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NCGNE1085_COMPLETE FILE - HISTORICAL_20160302
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE DOC TYPE ❑HISTORICAL FILE DOC DATE ❑ YYYYMMDD PAT MCCRORY 3 I� A a {� Governor DONALD R. VAN DER VAART Secretary Energy, Mineral and Land Resources TRACY DAVIS ENVIRONMENTAL QUALITY Director February 26, 2016 Woodcraft Industries, Incorporated Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast Saint Cloud, Minnesota 56304 Subject: No -Exposure Certification NCGNE1085 Woodcraft Industries, Incorporated 93 Fairgrove Church Road Conover, North Carolina 28613 Dear Mr. Sytsma: 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 inspection dated February 24, 2016, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 1.22.26(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 unpermitted discharge. You must self re -certify _your No -Exposure status annually and the, form can be downloaded by visiting: http://portal.ncdeni.br�/web/lr/npdes-stormwater the web page for the Division of Energy, Mineral and Land Resources Stormwater Program. The annual self re- certification does not need to be submitted to DEMLR'unless requested. A copy should be maintained in your file. 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. State of North Car6ria I Environmental Quality I Energy, Mineral and Land Resources 610 East Center Avenue, Suite 301 1 Mooresville, Borth Carolina 28115 704 663 1699 T t- No -Exposure Certification Woodcraft Industries, Incorporated February 26, 2016 Page 2 of 2 If you have any questions or need further information, please contact Ms. Holliday Keen at (704) 663-1699, or me. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: Bradley Bennett, Storm -Water Permitting Program, No- Exposure Files NCGNE 1085 rianrns , 93 Vairgrove ChiffUh Ito-a-d,- onover; - - - Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY February 26, 2016 Woodcraft Industries, Incorporated Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast Saint Cloud, Minnesota 56304 Dear Mr. Sytsma: PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary TRACY DAVIS Director Subject: No -Exposure Certification NCGNE1085 Woodcraft Industries, Incorporated 93 Fairgrove Church Road Conover, North Carolina 28613 Cal,qwbaCojint 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 inspection dated February 24, 2016, 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 unpermitted discharge. You must self re -certify your No -Exposure status annually and the form can be downloaded by visiting: http://portal.ncdenr.org/web/lr/npdes-stormwater the web page for the Division of Energy, Mineral and Land Resources Stormwater Program. The annual self re- certification does not need to be submitted to DEMLR unless requested. A copy should be maintained in your file. 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. State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources 610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115 704 663 1699 T No -Exposure Certification Woodcraft Industries, Incorporated February 26, 2016 Page 2 of 2 If you have any questions or need further information, please contact Ms. Holliday Keen at (704) 663-1699, or me. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: Bradley Bennett, Stormwater Permitting Program, No- Exposure Files NCGNE 1085 Brian Ernst, 93 Fairgrove Church Road, onover, Compliance Inspection Report Permit: NCGNE1085 Effective: Expiration: Owner: Woodcraft Industries Inc SOC: Effective: Expiration: Facility: Woodcraft Industries, Inc. County: Catawba 93 Fairgrove Church Rd Region: Mooresville Conover NC 28613 Contact Person: Brian Ernst Title: Phone: 828-315-2300 Directions to Facility: Take 1-40 Exit 130 turn right onto 1 st street/US-70A, turn right onto 70A, take 2nd left onto Fairgrove Church Road and facility is on the left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 0212412016 Entry Time: 03:OOPM Exit Time: 04:OOPM Primary Inspector: Zahid S Khan Phone: Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Technical Assistance Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: Compliant Not Compliant Question Areas: Miscellaneous Questions (See attachment summary) Page: 1 Permit: NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 02/24/2016 