NCGNE1269_COMPLETE FILE - HISTORICAL_20180612

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
N HISTORICAL FILE
❑ MONITORING REPORTS
YYYYM M DD

r -
r.
ROY COOPER
i
Governor
M[CHAEL S. RE.GAN
Sacrerary
WILLIAM E. VINSON, JR.
Energy, Mineral
and Land Resources Interim Director
ENVIRONMENTAL QUALITY
June 12, 2018
Packaging Corporation of America
Attention: Scott Reading
114 Dixie Boulevard
Morganton, North Carolina 28655
Packaging Corporation of America
Attention: Michael Dugger
114 Dixie Boulevard
Morganton, North Carolina 28655
Subject: No -Exposure Certification - Disapproval
NCGNE1269
Packaging Corporation of America
Burke County
Dear Mr. Reading:
The Division has reviewed your application for a No Exposure Certification for Exclusion (NE) from NPDES
Stormwater Permitting for the subject facility.
Based on an inspection of your facility on June 5, 2018, Asheville Regional Office staff found that industrial
activities or materials on your site either are exposed, or have the potential to be exposed to stormwater discharge.
The Division of Energy Mineral and Land Resources is unable to grant your requested exemption from permit
coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see
attached inspection report.
If you have any questions or need further information, please contact Isaiah Reed at [phone], or at
[e-mail].
Sincerely,
a
or William E. Vi , Jr.
Interim Director
Enclosure: Inspection Report
ec: Bethany Georgoulias, Environmental Engineer, Stormwater Program, betliany.geor otg alias a,nedenr.gov
State of Norih Carolina I Environmental Quality I Energy, Mineral and Land Resources
2090 US 70 Highway I Swannanoa, NC 28778-821 t
828 296 4500 T

r ;. %1 0
Compliance Inspection Report
Permit: NCGNE1269 Effective: Expiration: Owner; Packaging Corp of America
SOC: Effective: Expiration: Facility; Packaging Corporation Of America
county: Burke 114 Dixie Blvd
Region: Asheville
Morganton NC 28680
Contact Person: Lee Oaks Title: Phone: [phone]
Directions to Facility:
1-40 East, Exit 100. LFFT off exit. Several miles then past Jamestown Flea Market LEFT Dixie Blvd. 1st biz on RIGHT.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Rep rosentalive(s):
Related Permits:
Inspection Date: 06/0512018 Entry Time: 01:00PM Exit Time: 02:00PM
Primary Inspector: Isaiah L Reed Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant ® Not Compliant
Question Areas:
® Miscellaneous Questions Misc
(See attachment summary)
Page: 1

Permit: NCGNE1269 Owner -Facility: Packaging Corp of America
Inspection Date: 06i0512018 Inspection Type: Technical Assistance Reason for Visit: Routine
Inspection Summary:
On June 5, 2018 this facility was inspected for exposure. I met with Scott Reading on site. During the inspection the
following items were noted.
1) There was excessive paper waste at and around the railroad tracks at the rear of the facility. Better housekeeping
practices are required for No Exposure status.
2) Rolls of raw material (paper) on site were observed to be exposed to precipitation. The "caps" installed on the rolls of
material are inadequate to completely protect the material from precipitation.
Based on an inspection of your facility, Asheville Regional Office staff found that industrial activities or materials on your site
either are exposed, or have the potential to be exposed to stormwater discharge.
The Division of Energy Mineral and Land Resources is unable to grant your requested exemption from permit coverage when
industrial activities or materials are exposed or have the potential to be exposed_
Page: 2

4 S 0
Permit: NCGNE1269 Owner - Facility: Packaging Corp of America
Inspection slate: 061051201 B Inspection Type : Technical Assistance Reason for Visit: Routine
Misc
Is the facility compliant?
Comment: See Summary for more information.
Yes No NA NE
❑ 9M ❑ ❑
Page: 3

