NCGNE0096_COMPLETE FILE - HISTORICAL_20101006

�1�
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v �� N E L
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �� /
YYYYMMDD

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
October 6, 2010
STEVEN P FARR, EHS AND QUALITY LEAD
RR DONNI31-LEY/1-ITHO PLANT
1 LITHO WAY
DURHAM NC 27703
Dear Mr. Farr:
Dee Freeman
Secretary
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0096
RR Donnelley/Litho Plant
f _ Formerly Litho Industries, Inc.o
1 Litho Way
Durham County
The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure
Certification, which we received on August 25, 2010. Division personnel have reviewed and approved your request to transfer
the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the no exposure certification and by our approval of your request to
transfer it, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your
facility can no longer qualify for the no -exposure exclusion, you are obligated to immediately obtain NPDES permit coverage
for your stor awater discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure Exclusion Self Re -Certification
form for your use. Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
ORIGINAL SIGNED BV
KEN PICKLE
for Coleen 14. Sullins
cc: Raleigh Regional Office
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91 M07-63001 FAX: [phone] Customer Service: 1-877-623-6748
Internet: ww .ncwaterquality.org
ft-1
NocthCarolina
Naturally
An Equal Opportunity \ ARumalive Action Employer

No -Exposure Self Re -Certification Information:
You are obligated to maintain no -exposure` conditions at your facility. If conditions change such that your
facility can no longer qualify for a no -exposure exclusion, you are obligated to immediately obtain NPDES
permit coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as
an un-permitted discharge. State statute provides for fines of up to $25,000 per day for un-permitted
discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5)
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to DWQ
unless requested. If requested, submit a copy of the re -certification to the Division and/or the
municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately upon
request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if the
facility can no longer maintain no -exposure conditions.
-Allow the NPDES pennitting authority or, if discharging into a municipal separate stonn sewer system, the operator
of the system, to: (1) inspect the facility; and (2) make such inspection reports publicly available upon request.
* "No exposure" means that all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material
handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or
waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any
raw material, intermediate product, final product or waste product. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
])Itp://poi-tal.ncdeiir.oi-g/web/wq/ws/su/iipdcssw#tab-5

W One Litho Way
RR D0NNELLEY Durham, 27703
wvaw. rrd onnnnel I ey. com
August 20, 2010
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: No Exposure Re -Certification and Name Change Request
NCGNE0096
To Whom It May Concern:
Enclosed, please find the following documentation for NCGNE0096:
• Form for name change from Litho Industries to RR Donnelley / Litho as
well as contact information changes
• Annual No Exposure Exclusion Self Re -Certification form
If you have questions about the enclosed materials, please feel free to contact
me at
[phone].
Sinerely;
Steven Farr /
EHS & Quality Lead
enclosures

e:
t WATF
O�0 9oG Beverly Eaves Pa'duc, Governor
tip Dee Freeman, secretary
>_ —y North Catnlina Department of Environment and Natural Ruuur;ww
O �
Coleen H. Sullins, Director
Division of Water Quality
SURFACE,WATER'PROTECTION SECTION,;;
P,ERMIT�NAME/OWNERSIIIP'CHANGEsFORl1I`
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G S 10 1 1 N I C G N E 0 0 9 6
11. Permit status prior to requested change.
a. Permit issued to (company name): Litho Industries
b. Person legally responsible for permit: Mark D Worrall
First MI Last
Plant President
Tide
I Litho Way
Pennit Holder Mailing Address
Durham NC 27703
City , State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): Litho Industries
d. Facility address: I Litho Way
Address
Durham NC 27703
City State Zip
e. Facility contact person: Kyle Skrinak [phone]
First / MI / Last Phone
Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
ff other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
AUG 252010
DENR-WATER OUALfiI'
POINT SOURCE BRANCH
d. Facility name (discharge):
e. Facility address:
RR Donnelley / Litho Plant
Mark D Worrall
First MI Last
Plant President
Tide
I Litho Way
Permit Holder Mailing Address
Durham NC 27703
City State Zip
[phone] mark.d.worrallprrd.com
Phone E-mail Address
RR Donnelley / Litho Plant
1 Litho Way
Address
Durham NC 27703
City State Zip
f. Facility contact person: Steven P Farr
First MI Last
[phone] steven.p.farrarrd.com
Phone E-mail Address
co,d<on ROMA

