NCGNE0543_COMPLETE FILE - HISTORICAL_20090220

North Carolina
Beverly Eaves Perdue
Governor
Mr. Richard Higgins
H K Research Corporation
PO Box 1809
Hickory, NC 28603
Dear Mr. Higgins:
4�
M 1a
NCDENR
Department of Environment and Natural Resources
Division of Water {duality
Coleen H. Sullins
Director
February 20 2009
Subject: No -Exposure Certification NCGNE0543
H K Research Corporation
908 Lenoir Rd., Hickory, NC 28601
Catawba County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, the
Division is granting your conditional exclusion from permitting as provided for under 40 CFR 126.22(g), which is
incorporated by reference in North Carolina regulations. We are also hereby rescinding your current permit number
NCG090003.
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,
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. Raleigh, North Carolina 27604
Phone: [phone] FAX: 91M07-64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 4 Affirmative Action Employer
Stormwater Permitting File NCGO90003
Fran McPherson -Budget Office
One
NorthCarolina
Naturally

ml� D * \,/ �
NCDPR
fnrlry».rrt w+ li�cvx. Rw.,wrls
Division of Water Quality / Surface Water Protection
National Pollutant Discharge EIimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGE11;CY USE ONLY
Daft Received
Year Moath
Day
� O
�
Certificate of Coverage
N
Please check here if this is a renewal. ❑ RENEWAL.
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its storm water discharges associated with industrial activity in the State of North
Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial
facility means all industrial materials and activities are protected by a storm resistant shelter (with some
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products; by-products, final products, or waste
products. Wferial handling activities include the storage, loading and unloading, transportation, or
conveyance of any raw material, intermediate product, final product or'waste product. A stoner resistant
shelter is not required for the following industrial materials and activities: drums, barrels, ranks, 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 12226(g).
You must re -apply 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,ESI�Z t`-� i��o iz AtTe o N
Contact _� I L4 AiZ-
Street Address
City
Telephone No.
1-4 1 e- K..O Y _ State
1':� 7 e 3 Z- - 1 1 21 _ Fax:
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
ZiP Code Z, P:� 6 0
E Q-.-G0 Co iZ two 2� a N
'Z I CAA-a-21
State 1JC ZIP Code _ 7 R G C) I
?2 Zo -- I i Z 1 Fax:
Page 1 of 5
5WU-NE-060508 Last revised 06/05/2008

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). �.� F gvim, {yr iZ i} c� 1� Lam,s WA.Y 3!_2_1
iK_ T.- ` 0 : Tufw JLI(U"T o l.r OLD
(A copy of a map with the facility clearly located on it should be included with the certification application.) p N i_F-FT
4) Is the facility located on Native American Lands? © Yes 19-1<0
5) Is this a Federal facility? ❑ Yes 0tv0 j rI
6) Latitude � S !14 '4'1 Ij r Longitude R o -,I 4 I (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
7"'Existing Date operation began Gl 5
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? Iles ❑ No
If yes, what is the NPDES Permit Number? N,C (4 Q <) O 0 Q
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: 5 Z L
10) Provide a brief description of the types of industrial activities and products produced at this facility:
MAu0FAe--rVit-r— t9 F froLIM -_�z5 - -
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
"o
❑ 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 "o
❑ Yes "o
❑ Yes "o
❑ Yes 5ll!Vo
❑ Yes 2<0
❑ Yes 2<0
Page 2 of 5
SWU-NE-060508 Last revised 06/05/2008

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
❑ Yes
M N0
and similar containers
/
2<o
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
the discharger
/f
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes
W o
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
21N0
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes
®'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
9060
(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
IR'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 e<es ❑ No
deterioration, or evidence of leaks? //
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any r1t'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
(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 gny amount of Title III Section 313
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for any amount of hazardous substances?
e. Are release valves on all secondary containment structures locked?
15) Hazardous Waste:
R<es ❑ No
94es ❑ No
VB es ❑ No
2-Yes ❑ No
Page 3 of 5
SWU-NE-060508 Last revised 06/05/2008

