NCGNE0794_COMPLETE FILE - HISTORICAL_20130109

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE C7y
DOC TYPE
� HISTORICAL FILE
DOC DATE
YYYYMMDD

IAA
W_
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality RECEIVED
Beverly Eaves Perdue Charles Wakild, P.E. C
Governor
Director
January 3, 2013
JAN 0 9 2013
CENTRAL FILES
DWQIBOG
Dee Freeman
Secretary
Adam Ellis
Electronic Recyclers International North Carolina Inc - Electronic Recyclers International North
Carolina Inc
293 NC 740 Hwy Bldg 134
Badin, NC 28009
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGNE0794
Electronic Recyclers International North Carolina Inc -
Electronic Recyclers International North Carolina Inc Stanly County
Dear Mr. Ellis:
On 9/5/2012, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0794. In accordance with your request, Certificate of Coverage
Number NCGNE0794 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit is against federal and state laws and
could result in fines. If something changes and your facility would again require stormwater or
wastewater discharge permit coverage, you should notify this office immediately. We will be happy to
assist you in assuring the proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Boyd DeVane at 919 807-6373, or the Water
Quality staff in our Mooresville Regional Office at 704-663-1699.
Sincerely, j
for Charles Wakild, P.E., Director
cc: Mooresville Regional Office
Stormwater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office - please waive applicable fees
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]
Internet: www.ncwaterquality.org
An Equal Opportunity 4 Affirmative Acton Employer
Nne
orthCarolina
Naturally

Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR g y
RESCISSION REQUEST FORM
uv.ror.w�r cw :L,w.� �;a,nres
FOR AGENCY USE ONLY
Date Received
Year
Month
I Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N C S N I C I GJAI EC)7
2) Owner/Facility Information: Final correspondence will be mailed to the uddFess noted below
Owner/Facility Na
Facility Contact
Street Address
City
County
Telephone No.
0-'11 ,, _"
P-0
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
19 Facility closed or is closing on ^ol 11 industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on _ 11 the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature Date
Qd
Pdnt or type name of person signing above Title
Please return this completed rescission request form to:
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location, 512 N. Salisbury St. Raleigh, Nonh Camlina 27604
Phone: 91 M07-63001 FAX: 919$07-64921 Customer Service: 1-877.623-6748
fnlernet, wvrw.ncvraterquality.org
An Equal Opportunity 1 A.ttrmauve Action Employer
SW NPDES Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-161.7 ,
Nont h
Aw

�iLEWWI
NCDENR
North Carolina Department of Environment and Natural
Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Dee Freeman
Governor Director
Secretary
September 1, 2011
Mr, Adam Ellis
Electronic Recyclers International — North Carolina, Inc.
293 NC Hwy 740, Bldg. 045
Badin, North Carolina 28009
Subject: No -Exposure Certification NCGNE0794
Electronic Recyclers International North Caroiina, Inc.
293 NC Hwy 740, Bldg. 045, Badin, NC
Stanly County
Dear Mr. Ellis:
The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility and the site
visit on August 31, 2011, the Division is granting your conditional exclusion from permitting as provided for under 40
CFR 122.26(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-perm)tted discharge.
You must self re -certify your No -Exposure status annually using the enclosed form or obtain NPDES permit
coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be
submitted to DWQ unless requested.
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 focal regulations or ordinances.
If you have any questions or need further information, please contact Ms. Marcia Allocco at [phone], or at
marcia.al€occo(c' ncdenr._qov.
Sincerely,
1 d �
for Coleen H, Sullins
Enclosure: No -Exposure Self Re -certification information sheet
Annual No -Exposure Exclusion Self Recertification form
Site inspection report
cc� Stormwater Permitting knit No- Exposure Files (Brian Lowther)
Mooresville Regional Office one
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 North C ro l t ll a
Phone: [phone] Fax: [phone] Customer Service: 1-877.623-6748 Internet: www.ncwatercluality org Aafitrally
An Equal Opportunity 4 Affirmative Aclion Employer- 30% Recycledi101I Post Consumer paper

