HomeMy WebLinkAboutNCGNE0737_COMPLETE FILE - HISTORICAL_20101129STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE O�3
DOC TYPE
CR"HISTORICAL FILE
DOC DATE
❑ (21Vl o l 1 a
YYYYMMDD
North Carolina
Beverly Eaves Perdue
Governor
Mr. Patrick Gerstner
Eaton Satellite
9400 Globe Center Dr.,
Morrisville, NC 27560
Dear Mr. Gerstner:
AA` mglLirn
NC® NR a
Department of Environment and Natural Resources
Division of Water Quality
Colleen H. Sullins Dee Freeman
Director Secretary
November 29, 2010
Subject: No -Exposure Certification NCGNE0737
Eaton Satellite
Wake County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form and made a site visit to assess the potential for stormwater pollution. Based on our observations and
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.
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 (subject to civil penalties
of up to $25,000 per day). Your conditional no -exposure exclusion does not expire. However, you must self re-
certify annually using the enclosed form, or obtain NPDES permit coverage for any stormwater discharges from
your facility. Please store the completed re -certification forms to have them available during future inspections by
DWQ.
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 the company leaves this
site, please notify this office. This certification will be rescinded at that time.
If you have any questions or need further information, please contact Myrl Nisely at (919) 791-4200 or at
myrl.nisely@ncdenr.gov. i
Since ly, C/
� J�J
for Colleen H. Sullins
Attachment /
cc:°Raleigh Regional Office files
Stormwater Permitting Unit No -Exposure Files
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 27699-1628 Phone (919) 791-4200 Customer Service
Internet: w .ncwatercualitv.orc Location: 3800 Barrett Drive Raleigh, NC 27609 Fax (919) 788-7159 1 One
North Carolina
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110°/ Post Consumer Paper A11711tra!/y
�. Ea x'�
�_,�....�..b
No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from hftp://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5 )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to
DWQ unless requested. If requested, submit a copy of the re -certification to the Division and/or
the municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately
upon request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if
the facility can no longer maintain no -exposure.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer
system, the operator of the system, to: (1) inspect the facility; and (2) make such inspection reports
publicly available upon request.
* "No exposure" means that 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. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5
Rev.30Aug2010
Compliance Inspection Report
Permit: NCGNE0737 Effective: Expiration: Owner: Patrick Gerstner
SOC: Effective: Expiration: Facility: Eaton Satellite
County: Wake 9400 Globe Center Dr
Region: Raleigh
Morrisville NC 27560
Contact Person: Patrick Gerstner Title: Phone: 919-544-7074
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 11/23/2010 Entry Time: 01:20 PM Exit Time: 01:35 PM
Primary Inspector: Myrl Nisely Phone: 919-791-4200
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
. Miscellaneous Questions
(See attachment summary)
Page:1
Permit: NCGNE0737 Owner • Facility: Patrick Gerstner
Inspection Date: 11/23/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This facility performs the assembly of electronic parts inside the building, and has only a clean loading dock along the
back. They installed a new sealed trash compactor in that location, and have installed new curtains around the bay
doors. A No Exposure certification is merited.
Page:2
ZFrA4
►'
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Patrick Gerstner
Eaton Satellite
9400 Globe Center Dr.,
Morrisville, NC 27560
Dear Mr. Gerstner:
Coleen H. Sullins
Director
November 29, 2010
Natural Resources
Subject: No -Exposure Certification NCGNE0737
Eaton Satellite
Wake County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form and made a site visit to assess the potential for stormwater pollution. Based on our observations and
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.
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 (subject to civil penalties
of up to $25,000 per day). Your conditional no -exposure exclusion does not expire. However, you must self re-
certify annually using the enclosed form, or obtain NPDES permit coverage for any stormwater discharges from
your facility. Please store the completed re -certification forms to have them available during future inspections by
DWQ.
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 the company leaves this
site, please notify this office. This certification will be rescinded at that time.
If you have any questions or need further information
myrl.nisely@ncdenr.gov.
please contact Myrl Nisely_at (919) 791-4200 or at
Since ly,
for Coleen H. ulllns
Attachment
cc: Raleigh Regional Office files
sStormwater Permitting Unit No -Exposure Files
North Carolina Division of Water Quality 1628 Mail Service Center
Internet: w .ncwaterauality ord Location: 3800 Barrett Drive
Raleigh, NC 27699-1628 Phone (919) 791-4200
Raleigh, NC 27609 Fax (919) 788-7159
An Equal Opportunity/Affirmative Action Employer — 50 % Recycled/10% Post Consumer Paper
Customer Service
1 One
NOriflCarolina
✓1Vatura!!y
No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5 )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to
DWQ unless requested. If requested, submit a copy of the re -certification to the Division and/or
the municipality in which the facility is located.
-During an inspection by DWO or local government, provide the re -certifications immediately
upon request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if
the facility can no longer maintain no -exposure.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer
system, the operator of the system, to: (1) inspect the facility; and (2) make such inspection reports
publicly available upon request.
* "No exposure" means that 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. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5
Rev.30Aug2010
Compliance Inspection Report
Permit: NCGNE0737 Effective: Expiration: Owner: Patrick Gerstner
SOC: Effective: Expiration: Facility: Eaton Satellite
County: Wake 9400 Globe Center Or
Region: Raleigh
Morrisville NC 27560
Contact Person: Patrick Gerstner Title: Phone: 919-544-7074
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 11/23/2010 Entry Time: 01:20 PM Exit Time: 01:35 PM
Primary Inspector: Myrl Nisely Phone: 919-791-4200
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
0 Miscellaneous Questions
(See attachment summary)
Page:1
Permit: NCGNE0737 Owner -Facility: Patrick Gerstner
Inspection Date: 11/23/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This facility performs the assembly of electronic parts inside the building, and has only a clean loading dock along the
back. They installed a new sealed trash compactor in that location, and have installed new curtains around the bay
doors. A No Exposure certification is merited.
