NCGNE0985_COMPLETE FILE - HISTORICAL_20161201

STORMWATER DIVISION CODING SHEET
.NCG PERMITS
PERMIT NO.
NCGNE a 9
DOC TYPE
HISTORICAL FILE
DOC DATE
❑ 301 (G o i
YYYYMMDD

r
frrC�t �i
Energy. Mineral
and Land Resources
ENVIRONMENTAL OVALITY
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICA'rION for Exclusion
NCCNE0000
FOR, GENCY USE ONLY
D Ve Raxrccd
Yea, Nh tlh
Day
Call lie Ile o� Coecl' igu
P�CEIVED
DEC 012016
National Pollutant Discharge Elimination System application for exclusion from a-Stormwater Permit based
\-Lr.1VU uua,LlTy
on NO EXPOSURE: STORMINATCn
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DEMLR must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial 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 are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from 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 Exposure section on this page:
https://deg. nc. gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-perm its/stormwater-
I For auestions. alease contact the DEMLR Regional Office for your area. (See oaae 6) 1
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name
L LrCTg65W I T c P co
Contact
R-ae27-
Street Address
Zu t o 60Pkuk S
City
A-IL>ICs ti
Telephone No.
898 711 - Z712
State N C ZIPCode 276oi
Fax: oo qoq - of 7l
SWU-NCGNE
Page 1 of 7
Last revised 9/28/2016

NCGNE0000 No Exposure Certification
2) Location of facility producing discharge
Facility Name Clt%CTRu Slut Cli G(-eL (10/'((_ _P9&bOC/!o'
Facility Contact o13cQZ E eUl /L9-^1
Street Address Z l l o Yo d (t Ee s t-z8
City � ate CC- IG State NL ZIP Code Z 7 0 o F
County _ WAKt`
Telephone No. a 7C 6 7, 79'/ Fax: eoC> 90q • 9 / 7/
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numl?ers, and
distance and direction from a roadway intersection). U S. I SoQ -,-t,, i - V"M ketis 146.
I/q M1ILA f� As 4 I(y M It Sc rl.t ar= NtGI WAl 4 o
(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 B-No
5) Is this a Federal facility? ❑ Yes VNo
6) Latitude N 35 ° ` 6 r 40, &1181-ongitude W 78 036' L7. UZ(deg., min.; seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
l� Existing Date operation began 11 J/ 7 J 1 R 8 6
fe Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Per ❑ Yes E No
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 1 3
10) Provide a brief description of t e types of industrial activities and products p oduced at this facility:
I 7.4 STA A4,&(I I �l,I _ ratio (a.a� ( AssFt bid aF i�oz0nARK
5'��t i ickeS .
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
ErNo
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
SWU-NCGNE Last revised T28/2016

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. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes 7No ❑ N/A
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)
it
g. Materials contained in open, deteriorated or leaking storage drums, barrels,
tanks, and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained
by the discharger
❑ Yes ffNo ❑ N/A
❑ Yes
[�'No
0 N/A
❑ Yes
ITNo
❑ N/A
❑ Yes
D/No
❑ N/A
❑ Yes
Q No
❑ N/A
❑ Yes allo ❑ N/A
❑ Yes allo ❑ N/A
i. Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes [3 No ❑ N/A
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes a No ❑ N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ❑ Yes E;�'No ❑ N/A
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 ❑ Yes YNo ❑ N/A
(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 el No ❑ N/A
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating; pits, or ❑ Yes ❑ No O'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 dN/A
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
SWU-NCGNE Last revised 9/28/2016

NCGNE0000 No Exposure Certification
a. Is secondary containment provided for single above ground storage containers ❑ Yes ❑ No XN/A
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored ❑ Yes ❑ No aN/A
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 ❑ Yes ❑ No ETN/A
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances"* designated in ❑ Yes ❑ No Di N/A
40 CFR §116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No ❑AA
11
15) Hazardous Waste
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes Id No ❑ N/A
b. Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous 2 Yes ❑ No ❑ N/A
waste generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste O Yes 3'6o ❑ N/A
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
t
Type(s) of
waste: Lk5eD G0
How is material stored: 14 A AA -Dons w INS —,a S&A I �, 1) CoNTf+1w C/LS
Where is material stored: SzPAAArc �1^
How many disposal shipments per year:
Name of transport / disposal
vendor: CT? y 5%A( G.(r:AN
Vendor address: ZttS Po.wT g(O'). SdxrF 37S t�/(,rN, VLL. (ooIZ
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 listed in 40 CFR §117.3.
16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
Page 4 of 7
SWU-NCGNE Last revised 9/28/2016

NCGNE0000 No Exposure Certification
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? 7W'Yes ❑ No ❑ N/A
b. Does your facility have coal piles on site?
❑ Yes RMo ❑ N/A
c. Does your facility store other fuel sources outside in piles, such as wood chips,
❑ Yes VNo ❑ N/A
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
❑ Yes [Ao ❑ N/A
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
❑ Yes ❑ No EFN/A
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:
Page 5 of 7
SWU-NCGNE Last revised 9/28/2016

