NCGNE0869_COMPLETE FILE - HISTORICAL_20120814

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V
DOC TYPE LS'HISTORICALFILE
❑ MONITORING REPORTS
DOC DATE ❑ 3 UI S� U� I�J
YYYYMMDD

[l CDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 14, 2012
North Carolina National Guard
Attn: Thomas Morris
1636 Gold Star Drive
Raleigh, NC 27607-6410
Subject: No-Exposure Certification NCGNE0869
NCNG —Winston-Salem Armory & FMS#7
2000 Silas Creek Parkway, Winston Salem, NC 27103
Forsyth County
Dear Mr. Morris:
The Division has reviewed your submittal of the No-Exposure Certification (NEC) for Exclusion from NPDES
Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above referenced
facility, as well as the on site visit conducted by Ron Boone, of the Division's Winston-Salem Regional Office on
August 2, 2012, 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 stormwater permit Certificate of Coverage for the facility, NCG080573. u`
Please note that by our acceptance of your NEC, 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. You must self re-certify annually using the included
form and information, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual
self re-certification does not need to be submitted to DWQ, unless requested. The annual self recertification form and
information may also be downloaded from our Website at the following URL
http:/Iportal.ncdenr.oW/web/wg/ws/su/npdessw#tab-3
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.
wetlands and Stormwater Branch One
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 NorthCarohna
location:512 N.Salisbury St.Raleigh,North Carolina 27604 �aturally
Phone:[phone]-&3041 FAX:919$07�4941 Customer Service:1.877.623-6748 fed
Internet:www.ricwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

NC National Guard
Attn:Thomas Morris
No-Exposure Certification NCGNE0869
NCNG--Winston-Salem Armory i£FMS 37
August 14, 2012
If you have any questions or need further information, please contact Ron Boone at (336) 7714967, or at
[e-mail].
Sincerely,
for Chuck Wakild, P,E.
Director
NC Division of Water Quality
Attachments:
1. Annual NEC Self Recertification Form
2. Annual NEC Self Recertification Information
cc;
Winston-Salem Regional Office
Stormwater Permitting File NCG080573
CStormwater'Pimitting-Unit:N o-.Exposure-Files-
City of Winston-Salem Stormwater Unit, Attn. Bill Baugher

HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 14, 2012
North Carolina National Guard
Attn: Thomas Morris
1636 Gold Star Drive
Raleigh, NC 27607-6410
Subject: No-Exposure Certification NCGNE0869
NCNG—Winston-Salem Armory& FMS#7
2000 Silas Creek Parkway, Winston Salem, NC 27103
Forsyth County
Dear Mr. Morris:
The Division has reviewed your submittal of the No-Exposure Certification (NEC) for Exclusion from NPDES
Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above referenced
facility, as well as the on site visit conducted by Ron Boone, of the Division's Winston-Salem Regional Office on
August 2, 2012, 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 stormwater permit Certificate of Coverage for the facility, NCG080573.
Please note that by our acceptance of your NEC, 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. You must self re-certify annually using the included
form and information, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual
self re-certification does not need to be submitted to DWQ, unless requested. The annual self recertification form and
information may also be downloaded from our Website at the following URL:
http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-3
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.
Wetlands and stormwater Branch One
1617 Mail Service Center,Raleigh,North Carolina 27699.1617 NOl"�1Ca�0�111a
Location:5.8 7 Salisbury : Raleigh,Nwh494\Carolina 27604 �■}���r�rr�
Phone:[phone] FAX:919�07-64941 Customer Service:1�77�23-6748 i//y/ b L/l/
Intemet:www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

NC National Guard
Attn:.Thomas Morris
No-Exposure Certification NCGNE0869
NCNG—Winston-Salem Armory&FMS 37
August 14, 2012
If you have any .questions or need further information, please contact Ron Boone at (336) 7714967, or at
[e-mail].
Sincerely,
for Chuck Wakild, P.E.
— Director
NC Division of Water Quality
Attachments:
1. Annual NEC Self Recertification Form
2. Annual NEC Self Recertification Information
cc:
Winston_Salem.Regional=Office
Stormwater Permitting File NCG080573
Stormwater Permitting Unit No- Exposure Files
City of Winston-Salem Stormwater Unit, Attn: Bill Baugher

