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NCGNE0208_COMPLETE FILE - HISTORICAL_20050420
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE C DOC TYPE HISTORICAL FILE DOC DATE ❑ am6 (D4 aO YYYYM M DD W A Michael P. Easley, Governor Environment G. Ross,lr., Secretazy North Carolina Department of and Natural Resources co r Alan W. Klimek, 1'. E. Director Division of Water Quality Q -r Coleen 11. Sullins, Deputy Director Division of Watcr Quality April 20, 2005 Robert Whitaker, DHL Treasurer DHL Express USA Inc. 1200 S Pine Is Rd Plantation, FL 33324 Subject: No Exposure Certification NCGNE0208 DHL Express - 260 Rutledge Rd Henderson 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 November 24, 2004. 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. It 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 (919) 733-5083 ext. 537, or at jonathan.diggs@ncmail.net. CC" Asheville Regional Office Stormwater Permitting Unit Files Sincerely, 1.8 for Alan W. Klimek, P.E. Central Files -- wlattachments N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733.7015 A NCDENft Customer Service 1.977.623.6748 NC2, United States Environmental Protection Agency Form Approved Ni �i Washington, DC 20460 OMB No.2040 0211 FORM `�, EPA NO EXPOSURE CERTIFICATION for Exclusion from 3510-11 NPDES Storm Water Permitting Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence of a condition of no exposure. A 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, 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 — 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. to 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). i 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 Operattouor In��formatiioon �7 �j T h y 1.Name: PIl�ia 1 IEI`'IpIrlels,sl IUInF1`�'I IIlr'ccll •I7^�I I ITI I I In1 1 2. Phone: 2161913149j9I4I1131 3. Mailing Address: Yy1�a,Street: 1�1210101 I�I`-'I"5�1y�1 Irtily�lel 111'51�1�y�1� y`f� •I Jw I I I/II 1 b. City: 1PIllain,t,alt1iloA 1 1 1 1 1 1 1 1 1 1 1 1 c. State: IF d. Zip Code: 131313124 — 1 1 1 1 1 B. Facilityl5ite Location Information Il 1. Facility Name: iTliLl Eixp[rlelslsl lL1 I I I I I I _ 1_ I I I I 2. a. Street Address: 2)VIhO�I I;`i�'itlyllel��iel IR(� 1 I I II I I I b.city: EIllelt,c)'lelrl I I II I I I I I 1 1 1 1 1 I C.County: µuulle;- dlelrlslolq I d. State: NIC, e. zip Code: 2 7 2 — 3. Is the facility located on Indian Lands? Yes No 4. is this a Federal facility? Yes No © 1 5. a. Latitude: 1315J - 26� 2101 b. Longitude: I�l]j1t6 & a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No ❑✓ b. If yes, enter NPDES permit number: 7. SICIActivity Codes: Primary: ' L�151 Secondary {if applicabie): I I I 1 S. Total size of site associated with industrial activity: 0.81 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 W] b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure exciusion. 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 7 One to five acres D More than five acres ❑ EPA Form 3510-11 (10-99) Page 1 of 4 NPDES A Form Approved FORM -,EPA NO EXPOSURE CERTIFICATION for Exclusion from OMB No.2040-0211 3510-11 NPDES Storm Water Permitting C. Exposure Checklist Are any of the fallowing 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 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 121 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 Q 8. Materials or products handled/stored on roads or railways owned or maintained by the discharger El z 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 of storm water contaminated by exposure toindustrial 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, 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: r `pY r Print Title: 11DII�4 Trelc-aIslLrr(�r, I I I I I I I I I I I I I I I I I l i I Signature: Date: I1011 l% 101 7 EPA Form 3510-11 (10.99) Page 2 of 4 L United States Environmental Protection Agency Form Approved g Y oMB No.2oao-o211 NPDES � EPA Washington, DC 20460 FORM ��' NO EXPOSURE CERTIFICATION for Exclusion from 3510-11 NPDES Storm Water Permitting Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence of a condition of no exposure. A 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, 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 — 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: 2. Phone: i2, 6, 913,419i 914,113 3. Mailing Address: a. Street: 11,21010, Slqj4Lt�4 P 1 I S l b. City: 1Pl1laAtlaltl1-IoA I I I I I I I I I I I I C. State: W d. Zip Code: 13131312141— 1 1 1 1 1 B. FacilitylSite Location Information 1. Facility Nar 2. a. Street Ac b. City: d. State: ptc e. Zip Code: 21 ! i4 i O i 9 i — I I I 3. Is the facility located on Indian Lands? Yes No 4. Is this a Federal facility? �7 Yes No S. a. Latitude.. 1316i o l 17J 1181b. Longitude: 1-17 9 5,71 2W7 fi. 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: 14121115; Secondary (if applicable): S. Total size of site associated with industrial activity: 1.2 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 0 b. If 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 El EPA Form 3510-11 (10-99) Page 1 of 4 NPDES A Form Approved FORM -,EPA NO EXPOSURE CERTIFICATION for Exclusion from 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 for the no exposure exclusion. Yes No 1. Using, storing of cleaning industrial machinery or equipment, and areas where residuals from using, storing ❑ Q 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 S. 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 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. 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: �l`i�"'1�11 1V41h11'-1'-*`--1r1 1 I I I I I I I I 11 1 I I I I Print Title: PD1�4 ITlrlelalS�L]r( r 1 I I ! I I I I I I I I I I I I I I! Signature: �$� �- Date: 11 1011 I7 1 d 1 Y EPA Form 3510-11 (10-99) Page 2 of 4 e United States Environmental Protection Agency Form Approved 9 Y OMB Na. 2040-0211 fuPDES � EPA Washington, DC 20460 FARM 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, andlor 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 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 - 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 7 � TT�+A p 1,Name: t`''11J4 E,NpirieSjsj UI`n�h,�1�h I},^�11� •IT^1I ! ITI I i i7�i(�1 2.DPhone: 12i6{91314i9j9141113� 3. Mailing Address: a. Street: 11,21010, 1S1`-'Y �' tih 1Pii,r� i 111 Si i,ajr l `I Il`i�,.,- I I I I I I � b. City: 1PIlIaInitlaltlilo�_ 1 1 I I I I I I I I I c. State:.LJ it. Zip Code: 1313131241- 1 1 1 I i B. Facility/Site Location Information 1, Facility Name: DRIL, IEjxiprle,s,s, 1 1 1 I I I I I I I� I I I I I I 2. a. Street Address: 5 0 2 hh5 D e p r t r e D r. b. City: AallIelilgIlai I I III I I I I I I I I I I c. County: Kalkle1 I I I I I d. State: NCl e. Zip Code: 12 i /�7k611161 - t 1 1 I 3. Is the facility located on Indian Lands? Yes ❑ No 4. Is this a Federal facility? Yes No © p 5. a. Latitude: 3,51 a 14L9 318J b. Longitude: I7I J � L3(6j 210 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: t412115 Secondary (if applicable); I I I 8. Total size of site associated with industrial acfivity: 0.55 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 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 ❑ EPA Form 3510-11 (10-99) Page 1 of 4 4 A - NPDES ,� NO EXPOSURE CERTIFICATION for Exclusion from Form Approved FORM +\'r,ENPDES Storm Water Permitting PA OMB No. 2Q40-0211 3510-11 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 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 D 4. Material handling equipment (except adequately maintained vehicles) D 171 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 L1 7 S. 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 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. 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: 1Rglq9r1� Ly ih1, jt 44X qr _1 I I I I I I I I I I I I I I I I Print Title: D T r s r ritilli III Signature: Date: l I I o l r 19 10194 EPA Form 3510-11 (10-99) Page 2 of 4 United States Environmental Protection Agency Form Approved g y OMB No. 2040-0211 NPDES � EPA Washington, DC 20460 FORM �►' NO EXPOSURE CERTIFICATION for Exclusion from 3510-11 NPDES Storm Water Permitting Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water discharges associated with industrial activity in the State identified in Section 8 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, 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 — 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: r 2. Phone: i216i9i31419i9141113� 3. Mailing Address: a. Street: 12 O O s t t 1 I s l /t b. City: jPillaAtlalti1-loin-i l I I i t t t t I I I c. State: FL d. Zip Code: 13t313i2t41— 11 1! B. Facility/Site Location Information 1. Facility Name: A ILI iEPWIrl 2. a. Street Address: 41010 I{ { `fit b. City: k` o,rlrA,siyI c. County: Ka,R let I I I I I d. State: t"� e. Zip Code: 7 — 3. Is the facility located on Indian Lands? Yes No 4. Is this a Federal facility? Yes No 5. a. Latitude: 35 o , 3J H j b. Longitude: 1— 1718 - 4181 1113 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. SICIActivity Codes: Primary: 42 1151 Secondary (if applicable): I I I 6. Total size of site associated with industrial activity: O . 6 5 acres 9. a. Have you paved or roofed over a formerly exposed, pervious area in order to quality 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 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 EPA Form 3510-11 (10-99) Page 1 of 4 NPDES r NO EXPOSURE CERTIFICATION for Exclusion from Form Approved FORM i .,EPA OMB No. 2040-0211 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 for the no exposure exclusion. Yes No 1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing ❑ ✓7 or cleaning industrial machinery or equipment remain and are exposed to storm water 2. Materials or residua{s on the ground or in storm water inlets from spillsheaks 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 Q 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 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). l 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, 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: r W r Print Title: D 4 ITrela,slutrt r I I I I I I I I I I I I I I I 1 I I Signature: Date: I/ 1 01 0 10 l T EPA Form 3510-11 (10-99) Page 2 of 4 November 22, 2004 Division of Water Quality Stormwater Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: No Exposure Certification for DHL Express (USA), Inc. (DHL Express) To Whom It May Concern: Enclosed, please find the completed No Exposure Certification for DHL Express facilities located at: 260 Rutledge Rd. Fletcher, NC; 717 N. Regional Rd. Greensboro, NC; 5025 Departure Dr. Raleigh, NC; and 400 Kittyhawk Dr. Morrisville, NC. Please feel free to contact me at (937) 382-5591 ext. 3119 if you have any questions. Thank you. Sincerely, Hilarie Northern Environmental Compliance Specialist ABX Air, Inc. Enclosure 1R@ � R NOV 2 4 204 a 145 Hunter Drive • Wilmington, Ohio 45177 • www.abxair.com