NCGNE0392_COMPLETE FILE - HISTORICAL_20080307

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV C& N E039�
DOC TYPE Et/HISTORICAL FILE
0 MONITORING REPORTS
DOC DATE ❑ (/�U��S O3 D
YYYYMMDD

F \NA r Michael F.Easley,Governor
T pG William G.Ross Jr.,Secretary
North Carolina Depurtment of Environtnent and Natural Resources
Coleen H.Sullins,Director
p Division of Water Quality
March 7, 2008
Ms.Vickie Dudick
NC National Guard
4105 Reedy Creek Road
Raleigh, NC 27607-6410
Subject: No-Exposure Certification NCGNE0392
NC National Guard-Jefferson
Route 6, Jefferson, NC
Ashe County
Dear Ms. Dudick:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form. Based on 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. We are also hereby
rescinding your current Certificate of Coverage NCG080492.
Please note that by our acceptance of your no-exposure certification, you are obligated to maintain no-
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no-
exposure exclusion; you are obligated to immediately obtain NPDES permit coverage for your stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no-exposure exclusion expires in five years (February 28, 2013), At that time you must re-certify
with the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
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 Sarah Young at(919) 733-5083, ext.
502, or at [e-mail].
Sincerely,
ORIGINAL SIGNED BY
KEN PICKLE
for ' Coleen H. Sullins
cc: Winston-Salem Regional Office-George Smith DWQ Central Files—wlattachments
Stormwater Permitting Unit Files Fran McPherson-Budget Office
NCGO80492 Permit File GAY
KDENRR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

F W A TF Michael F.Easley,Governor
O R pG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
co 7
r
Coleen H.Sullins,Director
Division of Water Quality
March 7, 2008
Ms. Vickie Dudick
NC National Guard
4105 Reedy Creek Road
Raleigh, NC 27607-6410
Subject: No-Exposure Certification NCGNE0392
NC National Guard-Jefferson
Route 6, Jefferson, NC
Ashe County
Dear Ms. Dudick:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form. Based on 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. We are also hereby
rescinding your current Certificate of Coverage NCG080492.
Please note that by our acceptance of your no-exposure certification, you are obligated to maintain no-
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no-
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no-exposure exclusion expires in five years (February 28, 2013). At that time you must re-certify
with the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
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 Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office-George Smith DWQ Central Files—wlattachments
Stormwater Permitting Unit Files Fran McPherson-Budget Office
NCGO80492 Permit File
F4TDEFaR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

[Fwd: [Fwd: Re:National Guard no-exposures]]
Subject: [Fwd: [Fwd: Re: National Guard no-exposures]]
From: George Smith <[e-mail]>
Date: Fri, 09 Mar 2007 07.:51:.1.6_=0500
To:-sar . [e-mail]
Sarah,
The facility in the New river basin would qualify for a no exposure certification. NCGO80492
-------- Original Message --------
Subject:[Fwd: Re: National Guard no-exposures]
Date:Fri, 09 Mar 2007 07:21:02 -0500
From:Steve Tedder <Steve.Teddcr er,ncmail.net>
Reply-To:Steve.Tedder a,NCmail.net
Organization:NC DENR - Winston-Salem Regional Office
To:george.smith a,ncmail.net, sue.white nemai[.netJenny.freeman a rncmail.net
Check the ones in your respective counties asap and respond back to Sarah. My guess is that all three
have a good chance to get a no exposure.
Tedder
-------- Original Message --------
Subject:Re: National Guard no-exposures
Date:Wed, 07 Mar 2007 09:54:29 -0500
From:Sarah Young <sarah.young a ncmail.net>
To:Sarah Young <sarah.young a,ncmail.net>
CC:Laurie Moorhead <Laurie.Moorhead u,ncmail.net>, Starr Silvis <Starr.Silvis amcniail.net>,
Roger Edwards <Roger.Edward s 5,ncmai1.net>, Belinda Henson
<Belinda.Henson a ncmail.net>, Mike Lawyer <Mike.Lawyer a,ncmail.net>, Michael
Parker <Michael.l'arkeranemail.net>, Chuck.Wakild a ncniail.net, Ron Boone
<ron.boone a,ncmail.net>, Al Hodge <AI.Hodge 5,ncmail.net>, Jeff Manning
<Jef'f.A.Mannin - c ncmail.net>, Ed Beck <Ed.Beck a ncmail.net>, Linda Lewis
<Linda.Lewis cr,iicmail.net>, Steve Tedder<[e-mail]>, Corey Basinger
<Corey.Basinger a ncmail.net>, Bradley Bennett <Bradley.Bennett@ncmai].net>
References:<45EED1 [e-mail]> T
Sorry, forgot spreadsheet. Here you go.
Sarah Young wrote:
> Attached is a list of no-exposures from National Guard facilities
> across NC that have stormwater permits. During our renewal process,
> the National Guard sent us a list of 49 facilities that they think
> would qualify for no-exposure status. Please give us your comments on
> the fatalities in your region when you get the time. They are broken
> up by region on the spreadsheet. Thank you in advance. -Sarah Young
1 of 2 2/28/2008 2:58 l'M

