NCGNE0383_COMPLETE FILE - HISTORICAL_20080307

SUN,
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 8333
DOC TYPE
HISTORICAL FILE
DOC DATE
❑ aUC�$ ®3 r7
YYYY M M D D

Michael F. Easley, Governor
William G. Ross Jr„ Secretary
North Carolina Department of Environment and N,alural Resources
March 7, 2008
Ms. Vickie Dudick
NC National Guard
4105 Reedy Creek Road
Raleigh, NC 27607-6410
Coleen H. Sullins, Director
Division of Water Quality
IJ �: MAR 12 2008
VVII ALITY SEC 1 �C ! 4
Subject: No -Exposure Certification NCGNE0383
NC National Guard -Hendersonville
2025 Spartanburg Highway, Hendersonville, NC
Henderson County
Dear Ms. Dudick:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form. Based on 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. We are also hereby
rescinding your current Certificate of Coverage NCG080543.
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 ten -permitted discharge. Your
conditional no -exposure exclusion expires in five years (February 28, 2013). At that time you must re -certify
with the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
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 Sarah Young at [phone], ext.
502, or at sarah,[e-mail].
Sincerely,
ORIGINAL SIGNED 81�1
KEN PICKLE
for Coleen H. Sullins
cc: Asheville Regional Office -Starr Silvis DWQ Central Files — wlattachments
Stormwater Permitting Unit Files Fran McPherson -Budget Office,.
NCG080543 Permit File`'
✓�'DEl'aR
N, C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

��aF+N/+ig9pr Permit Coverage
C
Rescission Request Farm Certificate of.Coyerage Number
° National Pollutant Discharge Elimination System NCG080543
General Permit NCG080000
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Facility Information
Facility Name: NC Nat Gd- East Flat Rock
Facility Physical Address: 2025 Spartanburg Hwy
East Flat Rock, NC 28726
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Permit Information
Permit Contact:
Mailing Address:*
Phone Number:
Fax Number:
Email Address
Vickie A Dudick
4105 Reedy Creek Rd
Raleigh, NC 27607
91�3-fr8���xt:
* This is the address to which the permit rescission notice will be mailed
Reason for for rescission request (this is required information):
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG080543 under NPDES
Stormwater General Permit NCG080000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and beliefs fi information is true, complete and accurate.
Signature "--' Date
Print or type name of person signing above
Please return this completed rescission request form to
VICKIE A. DUDICK .
Director of Environment &
Nature# Resources
Title
SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

i +
w
Gam. D3 r_3
United States Environmental Protection Agency Farm Approved
QM8 No. 2040-021 f
NPDES t� Washington, DC 20460
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. 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: IVi I C Xl i I El I'DIV I) It IC k_,� I I I I I I i I I I I I I I I 12• Phone: Rl i I
3. Mailing Address: a. Street: 14W EMS IZ EDY i nQI6b—r . I P-M I I I( l I I I I I I I i
b. City. L E, j 161 l+r I I I I I I I I I I i I I I I c. State: )Qj6 d. Zip Code: -
B. Facility/Site Location Information
1. Facility Name: IE A IS[7—1 Ir I `l A T t'"S I UIC' ki 1 I7__[ Idl��/1J� V I I��01 A R01 %]1
2. a. Street Address: IZ 0;45-I 5_(' ! � 1i21� i i0i&U i8A I / L/ I t�lff l LVA 9I I I I ]-I- I I
b. City: c. County: V114 i 1Q 1leIS I IA1I I
d. Stale: e. Zip Code: IZ-14' 12 1 L 4b- I I 1 1 I
3. Is the facility located on Indian Lands? Yes ❑ No Rj
4. Is this a Federal facility? Yes ❑ No g
5. a. Latitude: I - AS] l aLL4 b i(J R b. Longitude: I o ( 01
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ® No ❑
b. If yes, enter NPDES permit number: KCGo'elfloo Q
7. SIC/Activity Codes: Primary: Secondary (if applicable): I I I f
8. Total size of site associated with industrial activity: 6 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 0 More than five acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4

