NCGNE0267_COMPLETE FILE - HISTORICAL_20060512

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
El HISTORICAL FILE
DOC DATE
❑ (/1l,Vlo CU i a
YYYYMMDD

Michael F. Easley. Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleco H. Sullins, Deputy Director
Division of Water Quality
May 8, 2006 LDGNR-FRO
Mr. John D. Berggren MAY 12 2M
Pinnacle Furnishings
10570 NC Hwy 21 East MID
Aberdeen, NC 28315
Subject: No Exposure Certification NCGNE0267
Pinnacle Furnishings
10570 NC Hwy 21 East, Aberdeen, NC
Moore County
Dear Mr. Berggren:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 10, 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 [e-mail].
cc: Fayetteville Regional Office
Stormwater Permitting Unit Files
Sincerely,
ORIGINAL SIGNED BY
KEN PICKLE
for Alan W. Klimek, P.E.
Central Files — wlattachments
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
NCD€NR
Customer Service
1-877-623-6748

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek,?. E. Director
Division of Water Qualiiy
Coleen H. Sullins, Deputy Director
Division of Water Quality
May 8, 2006
Mr. John D. Berggren
Pinnacle Furnishings
10570 NC Hwy 21 East
Aberdeen, NC 28315
Subject: No Exposure Certification NCGNE0267
Pinnacle Furnishings
10570 NC Hwy 21 East, Aberdeen, NC
Moore County
Dear Mr. Berggren:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 10, 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-permitteddischarge. 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 [e-mail].
cc: Fayetteville Regional Office
Stormwater Permitting Unit Files
Sincerely,
4_�) /0-4,4-it
for Alan W. Klimek, P.E.
Central Files - wlattachments
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
A
WDERR
Customer Service
1-877-623.6749

[Fwd: [Fwd: no -exposures
Subject: [Fwcl: [Fwd: no-expasures]J
From: Mike Lawyer <[e-mail]>
Date: Mon. 03 Apr 2006 13:18:11 -0400
To: Sarah Young <[e-mail]>
CC: Belinda Henson <[e-mail]>
Sarah,
I conducted a site visit at the subject facility on Friday March 31st. Facility dyes
aluminum for the framework of stools and chairs for casinos and assembles the
cushions and backing. No materials raw, finished or otherwise are stored outside.
Their dying operation is also under roof and rinse water is buffered and sent to a
bulk storage tank, which when filled gets discharged into the town's sewer system
pursuant to their pretreatment program. I wou commend proceedinca with the No
Expon. If you require more information, please contact me.
Thanks,
Michael Lawyer
Environmental Technician
NCDENR-division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
p: [phone], ext. 729
f: [phone]
Subject: [Fwd: no -exposures]
From: Belinda Henson <[e-mail]>
Date: Thu, 23 Mar 2006 16:40:28 -0500
To: Mike lawyer <[e-mail]>
FYI
thanks.
Belinda S. Henson
Regional Supervisor
NC DENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
[phone]
Subject: no -exposures
From: sarah young <[e-mail]>
Date: Thu, 23 Mar 2006 15:53:42 -0500
To: Belinda Henson <[e-mail]>
Hi Belinda -
Here is a no -exposure
Sarah Young
__7
for your region. Please open it using adobe reader. Thanks,
1 of 2 5/8/2006 2:44 PM