Reed, Isaiah L
From:
Georgoulias, Bethany
Sent:
Friday, June 8, 2018 5:17 PM
To:
Reed, Isaiah L
Cc:
Lawyer, Mike
Subject:
Re: NEC Question
Isaiah, I agree. This is exposure of raw materials, and not the kind of thing that is made to be permanently out
in the elements in a different setting. I think it's pretty straightforward.
Bethany
Beltran}. Geoid,=oidias, En►ironmental Engineer
NCDEQ I DEM LR 1 Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
5 1,2 N. Salisbury Street, Raleigh, NC 27604
919 / 807-6372 (phone); 919 / 807-6494 (fax)
Website: htt :Hde .nc. ov/about/divisions/ener -mineral-land-resources/stormwater
E-muil correspondence ru and front !iris address alai he snhjecl lu the North Carolina Public Records lair and nrur he disclosed to third parries.
From: Reed, Isaiah L
Sent: Friday, June 8, 2019 11:50:01 AM
To: Georgoulias, Bethany
Cc: Lawyer, Mike
Subject: NEC Question
Bethany,
I wanted to run something by you. I recently went to an NEC application site. The site is currently under the
NCG05 permit. They are storing material used in their industrial process outside. I am currently maintaining
that the facility does not qualify for NEC.
The material outside (see attached photo) is rolls of raw paper that they will use for making cardboard. They
have small tarp caps for them that protect the interior of the product, but to me, it is still exposed to the
weather. I have called and discussed the issue with Mike Lawyer, and he concurs with my assessment. He
recommended that I double-check with you.
Thanks,
Isaiah
Isaiah L. Reed, 13Sc, MWEC1, CEPSCI
Environmental Specialist
Division of Ene►gy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Land Quality Section, Asheville Regional Office

Phone: [phone]
Email: Isaiah,[e-mail]
2090 US Hwy 70
Swannanoa, North Carolina 28778
Nothing Compares,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

Compliance Inspection Report
Permit: NCGNE1269 Effective: Expiration: Owner: Packaging Corp of America
SOC: Effective: Expiration: Facility: Packaging Corporation Of America
County: Burke 114 Dixie Blvd
Region: Asheville
Morganton NC 28680
Contact Person: Lee Oaks Title: Phone: [phone]
Directions to Facility:
1-40 East. Exit 100. LEFT off exit. Several miles then past Jamestown Flea Market LEFT Dixie Blvd. 1st biz on RIGHT.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/05/2018 Entry Time: 01:OOPM Exit Time: 02:OOPM
Primary Inspector: Isaiah L Reed Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
Page: 1

% 4
Permit: NCGN E1269 Owner - Facility: Packaging Corp of America
Inspection Date: 06I0512018 Inspection Type : Technical Assistance Reason for Visit: Routine
Inspection Summary:
On June 5, 2018 this facility was inspected for exposure. I met with Scott Reading on site. During the inspection the
following items were noted.
1) There was excessive paper waste at and around the railroad tracks at the rear of the facility. Better housekeeping
practices are required for No Exposure status.
2) Rolls of raw material (paper) on site were observed to be exposed to precipitation. The "caps" installed on the rolls of
material are inadequate to completely protect the material from precipitation.
Based on an inspection of your facility, Asheville Regional Office staff found that industrial activities or materials on your site
either are exposed, or have the potential to be exposed to stormwater discharge.
The Division of Energy Mineral and Land Resources is unable to grant your requested exemption from permit coverage when
industrial activities or materials are exposed or have the potential to be exposed.
Page: 2

% 0
permit: NCGNE1269 Owner- Facility: Packaging Corp of America
Inspection Date: 06tO512016 Inspection Type : Technical Assistance
Misc
Is the facility compliant?
Comment: See Summary for more information.
Reason for Visit: Routine
Yes No NA NE
❑■❑❑
Page: 3