Page:2
t(43(I6 I —ao — f as' _.
A Division of Water Quality / Surface Water Protection
CERNational Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for ExClns1011
NCGNE0000
INN AGENCY IiSI! ONLY
Da¢ Received
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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 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, DWQ 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 continues
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
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, you
certify that o 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).
�— For questions, please contact the DWO Regional Office for your area. (See page 6)
(Please print or lype)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
r
Name '_ ;1 T W / �,) 'c+n T •o,✓
Contact PIT- 6Ei_'S7.
Street Address �!iQU C"Lc),1�:
City tqo.v:-s V.'. <<;. _ State 1,JC- ZIP Code 3 75 f e'
Telephone No. c ( r1 i v <.r - 70 ]_L Fax: __�f cj_ �; 7'1 -cl 7ri /
Email 7197 L G nsr�52 F 6A7c .Cu^-
c f gIR-Szq- 6)ot ���119I
Page o��� 1f 7 � V
RECEIVED
NOV 0 9 2010
SWU-NE-12Au920118 2010
NOV��VV a 6.Ag�.'z"rate• 8rcaeh
RaleighRegona Office
NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Namei} "1'L`
Facility Contact 1P,q 7-
Facility Street Address j / rx (, c < S c N 7 / .. !>21 ✓r.
City ,LI:" State Nt_ZIP Code 2-7 _I
County ('o-•.ir-y _
Telephone No. `/ I °I S v -r - 70 '7-/ Xs" Fax: c 1c S 7 2 — 9 7.5-
Email Air c- 6,-rs7.vx--2.. c >_A741A4ro,
A4T A if�z nd �'„� �_'�-��-�Q�` 3) Physical location information: 7 t .��0 /�wwy
Please provide a narrative description of how t get to the facility (use street names, state road numbers, and
distance and direction from a roadway inters tion). r'? o, 5 i✓ rEy,,T i
^ p >
l�✓i/}T I✓,✓ %i.9 �K �+i'+ ./ �7V C�f."J.Ia I-' .2uA/j '7-J
(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 we
5) Is this a Federal facility? CI Yes /.No
6) Latitude 1 Longitude —%X,KO (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
p,- New or Proposed Facility Date operation is to begin
❑ Existing Date operation began
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes VNo
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) [hat describes the primary industrial
activity at this facility
SIC Code:_ (; I
10) Provide a brlef description of the types of industrial activities and products produced at this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
,P�,No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility
Page 2 of 7
SWU-NE"12Aug2010
NCGNE0000 No Exposure Certification
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 XNo
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 1XIO
c. Materials or products from past industrial activity ❑ Yes IYNo
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes i>(No
e. Materials or products during loading/unloading or transporting activities ❑ Yes 04 No
I. Materials or products stored outdoors (except final products intended for outside ❑ Yes P No
use [e.g., new cars] where exposure to stormwaler does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes N No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes 1A No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) El Yes )A No
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes X No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes p9 No
otherwise regulated (i.e., under an air quality control permit) and evident in the
storrnwater outflow
1. Empty containers that previously contained materials that are not properly stored ❑ Yes 0 No
(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 tyrNo
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 and piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No N/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No IXN/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SW U NE-12Au92010
NCGNE0000 No Exposure Certification
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 all single above ground storage
❑ Yes ❑ No [RCN/A
containers (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 )h N/A
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
❑ Yes ❑ No L�X N/A
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40
❑ Yes ❑ No N N/A
CFR §116?
e. Are release valves on all secondary containment structures locked?
❑ Yes ❑ No &N/A
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes I-YNo
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes r)3 No
generated per month) of hazardous waste?
c. Is this facility a large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes XNo
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 / disposal vendor: _
Vendor address:
Footnotes to Questions 14) c. & d.
'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
§372.38.
"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.
Page 4 of 7
S W U-N E-12Aug2010
NCGNE0000 No Exposure Certification
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 ❑ No
In. Does your facility have coal piles on site?
❑ Yes t%No
c. Does your facility store other fuel sources outside in piles, such as wood chips,
❑ Yes "o
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
O Yes "o
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?
o Yes ❑ No ❑ N/A
Please specify:
I. 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:
Page 5 of 7
SWU-NE-12Au92010
NCGNE0000 No Exposure Certification
17) Certification:
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 slormwater permitting.
I certify under penalty of law that there are no discharges of stormwaler contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFH 122.26(g)(2)).
I understand that I am obligated to annually sell re -certify No Exposure and, if requested, submit the recertification to
DWQ or 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 qualities for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of slormwaler from the facility. Additionally, I certify under penalty of
law [hat 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 line 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 NaQ%of Person Sionino:
of Applicant)
!a/S0' zol(7
(Dak Signod)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR 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 B(i) provides that:
Any person who knowingly makes any false statement, representation, or cerldicalion 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 Managementl Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed len thousand dollars ($10,000).
IThere is currently no fee for a No Exposure Exclusion.
Page 6 of 7
S W U-NG-12Aug2010
NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following Items:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If the site currentlyhas an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
_Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWO Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office ...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........(919)
807-6300
Page 7 of 7
S W U-NE-12Aug2010