NCGNE0860_COMPLETE FILE - HISTORICAL_20120808

STORMWATER DIVISION CC
NCG PERMITS
PERMIT NO. NCGNE O�P O
DOC TYPE "ISTORICAL FILE
DOC DATE ❑ �A �ci O p �
YYYYMMOD

EkTaW
,i-; A
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
North Carolina National Guard
Attn Thomas Morns, REM EPAS Manager
1636 Gold Star Drive
Raleigh, NC 27607-3371
Division of Water Quality
Charles Wakild, PE
Director
August8 2012
Subject No -Exposure Certification NCGNE0860
North Carolina National Guard - Fayetteville Armory & FMS #11
Cumberland County
Dear Mr Morris
Dee Freeman
Secretary
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 as
well as observations made by Mike Lawyer with the Fayetteville Regional Office on August 7 2012, the Division is
granting your conditional exclusion from permitting as provided for under 40 CFR 122 26(g) which is incorporated
by reference in North Carolina regulations We are also hereby rescinding your current permit Certificate of
Cove rage-NCG080544
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 You must self re -certify
annually using the enclosed form or obtain NPDES permit coverage for any stormwater discharges from your
facility The annual self re -certification does not need to be submitted to DWO unless requested
Your conditional exclusion from permuting 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 Mike Lawyer at [phone] or by e mail
at mike lawyer@ncdenr gov
SincerelyWAA�
p
-K1
for Charles Wakild, PE
Enclosure
cc FRO -Surface Water Protection
Stormwater Permitting Unit No -Exposure Files
Location 225 Green Street Suite 714 Fayetteville North Carolina 28301
Phone [phone] FAX [phone] Customer Service 1 877-623 6748
1Nernei htip 1lportal ncdenrorglweblwq
An Equal Opportunity 1 Hffimialive Achon Employer
Stormwater Permitting File NCGO80544
Fran McPherson -Budget Office
One
NorthCat olina
Aaturally

A7*A
NCDENR
tkAh Cs Qum- CEP 71ENT OK
rN VIR011MENT ANO N#liRt.4 f1E5f)ugc:k9
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not submit this form to DWQ unless requested
For questions, please contact the DWQ Regional Office for your area or the Central Office
(Please print or type)
Facility's No Exposure Exclusion No Date Completed (MM/DD/YYYY)
N C G N E ] / I I
1) Has the facility name or owner changed? ❑ Yes ❑ No
(if yes please submit a separate Name/Ownership Change Form to DWQ located at
http Hportal ncdenr org/web/wq/ws/su/npdessw#Application_Forms—NPDES)
2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ
a Using storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ❑ 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 []No
c Materials or products From past Industrial activity [:]Yes []No
d Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ 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 []No
use [e g , new carsl 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 ❑ No
and similar containers
h Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ❑ No
the discharger
€ Waste material (except waste in covered non -leaking containers [e g dumpsters]) ❑ Yes ❑ No
l Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No
k Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ 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 ❑ No
(i a not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SVVU NESR 29Ju€2010

NCGNE0000 No Exposure Self Re -Certification
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?
3) Above Ground Storage Tanks (ASTs) If you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ
a Are exterior ASTs and piping free of rust damaged or weathered coating, pits or ❑Yes❑ No ❑ NIA
deterioration or evidence of leaks?
b Is secondary containment provided for all exterior ASTs? If so is It free of any [:]Yes[:] No ❑ NIA
cracks holes, or evidence of leaks and are dram valves maintained locked shut?
4) Secondary Containment If you answer "No" to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must immediately apply for a permit from DWQ
a is secondary containment provided for all single above ground 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 ❑ 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 ❑ NIA
Amendments and Reauthorization Act (SARA) water r.)nonty chemicals"?
d Is secondary containment provided for hazardous substances** designated in 40 ❑Yes❑ No ❑ NIA
CFR §1167
e Are release valves on all secondary containment structures locked? ❑Yes❑ No ❑NIA
Footnotes to (questions 4) 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 mrnimis 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
Note that amounts betaw 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
5) Other information If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion Please contact the Division if this is the case
a Does your facility store used recycled or otherwise reclaimed pallets outside?
b Does your facility have coal piles on site?
c Does your facility store other fuel sources outside In piles such as wood chips,
sawdust, etc ?
d Does your facility have air emissions associated with its Industrial activity (e g
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?
Please specify
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes []No
❑ Yes ❑ No
❑Yes❑ No❑N/A
Page 2 of 3
SVVU NESR 29JuI2010

