NCGNE0035_COMPLETE FILE - HISTORICAL_20150408

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 60 �J S
DOC TYPE
ly HISTORICAL FILE
DOC DATE
❑
YYYYM M DD

400 Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
R-�aiRce! "c".EkT AR6 `-UNN°`P""'"`"`o'
Ef+YIRO"M PERMIT NAME/OWNERSHIP CHANGE FORM
R1JRil
FOR AGENCY USE ONLY
Date Received
Ysar Month Day
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
9 a 1 V I N I E. 3
11. Permit status prior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
APR 8 A 2015
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
DO nn a�
First MI Last
Title
p >�v
Permit Holder Mailing Address
I COLA;, ry G L?9(A
City State Zip
Phone Fax
flow ]-(I �� s
Address
City State Zip
First / MI I Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: X Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b, Permit issued to (company name):
c. Person legally responsible for permit: Mlk u F,
First MI �} Last
V 1 (p'&eSl ,A 4 0d�uC�%vl
Title
d V
Permit Holder Mailing Address
City Q�(&LL
Zip f
( 7l4) Tt7- Mitt o ChhSB�v�-
Phone n E-mail Address COW
d. d. Facility name (discharge): 11 o CLARAk 06WAJan _
e. Facility address:
Address
City State Zip
f. Facility contact person:
First MT Last
Revised 2012Apr23
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Sklwc
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
FA Yes
❑ No (please explain) "
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
�C] This completed application is required for both name change and/or ownership change
requests. -
Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for -an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by Loth the permit holder prior.to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient,
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete,
Signature
Date
APP ANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed an�
a.sthat if all required supporting information is not included, this application package will be
returned ' compl te.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water .Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

r, A —
NORTH CAROLINA SPECIAL WARRANTY DEED
I
Excise Tax 10 0
ITax Lot No, _ Parcel Identifier No. 7-351- 1
(Verified by County on the day of
'Mail after recording to The McClatchy Company, Legal Departnicu , 2100 Q Street, Sacramento, CA 95618, Atm: Chad
O'Neal Muilenbur¢
This instrument was prepared by Robinson, Bradshaw & Hinsnn, P.A. (717G; without title search)
Brief descripdoo for the Index
9140 Research Drive, Charlotte NC
CHIS DEED made this + day of January 2014 , by and between
GRANTOR
DOW JONES & COitiPANY, INC„ a Delaware
corporation
Address:
4300 Rt. I North
Monmouth Junction, NJ 08852
s Attention: Ms. his Bensrh
Enter in appropriate block for each party;
bartnership.
CHARLOTTE OBSERVER PUBi rSHI G
COMPANY, a Delaware corporation
Address:
Go The McClatchy Company
2100 Q Street
Sacramento, CA 95618
Ann, Mark Zieman
name, address, and, it appropriate, rharacter or entity, a g. corporation or
I
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, fenurine or neuter as required by context.
W[-ESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does gran4 bargain, sell and convey unto the Gratitee in fee simple, that certain lot
or parcel of land situated in the City of Charlotte, Mecklenburg County, North Carolina and more particularly described as
follows (the 'Property"):
SEE ExHMrT.A ATTACHED HERETO AND INCORPORATEV HE,REL BY REFERENCE
31111708V2
I
. I I

COPS
FILED FOR URY
REG357RATrON
S
C QOILTHA Or
NORTH CAROILINA NON -WARRANTY DEED
Excise Tax 0,00
Tax Lot No. Parcel Identifier No.- 047.351-01
Verified by County on the day of , 20
by
Mail after recarding to The McClatchy Company, Legs] Depar;menL 2100 Q Street, Sacramento, CA 95618,
Attn: Chad O'Neal Muilenhurg
This Instrument was prepared by Robinson, Bradshaw &Hinson, P.A. (17G without title search)
Brief description for the Index
9140 Research Drive, Charlotte NC
THIS DEED made this +_ day of January 20 14 by and between
GRANTOR GRANTEE
DOW JONES & COMPANY, INC., a Delaware CHARLOTTE OBSERVER PUBLLSIHNG
corporation COMPANY, a Delaware corporation
Address: Address:
4300 Rt, 1 North do The McClatchy Company
Monmouth Junction, NJ OBB52 2100 Q Street
Attention: Ms, his Beasch Sacramento, CA 95618
Attn: Mark Zieman
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, a g, corporation
or partnership.
The designation Grantor and Grantee as used herein shall include said pati:s, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or muter as required by context.
3216515Y123497.000i1