NPDES
FORM
3510-11
e'!s /►
0�/E�/`'� NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Form Approved
OMB No. 2040-0211
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 shills/leaks
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
0
5. Materials or products during loading/unleading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g.. new cars] where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
8. Materials or products handledlstored on roads or railways owned or maintained by the discharger
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
Ej
V
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. .
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:
Resources
Print Title:
Signature;
Date: KI 21-9
EPA Form 3510-11 (10-99) Page 2 of 4

�o�pF 1NATcRpG
5
t7 �
FILE COPY Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
SURFACE WATER PROTECTION
February 26, 2007
Mr. Thomas Morris
Environmental Performance Assessment Officer
N C National Guard
4105 Reedy Creek Rd
Raleigh NC 27607
Dear Mr. Morris:
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SUBJECT: February 21, 2007
Compliance Evaluation Inspection
N C National Guard
NC Nat Gd- East Flat Rock
Permit No: NCG080543
ounty
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on February 21, 2007. The facility was found to be in
compliance with permit NCG080543.
The facility is doing an exceptional job complying with their stormwater permit. The
facility may qualify for No Exposure. An application form for No Exposure is being
included for your convenience. The completed form, should you choose to submit it,
should be sent to:
The Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at [phone].
Sincerely,
Starr Silvis
Environmental Engineer
Enclosure
cc: Mr. Ronnie Metcalf, 75 Shelburne Rd, Asheville, NC 28806
Central Files
;,Asheville Files
Nc(irthCnrolilm
, Xatrtra!!r/
2090 U.S. Highway 70, 5wannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

Permit: NCGO80543
SOC:
County: Henderson
Region: Asheville
Compliance Inspection Report
Effective: 09/01/02 Expiration: 08/31/07 Owner: N C National Guard
Effective: Expiration: Facility: NC Nat Gd- East Flat Rock
2025 Spartanburg Hwy
Contact Person: Vickie A Dudick
Directions to Facility:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/21/2007
Primary Inspector: Starr Silvis
Secondary Inspector(s):
East Flat Rock NC 28726
Phone: [phone]
Certification: Phone:
Entry Time: 08:45 AM Exit Time: 09:15 AM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation wNehicle Maintenance/Petroleum Bulk/Oil
Water Separator Stormwater Discharge COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCGO80543 Owner - Facility: N C National Guard
Inspection Date: 02I21l2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This facility does not perform any vehicle maintenance. The facility consists of an armory building and a parking lot. The
facility has a complete stormwater pollution prevention plan. Monitoring is being done. Please be reminded to monitor all
outfalls at the required semi-annual interval. The facility may qualify for no exposure.
Mr. Ronnie Metcalf assisted during the inspection,
Stormwater Pollution Prevention Plan
Yes NO
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
❑
❑
❑
# Does the Plan include a General Location (USGS) map?
■
Cl
❑
❑
# Does the Plan include a "Narrative Description of Practices"?
■
❑
Cl
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
❑
❑
❑
# Has the facility evaluated feasible alternatives to current practices?
■
❑
❑
n
# Does the facility provide all necessary secondary containment?
■
Cl
❑
❑
# Does the Plan include a BMP summary?
■
❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
❑
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
❑
n
# Does the facility provide and document Employee Training?
■
❑
n
❑
# Does the Plan include a list of Responsible Party(s)?
■
❑
❑
n
# Is the Plan reviewed and updated annually?
■
❑
❑
❑
# Does the Plan include a Stormwater Facility Inspection Program?
■
Cl
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
❑
❑
Comment:
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
❑
❑
❑
Comment:
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
Cl
❑
# Were all outfa€Is observed during the inspection?
®❑
❑
Q
# If the facility has representative outfall status, is it property documented by the Division?
❑
❑
®
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment:
Page: 2

