NCGNE0269_COMPLETE FILE - HISTORICAL_20090403 (2)

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
/VC,,6 /UL� d 7i�0
DOC TYPE
El COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
LJ
YYYYMMDD

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DEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
Apri13,2009
TY 191,51
Subject: Requested rescissioji of stormwater permit coverage under
❑ Rescission request denied, Reason:
Rescission request approved, effective immediately. Permit coverage rescinded oil the following basis:
Dee Freeman
Secretary
❑
You reported that you have ceased all regulated activity and sold the facility.
[]
You reported drat although you retain ownership or control of the facility, you have ceased all r-egulatcd
'let ,AND there are no materials rcmainin on site that may resent a risk of stormwater Rollution.
❑
You reported that continued permit coverage is not required because the site activities are riot regulated by
the NPDES stornmater permitting program.
Note other basis:-.eryx;yA1t p Ca-HoYL VAs yv�o
N76WQ Regional Office concurrence
❑ Request processed without RO comment
Operating a treatment facility, discharging wastewater, or discharging specific types of stormwater to waters of the State
without a valid NPDES permit will subject the responsible party to a civil penalty of tip to $25,000 per day. Enforcement
action will be certain- for persons that have voluntarily relinquished permit coverage when, in fact, continuing permit
coverage was necessary. If, in retrospect, you feel the site still requires permit coverage, you should notify this office
immediately. Furthermore, if in the future you wish to again discharge to title State's surface waters, you must first. apply
for and receive new coverage under an NI'DES permit.
If you have questions about this matter, please contact Sarah Young at [phone].
/Sincerely,
�
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1 iilio�
for Coleen I -I. Sullins
cc: [ rLDOr2SVi Its' Regional Office
DWQ Stornnvater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office, rescissions only
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location. 512 N. Salisbury St, Ralegh, North Carolina 27604
Phone: [phone] FAX•. 91M07-6494 4 Customer Service: 1-877-623-6748
tnternet www.ncwaterquality,org
An Equal Opportunity l Affirmative Aclicn Employer
One
NorlhCarolina
Natilr171111

Permit Number
Owner Name - Facility Name
NCG030303
Eaton Corporation - Eaton Corp -
Clutch t]iv
NCG030475
Getrag Corporation - Getrag Corp
NCG05o322
Kidde Fire Fighting - Kidde Fire
Fighting - Pineville
NCG050339
Air Vent, Inc. - Temp Vent, Corp.
NCG070008
American Slate & Marble - American
Slate & Marble - Hickory
NCGO80189
Lawrence Transportation System -
Lawrence Transportation -Charlotte
NCG080189
Lawrence Transportation System -
Lawrence Transportation -Charlotte
NCG080534
N C National Guard - NC Nat Gd-
Belmont
NCG140348
Southern Equipment Company Inc -
Ready Mixed Concrete Co. - Plant
1051Hebron St,
NCG140372
Rea Contracting LLC - Portable
Concrete Plant/ Charlotte Airport
NCG170088
Galey & Lord Industries - Galey &
Lord Indust-Gastcn
NCG170123
Carolina Mills -Carolina Mills
Incorporated -Plant 5
NCG170124
Carolina Mills -Carolina Mills
Incorporated -Plant 6
Carolina Mills - Carolina Mills Inc -
NCG170127
Plant #12
NCG210116
Brittain Lumber Company - Brittain
Lumber Company
Wise Recycling LLC - Wise Recyclir
NCGNE0175
LC
11 CGNE0269
J ck B Kellev Inc - Jack B Kellev. In
Do not rescind (DB)
Do not rescind (DH
Action

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W\\ MSNII
JACK B. KELLEY, INC. P.O. Box 50539 • Amarillo, Texas 79159-0539 • Prone [phone] • FAX [phone]
SINCE 1946
September 30, 2008
Re: NCGNE0269
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Gentlemen:
This is to notify you that Jack B. Kelley, Inc. has discontinued terminal operations in Charlotte ,at
our facility located at 6108 Old Mt. Holly Road, Charlotte, NC 28208-1135. Please rescind the
permit number and the No Exposure Certification for this location.
Also, Jack B. Kelley's new Corporate Office mailing address is P.O. Box 15530, Amarillo, TX
79105-5530. If you have any questions or need additional information, please call Dave Heim at
[phone], extension 3504.
Sincerely,
Mark Davis
President,
Jack B. Kelley, Inc.
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JACK B. KELLEY, INC. P.O. Burl 50589 • Amar4to, lexaa 79150-0539 • RON [phone] • FAX [phone]
SINCE 1946
Oet ,
Stormwater Permitting Unit 9 `^
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
e: NCGNE0269
Gentlemen:
This is to notify you that we have moved our terminal operations from 4830 Hovis Road,
Charlotte, NC (Mecklenburg County) to another location in Charlotte. The No Exposure
Certification indicated above is no longer needed.
Attached is a No Exposure Certification for Jack B. Kelley, Inc.'s new terminal location. The
operations at the new location will be the same as at the previous terminal location. Ifyou have
any questions, please call me at [phone], extension 3504.
Sincerely,
David L. Heim
Environmental, Safety and Health Coordinator,
Jack B. Kelley, Inc.
ECC x 1C1 07
DATER QUALI
l
Wetlands & 50orMW!1 r !#' rM i

