NCGNE0445_COMPLETE FILE - HISTORICAL_20080110

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE D y y�
DOC TYPE
VHISTORICAL FILE
DOC DATE
❑ 3(mc) I ) o
YYYYMMDD

C W ATF9 Michael F. Easley, Governor
00 William G. Ross Jr., Secretary
�G North Carolina Department of Environment and Natural Resources
r
w —i Coleen H. Sullins, Director
pomllkw 'C Division of Water Quality
January 4, 2008
Mr. Steven E. Kilberg
Alcan Packaging
111 Wheaton Avenue
JAN I 0 2008
Youngsville, NC 27596
�DEf�R RF�LEIGH {7.C_l�'"�'� �rIICE
Subject: No Exposure Certification NCGNE0445
Alcan Packaging
111 Wheaton Avenue, Youngsville, INC
Franklin County
Dear Mr. Kilberg:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 30, 2007. 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 (December 31, 2012). 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 Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Raleigh Regional Office -Danny Smith Central Files —w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
k6ENH
Customer Service
1-877-623-6748

W A7E
ww� y
Mr. Steven E. Kilberg
Alcan Packaging
111 Wheaton Avenue
Youngsville, NC 27596
Dear Mr. Kilberg:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environmenl and Natural Resources
January 4, 2008
Subject: No Exposure Certification NCGNE0445
Alcan Packaging
111 Wheaton Avenue, Youngsville, NC
Franklin County
Coleco H. Sullins, Director
Division of Water Quality
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 30, 2007. 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 (December 31, 2012). 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 Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
Q
for. Coleen H.
Sullins
cc: Raleigh Regional Office -Danny Smith Central Files —w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
eX
NDENR
Customer Service
1-877-623-6748

56- aAl --, A4- q j 0-n 10/24/ol o,nf , ' o
11 - �fvo *ADD
A NOMA Ncfijy lots
Division of Water Quality / Surface Water Protection
NC®ENR National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
[.wwm.xo xn.w. xmwYn
NCGNE0000
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
u ual A":4
giA
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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.
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
shelter is not required for the following industrial materials and activities: drums, barrels, tanks, Z
similar containers that are tightly sealed, provided those containers are not deteriorated and do not
"Sealed" means banded or otherwise secured and with locked or nonoperational taps or valves; s'
adequately maintained vehicles used in material handling; and final products, other than products th
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 exclustoti
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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name t er
Street Address 11 Vt..
City � t State L ZIP Code
Telephone No. ci \ol -q t Fax: ci\ Spa-QSDFj
2) Location of facility producing discharge:
Facility Name A\cgti YuC%Qsi
Facility Contact
Street Address
City
County
Telephone No.
Page 1 of 5
SWU-NE-060607
Last revised 06/06107
�E

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility us s reet n mes, stat road tubers, and
dista ta: d%� io�`o Mrq�twayin ,retjOn�.�tJY - �16yk 6�rq� iYucG�
W (r 8 ,
(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 )if No
5) Is this a Federal facility? ❑ Yes KNo
6) Latitude X- 035r Longitude _V.4044 (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing Date operation began (991
8) Was this facility or site ever covered under an NPDES Stormwater Permit? YYes ❑ No
If yes, what is the NPDES Permit Number? J_G 535o2 91
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: >S D B
10) Provide a brief desc(ripti'pnnG��f\re types of industrial activities aQd productsproduced at 1($\facility:
(�if.L,re.a'IL-�i41�� ISQN 1/�\f�0� NnP STGXN �� MpIO'"'�t
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:
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
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 loadinglunloading 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)
❑ Yes $f No
❑ Yes ANo
❑ Yes X No
❑ Yes )XNo
❑ Yes XNo
❑ Yes )(No
Page 2 of 5
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes XNo
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes KNo
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 XNo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ANo
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 b(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 KNo
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
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any XYes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
14) Secondary Containment: R 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 dose proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Are release valves on all secondary containment structures locked?
XYes ❑ No
VkYes ❑ No
Ayes O No
Page 3 of 5
SWU-NE-060607 Last revised 06IM07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 Yes )YNo
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
❑ Yes ;<No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
❑ Yes IVNo
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
16) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of'ro
exposure' and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated io 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, 1 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:
Title: l`Ljy,,.rf- Mr9 a...Lt
(Signature of Applicant)
>4i/07
(Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure condidorrs prior to that approvaL The Regional ice may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
Page 4 of 5
SVJU-NE-060607 Last revised 06106107

NCGNE0000 No Exposure Certification
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article: or who falsifies, tampers wilts, 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 Managementj Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars (310,000).
There is currently no fee for a No Exposure Exclusion.
Final Checklist
This application should include the following items:
JK This completed application and all supporting documentation.
X A map with the location of the facility clearly marked.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion,
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 5 of 5
SWU-NE-060607 Last revised 06106/07

MapQuest: Maps, Addresses, Business Directory & Satellite Photos
'Page I of I
XT
?. Wa` et t
5i
111 Wheaton Dr
Youngsville NC
27596-9415 US
Notes:
my text visible within note field will print.
All rights reserved. Use Subject to License/Cobvnbht
This map is informational only. No representation is made or warranty given as to its content. User assumes all
risk of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such use.
http://www. mapquest.com/m aps/print.adp?mapdata=GMCh6lTzs95NKPg9jyyNfKdn3ZgbHUIfP... 08/24/2007

Division of Water Quality / Surface Water Protection
NCDENR National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
Ew,+Mw„cvr woo N.mn.u. Pcuvwc.
NCGNE0000
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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 stone resistant shelter (with some
exceptions) to prevent exposure to rain, snow, snowmelt, and/orrunofl.
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 re
shelter is not required for the following industrial materials and activities: drums, barrels, tanks, Z
similar containers that are tightly sealed, provided those containers are not deteriorated and do not
"Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; a' jk .
adequately maintained vehicles used in material handling; and final products, other than products th y'
would be mobilized in stormwater discharges e. rg (g., rock salt). ,
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusio
In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for a
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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed):
Name 1!( t er
Street Address H vL.
City l State L ZIP Code
Telephone No. Fax: ^9SOP,
2) Location of facility producing discharge:
Facility Name A\cgN P�kagiUc�
Facility Contact
Street Address
City
County
Telephone No.
Page 1 of 5
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
3) Physical location information:
4) Is the facility located on Native American Lands? ❑ Yes )4 No
5) Is this a Federal facility? ❑ Yes KNo
6) Latitude 36 a3S Longitude-78.46PO (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
,St Existing Date operation began 19 M
8) Was this facility or site ever covered under an NPDES Stormwater Permit? WYes ❑ No
If yes, what is the NPDES Permit Number? NcG 5_00111
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:.S D e
10) Provide a brief descripti a types of Industrial activities d productspr uced at t i facility:
i L_ r .,.,.,..., �, c lisn ow� r��c w cv. w ono "^q _
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
A No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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
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)
❑ Yes XNo
❑ Yes XNo
❑ Yes X No
❑ Yes XNo
❑ Yes XNo
❑ Yes KNo
Page 2 of 5
SWU-NE-WO607 Last revised 06/06/07

m

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes XNo
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes XNo
the discharger
I. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes XNo
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes XNo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes KNo
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 XNo
(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 ';M'LNo
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 P(Yes ❑ No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any XYes ❑ No
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.
a. Is secondary containment provided for single above ground storage containers )<Yes ❑ No
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored VkYes ❑ No
in dose proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Are release valves on all secondary containment structures locked? )Wes ❑ No
Page 3 of 5
SWU-NE-060607 Last revised 06/06I07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes XNo
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes P(No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes I�No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: _
How is material stored: _
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
16) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of 'no
exposure' and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to 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 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: _VP28A.-J E k-ILA
Title: &d,y r- MaAA+Ca2
(Signature of Applicant)
op/di/o7
(Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
Page 4 of 5
SWU-NE-060607 Last revised 06/06/07

NCGNE00O0 No Exposure Certification
North Carolina General Statute 143-215.6 B(t) 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 knowinglymakes a false
statement of a material fad 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.
Final Checklist
This application should include the following items:
X This completed application and all supporting documentation.
IK A map with the location of the facility clearly marked.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the D WQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
733-5083
Page 5 of 5
SWU-NE-060607 Last revised 06/06107

MapQuest: Maps, Addresses, Business Directory & Satellite Photos
Page 1 of 1
111 Wheaton Dr
Youngsville NC
27596-9415 US
Notes:
Only text visible within note field will print.
2uu m
60 ft
92o07NAviEO
All rights reserved Use Subject to License/Copyright
This map is informational only. No representation is made or warranty given as to its content. User assumes all
risk of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such use.
http://www. mapquest. com/maps/print. adp?mapdata=GMCh6ITzs95NKPg9j yyMKdn3ZgbHUIfP... 08/24/2007