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NCGNE0468_COMPLETE FILE - HISTORICAL_20120309
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE DOC TYPE OXHISTORICAL FILE DOC DATE ❑ ��I ci, � I YYYYMMDD F \N r$ ,�Q Beverly Eaves Perdue, Governor Or Dee Frccwan, Sccretxry PNortlr Carotiml Departmeni of Environment nod Natural Resources Cobras H. Sullins, Director Divisirns orWater Qualit), SURFACE WATER PROTECTION SECTION PERMIT NAME/OWNERSI-111' CUANGr FORM I. Please enter the pumit number i'or which the change is requested. NPDES Permit (or) Certificate of Coverage N C S 1 0 _I I N I C I G N L 1 6 11 8 11. Permit status jjLtor to requested change. a. Permit issued to (company name): } ID Suzy Plumbing/HVnC, Ltd b. Person legally responsible for pertnrt: Susalt _ 13ecrs First 'mI uml Sr. Director - GI-1S Title 3100 Cumberland Blvd — tNIS 1226 Permit € Ioldcr \flailing Address Atlanta GA 30339 Cily Slate Zip (770) 852-9030 (866) 580-9560^ Phone Fns C. Facility name (discharge): 1-11) Supply Plumbin r/f-1VAC, Ltd d. Facility address: 19442 Airport Rd Address Monroc NC 28110 City strste Zip c, facility contact person: Ralph Goosch (70,1) 283-9868 First / M I / Last Phone 111, Please provide the following for the requested change (revised permit). a. IZCgUCSt f01' change 1S a I'CSldl Of: Change In ownership of the facility Namc change of- the facility or owner f olher pieave eyplahr: 1). Permit issued to (company name): C. Person legally responsible for permit: c. Facility address:- 1'. Facility contact person: 1-1'6=1 Curporatialt Uavid \1'. Beale First \fll Lam Risk tVlanaecr - 'I'itic 127 Coulter Avenue Permit I lolder Nlailing Address Ardmore PA 19003 City Slflle Zip (484) 708-1843 dbealcfq�hajocn.cotn Pltanc F-mail Address Hughes Si 1942 Airport Rd. Address Monroe NIC 28110 City stale zip Ralph Goosch First NII Last (704) 283-9868 ralph.goosch [r huhessupplv.com Phone E•mnil Address Revised 80D8 ,r PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 IV, Permit contact inlbrntation (if diflcrerlt from the person legally responsible for the permit) Permit contact: first \4I Last Title \tailing Address City State "Lip 1'11011c I -mail Address T V. Will the permitted facility conlinue to conduct file Sallie industrial activities condlicted prior to this ownership or value change? ® Yes ❑ No (please explain) V1. Required Items: '111IS APPIACA'PION WILL 13E RETURNED UNPROCE.SSE) IF 11I-AIS ARE INCOiN'IPI.,F,'I'1? OR NUSSING; ® This completed application is required for both name change and/or ownership change rcgtlCSiS. ® Legal documentation of the trall'Al' Of O\\'I1Cl'Shll) (5Uch as relevant pages. of a contract decd, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient fir an ownership change. The ccrtificatiotls MOW must be completed and signed by hoth the permit holder prior to the change, and the new applicant in the case of ail ownership chatige request. For a name change request, the signed Applicant's certification is sufficient. PERNII'I'TEE CER'I'IFICA'I'ION (I'ertni( holder prior to ownership change): 1, Susan Beers, attest that this application Fora name/olwilership change has been reviewed and is accurate and complete to the hest of my knowledge. I understand that Wall required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as iilcomllle[e. 3/7112 Signature Date APPLICAN''I' CFRTIFICA'I'IOiN 1. David_W. Belle, attest that this application for a panic/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application packag, will e returned as incomplete. ,-;317112 Signature Date _ .. .............. —, ................ 1)LEASE'' SI'N1) '1'1I E C0m1'l,l?TE APPLICATION PACKAGE '1'0; Division of Watcr Quality Surface Water Protection Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Revised 712008 CONFIDENTIAL PURCHASE AGREEMENT BY AND AMONG HD SUPPLY, INC. AND HD SUPPLY HOLDINGS, LLC as Sellers AND HAJOCA CORPORATION as Buyer Dated as of August 25, 2011 EXECUTION VERSION PURCHASE AGREEMENT This PURCHASE AGREEMENT, dated August 25, 2011 (this "Agreement"), is made and entered into by and among FID SUPPLY, INC., a Delaware corporation (''HD Supply"), HD SUPPLY HOLDINGS, LLC, a Florida limited liability company (`'Holdings", and collectively with HD Supply, "Sellers", and each, individually, a "Seller"), and HAJOCA CORPORATION. a Maine corporation ("Buyer"), Sellers and Buyer are sometimes individually referred to in this Agreement as a `'Party" and collectively as the "Parties". WHEREAS, Sellers own all of the issued and outstanding equity