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HomeMy WebLinkAboutNCGNE0527_COMPLETE FILE - HISTORICAL_20090224STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO.. NCGNE DOC TYPE ❑HISTORICAL FILE DOC DATE ❑ awi N YYYYMMDD I NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director February 20, 2009 Mr. Ronnie P. Knowles �� .. Morgan AM&T 504 N. Ashe Ave. Dunn, NC 28334 Subject: No -Exposure Certification NCGNE0527 Morgan AM&T 504 N. Ashe Ave., Dunn, NC 28334 Harnett County Dear Mr. Knowles: 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. 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 (919) 807-6375, or at robert.patterson@ncmail. net. Sincerely, .s. for Coleen H. Sullins cc: Fayetteville Regional Office -Mike Lawyer Stormwater Permitting Unit No- Exposure Files Wetlands and Stormwater Branch 1617 Mail Service Center, Rale'gh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919.807-64941 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org An Enual Onnortunily 4 Affirma5ve Action Emolover One NorthCarolina Natural North Beverly Eaves Perdue Governor February 20, 2009 Mr. Ronnie P. Knowles Morgan AM&T 504 N. Ashe Ave. Dunn, NC 28334 Subject: No -Exposure Certification NCGNE0527 Morgan AM&T 504 N. Ashe Ave., Dunn, NC 28334 Harnett County Dear Mr. Knowles: 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. 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 (919) 807-6375, or at robert.patterson@ncmail.net. Sincerely, ORIGINAL SIGNED BY KEN PICKLE for Coleen H. Sullins cc-, Fayetteville Regional Office -Mike Lawyer 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: 919-807-63001 FAX: 9IM07-64941 Customer Service: 1-877-623-6748 Internet: www.nmaterquality.org An Eoual CODOdU114Y 1 Affirmative Action Emolover One NorthCarolina ;VaturalltY Compliance Inspection Report Permit: NCGNE0527 Effective: 02/23/09 Expiration: Owner: Morgan A M & T SOC: Effective: Expiration: Facility: Morgan A M & T County: Harnett 504 N Ashe Ave Region: Fayetteville Dunn NC 28334 Contact Person: Norb Dickmann Title: Phone: 910-892-9665 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspectiur� Date: i 0I3112013 Entry Time: 02:05 PM Exit Time: 02:15 PM Primary Inspector: Mike Lawyer Phone: 910-433-3300 Secondary Inspector(s): Ext.729 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ■ Compliant 0 Not Compliant Question Areas: Miscellaneous Questions 0 Misc (See attachment summary) Page: 1 Permit: NCGNE0527 owner - Facility: Morgan A M & T Inspection Date: 10/31/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: No exposed products or materials were observed at the time of inspection. Misc Yes No NA NE Is the facility compliant? ■ ❑ ❑ ❑ Comment: Facility has maintained conditions of no exposure. Page: 2 VENH—FRO OCT 2 8 2008 Division of Water Quality / Surfaca#Qrotection National Pollutant Discharge Elimination System NCDENR NO EXPOSURE CERTIFICATION for Exclusio E��MCM uio NaL Y. RE�OIWG[D NCGNE0000 NO EXPOSURE CERTIFICATION OCT 2 4 National Pollutant Discharge Elimination System application for exclusion from a Stormwater Perm! . . based on NO EXPOSURE:, ULNIVVl Submission of this No Exposure Certification constitutes notice that your >llif_ �! r authorization for its stormwater discharges associated with industrial activrt. I he Carolina because it qualifies for a no exposure exclusion. A condition of no exposure Fnin facility means all industrial materials and activities are protected by a storm resistant shelter (with of exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. �sy k.: Ii�n 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 v 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 nal 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 /far as /lM�'T- 1a�,tic. Nai'to,s.il2ci�.��[ CA_eL3�1 Street Address .5b y aA s (-C A ✓ e,0 01-e City `hu op - _ State Ne ZIP Code 28?3V Telephone No. 1910 F9 Z - gas-- Fax: Q o S9 i ^ 61-/ g 6 2) Location of facility producing discharge: Facility Name JA o rg c,..) A k 4-T Facility Contact O 0 r i, Street Address 5-o 4 N . A.s 4 o- A v-e-d v-e City '!� U ro ri State P C ZIP Code 2 63 31 County AJZ.P 2-V+ Telephone No. C) t S12. - 466s Fax: 91 o 0,41- 6 y 9__ _ Page 1 of 5 SWU-NE-110507 Last revised 11/06/07 NCGNEOOOO 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). ra 9 S 4 e i 4 -i 3 � ZT y z f ,J sL.e A --e SC,q ia. IAsi.-e _I�:.`CJa✓e- (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 )(No 5) Is this a Federal facility? ❑ Yes ,f&/No ► to 6) Latitude 3S' /q l 2" Longitude "76 c 37 It (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 M1 & ( 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes >(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: 3 6 2 q 10) Provide a brief description of the types of industrial activities and products produced at this facility: M k CkA�, ►.7 7a o f MLGt-41� e" % C 4-►LSa,.P Is C S C 4 C� 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? _�(No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Exvasure Checklist;; (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 ❑ Yes k"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 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 ,(No ❑ Yes ,VNo ❑ Yes )�iNo ❑ Yes -11"No ❑ Yes )<No Page 2 of 5 SWU-NE-110607 Last revised 11/06/07 NCGNE0000 No Exposure Certification (No g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes r and similar containers In. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes �(No the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters)) 0 Yes j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 'XNo 18 No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes NNo otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow 1. 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 0 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 ❑ Yes ❑ No N 1R deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No-1A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? No A -'!;Ts 14) Secondary Containment: If you answer "No" to any of the following Items, you are lot 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? 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 Superfund Amendments and Reauthorization Act (SARA) water priority chemicals? d. Is secondary containment provided for arc amount of hazardous substances? e. Are release valves on alf secondary containment structures locked? Page 3 of 5 SW U-N E-110607 ❑ Yes ❑ No N�h ❑ Yes ❑ No 'Aft ❑ Yes ❑ No p) A ❑ Yes ❑ No ,) 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 'Yes ❑ No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes 'h0 generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: a-n; ck �— r--eto ce .-) Mow is material stored: 1 Td _W o r-Lc 4-re4, Where is material stored: t\►>s'tib! e L%t (gk*,ja Ls wo f-tc Ica. T How many disposal shipments per year: I >e-- Z-_�e� S Name of transport / disposal vendor: Vendor address: 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 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. Page 4 of 5 SwU-NE-110607 fast revised 11/06/07 NCGNEOOOO No Exposure Certification 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. 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 falsities, 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 guitty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee fora No Exposure Exclusion. Final Checklist This application should include the following Items: Id// This completed application and all supporting documentation. [�' 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 ...... (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) 771-5000 Central Office .........(919) 733-5083 Page 5 of 5 SWU-NE-110607 Last revised 11/06/07 Map of 504 N Ashe Ave Dunn, NC by MapQuest Page I of 2 A: 504 N Ashe Ave, Dunn, NC 28334-3610 S PAAPQIVE,Sl. f6 4Ull M L cv'? tylk- / , , "', j I I 'J L 4 N Dark Ave- l/ tPb I)Qf R- -Z 3 .5; W4MV r%. .'t4i J-, I�! �'' i'` �t �� FJt �� �i``"jti'_ f .�`r �f�� � r /,""li'' , �J ������ �}f?r 5 421 2 e A T 'Ok q4 I t9 V, - 4241 Y 0 S6 0 208?AapCuc-M Inr. w co - ti I C. 0-At]W http://www.mapquest.com/maps/504+N.+Ashe+Avenue+Dunn+NC/ 5/16/2008 k , I I I V�p AK ��'T Division of Water Quality / Surface Water Protection r�r WA NCDENRNational Pollutant Discharge Elimination System Nc— C « cw� � NO EXPOSURE CERTIFICATION for Exclusion pwiwex. AMP K- NCGNE0000 NO EX OSU E CERTIFICATION FOR AGENCY USE ONLY Dale Received Year Mo DaY b Cenificate of Cov e NI IGINI National Pollutant Discharge Elimination System application for exclusion from a Stormwater based on NO EXPOSURE: Submission of this No Exposure Certification constitutes notice that your facility does not re authorization for its stormwater discharges associated with industrial activity in the State of Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an it facility means all industrial materials and activities are protected by a storm resistant shelter 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 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 on"ot for individual outfolis. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. ey 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-Mg). 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 oertification correspondence V.111-be mailed): Name Street Address City Telephone No. MOr-,�., A M +T (Fd r-r.e, 'h, U eJ P State n7 e- ZIP Code Z R 33 Y 9lo 8,12.-966s Fax: Sgl'dqg6 2) Location of facility producing discharge: Facility Name M o r i c,,) A k +T` Facility Contact _� b r-1, Street Address -5-0 y N . _ A s !ti¢ A ,�c,� ✓� City NN State_P C ZIP Code Z833 V County a 1-1 Telephone No. g 10 S'4 Z — 4665 Fax: 1i 1 o $ 91-- L/ 9 _ Page 1 of 5 SWU-NE-110607 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). T q s 4v &i i -13 , '27 y z 1 P.) --i-b 1J, A s" A u-e Fact• Lm wAt p a+ Soq a . hc.,-� ve (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 )(No 5) Is this a Federal facility? ❑ Yes ,�(No 6) Latitude 35 ° 1 j 12 �Longitude `78 C ,37 I 11 �! (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 Megan t-t't 4 (9$0 'S_ 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes �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: 