NCGNEO000 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 CFR 122.26(g)(2)).
I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once
each 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�esponsible 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 P rson Signing: Ito Utz-r .St EUENSe Al
Title: �(Iq."Si 1kA,&-re-A.,A1,C(6 6/Wr6r A-
/(AIa
(Signature of Applicant) (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 143-215.6 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 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 Classi2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SWU-NCGNE Last revised 9/28/2016

NCGNEO000 No Exposure Certification
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
707-9220
Page 7 of 7
SWU-NCGNE Last revised 9/28/2016

Find Latitude and Longitude
Pagel of?
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Electroswitchj��,
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loaded from cache
Map Coordinates of Selected, Location
Latitude: N 35° 48' 41.4043"
Longitude: W 78' 36' 27.9642"
Latitude: N 35° 48.690071'
Longitude: W 78' 36.466069'
Latitude: 35.811501 °
Longitude:-78.607768°
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Find Latitude and Longitude
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Selected Location (Approximate)
Address: 2010 Yonkers Rd, Raleigh, NC
27604, USA
Latitude: 35.811499'
Longitude:-78.607768'
Accuracy: premise
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:r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section Pat McCrory, Governor
Tracy E. Davis, PE, CPM John E. Skvarla, III, Secretary
Director
January 8, 2014
Mr. Robert Stevenson
Electo Switch Electronic Products
2010 Yonkers Road
Raleigh, North Carolina 27604
Subject: Approval of No -Exposure Certification
Electo Switch Electronic Products
NCGNED985
Wake County
Dear Mr. Stevenson:
The Division of Energy, Mineral and Land Resources (DEMLR) has reviewed your submittal of the No -
Exposure Certification for Exclusion from the NPDES Stormwater Permitting form and made a site visit to
assess the potential for stormwater pollution. Based on our observations and your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your conditional
exclusion from permitting 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,Ipermit coverage for your
stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted
discharge (subject to civil penalties of up to $25,000 per day). Your conditional no -exposure exclusion
does not expire. However, you must self re -certify annually, or obtain NPDES permit coverage for any
stormwater discharges from your facility. Please retain the completed re -certification forms to have
them available during future inspections by DEMLR.
1628 Mail Service Center, Raleigh, North Carolina 27699-1628
Location: 3800 Barrett Drive, Raleigh, North Carolina 27609 - One
Phone. [phone] FAX: [phone] North Caro I l n a
Internet: http:portak ncdAtfir nr-orgAvenlE ;Vati ally
An Equal Opportunity 1 AKrmalive Action Employer [ bL

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.
If you have any questions or need further information, please contact Dave Parnell at [phone] or at
david.parnellPncdenr.gov.
Sincerely,
:Jo7hL. H011ey,Jr., PE, ESC
al Engineer
Raleigh Regional Office
cc: DEMLR Central Files - with attachment
Stormwater Permitting Program Files - with attachment
Raleigh Regional Office DEMLR No Exposure Files - with attachment 1,
1628 Mail Service Center, Ralegh, North Carolina 27699-1628
Location: 3800 Barrett Drive, Ralegh, North Carolina 27609 rOne h t
Phone. [phone] FAX: [phone] �OI'tJ1CdrOJ l llc'1
Internet ppo:portal Affirmative
E Naturally
An Equal Opportunity 1 Alfrmative Action Employer Naturally

Permit: NCGNE0985 Effective:
SOC: Effective:
County: Wake
Region: Raleigh
Contact Person: Robert Stevenson
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
i!
I�
Compliance Inspection Report
II
Expiration: Owner: Electro Switch Corp
Expiration: Facility: Electroswitch Electronic Products
2010 Yonkers Rd
Raleigh NC 27604
Title: Phone: [phone]
Certification: Phone:
Inspection Date: 01/0712014 Entry Time: 10:30 AM Exit Time: 11:45 AM
Primary Inspector: David R Parnell Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
i
Facility Status: IN Compliant, 0 Not Compliant
i
Question Areas:
■ Miscellaneous Questions ® Misc
(See attachment summary)
Page:1

d
i
Permit: NCGNE0985 Owner -Facility: Electro Switch Corp
Inspection Date: 01/07/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Mist;
Is the facility compliant?
Yes
No
NA
NE
■❑❑❑
Comment: Inspected facility inside and out. Floor drains exist but are filled and
inoperative. Exhausts to outside were observed, not for dust or any production
particulates. Dumpsters were observed and appear to be for office waste! Pallets were
under shelter (pallets found outside were from separate business - leased in another
portion of the building according to Mr. Stevenson. No Exposure granted.I
Page: 2

