NCGNE0491_COMPLETE FILE - HISTORICAL_20100514

S70RMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑HISTORICAL FILE
DOC DATE
a o�bl(�65 Jy
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYM M DD

NC ER
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 14, 2010
STEVE RUPPERT
PI_AN'1' N1tkNAGER
UTC FIRE AND SECURITY A.MERICAS CORP INC
3211 PROGRESS DR]VE
LINCOLNTON NC 28092'
Subject: Name/Ownership Change
Dee Freeman
Secretary
No Exposure Certification NCGNE0491
UTC Fire & Security Americas Corp., Inc
Formerly GE Security
3211 Progress Drive, Lincolnton, NC
Lincoln County
Dear Mr. Ruppert:
The Division has reviewed your submittal of the permit name/ownership change form for your No -Exposure Certification,
which we received on May 5, 2010. Division personnel have reviewed and approved your request to change coverage under
your Certificate of No -Exposure.
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 certification of no exposure does not affect your facility's legal requirements to obtain environmental pen -nits that may
be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
ORIGIN SIGNED BY
KEN PICKLE
for Coleen H. Sullins
cc: Mooresville Regional Office
Stormwater Permitting Unit Files
Wellands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 North C aro l i na
Location; 5-8 7 Salisbury : Raleigh, North Carolina Service:
Naturally
7604
Phone: 919-807-fi30©1 FAX: 919�a7-64921 Customer Service: 1-877-623-6748 +/
Intemet www.navaterquality.org
An Equal Opporlunity 1 Affirmative Action Ernlabyer

UTC Fire & Security G UTC Fire & Security
9 Farm Springs Road au sedT�n�escx=,oay
Farmington, CT 06034-4065
[phone]
May 4, 2010
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center LI
Raleigh, NC 27699-1617 MAY - 5 2010
RE: NCGNE0491
Dear Surface Water Protection Section
This letter is to inform the NC Surface Water Protection Section of change of the
ownership interest of the shares of GE Security, Inc. ("GE Security"), the
licensee, as a result of a Stock and Asset Purchase Agreement, dated November
12, 2009, between General Electric Company ("GE") and United Technologies
Corporation ("UTC"), by which UTC is purchasing the GE Security Business (the
"Transaction"). Under the terms of the Transaction, all of the shares of GE
Security have been transferred, effective as of the March 1, 2010 closing, to UTC
Fire & Security Corporation, a wholly owned subsidiary of UTC.'
Under the terms of the Transaction, the name of GE Security has been changed.
The new name is UTC Fire & Security Americas Corporation, Inc.
UTC Fire & Security Corporation anticipates no changes to program
organization, location, facilities, equipment or procedures. UTC Fire & Security
Corporation will continue operations under the license as currently authorized
without material change. UTC Fire & Security Corporation and GE Security will
abide by all constraints, conditions, requirements and commitments of the
licensee under the licensed program.
If you have any questions, please contact.
Christin Annie, EHS Manager (828-695-4058, christin.annieQfs.utc.com), David
Noe, EHSManager, EHS (434-978-6050, dave.noeQfs.utc.com)
Sincerely,

UTC Fire & Security
9 Farm Springs Road
Farmington, CT 06034-4065
[phone]
I WE
EHS Manager
UTC Fire & Security
p linked Technasogiae Comp"

F WN A
• Q 9QG Beverly Eaves Perdue, Governor
Dee Freeman, secretary
>_ North Carolina Department of Environment and Natural Resources
O 'C
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
i. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S O N Ct G I N I E 10 14 1 9 1 1
II. Permit status pLijor to requested change.
a. Permit issued to (company name): GE Security
b. Person legally responsible for permit: Steve Ruppert
` �TIE
First MI Last
0 rVN D Plant Manager
Title
5 2010
3211 Progress Drive
LDEN.n_-VWVtT0P
Permit Holder Mailing Address
-�AL�
Lincolnton NC 28092
URCE BRANCH
City State Zip
828-695-4020
Phone Fax
c. Facility name (discharge):
GE Security
d. Facility address:
3211 Progress Drive
Address
Lincolnton NC 28092
City State Zip
e. Facility contact person:
Christin Annie 828-695-4058
First 1 M1 / Last Phone
III. Please provide the following for the requested
change (revised permit).
a. Request for change is a result of:
❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
UTC Fire & Security Americas Corp., Inc.
c. Person legally responsible for permit:
Steve Ruppert
First MI Last
Plant Manager
Title
3211 Progress Drive
Permit Holder Mailing Address
Lincolnton NC 28092
City State Zip
828-695-4020 [e-mail]
Phone E-mail Address
d. Facility name (discharge):
UTC Fire & Security Americas Corp., Inc
e. Facility address:
3211 Progress Drive
Address
Lincolnton NC 28092
City State Zip
f. Facility contact person:
Christin Annie
First Ml Last
[phone] [e-mail]
Phone E-mail Address
Revised 8/2008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
W. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Christin Annie
First M1 last
EFTS Manager
Title
_ 3211 Progress Drive
Mailing Address
Lincolnton NC 28092
City State Zip
828-695-4058 Christin.annie a fs.ute.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
® Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
...................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Steve Ruppert, attest that this application for a name/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 package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I, Steve Ruppert, attest that this application for a name/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 package will be
returned as incomplete.
5 q
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