�C&,Nf
Undpd States Emrironrnental Protection Agency SFfV6 �040 [?2�
[tIP�S Washington, nC 20460
f5oRM 110-11 EPA NO EXPOSURE CERTIFICATION for Exclusion f 4m p . W A-T
NPDES Storm Water Permitting a Stofnwratar
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does riot require permit autndrrzation for Its storm water
discharges associated with industrial activity in the State identified in Section 9 under EPAs Storm water Muf 6Sector General Permit due to the existence
Of acondnion or no exposure.
A Cordition of no oxposur9 exists at an industrial facility wncn al, industrial materials and actfvltles are protected by a storm resistant Shelter to prgWra
exposure to rain, snow, snowmeft, and/or runoff. industrial materials or activities include, but are not united to, material hanating equipment or activhles,
industrar macninery. raw materials. intermediate products. py-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 roquired for the following industrial materials and activities:
- drums, barrels, tank& and similar containers that arc zignty sealed, provided those containers are not deteriorated and do not leak-SealaT
means Danced or ometwise secured and whrtout operational taps or valves:
- adequately maintained vehicles used in material h5rrd!in9; and
-. final products, other than products that would be mobilized in storm w3tet alstharges (e.g„ rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure ewusion. In adahion, the exclusion from NPDES permitting is
available on a tacility-wide basis onty, not for individual outfalls. If any industrial activities or materials arc or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting Mls No Exposure Certification form, the entity in Section A is certitying that a condition of no exposure tadsts at its facility or site,
and is obligated to comply whh the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for corrtple:ting this total.and obtaining the no exposure exclusion are providled on pages 3 and 4.
A. Fbcility Operator Irrformation
t- Name: IP it 1mN1H lu L t 1rluL]lAILS, +J�!IJA 1S1 1 1 1 _1 1 _1 1 L l 2. Phone: f r t� ILtI ft f I ! �l / IUI?I
3. Me6ling Address: a• Street: !I I li 131 7A A t C i, 0 i W-i I l 4 �1 1 i I I I LA ST
I- I I I- I I ( 1 I I Lj c. State: N IC I d. zip Code: 1?1J 131 115 1- I I I I !
B. FMaity/Ske 1-0=10n trNor�mlattion Q +� J
1. Facllityhtame: IQ-�)�yI AAiA f%,-trylr_10119IMI�S, [1ITIA I I I I I I S- l I I _!
2 a. Sweet Address: Y Q i 5 Ac)i I NI Lit 16d I I I i e-11 i f? i 1- It S t e t 1 I I 1b. City: Id16ILIKID&IW`tl I _1 _l...L��I_l t � t L t _I _1 c,County: E
d. Statc: lr t( t e. Zip Code: 2 1'� 11 Ili -
3. is the facility located On Indian Land$? Yes ❑ No
C is this a Federal facility? Yes [[ No [� (�
5 a Lathuae: +1�?J b. Longitude: �IJ C�E ll
6. a Was the facility or site previously covered under an NPDES storm water permit? Y- ❑ Na ❑ P(val.
b. H yes, enter NPDES permit number. Y-
r tcy FuI C C vie d.cvr ow-70,
7, SIVActivityCodes: Primary: I�lgI% Setondary (if applicable)=
S. Total size of she associated with industrial activity: r eats
9, a- Have you paved or roofed over a formerly exposed. pervious area in order to quardy for the no exposure fexaiuJ lion? Yi35 ❑ 'No
b, p yes, please indicate approximately now much area was paved or rooted over. Completing finis question does not disqualify you for the no exposure
exclusion- However, your permitting authority may use this intorm uon in considering whether storm water Argos from your site are likely to have
an adverse impact on water quality, in wnien case you could DO required to obtain permit coverage.
Less than one acre ❑ Onelo five titres ❑ More than fiy6 acres ❑
EPA Form 3510-11 (14-99)
FEB I 0-20Ll6i
WATER OU 1'Y
we ode 8 tea`— tar &&�W h