Inspection Type : Technical Assistance Reason for Visit: Routine Inspection Summary: No Exposure Certification Granted. Page: 2 permit: NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 0212412016 Inspection Type: Technical Assistance Reason for Visit- Routine Page: 3 �- PAT MCCRORY KC Governor DONALD R. VAN DER VAART Secretary Energy, Mineral and Land Resources TRACY DAVIS ENVIRONMENTAL QUALITY Director December 18, 2015 Woodcraft Industries,'Inc Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast St. Cloud, MN 56304 RECEIVED DEC 3 0 2515 DENR-LAND QUALITY STORMWATER PERi*TTING Subject: No -Exposure Application NCGNE1085 Woodcraft Industries, Inc. 93 Fairgrove Church Road Conover, NC 28613 Catawba County The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on December 2, 2015. The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on December 16, 2015 Mooresville Regional Office staff observed two open garbage containers with pallets in them on your site are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection report and picture. If you have any questions or need further information, please contact me at (704) 663-1699, or at zahid.khan@,,ncdenr.gov Sincerely, ' Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: Mr. Bradley Bennett, Stormwater Permitting Program, No- Exposure Files NCGNE1085 State of North Carolina I Environmental Quality j Energy, Mineral and band Resources 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115 704 663 1699 T Compliance Inspection Report Permit: NCGNE1085 Effective: Expiration: owner: Woodcraft Industries Inc SOC: Effective: Expiration: Facility: Woodcraft Industries, Inc. County: Catawba 93 Fairgrove Church Rd Region: Mooresville Conover INC 28613 Contact Person: Brian Ernst Title: Phone: 828-315-2300 Directions to Facility: Take 1-40 Exit 130 turn right onto 1st street/US-70A, turn right onto 70A, take 2nd left onto Fairgrove Church Road and facility is on the left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s)- Related Permits: Inspection Date: 12/16/2015 Entry Time: 02:00PM Exit Time: 02:30PM Primary Inspector: Albert B Cole Phone: Secondary Inspector(s): ' . Reason for Inspection: Fallow -up Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: Compliant ❑ Not Compliant Question Areas: ® Miscellaneous Questions (See attachment summary) Page: 1 r J Permit NCGNE1085 Owner - Facility: Woodcraft Industries Inc. Inspection Date: 1211612015 Inspection Type ` Compliance Evaluation Reason for Visit: Follow-up Inspection Summary: No exposure was denied based on the inspection of Dec. 16, 2015. Please remove these open garbage containers with pallets in them exposed to rainfall. Page: 2 permit NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 12116/2015 Inspection Type : Compliance Evaluation Reason for Visit: Fo{low-up Page: 3 v, l 31.9 r+,#�i i"- ;i p] y. F � - I r✓ G � I y Y d � r .{ rC„. iJh};.iTt"}wW+�7l«•a�,:x'r'�-r', rr -r^`t� a? t F �. t l ,� •rrr S I ���'��`?�rr��k'{� ',mh7�r ° f f ��E 'S r 1 1,4, Icy t �u„�`"Yr'.:�I(�nmtn�41�', x��•f`',{.�r1 q'��,�,� I �n": - �,� I f I { ,r �ti ♦ j.� � a L r+ ����. .�tr �7�"�"{i4n�,r�"w�'?f;"'S-^�+�.,�_,�>y,,..�� _'.�r•.'�.�i="�,���a&�'3 �` ' ��:i I I^G -, �• -ly +Cxt�3{ 1:ir, y i d� ,.g�'�� 7' E 1(% P �,�! n , ^ � 1� � J tC d 5lc � nk•VI[ +� �,' 1 . - , 'p� Sj} • .I F ttt ` CE �, Z''; M itONS ZrAl. Ni { !S 'I'1,• � +.:.Y - I �k,{%. I " I. {I �1_ :45. i �JS -'•,_ ' -k_ . AEPUBLAC ' .[i r � r� � s•, I d ' � l ;� �aS�Cl4fIVGJ , ►� 4 S00432.5439 g e --+f{ (n i,S 3Fti� r.n !`F �CO.?S �i'i�a".u-yCd- r 4 I. L T k I s • x r a ,. , It 7 $ i 1 d 1jj aa�5��.t�.- :i,.wy��'1- :"k ����F°..".t.. ±f4..- .?`tf s _ ..�z�Mi.;"�-,n�i•!i, ,. -.,. - .. - •F'-',. ,srY"`a'.'-'._�7s:.�...--a��.' Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY December 18, 2015 Woodcraft Industries, Inc Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast St. Cloud, MN 56304 PAT MCC'RORY Governor DONALD R. VAN DER-VAART Secretary TRACY DAVIS Director Subject: No -Exposure Application NCGNE1085 Woodcraft Industries, Inc. 93 Fairgrove Church Road Conover, NC 28613 Catawba County The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on December 2, 2015. The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on December 16, 2015 Mooresville Regional Office staff observed two open garbage containers with pallets in them on your site are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection report and picture. If you have any questions or need further information, please contact me at (704) 663-1699, or at zahid.khan@ncdenr.gov Sincerely, ' as"5 - _S _ �(__ Zahid S. !Chan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: Mr. Bradley Bennett, Stormwater Permitting Program, No- Exposure Files NCGNE1085 State of North Carolina I Environmearal Quality I Energy, Mineral and Land Resources 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115 704 663 1699 T Com liance.Inspection Repo Permit: NCGNE1085 Effective: Expiration: Owner: Woodcraft industries Inc SOC: Effective: Expiration: Facility; Woodcraft Industries, Inc. County: Catawba 93 Fairgrove Church Rd Region: Mooresville Conover NC 28613 Contact Person: Brian Ernst Title: Phone: 828-315-2300 Directions to Facility: Take 1-40 Exit 130 turn -right onto 1 st street/US-70A, turn right onto 70A, take 2nd left onto Fairgrove Church Road and facility is on the left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 1211612015 Entry Time: 02:OOPM Exit Time: 02:30PM Primary Inspector: Albert B Cole Phone: Secondary Inspector(s): Reason for Inspection: Follow-up Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ❑ Compliant ❑ Not Compliant Question Areas: v Miscellaneous Questions (See attachment summary) Page: 1 permit: NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 1211612015 Inspection Type : Compliance Evaluation Reason for Visit: Follow-up Inspection Summary: No exposure was denied based on the inspection of Dec. 16, 2015. Please remove these open garbage containers with pallets in them exposed to rainfall_ Page: 2 M Permit: NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 12/16/2015 Inspection Type : Compliance Evaluation Reason for Visit: Follow-up Page: 3 r,.. z. •>-.wp. r '.,.✓. I, . d'.. i 7w� d....,:-P. 'i i. --I +-� F,: r.4z- YII '� +liia f{ . ;� a} :?'r-s - !} � , - ••y ,r -per - .!- 'v .� r-..y', a'1 � ,5 :ld �,. ,.# w�': .n� hr i, '=i � 6 I'rr I ,"w.• � �.e,,.:r'' ,� r(. +: I t . :t �' �� } r �t,p.7 � d r -:r.s � s f �'.'� �L f j!�- � n !r`! .pp k,��'�C �- �.• - �k r- r.'�+� •• . �-L''r t r r �. 1i {' � r jr r r�d. 1! �`�-` I`�'�t*+ �. � `4� _ - - •. '{- - • - •, r . �. �� f?i...! it i{11 " .• � i I � a x . +{ �t �_ drs n r + - i '� 1 .rr* y , ' 0.1' " 7 > f y 5 f ys. } } y +.+ 3'• ` L mY [ f 1 I � : '...A � •�. � `.'� i - t}-�' i r' i R it �h 5- i rl - 7 r-f° Et. �`•: � .z ps „' e Y, ^ a !- Y •.} �.'jr. , i;. �{{ ".. 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"'' :..._,:._...— t _ ;• - :WeF.. a.,.:r>p, ... ;j LTD -WA Division of Energy, Mineral and Land Resources a Land Quality Section FqCDENR National Pollutant Discharge Elimination System .�.N ,.,D , - NO EXPOSURE CERTIFICAIION for Exclusion Em R�u.fxs Wn Nayut RGip.ws� NCGNE0000 FOR AGENCY USE ONLY Dare Received Year Moms Day CerbScamofC v e 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, DEMLR 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 machlnery, 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 NPOES 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)., If approved, your conditional no -exposure exclusion must be self re -certified at least annually. Please see information here: hft2://Portal.ncdqnr.org/web/ir/n des-stormwater For, questions, please contact the DEMLR 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 Woodcraft Industries, Inc Contact Street Address City Telephone No Mark Sytsma 525 Lincoln Avenue Southeast St. Cloud (320) 252-1503 RECEIVED SEP 17 2015 State MN ZIP Code 56304 Fax: (320) 252-1504 RECEIVED Page 1 of 7 AUG 3 12015 SWU-NCGNE DENR-DEMLR Lantl Quality Section Mnoresviiie Regional Office M&A-AAM QUALITY last revised 5/5/2015 NCGNE0000 No Exposure Certification �0 3� � 2) Location of facility producing discharge: r a-63 955--� Facility Name Woodcraft Industries. Inc_ Facility Contact Brian Ernst Street Address 93 Fair -grove Church Road _ City Conover State NC ZIP Code 28613 County Catawba Telephone No. (828) 315-230 Fax: (828) 315-2399 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). Take 1-40 to Exitl30 ----* turn right onto I" Street/US-70A---o- turn right onto 70A—♦ take � left onto Fair -grove