Readling, Scott
From: Blancaflor, Dawn
Sent: Monday, June 4, 2018 7:57 PM
To: Readling, Scott; Krahn, Joyce; Garber, Rich D; Chatterton, Curtis
Subject: Re: Stormwater
CONFIDENTIAL AND PRIVILEGED
I could not find our previous research but based on my reading of the rules and guidance document, I offer the
following:
Roll stock is final product and is not required to be maintained indoors or under a storm resistant
shelter. This is consistent with EPA rules and EPA Guidance Manual for Conditional Exclusion from
Stormwater Permitting, June 2000.
When EPA promulgated that "No Exposure" provision of the stormwater permitting provisions of the CWA, it
was the intent of EPA to provide regulated industries a simplified but effective way of complying with the
goals and intent of the CWA— to preserve and improve the water quality of our rivers, streams, lakes, and
regulated water bodies.
If industries are able to certify that industrial processes and/or waste materials. which could contribute to
stomrwater contamination, are not exposed to stormwater, industry can certify "no exposure". As such,
these facilities are exempt from the stormwater permitting requirements.
Per 40 CFR 122 and EPA Guidance Manual, EPA provides:
Industrial materials and activities not requiring storm resistant shelter. . . "(and therefore exempt from
stormwater permitting), include the following examples:
To qualify for this exclusion, storm resistant shelter is not required for:
(i) Drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are
not deteriorated and do not leak ("Sealed" means banded or otherwise secured and without operational taps
or valves);
(ii) Adequately maintained vehicles used in material handling; and
(iii) Final products, other than products that would be mobilized in storm water discharge (e.g., rock salt)
PCA maintains that roll stock is a final product and exempt from stormwater permitting. This is a final product
and is a material that will not be mobilized if exposed to stormwater. The material will not degrade or
deteriorate. The roll stock is capped preventing any degradation or migration of contaminates to
stormwater. In reviewing examples set forth by EPA (drums, barrels, tanks, and similar containers) that are
tightly sealed and not deteriorated are exempt, finished roll stock is clearly a material/item that will not
contribute to stormwater contamination and qualifies for "no exposure" certification.

0
0
Facilit Name: . Permittt:
Isj ui IV e 1 �- 61
Time in/out-. J Date;
1:00 (,-5-
!Stormwater Pollution Prevention Plan
lDoeg'ih'e site Kiv-e i SWPPP?
L
En
orgy, Awnerol
anti Land Resources
ENVIRC)NNUNTAL QUALITY
Yes No NA NE
Does the Plan include a General Location (USGS) map?
Does
DO L — the Plan include a "Narrative Descriptioh of Practices"?
Does the Plan include a detailed site map including outfali locations and drainage areas?
-boes t'heTi'-include a -list significant
ifcant spills occurring during the past 3.years? 4-
Has the facility evaluated feasible alternatives to current practices?
IDo6 —the-:-fi-71-1& -pr—q'-v, L cle ail necessary seconLarycontainment?
Does the Plan include a BVP summary?
Does the'Plan e include a Spill Prevention and Response Plan P L V" n ��R )?
Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
boes-th-e fWpiii,typrwmy
de and docuent Employee Training?
-- -, . . - . - - - -.-
Does the Plan include a list of Responsible Party(s)?
--7 .7—
�Is the Plan reviewed and updated annually?
Does the Plan include a Stormwater Facility Inspection Program?
P Ilution Prevention
IfHas the St.orniiw-at6-r- 05- Plan been. implemented?
El -
Yes No NA NE
its Qualitative monitoring semi-annually? ❑E-1 0. T-1
Analytical Monitoring I Yes No NA NE
Has th6fa-ciIIt'y`con'd'dc1tcd its Analytical jmonlio - ring'? R
Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? R T
Comments
IPermit and Outfalls Yes No NA NE
!ls,a-coo- y-of the Pe-RAit ;i6d ihi Certificate of toverilge available at thiisite?
Were all outfalls observed during the inspection?
if the facility has u-ii'all status, is it properly documented by the Division? 7- representative o
Has the facilltv evaluated all illicit (non stormwater) discharges?
Comments and Others Present:
?
CILAe-iL DA E wt-a—
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tlltick