VU
0�W A T�9
oa oq Permit Coverage
r Rescission Request Form Gertibcate of Coverage Number
° National Pollutant Discharge Elimination System NCG080492
General Permit NCGO80000
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Facility Information
Facility Name: NC Nat Gd-Jefferson ;
Facility Physical Address: PO Box 623 Old NC 16 No
Jefferson, NC 28640
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Permit Information
Permit Contact: Vickie A Dudick
Mailing Address:* 4105 Reedy Creek Rd
Raleigh, NC 27607
Phone Number: 9"=664694-L� G
Fax Number:
Email Address
* This is the address to which the permit rescission notice will be mailed
Reason for rescission request (this is reguired information):
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCGO80492 under NPDES
Stormwater General Permit NCG080000 for the subject facility. I am familiar with the information contained in this
request'and to the best my knowled a and belief such information is true, complete and accurate.
Signature Date FEB
Print or type name of person signing above Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
ViGK1E A. DUD1CK 1617 Maid Service Center
®hector of Environment& Raleigh, North Carolina 27699-1617
Natural Resources

,
United States Environmental Protection Agency Form Approved
9 y OMB No.2040-0211
NPDES ®®��� Washington, DC 20460
FORM Aw, NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi-Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain,snow,snowmett, 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 lightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational laps 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: — I IC 2,Phone:
3. Mailing Address: a.Street. *1 11�15�fEEp1Y1 inki'�rf'1_l I VA -I i I I I 1 I 1 I/I I I I
fd
b.City: Q&1,1 d 1611+ 1 1 1 1 1 1 1 1 1- 1 1 1 1 1 I c.State:� d.Zip Code: r2i7 t(.01 l.7 1—16141 1 q
B. Facility/Site Location Information
1.Facility Name: I�nn1 Q f" + 1T1� la�41 I�R�1l�I I I I I I
2.a.Street Address:r ICJ 1r I 141 1 J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
b.City: I// I I I I I I I I I I I I c.County: [AS I146 1 1 1 1 1 1
d.State: e.zip Code: IL.JEO QI—I 1 1 1-1
3.Is the facility located on Indian Lands? Yes ❑ No 5
A.Is this a Federal facility? Yes ElNo
5.a. Latitude: b. Longitude: f 1 I 1 � � [�
6.a.Was the facility or site previously covered under an NPDES storm water permit? Yes ® No ❑
b. If yes,enter NPDES permit number: NC0 000 O
7.SIC/Activity Codes: Primary: 17151 3, Secondary(if applicable): I I I f
8.Total size of site associated with industrial activity: 5 21 Z acres
9.a.Have you paved or roofed over a formerly exposed,pervious area in order to qualify for the no exposure exclusion? Yes ❑ No
b. If yes,please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However,your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality,in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than We acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4

„i
NPDES A Form Approved
FORM ���E�7/�1 NO EXPOSURE CERTIFICATION for Exclusion from OMB No.2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation,now at 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 ❑ 0
3. Materials or products from past industrial activity ❑
4. Material handling equipment(except adequately maintained vehicles) ❑
5. Materials or products during loading/unloading or transporting activities ❑ hA
6. Materials or products stored outdoors(except final products intended for outside use[e.g.,new cars]where ❑
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 ❑
LESW
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger ❑
9. Waste material(except waste in covered,non-leaking containers[e,g.,dumpsters]) ❑
10. Application or disposal of process wastewater(unless otherwise permitted) ❑ �(
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated ❑
(i.e.,under an air quality control permit)and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of'no exposure'and obtaining an
exclusion from NPDES storm water permitting.
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)).
understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and,if requested,to
the operator of the local municipal separate storm sewer system(MS4)into which the facility discharges(where applicable). I understand that I must
allow the NPDES permitting authority,or MS4 operator where the discharge is into the local MS4,to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coJerage'under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally.I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is to the best of my
knowledge and belief true,accurate and complete. I am aware that there are significant penalties for submitting false information,including the possibility
of fine and imprisonment for knowing violations.
Print Name: 11 I I I I l i l l 1 1 1 I I « I I Vl KIEIAL DUDLCK 1 oR 1 I I
Natural Resources
Print Title: I I I I I i i I I I i I I I I I I I
I
Signature:
Data: 2
EPA Form 3510-11 (10-99) Page 2 of 4