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:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-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)
VI. 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):
1, , 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.
Signature Date
APPLICANT CERTIFICATION
1, Mark D Worrall, 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.
��—\Znz�Q 1— August 20, 2010
Signature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

A&
im /
NC®ENTR
TM moo D N DJNA .RE. R
E�vino�uewr ar,o N.iVFi� Resour+c[s
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not submit this form to DWQ unless requested.
For questions, please contact the DWQ Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed
(MM/DD/YYYY)
N C G N E 0 0 9 6 0 8/ 2 0/ 2 0 1 0
1) Has the facility name or owner changed? ® Yes ❑ No
(if yes, please submit a separate Name/Ownership Change Form to DWQ located at
http://portal.ncdenr.org/web/wq/ws/su/npdessw#Application_Forms_N PDES )
2) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ® No
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes ® No
c. Materials or products from past industrial activity
❑Yes
® No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
F7
e. Materials or products during loading/unloading or transporting activities
❑ Yes
® No
I. Materials or products stored outdoors (except final products intended for outside
❑ Yes
® No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
❑ Yes
® No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
®No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes
® No
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes
® No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
Page 1 of 3
SWU-NESR-29Ju12010

NCGNE0000 No Exposure Self Re -Certification
I. Empty containers that previously contained materials that are not properly stored ❑ Yes ® No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No
stored outside, has the facility had any releases in the past three (3) years?
3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ.
a. Are exterior ASTs and 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 ®N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must immediately apply for a permit from DWQ.
a. Is secondary containment provided for all single above ground storage
containers (including drums, barrels, etc.) with a capacity of more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title 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?
Footnotes to Questions 4) c. & d.
❑Yes❑ No ® N/A
❑Yes❑ No ® N/A
❑Yes❑ No ® N/A
[:]Yes[—] No ® N/A
[:]Yes[—] No ® N/A
`Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the
exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment.
However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR
§117.3.
5) Other information: If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion. Please contact the Division if this is the case.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as 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: printing operations
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify: Air Permit No. 05227R09
❑ Yes ® No
❑ Yes ® No
❑ Yes ®No
® Yes ❑ No
®Yes❑ No❑N/A
Page 2 of 3
SWU-NESR-29Ju12010

NCGNE0000 No Exposure Self Re -Certification
6) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining/maintaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to annually self re -certify No Exposure and, if requested, submit this re -certification to
DWQ or the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where
applicable). 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 anv point source discharge of stormwater from the facility. Additionally, I certify under penalty of
law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information provided. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for providing false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing: Mark D.
Title: Plant President
(Sign ure) (Date Signed)
Please note: The Regional Office may inspect your facility at any time in the future for
compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document fled or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
This completed form must be kept on file at the facility for at least 5 years. Do not submit this
form to DWQ unless requested.
Page 3 of 3
S W U-NESR-29JU2010

Michael F. lasley. Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleco H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Steven C Finzer, President
Litho Industries Inc.
Litho Way - page point
Durham, NC 27703
Subject: No Exposure Certification NCGNE0096
Litho Industries Inc. - Litho Way- page point
Durham County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on January 29, 2002. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(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. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office Central Files —w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, Nonh Carolina 27699-1617 [phone]
©p�
NCDENR
Customer Service
1-877-623-6748

Litho Industries
A Division of The Nielsen Company
Certified Mail #: 7000-1670-0008-4077-2692
25 January 2002
Division of Water Quality
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Litho Industries, Inc. No Exposure Certification
Dear Sir or Madam:
Enclosed please find completed a No Exposure Certification for Litho Industries, Inc.'s
manufacturing facility, located at One Litho Way -Page Point Centre in Durham, North Carolina.
If you have any questions or need any additional information, please contact Allen Fisher at (919)
596-7000.
Sincerely,
to C. Finzer
P ent
SCF/drs
Enclosures
bcc:
Steve Jones, Nielsen
Allen Fisher, Litho
Brian Babb, KMK
Walter Bowles, Webco
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Post Office Box 14106/RTP, N.C. 27709
One Litho Way -Page Pointe Centre/Durham, NC 27703
Tele: [phone] Fax: [phone]

