NCGNE1556_Application_20220916

FOR AGENCY USE ONLY
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Date Received: �'r�/ 21 !
NCGNE15 5 fx
RECEIVED
Division of Energy, Mineral, and Land Resources 7EMLR-StormwaterProgram
National Pollutant Discharge Elimination System
No Exposure Certification for Exclusion
NCGNE0000
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. Industrial materials or activities include, but are not limited to:
• material handling equipment or activities, • by-products,
• industrial machinery, • final products, or
• raw materials, • waste products.
• intermediate 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 industrial materials stored in the following container types, provided
the containers are not deteriorated and do not leak:
• drums, • tanks, and
• barrels, • similar containers.
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rescinded, your facility must continue to abide by the terms and conditions of the current permit.
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. Additionally,
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 Certification has no expiration date but must be self -recertified at least
annually. Please look for information about recertification under the No Exposure section on this page:
https lldeo nc gov/about/divisions/energy-mineral-land-resourceslnpdes-no-exposure.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 522 N. Salisbury St., 1612 MSC, Raleigh, NC 27699-1612. The submission of this form does
not guarantee exclusion from NPDES stormwater permitting. Prior to exclusion from NPDES stormwater permitting
a site inspection will be conducted.
Page 1 of 5

1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
(Legally responsible person (as signed in Item 7 below):
Holley Performance Products
Nick Maners
Street address:
City:
State and zip code:
1801 Russellville Rd
Bowling Green
KY 42101
Telephone number:
Email address:
270-745-9534
[e-mail]
Type of Ownership:
Government
®County ©Federal QMunicipal
State
Non -government
@Business (If ownership is business, a copy
of NCSOS report must be included with this application)
Qlndividual
2. Industrial Facility (facility requesting exclusion):
Facility name:
Facility environmental contact:
Holley
Nick Maners
Street address:
Telephone number:
127 Cedar Pointe Dr, Suite C
704-662-3366/270-745-9534
City:
State and zip
code:
Email address:
Mooresville
NC 28117 ,, q,. "-., .. t
nidcrnanerg le
@!}pi Y.rto[o. o..,.
Latitude of entrance. 3536'1769 N`,'�-
Longitude of entrance: 80 51' 10'.
Parcel Identification Narril66 `d(PIN):
,t' a ' •" ' �`t,
k "t
44648900486.009a
)-
Date operationrtiegan ..,-.-.- :,
g, � i+ _�s
I
St' ndard Industrna{Classification(SIG) Code '
2021 t`a° �vs�:.' .�..,.._��
a
2399r 4
Brief description c;t a types of industrial actiwties'andproiducts produced'atthis facility:= ' , `_Y
Fabricated Textile.Produats, Not Elsewhere Class ified`'§.
`
I e#. 114!r U fi: t!9 1 s)_:"=''islf"-
3. Consultant (if applicable):
Name of consultant:
Consulting firm -
Street address:
City:
State and zip code:
Telephone number:
Email address:
4. Exposure Checklists
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? If you
answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. '
Using, storing, or cleaning industrial machinery or equipment, and areas where residuals from using,
storing, or cleaning industrial machinery or equipment remain and are exposed to stormwater
DYesQ No
Materials or residuals on the ground or in stormwater inlets from spills/leaks
OYeseNo
Materials or products from past industrial activity
Oyes ®' No
Material handling equipment (except adequately maintained vehicles)
©Yes QNo
Materials or products during loading/unloading or transporting activities
©Yes QNo
Page 2 of 5

