NCG030513_Monitoring Report_20211001

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The Goodyear Tire & Rubber Company — Statesville Mold Plant © r;�
108 Business Park Drive <ti
Statesville, NC 28677 O
September 29, 2021
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
RE: Storm Water DMR, General Permit NCG030000, COG NCG030513
Dear Mr. or Ms.,
The Goodyear Tire & Rubber Company — Statesville Mold Plant is covered under North Carolina General Storm
Water Permit NCG030000. The permit requires the quarterly submission of a discharge monitoring report.
Please find enclosed a DMR for a sample from August 16, 2021 from outfall #l.
The DMR has been uploaded via the Stormwater NPDES Permit DMR Upload found at:
https://edocs.deq.ne.gov/Fonns/SW-DMR
If further information is required please do not hesitate to contact me at 704-928-4505.
Sincerely,
Nick Fugitt
Quality Manager
The Goodyear Tire & Rubber Company

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload fcirtil wit l ii
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: Pace Analytical
Facility County: Iredell
Laboratory Cent. No.: Charlotte: 12/5342/37706 Asheville: 40/377
Discharge during this period:
Yes JTNo
(if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? LjYes UNo
If so, which Tier (l, ll, or III)?
A copy of this DM_ R has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR_ Yes N_o
Date Uploaded: 9/29/2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
N/A
Date Sample Collected MM/DD/YYYY
8/16/2021
46529
24-Hour Rainfall in inches
.75"
C0530
TSS in mg/L(100or SO*)
4.1 mg/L
00400
PH in standard units (6.0-9.0 FW,
6.78
6.8-8.5 SW)
Capper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<.005 mg/L
Lead, total recoverable in mg/L
01051
(0.075 FW, 0.22 SW)
< 005 mg/L
Zinc, total recoverable in mg/ L (0.126
01094
FW 0.095SW)
<.010mg/L
00340
Chemical Oxygen Demand (COD) in
< 25.0 mg/L
mg/L(120)
00552
Non -Polar Oil & Grease in mg/L (15)
< 4.8 mg/L
• Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of SO mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional):
"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."
Signature 8f Permittee
Email Address
Authorized Individual
a Z oZ
Date
�76L[ 91Z8 4503
Phone Number