Permit: NCGNE0794
SOC:
County: Stanly
Region. Mooresville
Compliance Inspection Report
Effective: Expiration: Owner: Electronic Recyclers International North
Carolina Inc
Effective: Expiration: Facility: Electronic Recyclers International North
Carolina Inc
293 NC 740 Hwy Bldg 045
Contact Person: James Ypma
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title:
Inspection Date: 0813112011 Entry Time: 09:35 AM
Primary Inspector: Marcia Allocc
Secondary Inspector(s):
Badin NC 28009
Phone: [phone]
Certification
Exit Time: 10:00 AM
Phone:
Phone: [phone]
Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant [1 Not Compliant
Question Areas:
® Miscellaneous Questions
(See attachment summary)
Page: 1

Permit: NCGNE0794 Owner - Facility: Electronic Recyclers International North Carolina Inc
Inspection Date: 08/31/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The facility was visited through a new No -Exposure Certification request; industrial activities include the dismantling of
electronic waste and shipment for future processing and recycling.
The facility is located within one building (045) on the shutdown Alcoa Badin Works facility campus. Stormwater
discharges would flow into a permitted stormwater outfall covered by NC0004308. The current building is a temporary
location and Electronic Recyclers International — North Carolina, Inc. (ERI) will be moving into a larger building on the
Alcoa Badin Works site in the near future. Please contact this Office to conduct a reinspection once ERI has relocated.
The facility has the following stormwater exposure sources. Each was equipped with a permanent lid or covered by a
removable tarp. Dumpsters remain covered until material needs to be added and then the tarps/cover are reinstalled.
• General waste dumpster
• Scrap metal dumpster
• Cardboard dumpster
Inspector agrees with No -Exposure Certification request by ERI
Page: 2

1�
_
AM n
�
NCDENR
friv:rravr•r �r am "ATUaN
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination Svstem
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not summit this form to DWQ unless requested.
For questions, please contact the DWQ Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY)
N 1. C G N E
1) Has the facility name or owner changed? ❑ Yes ❑ No
(if yes, please submit.a separate Name/Ownership Change Form to DWQ located at
httpa/portal.ncdenr.org/web/wqlws/su/npdessw#Application_Forms_NPDFS)
2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ❑ 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 ❑ Yes ❑ No
c. Materials or products from past industrial activity ❑ Yes ❑ No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ No
e. Materials or products during loading/unloading or transporting activities ❑ Yes ❑ No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ❑ No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes ❑ No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ❑ No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes ❑ No
j. Application or disposat of process wastewater (unless otherwise permitted) ❑ Yes [:]No
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 0 Yes ❑ No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SWU-NESR-29Ju12010

NCGNE0000 No Exposure Self Re -Certification
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ❑ No
stored outside, has the facility had any releases in the past three (3) years? -
3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWo.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑Yes❑ No ❑ NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑Yes❑ No ❑ NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must immediately apply for a permit from DWO.
a. Is secondary containment provided for all 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 Title ill Section 313 Superfund
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances— designated in 40
CFR §116?
e. Are release valves on all secondary containment structures locked?
Footnotes to Questions 4) c. & d.
[]Yes[] No ❑ NIA
[]Yes[:] No ❑ NIA
❑Yes❑ No ❑ NIA
❑Yes❑ No ❑ NIA
❑Yes❑ No ❑ NIA
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the
exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372,38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR
§ 117.3.
5) Other information: If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion. Please contact the Division if this is the case.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as woad chips,
sawdust, etc.?
Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? if so, describe the
industrial activity:
If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑No
[]Yes ❑ No
[:]Yes[:] No❑NIA
Page 2 of 3
SWU-NESR-29.1u12010

NCGNE0000 No Exposure Self Re -Certification
6) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtain inglmaintaining 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 12226(g)(2)).
I understand that I am obligated to annually self re -certify No Exposure and, if requested, submit this re -certification to
DWQ or 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 provided. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for providing false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed {Name of Person Signing:
Title:
(Signature)
(Gate Signed)
Please note: The Regional Office may 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 falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to tie 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).
This completed form must be kept on file at the facility for at least 5 years. Do not submit this
form to DWQ unless requested.
Page 3 of 3
SW U-NESR-29M2010

