NCGNE0560_COMPLETE FILE - HISTORICAL_20081003

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
w
DOC TYPE
❑HISTORICAL FILE
DOC DATE
❑ � wK O
YYWMMDD

FOR AGENCY USE O`7LY
Date Received
ajAMA`Division ofWater Quality 1 Surface Water Pratectian Yearr
NCDENRNational Pollutant Discharge Elimination System CeaiSca[eofCoverage
Nc.+rn GHOuha DePaoirwE+* O% NO EXPOSURE CERTIFICATION for Exclusion N E
E'v.wOn �[i+T aro tInVAa� RE5CM1ACE5
NCGNE0000
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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, andlor runoff.
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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWO Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name Reddy Ice Corporation
Street Address 8750 North Central Expressway Suite 1800
City Dallas State TX ZIP Code 75231.
Telephone No. 214 526-6740 Fax: [phone]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
ddv Ice -Lumberton (430
Jinn Rozier
903 Elizabethtown Road
Lumberton State NC ZIP Code 28358
xoneson
[phone]
Page 1 of 5
Fax: [phone]
SWU-NE-110607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, ar-zd
distance and direction from a roadway intersection). on Elizabethtown Rd between E 17t:h St arld
E 15th half a mile SW of the SH41/SH211 intersection
(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 IV/]No
5) Is this a Federal facility? Des WINo
6) Latitude 34 :37 :43 N Longitude 78 : 59: 59 w (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
New or Proposed Facility Date operation is to begin
❑✓ Existing Date operation began 1970 ' s
8) Was this facility or site ever covered under an NPDES Stormwater Permit . es
If yes, what is the NPDES Permit Number? /i��60 Z?/ �v W
rl--
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: 2 0 9 7
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Ice Manufacturing
11.) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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
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
c. Materials or products from past industrial activity
d. Material handling equipment (except adequately maintained vehicles)
e. Materials or products during loading/unloading or transporting activities
f. Materials or products stored outdoors (except final products intended for outside
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Yes WINo
Yes
VNo
❑Yes
7No
❑Yes
VNo
❑Yes
VNo
❑Yes WINo
Page 2 of 5
SWU-NE-110607
Last revised 11/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑Yes ,���V0
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑Yes 7�10
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) Yes Z�o
j. Application or disposal of process wastewater (unless otherwise permitted) ❑Yes [ZINo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not Dyes ZINo
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 ZINo
(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 ❑Yes ZIVo
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 ayes 1_�No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any aYes �No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
1 a) 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
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for an
y amount of Title III Section 313
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for gny amount of hazardous substances?
e. Are release valves on all secondary containment structures locked?
ayes FINo
aYes ❑No
aYes ❑No
ayes DNo
ayes ❑No
Page 3 of 5
SWU-NE-110607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is 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:
Type(s) of waste:
How is material stored:_
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
16) Certification:
Des W]No
Des ZNo
Des WINo
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 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)).
understand that I am obligated to submit.a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality 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 North Carolina Division of Water
Quality, 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.
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 Name of Person Signing: Gilbert Cassagne
Title: President and CEO
i
(Signature of Applicant) (Date Signed)
Page 4 of 5
SWU-NE-110607 Last revised 11/06/07