^ -W
-r-S -;-M, -f*0zC
'/ � /17 v,

NPDES I 4ftEpA NO EXPOSURE CERTIFICATION tor Exclusion from Form Approved
1 FORM '"%0 OMB No. 2040-0211
10- ss1t NPO S Storm Water Permitting
C. Exposure Checklist
Are any of the tonowing materials or activities exposed to precipitarlon, now or In the foreseeable future?
(Please check oillhw "Yas' or''No' in the appropriate box.) If yov 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. Marsrials or rosiouais on the ground or in dorm water inlets from spins/leaks 12i
3. Materials or products from past industrial aGtrbily 11 1211"
4. Material handling equipment (excopt adoquately maintained vehiries) ❑
5, Materials or products during ldadingfunloading or transporting activties ❑
6. Materials or products stored outdoors (except final products intended for outside use (e-g new cart) where El D
exposure to storm water does not result in the discharge of ponulaws)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks. and simllar containers] CL.1
8. Material$ m products hmaieWstored on roads or railways owned or maintained by the discharger
Q. waste material (except waste in covered, non -leaking containers (e.g., dumpstars))
10. Application or dsposel of process wastewater (unless otherwise ponninaa) ]
11. pprticulale matter or viS:ible dePOSkS of reS+duais from roof stacks and/or vents not omerhwite rtagulated
(i.e under an air quakty control permit) and evident in the storm water outflow
Q. Certification statement
I certify under penalty of raw that 1 have read and understand the eligibility requirements for claiming a condition of 'no exposure"and obtaining an
txcfuslon from NPDE5 storm water permitting.
I Certify finder penaky Of law Thal atefc are no discharges of Storm Wartef Contaminated by expowre to indLtstrial activities or materiats from the industrial
fap'[ry or site ideniffiea in this document (except as Mloweauntwr 40 CFR 122.2f X2)).
I understand that I am oblig=a to submit a no wosure Certiticzifion form once every five years to the NPDES permhting authority and, if requested, t0
the operator of the local municipal separate storm sewer system (MS4) into which Irte facility discharges (where applicablo). 1 understand that I must _
allow the NPDES permitting authoray, or MS4 operator where the discharge is into the local MS4, to perform inspection$ to confirm the condhion of no
exposufe and to make Such inspection reports publicly av'd+7able upon fegrlest. I Understand that I must 0OWn coverage under an WDES porrrtil prior
to any point source discharge of storm water from the facility.
Additionally. I certify under penalty of law Chet chi$ document and all altacrtmeMs wore prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel prop" gat)rered and evaluated the iMormation suomltted. Based on my inquiry of the person or
parsons who manage the system, or those persons direcity reaponsibie for gathering the information, the information 8ubmitred is to the best of my
lawwledge and belief true, accurate and complete. I am aware that there are Significant penalties for submitting talse information, including the possibility
of One and irr>prisonrnent for knowing violations.
Print Name: 1311 U I1tt N1 I VI
Print Title:
Signature: 22
Date: loll I �ti} O (O
EPA Form 3510-11 (10-99) Page 2 of 4

3
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Copyright (C) 1998, Maptech, Inc

