NCGNE1045_COMPLETE FILE - HISTORICAL_20150209

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

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

A WA
MCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
The Mitchell Gold Company
Attention: Mr. Steve Bruton
135 One Comfortable Place
Taylorsville, North Carolina 28681
Dear Mr. Bruton:
Donald van der Vaart
Secretary
February 9, 2015
Subject: No -Exposure Certification NCGNE1045
Old Manufacturing Facility
Old Landfill Road
Taylorsville, North Carolina
Alexander 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 as well as the site compliance evaluation inspection performed on February 4,
2015, the Division is granting your conditional exclusion from permitting as provided for under 40 CF'R
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-permitted discharge.
You must self re -certify your No -Exposure status annually using the included 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 DEMLR unless requested; however, please retain
records for review by DEMLR at the 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.
Land Quality Section - Mooresville Regiona4 Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Telephone: [phone] I FAX: [phone] • Internet: http:l/portal,ncdenr.org/web/Inland-quality
An Equal Opportunity I Affirmative Action Employer — Made in part by recycled paper

0
No -Exposure Certification
The Mitchell Gold Company
February 9, 2015
Page 2
If you have any questions or need further information, please contact Donna Hood at [phone],
or at donna.hood cr,ncdenr.g_ov.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Attachments: Inspection Report
No Exposure Self Re -Certification

Permit: NCGNE1045
sac:
County: Alexander
Region: Mooresville
Contact Person: Steve Bruton
Compliance inspection Report._.._,_,,,,,,,,,,,,,.
Effective: 02/04/15 Expiration: Owner: The Mitchell Gold Company
Effective: Expiration: Facility: Old Manufacturing Facility
Old Landfill Rd
Title:
Taylorsville NC 28681
Phone: [phone]
Directions to Facility:
Take 1-40 W to Hwy 64 W. go 17 miles and take Hwy 165, turn left on Macedonia Church Road and right on old Landfill Road, on
right past prison.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/04/2015 Entry Time: 10i00AM Exit Time: 11:30AM
Primary Inspector: Donna Hood Phone: [phone] E=xt.2193
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant Not Compliant
Question Areas:
® Miscellaneous Questions on Misc
(See attachment summary)
Page: 1

Permit: NCGNE1045 Owner- Facility: The Mitchell Gold Company
Inspection Date: 0210412015 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Perrnit: NCGNE1045 Owner - Facility: The Mitchell Gold Company
Inspection pate: 02/04/2015 Inspection Type : Complianoe Evaluation Reason for Visit: Routine
Misc
Is the facility compliant?
Comment: No exposure granted
Yes No NA NE
® ❑ ❑ ❑
Page: 3

Al AD
Division of Water Quality 1 Surface Water Protection
NC®ENR
rwvno,1!1T+1p HAVA1J nr 0,. -M
National Pollutant Disc
on NO EXPOSURE:
Nationah ollutant Discharge Elimination System
NO EXP6§VE CERTIFICATION for Exclusion
yofNCGNE0000
NOXPOSRE CERTIFICATION
i�eeVimir�� n Sys erri�a i`atian for exclusion orr
Submission of this No Exposure Certification constitutes notification that
FOR AGCNCY USE ONLY
Daic Received
Year ,Llnnth clay
Certifrcatc of C rvcragc
E
a`g,grn, ��,r��rj�sed
permit for stormwater discharges associ_aMd,with industrial activity in the State o
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, DWQ 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. Ir
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).
r No Exposure Exclusion annually.
For questions, please contact the DWO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will. be mailed):
Name —7,q—L, 1�1117 —ewv "_ 6'oi.Q - -
Contact 5 -r2� V tF VTo^_/
Street Address l 3 5" O/V £ C F047—h-,S L-E ti4-0-,gr `-
City �,� Ln�S VL4-LF- State NC ZIP Code �2 F6
Telephone No. _ 2� 3� — °Y'Zc)o Fax: OZ9 G 35' , Sl 8Z
Email �yE1o►'Lt4'�drmgbeuhon��• CoirJ
Page 1 of 7
SWU-NE-12Aug2010

NCGNEOOOO No Exposure Certification
2) Location of facility producing discharge:
Facility Name 0/-0 %)*eyq � 1 ct/,IIVG- F e /4 /! 7-J
Facility Contact _
Facility Street Address
City _
County
Telephone No.
Email
State /v C�, LIP Code Z 115r6 K I
g29 652--c72-00 Fax: �25 G3S`—'5-?SZ
51�e
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). 7; K£ X40 W To gwy i '*, Go I7m/4f 4 Th-k v-
NW4 Ibs, 7-UAAJ LEF::,-_oN M*CEbONI4 CIFOX14 Ra r Al&t-tr ,At olt I-AA)8F1ZL RD.. 4N 4)61-r
(A copy of a map with the facility clearly located on it should be included with the certification application.) PhsTPk►Sa-'l
4) 1s the facility located on Native American Lands? ❑ Yes 2
5) is this a Federal facility? ❑ Yes Ql
6) Latitude a5*52S /-4, 6gA Longitude fir 10/k3980iN (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
Existing Date operation began 1q 191'
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE %
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: 2 S 1 ?,
10) Provide a brief description of the types of industrial activities and products produced at this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
8' o
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
35g8�3�7
-81, l6og�8
Page 2 of 7
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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 Ei,4
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 ciy o
c. Materials or products from past industrial activity
❑ Yes
VNVo
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
li�N0
e. Materials or products during loading/unloading or transporting activities
❑ Yes
GYIVa
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
a-tllo�
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
l�o
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
2<0
the discharger
i. Waste in
%
material (except waste covered, non -leaking containers [e.g., dumpsters])
❑ Yes
B'No'
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
Li,Vo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes
V<O_
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previousiy contained materials that are not properly stored
❑ Yes
040
(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
El Yes
a No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs); It you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
C�!'N/A
41A
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or
deterioration, or evidence of leaks?
b. is secondary containment provided for all exterior ASTs? If so, is it free of any
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
p Yes ❑ No
a Yes © No
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NCGNE0000 No Exposure Certification
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 all single above ground storage
0 Yes ❑ No 2' NIA
containers (including drums, barrels, etc.) with a capacity of more than 660-
gallons?
b, Is secondary containment provided for above ground storage containers stored
Q Yes ❑ No /NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
/N/A
c. Is secondary containment provided for Title III Section 313 Superfund
❑ Yes ❑ No
Amendments and Reauthorization Act (SARA) water priority chemicals"?
d. is secondary containment provided for hazardous substances" designated in 40
❑ Yes ❑ No W N/A
CFR §116?
/NIA
e. Are release valves on all secondary containment structures locked?
Q yes ❑ No
15) Hazardous Waste:
/
a. is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
❑ Yes Mll o
/No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
r es
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
❑ Yes W<O/
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.
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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 Ga'No
b. Does your facility have coal piles on site? ❑ Yes a'No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes El�
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes /No
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 /N1
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:
ti
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5WU-NE-12Au92010

NCGNE0000 No Exposure Certification
17) 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 annually self re -certify No Exposure and, if requested, submit the re -certification to
DWO 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 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: ! E:�� ��✓
Title: -rV ME ✓nl/Ul -S5 7 e+747 -- /
/ /ur&
(Signature of Applicant) (Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
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 recor&q 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
SW U-NE-12Aug2010

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old landfill road, taylorsville, nc 28681 rind
Latitude Longitude
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