Materials or products stored outdoors (except final products intended for outside use [e.g., new cars]
©Yesi'!�No
where exposure to stormwater does not result in the discharge of pollutants)
Materials contained in open, deteriorated, non -sealed'; or leakingstorage drums barrels, tanks, and
QYes Q No
similar containers
Materials or products handled/stored on roads or railways owned or maintained by the discharger
®Peso No
Final products that would be mobilized in stormwater discharges (e.g., rock salt)
©YesONo
Waste material (except waste in covered, non -leaking containers (e.g., dumpsters])
©Yese No
Application or disposal of process wastewater (unless otherwise permitted)
©Yes No
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
©Yes(No
(i.e. under an air quality control permit) and evident in the stormwater outflow
Empty containers that previously contained materials that are not properly stored (i.e., not closed and
©Yes QNo
stored upside down to prevent precipitation accumulation)
For any exterior ASTs, as well as drums, barrels, tanks and similar containers stored outside, has the facility
©YesO No
had any releases in the past three (3) years?
'Sealed means banded or otherwise securedand with locked or non -operational taps or valves.
Above Ground Storage Tanks (ASTs) and Secondary Containment
If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion.
Are exterior ASTs or piping free of rust,,dammed or weathered coppating, ns or detenoratio or evidence
^-,;+
ofleaks?,
^.. i`. ,�P."'r`4®tYes©No
Is secondary containment piovlded for all ex error ASTs? If so, is if free of any cracks; (toles or evidence of
leaks, and are drain valves maintained locked shufvf,.3 k` �'_''-'
f�Yes®No
Is secondary containment provided for single above l roundstoragecontainers (inObd]ng drums, barrels "
etc.) withA'capacity of more than 660-gallons? + "�- `' b : '- s •; ;+ e ,, ' 'x ., a
yesoNo
Is secondarycontainment provided for above ground storage containers t 7ed in close proximityto each
other with a_combined capacity of more than 1,320 gallons?
QYesoNo
.:. .r.
+tHt!i i •r itipI q n 3j...:r:8y
Is secondary containmentprovided for Title III Section313 Superfund Amendments andReauthorization
Act (SARA) water priority chemicals?
Is secondary containment provided for hazardous substances designated in 40 CFR §116?
Yes®No
Are release valves on all secondary containment structures locked?
®Yes®No
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.
Are vehicles used in material handling in disrepair and/or leaking fluid?
QYes
QNo
Does this facility store used, recycled, or otherwise reclaimed pallets outside?
®YesQ
No
Does this facility have coal piles on site?
©YeseNo
Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.?
®YesID
No
Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, plating,
0Yes(DNo
painting, or metal finishing)?
If yes:
Describe the industrial activity:
Vehicle Painting, waste storage
Are those emissions permitted by an Air Quality Permit? ©Yes(DNo
Please specify:
Page 3 of 5

5. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
• Kilograms of waste generated each month:
• Type(s) of waste:
• How material is stored:
• Where material is stored:
• Number of waste shipments per year.'
• Name of transport/disposal vendor: 1
Sri �.
-
• Transport/disposal vindor EPA ID: TX'' ` ".
c "
�`,7�rt'
• Vendoraddressi
❑ This facrftty is located on a -Brownfield or SUPERFUND site. 4
If checked briefly describe the site conditions:
yp
❑Thisfacilityl"islocateil`onNativeAmeticanl 'nds: s( a 4.,4t+f ET N
4'
6. Required Items (Application will be returned unless all of the following items have been included):
0 Copy of most recent Annual Report to the NC Secretary of State (if applicable)
O This completed application and any supporting documentation - .
O Copy of county map or USGS quad sheet with the location of the facility clearly marked
l>
Page 4 of 5

7. Applicant Certification
North Carolina General Statute 143-215.613(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 ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
O lam the person responsible for the industrial activity, forsatistying the requirements of this exclusion, and for any civil
or criminal penalties incurred due to violations of this exclusion.
0 I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stormwater permitting.
O 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)).
El 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 M54 operator where applicable, 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 recertifications on file at the facility.
O I understand that in the event that the site no longer qualifies for a No Exposure Exclussion.thatJ,must�oobbtain coverage
under an NPDES permit prior to any point source'discharge'of stormwater from the facility.
El The information submitted inthis•N01 is to the besYof•my knowledge.and beldef, true, accurate,'andomplete based on
a, a:
my inquiry of the pe s nl"or persons who an g `tfle sys em;or those persons directly responsible for gatthhering the
information g t 7
b ,I
Printed Name°of Person Signir7g Nickk-.M s
Title: Corporate EHBS Manager
snzizo22y'
Signature of Applicant Date Signed
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 5 of 5