C201011100166
SOSID: 0667663
Date Filed: 4/21/2010 4:07:00 PM
Elaine F. Marshall
[north Carolina Secretary of State
C201011100166
State of i'lartlr Carolina
Department of the SecretAry of State
APPLICATION FOR AMENDED CERTIFICATE OF AUMORPi'Y'
Pursuant to §55-1 "4 of the Ocneral Statutes of North Catolina, the undersigned corporatlon hereby applies I& an Amended
Ccrtifleate of Authority to transact business in the State of North Carolina and fbr that ptupose submits the following statement.
1. The name of the corporation Is: GE Securi Ina
2. The name the corporation Is currently using in the State of North Carolina Is:
GH Security. Inc.
3. The state or country of incorporation is: Delawaro
4. The date the corporwlon was authorized to transact business in the Stat6 of North Carolina Is:
04101/2010
5. This appiication is filed for the following reason (complele'all applicable Items):
a. The corporation has changed its corporate name to:*
UTC Fire & Securi A+nericas Corporation: Ina _
b. The name the corporation will hereafter use in "State of North Carolina Is changed to:
.I
c. The corporation has changed its period of duration to: No Change
d. The corporation has changed the stato or country of its incorporation to: No Change
6, Attached is a certificate attesting to the change, duty authenticated by the secretary ofstate or other ofliclal having custody or
corporate records In the state ofcountry of Incorporation.
7. If the corporation is rr:qulmd to usq a fictitious name in order to transact business In this State, a copy of the resolution of Its
board ordirectors, certified by its secretary, adopting the fictitious naive is attached,
8. Thia application will be effective upon filing, unless a date ondtorjf tpc is spccltiod:
This the_J_day of n 2( l t)
OE Security,lno.
Name orcogwmtion
r
Signature
5 I Cam. {T"
'Type or Print Name and Tide
NOTES:
t. FilIq tte is $75. Phis apptltioton mnsi be; Aledwittt the Satsetasy of State.
2. + If the rame of she eorpomtian as changed h unavailebto for we in Norsk Cnmtbia, indlcom this racsand state the valve the corporation wishes to ttte in North
Camden on Sb. (See NCGS 155-I546)
(AavirrrrlanrwrylaQaj MUM 8-.1a/
Instructions for riling
CORPORATIONS DIVISION P. 0. BOX 24622 RALEIGH, NC 27626-0622
srca», sarxrooa cr rviCjwMmowot

C20.1011100166
Defaware
q-he First State
PAGE I
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THAT THE SAID "GE SECURITY, INC.",
FILED A CERTIFICATE OF AMENDMENT, CHANGING ITS NAME TO "UTC FIRE
6 SECURITY AMERICAS CORPORATION, INC.", THE FIRST DAY OF APRIL,
A.D. 2010, AT 4:55 O'CLOCK P.M.
3469499 8320
100398198
You may verify this certificate online
at corp.
delarare.Vir/authver.shtri
Jeffrey W, Buliock, Secretary of state
AUTHEN C TION: 7939621
,DATE: 04-19-10

Aga
NDENR
North Carolina Department of Environment and Nat
ural Re '►souFce-,l ,
Division of Water Quality
BeverlyEaves Perdue Coleen H. SullinsDee Free an
Governor Director FEB 2 4 200,7 Secretary
February 20, 2009
Mr. Steve Hannah',
GE Security DW&Srurface Water P[Cle( Alon
3211 Progress Drive
Lincolnton, NC 28092
Subject: No -Exposure Certification NCGNE0491
GE Security
3211 Progress Dr., Lincolnton, NC 28042
Lincoln County
Dear Mr. Hannah:
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.
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 19, 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 Robert Patterson at [phone], or at
[e-mail].
Sincerely,
A�J ie_le�
for Coleen H. Sullins
cc: Mooresville Regional Office -Michael Parker
Stormwater Permitting Unit No- Exposure Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 91M07-64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
None
irthCarolina
Naturally

