NCG030513_Monitoring Report_20220120

The Goodyear Tire & Rubber Company — Statesville Mold Plant
108 Business Park Drive
Statesville, NC 28677
January 11, 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 submission of a discharge monitoring report within 30-days of
receiving analytical results.
No events occurred during the months of October through December, so no sample was collected from outfall #1.
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
Metal Fabrication
Click here for instructions oR Z
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report DMR d Wm v4hin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DE a i'2 I OM.
Certificate of Coverage No. NCG03 0513
Person Collecting Samples: Nicholas Fugitt
Facility Name: Goodyear Statesville
Laboratory Name: Pace Analytical
Facility County: Iredell
Laboratory Cert. No.: Charlotte 12/5342/37706 Ashville: 40/3771
Discharge during this period:
Yes
allo
(if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Lj Yes LjNo
If so, which Tier (I, ll, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes rTNo
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 (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/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."
Jo-4
Signature
Permittee off Delegated Authorized Individual
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Address Phone Number

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