Church Road 11� facility is on left. (A copy of a map with the facility clearly located on it should be included with the certification application ) 4) Is the facility located on Native American Lands? ❑ Yes No 5) is this a Federal facility? ❑ Yes ® No 6) Latitude 35'43'15.83" N Longitude 81 *16'49.70" (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility m Existing Date operation is to begin Date operation began 2008 0 Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes a 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: 2426, Hardwood Dimension and Flooring Mills 10) Provide a brief description of the types of industrial activities and products produced at this facility: This is basically a logistics center with warehousina and some manufacturina operations including the machining and assembly of kitchen cabinet doors and drawers. No finishing. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 j SWU-NCGNE Last revised 51&2015 NCGNEOOOO 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 0 No ❑ NIA 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 ❑ NIA c Materials or products from past industrial activity ❑ Yes No ❑ NIA d Material handling equipment (except adequately maintained vehicles) ❑ Yes , No ❑ NIA e. Materials or products during loading/unloading or transporting activities ❑ Yes No ❑ 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 No ❑ NIA and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No ❑ NIA the discharger i Waste material (except waste in covered, non -leaking containers [e g., dumpsters]) ❑ Yes ® No ❑ NIA j Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ® No ❑ N/A k Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes No ❑ NIA 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 ❑ NIA (i e, not closed and stored upside down to prevent precipitation accumulation) m For any exteriorASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes , No ❑ N/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 ❑ N/A 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? Page 3 of 7 SWU-NCGNE Last revised 5IW2015 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 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 III Section 313 Superfund Amendments and Reauthorization Act (SARA) water grio& chemicals'? d Is secondary containment provided for hazardous substances" designated in 40 CFR §116? e. Are release valves on all secondary containment structures locked? 15) Hazardous Waste: a Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? b Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? c. Is this facility a urge Quantity Generator (1000 kg or more of hazardous waste 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 1 disposal vendor: Vendor address: Footnotes to Questions 14) c. & d., ❑ Yes Cl No j NIA Cl Yes ❑ No a NIA ❑ Yes ❑ No i NIA ❑ Yes © No j NIA ❑ Yes ❑ No j NIA ❑ Yes 1 No ❑ NIA ❑ Yes ® No ❑ NIA ❑ Yes O 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 Page 4 of 7 SWU-NCGNE Last revised 51&2015 NCGNEp00D No Exposure Certification Its) 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? j Yes ❑ No ❑ NIA b. Does your facility have coal piles on site? ❑ Yes No ❑ NIA c Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ® No ❑ NIA sawdust, etc ? d. Does your facility have air emissions associated with its industrial activity (e.g , Yes ❑ No ❑ NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: sawdust (particulates) e If you answered yes to d., are those emissions permitted by an Air Quality Permit? Yes ❑ No ❑ NIA Please specify: Air Emission Permit No. NC0000003701800562 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 5WU-NCGNE Last revised St&2015 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 t certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document {except as allowed under 40 CFR 122 26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gathered and evaluated the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate Printed Name of Person Signing: _ Mark Sytsrma Title: ---irector_of Plant Engineering of August 25 2015 (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by fire 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 rdemaking 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 (S10 000) There is currently no fee for a No Exposure Exclusion. Page 6of 7 SWU-NCGNE Last revised 5/512015 NCGNE0000 No Exposure Certification 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 the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8 Mail the entire package to: Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ... (828) 296-4500 Fayetteville Office .. (910) 433-3300 Mooresville Office ,.. (704) 663-1699 Raleigh Office . ....