NCGNE1502_Application_20211005

FOR AGENCY USE ONLY RECFI ED
NCGNE L 5 o Z Assigned to: SJh i OCT 0 5 2021
ARO FRO MRO RRO WARO WIRO WSR
EYENR-LAND QUALITY
STCRMWATER PERMITTING
Division of Energy, Mineral, and Land Resources
National Pollutant Discharge Elimination System
No Exposure Certification for Exclusion
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. Industrial materials or activities include, but are not limited to:
• material handling equipment or activities, • by-products,
• industrial machinery, • final products, or
• raw materials, • waste products.
• intermediate 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 industrial materials stored in the following container types, provided
the containers are not deteriorated and do not leak:
• drums, • tanks, and
• barrels, • similar containers.
For permitted facilities in North Carolina, DEMLR 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rescinded, your facility must continue to abide by the terms and conditions of the current permit.
A No Exposure Certification must be provided foreach facility qualifying for the no exposure exclusion. Additionally,
the exclusion from NPDES permitting is available on a facility -wide basis only — not for individual outfalls. If any
industrial activities or materials are, orwill 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).
If approved, your conditional No Exposure Certification has no expiration date but must be self -recertified at least
annually. Please look for information about recertification under the No Exposure section on this page:
https://deg. nc.gov/a bout/divisions/energy-mineral-land-resources/npdes-no-exposure.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The submission of this form does not guarantee
exclusion from NPDES stormwater permitting. Prior to exclusion from NPDES stormwater permitting a site
inspection will be conducted.
Page 1 of 5

1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person (as signed in Item 7 below):
Gildan Yarns, LLC
Bill Buchanan
Street address:
City: State
Zip Code
388 Gildan Drive
Mocksville NC
27028
Telephone number:
Email address:
336-753-8812
[e-mail]
Type of Ownership:
Government
County Federal 0 Municipal State
Non -government
Business (If ownership is business, a copy of NCSOS report must be included with this application)
Individual
2. Industrial Facility (facility requesting exclusion):
Facility name:
Facility environmental contact:
Gildan Yarns, LLC, Plant # 75
Bill Buchanan
Street address:
Telephone number:
388 Gildan Drive
336-753-8812
Email address:
[e-mail]
City County te Zip Code
Mocksville Davie C 27028
TN
Latitude of entrance: 35.918920
Longitude of entrance:-80.608265
Parcel Identification Number (PIN):
5729430401
Date operation began:
Standard Industrial Classification (SIC) Code:
6/28/2015
2281
Brief description of the.types of industrial activities and products produced atthis facility:
Yarn Spinning, produce yarn packages
3. Consultant (if applicable):
Name of consultant: Consulting firm:
Street address: City: State and zip code:
Telephone number: Email address:
4. Exposure Checklists
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? If you
answer "Yes" to any of these items, you are not eligible for the no exposure exclusion.
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
0 Yes M No El N/A
Materials or residuals on the ground or in stormwater inlets from spills/leaks
0 Yes El No El N/A
Materials or products from past industrial activity
Yes M No El N/A
Material handling equipment (except adequately maintained vehicles)
F71 Yes E] No [I N/A
Page 2 of 5

Materials or products during loading/unloading or transporting activities
['Yes ED No El N/A
Materials or products stored outdoors (except final products intended for outside use (e.g., new
0 Yes 0 No El N/A
cars] where exposure to stormwater does not result in the discharge of pollutants)
Materials contained in open, deteriorated, non -sealed', or leaking storage drums barrels, tanks,
0 Yes 0 No 0 N/A
and similar containers
Materials or products handled/stored on roads or railways owned or maintained by the discharger
DYes 0 No 0 N/A
Final products that would be mobilized in stormwater discharges (e.g., rock salt)
[M Yes [] No 0 N/A
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
El Yes ED No 0 N/A
Application or disposal of process wastewater (unless otherwise permitted)
DYes 0 No 0 N/A
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise
DYes {� No 0 N/A
regulated (i.e. under an air quality control permit) and evident in the stormwater outflow
Empty containers that previously contained materials that are not properly stored (i.e., not closed
DYes 0 No 0 N/A
and stored upside down to prevent precipitation accumulation)
For any exterior ASTs, as well as drums, barrels, tanks and similar containers stored outside, has
0 yes 0 No [ N/A
the facility had any releases in the past three (3) years?
'Sealed means banded or otherwise secured and with locked or non -operational taps or valves.
Above Ground Storage Tanks (ASTs) and Secondary Containment
If you answer "No" to any of the following items, you are not eligible forthe no exposure exclusion.
Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or deterioration, or
0 Yes 0 N o 0 N/A
evidence of leaks?
Is secondary containment provided for all exterior ASTs? If so, is it free of any cracks, holes, or
0 Yes DNo 0 N/A
evidence of leaks, and are drain valves maintained locked shut?
Is secondary containment provided for single above ground storage containers (including drums,
DYes El No 0 N/A
barrels, etc.) with a capacity of more than 660-gallons?
Is secondary containment provided for above ground storage containers stored in close proximity
®Yes El No 0 N/A
to each other with a combined capacity of more than 1,320 gallons?
Is secondary containment provided for Title III Section 313 Superfund Amendments and
Dyes 0 No 0 N/A
Reauthorization Act (SARA) water priority chemicals?
Is secondary containment provided for hazardous substances designated in 40 CFR §116?
0 Yes 0 No 0 N/A
Are release valves on all secondary containment structures locked?
DYes 0 No 0 N/A
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.
Are vehicles used in material handling in disrepair and/or leaking fluid?
0 Yes 0 No 0 N/A
Does this facility store used, recycled, or otherwise reclaimed pallets outside?
DYes 0 No 0 N/A
Does this facility have coal piles on site?
DYes 0 No 0 N/A
Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.?
DYes 0 No 0 N/A
Page 3 of 5

Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, El Yes El No 171 N/A
plating, painting, or metal finishing)?
If yes:
Describe the industrial activity:
Yarn Spinning, air emissions associated with cotton dust filtration systems
Are those emissions permitted by an Air Quality Permit? Dyes II No
Please specify: Emissions are exempt, in process of submitting registration to DEQ
5. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, fist the permit numbers for all current Non -Discharge permits:
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
ID This facility is a (mark all that apply)
0 Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
• Kilograms of waste generated each month: <100 kg
• Type(s) of waste: Spent solvent from aerosol can puncturing, used oil
• How material is stored: 55 gal. steel drum
• Where material is stored: Warehouse
• Number of waste shipments per year:1
• Name of transport/disposal vendor: Safety-Kleen Systems, Inc.
• Transport/disposal vendor EPA ID: NCD077840148
• Vendor address: 6182 Old Mendenhall Road Archdale INC 27263
❑ This facility is located on a Brownfield or SUPERFUND site.
If checked, briefly describe the site conditions:
❑ This facility is located on Native American lands.
6. Required Items (Application will be returned unless all of the following items have been included):
121 Copy of most recent Annual Report to the NC Secretary of State (if applicable)
0 This completed application and any supporting documentation
0 Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 4 of 5

7. Applicant Certification
North Carolina General Statute 143-215.66 (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 ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
0 1 am the person responsible for the industrial activity, for satisfying the requirements of this exclusion, and for any civil
or criminal penalties incurred due to violations of this exclusion.
0 I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stormwater permitting.
ID 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)).
ID I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least
once each year and, if requested, provide this certification 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 Energy, Mineral, and Land Resources, or MS4 operator where applicable, to perform inspections to confirm
the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must
keep a copy of annual recertifiications on file at the facility,
I I I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that I must obtain coverage
under an NPDES permit prior to any point source discharge of stormwater from the facility.
I] The information submitted in this NO] is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
Printed Name of Person Signing: Bill Buchanan
Title: Plant Manager
r� _� 12-9- JZ_
Signature of Ap licant Date Sibed
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page5of5

Gildan Mocksville
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LIMITED LIABILITY COMPANY ANNUAL REPORT
10/2017
NAME OF LIMITED LIABILITY COMPANY: Glldan Yarns, LLC
Fictitious Name, if any, used in North Carolina: Filing Office Use Only
SECRETARY OF STATE ID NUMBER: 0767058
REPORT FOR THE CALENDAR YEAR: ?()?1
STATE OF FORMATION: DE
10
9WR
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Compan
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, Suite 550
Raleiah, NC 27608 Wake
2626 Glenwood Avenue, Suite 550
Raleiqh, NC 27608 Wake
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: ManufaCturina Yarn
2. PRINCIPAL OFFICE PHONE NUMBER: (704) 633_51 33 3. PRINCIPAL OFFICE EMAIL:
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
!
2121 Heilig Road 2121 Heilig Road
Salisbury, NC 28146-2316 Salisbury, NC 28146-2316 Rowan
6. Select one of the following if applicable. (Optional see instructions)
The company is a veteran -owned small business
The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Andrew Colvin
TITLE: Assistant Secreta
ADDRESS:
NAME: Jonathan Marr NAME: Jonathan Marr
TITLE: Manager TITLE: PreSldent
PofiM.`3
ADDRESS:
1980 Clements Ferry Road 2121 Heilig Road 2121 Heilig Road
Charleston, SC 29492 Berkeley Salisbury, NC 28146 Rowan Salisbury, NC 28146 Rowan
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form,
DATE
Print or Type Name of Company Official Print or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL COMPANY OFFICIALS
NAME: Shannon Preston NAME: Shannon Preston NAME: Shannon Preston
TITLE: Manager TITLE: Secretary TITLE: Vice President
ADDRESS: ADDRESS: ADDRESS:
2121 Heilig Road 2121 Heilig Road 2121 Heilig Road
Salisbury, NC 28146-2316 Rowan Salisbury, NC 28146-2316 Rowan Salisbury, NC 28146-2316 Rowan
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
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NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
Name:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:

SECTION E: ADDITIONAL COMPANY OFFICIALS
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
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TITLE:
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North Carolina Department of the Secretary of State
Elaine F. Marshall, Secretary
BELOW IS THE CHECK LIST FOR LIMITED LIABILITY COMPANY ANNUAL REPORT. Please take a few minutes and read the
information provided. The Limited Liability Company Annual Report is due by April 15th of each year, with the filing fee of
200.00.
Each Limited Liability Company filing an annual report with the North Carolina Department of Secretary of State must
provide the following information:
1. NAME OF LIMITED LIABILITY COMPANY
2. STATE OF FORMATION
3. ANNUAL REPORT CALENDAR FILING YEAR
4. THE REGISTERED AGENT'S NAME AND SIGNATURE IF CHANGED
5. THE REGISTERED AGENT'S STREET ADDRESS AND MAILING ADDRESS IF DIFFERENT.
6. THE PRINCIPAL OFFICE ADDRESS, COUNTY AND TELEPHONE NUMBER
7. THE NAMES, TITLES AND BUSINESS ADDRESSES OF THE COMPANY OFFICIALS
8. A BRIEF DESCRIPTION OF THE NATURE OF BUSINESS
IF THE INFORMATION REQUIRED TO BE ENTERED IN SECTION A THROUGH SECTION C HAS NOT CHANGED SINCE THE MOST
RECENTLY FILED ANNUAL REPORT, COMPLETE HEADER SECTION AND SECTION D TO CERTIFY THE ANNUAL REPORT.
SECTION A: REGISTERED AGENT'S INFORMATION
1. The name of the registered agent must be typed or printed.
2. If the registered agent has changed, the new registered agent MUST SIGN CONSENT to the appointment in the space provided. If the registered agent's
name has changed due to marriage, or by any other legal means, the limited liability company must indicate such change in the space provided and have the
agent sign consent to the appointment under their new name. If the new registered agent is a business entity, then the appropriate representative of that
entity must sign and print their name and title. The registered agent must reside in North Carolina.
3. If the street address of the registered office has changed, indicate the change. The address of the registered office must be a Street Address and NOT a
Post Office Box Address. The street address of the registered office must be a North Carolina address.
4. If the mailing address of the registered office has changed it should be indicated in this item. The registered office's mailing address may be a Post Office
Box. The registered office mailing address must be a NORTH CAROLINA ADDRESS.
SECTION B: PRINCIPAL OFFICE INFORMATION
1. Provide a brief description of the nature of the LLC's business.
2. Enter the principal office telephone number.
3. Enter the principal office E-mail address.
4. The principal office address should reveal the limited liability company's physical location. The principal office street address must be a street address
and NOT a Post Office Box Address.
5. The principal office mailing address may be a Post Office Box.
6. You may voluntarily report whether the company qualifies as a service -disabled veteran -owned or veteran -owned small business. The annual net receipts
cannot exceed one million dollars ($1,000,000) to report as either veteran -owned small business designation. Choose the designation of a service -disabled
veteran -owned small business if one or more service -disabled veterans owns more than 50% of the business. Choose the designation of veteran -owned small
business if one or more veteran owns more than 50% of the business. For further definitions see N.C.G.S. §55-1-40; §57D-1-03; or §59-32.
SECTION C: COMPANY OFFICIALS
Enter the name, title and business address of each company official. Use Section E or a plain 8 1/2 X 11 sheet of paper if more space is needed. A
person listed in this section must sign the annual report and is then authorized to sign on other documents filed with this office.
SECTION D: CERTIFICATION OF ANNUAL REPORT
Check the annual report carefully to ensure all information required for filing has been provided. Only a company official listed on this report or past
completed and filed report may sign. Complete the signature, date, title and typed or printed name in the space provided on the form to certify that the
information is accurate and current. If the company official is another business entity then the appropriate representative of that business entity must certify
the annual report.
SECTION E: ADDITIONAL COMPANY OFFICIALS
Enter the name, title, and business address of each additional company official. A person listed in this section is then authorized to sign on other
documents filed with this office.
Mail the annual report to: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525. For information or assistance,
please contact the Business Registration Division at [phone] or Toll Free 1-888-246-7636. Web address is htq2://www.sosnc.pov. (Revised 1012017)

• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings
Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Gildan Yarns, LLC
Prev Legal Name
CanAm Yarns, LLC
Prev Legal Name
Cedartown Manufacturing, LLC
Information
Sosld: 0767058
Status: Current -Active O
Date Formed: 2/15/2005
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Corporation Service Company
Addresses
Mailing
2121 Heilig Road
Salisbury, NC 28146-2316
Company Officials
Principal Office Reg Office Reg Mailing
2121 Heilig Road 2626 Glenwood Avenue Suite 550 2626 Glenwood Avenue Suite 550
Salisbury, NC 28146-2316 Raleigh, NC 27608 Raleigh, NC 27608
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20
Assistant Secretary
President
Manager
Vice President
Secretary
Andrew Colvin
Jonathan Marr
Jonathan Marr
Shannon Preston
Shannon Preston
1980 Clements Ferry Road
2121 Heilig Road
2121 Heilig Road
2121 Heilig Road
2121 Heilig Road
Charleston SC 29492
Salisbury NC 28146
Salisbury NC 28146
Salisbury NC 28146-2316
Salisbury NC 28146-2316
Manager
Shannon Preston
2121 Heilig Road
Salisbury NC 28146-2316