No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional no -exposure exclusion must be self re -certified at least annual) as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additiona) copies can be downloaded from htip://portal.ncdenr.org/web/wq/ws/su/npdossw4No_Exposure_NPDES )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to
DWQ unless requested. If requested, submit a copy of the re -certification to the Division and/or
the municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately
upon request.
- Notify the Division of any changes in ownership, significant -facility and/or activity changes, or if
the facility can no longer maintain no -exposure.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer
system, the operator of the system, to: (1) inspect the facility; and (2) make such inspection reports
publicly available upon request.
* "No exposure" means that all industrial materials and activities are protected by a storm resistant shelter 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. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
htip.Hportal.ncdenr.org/web/wq/ws/sulnpdessw#No_Exposure_NPDES
Rev. 28Ju12010

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 1, 2011
Mr. Adam Ellis
Electronic Recyclers International — North Carolina, Inc.
293 NC Hwy 740, Bldg. 045
Badin, North Carolina 28009
Dear Mr. Ellis:
Dee Freeman
Secretary
Subject: No -Exposure Certification NCGNE0794
Electronic Recyclers International North Carolina, Inc.
293 NC Hwy 740, Bldg. 045, Badin, NC
Stanly County
The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility and the site
visit on August 31, 2011,.the Division is granting your conditional exclusion from permitting as provided for under 40
CPR 122.26(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 N PDES permit coverage for your stormwater discharge.
Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge.
You must self re -certify your No -Exposure status annually using the enclosed form or obtain NPDES permit
coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be
submitted to DWQ unless requested.
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 Ms. Marcia Allocco at [phone], or at
marcia.alloccoancdenr.gov,
Sincerely,
for Coleen H. Sullins
Enclosure: No -Exposure Self Re -certification Information sheet
Annual No -Exposure Exclusion Self Recertification form D
Site inspection ,report
sEP o fi 2011
cc: Stormwater Permitting Unit No- Exposure Files (Brian Lowther) ft7LAW� yyAAND sXjTy
BRANCH
Mooresville Regional Office One
Lecatiw 610 East Center Ave., Suite 301 Mooresville, NC 28115 North Cat-olina
Phone: [phone] Fax: [phone]M Customer Service: 1-877-623-6748 !f I
Internet: www.navaterquality.org NaturllallY
An Equal Opportunity 1 AS@€malive Action Employer- 30% Recycledil0% Post Consumer pater

1
Permit: NCGNE0794
SOC:
County: Stanly
Region: Mooresville ,
Compliance Inspection Report
Effective: Expiration: Owner: Electronic Recyclers International North
Carolina Inc
Effective: Expiration: Facility: Electronic Recyclers International North
Carolina Inc
293 NC 740 Hwy Bldg 045
Contact Person: .lames Ypma
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title:
Inspection Date: 08/3112011 Entry Time: 09:35 AM
Primary Inspector: Marcia Aliocc
Secondary Inspector(s):
Badin NC 28009
Phone: [phone]
Certification
Exit Time: 10:00 AM
Phone:
Phone: [phone]
Ext.2204
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
(See attachment summary)
Page: 1

Permit: NCGNE0794 Owner - Facility: Electronic Recyclers International Borth Carolina inc
Inspection Date: 08/31/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The facility was visited through a new No -Exposure Certification request; industrial activities include the dismantling of
electronic waste and shipment for future processing and recycling.
The facility is located within one building (045) on the shutdown Alcoa Badin Works facility campus. Stormwater
discharges would flow into a permitted stormwater outfall covered by NC0004308. The current building is a temporary
location and Electronic Recyders International — North Carolina, Inc. (ERI) will be moving into a larger building on the
Alcoa Badin Works site in the near future. Please contact this Office to conduct a reinspection once ERI has relocated.
The facility has the following stormwater exposure sources. Each was equipped with a permanent lid or covered by a
removable tarp. Dumpsters remain covered until material needs to be added and then the tarps/cover are reinstalled.
• General waste dumpster
• Scrap metal dumpster
• Cardboard dumpster
Inspector agrees with No -Exposure Certification request by ERI
Page: 2