interests (the "Company Equity Interests") of HD Supply Plumbing/HVAC, Ltd. f/k/a Hughes Plumbing Supply, Ltd., a Florida limited partnership (the "Coif" ). WHEREAS. the Company is in the business of distributing (a) plumbing fixtures, faucets. pipes, valves, and fittings, and (b) heating, ventilation and air conditioning parts and supplies; WHEREAS, certain Affiliates of Sellers own certain assets listed on Exhibit 1.](a) (the "Additional Transferred Assets") that are primarily used in the Company's business; WHEREAS, the Parties desire to enter into this Agreement pursuant to which (a) Sellers will sell to Buyer, and Buyer will purchase from Sellers, the Company Equity Interests and (b) Sellers will cause certain of their Affiliates to sell to Buyef, and Buyer will purchase from such Affiliates of Seller, the Additional Transferred Assets, in each case, on the terms and subject to the conditions set forth herein. NOW, THEREFORE, in consideration of the foregoing and the respective representations, warranties, covenants, agreements and conditions set forth in this Agreement, and intending to be legally bound hereby, each Party for itself only hereby agrees: ARTICLE I DEFINITIONS Section 1.1 Definitions. The following terms, as used in this Agreement, have the following meanings: "Affiliate" of any specified Person means any other Person directly or indirectly controlling or controlled by, or under common control with, such specified Person. "'Business" means the business of distributing (a) plumbing fixtures, faucets. pipes, valves, and fittings, and (b) heating, ventilation and air conditioning parts and supplies, as currently conducted by the Company, including the Additional Transferred Assets. "Business Day" means any day except Saturday, Sunday or any days on which banks are generally not open for business in Atlanta, Georgia. IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed as of the date first above written. SELLERS: HD SUPPLY, INCH�. By: Name: Title: 5er�� V���l�s: Q-\e HD SUPPLY HOLDINGS, LLC ay:W c� Name: V 1 v\ - 'L}cue�hc c� Title: \j �r ��� e s; c\c•��c BUYER: HAJOCA CORPORATION 0 Name: Title: Signature Page to Purchase Agreement IN WITNESS WHEREOF, the Parties have caused this Agreemcni to be executed as of the date first above 'written, SELLERS: HD SUPPLY, INC. By: Naine: Title: HD SUPPLY HOLDINGS, LLC By: Name: "Title: BUYER: I-IAJOCA CORPORATION By: Name: Christopher Pappo `hitte: Vice President and Chief Financial Officer Signature Page to Purchase Agreement v mkv�zw� ia NCDEN North Carolina Department of [environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director February 24, 2009 Mr. Ralph Boosch, Branch Manager HD Supply — Carolina Distribution Center 1942 Airport Road Monroe, North Carolina 28110 Subject: No -Exposure Compliance Evaluation Inspection HD Supply — Carolina Distribution Center No -Exposure Certification No. NCGNE0168 Union County, NC Dear Mr. Boosch: Dee Freeman Secretary Enclosed is a copy of the Compliance Evaluation Inspection report for the No -Exposure inspection conducted at the subject facility on February 20, 2009, by Mr. Michael L. Parker with this Office. Thank you for your assistance and cooperation during the inspection. 11 The summary portion of the inspection should be self-explanatory. Your company has a No - Exposure Certification request currently under review by the Division. Observations by Mr. Parker during his visit indicate that your facility would qualify under the Division's current definition of exposure (a copy of this exposure definition was provided during Nir. Parker's visit). Such being the case, this Office will recommend to our Central Office that your request for a No -Exposure exemption be approved. If you have an -,.- questions, comments, or need assistance with understanding any aspect of your permit, please do not hesitate to contact Mr. Parker at (701) 663-1699, S>ncerely, Robert B. Krebs Regional Supervisor Surface Water Protection Section Enclosure cc: Shelton Sullivan — NPS/ACO Unit Mooresville Regional Office Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: (704) 663-1699 1 Fax: (704) 663-6040 1 Customer Service: 1-877-623-6748 Internet: www,ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer— 50% Reeycledl10% Post Consumer paper One NorthCai-olina �1 naturally v ® Division of Water Quality 0 Division of Soil and Water Conservation ❑ Other Agency Facility Number : Facility Status: Active Permit, NCGNE046 Denied Access Inspection Type: Stormwatgr Inactive or Closed