National Guard no -exposures
NC6 JEo3g5
Subject: Re: National Guard no -exposures
From: Starr Silvis <[e-mail]>
Date: Wed, 07 Mar 2007 10:01:33 -0500
To: Sarah Young <[e-mail]>
CC: Laurie Moorhead <Laurie.Moorhead @ncmall, net>, Roger Edwards <Roger. Edwards @ncmai 1. net>,
Belinda Henson <[e-mail]>, Mike Lawyer <[e-mail]>, Michael
Parker <Michael,[e-mail]>, Chuck. [e-mail], Ron Boone
<[e-mail]>, Al Hodge <Al.Hodge @ncmai1.net>, Jeff Manning
<[e-mail]>, Ed Beck <[e-mail]>, Linda Lewis
<[e-mail]>, Steve Tedder <[e-mail]>, Corey Basinger
<Corey.Basinger@ncmai].net>, Bradley Bennett <[e-mail]>
I just inspected our national guard facilities. All but Asheville and mor anton a ear to for no
exposure. Most of the facilities have nothing outside, including no ASTs, no pallets, no nothing. A few
have a couple of vehicles. These vehicles have drip pans and are not used in transit and transportation.
Also according to the no -exposure form adequately maintained vehicles used in material handling are
not required to be under shelter. In my inspection reports for these facilities I recommended that they
review the no -exposure form and submit it, I included the form with all inspection reports.
Thanks for asking? The facilities I visited were doing an incredible job with their plans and monitoring
and housekeeping. However I just didn't really think there were any potential water quality problems or
exposure at the majority of the facilities.
Oh, and the spreadsheet wasn't attached.
Sarah Young wrote:
Attached is a list of no -exposures from National Guard facilities across NC that have stormwater
permits. During our renewal process, the National Guard sent us a list of 49 facilities that they think
would qualify for no -exposure status. Please give us your comments on the facilities in your region
when you get the time. They are broken up by region on the spreadsheet. Thank you in advance.
-Sarah Young
Starr Silvis - [e-mail]
North Carolina Dept. of Environment and Natural. Resources
Asheville Regional Office
Division of Water Quality - Surface Water Protection Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Starr Silvis <Starr,Silvis a,ncmail.net>
Environmental Engineer
NC DENR - Asheville Regional Office
Division of Water Quality - Surface Water Protection Section
'. of 1 2/28/2008 2:55 PM

STORMWATER DIVISION CODING SHEET
.NCG PERMITS
PERMIT NO.
NCGNE ��� S
DOC TYPE
HISTORICAL FILE
DOC DATE
❑ �Du o
YYYYMMDD

w a
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Ms. Vickie Dudick
NC National Guard
4105 Reedy Creek Road
Raleigh, NC 27607-6410
Dear Ms. Dudick:
March 7, 2008
Subject: No -Exposure Certification NCGNE0385
NC National Guard-Farmville
4370 W. Horne Avenue, Farmville, NC
Pitt County
Coteen 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. Based on 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. We are also hereby
rescinding your current Certificate of Coverage NCG080488.
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 (February 28, 2013), At that time you must re -certify
with the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
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 Sarah Young at [phone], ext.
502, or at [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Washington Regional Office -Jeffrey Manning DWQ Central Files -- wlattachments
Stormwater Permitting Unit Files Fran McPherson -Budget Office V_7
NCGO80488 Permit File 06 A
MR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699.1617 [phone] Customer Service
1-877-623-6748

!_ V
Vv&fo V
Permit Coverage
r Form Certificate of Coverage Number
Rescission Cover
° National.Pollutant Discharge Elimination System NCG080488
General Permit NCG080000
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Facility Information
Facility Name: NC Nat Gd- Farmville
Facility Physical Address: W Horne Ave
Farmville, NC 27828
Facility Contact:
.Mailing Address:
Phone Number:
Fax Number
Email Address
Permit Information
Permit Contact: Vickie A Dudick
Mailing Address:* 4105 Reedy Creek Rd
Raleigh, NC 27607
Phone Number: D9 &:1-6
Fax Number:
Email Address
* This is the address to which the permit rescission notice will be mailed
Reas0D for rescission request (this is required information):
urn
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCGO80488 under NPDES
Stormwater General Permit NCGO80000 for the subject.facility. I am familiar with the information contained in this
request and to the best of my knowledge and belie,>; such information is true, complete and accurate.
Signature
Print or type name of person signing above
Please return this completed rescission request form to:
liiCKIE A. DUDICK
Director of Environment &
Natural Resources
Date
Title
RB 2 8 2007-
SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