° o- STATE OF NORTH CAROLINA5t ta�ra
DEPARTMENT OF PUBLIC SAFETY RECEIVED r� nox
N.C.Dept.of ENR c"xotL�"7
JOINT FORCE HEADQUARTERS N"nonu
NORTH CAROLINA NATIONAL GUARD JUL 13 2012 °u"x°
y11R�
Winston-5a!ein t4ft0
Regional Office
BEVERLY EAVES PERDUE
GOVERNOR GREGORY A.LUSK
MAJOR GENERAL,NCNG
REUBFN;=. YOUNG ADJUTANT GENERAL
SECRETARY
NGNC- FMO-DEM 28 June 2012
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Total Coverage Exemption Certification'
Winston-Salem, North Carolina— FMS # 7
NPDES Permit Number NCG080573
Dear Stormwater Permitting Unit:
The North Carolina Army National Guard (NCARNG) is submitting the attached Total Coverage
Exemption Certification for the above referenced Certificate of Coverage and facility.
Please feet free to contact the undersigned at [phone] with any questions.
Sincerely;
Thomas Morris, REM V�
EPAS Manager /f7�
North Carolina Army National Guard 3 2012
we and a k
Q V'�1Ty
glom
1636 Gold Star Drive, Raleigh, NC 27607-3371,Telephone: [phone], DSN 582-9210
An Equal Opportunity/Affirmative Action Employer

IV

FOR AGENCY USG
ua ONLY
' • Division of Water lit /Surface Water Protection Da[c Rccc;�rJ
Quality roecon Year Mumh D�
NC®ENR National Pollutant Discharge Elimination System crn;rca[e orco.e�ge
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
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, DWO 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
stormwater 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
outfal►s. 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).
You are reguired to self re-certify Your No Exposure Exclusion annually.
For questions,please contact the DWO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator(address to which all certification correspondence will be mailed):
Name North Carolina National Guard
Contact Thomas Morris
Street Address 16'36 Gold Star Drive
City Raleigh State NC ZIP Code 27607-6410
Telephone No. 919-664-6047 Fax: None
Email Thoma.s.S.MorrisI @us.armY.mil
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NCGNE0000 No Exposure CertHication
2) Location of facility producing discharge:
Facility Name North Carolina National Guard - Winston Salem Armory & FMS #7
Facility Contact
Facility Street Address 2000 Silas Creek Parkway _
City WinatQn Salem State NC ZIP Code 27103
County
Telephone No. Fax:
Email
3) Physical location information:-
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). Approx._2_miles East of inersection between
Lockland Avenue and Silas Cmek Parkway—
(A copy of a map with the facility clearly located omit should be included with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes IN No
5) Is this a Federal facility? ® Yes ❑ No.
6) Latitude N 36" 03' 50" Longitude W 800 16-W (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
IN Existing Date operation began 1868-
0 Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? 29 Yes ❑ No
If yes, what is the NPDES Permit Number? NCG080573
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: 4 1 7 3
10) Provide a brief description of the types of industrial activities_ and products produced at this facility:
National Guard facility where military training, maintenance and re air of tactical
vehicles is conducted.
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
* No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
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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 11 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 R No
c. Materials or products from past industrial activity 13 Yes X No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No
e. Materials or products during loading/unloading or transporting activities ❑ Yes No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes $f No
use [e.g., new cars]where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes N No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No
the discharger ;
L Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes No
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 1$No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ff No
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 INNo
(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 No
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 I&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 EXYes ❑ No ❑ NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
S W U-NE-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 aboveground storage ❑ Yes ❑ No NIA
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 Y3 NIA
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 N NIA
Amendments and Reauthorization Act (SARA) water priori1y chemicals'?
d. Is secondary containment provided for hazardous substances— designated in 40 ❑ Yes '❑ No ,M NIA
CFR,§116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No M NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes N No
b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste ❑ Yes M No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ❑ Yes.. No
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. e
"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 '
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NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility rep_uirements 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 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 qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater irom_1he facility.Additionally, 1 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.
Printed Name of Person Signing:
. g g: _Vickie.Dudicic
Title:
Aal
(Signature of Applicant) (Date Signed}
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 13(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 fact in a rulemaking proceeding or contested case under this Article;or who falsities,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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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 X No
b. Does your facility have coal piles on site? ❑ Yes Il No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes iS No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes 4X No
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? ❑ Yes ❑ No M NIA
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:
Page 5 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
W 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 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 DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ...... (828) 296-4.500 Yfi" on 50I
Fayetteville Office ... [phone] j
Rai gh
Mooresville Office ... [phone]
Raleigh Office ........ [phone]
Washington Office ...[phone] ,� !
Wilmington Office ... 910 796-7215 e
g ( )
Winston-Salem ...... [phone] rntln
Central Office .........[phone]
1M! riglon
Page 7 of 7
SWU-NE-1 Mug201 0

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