MC EM
North Carolina Department of Environment a.nd
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Jim Rozier
Coleen H. Sullins
Director
April 22, 2009
Natural Resources
KIP
Reddy Ice Corporation ®��
8750 North Central Expressway Suite 1800
Dallas, Texas 75231
Subject: No -Exposure Certification NCGNE0560
Reddy Ice — Lumberton (430)
903 Elizabethtown Road, Lumberton, NC
Robeson County
Dear Mr. Rozier:
Dee Freeman
. Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater,
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, the
Division is granting your conditional exclusion from permitting as provided for under 40 CFR 126.22(g), which is
incorporated by reference in North Carolina regulations. We are also hereby rescinding your current coverage under
Certificate of Coverage number NCG060271.
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, 2014). At that time you must re -certify with the Division, or obtain NPDES permit
-coverage for any stormwater discharges from your facility.
Your conditional exclusion from permitting 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 Sarah Young at [phone], or at
[e-mail].
Sincerely,
ZJI_4_�
for Coleen H. Sullins .
cc: Fayetteville Regional Office -Mike Lawyer
Stormwater Permitting Unit No- Exposure Files
Fran McPherson -Budget Office
Wetlands and Stormwater Brand
1617 Mail Service Center, Rafegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Rafegh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www ricwaterquality,org
An Equal Opportunity 1 Affirmative Acton Employer
Stormwater Permitting File NCGO60271
One -
NorthCaroiina
Awllrally

.-.�_ dL ®
C®ER
North Carolina Department of Environment a.nd Natural Resources
Beverly Eaves -Perdue
Governor
Mr. Jim Rozier
Reddy Ice Corporation
8750 North Central Expressway Suite 1800
Dallas, Texas 75231
Dear Mr. Rozier:
Division of Water Quality
Coleen H. Sullins
Director
April 22, 2009
Subject: No -Exposure Certification NCGNE0560
Reddy Ice — Lumberton (430)
903 Elizabethtown Road, Lumberton, NC
Robeson County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater,
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, the
Division is granting your conditional exclusion from permitting as provided for under 40 CFR 126.22(g), which is
incorporated by reference in North Carolina regulations. We are also hereby rescinding your current coverage under
Certificate of Coverage number NCG060271.
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, 2014). At that time you must re -certify with the Division, or obtain NPDES permit
coverage for any stormwater discharges from your facility.
Your conditional exclusion from permitting 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 Sarah Young at [phone], or at
[e-mail].
Sincerely,
for Coleen H. Sullins .
cc: Fayetteville Regional Office -Mike Lawyer
Stormwater Permitting Unit No- Exposure Files
Fran McPherson -Budget Office
Wetlands and Stormwater Branch -
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] I FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity\AffirmaGveAction Employer
Stormwater Permitting File NCGO60271
one
NorthCarolina
Naturally

Lawyer, Mike
From:
Mike Lawyer [[e-mail]]
Sent:
Monday, November 24, 2008 4:09 PM
To:
Sarah Young
Subject:
November rescission and NEC requests
Attachments:
Rescissions requests -Nov 08.x1s; No -Exposure requests -Nov 08.x1s
Sarah,
Please find attached spreadsheets with inserted regional office comments concerning the
subject requests. if you need further information or clarification, please let me know.
Mike
Michael Lawyer
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
1

Regional Office Response
.... ........ ...........
.. .......... .. .. .. .......... . .........
. . ..... ..... .. .. - -
b6ted6:flt6W f6c[ity: has':ad' NCG --------------------- -- rd ner.i.
--
NCGNE0563
Pass & Seymour/ Legrand - Pass &
Stormwater Discharge, No
Seymour/ Le rand
Exposure Certificate
NCGNE0564
Apc Selma - APC Selma
Slormwater Discharge, No
NCGNE0559
Vartech Systems Inc - Varlech
Slarmwater Discharge, No
Systems .
Exposure Certificate
NCGNE0561
Frontier Spinning Mills Inc - Frontier
Slormwaler Discharge, No
Spinning Mills Inc-Mayodan
Exposure Certificate
NCGNE0562
Frontier Spinning Mills Inc - Frontier
Slormwaler Discharge, No
Spinning Mills Incorporated
Exposure Certificate