NCGNEOOOO No Exposure Self Re -Certification
6) Certification
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of no
exposure and obtaining/maintaining an exclusion from NPDES stormwater permitting
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activitses
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 this re certification 10
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 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 provided Based on my
inquiry of the person or persons who manage the system or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true accurate and complete I am aware
that there are significant penalties for providing false information including the possibility of fine and imprisonment for
knowing violations
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true complete and accurate
Printed Name of Person Signing
Title
(Signature)
(Date Signed)
Please note The Regional Office may inspect your facility at any time in the future for
compliance with the No Exposure Exclusion
North Carolina General Statute 143-215 6 B(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 knowing3y makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article or who falsifies 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)
This completed form must be kept on file at the facility for at least 5 years Do not submit this
form to DWQ unless requested
Page 3 of 3
SWU NESR 29Ju12010

w
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Waklld, PE
Governor Director
August 8, 2012
North Carolina National Guard
Attn Thomas Morris REM, EPAS Manager
1636 Gold Star Drive
Raleigh, NC 27607-3371
Subject No -Exposure Certification NCGNE0860
North Carolina National Guard - Fayetteville Armory & FMS #11
Cumberland County
Dear Mr Morris
Dee freeman
Secretary
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 as
well as observations made by Mike Lawyer with the Fayetteville Regional Office on August 7, 2012, the Division is
granting your conditional exclusion from permitting as provided for under 40 CFR 122 26(g) which is incorporated
by reference in North Carolina regulations We are also hereby rescinding your current permit Certificate of
Coverage-NCG080544
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 You must self re -certify
annually using the enclosed form 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
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 Mike Lawyer at [phone] or by e-mail
at mike lawyer@ncdenr gov
Sincerely,
for Charles Wakild, PE
Enclosure
cc FRO -Surface Water Protection
Stormwater Permitting Unit No -Exposure Files
Location 225 Green Street Suite 714 Fayetteville North Carolina 28301
Phone 91 OA33 33001 FAX [phone] Customer Service 1 877 623 6748
Internet hitp 8portal ncdenr orglwebMq
vn Equal Opportunity 1 Affirmative Actinr Employer
Stormwater Permitting File NCGO80544
Fran McPherson -Budget Office
One
NonhCarohna
Naturally

Division of Water Quality / Surface Water Protection
NCDENR
Na C�OU— OF T� OF
E—"onM -o N� RLs cEs
National Pollutant Discharge Elimination System
ANNUAL. NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not submit this form to DWQ unless requested
For questions, please contact the DWQ Regional Office for your area or the Central Office
(Please print or type)
Facility's No Exposure Exclusion No Date Completed (MM/DD/YYYY)
N C I G I N I E
1) Has the facility name or owner changed? ❑ Yes ❑ No
(if yes please submit a separate Name/Ownership Change Form to DWO located at
http //portal ncdenr org/web/wq/ws/su/npdessw#Application_Forms_NPDES)
2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ
a Using, storing or cleaning industrial machinery or equipment, and areas where ❑ Yes ❑ 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 [—]No
c Materials or products from past industrial activity ❑ Yes ❑ No
d Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ 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 ❑ 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 ❑ No
and similar containers
h Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ❑ No
the discharger
i 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 ❑ No
k Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ 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 ❑ No
(i a not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SWU NESR 29,102010