Division of Enemy, Mi a a�d &d Res urees
ID
Land Quality Section ReNational Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
Energy. Minerat NCGNE0000
and Land Resources 1
FNVIQpNMFNTAI. QUALITY MA
FOR AGENCY USE ONLY
Date Received
Year
Month
Dav
CerTificale of Ccverage
RECEIVED
NAR 27 Mla
r) �at�rY Sec�joll
National Pollutant Dlscharge,Eliimination System application for exclusion from ai
on NO EXPOSURE: NS*"MkM%"to_=ased
)A,a7
wa
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DEMLR must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling, and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual
outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
If approved, your conditional No Exposure Exclusion has no expiration date
BUT MUST BE self re -certified at least annually.
Please look for information about re -certification under the No Exposure section on this page:
httpsaldeg. nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permitslstormwater-
permitslnpdes-industrial-sw
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerioperator (address to which all certification correspondence will be maiiedl:
Name Packaging Corporation of America
Contact Michael Dugger
Street Address 114 Dixie Blvd
City Morganton State NC ZIP Code 28655
Telephone No, 828 584-1511 Fax: [phone]
< Page 1 of 7
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NCGNE0000 No Exp osur%rdfication
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2) Location of facility producing discharge:
Facility Name Packaging Corporation of America
Facility Contact Michael ❑ugger
Street Address 114 Dixie Blvd
City Morganton State NC ZIP Code 28655
County Burke
Telephone No. 828 584-1511 Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). Hwy 40 Exit 100 Jamestown Road. TL onto Dixie Blvd,_
site on the Right
(A copy of a map with the facility clearly located on it should be included with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes x No
5) is this a Federal facility? ❑ Yes x No
6) Latitude 35 43 98 Longitude 8144 51 (deg., miry., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
x Existing Date operation began 1959
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? x Yes ❑ No
If yes, what is the NPDES Permit Number? NCG050220
9) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2653
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Manufacturer of corrugated shipping containers
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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Exposure Checklists (12. -14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes x No ❑ NIA
residuals from using, storing or cleaning industrial machinery or equipment
remain and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks
❑ Yes
x No
❑ NIA
c. Materials or products from past industrial activity
❑ Yes
x No
❑ NIA
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
x No
❑ NIA
e. Materials or products during loadinglunloading or transporting activities ❑ Yes x No ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside C] Yes x No ❑ N/A
use [e.g., new cars] where exposure to stormwater does not result in the
discharge of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, ❑ Yes x No ❑ NIA
tanks, and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained ❑ Yes x No ❑ NIA
by the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes x No ❑ NIA
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted) O Yes x No ❑ N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ❑ Yes x No ❑ NIA
not otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes x No ❑ NIA
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers 0 Yes x No ❑ NIA
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any
cracks, holes, or evidence of leaks, and are drain valves maintained locked
shut?
❑ Yes ❑ No x NIA
❑ Yes ❑ No x NIA
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NCGNE0000 No ExP osureeOrtification
•
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. is secondary containment provided for single above ground storage containers X Yes ❑ No ❑ NIA
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored ❑ Yes ❑ No x NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
Amendments and Reauthorization Act (SARA) water priority chemicals*?
d. Is secondary containment provided for hazardous substances** designated in
40 CFR §116?
e. Are release valves on all secondary containment structures locked?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. 1s this facility a Small Quantity Generator (less than 1000 kg. of hazardous
waste generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
waste:
vendor:
Type(s) of
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport f disposal
Vendor address:
Footnotes to Questions 14) c. & d.
❑ Yes ❑ No x NIA
❑ Yes ❑ No x NIA
X Yes ❑ No ❑ NIA
❑ Yes x No ❑ NIA
❑ Yes x No ❑ NIA
❑ Yes x No ❑ NIA
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§37Z 38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable
Quantities of the hazardous substances listed in 40 CFR §117.3.
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16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes x No ❑ NIA
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality
Permit? Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit:
Program:
Permit: Program:
Permit: Program:
❑ Yes x No ❑ NIA
❑ Yes x No ❑ NIA
❑ Yes x No ❑ NIA
❑ Yes ❑ No x NIA
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NCGNE0000 No ExP osureOrtification 0
17) Certification:
1 certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or
materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once
each year, and if requested, provide this certification to the operator of the local municipal separate storm sewer system
(MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of
Energy, Mineral, and Land Resources, or MS4 operator where the discharge is into the local MS4, to perform inspections
to confirm the condition of no exposure and to make such inspection reports publicly available upon request. I understand I
must keep a copy of annual re -certifications on file at the facility.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, 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 gathered and evaluated 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 fine and imprisonment for
knowing violations.
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 Nf��e of Person Signing: Richard DeAu ustinis
Title: Zerferal Manager /'-1 /'—\
of Applicant)
3 -z6- If
(Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the NCDEQ
Regional Office prior to issuance. The Regional Office may inspect your facility for compliance
with no exposure conditions prior to that approval. The Regional Office may also inspect your
facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 13(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).
There is currently no fee for a No Exposure Exclusion.
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Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
X A map with the location of the facility clearly marked.
X If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
(828) 2964500
Fayetteville Office
... [phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office
... [phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7 of 7
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