(� W A 7`4�Michael F. Easley, Governor
`Otl fy William G. Ross Jr., Secretary
W North Carolina Department of Environment and Natural Resources
Cl)Alan W. Klimek, P. E. Director
- Division of Water Quality
p -� Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Michele Bakarich
Dow Jones & Company Inc
PO Box 300
Princeton, NJ 08543-0300
Subject: No Exposure Certification NCGNE0035
Dow Jones & Company Inc - 9140 Research 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 September 9, 2004. 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
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

United States Environmental Protection Agency Form Approved
9 Y OMB No. 2040.0251
NPDES ;' PA
Washington, DC 20460
FORM510-1 '�' NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES Storm Water Permitting
Submission oft his No Exposure Certification constitutes notice that the entity identified in Section A does not require permita uthorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition ofn o exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelterl a prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include; but re.not-limit aterial handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or wasipil
ct� M na an mg tivi s the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate productrc uct wa e pr duc A r tani shelter is
not required for the following industrial materials and activities:—d rums, barrels, tanks, and similar containers that are tightly sealed, provided those con are not deteriorated and do n t II, . "Sealed"
means banded or otherwise secured and without operational taps or valves; u I { s L r P 9 �nO4
—a dequately maintained vehicles used in material handling; and �.t I V
—f inal products, other than products that would be mobilized in storm water discharges (e. .,r ock alt). t
A No Exposure Certification must be provided for each facility qualifying for the no exposure ex lesion. In M -6 NA'e^eiSi1,WATiYom NPD ,permitting is
available on a facility -wide basis only, not for individual outfalls. If any industrial activities or Bitiii�Fecipitatio ,:the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is �ertifyin94hat.a_conditiorl_4f nogxposure 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 FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
Paul Jakubski
1. Name: D I O I WI I J I of ni el s I I& I Ci pi m p I a I n I y I, I I I I n I c I. I 11 I 2. Phone: [phone] 16 15
3. Mailing Address: a. Street: P 101 1 Bt of x1 1 31 01 01 1 1 1 1 1 1 1 1 1 1 1 1 1_ 1 1 1 1 1 I 1 1
b.0 ity: R f I l I n I a ei t 10 1 n c. State: NIJ d. zip Code: 1 Q 815 i 4 1 3 1- i 0 1 3 10 I 0 I
B. FacilityMte Location Information
1. Facility Name: Q 10 I WI I J 1 OI nl el s I I &1 I CI of In p I a I n I y I, 11 1; n I c I. I i I I I i
2. a. Street Address: 91 14 101 1 R I e i s I e 1 a I r l c I h I I D I r I I I I I 11 I I I I I I I I I
b. City: Cihial ri Ilot tltie I I I I I I I I I _I I I I C.County: IMIelClkIIIeinlbtulrIg
d. State: NI C e. zip Code: 218121612 -18151 414
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: 13151 LIL9 ' LIL9 b. Longitude: 0� I$ 10 I 14111 4 7
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No
b. If yes,e nter NPDES permitn umber:
7. SIC/Activity Codes: Primary: 2t 71 1i 1—
B. Total size of site associated with industrial activity:
Secondary (ifa pplicable): I I I 11
7 acres
9• a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No X❑
b. Ify es, p=ease indicate approximately how much area was paved or roofed over. Completing this question does notd isqualify you for the no exposure
exclusion. However,y our permitting authority may use this information in considering whether storm water discharges from your site are iikeiy to have
an adverse impact on water quality,i n which case you could be required to obtain permitc overage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4