3 6 2 q 10) Provide a brief description of the types of Industrial activities and roducts produced at this facility: o f ML G�^' e,0 C�utsa� � � -4-S 'Z i s �rr+c r-s U?J < s , c -i- C) 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? _)S(No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: ftwsune C klisis (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 spillsAeaks 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 *N'o o Yes *N' o ❑ Yes . No ❑ Yes )KiNo ❑ Yes �Na ❑ Yes KNo Page 2 of 5 swu-NE-110607 Last revised 11/06/07 NCGNE0000 No Exposure Certification g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes iN0 and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes I(No 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 18 No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes INNo 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 XNo 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 rot eligible for the no exposure exclusion. f a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No pirA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No to cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? No A sFs 14) Secondary Containment: If you answer "No" to any of the following items, you are = eligible for the no exposure exclusion. ! a. Is secondary containment provided for single above ground storage containers ❑ Yes ❑ No �A (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- gal Ions? c. Is secondary containment provided for any amount of Title III Section 313 Superfund Amendments and Reauthorization Act (SARA) water priority chemicals? d. Is secondary containment provided for g_ny amount of hazardous substances? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No 1. \Pt ❑ Yes ❑ No "Aft ❑Yes ❑No ❑ Yes ❑ No Page 3of5 SWU-NE-110607 Last reviser! 11/06/07 NCGNE0000 No Exposure Certification 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X N0 b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste XYes ❑ No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes 1,4lo generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: - ctc.; cc' }-,rr� ►a..3'� ca.a - �W � cw How is material stored: I d r-1 h 1\0.> t. o r�.c 4--CA- Where is material stored: Ni p- ' &r L„',_(&�g _�p coo rlc How many disposal shipments per year: ! er ears~ Name of transport 1 disposal vendor: Vendor address: Cam- -U±�-- C 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 CFIR 122.26(g)(2)). I understand that I am obligated to submit a no a su certification f rm 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. Page 4 of 5 SWU-NE-110607 Last revised 11/06/07 f ti `� t � �S _ � , ' r' 1' 1 . � i � S • f � % � NCGNE0000 No Exposure Certification Pfease note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional OfNee 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. 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, reoord, 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 rulemaNng 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: ICK This completed application and all supporting documentation. ¢' A map with the locafion of the facility clearly marked. Mail the entire package to: Stormwater Permitting Unit Division of Water Duality 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) 771-5000 Central Office .........(919) 733-5083 Page 5 of 5 SWLI-NE-110607 last revised 11/06/07 Map of 504 N Ashe Ave Dunn, NC by MapQuest Page 1 of 2 Vi51TiHE SUhW1ER HUB A: 504 N Ashe Ave, Dunn, NC 28334-3610 MAPpLl 3�, v Vann LR. vat` \ z�—, FO aoa m - BedSley-sly t2m ft �s L1 fryf r 'Qr if )o L3ark.Av� 4te.�-4AJ off` jI 43 ��rns ip ,� IN 112 h moo, fe1 �t eft a 421 02008Ala Quest Inc. d L `� /��`+arm rtiy�l� :.{�r1ap��ata��t�w2D48N v7EQj`oa,TeleAtlAs, http://www.mapquest.com/maps/504+N.+Ashe+Avenue+Dunn+NCI 5/16/2008 Permit Number NCGNE0509 NCGNF0465 NCGNED512 NCGNED502 NCGNE0522 NCGNE0528 NCGNE0539 NCGNE0547 Regional Office Response NCGNE0257 . ,, . . No Exposure Certification already issued on 2/24106, can provide copy of letter if necessary NCGNE0475 site visit on 10127108, facility has shut down operations, rescission appropriate In place of NEC, can ask facility to submit letter if necessary NCGNE0489 site visit on 10130108, facility's SIC code does not meet criteria for permitting so NEC not applicable, disregard NEC application NCGNE0513 site visit was conducted on 1119107 where NEC was advised, proceed with issuance of NEC NCGNF0515 site visit on 10116106, proceed with issuance of NEC NCGNE0527 site visit on 10/10/08, proceed with issuance of NEC NCGNE0535 facility installed curbing at entrance and exit of fueling bay that was disqualifying them for NEC, proceed with issuance of NEC NCGNE0544 site visit on 1019108, determined there was no point source discharges, facility has submitted rescission request to replace NEC application NCGNE0553 site visit on 10113/08, proceed with issuance of NEC NCGNE0236 NCGNE0376 NCGNE0389 NCGNE0511 NCGNE0468 NCGNE0472 NCGNED466 NCGNE0467 NCGNE0476 NCGNED480 NCGNE0481 NOGNE_04BB NCGNE0487 NCGNE0514 NCGNE0507 NCGNE0506 NOGNE0492 NCGNE0503 NCGNE0501 NE