r
United States Environmental Protection Agency l7kiS via Approved
NPDES ;/ ��A Washington, DC 20460
FORM `� /(.may, NO EXPOSURE CERTIFICATION for Exclusion from
3510.11
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for Its storm water
discharges associated with Industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A oondlton of no exposure exists at an industrial facility when all industrial materials and activities are protected by a atom resistant shelter to prevent
exposure to rain, snow, snowmefi, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery raw materials, Intermediate products, by-products, 11nal products, or waste products. Material handling ac ivites Include the storage,
loading and unloading, transportation, or conveyance of any raw material, Intermediate product, final product or waste product. A slam resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided terse containers are not deteriorated and do not leak. 'Sealed'
means banded or otherwise secured and without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobiltzed In atom water discharges (e.g., rock set).
A No Exposure Certification meet 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 outfells. If any industrial activities or materials are or will be exposed to preciphation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the amity in Section A is certifying that a condition of no exposure exists at to facility or site,
and Is obligated to comply with the terms and conditions of 40 CFR 122.23(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed Instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: I Li It T I H 101 II IN ID IU I Si Ti Ri Ti Ei S I II I N I C I I i I I I I I 1 12. Phone: [phone]E 1010101
3. Mailing Address: a. Sleet: 111 IL II ITI HI Oh IWIAt Y I —IP IA IG IEI IP 101 LNI Tt iC I IN IT IR iEI I I
b. City: IDi Ut Ri Hi A I Mi I I I I I I I I I i I I I I I I c. State: LkILCJ d. ZJp Code: 12171710131—I I I 1 I
B. Facility/Site Location Information
1. FacilityName: I L I I IT IH IO I II IN d) QJ I SI TI RI I I EI S I I I IN IC I I I I 1 I I 1 I I I
2.a.SImet Addrese: 11i iLIIITIH101 IWiAIYi—IPi AiGiEi IPiOiIiNITi iCi Ei Ni TiRiEI I I
b.City: IDIUIRIHIAIMI I I I I I I I I I I I I I I I I I c.Counly: IDIUIRIHIAIMI I I LJ
d. state: INQ e. Zip Code: 12 17 17 1 01 31— I I I I I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: i11-5i o Lyj4J I Ui6i• b. Longitude: 1 017 1 RI * k,J$j , LQJ
S. a. Was the facility or she previously covered under an NPDES storm water permit? Yes ❑ No Ffl
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: 1201512 I Secondary (if applicable): i I I I I
9. Total size of site associated with industrial activity: 14 acres
9. a. Have you paved or roofed over a tomharty exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No
b. If yes, please indicate approximately how much area was paved a roofed over, Completing this question does not disqualify you for the no exposure
molusion. However, you permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact of water quality, in which case you could be required to obtain permit coverage.
Less than one sae ❑ One to five some ❑ More Man five acres ❑
EPA Forth 3510.11 (10.99) Page 1 of 4