WlXS
Foram '�"
3510-11
\j
11nOW States Environmental Prolection Agency
WastfingtVn, DC 20460
NO EXPOSURE CERTIFICATION for Exclusion
NPDES Storm Water Permitting
C Q(�L90vL9
} - WAT nti
rMarsds &
Suotnission of this No Exposure Certification constitutes nalice that the entity identified in Section A does not requira permit aLlInOrrrxation for its storm water
d scnarges nssoLiatCtl with industrial activity in Me State identified in Section 8 tinder EPA's Storm vvatw moh-•Seetor General Permit dale to the exKlenCe
of a condition of no exposure.
A condition of no axpo9uro exists at an industrial facility when all indtlSTriat fnatBiriarS ai10 activftles are prnte0ed by a storm reSfStant grialtor to prevern
exposure to rain, snow, snowmeff, ardor runoff. industrial materials at activllies include, but are not invited to, maler;al hansAing equiprnLnt or activitles.
industrial machinery raw rreterlars, intermediate products, Dy-proowls, final credo to products. htErterol handling activities inctuda the storage,
loadrsg artd unloading, transportation. or conveyance of any rawer material, inteTfnt pr ct. final p*aveilar waste product. A storm resistant shetier is
not recoiled for the following indostriel materiala and activities;r f /
- drums. battels, MAWS. and Sifnilar contariptrs !Slat are Ugttty spalr`_d
means barded or OCf mfl a secured add wRnoul a perst;oftaL{aps or
adequmefy maintained vehicie5 us +n material h5tnc.4mvw, And
-. finat products, otner than prouucf that would be rnoNlize� irl storm
Ixsi deteriorated and do not leak "Sealocr
(e.g.. roc$ sat).
A No Exposure Cen;fiicatiWi must belprovided for each ta0aj "litying for the no FRp*svra o cclusidn. In addtrion. the exchmS urt from NPDES permitting is
available on a taciliry-wide basis onw, not for individudl 6tftla11s 11y rrk7lrglriat activities or mmtar(afs are or will be exposed to precipitation. utt; taalsty is
not eloble for the no exposure0rtdA.
Sy signing am subrivaing tnls No �sula Errnet�stion iorrn� the -entity in "e�t�ri A-i�cett tying that a condition of no Wosure exsts at its facility or site,
and iS onegated to comfy with the terms and -of'46 C 122.2ti(g).
ALL INFOPHATION MUST M PfiE3� ON THIS FORM.
Detailed instructions for eompfeting this form and obtaining the no emposure exclusion airs provltled on pages 3 and 4,
A. r-acility Operator Intorrmation
t- Nam: IR ` t I` _J _ I ! •>� (F 2. Phone: k�r t r I!r ! 1 F I �l f f )19I
3. Mailing A+1dd'r??e35: a- Strt0t: 11 16 i 31 7101 _ &N N I W. 1 1 f �i � � i �l �Sl t l I I I I I r _ i I f t !
I I I I I. I I I I _I i I C. stale: d. zip Coda: I[ l: 1 151-_3 1 11 !
$- FaeitiWS is Location Inionrtation
1. Facility!dame: 4
_A '
-ifi 1 �!{� F t J E %{�iC■}'
!
i#-y�
2. a. Street ad3ess: [ t) i &3 /j�-'1 ]`A6 III }lFi l 1 3 dI I i I F l fr l JJi I i I I
I i r__ I L-.L L J
b. City- (A L1 F- f_
f _ 1 f _ if . r I _I~ j I I f I
I C. County:
PSI 1010E KEI I_I L [._J
d-Staw tljr( a e.Z-VGode.
121'� I.7IISI - I I I_ I
3. Is the facility io=ed on Indian Lands?
Yes ❑ No
4. is this a Federal fat iJW_
Yes n No
s a Lati[ude: � � j �
b- Lorigavde: &-- t i P fI.f lY�t+r F
6. a VVa3 the facility or site previously covered under an NPDES storm vaattlr perm{V�
Yes El
No El AY) Pe(t - � cr
es, b. if yentQr NPDES permit Aumtlor
t e
l� iCocy
Fu, r i'� 3"° r ( Vie- if t`-r3
7. SIClActivny Codes_ Priamry: 12 151_1 19 Secandary�f(rt etpp1i able)_ } I I I
S. TW..ai size of ske atsoc sled with industrial aawty:
9- a- ttaae you paved or rooted over a krtnefiy exposed, pervious arm in order to 4uagy far Inc no exposure exGlu4ion?
11l9s ❑ NO iXl
b. If yes, pdoass irtdicW8 appr"imately how mutts area was paved or roofed over. C*nVWirlg this qucsllon does not disGualify you for the no rKpo5dre
a=lusfon. Hawewer. yote perrnMing Whoriry may use tras ;ntormaron in considering whether storm water cfi=% rgAs from yotiT site are W* to have
an adverse impact on water gummy, in wnict rase you could W required tp obtain permit cove 9e.
Less than one acre ❑
ePA Form 3510-11 (10-99)
One to five Acres ❑ Mvre lhea five acres ❑
LIC���W7
LFEB 1 o -;,ov5
FR - WATI<l� a