Date: Reason for Visit: Routine County: Union Region: Mooresville Date of Visit: 02/20/2009 Entry Time:0930 AM Exit Time: 09 50 AM Farm Name: HD Suool Plum ina/HVAC LH(3-0910) Owner: Hd Su I Incident #: Owner Email: Mailing Address: 3100 Cumberland Blvd Ste 1700 _, Atlanta GA 30339 Physical Address: 1942 Abort Rd Monroe NC 2110 Facility Status: ® Compliant ❑ Not Compliant Integrator: Phone: 407&22-2822 Location of Farm: Latitude: I Longitude: Question Areas: Certified Operator: Operator Certification Number: Secondary OIC(s): On -Site Representative(s): Name Title Phone 24 hour contact name Ralph Goosch Phone: Primary Inspector: Michael L Parer Phone: 704- 941699 Inspector Signature: Date: Secondary Inspector(s): Inspection Summary: Inspection conducted for No -Exposure (NE) Certification on 212012009. No outside sources of exposure were observed, which woufd prohibit the issunace of a NE Certification. Facility will be recommended for issuance of a NE Certification with recertification due every five years from date of NE issuance. Page: 1 MCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins D e F 8e?nan Governor Director. Secretary February 16, 2009 F I_ B 2 4 2008 Mr. Mark Laubach HD Supply DYiI&S r ace'Ala#ei Prcl�xflon 3100 Cumberland Blvd., Suite 1700 Atlanta, GA 30339 Subject: No -Exposure Certification NCGNE0468 HD Supply Plum bing/HVAC=(-HG09-10)— 1942-Airport-Road7Monroe; NC— LCO LA r5c�ti� -Union County Dear Mr. Laubach: (l,�.lcr� 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 permit coverage number NCG030568. 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 (February 20, 2014). At that time you must 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 Brian Lowther at (919) 807-6368, or at brian.lowther@ncmail.net. Sincerely, for Coleen H. Sullins cc: Mooresville Regional Office Stormwater Permitting Unit No- Exposure Files Stormwater Permitting File NCG030568 Fran McPherson -Budget Office Wetlands and Stormwater Branch One 1 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 NorthCarollna Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 - Phone: 919-807.63001 FAX: 919.807-64941Custom��tur�lCy er Service: 1-877-623-6748 Internet: www,nowaterquality.org An EmW Qnnoriunh 1 Affirmative Artion Fmndovrr NC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr. Marls Laubach HD Supply 3100 Cumberland Blvd., Suite 1700 Atlanta, GA 30339 Dear Mr. Laubach: Division of Water Quality Coleen H. Sullins Director February 16, 2009 Subject: No -Exposure Certification NCGNE0468 HD Supply Plumbing/HVAC (HG0910) 1942 Airport Road, Monroe, NC Union County 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, 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 permit coverage number NCG030568. 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 (February 20, 2014). At that time you must 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 Brian Lowther at (919) 807-6368, or at brian.lowther@ncmail.net. Sincerely, ORIGINAL SIGNED BY for Coleen H. Sullins PICKLE cc: Mooresville Regional Office Stormwater Permitting Unit No- Exposure Files Stormwater Permitting File NCG030568 Fran McPherson -Budget Office Wetlands and Stormwater Branch One 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCarolina Location: 512 N. Salisbury St, Raleigh, North Carolina Service: ;!aturally Phone: 919-8-$07-fi3001 FAX: 919-807-64941 Customerr Service: 1.677-623-6748 Internet: www.ncwaterquality.org An Frnral Onnorhmilv4 Afgrmalive Action Fmnlover WARVIT MM A 0 ,r*'A Division of Water Quality 1 Surface Water Protection NCDENRNational Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion i\ CGN E0440 NO EXPOSURE CERTIFICATION FOR ACFNM' USE ON4Y }?ate Rocmrd YcnrI Mantis ' Da 0-7 1 t v o cmific= of co%vmf :'r IN�CIGINI 0 lv National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based on NO EXPOSURE: Submission of this No Exposure Certification constitutes notice that your facility does not require permit authorization for its 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. 