NCGNE1281_COMPLETE FILE - HISTORICAL_20181127

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑HISTORICAL FILE
DOC DATE
❑ �V�U II !�
YYYYMMDD

NCDENR
No TH WoD i , Oenwr C' or
rnv�rro ,— .ro Nl.r- Resources
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
I Month
Day
i
PA'w " Z
V'
Plcase enter the permit iwinber for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N
N
C
S
O
N
G
G
E
I
?
8
I
H. Perndt status prior to requested change.
a.
Permit issued to (company name):
Old Dominion hrei(.,ht Line, Inc.
b.
Person legally responsible for permit:
Sam Faucette
First \'1I Last
1 ille
500 Old Dominion Wav
Permit Holder Mailing Address
Thomasville NC 27360
City Stele Zip
[phone] { }
Phone Fas
c.
Facility name (discharge):
Old Dominion Freight Line Kings Mountain_
d.
Facility address:
r
604 Innovation Drive
Address
Kings Mountain NC 28086
City Slate 'Lip
e.
Facility contact pet -son:
( )
First l MI / Last Phonc
Ill. Please provide the following for the requested change (revised permit).
a.
Request for change is a result of:
❑ Change in ownership of the facility
® Natne change of the facility or owner
jf Oiher please explain: this Is Only to update
the LRP and facility Contact persoll
b.
Permit issued to (company name):
Old Dominion Freight Line. Inc.
c.
Person legally responsible for permit:
Terry Hutchins
- First N11I Last
Vp - Real Estate
'1'itic
500 Old Doininlotl Wav
Permit I loldcr N•lailing Address
Thomasville NC 27360
City' State Zip
[phone] tertl'.hUIChIns [1,odfl.coin
Phone F-mail Address
d.
Facility name (discharge):
Old Donlillion Freight Line Kings Mountain
e.
Facility address:
604 lnnovation Drive
Address
Kings Mountain NC 28086
City slate Zip
f.
Facility contact person:
Joseph Fehr
!' irst Rl I 1.asl
[phone] joseph.fuhru,odfl.coin
Phone E-mail Address
Revised Jars. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Joseph y 1'uhr
Firt 1.11 Last
Manager - Real Estate Environmental Services
"Title
500 Old Dorninion Way
Mailing Address
Thomasville NC 27360
Cite State Zip
[phone] joseph.fuhr r�,od11,com
Phone 1;-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change:'
® Yes
❑ No (please explain)
V1 Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change. and
the new applicant in the case of an ownership change request. For a name change request. the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I- Joseph Fuhr, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete. n
Signature Date
A ICANT CERTIFICATION
I, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included. this application package will be
returned as incomplete.
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

C.� .
;�,;i';�

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
,tune 29, 2018
Old Dominion Freight Line, Inc.
Attention: Mr. Bob Christie
500 Old Dominion Way
Thomasville, North Carolina 27360
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR.
Interim Director
Subject: No -Exposure Certification NCGNE 1281
Old Dominion Freight Line Kings Mountain
604 Innovation Drive
Kings Mountain, North Carolina 2086
Dear Mr. Christie,
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 June 19, 2018, 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.nedenr.orJweb/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
Mooresville Regional Office � 610 Fast Center Ave Ste 301 1 Mooresville, � IC 28115
704 663 1699 T

Old Dominion Freight -Line, Inc
June 29, 2018
Page 2 of 2
If you have any questions or need further information, please contact Holliday Keen at [phone], or at
Hol] iday. KeenrJncdenr. gov.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosure: Inspection Report
cc: Stor.mwater-Permitting-Program` INo=-EXposure-Files=NCGNE=1:28:172

Permit: NCGNE1281
SOC:
County: Cleveland
Region: Mooresville
Compliance Inspection Report
Effective: Expiration, Owner: Old Dominion Freight Line Inc
Effective: Expiration: Facility: Old Dominion Freight Line Kings Mountain
604 Innovation Dr
Contact Person: Bob Christie Title:
Directions to Facility:
located approximately .40 miles north of the 1851York road interchange.
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Kings Mtn NC 28086
Phone: [phone]
Phone:
Inspection Date: 06/19/2018 EntryTime: 03:00PM Exit Time: 03:30PM
Primary Inspector: Holliday Keen Phone:
Secondary Inspector(s):
Reason for Inspection: Other Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions ® Misc
(See attachment summary)
Page: 1

permit: NGGNE1281 Owner - Facility: Old Dominion Freight Line Inc
Inspection Date: 06/1912018 inspection Type : Compliance Evaluation Reason for Visit: Other
Inspection Summary:
During my inspection this facility did not have any materials that could potentially affect stormwater runoff and I recommend
that a NPDES No Exposure Certificate be granted. Please note that the facility is subject to inspections to ensure No
Exposure Certificate conditions are maintained. Please call 704-235-2148 or email [e-mail] with any
questions.
Page. 2

permit NCGNE1281 Owner • Facility: Old Dominion Freight Line Inc
Inspection Date: 06/19/2018 .Inspection Typo: Compliance Evaluation Reason for Vsil: Other
MISG
Yes No NA NE
Is the facility compliant? ■ ❑ ❑ ❑
Comment: Facility is compliant with NPDES No Exgosure_CertifiCate requirements.
Page: 3