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Envirumnent and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleen H-Sullins, Deputy Director
Division of Water Quality
May 8, 2006
Mr. Mark Davis
Jack B. Kelley, Inc.
PO Box 50539
Amarillo, TX 79159-0539
Subject: No Exposure Certification NCG1 E0269
Jack B. Kelley, Inc. -Charlotte
4830 Hovis Road, Charlotte, NC
Mecklenburg County
Dear Mr. Davis:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 3, 2006. 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. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 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 sarah.young @ncmail.net.
Sincerely,
W4� P-4-�
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office Central Files — wlattachments
Stormwater Permitting Unit Files Mecklenburg County
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
SA
NCDENR
Custrnner Service
1-977-623-0748

Re: no -exposures
Subject: Re: no-exhotis_n-es
From: Michael Parker <[e-mail]>
Date: Wed, 29 Mar 2006 08:25:45 -0500
To: sash young <sarah.young �@ ncm,.til.net>
Sarah,
We have no reason not to issue the no -exposures as requested.
Mike
sarah young wrote:
Hi Michael -
Here's your next batch of no --exposures. please open them using adobe reader
Thanks, Sarah
_—..__._..._........................................... -- __ ---
Michael Parker <[e-mail]>
Environmental Engineer 11
Department of Environment and Natural Resources j
I of 1 5/8/2006

Font Approved
United States Environmental Protection Agency OMB No. 2040-0211
NPDES �EPA Washington, DC 20460
FORM `�' NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES Storm Water Permitting
Submission of this No Exposure Certification constituttes 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 S under EPKs Storm Water Mc ftiim- r 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, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermedsate products, by-products, final products, or waste products. Material handing 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 vatves;
— adequately maintained vehk ies used in material hardiuig; 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 %offylog for the no exposure exclusion. In addition, the exxhision from NPDES permitting is
available on a facility -wide basis only, not for individual outtalk. 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 Corm, 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 M.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 YfA 161 J<l t8l I kl C I I i- I E Y 2.Phone: �81C516i3151�I315151�j
3. Mailing Address: a_ Street: IP01 yyf oye l I5iL%61.31f l I_ I- I I I l I l I i I 1 L_ k LI L 1_ L I
b. City: �4 iAA,gll L1 ki Q i 1 l I I 1 I l t I l i LA c. State: TJC I d. Zip Code: 1A 9 — I 9
B. Facility/Site Location Information
1. Facility Name: 1 f1171C_th__I16I l-1e11r1AAZ 0l %ITIL—j 1
2. a. StreetAdofress: IY1813t0t �/jtDI IYl /ISI L elo1A ll I I I I I I t I I i I i I I I I
b. City: IL�I�I%�11Q �14 L�Iil 1 t I l 1 I 1 I I I I t I l c. County: ZA C I ML E \
d. State: WA e. Zip Code: V IU OI S'
O�
3. Is the facility located an Indian Lands? Yes No
4, Is this a Federal facility? Yes No
5. a. Latitude: UL6 r ' 15131b. Longitude! 1 61121 1R)
6. a. Was the facility or site previously oavered under an NPDES storm water permit? Yes El No ®
`9L�$�c�a''',TT''
b. If yes, enter NPDES permit rlanrnber: O ��
V1g
7. SIC/Activity Codes: Primary: I V1 z, 31A Secondary (it applicable):
8. Total size of site associated with industrial activity: -.5- acres
9. a. Have you paved or roofed over a tormarly exposed, pervious area in order to quality for the no exposure exclusion? it s 0 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 inbrmation in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality. in which rase you could be required to obtain permit coverage.
Less than one acFeEl One to five acres ❑ More than 6m acresEl
EPA Form 3510-11 (10-99)
Page 1 of 4