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 produc4 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 e) In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not individual outfalls. if any industrial activities or materials are, or will be, exposed to precipitatic facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposui Certification form, you certify that a condition of no exposure exists at this facility or site and a, obligated to comply with the terms and conditions of 40 CFR 122.26(g), You are required to reawly for the No Exposure Exclusion once every five (5) v For questions, please contact the D WQ Regional Office for your area. (See page 5) (Please print or type) 1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed): Name HID Supply Attn: Mark Laubach Street Address 3100 Cumberland Bivd., Suite 1700 City Atlanta State GA ZIP Code Telephone No. 407 822-2822 Fax: 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. SW U-N E-060607 HD Supply Piumbing/HVAC (HG0910) Ralph Goosh 1942 Airport Road Monroe 30339 State NC ZIP Code 28110 Union (704j 283-9868 Fax: (704) 282-0396 Page 1 of 5 Last revised 06/06107 NCGNE0000 No Exposure Certification 3) Physical location information: Please provide a narrative description of how to got to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). From Charlotte on US 74E toward Monroe, tum right onto N. Rocky River; Approx. 0.7 mile, turn right onto old Charlotte; 0.7 miles, tum left on airport; faOity at intersection. (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? © Yes Jy No 5) Is this a Federal facility? El Yes iK No 6) Latitude 35° 1' 52` Longitude 800 36` 59` (deg, min, sec) 7) This NPDES Permit Application applies to which of the following: Eii New or Proposed Facility u Existing Date operation is to begin Date operation began 8) Was this facility or site ever covered under an NPDES Stormwater Permit? El Yes F4 No If yes, what is the NPDES Permit Number? 9) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 4 2 2 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: Loading and unloading construction materials, liquids, equipment in distribution center and paved parking areas. M 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? IX No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility. Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where 0 Yes IX 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 c. Materials or products from past industrial activity d. Material handling equipment (except adequately maintained vehicles) e. Materials or products during load inglunloading or transporting activities f. Materials or products stored outdoors (except final products intended for outside use [e.g„ new cars] where exposure to stormwater does not result in the discharge of pollutants) Page 2 of 5 © Yes X No * Yes Z No ❑ Yes 5Z No 0 Yes X No * Yes [9 No SW U-NE-060607 Last revised 06/06/07 NCGNE0000 No Exposure Certification 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 5D No the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) 7 Yes 0 No j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 0 No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes 5� 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 is"r] No (i.e., not closed and stored upside down to prevent precipitatJon accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes 0 No stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No deterioration, or evidence of leaks? NIA b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? NIA 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 single above ground storage containers ❑ Yes ❑ No (including drums, barrels, etc.) with a capacity of more than 660-gallons? NIA b. Is secondary containment provided for above ground storage containers stored ❑ Yes © No in close proximity to each other with a combined capacity of more than 1,320- NIA gallons? c. Are release valves on all secondary containment structures locked? NIA ❑ Yes ❑ No Page 3 of 5 SWU-NE-060607 Last revised 06/06/07 NCGNE0000 No Exposure Certification 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes icy No b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste 0 Yes 0 No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste 0 Yes M 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: Waste Aerosols, Waste Flammable Liquids, Waste Corrosive liquids How is material stored: Covered and sealed in plastic drum Where is material stored: Hazardous Materials Storage Area inside warehouse How many disposal shipments per year: 4 times per year Name of transport / disposal vendor: 3E Vendor address: 1-800-451-8346 16) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for dalming a condition of "no exposure" and obtaining an exclusion from NPOES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to lndustrial activities or materials from the industrial facility or site identified in this document (except as allowed Under 40 CFR IU.