(919) 791-4200 Washington Office .. (252) 946-6481 Wilmington Office (910) 796-7215 Winston-Salem (336) 771-5000 Central Office (919) 807-6300 Page 7 of 7 SWU-NCGNE Last revised 5/512015 1457 i r North Carolina Department of Environmental Quality Pat McCrory Governor Woodcraft Industries, Inc Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast St. Cloud, MN 56304 Donald R. van der Vaart Secretary September 21, 2015 Subject: No -Exposure Application NCGNE1085 Woodcraft Industries, Inc. 93 Fairgrove Church Road Conover, NC 28613 Catawba County The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on August 31, 2015, The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on September 17, 2015 Mooresville Regional Office staff found that industrial activities or materials on your site either are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection report. If you have any questions or need further information, please contact Mr. Samar Bou-Ghazale at (704) 663-1699, or at Samar. Bou-Ghazale ncdenr. izov Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: K1r_Bradl y=B nne eta Stormwater Permitting Program, No- Exposure Files NCGNE1085 1601 Mail Service Center, Raleigh, North Carolina 27699-1601 Phone: 919-707-86001 Internet: www.ncdenr.gov An Equal Opporlunity\Atfirmative AcGen Employer — Made in part by recycled paper Permit: NCGNE1085 Effective: SOC: Effective: County: Catawba Region: Mooresville Compliance Inspection Report Expiration: Owner: Woodcraft Industries Inc Expiration: Facility: Woodcraft Industries, Inc. 93 Fairgrove Church Rd Conover NC 28613 Contact Person: Brian Ernst Title: Phone: 828-315-2300 Directions to Facility: Take 1-40 Exit 130 turn right onto 1st street/US-70A, turn right onto 70A, take 2nd left onto Fairgrove Church Road and facility is on the left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 09/17/2015 Entry Time: 12:05PM Primary Inspector: Samar E Bou Ghazale Secondary Inspector(s): Exit Time: 12:30PM Reason for Inspections: Other Inspection Type Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: E3 Compliant ® Not Compliant Question Areas: ® Miscellaneous Questions ® Misc (See attachment summary) Phone: 704-663-1699 ExL2199 Compliance Evaluation 3 Page: 1 Permit: NCGNE1085 Owner - Facility: Woodcraft Industries Inc Inspection Date: 0911712015 . Inspection Type : Compliance Evaluation Reason for Visit: Other Inspection Summary: No exposure was denied based on inspection dated September 17, 2015, Please remove the pallets from behind the building or provide a cover from the stormwater prior to resubmitting. Page: 2 Permit: NCGNE1085 Owner- Facility: Woodcraft Industries Inc Inspection date: 0911V2015 Inspection Type; Compliance Evaluation Reason for Visit: Other Misc Yes'No NA NE Is the facility compliant? ❑ ® [] n Comment: Facilty_app_lied for no exposure. Inspection dated September 17 2015 revealed a lot of pallets exposed to stormwater behind the building Page: 3 North Carolina Department of En'vironmental Quality Pat McCrory Governor Woodcraft Industries, Inc Attention: Mr. Mark Sytsma 525 Lincoln Avenue Southeast St. Cloud, MN 56304 Donald R. van der Vaart Secretary September 21, 2015 Subject: No -Exposure Application NCGNE1085 Woodcraft Industries, Inc. 93 Fairgrove Church Road Conover, NC 28613 Catawba County The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on August 31, 2015. The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on September 17, 2015 Mooresville Regional Office staff found that industrial activities or materials on your site either are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection report. If you have any questions or need further information, please contact Mr. Samar Bou-Ghazale at (704) 663-1699, or at Samar.13ou-GhazaIe@ncdenr.gov Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc: Mr. Bradley Bennett, Stormwater Permitting Program, No- Exposure