NCGNE0261_COMPLETE FILE - HISTORICAL_20060224

- - STORMWATER-DIVISION CODING SHEET• -
RESCISSIONS .
PERMIT NO. Eo 0-�
DOC TYPE ❑ COMPLETE FILE - HISTORICAL
DATE OF ❑ ��X�I�Va(J1"I
RESCISSION YYYYMMDD

V,K/-1 Michael F.Easley,Governor
\O�CF R4G William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Cl) Alan W. Klimek,P.E.Director
Division of Water Quality
Coleen H.Sullins,Deputy Director
Division of Water Quality
February 24, 2006
Mr. Benny Yarboro
Tyco Electronics
PO Sox 3608
Harrisburg, PA 17105
Subject: No Exposure Certification NCGNE0261
Tyco Electronics
5568 Gumtree Road,Winston-Salem, NC
Davidson County
Dear Mr. Yarboro:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on November 2, 2005. 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.
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. Other'wise, the discharge becomes subject'to enforcement as an un-permitted discharge. Your
conditional no-exposure exclusion expires in five years (February 1, 2011). 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,
P_ �
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office Central Files—w/attachments
Stormwater Permitting Unit Files
NCDENR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

NON
Subject: NOIs
From: Corey Basinger <[e-mail]>
Date: Thu, 12 Jan 2006 08:14:07 -0500
To: Bethany Georgoulias <[e-mail]>, Sarah Young
<Sarah.Young@ ncmail.net>
I can't remember which one of you sent me the NOI for Tyco Electronics (NCGNE0261). =toissue
according to information from Steve Mauney who handles Davidson County.
Thanks!
Corey
Corey Basinger<[e-mail]>1.71
WSRO
NC DENR
1 of 1 2/23/2006 10:18 AM

(0 r
U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA)
NATIONAL POLLUTANT DISCHARGE ELIMINATION
SYSTEM (NPDES)
STORMWATER NOTICE OF INTENT PROCESSING CENTER
''+4 now
11/16/2005
OPERATOR:
FACILITY:
TYCO ELECTRONICS
ATTN: BENNY YARBORO TYCO ELECTRONICS
PO BOX 3608 5568 GUMTREE ROAD
WINSTON-SALEM, NC 27107
HARRISBURG, PA 17105
TRACKING NUMBER: NCNOE0051
Thank you for submitting your NPDES form. EPA cannot process your form because the site location indicated on
the form is under jurisdiction of a state which has been authorized by EPA to implement the NPDES program.
Check with the state permitting authority noted below to determine the regulatory options available to you in that
area.
Permitting Authority:
Name: Bradley Bennett
Organization: North Carolina Department of Environment & Natural Resources 1 Division of
Water Quality
Dept Address: 512 N Salisbury St �
Raleigh, NC 27626-1617 m v Gu
Phone: [phone] lv n'
aX--� b
EMail [e-mail] �, m
1 C d
If you have general questions regarding the stormwater program, please call: W Z
Region 4 ' b
Mike Mitchell [phone]
If you have questions about your form, please call the EPA NOI Processing Center at 1-866-352-7755(toll free)
or send an inquiry via the online form at http:lllwww.epa.gov/npdes/noicontact.
EPA NOl Processing Center
Operated by Avanti Corporation
1200 Pennsylvania Ave., NW
Mail Code: 4203M
Washington, DC 20460
1-866-352-7755

9 Wz
United States Environmental Protection Agency �} For pprpv 1
� �41_ �SOMB No.2�41i-02 ,
NPDES all Washington, DC 204610 l"J
FORM Awt ��� NO EXPOSURE CERTIFICATION for Exclusion fro
3510-11 �� '�OV 0 2 2005
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require peLb�
tttQrization-for-it
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi-Sector 'Permit d 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: I7'17 I6101 I014llkICITIJ?j0IAIJleI-<I I I I I I I I I I I 1 1 2.Phone: 17,1 17I9 S16171'li i./
1
3. Mailing Address p
'? a.Street: {I 101 1 L 10IX l � I� I0 181 ,1 1 1 1 1 1 1 1 E d I I I I I I I I I i I
b.City 1/q I/G 1�I I S fQ 1U I�}G 1 1 1 1 1 1 11 1 I I I c.State; [i7 d.Zip Code: III 7 1101-5-1—E I I 1 I
B. FacilitylSite Location Information
1.Facility Name: IT IY llf— 1 Gl I I 1� _I I I I I I I I I
2. a. Street Address: h l�6 1 gl btu I,�t T��1 EI i Ri Q ib 1#0 t I I I I I I I I I I I I I I
W b. City: LIVJ1,�IT0ltJj- 15111lkIi5MI I I I I I I I I I i c,County: ID IA IV11IJO1.SIoIN1 I
d.State: lAr,(_I e.zip Code: a 171 1 10 l71—I I 1 1
3. Is the facility located on Indian Lands? Yes No
4. Is this a Federal facility? Yes ❑ No rX
5.a.Latitude: b. Longitude: 10610 I01 t ICI
6,a.Was the facility or site previously covered under an NPDES storm water permit? Yes No
b. If yes,enter NPDES permit number:LL r)
7.SIC/Activity Codes: Primary: U i7ig Secondary(if applicable): I I I I
B.Total size of site associated with industrial activity: acres
i
9.a.Have you paved or roofed over a formerly exposed,pervious area in order to qualify for the no exposure exclusion? Yes KA 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 to One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4
-_,��

NPDES
FORM NO EXPOSURE CERTIFICATION for Exclusion from Fa:mA 0-0211
FORM e�,EPA OMB Na.2040-0211
proved
3510-11 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 load inglunloading or transporting activities ❑
6. Materials or products stored outdoors(except final products intended for outside use(e.g.,new cars]where ❑ 19
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 handledistored on roads or railways owned or maintained by the discharger ❑
9. Waste material(except waste in covered,non-leaking containers[e.g.,dumpsters]) ❑ rJ
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 ❑ ZN
(i.e.,under an air quality control permit)and evident in the storm water outflow
❑. 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(M34)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.
Additional3y, 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 Name: Ajelylple I IYAl)211SI0RtD1
Print Title: Ir�l>�I�I IRIf I/�IU�N�I I/.'JVVAIL 6,ei I i I I i I i I I I 1 I I I
Signature: _ _ / �
Date:
EPA Form 3510-11 (10-99) Page 2 of 4