQ Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Washington Regional Office
943 Washington Square Mall
Phone [phone]
Washington, NC 27889
FAX [phone]
Phone [phone]
Fayetteville Regional Office
FAX [phone]
Systel Building,
225 Green St., Suite 714
Wilmington Regional Office
Fayetteville, NC 28301-5094
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Winston-Salem Regional Office
Mooresville, NC 28115
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Phone [phone]
FAX [phone]
Water Quality Main FAX [phone]
Raleigh Regional Office
Central Office
1628 Mail Service Center
1612 Mail Service Center
Raleigh, NC 27699-1628
Raleigh, NC 27699-1612
Phone [phone]
Phone [phone]
FAX [phone]
FAX [phone]
Page 3of3
SWU-ROS-2009 Last revised 12/30/2009

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Stormwater Monitoring Results
Semi-annual Events CY 2019
Monitoring
Parind Samnie Number Outfall 001 Outfall 002
Date .
Parameter
Result`;
units 'Bench
units
Date
Parameter.
Result
units:.,
Bench
units
Semi -Annual 1st
6/5/2019
TSS
76.00
m /I
100
m /I
6/5/2019
TSS
44.00
m /I
100
m /I
6/5/2019
COD
f214f0
'1 m /I
120
m /I
6/5/2019
COD
(123;b
. m /I
120
m /I
6/5/2019
Oil & Grease
<5.0
m /I
30
m /I
6/5/2019
Oil & Grease
<5.0
m /I
30
m /I
6/5/2019
Zinc Total
£;07577',
m /I
0.067
m /I
6/5/2019
Zinc Total
M189
m /I
0.067
m /I
6/5/2019
Thiram
0
u /I
0.2
u /I
6/5/2019
Thiram
0.00
u /I
0.2
u /I
6/5/2019
H
7.55
S.U.
6-9
S.U.
6/5/2019
H
6.71
S.U.
6-9
S.U.
6/6/2019
Total Rainfall
in
0.1
in
6/5/2019
Total Rainfall
I
inr
0.1
in
Visual Monitoring Results
Monitoring
Parind Rmmnle Number Outfal n01 Outfall 002
Date .
Parameter
Result
Date
Parameter
Result
Semi -Annual 1st
6/5/2019
Color
Light gray
6/5/2019
Color
Light brown
6/5/2019
Odor
None
6/5/2019
Odor
None
6/5/2019
Clarity
Slighty cloud
6/5/2019
Clarity
Slighty cloud
6/5/2019
Solids
Light amount suspended
6/5/2019
Solids
Small particles suspended
6/5/2019
Foam
None
6/5/2019
Foam
None
6/5/2019
Oil Sheen
None
6/5/2019
Oil Sheen
None
Monitoring
Parinri Ramnla Numhar Outfal nn1 Outfall 002
17-7
Date
Parameter
Result, <
units
Benchr
units "
Date `
Parameter `..
Result '.
units.
Bench
units;•;`
Semi-annual2nd
12/18/2019
TSS
<4.7
m /I
100
m /I
12/18/2019
TSS
<4.17
m /I
100
m /I
12/19/2019
COD
64.40
m /I
120
m /I
12/19/2019
COD
_ 47.40
m /I
120
m /I
12/20/2019
Oil & Grease
<5
m /I
30
m /I
12/20/2019
Oil & Grease
<5
m /I
30
m /l
12/21/2019
Zinc, Total
r~0.34'a
m /I
0.067
m /I
12/21/2019
Zinc Total
0.03
m /I
0.067
m /I
12/22/2019
Thiram
0.00
u /I
0.2
u /l
12/22/2019
Thiram
0.00
u /I
0.2
u /I
12/23/2019
H
6.62
s.u.
6-9
S.U.
12/23/2019
H
6.50
S.U.
6-9
S.U.
12/24/2019
Total Rainfall
in
0.1
in
12/24/2019
Total Rainfall
in
0.1
in
Visual Monitoring Results
Monitoring
Period Sample Number Outfall 001 Outfall 002
Date
Parameter
Result rl
Date. :.