NCGNE00O0 No Exposure Self Re -Certification
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?
3) Above Ground Storage Tanks (ASTs) if you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must Immediately apply for a permit from DWQ
a Are exterior ASTs and piping free of rust damaged or weathered coating pits, or [:]Yes[:] No ❑ NIA
deterioration, or evidence of leaks?
Is secondary containment provided for all exterior ASTs? If so is it free of any [:]Yes[—] No ❑ NIA
cracks, holes or evidence of leaks and are drain valves maintained locked shut?
4) Secondary Containment If you answer "No" to any of the following Items, you are not eligible to
maintain your no exposure exclusion, and must Immediately apply for a permit from ©WQ
a Is secondary containment provided for all single above ground storage
containers (including drums barrels etc ) with a capacity of more than 660-
gallons'?
b Is secondary containment provided for above ground storage containers stored
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
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d is secondary containment provided for hazardous substances— designated in 40
CFR §116?
e Are release valves on all secondary containment structures locked?
Footnotes to Questions 4) c & d
❑Yes❑ No ❑ NIA
[]Yes[:] No ❑ NIA
[:]Yes[:] No ❑ NIA
❑Yes❑ No ❑ NIA
❑Yes❑ No ❑ NIA
"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 mmimis amounts of certain substances and/or other qualifiers as descnbed in the
exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372 38
"Note that amounts below the 660 gallon (single) and 1 320 gallon (combined) bulk storage minimums require secondary containment
Howevef some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR
§1173
5) Other information If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion Please contact the Division if this is the case
a Does your facility store used recycled, or otherwise reclaimed pallets outside? ❑ Yes ❑ No
b Does your facility have coal piles on site? ❑ Yes ❑ No
c Does your facility store other fuel sources outside in piles such as wood chips ❑ Yes []No
sawdust, etc ?
d Does your facility have air emissions associated with its industrial activity (e g , ❑ Yes ❑ 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❑N/A
Please specify
Page 2 of 3
SWU NESR 29JuI2010

NCGNE0000 No Exposure Self Re -Certification
6) Certification
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of no
exposure and obtainrngfmamtarnrng 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 this re certification to
bWQ 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 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 provided Based on my
inquiry of the person or persons who manage the system or those persons directly responsible for gathering the
information the information provided is to the best of my knowledge and belief true accurate and complete I am aware
that there are significant penalties for providing false information including the possibility of fine and imprisonment for
knowing violations
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true complete and accurate
Printed Name of Person Signing
Title
(Signature)
Gate Signed)
Please note The Regional Office may inspect your facility at any time in the future for
compliance with the No Exposure Exclusion
North Carolina General Statute 143-215 6 13(1) 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 falsifies 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)
This completed form must be kept on file at the facility for at least 5 years Do not submit this
form to DWQ unless requested
Page 3 of 3
SWU NESR 29Jul2010

STATE OF NORTH CAROLINA
DEPARTMENT OF PUBLIC SAFETY
JOINT FORCE HEADQUARTERS
NORTH CAROLINA NATIONAL GUARD
BFVFRLY LAVE S PERDUE
GOVFRNOR
RFUBI N I YOUNG
SECRE-TARY
NGNC- F'MO-DEM
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re Total Coverage Exemption Certification
Fayetteville, North Carolina -- FMS #11
NPDES Permit Number NCGO80544
Dear Stormwater Permitting Unit
NoaT�I �'
CAit6LINA .�-
NATIONAL
� GUARp y
'11VIto
GRFGGRY A I USK
MA]OR GENFRAI NCNG
ADJUTAN r t11 NI RAI
28 June 2012
uER—FRC
JUL 1 t ZI-W2
Dwo
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 feel free to contact the undersigned at [phone] with any questions
Sincerely
®r@
Thomas Morris, REM Q
SPAS Manager L7
North Carolina Army National Guard 1(��
1636 (::old Star Drive, Raleigh, NC 27607-3371, Telephone [phone], DSN 582-9210
An Eclual Opportunity / A€firmat►ve Action Employer