NPOES
3P910.11RM
�^w NO EXPOSURE CERTIFICATION for Exclusion from
rH NPDES Storm Water Permitting
orm
oMa 2oa ved
C. Exposure Chocldlst
Ara any of the following materials or activities exposed to predpllallon, now or In the foreseeable future?
(Please check either'Yee or'No' in the appropriate box.) If you answer "Yee"to arty of these questions
it) through (11), you are not eligible for mono exposure exctualon.
`me
No
1. Using, storing or owning Industrial nwhtnery or agWpment, and areas where residuals from using, storing
❑
or cleaning Industrial machinery or equipment remain and are mcposed to storm water
2 Materiels or malauais on the ground or in storm water [Nets from spBlelleeks
❑
3. Materials or products from peat Industrial activity
❑
[J
4. Material handling equipment (except adequately maintained vehicles)
❑
[✓Y
5. Materials or products during Ioedtrno nloading a baneporting ac *m
❑
[✓]�
B. Materials or produce stored outdoors (except Anal products Intended for outside use [e.g., new care] where
❑
13,
exposure to storm water does not result in the discharge of pollutants)
T. Materiels contained in open, deteriorated or leaking storage dins, barrels, tanks, and similar containers
❑
B. Materials or products handletllstared on made or railways owned or maintained by the discharger
❑
9, Waste material (except waste In covered, non-lealft containers [e.g., dumpslera))
El1r�y
r[-�
w
10. Application or disposal of process wastewater (unless othess permltied)
El
11. Particulate matter or vlslbta deposits of reddusts from roof stacks and/or vents not otherwise regulated
❑
(I.e., under an air quality control permit) and evident In the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirernente for claiming a corditan of 'no exposure' and obtaining an
exdualon from NPDES storm water permitting.
I certify under penalty of low that there are no discharges of storm water contaminated by exposure to Industriel ectivltias or materials from the hdustrlal
facility a Site Idantitied In this document (except as allowed under 40 CFR 122.25(gH2)).
I underaand that I eta obligated to submit e no exposure cerfltloadon brm once every fie years to the NPDES permitting authority and. If requested, to
the operator of the local municipal separate storm sewer system (MS4) Into which Me fedllty discharges (where applicable). I understand that I most
allow the NPDES permlttIng sutfaray, or M34 operator where the discharge Is Into the local M84, to perform Inspection; to confirm the condition of no
exposure and to make such Inspection reports publicly available upon request. I understand that I crust obtain coverage under an NPOES permit prior
to any point source discharge of storm water from the faculty.
Addltbneiy, I car Ify under penalty of low 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 pamon or
persons who menage the system, or those persona directly responsible for gathering the Information, the Information submltled Is to the best of my
knowledge and belof bus, accurate and compote. I am aware, that there are slgnfiicard penalties for mbmit9ng false bdormellon, including the possibility
of fine and Imprisonment for knowing violations.
Prim Name:ISi TIEIVIEiNi ICi iFi IINIZIE(RI I I I I I I I I I I I I I I I I l I
Print Title: IPIRiEi SiliDiEIN(Pi I I I I I I i I I I I I I I I I I I I I I I I I
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EPA Form 3510-11 (10.99) rage 4 cr q

eE/19/02 1S:25 LITHO INDUSTRIES -� 73=9019 NO.332 rci
Utho Indus -des
A A4 11F COMPANY
FAR COVER SHEEP
P.O. Box 14106, Research Triangle Park, NC 27709
One Litho Way, Page Pointe Centre, Durham NC 27703
Fax 4: )919) 425-8008 Tel It: [phone], SM. 222
E-mWh afish olithoindustries-cam
19 June 2002
TO: Mae WiWelis
NCDENR
FR: Allen L. Fisherlr
Manager, Human Resources
RE: NO Exposure Certilloation
Pages being transmitted, including this cover sheet: 4
Enclosed is the "No Exposure Certification° that was mailed by certified letter to your
organization on 25 January 2002.
If there are any questions, Please do not hesitate to contact me. Thank you

1`_�:2E LITHO INDUSTRIES -3 433S51S
M
Litho Industries
A pivlslon of The Nielson Company
25 January 2002
Division of Water Quality
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
110.330 1;02
Certified Mail k: 7000-1670-0008-4077-2692
Re: Litho Industries, Inc. No Exposure Certification
Dear Sir or Madam:
Enclosed please find completed a No Exposure Certification for Litho Industries, Inc.'s
manufacturing facility, located at One Litho Way -Page Point Centre in Durham, North Carolina.
If you have any questions or need any additional information, please contact Allen Fisher at (919)
596-7000,
Sincerely,
e C, Finzer
P ent
SCF/drs
Enclosures
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extra toe):
Steve Jones, Nielsen
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Allen Fisher, Litho
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Brian Babb, M41K
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postmaster for tee.
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Walter Bowles, Webeo ; 3. A lc:e Adtlress4d to: 4a. Article Number
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PS Form 3011, Docombor 1994
I°2e95-B&6-0229
Domestic Return Receipt

