NCGNE0506_COMPLETE FILE - HISTORICAL_20090220

STORI111WATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
C" HISTORICAL FILE
DOC DATE
❑
YYYYMM DD

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 20, 2009
Mr. Tim Klima
Journal books/Timeplanner
1010 Timeplanner Drive
Charlotte, NC 28206
Dear Mr. Klima:
Na u ae` outer � V;
Dee Freeman
FEB 2 4 2008 Secretary
W&S,kit lace Wafer PIroitecfion
Subject: No -Exposure Certification NCGNE0506
Journalbooks/Timeplanner
1010 Timeplanner Dr., Charlotte, NC 28206
Mecklenburg 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
[e-mail].
Sincerely,
/(- 4/ � a 6 1
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: [phone] Customer Service: 1-877-623-6748
Intemet: www.ncwaterquality.org
An Equal Opportunity 1 AffirmaVve Ac4pn Employer
None
rthCarolina
Naturally

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M ro V/Sy
4 � 0 Division of Water Quality 1 Surface Water Protection
1;.__
NCDENRNational Pollutant Discharge Eliminati n�System,
01 NO EXPOSURE CERTIFICATION forelu'sion - . om.nn+rwr
E,rvNip HEW,woN.PLII.LRcseurtco NCGNEOOOO
OCT
NO EXPOSURE CERTIFICATION
FOR AGENCY USE ONLY
Date Reccived
Year
Month
I Day
Ccr ificatc of C -
9VCfa iG
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National Pollutant Discharge Elimination System application for exclusion from a Stormwater:Permit
based on NO EXPOSURE: I '' -� k
Submission of this No Exposure Certification constitutes notice Or crlity doesInof require pe,
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 so
exceptions) to prevent exposure to rain, snow; snowmelt, and/or runoff.
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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 922.26(g).
You are re aired to reapply for the No Exposure Exclusion once eve five 5 ears.
For questions, please contact the DWO 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. ^Journalbooks/Timeplanner
Street Address. _ 1010 Timeplanner Drive
City. _ Charlotte State _NC ZIP Cade ._28206
Telephone No., _ 800-438-3800 Fax:. �704-335-8463
2) Location of facility producing discharge:
Facility Name.—JournalbookslTimeplanner
Facility Contact _Tim Klima
Street Address. _1010 Timeplanner Drive
city. —Charlotte State _NC ZI P Code 28206
County _Mecklenburg
Telephone No.. �800-438-3800 Fax:. �704-335-8463
Page 1 of 5
SWU-NE-060607 . Last revised 11r06107

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection).._From 1-77, fake Exit 12 (LaSalle St), turn right onto
LaSalle St. Travel two miles; Facility is on left.
(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 X No .
5) . Is this a Federal facility?. ❑ Yes. XNo.
6) Latitude 350 16' 25" Longitude 80" 50' 03" (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X. Existing Date operation began_2000
8) . Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes XNo
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: 2782
10) Provide a brief description of the types of industrial activities and products produced at this facility:
_The facility produces professional journals and planners.
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X 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
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 X No
❑ Yes X No
❑Yes XNo
❑Yes XNo
❑ Yes XNo
❑ Yes X No
Page 2 of 5
SWU-NE-060607. Last revised 11/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks. ❑ Yes X No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) . ❑ Yes X No
j. Application or disposal of process wastewater (unless otherwise permitted) . ❑ Yes X 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 X 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 X 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. N/A: The facility does not have ASTs.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or X NA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any X NA
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. NIA: The facility does not have any containers requiring secondary containment.
a. Is secondary containment provided for single above ground storage containers
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. is secondary containment provided for any amount of Title ill Section 313
X NA
X NA
X NA
Page 3 of 5
SWU-NE-060607. Last revised 11/06/07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste X Yes ❑ No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ 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: _Nitric Acid/Magnesium Solution, Press Fountain Solution
How is material stored: _Drums
Where is material stored: _Shipping Area, Press Room
How many disposal shipments per year:. _16
Name of transport 1 disposal vendor: =MFC Systems, Hepaco (Nitric Soln)
Vendor address:,__MFC Systems: 5351 Snaperirnger Woods Drive, Decatur GA, 30035
Vendor address:.-_Hepaco: 2711 Burch Drive, Charlotte, NC 28221
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.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to 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, I certify under penalty
of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based
on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and
belief such information is true, complete, and accurate.
Printed Name of Per on Si nin : Tom O'8o le y>�-.
g — Y
&L--F
Title: Presiden ~A a tr
(Signature of Applicant) (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
SWU-NE-060607. Last revised 11106l07