�� Division of Water Quality I Surface Water Protection
NCQuNR National Pollutant Discharge Elimination System
C,,.o,—C,,,,.n. NO EXPOSURE CERTIFICATION for Exclusion
fwurt�r.rvr .rrn N�.f
NCGNE0000
NO EXPOSURE CERTIFICATION
I OR AGI 1CY U1,1 ON1 Y
Daly KCIU\Cd
Yeir
Momh I)i
Ccrnficalc of Cuxcragc
NICIGINIE
National Pollutant Discharge Elimination System application for exclusion from a Storrnwater 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
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, 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 required to self re -certify your No Exposure Exclusion annually
For questions, please contact the DINO Regional Office for your area (See page 6)
(Please pant or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed)
Name North Carolina National Guard
Contact Thomas Morris
Street Address 1636 Gold Star Drive
City Raleigh — - _ _ _ State NC ZIP Code 27607-6410
Telephone No 919-664-6047 Fax None._
Email Thomas S Morris l�7tc ,us army mil
Page 1 of 7
SWU NE 12Aug2010

NCGNE0000 No Exposure Cerlt6ftcation
2) Location of facility producing discharge
Facility Name North-Carohna_National Guard - Fayetteville Armory & EMS #11
Facility Contact _
Facility Street Address
City F
County _
Telephone No _
Email
State NU ZIP Code 283U6
Fax
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) The facility is located north of the intersection
between OwenDrive and E Mountain Drive
(A copy of a map with the facility clearly located on it should be included with the certification application )
4) Is the facility located on Native American Lands? 0 Yes ® No
5) Is this a Federal facility? ®Yes_ ❑ No
6) Latitude N 3500 '45" Longitude W 79053'16" (deg, min, seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following
❑ New or Proposed Facility "t Date operation is to begin
r
® Existing Date operation began 19-95_
© Renewal of existing No Exposure Certification Certification No NCGNE ,
8) Was this facility or site ever covered under'an NPDES Stormwater Permit? ® Yes ❑ No
If yes, what is the NPDES Permit Number'? NCGO80544
9) Standard Industrial Classification
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary rndustnal
activity at this facility
SIC Code 4 1 7 3
10) Provide a brief
of the types of industrial activities and products produced at this facility
11) Does this facility have any Non -Discharge permits (ex recycle permits)?
M No
1
0 Yes
a
11 yes list the permit numbers for all current Non Discharge permits for this facility
r�
Page 2 of 7
swl aNF-t 2Aug2a t o

NCGNEQ000 No Exposure Certification ,
Ex sure 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 ") 1t 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 M 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 X No
c Materials or products from past industrial activity ❑ 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 IN No
f Materials or products stored outdoors (except final products intended for outside ❑ Yes N 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 N No
the discharger
i Waste material (except waste in covered, non -leaking containers [e g , dumpsters]) ❑ Yes If No
I Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes D1 No
k Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X 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 O(No
(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 CK No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs) 1f 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 M Yes q ❑ No ❑ N/A
deterioration, or evidence of leaks?
,
b Is secondary containment provided for all exterior ASTs? If so, is if free of any IX Yes ❑ No ❑ N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SW 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 above ground 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 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 M NIA
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d Is secondary containment provided for hazardous substances*" designated in 40
❑ Yes 0 No N NIA
CFR §116?
e Are release valves on all secondary containment structures locked?
❑ Yes 0 No IN NIA
15) Hazardous Waste
a Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X 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
"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
SWU NE 12Aug2010

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? 0 Yes fX No
b Does your tacility have coal piles on site? ❑ Yes 30 No
c Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes M No
sawdust etc ?
d Does your facility have air emissions associated with its industrial activity (e g ,
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?
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 )
Perms Program
Permit Program
Permit Program
Permit Program
Permit Program
Permit Program
Permit Program
, 4
t
Page 5 of 7
SWU NE 12Aug2010
❑ Yes (X No
❑ Yes ❑ No M NIA

