NCGNE0323_COMPLETE FILE - HISTORICAL_20070504

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 3a3
DOC TYPE
LKHISTORICAL FILE
DOC DATE
❑ w 1 wU 1
YYYYMMDD

`O�OF W ATF9oG
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May 4, 2007
Mr. Craig Hagood
House -Autry Mills, Inc.
7000 US Highway 301 South
Four Oaks, NC 27524-0460
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleco H. Sullins, Deputy Director
Division of Water Quality
Subject: No Exposure Certification NCGNE0323
House -Autry Mills, Inc.
7000 US Highway 301 South, Four Oaks, NC
Johnston County
Dear Mr. Hagood:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on January 4, 2007. 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, and
hereby rescinding your former Certificate of Coverage number NCG060246.
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, 2012). 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 Sarah Young at [phone], ext.
502, or at [e-mail].
cc:�Raleigh Regional Office
Stormwater Permitting Unit Files
Sincerely,
ORIGINAL SIGNED By
KEN PICKLE
for Alan W. Klimek, P.E.
Central Files — w/attachments
NCGO60246 Permit File
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
A�j
NCOENR
Customer Service
I-877-623-6748

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May 4, 2007
Mr. Craig Hagood
House -Autry Mills, Inc.
7000 US Highway 301 South
Four Oaks, NC 27524-0460
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
Subject: No Exposure Certification NCGNE0323
House -Autry Mills, Inc.
7000 US Highway 301 South, Four Oaks, NC
Johnston County
Dear Mr. Hagood:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on January 4, 2007. 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, and
hereby rescinding your former Certificate of Coverage number NCG060246.
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, 2012). 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 Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
/.. d _94,�
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office 'CentralFiles —w/attachments
Stormwater Permitting Unit Files NCG060246 Permit File
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
ATM%
NCDENR
Customer Service
1-877-623-6748

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Kir ('Nt o iT5
United States Environmental Protection Agency Form Approved
NPDES Washington, DC 20460 OMB No. 2040-0211
FORM
3510-11 NSO' EPq
NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization 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 of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter 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 sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
- adequately maintained vehicles used in material handling; and
- final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition 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 FORM.
Detailed Instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: µ�I�IL-+ialCl �"�Ld{L-Il-I%xl ItPTv7 -L1_LI�_L7lTT•:i7I 111r'1CI I I I I I I�11 12. Phone: 19111919,6,31612, 0, 01
3. Mailing Address: a. Street: 71010101 US, IlriVVl�l 1310111 ISIoI�tI"I
b. City: Ir I�Iulr1 IQ4%sl I I I I I I I I I I I I I c. State: RIC d. Zip Cede:12171512141— 1014161 OI
B. Facility/Site Location Information
1. Facility Nar
2. a. Street Ar
b. City:
d. State: NISI e. Zip Code: 12251214i - iQ 41610 c
3. Is the facility located on Indian Lands? Yes No © D
P_ Z
4. Is this a Federal facility?
�� G1 � Yes � No © �
5. a. Latitude: U� e LGJ b. Longitude: 10,7181 - Q6j �161
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes No ❑ I D o
y p NCG060246
b. I( es, enter NPDES permit number:
7. SIC/Activity Codes: Primary: 0 14,5 Secondary (if applicable): 2j0j4j1i
8. Total size of site associated with industrial activity:l 8 . 3 0 6 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes Q No ❑
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre 0 One to five acres El More than five acres ❑
Page 1 of 4

NPDES �_, NO EXPOSURE CERTIFICATION for Exclusion from
36100-111 ��EPA Form Approved
OMB No. 2040-0211
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
(1) through If 1), you are not eligible for the no exposure exclusion.
Yes
No
i. 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
❑
3. Materials or products from past industrial activity
❑
10
4. Material handling equipment (except adequately maintained vehicles)
❑
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
El
0
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
El
z
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
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 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 law 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 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.
Print Title:
Signature:
Date:
— n I ui 111 oo i v- i i t i v-ao/
Page 2 of 4

House -Autry Mills, Inc.
7000 us Hwy. Sot South • Po Box 460
Four Oala, INC 27524-0460
gig-963-6200
800-849-0802
Fm:919-963-6458
u ha -m by axu
NC Division of Water Quality Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
After receiving our last Stormwater Permit Compliance Evaluation Inspection it was
determined we could apply for "No Exposure Certification". Therefore please find
enclosed completed form NPDES 3510-11. If you have any questions, please contact me
at 919.963.1195.
� n1
fj fl 1� 7TI,
CraiVice President, Technical ServicesHouse-Autry Mills, Inc V
� ti Uutl
The Choice of Southern Cooks Since 1812

Fr,a
C GNIE®3Z3
United States Environmental Protection Agency Form Approved
NPDES A Washington, DC 20460 OMB No. 2040-0211
FORM \d,EPA
351 o-t1 NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization 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 of no exposure.
A condition of rw exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to min, 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 cow 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 without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition 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 FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion am provided on pages 3 and 4.
A. Facility Operator Information77�� �r j��//jj Tp
1. Name: goliA'SIe1—Airj7tjrl Yl hTT-7T iI1171�ISL_ItnCl I 1 Ir''1I1 �I I}'11 1 2. Phone: 9,11919,6131612, 0, 01
3. Mailing Address: a. Street: 1j /�1010101 IUISI Psi VVl yl 13,011, I"I`"'IWtI'9 I I
b.city: IF19u1rI I�/IA%SI I I I I I I I I I I I I C. State: I ICI d. Zip Code: 1217i 5i 2A - i 01416LQ
B. Facility/Site LocationInformation
77�� ll ll �� �T/rtf TT Y1
1.FacilityName: InNlulslel—,�;71utIrlyl µ ilililst 1111+1s1C11-,I I I I I 1 1
2. a. Slreet Add�rerss: 17,01010, IUIS1 Il uIWIYI 1310111 I`�IC1W�Il �i I I
b. City: Ir lol�rl IOIa"1'SI 11 I I I I I I I 1 c. County: so
d. State: r IC, e. Zip Code: 12252 41 — 101416101 I
3. Is the facility located on Indian Lands? Yes No 2] D
4 vC
4. Is this a Federal facility?©
lity? Yes � No �7 T �
5. a. Latitude:5 2L6J " b. Longitude: QI / 181 9 ,p I1f�1U
p
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes Q No
b. If yes, enter NPDES permit number: NCG 0 6 0 2 4 6f-
7. SICIActivi Codes: Prima 0 4 5 Seconds pp ) Z0 li �J N Primary: O ry (if a livable
8. Total size of site associated with industrial activity:l 8 . 3 0 6 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposum exclusion? Yes No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality. in w4uch case you could be required to obtain permit coverage.
Less than one acre Q 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
NPDES
��EPi4 Form Approved
OMB No. 2040-0211
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
(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
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
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
❑
IZI
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 handled/stored on roads or railways owned or maintained by the discharger
9. Waste material (except waste in Covered, non -leaking containers [e.g., dumpsters))
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
11
z
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 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 law 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 for gathering the information, the information submitted is to the best of my
knowledge 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: iCrA-Llq I11I49gc d I I I I I I I I I I I I I I I I I I I I I
Print Titie:
Signature:
Date:
EPA Form 3510-11 (10-99)
Page 2 of 4

Copynght (C) 1998, Mapte h, Inn