Files NCGNE1085 1601 Mail Service Center, Raleigh, North Carolina 27699-1601 Phone: 919-707-86001 Internet: www.ncdenr.gov An Equal Opportunity 1 Affirmative Action Employer —Made !apart by recycled paper �I Compliance Inspection Report Permit: NCGNE1085 Effective: Expiration: Owner: Woodcraft Industries Inc SOC: Effective: Expiration: Facility: Woodcraft Industries, Inc. County: Catawba 93 Fairgrove Church Rd Region: Mooresville Conover NC 28613 Contact Person: Brian Ernst Title: Phone: 828-315--2300 Directions to Facility: Take 1-40 Exit 130 turn right onto 1st street/US-70A, turn right onto 70A, take 2nd left onto Fairgrove Church Road and facility is on the left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Re prose ntative(s): Related Permits: Inspection Date: 09/17/2015 Entry Time: 12:05PM Primary Inspector: Samar E Bou Ghazale Secondary Inspector(s): Exit Time: 12:30PM Reason for Inspection: Other Inspection Type Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ❑ Compliant ® Not Compliant Question Areas: ® Miscellaneous Questions ® Misc (See attachment summary) Phone: 704-663-1699 Ext.2199 Compliance Evaluation Page: 1 Permit: NOGNE1085 Owner - Facility: Woodcraft Industries Inc inspection Date: 0911712015 Inspection Type : compliance Evaluation Reason for Visit: Other Inspection Summary: No exposure was denied based on inspection dated September 17, 2015. Please remove the pallets from behind the building or provide a cover from the stormwater prior to resubmitting. Page: 2 Permit: NCGNE1085 owner - Facility: Woodcraft Industries Inc Inspection Date: 09/17/2015 Inspection Type : Compliance Evaluation Misc Is the facility compliant? Reason for Visit: Other Yes No NA NE ❑ ® ❑ ❑ Comment: Facilty applied for no exposure. Inspection dated September 17 2015 revealed a lot of pallets exposed to stormwater behind the buildin . Page: 3 FOR AGENCY USE ONLY �� Division of Energy, Mineral and Land Resaurces YR, B"°, A��� Land Quality Section N�`DENR National Pollutant Discharge Elimination System HN Comm NO EXPOSURE CERTIFICATION for Exclusion { NCGNE0000 National Pollutant Discharge Elimination System application for exclusion from a 5tormwater 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, snowmen, and/or runoff.. For permitted facilities in North Carolina, DEMLR 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 machlnery, 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 stornwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facie qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a faclilly-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 facllky or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). If approved, your conditional no -exposure exclusion must be self re -certified at least annually. Please see information here: htto:i/oortal.ncdenr.org/web/ir/npdes-stormwater For questions, please contact the DEMLR Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of ownerloperator (address to which all certification corresaondence will be mailed): Name Woodcraft Industries, Inc Contact Mark Sytsma Street Address 525 Lincoln Avenue Southeast City St. Cloud State MN ZIP Code 56304 Telephone No (320) 252-1503 Fax: (320) 252-1504 RECEIVE® Page 1 of 7 NOV 18 2015 5WU-NCGNE 06NR-LAND Q=JALITILast revised 5fW201 5 STORMVVATER PERMITTING NCGNEOOOO No Exposure Certification 2) Location of facility producing discharge: Facility Name Woodcraft Industries, Inc,; Facility Contact Sian Ernst Street Address 93 Fairsarove Church Road City Conover State NC ZIP Code 28613 County Catawba Telephone No. (828 315-230 _ Fax: (828) 31S-2399 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) Take I-40 to Exit130—► turn r' ht onto 1 " Street1US-70A----P, turn right onto 70A-----► take 2"_ left onto Fairurove Church Road --- * facility is on left. (A copy of a map with the facility clearly located on it should be included with the certification application ) 4) Is the facility located on Native American Lands? o Yes No 5) Is this a Federal facility? 