NCGNE0000 No Exposure Certification
17) Certification
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 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 certif o Exposure and of 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 lr�m the faality 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
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 Vickie Dudick
Title
(Signature of Applicant)
4 Jul '" � (D e @i
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 B(t) 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 fn a rufemaking 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
SWU NE 12Aug2010

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following Items
® This completed application and all supporting documentation
® A map with the location of the facility clearly marked
N 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
[phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
Central Office
[phone]
Page 7 of 7
SWU NE 12Aug2010

Location Map of FMS #11

Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
Augus123 2002
VICKIE A DUDICK
NC NAT GD- FAYETT OMS#] 1
4105 REEDY CREEK RD
RALEIGH NC 27607
Alan W Klimek P E Director
Division of Water Quality
r
i
i..0 2 9 K
i J
Suhjeet NPDES Stormwatcr Permit Renewal
NC Nat Gd- Fayett Oms#1 I
COC Numbtr NCG080544
Cumberland County
Dear Pi rmittee
In re`ponst, to your renewal application for continued cove,ragi, under general permit NCG080W0, the Division of
Water Quality (DWQ) is forwarding hertwith the reissued stormwater gc.nt ral permit This pexmil is reissued
pursuant to the requircmc,nts of North Carolina General StalutL 143-215 1 and the, Memorandum of Agreement
tie.lwe+.n tht, state of North Carolina and the, U S EnvirontnLntal Protection Agency, dated D"t-mbe r 6, 1983
The, following information is included with your permit package
A new Certificate of Coverage
A copy of General Stormwatcr Permit NCGO80000
A copy of a 1 ethnical Bulletin for the, general permit
Your coverage under this general permit is not transferable except after notice to DWQ The Division may require,
modification or revocation and reissuanee of the Certif ieate at Coverage Thit permit does not affect the legal
requirements to obtain other permits which may be mquired by DENR or relieve the permitter, Irom responsibility
for compliance with any other applicahli, ILderal state, or Icxal law, rule, standard ordmance, ordt,r judgment or
di,t.rct.
It you have any qutsuom regarding this pt rmit package please, contact Dclonda Alexander of the Central Oflicc,
Stormw itLr and General Permits Unit at [phone], r.xt 584
Smeerely,
Ley
Bradley Bcnnctl Supervisor
Stormwatcr and General Ptxnuls Unit
a. Central FilL%
Stormwatcr & Gi nt,ral Permits Unit Files
Fayetleville Regional Offiu.
eMn
NCDENR
N C Division of Water Quality 1617 Mail Service Center Raleigh NC 27699 1617 [phone] Customer Service
1 B00 623 7748