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NPDES A Foam Approved
FORM ,EPA 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 or in the foreseeable future?
(Please check either 'Yes" or'No" in the appropriate box.) tf 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)
0
5. Materials or products during loadingfunloading or transporting activities
0
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
El
R1
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])
11
10. Application or disposal of process wastewater (unless otherwise permitted)
El
0
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.
I certify under penalty of taw 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 (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 coverage 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: IN]X I I k 1 141A 1 VI 1 1 Sl I I I I I I I I I I I 1 t 1 I I I I I I I l I
Print Title:
Signature:
Date: 10111310101(, I
EPA Form 3510-11 (10-99) Page 2 of 4

a
NPDES Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FARM ��, Epp OMB No. 2040-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Who May File a No Exposure Certification Section B. Facility/Sits Location Infonnation
Federal law at 40 CFR Part 122.26 prohibits point source discharges of
storm water associated with industrial activity to waters of fhe U.S. without
a National Pollutant Discharge Elimination System (NPDES) permit. However.
NPDES permit coverage is not required for discharges of storm water
associated with industrial activities identified at 40 CFR 122.26(b)(14)(i)-
(ix) and (xi) if the discharger can certify that a condition of 'no exposure"
exists at the industrial facility or site.
Storm water discharges ftom construction activities identified in 40 CFR
122.26(b)(14)(x) and (b)(15) are not eligible for the no exposure exclusion.
Obtaining and Maintaining the No Exposure Exclusion
This form is used to certify that a condition of no exposure exists at the
industrial facility or site described herein. This certification is only applicable
in jurisdictions where EPA is the NPDES permitting authority and must be
re -submitted at least once every five years.
The industrial facility operator must maintain a condition of no exposure at
its facility or site in order for the no exposure exclusion to remain applicable.
If conditions change resulting in the exposure of materials and activities to
storm water, the facility operator must obtain coverage under an NPDES
storm water permit immediately,
Where to File the No Exposure Certification Form
Mal the completed no exposure certification forth to:
Storm Water No Exposure Certification (4203)
USEPA
401 M Street, SW
Washington, D.C. 20460
Completing the Form
You must type or print, using uppercase letters, in appropriate areas only.
Enter only one character per space (i.e., between the marks). Abbreviate
if necessary to stay within the number of characters allowed for each item.
Use one space for breaks between words. One form must be completed
for each facility or site for which you are seeking to certify a condition of no
exposure. Additional guidance on completing this form can be accessed
through EPA's web site at www.epa.govlowrnlsw. Please make sure you
have addressed all applicable questions and have made a photocopy for
your records before sending the completed form to the above address.
Section A. Facility Operator Inforrnation
1. Provide the legal name of the person, firm, public organization, or any
other entity that operates the facility or site described in this certification.
The name of the operator may or may not be the same as the name of
the facility. The operator is the legal entity that controls the facility's
operation, rather than the plant or site manager.
2. Provide the telephone number of the facility operator.
3. Provide the mailing address of the operator (P.O. Box numbers may be
used). Include the city, state, and zip code. All correspondence will
be sent to this address.
1. Enter the official or legal name of the facility or site.
2. Enter the complete street address (if no street address exists, provide
a geographic description [e.g.. Intersection of Routes 9 and 551), city,
county, state, and zip code. Do not use a P.O. Box number.
3. Indicate whether the facility is located on Indian Lands.
4. Indicate whether the industrial facility is operated by a department or
agency of the Federal Government (see also Section 313 of the Clean
Water Act).
5. Enter the latitude and longitude of the approximate center of the facility
or site in degreesiminutes/seconds. Latitude and longitude can
be obtained from United States Geological Survey (USGS) quadrangle
or topographic maps, by calling 1-(888) ASK-USGS, or by accessing
EPA's web site at h :llwww.e ov/owmtswfindus findex.htm and
selecting Latitude and Longitude Finders under the Resources/Permit
section.
Latitude and longitude for a facility in decimal form must be converted
to degrees (0), minutes ('), and seconds (") for proper entry on
the certification form. To convert decimal latitude or longitude to
degreesiminuteslseconds, follow the steps in the following example.
Example: Convert decimal latitude 45.1234567 to degrees (1), minutes
('), and seconds (").
a) The numbers to the left of the decimal point are the degrees: 45'.
b) To obtain minutes, multiply the first four numbers to the right of the
decimal point by 0.006: 1234 x 0.006 = 7.404,
c) The numbers to the left of the decimal point in the result obtained
in (b) are the minutes: 7'.
d) To obtain seconds, multiply the remaining three numbers to the
right of the decimal from the result obtained in (b) by 0.06:
404 x 0.06 = 24.24. Since the numbers to the right of the decimal
point are not used, the result is 24".
e) The conversion for 45.1234567 = 45" 7' 24'.
6. Indicate whether the facility was previously covered under an NPDES
storm water permit. If so, include the permit number.
7. Enter the 4-digit SIC code which identifies the facility's primary activity,
and second 4-digit SIC code identifying the facility's secondary activity,
if applicable. SIC codes can be obtained from the Standard Industrial
Classification Manual, 1987.
8. Enter the total size of the site associated with industrial activity in acres.
Acreage may be determined by dividing square footage by 43,560, as
demonstrated in the following example.
Example: Convert 54,450 ft2 to acres
Divide 54,450 ft2 by 43.560 square feet per acre:
54,450 ft2 + 43,560 ft2lacre = 1.25 acres.
9. Chedc'Yes' or 'No" as appropriate to indicate whether you have paved
or roofed over a formerly exposed, pervious area (i.e., lawn, meadow,
dirt or gravel roadlparking lot) in order to qualify for no exposure. If yes,
also indicate approximately how much area was paved or roofed over
and is now impervious area.
EPA Form 3610-11 (10-99) Page 3 of 4

