NCGNE1657_Application_20231222

GLENrAVEN4
November 14, 2023
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7020 2450 00016459 7406
Ms. Brittany Cook
NCDEMLR Stormwater Program
1612 Mail Service Center
Raleigh,NC 27699-1612
RE: Application for Stormwater NPDES No Exposure Certification for Exclusion (NEC)
Glen Raven—Norlina Plant
Dear Ms. Cook:
The Glen Raven — Norlina Plant is submitting the enclosed hard copy of the above referenced
application along with supporting documentation for NCDEMLR review. A scanned copy with
supporting documentation will be emailed to you at brittany.cook(a�deq.nc.gov.
Should NCDEMLR require additional information, please contact me at 252-456-1962 or
[e-mail].
Sincerely,
GLEN RAVEN,INC. C
Todd Wemyss
Plant Manager
Enclosures
CC: Charles Walser—Corporate Manager,Safety, Security&Environmental Affairs
Tim W. Monroe—Leaf Environmental&Engineering, P.C.

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):
GLEN RAVEN, INC TODD WEMYSS
Street address: City: State Zip Code
268 HWY US 1 SOUTH NORLINA NC 27563
Telephone number: Email address:
[phone] [e-mail]
Type of Ownership:
Government
❑County ❑ Federal ❑ Municipal ❑ State
Non-government
0 Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility requesting exclusion):
Facility name: Facility environmental contact:
GLEN RAVEN - NORLINA TODD WEMYSS
Street address: Telephone number:
268 HWY US 1 SOUTH [phone]
Email address:
TWEMYSS@G LENRAVEN.COM
City County State Zip Code
NORLINA WARREN NC 27563
Latitude of entrance: 36°-26'-36" N
Longitude of entrance:78° - 12'-40"W
Parcel Identification Number(PIN):
2938115608
Date operation began: Standard Industrial Classification(SIC)Code:
1984 2281
Brief description of the types of industrial activities and products produced at this facility:
ACRYLIC YARN MANUFACTURING
3. Consultant(if applicable):
Name of consultant: Consulting firm:
TIM W. MONROE LEAF ENVIRONMENTAL & ENGINEERING, P.C.
Street address: City: State and zip code:
1426 EAST NC HWY 54, SUITE C DURHAM NC 27713
Telephone number: I Email address:
[phone] [e-mail]
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 ❑Yes♦a No ❑ N/A
stormwater
Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑Yes L3 No ❑ N/A
Materials or products from past industrial activity ❑Yes 2 No ❑ N/A
Material handling equipment(except adequately maintained vehicles) ❑Yes 0 No ❑ N/A
Page 3 of 6

Materials or products during loading/unloading or transporting activities ❑Yes L3 No ❑ N/A
Materials or products stored outdoors(except final products intended for outside use[e.g.,new ❑yes 2 No ❑ N/A
cars]where exposure to stormwater does not result in the discharge of pollutants)
Materials contained in open,deteriorated,non-sealed',or leaking storage drums barrels,tanks, ❑Yes la No ❑ N/A
and similar containers
Materials or products handled/stored on roads or railways owned or maintained by the discharger ❑Yes 2 No ❑ N/A
Final products that would be mobilized in stormwater discharges(e.g.,rock salt) ❑Yes 2 No ❑ N/A
Waste material (except waste in covered,non-leaking containers[e.g.,dumpsters]) ❑Yes 2 No ❑ N/A
Application or disposal of process wastewater(unless otherwise permitted) ❑Yes L3 No ❑ N/A
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise ❑yes L3 No ❑ N/A
regulated(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 ❑yes 2 No❑ N/A
and stored upside down to prevent precipitation accumulation)
For any exterior ASTs,as well as drums,barrels,tanks and similar containers stored outside,has ❑Yes 2 No ❑ N/A
the facility had any releases in the past three(3)years?
'Sealed means banded or otherwise secured and 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,damaged or weathered coating,pits,or deterioration,or ❑Yes❑ No 0 N/A
evidence of leaks?
Is secondary containment provided for all exterior ASTs?If so,is it free of any cracks,holes,or ❑Yes❑ No fd N/A
evidence of leaks,and are drain valves maintained locked shut?
Is secondary containment provided for single above ground storage containers(including drums, ❑yes❑No 2 N/A
barrels,etc.)with a capacity of more than 660-gallons?
Is secondary containment provided for above ground storage containers stored in close proximity ❑Yes❑No 2 N/A
to each other with a combined capacity of more than 1,320 gallons?
Is secondary containment provided for Title III Section 313 Superfund Amendments and ❑Yes El No N/A
Reauthorization Act(SARA)water priority chemicals)
Is secondary containment provided for hazardous substances designated in 40 CFR §116? ❑Yes❑No 2 N/A
Are release valves on all secondary containment structures locked? ❑Yes❑ No i2l N/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 2 No ❑ N/A
Does this facility store used,recycled,or otherwise reclaimed pallets outside? ❑Yes 2 No ❑ N/A
Does this facility have coal piles on site? ❑Yes 2 No❑ N/A
Does this facility store other fuel sources outside in piles,such as wood chips,sawdust,etc.? ❑Yes 2 No ❑ N/A
Page 4 of 6

