NCGNE0943_COMPLETE FILE - HISTORICAL_20130612

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE ( gq7)
DOC TYPE
HISTORICAL FILE
DOC DATE
❑ UI m
YYYYMMDD

�v
North Carolina
Pat McCrory
Governor
Nancy Perrone
Red Viking Group, LLC
7208 ACC Blvd.
Raleigh, NC 27617
Dear Ms. Perrone:
As"
NCDENR
Department of Environment and
Division of Water Quality
Charles Wakild, PE
Director
June 7. 2013
r
JUN 12 2013
Natural Resources
John E. Skarla III
Secretary
�E. I I WAL FILES
JWQf30G Subject: No -Exposure Certification NCGNE0943
Red Viking Group
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 retain the completed re -certification forms in order 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 you have any questions or need further information, please contact Dave Parnel at [phone] or at.
[e-mail].
OharlesWa
ly,
for4 ' d,PE
Attachment: /
cc: RRO County NE File
Unit - No -Exposure Files
North Carolina Division of Water Quality 1628 Mail service Center Raleigh, NC 27699-1628 Phone [phone]
Internet: w .ncwaterquality.orq Location: 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
one
NorthCarolina
Customer lVatm-ally
1-877-823-6748

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 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

Compliance Inspection Report
Permit: NCGNE0943 Effective: Expiration: Owner: Red Viking Group LLC
SOC: Effective: Expiration: Facility: Research Triangle Engineering Center
County: Wake 7208 Acc Blvd
Region: Raleigh
Raleigh NC 27617
Contact Person: Raniez Saludo Title: Phone: [phone]
Directions to Facility:
The facility can be found off the north end of ACC blvd past exhibit ct.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/2912013 Entry Time: 09:00 AM Exit Time: 09:45 AM
Primary Inspector: David R Parnell Phone: [phone]
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:
0 Miscellaneous Questions M Misc
(See attachment summary)
Page: 1

e
Permit: NCGNE0943 Owner - Facility: Red Viking Group LLC
Inspection Date: 05/29/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Misc
Is the facility compliant?
Comment: This site visit (CEI) was for the purpose of evaluating this facility for a No
Exposure Certificate, Dave Parnell met Nancy Perrone at the site and she addressed
concerns about the NE Certification. The primary concern is the presence of pallets at
the dock in the back of the building. The pallets are stacked until someone comes and
takes them for their personal use such as buring for fire wood. The pallets must be
removed and the stacking is not permissilbe for the NE to be approved. Ms. Perrone
will discuss with management and contact DWQ about the process for keeping the
pallets from being placed in the open by the dock.
6.6.13 Returned to site after pallets have been removed and a system for having them
removed as they accumulate. Nancy Perrone states that they have a service that will
take care of that.
Yes No NA NE
❑ ■ ❑ ❑
Page:2

Qa ,
Y
North Carolina
Pat McCrory
Governor
Nancy Perrone
Red Viking Group, LLC
7208 ACC Blvd.
Raleigh, NC 27617
Dear Ms. Perrone:
NCDENR
Department of Environment and Natural
Division of Water Quality
Charles Wakild, PE
Director
June 7, 2013
John E. Skarla III
Secretary
Subject: No -Exposure Certification NCGNE0943
Red Viking Group
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 retain the completed re -certification forms in order 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 you have any questions or need further information, please contact Dave Parnel at [phone] or at
[e-mail].
Oharles
ly,
for WalSild, PE
Attachment:
cc: RRO County NE File
Stormwater Per itting Unit- No -Exposure Files
Ti
One
North Carol i na
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 27699-1628 Phone [phone] Customer k/VlltillYl��iJ
Internet: www.ncwaterquality.orq Location: 3800 Barrett Drive Raleigh, INC 27609 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

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:Hportal.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

1
Permit: NCGNE0943 Effective:
SOC: Effective:
County: Wake
Region: Raleigh
Compliance Inspection Report
Expiration: Owner: Red Viking Group LLC
Expiration: Facility: Research Triangle Engineering Center
7208 Acc Blvd
Contact Person: Raniez Saludo Title:
Directions to Facility:
The facility can be found off the north end of ACC blvd past exhibit ct.
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Raleigh NC 27617
Phone: [phone]
Phone:
Inspection Date: 05/2912013 Entry Time: 09:00 AM Exit Time: 09:45 AM
Primary Inspector: David R Parnell Phone: [phone]
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:
E Miscellaneous Questions M Misc
(See attachment summary)
Page:1

Id
Permit: NCGNE0943 Owner - Facility: Red Viking Group LLC
Inspection Date: 05/29/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Misc
Is the facility compliant?
Comment: This site visit (CEI) was for the purpose of evaluating this facility for a No
Exposure Certificate. Dave Parnell met Nancy Perrone at the site and she addressed
concerns about the NE Certification. The primary concern is the presence of pallets at
the dock in the back of the building. The pallets are stacked until someone comes and
takes them for their personal use such as buring for fire wood. The pallets must be
removed and the stacking is not permissilbe for the NE to be approved. Ms. Perrone
will discuss with management and contact DWQ about the process for keeping the
pallets from being placed in the open by the dock.
6.6.13 Returned to site after pallets have been removed and a system for having them
removed as they accumulate. Nancy Perrone states that they have a service that will
take care of that.
C[:F-:6fmwn=i
0■00
Page: 2