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality 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 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 avaifabte upon request. In the everit 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 ail 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 responstble for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete_ f am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 1 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: AAne— L-gc"aAa Title: eHS AVA "4f'-'C (Signature of Applicant) �d7 G (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NGDENR 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. Page 4 of 5 SWU-NE-060607 Last revised 06/06/07 NCGNEOOOO No Exposure Certification North Carolina General Statute 143-215.6 $(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document riled or required to be maintained under this Artizle 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 fna^.,curate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the (Environmental Management] Commission implementing th'ss 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. Final Checklist This application should include the following items: 0 This completed application and all supporting documentation. 13 A reap with the location of the facility clearly marked. Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 'Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DWQ Regional Office for your area. DWQ Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 77 1-5000 Central Office .........(919) 733-5083 Page 5 of 5 SWNE-060607 Last revised 06/06/07 S 0 Modified from www.trails.com . fakers, NC 7.5' U.S.G.S. TOPOGRAPHIC MAP 35°24'51.71"N 80°36'58.77"W Environmental Resources Management 6455 S. Yosemite St., Suite 900 Greenwood Village, CO 80111 (303)741-5050 HD Supply Store No. HGO910 Figure 1 1942 Airport Road Project No: 0051420 Monroe, NC 28110 L 2 Annotated Site Map Business Name: HD Supply Site Address:1942 Airport Road Figure 2 (HG0910) Monroe, NC 28110 :A H {' I) E V G H I t - Parking did - - - (Paved) a11dtte zT b Outfall 001 35'01'47"N 4 SfY 36'52"W _ HG 0910 ,s Grassy Area Asphalt for Expansion Paved Are • �i Legend K--m- Fence/Barrier Adjacent Property Property Boundary Drainage Flow �- Doors Roll -up Doors 1 r Driveway/Gate .Pervious Areas Storm Drain Trash Dumpster Concrete Spillway Q Standpipe kale: Not to Scale hawing Date: 09/26/07 Letter of Transmittal DATE: 09 / 27 /07 PROJECT NUMBER: 0051420 ATTENTION: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 WE ARE SENDING YOU: ® Attached ❑ Under separate cover via: ❑ Draft Report ❑ Analytical Results ❑ Other ® Final Report ❑ Drawings ❑ Samples ❑ Copy of letter ❑ Change order ❑ Proposal COPIES DATE NO. DESCRIPTION 1 09/27/07 11 1 No Exposure Certification THESE ARE TRANSMITTED AS CHECKED BELOW ❑ For approval ❑ Approved as submitted ® For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ Forbids due REMARKS: Environmental Resources Management 6455 S. Yosemite St. Suite 900 Greenwood Village, CO 80111 (303) 741-5050 (303) 773-2624 (fax) r'` �? spuenaty4 +sand tf - ❑ Resubmit _ copies for appro ❑ Submit — copies for distribut ❑ Returned _ corrected prints LI ❑ Prints returned after loan to us ❑ (Other) Please find the attached application for No Exposure Certification for the facility located at 1942 Airport Road in Monroe, NC. If you have any questions, please feel free to call me at 303.741.5050. COPY TO: SIGNED: HG0910 FILE ef4 Eric Graham If enclosures are not as noted, kindly notify us at once. Permit I Facility Number Name - Facilitl Address Facility City NCGNE0236 Green Fiber - Green Fiber 1007 Amble Dr Charlotte No -(Dee N C National se. NCGNE0376 Guard - NC Nat Gd- Belmont 300 N 6th St Belmont N C National s NCGNE0389 Guard - NC Nate Gd-Gastonia 2100 Robinwoo Gastonia OK`iSBC NE0511 I Fourth Creek vvjlfTp 693 Belt Farm fjStatesville No-(JL IHdqunniv -Hr)I I -- - -- RvmNng1HVAC HG 0910 1942 Airport Rd Monroe The PepsiBottling GroupNCGNE0472 WK Inc - The Pepsi Bottling Group, Inc. 5047 Hwy 24-21 Midland elf City of NCGNE0456 Statesville - Statesville-41h Creek WWTP 693 Bell Farm ,Statesville I NO-(JL) Jack B Kelley Inc- Jaok B. NCGNE0467 Kelley - Charlotte �6108 Terminal Old Mt Ho Charlotte QK'(MP) Land O'Lakes - NCGNE0476 Land O'Lakes Purina Feeds, LLC 173 McNess R Statesville No -(Wes Bell City of Gastonia NCGNED480 - Long Creek WWTP 3000 Long Cre Dallas No -(Wes Bell City of Gastonia NCGNE0481 - Crowders Creek WWTP 5642 S York Rd Gastonia I No -(Wes Bell