ALjr_K;WA
NC®ENR
frrv��'yl•M'�i µ.i IIRUYv. Mrin..:7•-✓S
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not submit this form to DWO unless requested.
For questions, please contact the DWO Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY)
N I C I G I N I E
1) Has the facility name or owner changed? ❑ Yes ❑ No
(if yes, please submit.a separate Name/Ownership Change Form to DWO located at
http:llportal.ncde n r.o(g/web/wglws/su/npdessw#Appl ication_Forms_NPD ES)
2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWO.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where [:]Yes ❑ 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 spillsileaks ❑ Yes ❑ No
c. Materials or products from past industrial activity ❑ Yes ❑ Na
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ No
e. Materials or products during IoadingluMoading or transporting activities ❑ Yes ❑ No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes [:]No
use [e.g.; new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes ❑ No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ❑ 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 ❑ No
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 ❑ No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SW u-NESR-29Ju12010

NCGNE0000 No Exposure Self Re -Certification
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ❑ No
stored outside, has the facility had any releases in the past three (3) years?
3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWO.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑Yes❑ No ❑ NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑Yes❑ No ❑ NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must immediately apply for a permit from DWO.
a. Is secondary containment provided for all single above ground storage
[:]Yes[:] No ❑ NIA
containers (including drums, barrels, etc.) with a capacityof more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored
❑Yes❑ No ❑ NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
❑Yes❑ No ❑ NIA
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40
[:]Yes[:] No ❑ NIA
CFR §116?
e. Are release valves on all secondary containment structures locked?
❑Yes❑ No ❑NIA
Footnotes to Questions 4) c. & d.
'Note that amounts below the 660-9allon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the
exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372,38,
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR
§ 117.3.
5) Other information: If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion. Please contact the Division if this is the case.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑No
❑ Yes ❑ No
❑Yes❑ No❑NIA
Page 2of3
SWU-NESR-29Ju12010

NCGNEOOOO No Exposure Self Re -Certification
6) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtain inglmaintaining 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 annually self re -certify No Exposure and, if requested, submit this re -certification to
DWQ or the operator of the local municipal separate storm sewer system (MS4) Into which the facility discharges (where
applicable). Funderstand 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,l must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facilijy. 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 provided. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for providing false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that 1 am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing:
Title:
(Signature)
(Date Signed)
Please note: The Regional Office may 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 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 doliars ($10,000).
This completed form must be kept on file at the facility for at least 5 years. Do not submit this
form to DINO unless requested.
Page 3 of 3
S W U-N ESR-29,102010

No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included SeJ Re -
Certification Form.
(additional copies can be downloaded from hitp://porial.ncdenr.org/web/wqlws/sulnpdessw#No_Exposure_NPDES )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to
DWQ unless requested. If requested, submit a copy of the re -certification to the Division and/or
the municipality in which the facility is'located.
-During an inspection by DWQ or local government, provide the re -certifications immediately
upon request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if
the facility can no longer maintain no -exposure.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer
system, the operator of the system, to: (1) 'inspect the facility; and (2) make such inspection reports
publicly available upon request.
"No exposure" means that all industrial materials and activities are protected by a storm resistant shelter 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. (40 C1=R 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal. ncdenr.org/web/wg/ws/su/npdessw#No_Exposure_N P DES
Rev. 28JU12010

RECEIVED
DIVISION CIF WATER QUALITY
AUG - 5 2011
��� Division of Water Quality f Surface Water Protection
NC®ENR National Pollutant Discharge Elimination System
4W„cu '—c,.„n.cvr a. NO EXPOSURE CERTIFICATION for Exclusion
r.. aKrl�rtuinttmnu.FLFJxw%i:Kfl NCGNE0000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of COPE c
KaUROH�.7 14
{v'¢' �[ ; JON
MOORESViLLE REGI NAL OFFICE
NO EXPOSURE CERTIFICATION Please check here,jf;this;is a;renswal:"'bB' ENEWAL-
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
It qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
Industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DWO must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
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 QQ CFR 722.26(g).
You on once every five (5) years.
Y_ re required to reapply for the No Exposure Exclusion -,
For questions, please contact the DWQ Regional Office for your area. (Seepage 6)
(Please print or type)
1) Malling address of owner/operator
Name
Contact j6Zmes A-k -�
Street Address 3 & 1UQ Tri-vf4'
CityState '/VC_� ZIP Code c
Tefephone No.'y-3,2� - Fax:
Page t of 7 DO
JUL 2 7 2011
SWU-NE-021309
DENR -WATER QUALITY
Weftnds & Stonnwatsr ereruTh
revised 2/13/2009