AddreA
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State of North Carolina
Department of the Secretary of State
SOSID: 2233182
Date Filed: 7/14/2021 4:28:00 PM
Elaine F. Marshall
North Carolina Secretary of State
C2021 194 02122
APPLICATION FOR CERTIFICATE OF AUTHORITY
Pursuant to §55-15-03 of the General Statutes of North Camliria, the undersigned corporation hereby applies for a Certificate of
Authority to transact business in the State of North Carolina, and for that purpose submits the following:
1. The name of the corporation is Holley Performance Products, Inc.
and if the corporate name is unavailable for use in the State of North Carolina, the name the corporation wishes to use is:
Fictitious name not needed
2. The state or country under whose laws the corporation was organized is: DE, United States .
3. The date of incorporation was 10/13/1995
4. Its period of duration is: Qs perpetual or a date certain (mm/dd/yyyy)
5. Principal office information: (Select either a or b.)
a. El The corporation has a principal office.
The street address and county of the principal office of the corporation is:
Number and Street 1801 Russellville Rd.
City, State, Zip Code BOWLING GREEN, KY 42101 USA County Warren
The mailing address, if different from the street address, of the principal office of the corporation is:
Number and Street
City, State, Zip Code
b. ❑ The corporation does not have a principal office.
County
6. The street address and county of the registered office in the State of North Carolina is:
Number and Street 185 McKenzie Rd.
City:Mooresville State NC , Zip Code: 28115 County:
7. The mailing address, if d>%ferent from the street address, of the registered office in the State of North Carolina is:
Number and Street , NC USA
City:
State NC , Zip Code: County:
8. The name of the registered agent in the State of North Carolina is: Leah R Molyneaux
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form B-09)

9. The names, titles, and usual business addresses of the current officers of the corporation are (attach if necessary):
Name
Steven Trussell
Title
Chief Financial Officer
Business Address
1801 Russellville Rd BOWLING GREEN KY,
42101 United States
10. Attached is a Certificate of Existence (or document of similar import) duly authenticated by the Secretary of State -or other official
having custody of corporate records in the state or country of incorporation. The Certi%tcate of Existence must be an
orieinal and less than six months old
11. if the corporation is required to use a fictitious name in order to transact business in this State, a copy of the resolution of its board
of directors, certified by its secretary, adopting the fictitious name is attached.
12. This application will be effective upon filing unless a delayed date and/or time is specified:
This is the 13th day of July 20 21
Holley Performance Products, Inc.
NAME OF CORPORATION
Steven Trussell Chief Financial Officer
Signature
Steven Trussell Chief Financial Officer
Type or Print Name and Title
NOTES:
1. Filing fee is $250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P. 0. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form B-09)

u
Delaware page
The First State
I,',JEFFREY W. BULLOCK, SECRETAM-OF STATE OF THE STATE OF
DEI.AWARE, DO HEREBY CERTIFY ,HOLLEY PERFORMANCE PRODUCTS INC." IS
DULY INCORPORATED UNDER THE LAWS OF THE STATE OF DE AWARE AND IS Ir
GOOD STANDING AND HAS A LEGAL CORPORATE ERISTENCE SO FAR AS THE
RECORDS OF THIS OFFICE SHOW, AS OF TBE FOURTEENTH DAY OF DULY, A.D.
L
2021.
AND I DO.IMMY FUR27M CERTIFY THAT THE ANNUAL REPORTS HAVE
BEEN FILED TO DATE.
l
AND DO HEREBY FURTHER CERTIFY THAT THE SAID "HOLLEY
PERFORMANCE PRODUCTS INC." WAS INCORPORATED ON THE THIRTIETH DAY OE
OCTOBER, A.D. 1995.
r
AND I DO HEREBY FURTHER CERTIFY THAT THE FRANCHISE T=s HAVE
BEEN PAID TO DATE.
2554925 8300 \\�'S��- I
SR# 20212702818 \\�U�%%/
You mayverl"Is certificate online at corp.delaware.gov/authver.shtml
Authentication: 21
Date: