NCGNE0176_COMPLETE FILE - HISTORICAL_20050420

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STORMWATER DIVISION CODING SHEET
.NCG PERMITS
'PERMIT NO.
NCGNE
DOC TYPE
HISTORICAL FILE
DOC DATE
YYYYMMDD

F WA 7F Michael F. Easley, Governor
`O�O 9�G William G. Koss Jr., Secretary
North Carolina Department of Environment and Natural Resources
0) r- Alan W. Klimek. P. F. Director
Division of Water Quality
Q 'C Coleco 11. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Robert L Mitchell
Wrangler Inc
PO Box 21488
Greensboro, NC 27420
Subject: No Exposure Certification NCGNE0176
Wrangler Incorporated- Greensboro - 1421 S Elm St
Guilford 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 October 2, 2002. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations. In addition, your coverage under general permit NCGO50188 is also
hereby rescinded. This rescission is based upon your certification of no exposure conditions at this facility.
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: Winston-Salem Regional Office Central Files — w/attachments
Stormwater Permitting Unit Files Fran McPherson - DWO Budget
NCDENR
N. C. Division of Water Quality 1617 Mail Service Ccntcr Raleigh, North Carolina 27099-1617 [phone] Customer Service
t-877-G23-G749

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NATIONAL POLLUTANT' DISCI�IARGE ELIMINATION SYSTEM (NPDES)
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ROBERT MITCHELL
WRANGLER INC
PO BOX 21488
GREENSBORO, NC 27420-1488
REFERENCE NUMBER: NCRNEA051
Dear Operator:
FACILITY LOCATION -
WRANGLER INCORPORATED
GREENSBO
1421 SOUTH ELM STREET
GREENBO,NC
27406
11-05-2002
Thank you for submitting a "No Expasure Certification for Exclusion from NPDES Storm Water
Permitting" application for the facility noted above. Upon review of your application, it has
been determined that the EPA cannot grant you exclusion from coverage for this facility.
The site location on your form is under the jurisdiction of the State of NC, which has been
authorized by the EPA to implement the NPDES program. Please re -submit your application to
the NPDES permitting authority at:
PE RMI'I" 1'ING AUTHORITY
NC Environmental Permit Information Center
PO 13ox 29583
Raleigh, NC 276260583
Phone:[phone]
Fax:
E-Mail: [e-mail]
Contact Person:
If you have any questions regarding this letter, please contact the Storm Water Notice of Intent
Processing Center at [phone]. If you have other general questions concerning the storm
water program, please call the EPA Region 04 contact: Floyd Wellborn, [phone].

F
N C, &/NJF
United States Environmental Protection Age Form Approved
OMB No. 2040 0211
DES Ar ��� Washingtont DC 20460
NP
FORM
3510-11 ,034 NO EXPOSURE CERTIFICATION for Exc o
NPDES Storm Water Permittir _ A .t
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not rmit autho7fza rd*. its water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water M I- armit due to t istence
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~resiStnat y ❑ prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipmeht•ar 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 without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— finai products, other than products that woulp 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 facflity-wide basis only, not for it ivldual 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: IQIF=�I'l,$3 9;=,IF_I?,J I t 101QL I I I I I 1_ I I_I 1 I I I I I I I 2.Phone: 16IS C131�b2�'TIol01`�ll
3. Mailing Address: a. Street: PI C)] 11 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1
b. City: o 1-9 a IO p c. State: tj d. Zip Cade: JZJ� 16[IQLOI — 1114- IE316�
B. Facility/Site Location Information
1. Facility Name: -II IWIU' r_14LIQIC111'L�1TI�1����IR(►FI��1 >
2. a. Street Address: LU4 10lI.i I _ 1910l u l- A l IKI U fll.I
b. City: 3�R�.uf31�31IRI CDI I I J 1 t 1 1 I I I l l _� c. County: nitk1t I
.. State: 1GJ e. Zip Code: Ia211 JI01LI — I I I i )
3. Is the facility located on Indian Lands? Yqs ❑ No �C}
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: L9
li7_1 b. Longitude: ini 4 I 1 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: 1.Y'_C-r urn I E�&
7. SIC/Activity Codes; Primary: 1f)ii Secondary (if applicable): I I I
8. Total size of site associated with industrial activity: 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. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disquallfy you for Itie'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 ❑ Cine to five acres ❑ More than five acres ❑
EPA Form 3510.11 (10-99)
Page 1 of 4
itir

9
NPDES r NO EXPOSURE CERTIFICATION for Exclusion from Farm Approved
FORM �'" ",EPA OMB No. 2040-0211
3510-11 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 (11), you are not eligible tar 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 �tonn 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 load inglunloading or transporting activities
fi. 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
a. Materials or products handledlstored on rgads or railways owned or maintained by the discharger
9. Waste material (except waste in covered, non -leaking containers (e.g., dumpsters])El
10. Application or disposal of process wastewater (unless otherwise permitted)
Ll
11. Particulate matter or visible deposits of reliduais 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
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 gischarges of storm 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. 1 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 perspnnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those parsons directly responsible for gathering the information, the information submitted is 10 the best of my
knowledge and belief true, accurate and oompinte. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name; �RtbtjE_IRI ` IL-i ITV t ITC I�IF—I 1—ILl I I I I I I I I I I I I I I I
•
Signature:
EPA Form 3510-11 (10-99)
Page 2 of 4