NCGNE0023_COMPLETE FILE - HISTORICAL_20050420

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 0 0 2) 3
DOC TYPE
14 HISTORICAL FILE
DOC DATE
❑A ou -50q a`
YYYYM M DD

WA]� Michael F. Easley, Governor
�0=O 9Q6 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
�!3 r Alan W. Klimek, P. E. Director
Division of Water Quality
Q C Co[een N. Sullins, Deputy Director
_ Division of Water Quality
April 20, 2005
Gordon Tate
Clarke American
1093 Laureate
San Antonio, TX 78249
Subject: No Exposure Certification NCGNE0023
Charlotte Plant -Clarke American - 9711 David Taylor Dr
Mecklenburg County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on April 17, 2002. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact ,Jonathan Diggs at [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office - . Central Files — wlattachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-161:7 [phone]
SA
NCDEN.R
Customer Service
1-877-623-6748

K A '7
C e:i N C @
United States Frtvironrr+entai Prorlec•.iaz Form Approved
� OMB No. 2040-0211
NPDES ®® � Wastur�gtan DC 2C46;
FORM NO EXPOSURE CERTIFICATION for Exclusion from
3510-1 i
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity i sart&ed in Section A dc+ts rot require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B :nder EPA"i Slain W-Aar U A% -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial rnaceraia and act.ties are PrNecled by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. industrial materials or ac7ivrt>" .nckrde. bLI are rcx tr-va to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final pr.Cd r . or +rasa _ram Material handling activities include the storage,
loading and unloading, transportation, or conveyance of arty raw material, interr'eda:e product, ira _-rD0_ct or waste product. A storm resistant shelter is
not required for the following industrial materials and adiyroes:
- drums, barrels, tanks, and similar containers that are tightly scaled, prv.•Ced moose W.—tairers are --N deteriorated and do not leak. 'Sealed'
means banded or otherwise secured and without operational taps or vatym
- adequately maintained vehicles used in material handling: and
final products, other than products that would be mcibiiized in storm water :;surges (e.g. •-]a salt.
A No Exposure Certification must be provided for each `.aaZi;tr qual4ing for the rc exxscra ex.—L5+or, r. a3eion, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual oudalls, if any industries actrnaes or rnweras are ar will be exposed to precipitation, the facility is
not eligible for the no exposure axclusion.
By signing and submitting this No Exposure Certification forn, the entity in Sew.=n A 's ca n; sa a =-d6on of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FOPUM,
Detailed Instructions for completing this form and obtaining the no exposure axcuusion tie prvrided on pages 3 and 4.
A. Facility Operator information 1. Name: L f 1 1/� I � ,tt cl Y/t� � �' .� I +"I Al I I 1 I ! I IT 2. Phone: 149G 9 � G / S—y
3. Mailing Address: a. Street: lellr 51 r1 f_1 I z r' !x! ;7. F, !
b. City, 5 A I n/ T V I rJ r I Cl! I ItI I t! f S ate: l_ d. zip Code: I F I Z `I
S. Faellity/Stte Location Infonnatlon
1. Facility Name: r y L-01+1 `t I l l tGl of �I I I I f I
2. a. Street Address: Iq i -Il I I i l ip ^_ V 1! cl --'T ICL I �I I of; i- t V C 11 I f t I
Jt -�
b. City: LlhlalYljtct Itl?I I I ! I I I .I_i_�_._ l FA f3 Ui A6
d. State: I f 1 `A e. Zip Code: I �Lj cpl (A 91 -.I _I I I i
3. Is the facility located on Indian Lands? Yes No !`;�;l f} )} M
4. Is this a Federal facility? Yes No ® I
5. a. Latitude: , 115 �� , 5 b. L r�j! D; + I ?2 i A P j
L� � Ll� �� � Longitude: f!L� 7
6. a. Was the facility or site previously covered under an HPflE5 storm water perrsst? Yes No! ��
�.
b. If yes, enter NPDES permit number: DE - WATER DUALITY
7. SIC/Activity Codes: Primary: 11 1151 Secondary (if applica_-ae): ' I PINT SOURCE BRANCH
8. Total size of site associated with industrial activity. aces
9. a. Have you paved or roofed over a formerty exposes, pervious area in order z o aiify for Cne : c oxsse exclusion? Yes ❑ No
b. if yes, please indicate approximately how much area was paved or roofed over. Compiep-g t-4 7 er , does not disqualify you for the no exposure
exclusion. However, your permitting au4twrity may use this information in =s.41er+r,g wh-P--,er su.- aater discharges from your site are likely to have
an adverse impact on water quality, in which case year co>id be required is ob aan pernd .
Less than one acre 0 One to True acres More than five aces _
EPA Form 3510-11 (10-99) Page 1 of 4
APR 1 5 2002
DIV. OF WATFR Al let Iry

u
NPDES NO EXPOSURE CERTIFICATION for Exclusion from FornlAppiov11
FORM -,EPA OM13 No.2040-0211
3510.11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either 'Yes' or'No' in the appropriate box.) if you answer"Yes" to any of these questions
(11 through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
ell
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spillstleaks
d
3. Materials or products from past industrial activity
D
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loadinglunloadinq or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
Er
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
8. Materials or products handledlstored on roads or railways owned or maintained by the discharger
Q
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpslers))
0,
10. Application or disposal of process wastewater (unless otherwise permitted)
d
11, Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(i.e.. under an air quality control permit) and evident in the storm water outflow
D. Certlflcatlon Statement
I 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 storm water permitting.
I certify under penalty of taw that there are no discharges of storm water 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)).
understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, it requested, 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 NPDES permitting authority, 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 that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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
knowtedge and belief true, accurate and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name. (; CA�,_NA! i 4 r r
Print Title:
Signature:
Date:
EPA Form 3510-11 (10-99)
Page 2 of 4