wArERQG
rJ
A A 1
VICKIE A DUDICK
NC NA I CfD FAY] I I & ()MS#1 f
4105 REEDY DY CRI-LK RD
RALEIGH NC 27607
DL it I'LI Ill111LL
Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
Gregory J Thorpe Ph D
Acting Director
f Division of Water Quality
DLLLIlIhu 27 2001—�-
FEB 2 7 2002
SuhILU NPDCS Storn1w itu Puntit RLnLW it
NC NA t GD FAYL 1-1 & (W-M 1
COC Nutnht,r NCGO80544
CunlhLrl Ind Cotmly
You[ I ILlllty IC LI1r1U1tIV LO%LILd ]Or Stnrnn, ILLC dISLII trlTL Ulldt-r (lcllcr it PLI snit NCG080000 I III,, I)LIi LCI)nL5
on ALIOLIq 31 2002 [hL Division ,talf IS c.urtuntly In thL ptoLLti, of IL'lilting MIS pLrnill Intl 1, SLIIL(ILIILcI to 11 I%L
Ill,, pLlnul 105sIlul h) IaIL SurnntLl of 2002 OIILL thL punllt Iti ILISS11Ld your I Iu11ty would hL L114,1I11L 101
LontrnuLci Lo,.LngL unckr OIL rLi�ulLd pump
I11 or(IL.1 to ISSLIIL yunr LOCI tInLILd L(riu I4,L tin LILr IIIL OLIM Il pL1 nut you IIIIISI Ipply to 014- DIVIS1un of W ItLI
Quallly (DWQ) for ILnLII it of }our pLnnu unLl IgL I o m ikc tltlti rLIILw 11 ploLLss L ISILt wL art, inlormnt4, vuu In
idvanLL th It )Our pernilt will hL LNpirin, I n(10i you will lint a Gencr II Pcrni CoNLrage Rtni ltial
AppliL ition Form I hL IpplIC Mon must IN, LomplLti d Ind ILttnnLd by NI irLh 4 2002 Ili ordLr to ISurrL LonllnLILd
LOVLr IgL undLr thL ;�Lnu Il pL1n11t
I- IIIL1rL to rLLIL14-Sl rLllLw 11 11 Ithin thlS tllllL pLrlod Ill ty rLttllt Ill I Lid 11 dSSLSSI1IL111 of IL It, ISL $25O 00 Larocr
pt,n ilULs m iy hL ISSLSSLd (ILpLnding on 1hL dt,hn(ILh M-y of IhL it,duLSt DiSL.h irgL of ,toi 11w Our tram your t ILr1Ily
wtthnul L0VL1 14TL undLr a v ill(]rtoi nlwatu NI'DES IXI11111 wteuld Lon,tllutL I %iol ition of NCGS 141-215 1 ind
Llluld iL.ult in 01 Ill It pcn IIIILI, of up to $10 000 pu d ty
PlL tSL notL th it icLu1C IcdL1 11 ILgIS1 Icon hat cXIL ICIL(I IIIL 110 LXpuSurL LYLluSion to Ill upLl ItOl S 01 t11dLISt1 t II
I IL.PubILS 111 Illy 01 OIL I I L ItLgu11LS 01 SIIiIi1l vtatLl dlSLll Irk'LS iSK1LI itcd with 1nduS(rl 11 If tillt) ((xLLpt
LOnStIL1cl1011 101llLS) II )uU ILLI lOUr IaLtht} Lan ( ii rlify a LO11(1111011 01 CIO LXpOSnrL. I L IIIL I,ILllly HICIL1Slt1 11
Ill Itch it,, Ind lipL1 111011b IrL not LxpoSLd to SIorinw IIL.r VOL] L In ipply ioi tilt, no LxpoSurc LxLILIStoll I'Or ld(htiull II
111f011n I1111n L0I1I10 11L CL1111 11 OIIILL SIoinIW 1lLr Slatl tnLmhLi IISILd hLI1Iw or LhLLk Ill(- Stnlnlw 11Lt it, GALL 11
PLIn)ItS Unit WLh SILL it hltp //112o Lnr St itL ILL u,,luihlorniw Ili 1111111
If lhL u1hILL[ SlorniwatLr dtu.h ngc to walLr,, of thL tit Itt, h I,,hcun turriun tlud ptL 1SL LomplLtL thL L11LIOSLCI
RcSL1Sti1Un KLIItILSt Norm M 111111 I11StILKA11011S ILL 11.1Ld oil tilt, 110110111 Of thL ioinl You will ill nlltlflLd Whun 111L
rL,ui,.tiion 111OLLY, h IS hUrl LomplLtLd
It y011 h M, Illy LILh SlionS rL.g tlding thL purillil runt,u It pIO(AAL rLS pIL ISL L011i ILt RILk} RLkLIS ut OIL, havLtIL%111L
RL4,ion it OIIrLL al 910 486 1511 or DLlulld I AILx indu of IhL CLntrit UtIILL SlurnlW IILr Unit it (919) 713 508'i
Lit 584
SinLULly
131 idlLv f3utnL11 Supuviuir
StOi LIM i1Lt Ind GLnLI it PLI [lilt~ Unit
LL C.LnIr II I^11LS
I tyLllLvilk, RLe1111Ii1 OIIILL
e��
NCDENR
N C Division of Water Quality 1617 Mail Service Center Raleigh NC 27699 1617 [phone] Custorner Service
1 800 623 7748