J
F RM \—IEPA Instructions for the NO EXPOSURE CERTIFICATION for OMB 2Form 040.02a
3510-11 Exclusion from NPDES Storm Water Permitting
Section C. Exposure Checklist
Check "Yes' or "No' as appropriate to describe the exposure conditions at
your facility. If you answer'Yes'to ANY of the questions (1) through (11)
in this section, a potential for exposure exists at your site and you cannot
certify to a condition of no exposure. You must obtain (or already have)
coverage under an NPDES storm water permit. After obtaining permit
coverage, you can institute modifications to eliminate the potential for a
discharge of storm water exposed to industrial activity, and than certify to
a condition of no exposure,
Section D. Certification Statement
Federal statutes provide for severe penalties for submitting False information
on this application form. Federal regulations require this application to be
signed as follows:
For a corporation: by a responsible corporate officer, which means:
(i) president, secretary, treasurer, or vice-president of the corporation
in charge of a principal business function, or any other person
who performs similar policy or decision making functions for the
corporation, or
(ii) the manager of one or more manufacturing, production, or
operating facilities, provided the manager is authorized to make
management decisions which govern the operation of the
regulated facility including having the explicit or implicit duty of
making major capital investment recommendations, and initiating
and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary systems
are established or actions taken to gather complete and accurate
information for permit application requirements; and where
authority to sign documents has been assigned or delegated to
the manager in accordance with corporate procedures;
For a partnership or sole proprietorship: by a general partner or the
proprietor; or
For a municipal, State, Federal, or other public facility: by either a
principal executive or ranking elected official.
Paperwork Reduction Act Notice
Public reporting burden for this certification is estimated to average 1.0 lour
per certification, including time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Burden means the total time,
effort, or financial resources expended by persons to generate, maintain,
retain, or disclose to provide information to or for a Federal agency. This
includes the time needed to review instructions; develop, acquire, install,
and utilize technology and systems for the purposes of collecting, validating,
and verifying information, processing and maintaining information, and
disclosing and providing information; adjust the existing ways to comply with
any previously applicable instructions and requirements; train personnel to
be able to respond to a collection of information; search data sources;
complete and review the collection of information; and transmit or otherwise
disclose the information. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number. Send comments regarding
the burden estimate, any other aspect of the collection of information, or
suggestions for improving this form, including any suggestions which may
increase or reduce this burden to: Director, OPPE Regulatory Information
Division (2137), USEPA, 401 M Street, SW, Washington, D.C. 20460.
Include the OMB control number of this form an any correspondence. Do
not send the completed No Exposure Certification form to this address.
EPA Form 3510-11 (10-99) Page 4 of 4

JACK B. KELLEY, INC. P.O. Box 50589 • Arnarulo, Texas 79159-0589 • Phone [phone] • FAx [phone]
SINCE 1949
January 30, 2006
Department of Water Quality
Attn: Sarah Young
1617 Mail Service Center
Charlotte, NC 27699-1617
Dear Ms Young:
Enclosed is the No Exposure Certification for our leased facility in Charlotte, NC. Jack B.
Kelley, Inc. Only parks trucks and trailers on this facility and performs no maintenance or repairs
there.
If you have any questions, please call me at [phone], ext. 234.
Sincerely,
David L. Heim
I�nvironmental Coordinator,
Jack B. Kelley, Inc.
FEB 0 3 2005
waYER QUALIT`I h

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