NCGNE0000 No Exposure Certification
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes t1 No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes E40
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste Iles 0 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: _�' p t' ifs S 0 f_- V fr a; L A C.e—-yo N
How is material stored: D fF j2W=5 I Me. i o P_' L-'z u tVJ6
Where is material stored: i tJ St nf7 au;L.Q iKLa
How many disposal shipments per year: 11 Z -rfi•iL— � A Tz-
Name of transport / disposal vendor: r E �-
Vendor address: -14 <- i &U be-1* 'TIL. r A i 'Z 7 1 iti rP-RL St -2z4l
16) Certification:
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 fbl 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 Person Signing: ► C i-411t iL 4� C N S
Title: Pa —a 5 E D P-,v7-
of
(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-060508 Last revised 06/05/2008

Yahoo! Maps - 908 Old Lenoir Rd NW, Hickory, NC 28601-3447
Yahoo! Maps - 908 Old Lenoir Rd NW, Hickory, YAI400! LOCAL
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When using any driving directions or map, it's a good idea to do a reality check and make sure the road still exists,
watch out for construction, and follow all traffic safety precautions. This is only to be used as an aid in planning.
Page 1 of 1
http://rnaps.yahoo.com/print?ard=1 &v3=0&.intl=us&&mvt=m&tp=1 &stx=&clat=3S.7449... 6/24/2008

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:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If this is a renewal, indicated current NCGNE number in Question 7.
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.
DWO 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 .........(919)
733-5083
Page 5 of 5
SWU-NE-060508 Last revised 06/05/2008

o�oF w a 7-jZ9p�
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Mr, Richard Higgins
HK Research Corp.
908 Lenoir Road
Hickory, NC .28603
June 26, 2008
Subject: No Exposure Request
Coleen Ff. Sullins, Director
Division or Water Quality
Your request for a new NPDES General Permit received on (U ZI f3 , is being returned due
to:
/Application is incom lete.
P
❑ Application package is missing the supporting documents.
❑ Missing copy of county map or USGS quad sheet with facility clearly marked.
❑ Other
T.
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at [phone] extension 525, or Sarah
Young at [phone] extension 502.
DWQ Stormwater Permitting Unit
AIN 3 0 1808
NorlhCarolina
Nalara!!J
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Intemet: h2o.enr,state.nc.us 512 N, Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpporlunitylAffirmative Action Employer — 50% Recycled110% Post Consumer Paper

p,�c P�r V -� I
A _
WDENER
Division of Water Quality / Surface Water Protection irm
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNEa000
MR AGENCY USE ONLY
Date Ro.6,ed
Le Month r mt D2Y s
Are)wr r6l ! Der i
R C-115.rC67—*- l
N - r
OCT 2 4 2008
NO EXPOSURE CERTIFICATION Please check here if this is a renewal- 0 RENEWAL
National pollutant Discharge Elimination System application for exclusion from a Storrnwater Permit,
based on NO EXPOSURE: r1Mh/0LCr IA/,-.4,,. n.._s_
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its stormwater discharges associated with industrial activity in the State of North
Carolina because it qualities for a no exposure exclusion. A condition of no exposure at an industrial
facility means all Industrial materials and activities are protected by a storm resistant shelter (with some
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste
products. Material handling activities include the storage, loading and unloading, transportation, or
conveyance of any raw material, intermediate 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 stonnwater 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 —Trot for
individual outfalis. 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 122.25(g).
You must re -apply 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)
f) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name 4K E-E5lE69=CP Cp_-_fLFO R-AM o N - - - - -
Contact
Street Address
City
Telephone No.
2) Location of facility producing discharge:
Facil"rty Name
Facility Contact
Street Address
City
County
Telephone No.
lZ I L4��TLr� �.L�-ZG ll✓5 �. - —— - - — —
Page i of 5
SWU-NE-060508 Last revised 06/05=08