Does this facility have air emissions associated with industrial activity(e.g.,degreasing operations, 2 Yes❑ No❑ N/A
plating, painting,or metal finishing)?
If yes
Describe the industrial activity:AlR WASHER & BAILER RELIEF AIR
Are those emissions permitted by an Air Quality Permit? ❑Yesla No
Reasespedfy: AIR PERMIT 06080G09 RECENTLY RESCINDED
5. Other Facility Conditions(check all that apply and explain accordingly):
Cd Thisfacility hasother NPDESpermits NCG170245
If checked,list the permit numbersfor all current NPDLSpermits
❑ This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbersfor all current Non-Discharge permits:
❑ Thisfacility stores hazardouswaste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
❑ Thisfadlity is (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Fadlity
❑ Hazardous Waste aorage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
• Hlogramsofwastegenerated each month:
• Type(s)of waste:
• How material is stored:
• Wherematerialisstored:
• Number of waste shipments per year:
• Name of transport/disposal vendor:
• Transport/disposal vendor EPA ID
• Vendoraddress
❑ Thisfacility is located on a Brownfield or 9JPEIRFl1ND site.
If checked,briefly describe the site conditions:
❑ This facility is located on NativeAmericen Lands
6. Faequired Items(Application will be returned unless all of the following items have been included):
2 Copy of most recent Annual Feport to the NCSacretary of Sate(if applicable)
12 This completed application and any supporting documentation
2 Cbpy of county map or U83Squad sheet with the location of the facility dearly marked
Page 5 of 6

7. Applicant Certification
North Carolina General Statute 143-215.6E(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 have read and understand the eligibility requirements for claiming a condition of"no exposure"and obtaining an
exclusion from NPDES stormwater permitting. _
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)).
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.
I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that I must obtain coverage
under an NPDES permit prior to any point source discharge of 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.
Printed Name of Person Signing:TODD WEMYSS
Title: PLANT MANAGER
(114 LLn�_ //`91"?3
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 6 of 6

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Scale:
As Shown
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Mercator Projection 0.5 1.0 1.5 km
WGS84 © © MN
USNG Zone 175QA 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9mi -10'
CaITOpO Scale 1:18000 1 inch = 1500 feet ❑� t 4g
FIGURE 1: SITE LOCATION MAP
Glen Raven-Norlina Plant Nor Highway US 1 South
orlina,Warren County, NC 27563

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Figure 2: Site Map — _ — — a,E a,
Glen Raven-Norlina Plant -
268 Highway 1 South I SITE LEGEND
Norlina,Warren County, NC 27563 ;� 1INE YFS eaLcama
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Project No.: 101696 Date:August 2023 ___©___
LEAF ENVIRONMENTAL — — ® � - •• �1
& ENGINEERING, P.C. rww•wm
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C-2.00

'.' BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION: Glen Raven,Ine.
0059565 Fling Office Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report
0059565
REPORT FOR THE FISCAL YEAR END: 9/30/2022 CA202307204460
3/13/2023 03:30
SECTION A: REGISTERED AGENT'S INFORMATION ❑X Changes
1. NAME OF REGISTERED AGENT: Steed, Derek B
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
1831 N Park Ave 1831 N Park Ave
Burlington, NC 27217-1100 Alamance County Burlington, NC 27217-1100
SECTION B: PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Textile Manufacturing, Sales and Marketing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
1831 N Park Ave 1831 N Park Ave
Burlington, NC 27217-1100 Burlington, NC 2721 7-1 1 00
6. Select one of the following if applicable.(Optional see instructions)
❑ The company is a veteran-owned small business
❑ The company is a service-disabled veteran-owned small business
SECTION C: OFFICERS(Enter additional officers in Section E.)
NAME: _Eugene Deleplanque NAME: Sarah M Cade NAME: Allen E Gant , Jr.
TITLE: Vice President TITLE: Assistant Treasurer TITLE: Chairman
ADDRESS: ADDRESS: ADDRESS:
1831 N Park Ave 1831 N Park Ave 1831 N Park Ave
Burlington, NC 27217-1100 Burlington, NC 27217-1100 Burlington, NC 27217-1100
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entptyt=_rek B Steed 3/13/2023
D SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Derek B Steed Vice President
Print or Type Name of Officer Pdnt or Type TNe of Officer
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E:ADDITIONAL OFFICERS
NAME: C Gottleib Oehmig ,IV NAME: Derek B Steed NAME: Harold W Hill ,Jr.
TITLE: Chief Executive Officer TITLE: Vice President TITLE: Executive Officer
ADDRESS: ADDRESS: ADDRESS:
1831 N Park Ave 1831 N Park Ave 1831 N Park Ave
Burlington, NC 27217-1100 Burlington, NC 27217-1100 Burlington, NC 27217-1100
NAME: David N Swers NAME: Steven L Ellington NAME: Christopher T Roach
TITLE: Executive Officer TITLE: Executive Officer TITLE: Vice President
ADDRESS: ADDRESS: ADDRESS:
1831 N Park Ave 1831 N Park Ave 1831 N Park Ave
Burlington, NC 27217-1100 Burlington, NC 27217-1100 Burlington, NC 27217-1100
NAME: Marc A. Austein NAME: Stephen B. Pawl NAME: Christine S Mathews
TITLE: Vice President TITLE: Vice President TITLE: Chief Financial Officer
ADDRESS: ADDRESS: ADDRESS:
1831 N Park Ave 1831 N. Park Ave. 1831 N Park Ave
Burlington, NC 27217-1100 Burlington, NC 27217-1100 Burlington, NC 27217
NAME: Ethan K. Lane NAME: Suzanne Allen NAME:
TITLE: Vice President TITLE: Vice President TITLE:
ADDRESS: ADDRESS: ADDRESS:
1831 N Park Ave 1831 N. Park Avenue
Burlington, NC 27217-1100 Burlington, NC 27217
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS: