NCG030513_2021 DMR_20220118

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Fora for NCG030000
Meta[ Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort DMR U load form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0513
Person Collecting Samples: Nicholas Fugitt
Facility Name: Goodyear Statesville
Laboratory Name: race Analytical
Facility County: Iredell
Laboratory Cert. No.: Charlotte 12/5342/37706 Ashville: 40/3771
Discharge during this period: ]Yes E]
No (if no, skip to signature and date)
Has your facility implemented mandatory
If so, which Tier (1, 11, or III)?
Tier response actions this sample period for any benchmark exceedances? ® Yes No
A copy of this DMR has been uploaded electronically via https://edocs,deg,nc,gov/Fonros/SW-DMR ®Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0,010 FW, 0,0058 SW)
Lead, total recoverable in mg/ L
01051
(0,075 FW, 0,22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0,095 SW)
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmarl(TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 rng/L
FW (Freshwater) SW (Saltwater)
Notes (optional): No Flow
"I certify by my signature below, 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."
Ja-a� w
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Signature of Permittee o� Delegated Authorized Individual
\CMG— I.AJ A/,i
Address
ate
Phone Number