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). A EWD i H c, No tZ e W 0 N 41c,rt
r fL�r� 'I- fo : -roR_ J Zi(-zHT o N vL.D ct�N�srz 9�oAry ANC pizot _n Tucir�,
(A copy of a map with the facility clearly located on it should be included with the certification application.) p N LF-Fii
4) Is the facility located on Native American Lands? ❑ Yes 19-1<
5) Is this a Federal facility? ❑ Yes Ito } 11
6) Latitude 3 !c4Ag3 _ Longitude R 1 1 12 (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
W-"Existing Date operation began CI S
lj Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? i<es ❑ No
If yes, what is the NPDES Permit Number? �►C.C�O ) 0
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: ?- 7, t �
10) Provide a brief description of the types of industrial activities and products produced at this facility:
M A 0e FFA 4-7-U it-F�-- 4,-> P L`f M iiv i7- 5
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
€�N0
❑ 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 SAO
❑ Yes "0
❑ Yes P/No
❑ Yes V<o
❑ Yes R<O
❑ Yes RINo
Page 2 of 5
SWU-NE-060508 Last revised 06/05/2008

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted)
k. Particulate matter or visible deposits of residuals from root stacks and/or vents not
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 property stored
(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
stored outside, has the facility had any releases in the past three (3) years?
❑ Yes
7<0
❑ Yes
"o
❑ Yes
i>i3'No
❑ Yes
rr3'No
Ei Yes
R o
❑ Yes
Vio
❑ Yes
II9 0
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 W<es ❑ No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTO If so, is it free of any es ❑ 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
(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 gry amount of Title III Section 313
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for gny amount of hazardous substances?
e. Are release valves on all secondary containment structures locked?
15) Hazardous Waste:
Page 3 of 5
5 W U-NE-060508
AS
❑ No
9'�es
❑ No
VYes
❑ No
Wes
❑No
RYeS
❑ No
Last revised 06/05/2008

NCGNE0000 No Exposure Certification
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 ❑ Yes "a
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste 1114es ❑ No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following i
Type(s) of waste: e t' ty i S 0 L V I, IL : � A C.>!; TO nJ P-1
How is material stored: jD Kow-s i NS i r2F-- u t u..Ri"6 _
Where is material stored: I tit Sk p g 9k iI t_ D 1 Al(—
How many disposal shipments per year: _ ITf!C-y A R-„ ,
Name of transport / disposal vendor: zj.s C ii F,�-
Vendor address: 14 -';- j_fU Vo11 Ti-r A L- IZ'_ :_5itr1 MX-_ _ "2-41
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, 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 Person Signing: ► C 14f 11-0 , ,. �� G� i N . —
Title:
-Lao Y
of
(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-060508 Last revised 06/05/2008

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watch out for construction, and follow all traffic safety precautions. This is only to be used as an aid in planning.
http:Hmaps.yahoo.com/print?ard=1 &v3=0&.intl=us&&mvt=m&tp=1 &stx=&clat=35.7449... 6/24/2008

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
jEnvironmental 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:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If this is a renewal, indicated current NCGNE number in Question 7.
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 DWO Regional Office for your area.
DWO 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 .........(919)
733-5083
Page 5 of 5
SWU-NE-060508 Last revised 06/05/2008

o��� W A r�9QG
6
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department ofEnvironmentand Natural Resources
Mr. Richard Higgins
HK Research Corp.
908 Lenoir Road
Hickory, NC 28603
.Lune 26, 2008
Subject: No Exposure Request
Coleen H. Sullins, Director
Division of Water Quality
Your request for a new NPDES General Permit received on �� D , is being returned due
to:
/Application is incom lete.
p
❑ Application package is missing the supporting documents.
❑ Missing copy of county map or USGS quad sheet -with facility clearly marked.
❑ Other {" A S
T.
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at [phone] extension 525, or Sarah
Young at [phone] extension 502.
DWQ Stormwater Permitting Unit
JUN 3 0 2038 .
__o N,��Carolina
atlirally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal opportunity/Affirmative Action Employer— 50% Recycledll0% Post Consumer Paper

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