NCGNE0171_COMPLETE FILE - HISTORICAL_20050420

ZTU
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�V �� N E o c,
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ ����� V
YYYYMMDD

Michael 1'. Easley, Governor
William G. R05} Jr., Sccrclary
North Carolina Department of I,nviroil ment and Natural Resources
Alan W. Klimek, 11. F. Director
Division of Water Quality
Coleco 11. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Scott Birchfield
Qualex Inc.
4020 Stirrup Creek Dr S
Durham, NC 27703
Subject: No Exposure Certification NCGNE0171
Qualex Inc. - 3751 S Alston Ave
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 June 27, 2001. 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, North Carolina 27699-1617 [phone]
Moo
NCDENR
CuS10111C1SCl'VICC
1-877-623.6748

HIM BY CENMAL FILM,
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NPDES United States Environmental Protection Agency
FORM
EPA Washington, DC 20460
3510.11 NO EXPOSURE CERTIFICATION for Exclusion from
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 condition of no exposure exists at an industrial facility when 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 ma to ria Is. into trued is to products, by-products, final products, or wa sic products. Mate ria l Is nd ling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant she lie 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 without operational taps or valves;
- adequately maintained vehicles used in material handling; and
- final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(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: IQluIaIIIeIxI I I I n I c I I I I I I I I I I I I I I I I I I I 12.Phone: [phone] 1314 12 17
3. Mailing Address: a. Street: 14 10 12 10 1 ISItItIrlrlulpl ICIrlelelkl IDl rI.I I S I I I e 1 1211111 1 1
b. City:IDl if l r l h l a iml I I I I I I I I I I I I I I I I c.State:INICI d.Zip Code: 12171710131-1 I
B. Facility/Site Location Information
1. Facility Name: IQIuIaI I IeIXI I I I n I c I I I I I I I I I I I I I I I I I I I 1 1
2.a.Street Address: 131715111 Slolultlhl I IA111sltlulnl IAIvIeI.I I I I I I I I I I
b.City: IDluIrlhlalml I I I I I I I I I I I I I I I I I ccounty: IDIuIrIhIaIml I I
d. State: ICJ e. Zip Code: I z 1 7 1 7 1 1 131 - 11181013
I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility?Yes ❑ No
5. a. Latitude: �0 17r 1 s1 131&j b. Longitude: 1�131
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes❑ No®
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary:) 31 S 161 1 I
8. Total size of site associated with industrial activity:
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No®
b. It yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Secondary (if applicable):I I I I
2.5
acres
Less than one acre ❑ One to five acres ❑ More than five acres ❑
Page 1 of 4

NPOE
FORM NO EXPOSURE CERTIFICATION for Exclusion from
FORM1 EPA3510-11 NPDES Storm Water Pe►mitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes' to any of these questions
(1) through (1 1), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
Elor
cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
❑
❑
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
❑
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
❑
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
11. Particulate matter or visible deposits of residuals 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 requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges ofstomr water contaminated by exposure to industrial activities or materia is 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 years to the NPDES permitting authority 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 1 must
allow the NPDES pemmtting authority, or b64 operator where the discharge is into the local fwS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Adddionally, 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 forgathering 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.
Print Name: IDI.I I S I c I o I t I t I IBIiIrIclhlfIilellldl I I I I I I I I I I I I I I
Print Title: I H I S I E I IPlrlolglrlalmisl IAIdlmltlnlilsltlrlaltlolrl I I I I I Lj
Signature:
Date: 101612151011�
Page 2 of 4

Nt,
NPDES United States Environmental Protection Agency
FORM
EPA Washington, DC 20460
3510.11 NO EXPOSURE CERTIFICATION for Exclusion from
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 condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmen, 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. A storm res ismm 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 without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR I22.26(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: IQ I u I a I I I e I x I IIInIel l I I I I I I I I I I I I I I I I 1 1 2.Phone: 191119141814131412171
3. Mailing Address: a. Street: 141012 10 I ISltltlrlrlulpl ICI r I c I e I k I I D I rI.I I S I I I c 1 1211111 1 1
o city: I D I u I r l h l a l ml I I I I I I I I I I I I I I I I e.State:INIC1 d. Zip Code: 12171710131- I
B. Facility/Site Location Information
1 Facility Name: IQIn1a1l1e1xl I I I n I c I I I I I I I I I I I I I I I I I I I 1 1
z. a. street Address: 121411151 PIrlelslildlelnitltlalll DIr1.1 ISIt1e1 1111121 1 1 1
b.City:I13laIr11t1alml 1 11 1 1 1 1 1 1 11 11 ill c.Couoty: 1D1uIr1hla
d. state: INICI e. zip Code:12171710131-1 1 1 1 1
I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: I I I I I ICJ b. Longitude: I I I I I I I
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes❑ No®
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary:l 3 18 16 1 1 1
6. Total size of site associated with industrial activity:
Secondary (if applicable): I I I I
>1 acres
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9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No®
b. It yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
Page 1 of 4