ME
:1 1
NCGNE0004 No Exposure Certification
2) Location of facility producing discharge:
Facility Name �"/C2._! Vti 0 t� �e c/ei,-s-h,-74-- Y,itd tasty Q-- r�„rf �,: C(zr-c
Facility Contact 6?yKe.5 7 kO_.'
Street Address 2- c�'; Ufa O � �!' Q
City K. State MCO ZIP Code ,9, 8 00c7
County
Telephone No. ,$�, - O Fax: 5_5_4?
3) Physical location information:
Please provide a narrative description of how to get to he facility use street names, state road numbers and
di ante anddirectionfro a r�gadwra-y� i tersec/tion). 0��1{�a,.�
t? r ry 1—iGJ •t e.Q �v?rjr -e' /d — GJ co
(A copy of a map wit the facility clear y located on it should be include with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes lkll�o
5) Is this a Federal facility? ❑ Yes k<o y
6) Latitude J �V Longitude - � 7, a�(deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the follo7d�ol(
ng:
New or Proposed Facility Date operation is to begin
❑ Existing
Date operation began
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? L9'Yes El No
If yes, what is the NPDES Permit Number? iV c-ooQZ+30,3
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:' <0
10) Provide a brief description of the types of industrial activities any products pro uced at this facility:
c-F e,l ti-i cU was-k_ a
11) Does this facility -have any No
its (ex: recycle permits)?
8 No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
5WU-NE-021309
Last revised 2/13/2009

NCGNE0000 No Exposure Certification
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 ❑ Yes ❑ No "IA
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 ❑ Yes V1' 0 ❑ NIA
c. Materials or products from past industrial activity
❑ Yes VIN10 0 NIA
d. Material handling equipment (except adequately maintained vehicles)
'No
❑ Yes Ig❑ NIA
e. Materials or products during loading/unloading or transporting activities
❑ Yes 124o ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes ®'No ❑ NIA
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage -drums, barrels, tanks,
❑ Yes 13'No ❑ NIA
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes 240 ❑ N/A
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes 8 No ❑ N/A
]. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes 0IVo ❑ NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes ❑ No IA
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 [i'IVo ❑ NIA
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers
❑ Yes ❑ No 15'</A
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 "IA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No W11A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SW U-N E=-021309 Last revised 2/13/2009

NCGNE0000 No Exposure Certification
14) Secondary Containment: It you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for single above ground storage containers
❑ Yes
❑ No ®-KA
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
❑ Yes
❑ No 1541A
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
❑ Yes
0 No 641A
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances`" designated in 40
❑ Yes
❑ No VIQIA
CFR §116?
e. Are release valves on all secondary containment structures locked?
❑ Yes
❑ No aelA-
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes iro ❑ NIA
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes M- ❑ NIA
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes ®'No C7 NIA
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Footnotes to Questions 14) C. & d.
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
SWU-NE-021309 Last revised 2/13/2009

NCGNE0000 No Exposure Certification
16) Other information: If you answer "Yes" to any of the following items, you might
not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may
be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
❑ Yes �a ❑ NIA
b. Does your facility have coal piles on site?
❑ Yes C]'No ❑ NIA
c. Does your facility store other fuel sources outside in piles, such as wood chips,
❑ Yes 6"Na ❑ NIA
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
❑ Yes 2r <oo NIA
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
❑ Yes ❑ No M 41A
Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Page 5 of 7
SWU-NE-021309 Last revised 2/13/2009

NCGNE0000 No Exposure Certification
17) 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 eve 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.
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 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.
Page 6 of 7
SWU-NE-021309 Last revised 2/13/2009

Charlotte/Douglas International Airport to 293 N Carolina 740, Badin,
NC 28009 - Googl... Page l of 2
to 293 iv Carolina 740,
Badin, NC
maps 228009ron6
54.8 mi — about 1 hour 15 mins
Save trees. Go green!:
Download Google Maps on your
phone at google.com/gram
�<?c,
Greensboro
Fatly, � i` --f
:•;_.,4t
�lemrnons-
4Ja11hlur� :aa
�_
•
J:unastnv,n L
�.
Frnea Osi
ia:ma;i r s.
High Point Pleacanl
,hi0ci5':ilte LVelrn 7E i
f�
Thomasville Rrratpal2 ,
_ I Il1f
vinii3 Biwfnleheln _ . - Lexington
-.. Rart .man
fi171
s
atlr _
,
St Stentterls � "dt8tE5Vlt1B 1..w.
Hickory s
vOnaVBf.^,IafEnlatt; irau;man
Rams nr
_
-shebcro
SASbun`
rlisunlaps
file::Y 3:i Ne%vtrn
\'
rtnidPrt l.akfe Nerm2n Mooresville a.tr, Qt:arry
!,a trls i hlna Grove Rnci,::all
'
226
bJf;tpnrt CGF(telill= Kannapolis
Uw,i;lrlon
:fir:4a,^:or
liurit?rsyills Concord
c Rnhhl
sal
..^.h2rr}ti 7e ?dl alaasant
nad, 1
Stanley
Tiny 8,t:epe
f?i;las. ` irtishnrfl Albemafla
city Sasionia [Owed T a
Ca^qo SE
Ltf
Kir,{ts Belmpn;' aflotte .yftlin.11l,:
P;nrvnoil
rvlountaul :�a.hcra
ttt Gleffd P
rains H10
Clcer take 23, raanhev.'s
lack�nutl f
SraartQ's tlnionr?F
1 Indian Trail
`
b'Jednlnatol:
T-qa Gay
' "
220
L'Jr_5'...r 4V,nllatr
YOrk hry.T,nrt citapt-i fvionroe MarfhviA--
Si,anr'
'dJ.>de:4.arn
[Rock hill `
_RoCkin{tham
�.
l.e rlifr YJa>,ttaw
..
�.tCC:�l7 7.:Is
SAL ri9'' Hit ir.IP.; J6i:1
uCeid L�YI?i!L'"bllry 3fiC35te(
;ia l'le fe4l'- Chester Flgin
t.'
a:Uslt sFrlrga.
�.r'•at Falg
�'ainck.
KrrSha'.V
02011 Google - r,gaptfgtq,P201 t Google -
httn•//manc annnle-nnm/mans?mod&source=s d&saddr=5501+Josh+Birmingham+Pkwy,+--- 7/21/2011

293 NC 740 Hwy Bldg 045 Badin, NC 28009 - Google Maps Page 1 of 1
GooAddress 293 N Carol740
e maps Bailin, NC Tina ina 7 Get Google Maps on your phone
Text the word GMAPS"to466453
i Off, •}�. 8
I
1 '
Iinfnr.I . F e ,4 _
Badin -,q, c`
J4
i
Stanly County ?s:
740 Coimlry ck1b -11Q.
Y
a
4,
'o
i
I a 744 ,rya
I
s 02011 Google - Map data 02011 Google -
hitn://mai)s.izooale.com/mat)s?f--q&source=s q&hl=en&geocode=&q=293+NC+740+Hw... 7/21/2011

No Exposure Certification Questions
Permit No.:
NCG
NCSO
NCGNE
Facility Name:��4��
-
Permit Effective:.
NA
Discharges to:
Inspection Date:
2J i
l i
Inspection Type
CEI CSI Complaint Other
Inspector(s):
Agency:
RO MCWQP
Entry Time:
`.
Facility Contact (s)
Exit Time
Work Days
Facility Status:
Compliant
Non -Compliant Neither
I
'
i
I
i
I
I
I
i
i
I
I
i
i
I
f
I
Page 1 of 3
Rev. 1, 6109