NPt3ES 4MNO EXPOSURE CERTIFICATION leer Exclusion from Form Aparoved
MRM OMB No. 204"9-11
3510-11 NPOES Storm Water Peril Ming
C, Exposure t7*cklist
Are any of time touowing materials or activitles exposed to precipite6on. now or In the forerieea*te future?
(Please chuck artrror'(cs' or"W in the appropriate box.) It you answer "Yes" to arty of these questions
(1) through (ltj, you are not eligible for the no exposure exvlusicm.
Yes NO
t. Using, storing or cleaning incliwiiat macninary or equipment, and areas wnera residuals from using, storing ❑
or cleaning industrial machinery or cquiprnem remain and are exposed to slam water
2. Materials or rasipuats on the ground or in storm water inMs from spitls/resks ❑
3_ Material5 or prodv= horn pas, industrial activity � j
4. Material handling equipment (except adequately ntairltaincd vehicm) ❑
5. Materials or products dewing loadingruntoading or ttanworling activities ❑
6. Materials or proaucis stored outdoors (except final products intended for oMide use (e.g, new cars) whore ❑
exposure to storm water does not result in the discr:arge of poittrtorns)
7, M;!redais coraained in open, deteriorated or leaking storage drums, barrots, tunas, and Similar containers ❑
B, Materials or products nmdLcWstored on reads or ra9ways owned or mat niained by the discharger ❑
9. waste material (except waste in covered. nor, -"keg Wrtainers (e.q., diimpitters)) ❑
10_ Application or disposal of process waswwalar(unless otlr*rYiu perntitta* El
11. Pur icutate matt&. or uisate dMosks of residuals from root stacks anWor vents to otherwiSO regulated ❑
(i.e.. urtdar an air quality control perrr*i) and evident in the StOTM water ourflvw
O. Certilication stateam"t
I certify Under penalty Ot Law that r have read and unaersmnd t€te eligtttility requirements for cl-airrting a condition of -no exposure" and obtainie g an
extluston from NPDES storm water permitting.
I certify under penalty of taw that Marc are no d-isatargcs of storm water contaminated by exposure to hVk Wrial activities or rnateriats trvrn the indrrB2621
taciCty or site identirreo in this document (except as allowed unoar 40 CFA 122-2ft)(2)).
I understand that I am ONigamcl to s zrnit a no exposure ceriikZion form once every fhre years to me NPOES permuting authority end, if raquovea to
Me operator of the focal municipol separate storm sewer system (USA) into wnicn lire taoity discharges (,whare appticabfe). I understand first I must
alfvw the NMIFS permuing atttlorim or MS4 operator where me dirSOW9e is into thft local MS4. to peAorm inspections to confirm the co Lion of no
exposure and to make $Wh inspection reports publicly available upon request. I understand that I must obtain cnvcrage under an NPi1ES perrtvt prior
to any point source d>sCharge of storm vaster from the fecility.
Additionally. I certify under penalty of mew that MiS Cocument and all attac hrnants ware prepared under ffV direction w supervision in accordance with a
system designed to assure that qual+fieo petsorind map" gatftered and ewoluwed the intprmation sudmtmd. Based on eery inquiry of the psrson or
persons who rnanage the system, or those persons directly responsible for gatnering the information, the information Suomk'red is to the best of my
I iw4etl9R and bGkd true, accurate and cornpWM- I sin aware that there are 6ignirieant penalties for subrriarfrtg tatse info rion, inct,dng the posse jjty
of fine and irrV65 n tent for knowing viotations.
Prim t4arrte; ffi 141 - 11) 1
Print Y,re
Signature:
Dale: L I { i 31 % 01(ai
EPA Form 351D-t1 (to-5;l9) Page 2 of 4

Pinnacle Furnishings, Inc.
Manufacturers and Designers of
fine Casino, Hotel and Restaurant Furniture
Sherry Augustin
Office Manager
Phone: [phone]
10570 NC Hwy 211 East Fax: [phone]
Aberdeen, NC 28315 Email: [e-mail]