26/19/02 1S:26 LITHO INDUSTRIES 4 73ro91S
No.330 G03
11,
raM united $hate$ ElMronmantal PnatVlon Agency 20 0�11
NPDES V��� Weshingben, DC 20d80
PDRM �7&ice+ NO EXPOSURE CERTIFICATION for ExWuslon from
351D11
NPDES Storm Water PDrmlt rig
Submission Of fJtla NO Emosure Cardaeatm taxlBUlptaB nuke dust thee" idem)sed In Sedan A does not require permg a bror ag0n fartt$ 4WM WOW
d)mxtamod associated with industnnl ftm*y In the Slate IdarOw in Sedan Sunder ERA'a Storm Winer Mulltl rGannet Perrin due to the adder a,
It a condition of no aposura.
A condMan Of na axposuro radib at en mdUW0I facility than all induatrtal matarfals and aclMilve am preheated by a atom resistant e1W W to PMVWU
toweuro t0 min, snow, encwmea, and/or Nnol. InduaWal materials or acgaitas Inbuda, but are not fanned to, rroleriEl handllrg aquWrl4 d err acdWtln.
Industrial malcnlnery, raw materials, Imermadleta product$, by-products, final produrft, or waste products. Material hpndlLng aciYJnim Include Ism abaage.
leading and unloading. trsnspongton, or conveyance of any new M"rol, Inbnnmdlate Wodud, final prodUCI or waste prgduGt A star 1, resistant shelter b
not requbed far the fatbWng Industrial malarial$ and aclNiSao;
— drurms, barrels, tanite. and almlla Containers dim are Ughty aealed, prv+ded these conlslnare are nut datmarelad and do not leak •Sealed•
maara banded Or ottiorl secured and without operedonal tape or valved:
- adequately malntailtad vehldea used In material handling: and
— Mal products, Omar man products Nat would he mablltied In storm wafer dlac."m (a.g., rock sell).
A No Exposure Caraficsdon must be provided for each faplity cuailrAng for rya no aapueum exduabn. In addacn, the excluaw tram NPDES pe MMUK Is
avetable on a facllitywide bos''s only, not for Individual elftlIa If arty industrial acNrDes or materials are a will be exPnsad to precipitnih7n, rye WrLiry Is
not eugua for the no exposure mtduslon.
9y 418nirlg and aubmltOng Nte No Exposure Caligcab011 item, tto entry in Section A In wrilrying Mat 0 0onddan of no exPaalra CAT" al Ifs radirly oralte,
and to adigate0 tto Comply with the tame and mnditlan cf 40 CFR 122.28(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM. '
Deistical inaauctlons for complatlng title form end obtaining Mo no axpowns uclus7en ans pnxalded on pages 3 and d.
& Pseflilyl3 b Locatlan InforMOOn
L Facility Noma: ITITPPIHIQl 1TINnILfISITIRITIRI5I ( INI-I I I_I I I I I 1 I�
2. s. Street Addra$0: Ill ILiTiTIHIOI Wj JAY1—IP,)AICIEI IPIQIIINITI 10FINITIRIF.I I I i
b. City; IDIDIRIRIAI I I I t I I I I I I I I I I I I I I cDounff. 117I(JI RI RIAINI I I I
d.Slat: LNIQ a.Zp Code: j21717i013t-i I I I I
3, is the radltty located on Indian Lands? Yes ❑ NO Ej
4. 1s 11%10 a faders[ fadlify7 Yea ❑ No LR
5. 0. Latitude: I,Ji njf ' I r,1:;1 I14161' d LwglNda: I M7 f RI s AAJ , p,QJ
9. a. Nos rim faduly or sits pravlously cakered under on NPDE9.mrm water Permit? Yp ❑ No
b. if yes, enter NPDES pannit number:
7. SIOIA&Vty Codas: Primary' 12171 52J Beacndary(Tapplkabls)� I I I I
0, TOlsl size of alto associated with InduoMd eCJvlty: 14 Odea
9. e. Here you pared or MOW oror a formerly mposed. pervdue amain ender :o quelry fa rya no aWaEae alrouslon? )be ❑ No
b If yea, phase Indicate e0orNlmably hoe mutll area was Penrod or anted Mr. Complabng it's question dose not dequaw you for IM no axposum
axdtaon. Howe ax, your ParlAIng out *ft m$y use this In}ormatat 1n cwm'IdOng w+kBMar stem weber diadurgoa hen Yt alb are I11lay m hew
an adverse Imeore an wamr qualfly,'m-Mch aria you Muhl txt raqulnd to tGMNt near a CUMMaa
Less then cna OCrs ❑ Ona to INS acm ❑ More Nan ova acre$ ❑
EPAForm 3510.11 (10-99)
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