K K V JDNN rt v,• Y
6lMrc f�rra1I
Division of Water Quality /Surface Water Protection
NC®ENR National Pollutant Discharge Elimination System
NCmr finOuw C[ryw�Krrt O. NO EXPOSURE CERTIFICATION for Exclusion
ENvinoxNewt uio Nn1;w..1 p[]diNCC!
NCGNE0000
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
I
Ceniticale nfcovcmge
N N UI If I All
NO EXPOSURE CERTIFICATION OCT 2 4 2013
National Pollutant Discharge Elimination System application for exclusion from'a Storilia/'ateilPdrmit based
on NO EXPOSURE: °�i'(th69A00NPROCESSINGUfJI?
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DWQ 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 are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permittinglis available on a facility -wide basis only —not for individual
outfa/ls. 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).
For questions, please contact the DWQ Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator
Name F Le c_7-t2 c
Contact IZoi3e 2T �t fJL-tiso,U
Street Address 10 10 VOAr UEFA R 0.
City A,1LF16d State_AJf C_ ZIPCode Z760q
Telephone No. 88 8- 76 8 -- Z 7 9 7 Fax: 900 9 U cl- q171
Email ryenW,� I6L- /2o --,A).(-, Co-
Page 1 of 7
DEC 1 6 Z013
DENR - WATER QUALIP
WETLANDS AND STORIANATER SRA*Cr
S W U-N E-12Aug2010

6 NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name
ELtcTRJSW1lZ(4 GIA;C-r/joN(L ?/zdJUGTS
Facility Contact 106Cj(LT $ -Vnti&t,)
Facility Street Address
City
County
Telephone No.
Email
3) Physical location information:
State U C. ZIP Code 2 7loo,4
L / 7 / Fax:
, GLc--cT2o --NG - cctn
9(
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). _U, 5 1 Sn uTfn -ram ✓n.v L_'L s 17/1
(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 ErNo 1
5) Is this a Federal facility? ❑ Yes SrNo
6) Latitude N35' qAA .lo W 16 Longitude W 7B °d t_ 17.` (b&(deg., min11 ., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
GY Existing Date operation began /I I 1Z 7 j91$h
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes VNo
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 b 3
10) Provide a brief description of the types of industrial activities and
Si-rp"VP"Q4 _[AD op pw/i r,Cs /ASSvrnAl
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
C�No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
at this facility:
Page 2 of 7
S W U-NE-12Aug2010

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. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes 19/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
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
l
f. Materials or products stored outdoors (except final products intended for outside
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
the discharger
I. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes VNo
❑ Yes V No
❑ Yes YNo
❑ Yes I(No
❑ Yes 1'No
❑ Yes G7'No
❑ Yes t(No
❑ Yes dNo
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes YNo
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes GKNo
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 t'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 "o
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 and piping free of rust, damaged or weathered coating; pits, or O Yes ❑ No "/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No 9 N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for 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?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: U 50 O LU "T7 ty& o' is
How is material stored: t�nZAAOOos wAs c t',:91e✓J
Where is material stored: SePA/t A-r6 /Iao.�
How many disposal shipments per year: 2 'T-Z� �(
Name of transport / disposal vendor: nt o 13 uc O ( T49&O
Vendor address: 5cot 7 nci 1-,-)0V,4jC 6a . S A) F
Footnotes to Questions 14) c. & d.
❑ Yes
❑ No
C�'N/A
❑ Yes
❑ No
IyN/A
❑ Yes
❑ No
I;`N/A
❑ Yes
❑ No
PI N/A
❑ Yes
❑ No
G/N/A
❑ Yes
2/No
Q(Yes
❑ No
❑ Yes
32/No
« .
„yeas
c, Z7 33o
'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 minim is amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
SWU-NE-12Aug2010

i
NCGNE0000 No Exposure Certification
16) Other information: If you answer Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? cYYes ❑ No
b. Does your facility have coal piles on site?
❑ Yes SAO
c. Does your facility store other fuel sources outside in piles, such as wood chips,
❑ Yes dNo
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
❑ Yes VNo
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?
❑ Yes ❑ No IJ N/A
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:
I
Permit: Program:
Page 5 of 7
SWU-NE-12Aug2010

NCGNE0000 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 (excepf;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 the 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 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: P, 13& a S7Z Ur-w6o/J
Title: 611c-ii141eS k' ✓v1A,,t:TeNu+nte MG2,
(Signature of Applicant) (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
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 wth, 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). 1�
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marked.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note i
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 7 of 7
S W U-N E-12Aug2070

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Map Coordinates of Selected Location
Latitude:
N 35' 48' 40.6118"
Longitude:
W 78° 36' 27.462"
Latitude:
N 35° 48.676864'
Longitude:
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Latitude:
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http://www.FiindlatitLideandiongitude.com/ 10/22/2013

Find Latitude and Longitude
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Selected Location (Approximate)
Address:
2010 Yonkers Road, Raleigh,
NC 27604, USA
Latitude:
35.811254'
Longitude:
-78.607425°
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