i•
r /
N c c b r�
United States Environmental Protection A enc Form Approved
9 y OMB No.2040.0211
NPDES ®® ��� Washington, DC 20460
351 fl-11
FORM `�' NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, 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 sail).
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).
4
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: Jq I k! i I EI I t! b W II IC k-t I I 1 I I i I 1 I I I I I I I_f 2- Phone: 13 rt q I I[Jk11AL6 [Lt
3. Mailing Address: a. Street: 141 Di-115_?1EEDY! b. City, c. State)q_16 d, Zip Code: 1217140171- A411 1 `�I /r�
B. Facility/Site Location Information
LA V L L
1. Facility Name: ,,'' �J
2.a,StreetAd�dreess: 1�91dL IYY�I I IRW1C-1 1VI6� CI� ✓1J I_ I I J IIf—�I—I L_ _I I I
/
b. City: U IAIIRMI yI j I r I LACI In 1_J I I 1 I I J_ I I I c. County: Irr I� �I I I -1 I I f
d. State: MCC e. Zip Code: IL 1 Ib I-4DI - l I I I
3. is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
S. a. Latitude: t l a K 1101 b. Longitude: I I q I I
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ® No ❑
b. If yes, enter NPDES permit number: KC009o00 O
7. SIC/Activity Codes; Primary: i 15 318 Secondary (if applicable):
B. 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 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 Farm 3510-11 (10-99) Page 1 of 4

m
1
NPDES Form Approved
FORM ��eEpA 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 or 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
El
S4
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
El
Rd
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
LEW
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)
El
9
11, Particulate matteror 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 cartification form once every rive 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 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:
Resources
Print Title:
Signature.
Date: 0 2
EPA Form 3510-11 (10-99) Page 2 of 4

Re: [Fwd: National Guard Spreadsheet]
Subject: Re: [Fwd: National Guard Spreadsheet]
From: Jeff Manning <Jeff.A.Manning a ncmai1.net>
Date: Tue, 04 Mar 2008 13:00:24 -0500
To: Sarah Young <[e-mail]>, Jeff Manning <leff. [e-mail]>
Sorry Sarah, I thank I wrote you about the facility in New Bern ( the one I visited)
and it is definitely a candidate for no exposure. I thought the others had emailed
you about the facilities they visited. I talked to Travis Smith (he visited the
Farmville site and he states they are also a good candidate for a no exposure
facility. I have to check and see about the one Ed Warren went to as he has retired
and I will check with Wayne Bryant also, I believe he went to,one.
Thanks,
Jeffery
Sarah Young wrote:
Hi all -
Almost exactly a year ago Bradley sent out a spreadsheet of National Guard no
exposures. We got these after last year's mass renewal. The National Guard sent
back rescission forms for a lot of their facilities; along with no exposure forms.
We've heard back from about half the regions. We heard back about one facility in
Washington, but there are 6 more. We did not hear from Mooresville or Wilmington
at all. We really need to get these out (since it has been a year), If I haven't
heard back from you in 2 weeks, I will assume it is ok to issue these and to
rescind their current permit. They are broken up by regional office on the
spreadsheet. If you need more time, just let me know. I apologize for not
following up on this earlier than now. Thanks, Sarah
Subject:
National Guard Spreadsheet
From:
Bradley Bennett <Brad1e [e-mail]>
Date:
Wed, 07 Mar 2007 09:26:33 -0500
To:
Sarah Young <[e-mail]>
To:
Sarah Young <[e-mail]>
Sarah
Here is the spreadsheet. It is sorted by Regional Office. I think we can just
forward this to all the regions and ask for their input.
BB
1 of 1 3/4/2008 1:00 PM