NCGNE0399_COMPLETE FILE - HISTORICAL_20080620

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
i�HISTORICALFILE
DOC DATE
❑ a bV� 'b j4a]
YYYYMMDD

Ms. Vickie Dudick
NC National Guard
4105 Reedy Creek Road
Raleigh, NC 27607-6410
Dear Ms. Dudick:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
J U N Z 29nS
NC DLENR MR0
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Subject: No -Exposure Certification NCGNE0399
NC National Guard -Mooresville
720 North Broad Street, Mooresville
Iredell County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above
referenced facility, the Division is granting your conditional exclusion from permitting as provided for under 40
CFR 126.22(g), which is incorporated by reference in North Carolina regulations. We are also hereby.
rescinding your current Certificate of Coverage NCG080560.
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 (June 30, 2013). At that time you most re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain
environmental permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
t
for Coleen H. SYins
cc: Mooresville Regional Office -Samar Bou-Ghazale DWO Central Files — w/attachments
Stormwater Permitting Unit Files Fran McPherson -Budget Office,
NCGO80560 Permit File =PA
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 . [phone] Customer Service
1-877-623-6748

Re: National Guard No exposures
Subject: Re: National Guard No exposures
From: Samar Bou-Ghazale <[e-mail]>
Date: Thu, 22 May 2008 16:58:03 -0400
To: Sarah Young <sarah.young r)ncmail.net>
Sarah,
I inspected today The NC National Guard in Taylorsville(NCG080569), Newton
(NCG080504), Kings Mountain (NCG080554), Lincolnton (NCG080494), and
Monroe(NCG080499). All of the above facilities have no exposure to Stromwater. I
did not inspect Albemarle (NCG080531) because it have seen enough of these facilities
and I believe that Albemarle facility is similar to all other facilities. On the
other hand, Mooresville, Gastonia and Belmont facilities have been inspected by Alan
Johnson previously and these facilities have no exposure to stormwater as well.
Sorry for the delay, but we have a lot on our plate.
Take Care
Thanks
samar
Sarah Young wrote:
IPlease respond on the remaining National Guard No Exposures by the end of this
week if possible. Thanks for all your help! -Sarah
Samar Bou-Ghazale - [e-mail]
Environmental Engineer II
North Carolina Dept. of Environment
Div. of Water Quality
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: (704)
& Natural Resources
663-6040
1 of
6/19/2008 1031 AM

of wn rfq
oa o� Permit Coverage
Rescission Request Form
° National Pollutant Discharge Elimination System
General Permit NCGO80000
A�o
Certificate of Coverage Number
NCGO80560
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Facility Information
Facility Name: NC Nat Gd- Mooresville
Facility Physical Address: 720 N Broad St
Mooresville, NC 28115
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Permit Information
Permit Contact: Vickie A Dudick
Mailing Address:* 4105 Reedy Creek Rd
Raleigh, NC 27607
Phone Number: xt` q19 J / l/ e f
Fax Number: 'ter
Email Address
* This is the address to which the permit rescission notice will be mailed
Reason for rescission request (this is required information):
00 CA
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG080560 under NPDES
Stormwater General Permit NCG080000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Please return this completed rescission request form to
VICKIE A. DUDICK
Director of Environment &
Natural Resources
FEB 2 8 2007
Date
Title
SW General Permit Coverage Rescission
Stormwater Permitting Unit
-1-617 Mail Service Center
Raleigh, North Carolina 27699-1617

N L C7 NE 03 22
United States Environmental Protection Agency Form Approved
9 Y OMB No. 2040-0211
NPDES ' ��� Washington, DC 20460
FORM `�►'
3510-11 NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
-- adequately maintained vehicles used in material handling; and
-- final products, other than products that would be mobilized in storm water discharges (e.g,, rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfalls. if any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed Instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: I C 2. Phone: �I>i �� �1411,�I l�+fd
3. Mailing Address: a. Street:*1 1 115 IK IF7F(,�IY I nki6b-Y1 I KP 11 I I I I h I I I hI I
b. City. RAA� 4CA i Ti L. I i I 1 I I I 1 I I I I I I c. State: XIC] d. Zip Code: 271.01 I7 I— 4 � I "I/r�
o. racmtyrane Location information 1 • A nn�
1. Facility Name: I101��1S1yI I I_LIt1 14 1
m0[11j�A1L1 16141AIAP I
2. a. Street Address: L k ZI 0t__ 10i Dj' `!_E141 1 61 10 1 A I 151I71 I I I I I I I I I I I I I I
b. City. I f40101RIL151 U1 f 1 4� 6 I I� r t: l I I I I I I I I c. county: I E* I1ZILII P &i LIL1 I I I
d. State: A_�" e. Zip Code: 171�1 I I I �— I I I I I
3. Is the facility located on Indian Lands? Yes ❑ No S
4. Is this a Federal facility? Yes ❑ No JA
5. a. Latitude: I M 0 L � , 1101
11 " b. Longitude: 0 1� 5 L0l(91
6. a. Was the facility or site previously coveredunder an NPDES storm water permit? Yes ® No ❑
b. If yes, enter NPDES permit number: N//'�O09000 0
7. SIC/Activity Codes: Primary: L 1-5f .5I Secondary (if applicable):
S. Total size of site associated with industrial activity: -3, -7 23 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No 91
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
- exclusion_ However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page 11 of 4

J FORM ���EPA NO EXPOSURE CERTIFICATION for Exclusion from OMBNPDES I No. 2Approved1
I 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.) If you answer "Yes" to any of these questions
(1) through (11). you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
❑
5. Materials or products during loading/unloading or transporting activities
❑
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
❑
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
tA
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
certify under penalty of taw 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.
1 certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every rive 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: i I I I 1 I I I I_ l l l l 1 1 1 y„I VI KIEIAL DUDICK i21 I I I 1
Print Title: I I I I I I I I I I I I I I I I I _I Natural Resources r I I I I
Signature:
Date: 0 2
EPA Form 3510-11 (10-99) Page 2 of 4