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
June 29, 2018
Old Dominion Freight Line, Inc.
Attention: Mr. Bob Christie
500 Old Dominion Way
Thomasville, North Carolina 27360
ROY COOPER
Govemor
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR.
interim Director
Subject: No -Exposure Certification NCGNE 1281
Old Dominion Freight Line Kings. Mountain
604 Innovation Drive
Kings Mountain, North Carolina 2086
Dear Mr. Christie,
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 June 19, 2018, 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:
htt:11 ortal.ncdenr.orQ/web/Ir/n des-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
Maaresmlle Regional Office 1 610 East Center Ave Ste 301 1 Mooresville, NC 38115
704 663 1699 T

Old Dominion Freight Line, Inc
June 29, 2018
Page 2 of 2
If you have any questions or need further information, please contact Holliday Keen at [phone], or at
Holliday.Keen (7oncdenr.gov.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosure: Inspection Report
cc: Stormwater Permitting Program, No- Exposure Files NCGNE 1281

Compliance Inspection Report
Permit: NCGNE1281 Effective: Expiration:
SOC: Effective: Expiration:
County: Cleveland
Region: Mooresville
Contact Person: Bob Christie Title:
Directions to Facility:
located approximately .40 miles north of the 1851York road interchange.
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
owner: Old Dominion Freight Line Inc
Facility: Old Dominion Freight Line Kings Mountain
604 Innovation Dr
Kings Mtn NC 28086
Phone: [phone]
Phone:
Inspection Date: 0611912018 Entry Time: 03:OOPM Exit Time: 03-30PM
Primary Inspector: Holliday Keen Phone:
Secondary Inspector(s):
Reason for Inspection: Other Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant Not Compliant
Question Areas:
■ Miscellaneous Questions Misc
(See attachment summary)
Page: 1

f
1
permit: NCGNE1281 Owner - Facility: Old Dominion Freight tine Inc
Inspection Date: 0611912018 Inspection Type: Compliance Evaluation Reason for Visit: Other.
Inspection Summary:
During my inspection this facility did not have any materials that could potentially affect stormwater runoff and I recommend
that a NPDES No Exposure Certificate be granted, Please note that the facility is subject to inspections to ensure No
Exposure Certificate conditions are maintained. Please call 704-235-2148 or email [e-mail] with any
questions.
Page: 2

Permit: NCGNE1281 Owner -Facility: Old Dominion Freight Line Inc
Inspection Data: 0611912018 .- Inspection Type : Compliance Evaluation Reason for Visit: Other
Mist
Yes No NA NE
Is the facility compliant? E ❑ 1111
Comment: Faci[ity is compliant with NPDES No Exposure Certificate requirements.
Page: 3

ilc&n E/0-V
Em Mwornk
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Eli "nation System
FOR AGENCY USE ONLY
Date Received
Year
Monllt nay
Certificate of (:overage
NO EXPOSURE CERl�Ie �1PTICATI fgr Exclu&n
Fliirtonrtet�ICil NCVL�EQQOQ % a'� 2 r
CtrtC.li1;
National Pollutant Discharge Elimination System application forJO&Ion *Bm a�Omwater Permit based
-- un 1=VnnQL1M0- Nil il.
Submission of this No Exposure Certification constitutes notificafton that your facility does not require a
permit for stonnwater 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 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 arse not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual
outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
If approved, your conditional No Exposure Exclusion has no expiration date
BUT MUST BE self re -certified at least annually.
Please look for information about re -certification under the No Lx2osure section on this page:
httos:lldeg.nc. ov/about/divisions/energy-mineral-land-resources/ener v-mineral-land-yermitslstormwater-
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailedl:
Name
Contact
Street Address
City
Telephone No.
Old Dominion Freight Une, Inc.
Bob Christie
500 Old Dominion Way
Thomasviue
336 822-1385
State NC ZIP Code 27360
Fax: RECEIVED
Page 1 of 7 MAY 0 7 2018
swUMGNE OENi£A.a NDQU,WWo16
STORMWAMR PERMITTimr.

NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name oki aarr>;nion Freight Line Kings Mountain
Facility Contact
Street Address
City
County
Telephone No.
Bob Christie
604 Innovation Drive
Kings Mountain
Cleveland
336 822-1385
3) Physical location information:
State NC
Fax:
ZIP Code 28086
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). Located approbmately .4a miles north or the 1-85[rQrk Road Inte.rharge
(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? 0 Yes *No
5) Is this a Federal facility? 0 Yes �d No
6) Latitude 35 • Z 3 Z 5 2 7° Longitude — 30 i z 1 Z (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
G New or Proposed Facility Date operation is to begin
K Existing Date operation began 2017
E3 Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? 17 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 Cade: 4 2 1 3
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Facilitv has a vehicle maintenance shop, activities are performed and materials stored
undercover
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
0 Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
SWU-NCGNE Last revised 9/28/2016