J MA J. McNUTT & ASSOCIATES, INC.
environmental engineers, 9441 LBJ Freeway
scientists & consultants Suite 515
Dallas, TX 75243
[phone]
October 3, 2008
VIA US CERTIFIED MAIL NO. 7005 0390 0004 2705 5107
RETURN RECEIPT REQUESTED
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject:
Dear Sirs:
Reddy Ice North Carolina Facility Storm Water No Exposure
Enclosed is the No Exposure Exclusion Certification for the following Reddy Ice
facilities in North Carolina.
• Reddy Ice — Lumberton (4430)
• Reddy Ice — Raleigh (#431)
• Reddy Ice — Troy (#433)
J, McNutt and Associates, Inc. (JMA) has recently completed an audit of the NPDES
Storm Water program status for Reddy and has found these facilities to qualify for No
Exposure. If you have any questions please contact this office at [phone],
Sincerely yours,
J. McNUTT ASSOCIATES, I
Chris Schneider
Environmental Geologist
cc: Reddy Ice/Plant Managers .
Bill Daniel — Reddy Ice/Corporate
Joe Pullam — Reddy Ice/Little Rock
file 1273-33-CG

Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
�. oEP.a._ a NO EXPOSURE CERTIFICATION for Exclusion
Ef.'�s+puwEM .wO NC.IJA.I RE]OUwGES
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGENCY USE ONLY
Date Receives!
Year Month
Day
a (a
O
Certificate of Coverage
NICIGINIFbI51 U0
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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.
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 seated, 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 facky 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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWO Regional Office for your area. (See page 5)'
(Please print or type)
1) Mailing address of owner/operator address to which all certification correspondence will be mailed):
Name Reddy Ic_e Corporation
Street Address 8750 North Central Expressway Suite 1800
City Dallas State TX ZIP Code 75231
Telephone No. 214 526-6740 Fax: [phone]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Reddy Ice -Lumberton (430)
Jim Rozier
903 Elizabethtown Road
Lumberton
State NC ZIP Code 28358
Robeson
[phone] Fax. [phone]
Page 1 of 5
SWU-NE-110607 Last revised 11/06/07

M
NCGNE0000 No Exposure Certification
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). on Elizabethtown Rd between E 17th St and
E 15th half a mile SW of the SH41/SH211 intersection
(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 FV(]No
5) Is this a Federal facility? Wes WINO
6) Latitude 34 .37:43 N Longitude 78:59: 59 W (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
Existing Date operation began 1970 ' s
8) Was this facility or site ever covered under an NPDES Stormwater PermitUyes WINo
If yes, what is the NPDES Permit Number? �� �C� D 6 ,0/2 7 1
9) Standard Industrial Classification: �'��`r��```s °"` �/ 4a
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2 0 9 7
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Ice Manufacturinq
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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
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
c. Materials or products from past industrial activity
d. Material handling equipment (except adequately maintained vehicles)
e. Materials or products during loading/unloading or transporting activities
f. Materials or products stored outdoors (except final products intended for outside
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Oyes WINo
Yes
F,71No
Yes
Fv/]No
Yes
7No
Yes
IV7]No
Yes Wo
Page 2 of 5
SWU-NE-110607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
Dyes
�o
••
and similar containers
�� ,,
h. Materials or products handled/stored on roads or railways owned or maintained by
Yes
[�]No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
Yes
zo
j. Application or disposal of process wastewater (unless otherwise permitted)
Yes
160
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑Yes
14Vo
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
Oyes
ZIVo
(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
❑Yes
ZVo
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 7Yes F_1No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any 7Yes F_1No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for any amount of Title III Section 313
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for any amount of hazardous substances?
e. Are release valves on all secondary containment structures locked?
FV7Yes ❑No
Yes ❑No
Yes E]No
W]Yes [:]No
7Yes ❑ O
Page 3 of 5
SWU-NE-110607 Last revised 11/06/07

m
NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is 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:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport ldisposal vendor:
Vendor address:
16) Certification:
Yes W]No
Des F/1No
Oyes FI/INo
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 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 submit a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality 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 North Carolina Division of Water
Quality, 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.
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 Name of Person Signing: Gilbert Cassagne
Title: President and CEO
V 3 t--�
(SignaturelfApplicano (Date Signed)
Page 4 of 5
SWU-NE-110607 Last revised 11106J07