Parameter
Result
Semi-annual 2nd
12/18/2019
Color
Light gray
12/18/2019
Color
Light gray
12/19/2019
Odor
None
12/19/2019
Odor
None
12/20/2019
Clarity
Slighty cloudy
12/20/2019
Clarity
Slighty cloudy
12/21/2019
Solids
Light amount suspended
12/21/2019
Solids
Small particles
12/22/2019
Foam
None
12/22/2019
Foam
None
12/23/2019
Oil Sheen
None
12/23/2019
Oil Sheen
None

Stormwater Monitoring Results
Semi-annual Events CY 2018
Monitoring
Period Samole Number Outfall 001 Outfall 002
Date
Parameter .
Result;
units'
Benchr
units
Date
Parameter
Result. .
units
Benchr
units '
Semi -Annual 1st
8/14/2018
TSS
9.68
m /I
100
m /I
8/14/2018
TSS
10.70
m /I
100
m /I
8/14/2018
COD
, 36.8
m /I
120
m /I
8/14/2018
COD
48.8
m /I
120
m /I
8/14/2018
Oil & Grease
<5.0
m /I
30
m /I
8/14/2018
Oil & Grease
<5.0
m /I
30
m /I
8/14/2018
Zinc Total
0.0355
m /I
0.067
m /I
8/14/2018
Zinc, Total
v 0.04
m /I
0.067
m /I
8/14/2018
Thiram
<10
u /I
0.2
u /I
8/14/2018
Thiram
<10
u /I
0.2
u /I
8/14/2018
H
6.90
S.U.
6-9
S.U.
8/14/2018
H
6.90
S.U.
6-9
s.u.
8/14/2018
Total Rainfal
1.35
in
0.1
in
8/14/2018
Total Rainfall
1 1.35
in
0.1
in
Visual Monitoring Results
Monitoring
Period Samole Number Outfall 001 Outfall 002
Date
Parameter.
Result-
Date .
Parameter
Result
Semi -Annual 1st
8/14/2018
Color
Light grey
8/14/2018
Color
Light grey
8/14/2018
Odor
None
8/14/2018
Odor
None
8/14/2018
Clarity
Fair
8/14/2018
Clarity
Fair
8/14/2018
Solids
None - pollen
8/14/2018
Solids
None - pollen
8/14/2018
Foam
None
8/14/2018
Foam
None
8/14/2018
Oil Sheen
None
8/14/2018
Oil Sheen
None
Monitoring
Period Samole Number Outfall 001 Outfall 002
Date
Parameter, '
Result ?
units
Benchr
Units`
Date
Parameter
Result .
units=
Bench
units,
Semi-annual 2nd
12/10/2018
TSS
<4.17
m /I
100
m /I
12/10/2018
TSS
7.67
m /I
100
m /I
12/10/2018
COD
<10
m /I
120
m /I
12/10/2018
COD
'26.80
m /I
120
m /I
12/10/2018
Oil & Grease
<5.0
m /I
30
m /I
12/10/2018
Oil & Grease
<5.0
m /I
30
m /I
12/10/2018
Zinc Total
ts'..O30
) m /I
0.067
m /I
12/10/2018
Zinc, Total
0.04
m /I
0.067
m /I
12/10/2018
Thiram
<10
u /I
0.2
u /i
12/10/2018
Thiram
<10
u /I
0.2
u /I
12/10/2018
H
7.34
s.u.
6-9
s.u.
12/10/2018
H
8.03
S.U.
6-9
S.U.
12/10/2018
Total Rainfal
0 15
in
0.1
in
12/10/2018
Total Rainfall
0.15
in
0.1
in
Visual Monitoring Results
Monitoring
Period Samole Number Outfall 001 Outfall 002
Date
ParameteF
Result'
Date,
Parameter
Result
Semi-annual 2nd
12/10/2018
Color
Very li ht gray
12/10/2018
Color
Medium brownish gray
12/10/2018
Odor
None
12/10/2018
Odor
None
12/10/2018
Clarity
Clear
12/10/2018
Clarity
Fair
12/10/2018
Solids
None
12/10/2018
Solids
Pine needles and leaves
12/10/2018
Foam
None
12/10/2018
Foam
None
12/10/2018
Oil Sheen
None
12/10/2018
Oil Sheen
None