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. Lasing, storing, or cleaning industrial machinery or equipment, and areas where © Yes XNo 0 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 spillstleaks
❑ Yes
)s"No
C NIA
c. Materials or products from past industrial activity
p Yes
XNo
M N/A
d. Material handling equipment (except adequately maintained vehicles)
0 Yes
)<No
C7 NIA
e. Materials or products during loading/unloading or transporting activities
E2 Yes
)(No
p NIA
f. Materials or products stored outdoors (except final products intended for outside
13 Yes
)KNo
E3 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,
o Yes
)'No
10 NIA
tanks, and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained
EI Yes
KNo
© NIA
by the discharger
i. Waste material (except waste in covered, non -leaking containers (e.g.,
13 Yes
O(No
G NIA
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted)
0 Yes
XNo
El NIA
k_ Particulate matter or visible deposits of residuals from roof stacks and/or vents © Yes J<No El NIA
not otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored p Yes P'No p 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 in Yes *No a 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 rl Yes © No JYNIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any © Yes ❑ No XNIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked
shut?
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
Page 3 of 7
SWIJ-NCGNE Last revised 9/28/2016

NCGNE0000 No Exposure Certification
a. Is secondary containment provided for single above ground storage containers © Yes M No 3(N/A
(including dams, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored 1p Yes p No XN/A
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 pYes In No JKN/A
Amendments and Reauthorization Act (SARA) water priority chemicals?
d. Is secondary containment provided for hazardous substances" designated in ❑ Yes p No t(N/A
40 CFR §116?
e. Are release valves on all secondary containment structures locked? in Yes G No *`N/A
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑Yes XNo p NIA
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous in Yes XNo 17 NIA
waste generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste o Yes 13(No 10 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: NIA
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 lasted in 40 G R §117.3.
16) Other information: if you answer "Yes" to any of the following items, you mig ht not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
Page 4 of 7
SWU-NCGNE Last revised 912a12016

NCGNE0000 No Exposure Certification
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:
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:
0 Yes PkNo E3 NIA
p Yes WNo G NIA
Cl Yes )Mo p NIA
❑ Yes No ri NIA
in Yes G No YNIA
Page 5 of 7
SWU-NCGNE Last revised 912&2016

NCGNEOOOO 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 CER 122.26(g)(2)).
I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once
eagh year, and if requested, provide this certification 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
Energy, Mineral, and Land Resources, 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. I understand I
must keep a copy of annual re -certifications on file at the facility.
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: Sam Faucette
Title: VP Safety and Compliance
(Signature of Applicant)
-SWt%
(Date Signed)
Please note_ This application for the No Exposure Exclusion is subject to approval by the NCDEQ
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 143-216.6 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 tact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
(Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10.000).
There is currently no fee for a No Exposure Exclusion.
Page 6of7
SWU-NCGNE Last revised 912W016

NCGNE0000 No Exposure Certification
Final Checklist
This application should Include the following Items:
This completed application and all supporting documentation.
,lr 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:
DEMLR - Stormwater Program
Dept. of Environmental Quality
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.
DEMl-R Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office .._(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7 of 7
SWi1-NCGNE Last revised 9r W016

Site
Map Scale: 1:24,000
Image Courtesy USGS
M 200, 400, 600,
yf 1 200 400 600
MWI S
ENVIRONMENTAL
GE05 Environmental, Inc.
13014 N. Dale Mabry Hwy, No. 117
Tampa, FL 33618
www.geosenvironmental.com
s
LATAONG: 35.2324160 /-81.331174'
Figure 1. Area Topographic Map
Old Dominion Freight Line, Inc.
604 Innovation Drive
Kings Mountain, NC 28086
RECEIVED
MAY 0 7 701a
DENR-LAND QUALITY
STORMWATER PERMITTING

GM®5
ENVIRONMENTAL
May 3, 2018
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: NO EXPOSURE CERTIFICATION SUBMITTAL
Old Dominion Freight Line, Inc.
Kings Mountain, North Carolina Facility
604 Innovation Drive
Kings Mountain, North Carolina 28086
RECEIVED
MAY 0 7 2018
DENR-LAND QUALITY
STORMWATE:R PERMITTIt1,G
On behalf of Old Dominion Freight Line, Inc., the attached No Exposure Certification is submitted by GEOS
Environmental, Inc. (GEOS) for the above -referenced site. A map showing the facility location also is
provided. Correspondence relating to this submittal should be directed to:
Bob Christie
Manager, Safety
Old Dominion Freight Line, Inc.
500 Old Dominion Way
Thomasville, NC 27360
[phone]
[e-mail]
If you have any questions, please email me at [e-mail], or call me at (813) 523-
5408.
Sincerely,
gPPROV�FOR
PAY NT
MAY,67 2018
Joseph M. Fuhr, P.G.
Sr. Project Manager
cc: Bob Christie
Attachments
GEOS Environmental, Inc.
13014 N. Dale Mabry Hwy, No.117
Tampa, FL 33618
www.geosenvironmental.com
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