NCGNE1583_Application_20230126

E['AM
JAN 2 6 2023
Environmental Compliance Assurance Management
9 Smoke Rise Lane, Bedminster, NJ 07921
01/18/23
Brittany Carson ([e-mail])
DEMLR — Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Stormwater No Exposure
DFA US Inc. 300 Bethel Church Road, Mocksville, NC 27028
Dear Brittany Carson:
On behalf of facility listed above, DFA US on 300 Bethel Church Road, Mocksville, NC 27028,
attached please find a NEW APPLICATION FOR STORMWATER NO EXPOSURE.
An electronic copy will also be emailed to the address listed above.
Should you have any questions, please feel free to contact the undersigned.
Sincerely,
Environmental Compliance Assurance Management
Sunil P. Hangal
Principal
Attachments
Environmental Compliance Assurance Management

FOR AGEINCg tgS5QNLY
NCGIN L^_`t
Assigned to: Y Cloa
ARO FRO MRO RRO WARD WIRO SRO
Division of Energy, Mineral, and Land Resources
National Pollutant Discharge Elimination System
No Exposure Certification for Exclusion
NCGNE0000
Submission of this No Exposure Certification constitutes notification that vour 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,
saterial handling activities include the storage, loading and unloading, transportation, or conveyance of any raw
naterial, intermediate product, final product, or waste product.
a storm resistant shelter is not required for industrial materials stored in the following container types, provided
iite containers are not deteriorated and do not leak:
+ drums • tanks, and
oarrels. • similar containers.
ro: new facilities, applicants should apply no earlier than 60 days before the start of operation. This will allow
DENIM staff to verify conditions during active operation. For facilities that already have an industrial stormwater
permit 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 outfalis. If any
industrial activities or materials are, orwiil be, exposed to precipitation, the facility is not eligible for the no exposure
exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure
exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g).
For new facilities, applicants should not apply more than 60 days before the start of operation date. This
it 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:
'2isl,_r5_eoi�iaz;o:a'd; <i_n'enerev-mineral-IanL'-re SPUfCeii'}Pdes-n0-e'<UOSt/re.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 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 6

I. OWner/Operator (to whom all permit correspondence will be mailed):
`: Name of legal organizational entity: Legally responsible person (assigned in Item 7 below):
Street
Telephone number:
City:
Email address:
'IDN
' Type of Ownership: _ tb
Government
County = Federal =i Municipal � State
`ton -government
✓susiness (If ownership is business, a copy of NCSOS report must be included with this application)
lodividuai
I
State Zip
q C 151_:
2. industrial Facility (facility requesting exclusion):
i Facility name:
Facility environmental contact:
Dkitb G -1Pj
Telephone number:
V I -,`. -
City ( county �'PS\[ ` State - Zip Code
' tLl-QC,�'sS�i t C.� ` I 1V C.
L etude of entrance: - - -
Longitude of entrance: -
Parcel Identification Number (P,N).
- j
! Cate operation began:--
' Brief description of the types of industrial activities and product; produced at this faciliryq''
i 0 - I
3. Consultant (if applicable)-
-Name of consultant: - ``�-- ' I Consulting firm:
$ lull, YW cl�l� + EGF�1M
Street address. I Cit}•: State and zip code:
$moK!e i� �^� R tttacTFP N'S Telephone number. I Email address: o7
Q^(? V..,r 0, ,.._1 c t% - /1-N ---- - -
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
I using, storing, or cleaning industrial machinery or equipment remain ano are exposed to i Yes Y'No _ N/A
i <, n...,..,�,,..
Materials or residuals on the ground or in stormwater inlets from spillsileaks _ Yes'VNo " N/A
Material, or products from past industrial actirlpj I — Yes d No = N/A
Material handling equipment (except adequately maintaine8 vehicles) =Yes No - N/A
Page 3 of b
t