NODES
FORM NO EXPOSURE CERTIFICATION for Exclusion from
3510-11 PA NPDFS Sto nm Wate r Pe nnitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes' to any of these questions
(1) through (1 1), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
El
cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
❑
❑
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
❑
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
❑
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
11. Particulate matter or visible deposits of residuals 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 requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm waterpermitting.
I certify under penalty of law that there ate no discharges of stone water 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 years to the NPDES permitting authority 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 NPDES permitting authority, 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 that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, 1 certify under penalty of lawthat 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, orthose 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.
Print Name: IDI.l I S I c I o I I I t I IBlilriclhlflilellldl I I I I I I I I I I I I I I
Print Title: I n I� I G I I r I r I
Signature: L
Date: 1 01 61 2 1 5 1 0 1 1
Page 2 of 4

NPDES United States Environmental Protection Agency
FORM
EPA Washington, DC 20460
3510-11 NO EXPOSURE CERTIFICATION for Exclusion from
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 condition of no exposure exists at an industrial facility when 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, ime rmediate 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 lightly sealed, provided those 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 mobilized in storm water 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 oulfalls. 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(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: Qlnlalllelxl IIInIcI.I I I I I 1 2.Phone: 191119141814131412171
3, Mailing Address: a. Street: 14 10 12 10 1 ISltlilrlrlulpl IClrlelelkl I D I rl l ISIt let I2111II I I
I city:l DI u l r i h l a lm
B. Facility/Site Location Information
c. State: I N I C I d. Zip Code: 12 17 17 10 13 1 - I I I I I
1. Facility Name: IQIuIaI I IeIxI I I InIeI I I I I I I I I I I I I I I I I I I 1 1
2. a. Street Address: 14 10 12 10 1 ISItItIrlrinlpl ICIrIelelkl IDIrI i I ISItIe1 I211I11 1
b.City: IDIuIrIhIalml I I I I I I I I I I I I I I I I I c.County: IDIulrlhlalml I I I I
d. State: INICI e. Zip Code: I2I 7I 7 10131-1 1 1 1 1
I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No IK
5. a. Latitude: 1 3 1 5 1 191 1 1 IL.811 .�IJ b. Longitude: 17 18 8 14 1 17 18 1
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes❑ No®
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: 13181 0 1 1
8. Total size of site associated with industrial activity:
Secondary (if applicable): I I I I
>1 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes❑ No®
b. It yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
Page 1 of 4

NODES
FORM
3510-11
EPA NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes",or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (1 1), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
❑
❑
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
❑
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
❑
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10, Application or disposal of process wastewater (unless otherwise permitted)
❑
11. Particulate matter or visible deposits of residuals 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 requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
1 certify under penalty of lawthat there are no discharges of storm water contaminated by exposure to industrial activities or materials fmm 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 years to the NPDES permitting authority 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 1 must
allow the NPDES permitting authority, or lvS4 operator where the discharge is into the local N64, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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.
Print Name: IDI.I I S I c I o I t I t I IQltlrlclhlflilellldl I I I I I I I I I I I I I I
Print Tifle: IHI SI EI I Plrlolglrlalmisl IA I d l rpil i l n l i l s l l l r l a l t l o I
Signature:
Date: 101612151011�
Page 2 of 4

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•
OSPTM
• OnSite Pictures
June 26, 2001
Mr. Bradley Bennett
NC DENR
Storm Water and General Permits Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Mr. Bennett,
I recently spoke with one of your staff concerning the applicability of the storm water
NPDES permit requirements to our three facilities in Durham.
She indicated that our operations fell within Category 11, light industry, and therefore
required a discharge permit or exclusion.
Each of our facilities lies within an "industrial, multi -tenant park." The enclosed
applications only apply to the operations conducted within the portion of the facilities
leased and controlled by Qualex Inc.
I have included the Federal EPA's No Exposure Certification form for all three of our
North Carolina facilities.
Please contact me with any questions regarding these submissions.
Thank You,
D. Scott Birchfield
Qualex Inc.
1020 Silrmp C,, A Dc, SIMI 211
Dudian,, NC 27703
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