903 elizabethtown rd, lumberton, nc - Google Maps
Page 1 of 1
-to 11
Address 903 E Elizabethtown Rd Get Google Maps on your phone
GO " , ry Lumberton, NC 28358 rexttheword "GnnAPS"to465453
http://maps.googic.com/maps?f=q&hl=en&geocode=&q=903+elizabethtown+rd,+Iunibert... 9/ 18/2008

r! 1 i
warFRQ
r
October 31, 2003
for. John Barker, President
Triangle Ice Co., Inc.
903 Elizabethtown Road
Lumberton, Nc 28358
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E•, Director
Division of Water Quality
NOV 1 3 2003
I
Subject: General Permit No. NCG060000
Triangle Ice Co., Inc.
COC NCG060271
Robeson County
Dear Mr. Barker:
In accordance with your application for discharge permit received on August 25, 2003, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of
coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division
of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mack Wiggins at telephone number 919/733-
5083 ext. 542.
cc: Fayetteville Regional Office t
Central Files
Stormwater and General Permits Unit Files
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, P.E.
VL"
'VA
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060271
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute. 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Triangle Ice Co., Inc.
is hereby authorized to discharge stormwater from a facility located at
Triangle Ice Co.,Inc.
903 Elizabethtown Road
Lumberton
Robeson County
to receiving waters designated as Lumber River in the Lumber River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, III, IV, V, and VI of General
Permit No. NCG060000 as attached.
This certificate of coverage shall become effective October 31, 2003
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 31, 2003
JRIGINAL SIGNED BY
WILLIAM C. MILLS
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Regional Office Response
NCGNE0560
Reddy Ice Corporation - Reddy Ice -
Lumberton 430
based on file review facility has had coverage under NCGO60271 as Triangle Ice, site visit on 11113108, facility quafi6es for NEC
NCGNE0563
Pass & Seymour/ Legrand - Pass &
Seymour/ Le rand
NCGNE0564
Apc Selma - APC Selma
NCGNE0559
Vanech Systems Inc - Vartech Systems
NCGNE0561
Frontier Spinning Mills Inc - Frontier
Spinning Mills Inc -Ma odan
Frontier Spinning Mills Inc - Frontier
NCGNE0562
Spinning Mills Incorporated

Directions to 903 E Elizabethtown Rd, Lumberton, NC 28358-4163
Page 1 of 1
Directions to 903 E Elizabethtown Rd, -'�L;`AHOOP LOCAL
M,a=
Lumberton, NC 28358-4163
Total Time: 41 mins, Total Distance: 33.92 miles
Distance
v 1. Start at 225 GREEN ST, FAYETTEVILLE going toward OLD
ST
go 0.1 mi
2.
At MARKET SQ, take second exit onto GILLESPIE ST
go 1.17 mi
3•
Turn Q to take ramp onto NC-87 S toward MARTIN
LUTHER KING JR FWY
go 4.33 mi
4.
Take the 1-95 S exit onto 1-95 S
go 24.6 mi
5.
Take exit #221LUMBERTON
go 0.15 mi
6.
Turn on FAYETTEVILLE RD(US-301)
go 2.36 mi
7•
Turn on N ROBERTS AVE(NC-211)
go 0.68 mi
8•
Turn Q on E ELIZABETHTOWN RD(NC-41)
go 0.54 mi
Q 9.
Arrive at 903 E ELIZABETHTO.4'N RD, LUMBERTON, on
the
Time: 41 mins, Distance: 33.92 miles
f' ' ~91
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When using any driving directions or map, it's a good idea to do a reality check and make sure the road still exists,
watch out for construction, and follow all traffic safety precautions. This is only to be used as an aid in planning.
http:Hmaps.yahoo.com/print?ard=1&v3=0&.intl=us&&mvt=m&tp=1 &stx=&clat=34.840... 1 1/12/2008