NCGNE0000 No Exposure Certification
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
(Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion,
Final Checklist
This application should include the following items:
X . This completed application and all supporting documentation.
X . A map 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 ...... [phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 5 of 5
5WU-NE-060607, Last revised 11/06/07

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Page 1 of 1
Tim Klima
From:
Sent:
To:
Cc:
Subject:
Laura Moody ([e-mail])
Wednesday, January 16, 2008 1:06 PM
Tim Klima
Jenny Pappalardo
No Exposure Certification
Attachments: NCGNE_ApplicationRev2.pdf
Tim -
Here is the form for submittal to NC for the No Exposure Certification for stormwater.
Mail to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Laura Rohe Moody
ERM NC, PC
Woodfield Corporate Center
8000 Corporate Center Drive
Suite 200
Charlotte, NC 28226
704-541-8345 ext. 2998
704-541-8416 (fax)
This electronic mail message may contain information which is (a) LEGALLY PRIVILEGED, PROPRIETARY IN NATURE, OR OTHERWISE
PROTECTED BY LAW FROM DISCLOSURE, and (b) intended only for the use of the Addressee (s) names herein. if you are not the Addressee (s),
or the person responsible for delivering this to the Addressee (s), you are hereby notified that reading, copying, or distributing this message is
prohibited. If you have received this electronic mail message in error, please contact us immediately at [phone] and take the steps necessary to
delete the message completely from your computer system. Thank you, ERM NC, PC.
This electronic mail message may contain information which is (a) LEGALLY PRIVILEGED, PROPRIETARY IN NATURE, OR OTHERWISE
PROTECTED BY LAW FROM DISCLOSURE, and (b) intended only for the use of the Addressee (s) names herein. If you are not the Addressee (s),
or the person responsible for delivering this to the Addressee (s), you are hereby notified that reading, copying, or distributing this message is
prohibited. if you have received this electronic mail message in error, please contact us immediately at our Atlanta office [phone] and take the
steps necessary to delete the message completely from your computer system. Thank you, Environmental Resources Management.