North Carolina
Beverly Eaves Perdue
Governor
Mr, Steve Hannah
GE Security
3211 Progress Drive
Lincolnton, NC 28092
Dear Mr. Hannah:
MCDENR
Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
February 20, 2009
Dee Freeman
Secretary
Subject: No -Exposure Certification NCGNE0491
GE Security
3211 Progress Dr., Lincolnton, NC 28042
Lincoln 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.
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 19, 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 Robert Patterson at [phone], or at
robert. patterson@ncmail. net.
Sincerely,
ORIGINAL. SIGNED BY
KEN PICKLE
for Coleen H. Sullins
cc: Mooresville Regional Office -Michael Parker
Stormwater. Permitting Unit No- Exposure Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal opportunity 1 Affirmative Action Employer
One
NorthCarolina
Nalurallty

Aem
Division of Water Quality / Surface Water Protection
National Pollutant Dischar-e Elimination System
NCDENR
=„Ga«,�t„e�C` NO EXPOSURE CERTIFICATION for Exclusion
E,nnnow„e rr u+o RR.—cea
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGENCY US ONLY
Dam Received
Year
Month
Day
a V
Q 3
zc
Cenificate of Coy emge
NIC NtEa
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permijg z
based on NO EXPOSURE: V
Submission of this No Exposure Certification constitutes notice that your facility does not require p� _n
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 industrials
facility means all industrial materials and activities are protected by a storm resistant shelter (with so�
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. I
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 reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name
Street Address 3 ) pvr}cjv"� 5 elsie
City ca I K ro State L_ ZIP Code �4q �L,
Telephone No. a4 9 S q-©OO Fax: nq 417a
2) Location of facility producing discharge:
Facility Name G 4 S ec, i e P-I
Facility Contact
Street Address
City
County
Telephone No.
—1�
"Ka
Page 1 of 5
State HL ZIP Code
Fax: Q" &"6 W i S — 4F
s
N
SWU-NE-060607
Last revised 06/06/07

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facilit (use street names, state road nu bers, a!d
distance and direction from a roadway intersection). ;� .,-i i, h u � f r[
(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 >ILNo
5) Is this a Federal facility? ❑ Yes XNo 6) ' Latitude Ta S, 5�k t d I7 Longitude � bS I Z �"4j (deg, min, sec?
7) This NPDES Permit Application applies to which of the following:
New or Proposed Facility Date operation is to begin _ ,
Existing Date operation began toI(E0-7
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes A 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: —i A 6 t-
10) Provide a brief description of the types of industrial activities and products produced at this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
j&l o
E7 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
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 loading/unloading 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)
❑ Yes YNo
❑ Yes J ' No
❑ Yes VNo
❑ Yes )' No
❑ Yes A No
❑ Yes K No
Page 2of5
S W U-N E-060607
Last revised 06l06107

4
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 XNo
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 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 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 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 1KYes ❑ No
deterioration, or evidence of leaks?
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?
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 Ayes ❑ No
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored Lry
Yes ❑ No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Are release valves on all secondary containment structures locked? Yes ❑ No
SWU-NE-060607
Page 3 of 5
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 )( No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste X-Yes ❑ No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste o Yes X 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: Lead Cc� �a Mr+�►��p �CO '`o i t'"tP�S
How is material stored: In 55 i h Pe, cx.5
Where is material stored: r a5; a 4a,C to ( tt
-r
How many disposal shipments per year: 3
Name of transport 1 disposal ve?dor: !Bu,5 Eh v,"row m&--
Vendor address: o)Vb 110.7`rf��'�i u5 fiu I A-t^ve Qr w,its )( 57 jo
16) 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.
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 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 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, l 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
�asIMAI-30
(Signature of Applicant)
t �3 off
(Date Signed)
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.
Page 4 of 5
S W U-N E-060607
Last revised 06/06/07

I
RWBT Inc -
NCGNE0494
RW8T Inc -
Rowan
220 W Ritchie F
Salisbury
I will let you know about this permit, later this week or early next week.
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NCGNE0537
Union
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Corrugating
Company
101 Lexington I
Spencer
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NCGNE0536
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Steele & Sons.
Inc.
145 National Dr
Statesville
No-(DB)
Stowe
NCGNE0538
Woodward LLC
Mount Hope
Machinery
2000 Donald Ri:
Charlotte
I will let you know about this permit, later this week or early next week.
Gillett
Evernharn -
7 1 1Y
7.11
NCGNE0540
Gillett
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Evernham
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Molosports
7100 Weddingl(
Concord
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