Pat McCrory
Governor
NCDENR
North Carolina Department of Environment and Natural
Division of Water Quality
Charles Wakild, PE
Nancy Perrone
t
Red Viking Group,
c
/mil
7208 ACC Blvd.
Raleigh, NC 27617 A
z
1155�VV
Dear Ms. Perrone:
Director
June 7, 2013
Resources
John E. Skarla III
Subject: No -Exposure Certification NCGNE0943
Red Viking Group
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 CPR 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 retain the completed re -certification forms in order 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 you have any questions or need further information, please contact Dave Parnel at [phone] or at
[e-mail].
inter ly,
for harles Wa d, PE
Attachment:
cc: RRO County NE File
Pe mitting Unit - No -Exposure Files
rl les
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NO 27699-1628 Phone [phone]
Internet: www.ncwatemualitv.ora Location: 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthCarolina
Customer lVatlirally
1-877-623-6748

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 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 CPR
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

,r i
Permit: NCGNE0943 Effective
SOC: Effective
County: Wake
Region: Raleigh
Compliance Inspection Report
Expiration: Owner: Red Viking Group LLC
Expiration: Facility: Research Triangle Engineering Center
7208 Acc Blvd
Contact Person: Raniez Saludo Title:
Directions to Facility:
The facility can be found off the north end of ACC blvd past exhibit ct.
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Raleigh NC 27617
Phone: [phone]
Phone:
Inspection Date: 05129/2013 Entry Time: 09:00 AM Exit Time: 09:45 AM
Primary Inspector: David R Parnell Phone: [phone]
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:
E Miscellaneous Questions 0 Misc
(See attachment summary)
Paget

Permit: NCGNE0943 Owner - Facility: Red Viking Group LLC
Inspection Date: 05/29/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Mist;
Is the facility compliant?
Comment: This site visit (CEI) was for the purpose of evaluating this facility for a No
Exposure Certificate. Dave Parnell met Nancy Perrone at the site and she addressed
concerns about the NE Certification. The primary concern is the presence of pallets at
the dock in the back of the building. The pallets are stacked until someone comes and
takes them for their personal use such as buring for fire wood. The pallets must be
removed and the stacking is not permissilbe for the NE to be approved. Ms. Perrone
will discuss with management and contact DWQ about the process for keeping the
pallets from being placed in the open by the dock.
6.6.13 Returned to site after pallets have been removed and a system for having them
removed as they accumulate. Nancy Perrone states that they have a service that will
take care of that.
Yes No NA NE
0■00
Page:2

+GFADivision of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGENCIUse ON1.1'
Duet R... ,d
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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 continue
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 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).
For questions, please contact the DWO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name 6AawP . a t C
Contact
Street Address
City
Telephone No.
Email
S W U-N E-12Aug2010
0.1LoAca
3 ').W
Page 1 of 7
tj
State A)Q_ ZIP Code
Fax: 91q
0 4',Sh.-wI:�oLRI

NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name
Facility Contact _
Facility Street Address
City _
County _
Telephone No. 9 3g '?> - fo`iA{ 1 Fax: R i 9 39 U - b 5/5/l/
Email AJ I -!Z P-go A C(iD 9,aU%/Ljz-1 � t P_S,A-,—qi( ,,QAC-D✓JQLZ;4G•Co,?
ter✓ L
3) Physical location information:
State ^J �_ ZIP Code 2 _-T G 17
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).'t e� eA,a 13 6 Fo u' N t-� ev
iO rJohrt i G ND o1= Acc— aouu �al2D Parer CxFiLfVC'r Cou P-i
(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 R4 No
5) Is this a Federal facility? ❑ Yes 21 No
6) Latitude 35'5H1^) Longitude 'q63 CIS t% (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
f� Existing Date operation began wvC"t13cyL-
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes CrNo
It yes, what is the NPDES Permit Num
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: ') 'i L
10) Provide a brief description of the types of industrial activities and products produced at this facility:
ME Lr7 ANFC4t­ A -ND C--eC'R2OF C, (ts i 011 Aj I�!, C04? 7&72c-&f
oPFComPONf"J'r5
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
9No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
SW U-N E-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 �K No
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 X No
c. Materials or products from past industrial activity
❑ Yes
[b No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
V� No
e. Materials or products during loading/unloading or transporting activities
❑ Yes
R No
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
P No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
❑ Yes
[;R�No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes E No
the discharger
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes C'NO
Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes yNo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes �XNo
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 Or 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 CyNo
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 9,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 qN/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
S W U-N E-12Aug2010

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
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 Title III Section 313 Superfund
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40
CFR §116?
e. Are release valves on all secondary containment structures locked?
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 / disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
❑ Yes ❑ No QtN/A
❑ Yes ❑ No VN/A
❑ Yes ❑ No g N/A
❑ Yes ❑ No X N/A
❑ Yes ❑ No 7N/A
❑ Yes K No
❑ Yes KNo
❑ Yes t�rNo
'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-NE-12Aug2010

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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
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
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?
Please specify:
f. 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:
❑ Yes ¢ No
❑ Yes I�!(No
❑ Yes "o
❑ Yes ❑ No 05N/A
Page 5 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
11
17) Certification:
1 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 annually self re -certify No Exposure and, if requested, submit the re -certification to
DWQ or the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where
applicable). I understand that 1 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 for
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.
of Person Signi
(Signature of
Signed)
I
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 certification 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 tact 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 Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
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NCGNE000O 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 currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question B.
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.
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
(919) 791`-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 7 of 7
S W U-NE-12Aug2010

11
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