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NCDENRNational Pollutant Discharge Elimination System
Nam+GROLi DEr'M CM C NO EXPOSURE CERTIFICATION for Exclusion
E-EM mo N/nFiwL Fi�RCE5
NCGNEQ000
NO EXPOSURE CERTIFICATION
FOR AGENCY USU ONLY
Date Received
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Month
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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 pej
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 so
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff.
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Industrial materials or activities include, but are not limited to: material handling equipment or activitids
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 DWO 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. _Journalbooks/Timeplanner
Street Address. _1010 Timeplanner Drive
City. _Charlotte State_NC ZIP Code. �28206
Telephone No. _ 800-438-3800 Fax:.[phone]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address,
city.
County.
Telephone No..
_Journalbooks/Timeplann er
_Tim Klima
_1010 Timeplanner Drive
_Charlotte
_Mecklenburg _
_800-438-3800
State NC ZIP Code
Fax: u704-335-8463
Page I of 5
28206
SWU-NE-060607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). ._From 1-77, take Exit 12 (LaSalle St), turn right onto
LaSalle St. Travel two miles, Facility is on left.
(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? (71 Yes XNo .
5) . Is this a Federal facility?. ❑ Yes . XNo.
6) . Latitude 35016' 25" Longitude 80050' 03" (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
X. Existing .
Date operation is to begin _
Date operation began_2000.
8) . Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes X 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: 2782
10) Provide a brief description of the types of industrial activities and products produced at this facility:
_The facility produces professional journals and planners.
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X 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
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 spillstleaks .
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 XNo
❑ Yes XNo
❑ Yes X No
❑ Yes X No
❑ Yes X No
❑ Yes XNo
Page 2 of 5
SWU-NE-060607. Last revised 11/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes X No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) . ❑ Yes X No
j. Application or disposal of process wastewater (unless otherwise permitted) . ❑ Yes X 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 X 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 X 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. N/A: The facility does not have ASTs.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or X NA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any X NA
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. NIA: The facility does not have any containers requiring secondary containment.
a. Is secondary containment provided for single above ground storage containers
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for any amount of Title III Section 313
`:
X NA
X NA
Page 3of5
5WU-NE-060607, Last revised 11/06/07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste X Yes ❑ No
generated per month) of hazardous waste?
c. Is this facility a large Quantity Generator (1000 kg. or more of hazardous waste 0 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: _Nitric Acid/Magnesium Solution, Press Fountain Solution
How is material stored:. —Drums
Where is material stored:. _Shipping Area, Press Room
How many disposal shipments per year: _16
Name of transport i disposal vendor: =MFC Systems, Hepaco (Nitric Soln)
Vendor address: __MFC Systems: 5351 Snaperfinger Woods Drive, Decatur GA, 30035
Vendor address: __Hepaco: 2711 Burch Drive, Charlotte, NC 28221
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.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to 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, 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 property 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 1 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. IC
Printed Name of Per on Si g
nin _Torn O'Boy !e
Title: Presiden o
n A
IZ�3p�
(Signature of Applicant) (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
SWU-NE-060607. Last revised 11/06/07

NCGNE0000 No Exposure Certification
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
(Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Final Checklist
This application should include the following items:
X . This completed application and all supporting documentation.
X A map 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 ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office
... [phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 5 of 5
SWU-NE-060607 Last revised 11106/07

I A.
4711�7�7'
K. gal> c R,
oI
0 0.2 0.4 0.6 0. . 8 1 mi
OURCE: DERITA, NC 7.5 MINUTE TOPOGRAPHIC QUADRANGLE, 1993
D
SITE LOCATION FIGURE
- EIRM NC, PC JOURNALBOOKS / TIMEPLANNER FACILITY
- 01" 1
M 1010 TIMEPLANNER DRIVE
rER M CHARLOTTE, NORTH CAROLINA

Page 1 of 1
Tim Klima
From: Laura Moody [Laura. [e-mail]]
Sent: Wednesday, January 16, 2008 1:06 PM
To: Tim Klima
Cc: Jenny Pappalardo
Subject: No Exposure Certification
Attachments: NCGNE_ApplicationRev2.pdf
Tim -
Here is the form for submittal to NC for the No Exposure Certification for stormwater.
Mail to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Laura Rohe Moody
ERM NC, PC
Woodfield Corporate Center
8000 Corporate Center Drive
Suite 200
Charlotte, NC 28226
704-541-8345 ext. 2998
704-541-8416 (fax)
This electronic mail message may contain information which is (a) LEGALLY PRIVILEGED, PROPRIETARY IN NATURE, OR OTHERWISE
PROTECTED BY LAW FROM DISCLOSURE, and (b) intended only for the use of the Addressee (s) names herein. If you are not the Addressee (s),
or the person responsible for delivering this to the Addressee (s), you are hereby notified that reading, copying, or distributing this message is
prohibited. If you have received this electronic mail message in error, please contact us immediately at [phone] and take the steps necessary to
delete the message completely from your computer system. Thank you, ERM NC, PC.
This electronic mail message may contain information which is (a) LEGALLY PRIVILEGED, PROPRIETARY IN NATURE, OR OTHERWISE
PROTECTED BY LAW FROM DISCLOSURE, and (b) intended only for the use of the Addressee (s) names herein. If you are not the Addressee (s),
or the person responsible for delivering this to the Addressee (s), you are hereby notified that reading, copying, or distributing this message is
prohibited. If you have received this electronic mail message in error, please contact us immediately at our Atlanta office [phone] and take the
steps necessary to delete the message completely from your computer system. Thank you, Environmental Resources Management.
111 6/2008