0 Yes No 6) Latitude 35'43'15.83" N Longitude 81'15'49,70" (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 0 Existing Date operation began 2008 L3 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 Class cation: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2426 Hardwood Dimension and Flooring Mills 10) Provide a brief description of the types of industrial activities and products produced at this facility: This is basically a logistics center with warehousing and some manufacturing operations including the machining and assembly of kitchen cabinet doors and drawers. No finishing. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NCGNE Last revised 5t512015 NCGNE©OOO 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 j No ❑ NIA 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) 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) ❑ Yes j No ❑ NIA ❑ Yes No ❑ WA ❑ Yes No ❑ NIA ❑ Yes No ❑ NIA ❑ Yes No 0 NIA ❑ Yes Ij No Cl NIA ❑ Yes ® No ❑ NIA ❑Yes ©No ❑NIA ❑ Yes S No ❑ WA k Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No ❑ NIA otherwise regulated (i e , under an air quality control permit) and evident in the stormwater outflow 1. Empty containers that previously contained materials that are not properly stored M Yes , No ❑ 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 ❑ NIA 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 ❑ NIA deterioration, or evidence of leaks? b Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No ® N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 SWU-NCGNE Last revised 515/2015 NCGNEOOOO 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 single above ground storage containers ❑ Yes ❑ No j WA (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 O NIA in close proximity to each other with a combined capacity of more than 1,320- galions? c Is secondary containment provided for Title III 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? 15) Hazardous Waste: a Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? b is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste 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 1 disposal vendor: Vendor address: Footnotes to Questions 14) c. & d. ❑ Yes © No , NIA ❑ Yes ❑ No j NIA 0 Yes ❑ No M NIA ❑ Yes ® No ❑ NIA ❑ Yes a No ❑ NIA ❑ Yes , No ❑ NIA `Note that amounts below the 660-gallon (single) and 1,324-gallon (combined) bulk storage minimums require secondary containment However, some exceptions maybe 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-NCGNE Last revised 515/2015 NCGNEt]a00 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? j Yes ❑ No ❑ NIA b. Does your facility have coal piles on site? ❑ Yes No ❑ NIA c Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes No ❑ N/A sawdust, etc ? d. Does your facility have air emissions associated with its industrial activity (e.g , Yes ❑ No ❑ NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: sawdust (particulates) e If you answered yes to d., are those emissions permitted by an Air Quality Permit? Yes ❑ No ❑ NIA Please specify: Air Emission Permit No. NC0000003701800562 f Please fist any other environmental program permits (federal, state, etc ) not specked 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-NCGNE Last revised 515M15 NCGNEOOOO No Exposure Certification 17) Certification: certify under penalty of law that f 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 25(gx2)) l understand that I am obligated to submit a no eMgsure certification form once everyto 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: Mark Svtsma Title:-birector of Plant Encineerina of August 25. 2015 (oate 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 arty 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 Me Implementing this Article; or who knowingly makes a false statement of a material fact in a nilemaking proceeding or contested case raider 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. Page 6 of 7 SWU-NCGNE Last revised 5/5/2015 NCGNE0000 No Exposure Certification 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 the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8 Mail the entire package to: Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLIR Rggional Office Contact Information; Asheville Office . . (828) 296-4500 Fayetteville Office .. (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office. ....(919) 791-4200 Washington Office .(252) 946-6481 Wilmington Office (910) 796-7215 Winston-Salem (336) 771-5000 Central Office (919) 807-6300 Page 7 of 7 5WU-NCGNE Last revised 515t2015 �,r.. � �'