NPDES �, NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM `++,Epq OMB No. 2040.0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation,n ow or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) 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
❑
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 spills/leaks
❑X
3. Materials or products from past industrial activity
❑
❑X
4. Material handling equipment (except adequately maintained vehicles)
❑
❑X
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
FRI
exposure to storm water does not result in the discharge of poltutanis)
7. Materials contained in open, deteriorated or leaking storage drums, barrels,t anks, and similar containers
0
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
n0
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
El
Q
10. Application or disposal of process wastewater (unless otherwise permitted)
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. Certification Statement
I certify underp enalty 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.
Ic ertify under penalty off aw 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)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if 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 forg athering the information, the information submitted is to the best of my
knowledge and belieft rue,a ccurate and complete. la m aware thatt here are significanlp enalties for submitting false iniormation,f ncluding the possibility
of fine and imprisonment for knowing violations.
Print Name: } I CI 0I � I I I I gl p I ICI AI -1 1 1 C 1 ,i1 1 1 f I I I I I I I I I I I I I
Print Title:
Signature:
Date: 0 $ Z s Y
EPA Form 3510-11 (10-99) Page 2 of 4

FORM Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FORM ��, EPA OMB No. 2040-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Who May File a No Exposure Certification Section B. Facility/Site Location Information
Federal law at 40 CFR Part 122.26 prohibits point source discharges of 1. Enter the official or legal name of the facility or site.
storm water associated with industrial activity to waters of the U.S. without
a National Pollutant Discharge Elimination System (NPDES) permit. however, 2. Enter the complete street address (if no street address exists, provide
NPDES permit coverage is not required for discharges of storm water a geographic description (e.g., Intersection of Routes 9 and 551), city,
associated with industrial activities identified at 40 CFR 122.26(b)(14)(i) county, state, and zip code. Do not use a P.O. Box number.
(ix) and (xi) if the discharger can certify that a condition of "no exposure"
exists at the industrial facility or site. 3. Indicate whether the facility is located on Indian Lands.
Storm waterd ischarges from construction activities identified in 40 CFR
122.26(b)(14)(x) and (b)(15) are note ligible for the no exposure exclusion.
Obtaining and Maintaining the No Exposure Exclusion
This form is used to certify that a condition of no exposure exists at the
industrial facility or site described herein. This certification is only applicable
in jurisdictions where EPA is the NPDES permitting authority and must be
re -submitted at least once every five years.
The industrial facility operator mustm aintain a condition of no exposure at
its facility or site in order for the no exposure exclusion to remain applicable.
If conditions change resulting in the exposure of materials and activities to
storm water, the facility operator must obtain coverage under an NPDES
storm water permiti mmediately.
Where to File the No Exposure Certification Form
No Exposure Forms sent regular mail: Forms sent overnightlexpress:
SW No Exposure Certification (4203M)
USEPA
1200 Pennsylvania Avenue, NW
Washington, D.C. 20460
Completing the Form
SW No Exposure Certification
US EPA East Building, Rm, 7420
1201 Constitution Avenue, NW
Washington, D.C. 20004
You must type or print, using uppercase letters, in appropriate areas only.
Enter only one character per space (i.e., between the marks). Abbreviate
if necessary to stay within the number of characters allowed for each item.
Use one space for breaks between words. One form must be completed
for each facility or site for which you are seeking to certity a condition ofn o
exposure. Additional guidance on completing this form can be accessed
at EPA's website: www.epa.gov/npdes/stormwater, Please make sure you
have addressed all applicable questions and have made a photocopy for
your records before sending the completed form to the above address.
Section A. Facility Operator Information
1. Provide the legal name of the person, firm, public organization, or any
other entity that operates the facility or site described in this certification.
The name of the operator may or may not be the same as the name of
the facility. The operator is the legal entity that controls the facility's
operation, rather than the plant or site manager.
2. Provide the telephone number of the facility operator.
3. Provide the mailing address of the operator (P.O. Box numbers may be
used). Include the city, state, and zip code. All correspondence will
be sent to this address.
4. Indicate whethert he industrial facility is operated by a department or
agency of the Federal Government (see also Section 313 of the Clean
Water Act).
5. Enter the latitude and longitude oft he approximate center oft he facility
or site in degrees/minutes/seconds. Latitude and longitude can
be obtained from United States Geological Survey (USGS) quadrangle
ort opographic maps, by calling 1•(888)A SK-USGS, orb y accessing
the Census Bureau at: http:Nwww,census.gov/cgi-bin/gazetteer.
Latitude and longitude for a facility in decimal form must be converted
to degrees ( ), minutes ('), and seconds (") for proper entry on
the certification form. To convert decimal latitude or longitude to
degreeslminuteslseconds,f ollow the steps in the following example.
Example: Convertd ecimal latitude 45.1234567 to degrees ( ),m inutes
('), and seconds (").
a) The numbers to the left of the decimal pointa re the degrees: 45 .
b) To obtain minutes, multiply the first four numbers to the right of the
decimal point by 0.006: 1234 x 0.006 = 7.404.
c) The numbers to the left of the decimal point in the result obtained
in (b) are the minutes: 7'.
d) To obtain seconds, multiply the remaining three numbers to the
right of the decimal from the result obtained in (b) by 0.06:
404 x 0.06 = 24.24. Since the numbers to the right of the decimal
point are not used,t he result is 24".
e) The conversion for 45.1234567 = 45 7' 24".
6. Indicate whether the facility was previously covered under an NPDES
storm water permit. If so, include the permit number.
7. Enter the 4-digit SIC code which identifies the facility's primary activity,
and second 4-digit SIC code identifying the facility's secondary activity,
if applicable. SIC codes can be obtained from the Standard Industrial
Classification Manual, 1987.
a. Enter the total size oft he site associated with industrial activity in acres.
Acreage may be determined by dividing square footage by 43,560, as
demonstrated in the following example.
Example: Convert 54,450 ft2 to acres
Divide 54,450 ft2 by 43,560 square feet per acre:
54,450 ft2 43,560 ft2/acre = 1.25 acres.
9. Check "Yes" or "No" as appropriate to indicate whether you have paved
or rooted over a formerly exposed, pervious area (i.e., lawn, meadow,
dirto r gravel road/parking lot) in order to qualify for no exposure. Ify es,
also indicate approximately how much area was paved or roofed over
and is now impervious area.
EPA Form 3510-11 (10-99) Page 3 of 4

NPDESFORM R+ Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FORM �_,Epq OMB No. 2040-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Section C. Exposure Checklist authority to sign documents has been assigned or delegated to
the manager in accordance with corporate procedures;
Check "Yes" or "No" as appropriate to describe the exposure conditions at
your facility. If you answer "Yes" to ANY of the questions (1) through (11) For a partnership or sole proprietorship: by a general partner or the
in this section, a potential for exposure exists at your site and you cannot proprietor; or
certify to a condition of no exposure. You must obtain (ora tready have)
coverage under an NPDES storm water permit. After obtaining permit For a municipal, State, Federal, or other public facility: by either a
coverage, you can institute modifications to eliminate the potential for a principal executive or ranking elected official.
discharge of storm water exposed to industrial activity, and then certify to
a condition of no exposure. Paperwork Reduction Act Notice
Section D. Certification Statement
Federal statutes provide for severe penalties for submitting false information
on this application form. Federal regulations require this application to be
signed as follows:
For a corporation: by a responsible corporate officer, which means:
(i) president, secretary, treasurer, or vice-president of the corporation
in charge of a principal business function, or any other person
who performs similar policy or decision making functions for the
corporation, or
(ii) the manager of one or more manufacturing, production, or
operating facilities,p rovided the manager is authorized to make
management decisions which govern the operation of the
regulated facility including having the explicit or implicit duty of
making major capitali nvestment recommendations, and initiating
and directing otherc omprehensive measures to assure long
term environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary systems
are established or actions taken to gather complete and accurate
information for permit application requirements; and where
Public reporting burden for this certification is estimated to average 1.0 hour
per certification,i ncluding time for reviewing instructions,s earching existing
data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Burden means the total time,
effort, or financial resources expended by persons to generate, maintain,
retain, or disclose to provide information to or for a Federal agency. This
includes the time needed to review instructions; develop, acquire, install,
and utilize technology and systems for the purposes of collecting, validating,
and verifying information, processing and maintaining information, and
disclosing and providing information; adjustt he existing ways to comply with
any previously applicable instructions and requirements; train personnel to
be able to respond to a collection of information; search data sources;
complete and review the collection of information; and transmit or otherwise
disclose the information. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send comments regarding
the burden estimate, any other aspect of the collection of information, or
suggestions for improving this form, including any suggestions which may
increase or reduce this burden to: Director, OPPE Regulatory Information
Division (2137), USEPA, 401 M Street, SW, Washington, D.C. 20460.
Include the OMB control number of this form on any correspondence. Do
not send the completed No Exposure Certification form to this address.
EPA Form 3510-11 (10.99) Page 4 of 4