No Exposure Certification Questions
If you answer "Yes" to any of these questions the facility is not eligible for No Exposure (or for question #10
might not be eligible)
Yes
No
NA
1. Does the facility/site use, store, or clean industrial machinery or equipment and are those areas,
where residuals from using, storing, or cleaning industrial machinery or equipment remain exposed to
❑
❑
stormwater?
2. Is there any evidence of materials or residuals on the ground or in stormwater inlets from spills or
El
Elleaks?
3. Is there any evidence of materials, residuals, or products from past industrial activity (past sources of
❑
❑
contamination that have remained on site which could cause a condition of exposure)?
4. Are any materials or final products (including improperly maintained material handling equipment,
transformers, cooling towers, and air compressors) exposed to precipitation during material handling,
loading/unloading, or transporting activities, now or in the foreseeable future? [The containers, racks,
❑
❑
and other transport platforms (e.g., wooden pallets) used for the storage or conveyance of these
final products can also be stored outside, providing the containers, racks, and platforms are
pollutant -free].
5. Are any materials or products contained in open, deteriorated or leaking storage drums, barrels,
❑
❑
tanks, and similar containers exposed to precipitation, now or in the foreseeable future?
6. Are any materials or products exposed to precipitation handled or stored on roads or railways owned
❑
Qe
❑
or maintained by the discharger?
7. Is any waste material (except waste in covered, non -leaking containers, e.g., dumpsters)
El
exposed to precipitation, now or in the foreseeable future?
8. Is there application or disposal of process wastewater (unless otherwise permitted) exposed to
❑
precipitation, now or in the foreseeable future?
9. Is there particulate matter or visible deposits of residuals from roof stacks/vents not otherwise
❑
❑
regulated, i.e., under an air quality control permit, exposed to precipitation?
10. Does the facility have an Emissions permit with the Division of Air Quality? What pollutants does it
❑
❑
cover? Does the facility file a TRI report? What chemicals are released?
Comments:
Page 2 of 3 Rev. 1, 6109

No Exposure Certification Questions
If you answer "No" to any of these questions the facility is not eligible for No Exposure
Yes
I No
I NA
11. Are drums, barrels, tanks, and similar containers exposed to precipitation labeled, tightly sealed, in
good condition, free of leaks and any deterioration, and properly stored?
❑
! ❑
12. Are materials stored in original containers with original labels?
❑
❑
13. Are incompatible materials stored separately?
❑
❑
14. Do drums, barrels, tanks, and similar containers exposed to precipitation meet DOT specifications,
including compatibility?
❑
❑
15. If empty containers that previously contained materials are exposed to precipitation are they
properly stored (i.e., closed and stored upside down to prevent precipitation from accumulating on top of
the drums around the bung)?
❑
❑
16. For facilities or sites with exterior ASTs and drums, barrels, tanks, and similar containers stored
outside, has the facility been free of any releases in the past 3 years?
❑
❑
17. Is the storage area secured to prevent unauthorized entrances?
❑
❑
18. Are exterior ASTs physically separated from and not associated with vehicle maintenance?
❑ I
❑
19. Are piping, flanges, valves, pumps or other equipment exposed to precipitation free of any evidence
of leaks and spills?
❑
i
❑
20. Are exterior ASTs and piping exposed to precipitation protected from traffic lanes to minimize
exposure?
❑ I
❑
�f
21. Are exterior AST coatings free of signs of bubbled, cracked, damaged, or weathered coating?
❑
❑
22. Are exterior ASTs or piping/supports free of rust, pits or deterioration or evidence of leaks?
❑
❑
23. Are exterior AST leak detection systems operating properly?
❑ j
❑
24. Are exterior AST capacity indicating equipment operating properly?
❑
❑
25. Is secondary containment provided for all exterior ASTs? Is secondary containment free of any
cracks, holes, or evidence of leaks?
❑ I
I
❑
�W
26. Is exterior AST secondary containment enclosure free of accumulated water?
❑T
❑
27. Are exterior AST secondary containment drain valves maintained locked shut?
❑l
❑
28. Are drain logs being maintained for all exterior AST secondary containment?
❑
❑
29. Are spill kits available and adequate?
❑
❑
30. For facilities or sites with exterior ASTs and drums, barrels, tanks, and similar containers stored
outside, has the facility developed and implemented an SPCC plan, an inspection and maintenance
program, material handling procedures, and site specific loading and unloading procedures?
❑
❑
31. For facilities or sites with ASTs and drums, barrels, tanks, and similar containers stored outside, has
the facility developed and implemented an employee training program addressing spill prevention control
and countermeasures, inspection and maintenance, material handling procedures, and site specific
loading and unloading procedures?
i
❑
Comments:
I
i
Page 3 of 3 Rev. 1, 6109 1