Materials or products during loading/unloading or transporting activities
_ Yes ElNo i✓ N/A ;
Materials or products stored outdoors (except final products intended for outside use (e.g., new
cars) where exposure to stormwater does not result in the discharge of pollutants)
i = Yes 2E�`No 12 NIA
Materials contained in open, deteriorated, non -sealed°, or leaking storage drums barrels, tanks,
similar containers
E Yes D N/A
I1r—and
--r'No
{ Materials or products handled/stored on roads or railways owned or maintained by the discharger
I ^^1 Yes ✓No .= N/A
Finai products that would be mobilized in stormwater discharges (e.g.,rock salt)
'l Yes mho _ NIA
Waste material (except waste in covered, non -leaking containers (e.g.,.dumpsters))
Yes ?%No C N11,
Application or disposat of process wastewater (unless
otherwise permitted)
( i- Yes "No C N/A
Pari+culate matter or visible deposits of residuals from roof stacks and/orvents not otherwise
regulated (i.e. under an air quality control permit) and evident in the stormwater outflow
_ Yes 2�'No G N/A
Empty containers that previously contained materials that are not properly stored (i.e., not closed
and stored upside down to prevent precipitation accumulation)
1
=+ Yes �Np _ N/A
For any exterior ASTs. as Weil as drums, barrels, tanks and similar containers stored outside, has
i
the facility had any releases in the past three (3) years?
-Yes ✓Yo ? N/A
-c
I
------ - -• - - •••_• ••�>� aet,oi eu drio wan tocxeo 0. non -operational taps or valves.
Above Ground Storage Tanks (ASTs) and Secondary Containment
If you answer "No" to any of the follow] ` eefns, `' ltg' y6u afz ;^,ot eligible for ttie rip exposure exclusion.
At? exterior ASTs or piping free ofru t, damaged or iv<'athered coating; pits, or deterioration, or
evidence of leaks? a C a 0 Yes 0 No �?`N/A l
a-s
k secondary containment provided for all exterior ASTs? If so, is itfree ofany cracke,�,holes, or I )
evidence of leaks, and are drain valves maintaneed locked shut? 1 Q Yes ❑ NO /A
r— i�N III
'ts secondary containmentprovided for singjeabog44round Storage c6talners (including drums,
L Garreis, etc.).with a capacity of more than 660-gallons? -" " "
(_,
t u Yes Q No 14N/A
I Is secondary containment provided for above ground storage containers stored Jr.dose:proximipy '
to each other with a combined capacity of more than 1,320 gallons? .4 I
t
G Yes ❑ No'N/A
Is secondary containment provided for Title lit Section 313 Superfund Amendments and
Reauthorization Act (SARA) water priority chemicals? 0 Yes Q No N JA
'= is secondary containment provided for hazardous substances designated in 40 CFR §116? ; II Yes ❑ No `dN/A
Are release valves on all secondary containment structures locked? 1
C. Yes Q No PIN/A
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?
Yes '`610 =, N/A
Does this facility store used, recycled, or otherwise recialmed pallets outside?
Yes:E a o _ N/A
i Ones this facility have coal piles on site? Yes ��o i✓, N/A
`Oces this facility store otF.er fail sources outside in piles, such as wood chips, sawdust, etc.? j
Q Yes :✓No G N/A
Page 4 of 6

Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, C yes `� No N/A.
plating, painting, or metal finishing)? ,
t%Yes:
Describe the industrial activity:
Are those emissions permitted by an Air quality Permit? G Yes C No
Please specify.-
S. 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:
'_t This facility has Nan -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 ffoodplain,
if checked, describe how the area is protected from flooding:
i= This f -ility is a (mark all that apply)
Hazardous waste Generation Facility
Hazardous waste Treatment Facility
Hazardous Waste Storage Facility
Hazardous v:'aste Disposal F_cli`y
If checked, indicate: .`
Kilograms of waste generated each month" aQO
a Type(s)ofwastet�
How material is stored* , .�LQl��� GON,j/�}'/
o tr."here material is stored: :1-NS-
Number of waste shipments per year:
Name of transport/disposal vendor:To h2
Transport/disposal vendor EPA ID: To be
c Vendor address: [0 QG ` ff
This facility is located on a Brownfield or SUPERFUND site.
If dhecked, briefly describe the site conditions:
This facility is located on Native American Lands.
6. Required IternS (Application will be returned unless all. of the following items have been included):
=" Copy of most recent Annual Report to the NC Secretary of State (if applicable)
application and any supporting
i -%/Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 5 of 6

7. Applicant Certification
North Czrolma General Statute 143-215.66 (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:
I am the person responsible for the industrial activity, for satisfying the requirements of this exclusion, and for any civil
or criminal penalties incurred due to violations of this exclusion.
i Rave read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exciusion from NPOES stormwater permitting.
There are no discharges of stormwater contaminated by exposure to Industrial activities or materials from the industrial
f facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to maintain no exposure conditions and complete a Self-Recertificatron 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 ali v the North Carolina
Division of Energy, Mineral, and Land Resources, or MS4 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 annuai recertifiCatians on file at the facility.
.S/ I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that i must obtain coverage
ender an NPDES 2rm;t ";.f s .
,rp _ Frier ;e any point scarce ducnarge or stormwater from the facility.
The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
Information.
PrintedName tame Of Person Signing:
/a;,?s
Date Signed
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6 of 6

Go, 9le MapS DFA 300 Bethel Church Road Mocksville NC
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Map data 02023 Google 200 ft-

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DFA US
Mocksville, NC
EHS-0010/ 12/20/2022 Rev 1