NCGNE0009_COMPLETE FILE - HISTORICAL_20060209

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑
YYYYMMDD

W A LFS;y . Michael F.Easley,Governor
C.
William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Teradyne Component Molding & Stamping
2620 Viceroy Road
Winston Salem, NC 27103
Subject: General Stormwater Permit Inspections
TCMS #2
Permit No. NCGNE0009
Forsyth County
Dear Sir or Madaam:
Your facility holds a General Permit from the North Carolina Division of Water Quality to
discharge stormwater associated with industrial activities performed at your facility. Please be
advised that the Winston-Salem Regional Office will be performing NPDES Stormwater
Inspections sometime in the near future.
If this office has not previously inspected your facility, you should be prepared to demonstrate
compliance with all terms and conditions included in the Permit. Specifically, we will be
evaluating the following: Stormwater Pollution Prevention Plan, Stormwater Outfall Locations,
Qualitative and Analytical Monitoring Data and any other activities required by your permit.
Copies of the general permits and accompanying documents can be accessed from the following
webpage: http://h2o.enr.state,nc.us/su/Forms_Documents.htm#Storm waterGR
If you have any questions, please contact Rose Pruitt in the Winston-Salem Regional Office at
[phone].
Sincerely,
Rose Pruitt
cc: NPS Compliance & Assistance Oversight Unit
SWP-Central Files
WSRO Files
tCarolina
urally
North Carolina Division of Water Quality 595 Waughlown Street Winston-Salem,NC 27107 Phone[phone] Fax[phone]
Internet: h2o.enr,state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled110%Post Consumer Paper

�0F W A r,R p Michael F.Easley,Governor
William G. Ross Jr.,Secretary
c North Carolina Department or Environment and Natural Resources
Alan W. Klimek,P.E.Director
Division of Water Quality
May I t, 2005
Mr. James Sharp
TCMS, Inc. dba Teradyne TCMS
3936 Westpointe Blvd.
Winston-Salem, NC 27103-6719
Subject: TCMS
General Permit COC No. NCG030512
No-Exposure Certification NCGNE0009
Forsyth County
Dear Mr. Sharp:
This letter is in response to phone conversations that I have had with Mark Cappi of your
company regarding our recent issuance of no-exposure certification NCGNE0009 and your general
permit NCG030512. I apologize for errors that we made in processing your no-exposure
certification.
In the letter we recently sent to you regarding your no-exposure certification, we incorrectly
used a received date of March 25, 2002, which came from another form and from another facility
that was incorrectly placed in your file. We actually received your no-exposure application on
February 5, 2003,
In addition we used the facility operator address (3936 Westpoint Blvd) instead of the
facility address (2620 Viceroy Rd.) for your no-exposure certification. As a result, our database
assumed that the no-exposure certification was for your facility on 3936 Westpoint Blvd, which
currently has a stormwater permit, NCG030512. Consequently, we incorrectly rescinded your
stormwater permit NCG030512.
I have since reactivated your stormwater permit NCG030512 and changed the facility
address for the NCGNE0009 no-exposure certification to 2620 Viceroy Rd. All terms and
conditions for the stormwater permit and no-exposure certification still apply.
Again, I apologize for these mistakes. If you have any questions concerning these issues,
please contact me at telephone number [phone] ext. 537 or [e-mail].
Sincerely,
Jonathan A. Diggs
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
No ehCarolina
;11atura!!jl
Wetlands and Stormwater Branch 1617 Mail Service Center Raleigh.NC 27699-1617 Phone[phone]
Internet: h2o.enr.state.nc.us 512 N.Salisbury St. Raleigh,NC 27604 FAX [phone]
An Equal opportunity/AffirmatNe Action Employer-50%Recycled1100/6 Post Consumer Paper

�QF \NA7- RQ Michael F.Easley,Governor
William G.Ross Jr.,Secretary
7 North Carolina Department of Environment and Natural Resources
0 Alan W.Klimek.P.E.Director
Division of Water Quality
May 11, 2005
Mr. James Sharp
TCMS, Inc. dba Teradyne TCMS
3936 Westpointe Blvd.
Winston-Salem, NC 27103-6719
Subject: TCMS
General Permit COC No. NCG030512
No-Exposure Certification NCGNE0009
Forsyth County
Dear Mr. Sharp:
This letter is in response to phone conversations that I have had with Mark Cappi of your
company regarding our recent issuance of no-exposure certification NCGNE0009 and your general
permit NCG030512. I apologize for errors that we made in processing your no-exposure
certification.
In the letter we recently sent to you regarding your no-exposure certification, we incorrectly
used a received date of March 25, 2002, which came from another form and from another facility
that was incorrectly placed in your file. We actually received your no-exposure application on
February 5, 2003.
In addition we used the facility operator address (3936 Westpoint Blvd) instead of the
facility address (2620 Viceroy Rd.) for your no-exposure certification. As a result, our database
assumed that the no-exposure certification was for your facility on 3936 Westpoint Blvd,which
currently has a stormwater permit, NCG030512. Consequently, we incorrectly rescinded your
stormwater permit NCG030512.
I have since reactivated your stormwater permit NCG030512 and changed the facility
address for the NCGNE0009 no-exposure certification to 2620 Viceroy Rd. All terms and
conditions for the stormwater permit and no-exposure certification still apply.
Again, I apologize for these mistakes. If you have any questions concerning these issues,
please contact me at telephone number [phone] ext. 537 or at [e-mail].
Sincerely,
*",,-,A O*z-
Vonathan A. Diggs
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
No hCarolina
Naturally
Wetlands and Stormwater Branch 1617 Mail Service Center Raleigh,NC 27699-1617 Phone[phone]
Internet: h2o.enr.state.nc.us 512 N.Salisbury St. Raleigh,NC 27604 FAX [phone]
An Equal OpporlunVAffirmative Action Employer—50%Recycled110%Post Consumer Paper

1j1J A]�Cn Michael F.Easley,Governor
�DwlG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
_ Alan W.Klimek,P.E.Director
5 Division of Water Quality
p Coleen H.Sullins,Deputy Director
Division of Water Quality
April 20, 2005
RECEIVED
N.C.❑eot.of ENR
Tom Pursch APR 2 7 20
Teradyne Component Molding & Sta
3936 Westpoint Blvd Winston-Salem
Regional office
Winston Salem, NC 27103-6719
Subject: No Exposure Certification NCGNE0009
TCMS - 3936 Westpoint Blvd
Forsyth 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 March 25, 2002. 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 12622(g)which is incorporated by
reference in North Carolina regulations. In addition, your coverage under general permit NGG030512 is also
hereby rescinded. This rescission is based upon your certification of no exposure conditions at this facility.
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 (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 [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office Central Files—wlattachments �
Stormwater Permitting Unit Files Fran McPherson - DWQ Budget 26A
NCDEhtR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1 6 1 7 [phone] Customer Service
1-877-623-6748

F W A T f Michael F.Easley,Governor
0 17 William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
%3 Alan W.Klimek,P.E.Director
Division of Water Quality
Coleen H.Sullins,Deputy Director
Division of Water Quality
April 20, 2005
Tom Pursch
Teradyne Component Molding & Sta
3936 Westpoint Blvd
Winston Salem, NC 27103-6719
Subject: No Exposure Certification NCGNE0009
TCMS - 3936 Westpoint Blvd
Forsyth 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 March 25, 2002. 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. in addition, your coverage under general permit NCG030512 is also
hereby rescinded. This rescission is based upon your certification of no exposure conditions at this facility.
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 (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 [e-mail].
- Sincerely, 1/
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office Central Files—wlattachments .�
Stormwater Permitting Unit Files Fran McPherson - DWQ Budget v"A
NCDENR
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-45748

r
U � UForm Arpprpvep
Yj
United States Environmental Protection Agency OMB No.2040-0211
NPDES Washington, DC 20460 FFB 3 I
35110-11FORM NO EXPOSURE CERTIFICATION for Exclusion from
201�
NPDES Storm Water PermittingS_� f
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 condilion 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 faciiity-wide basis only, not for individual oulfalls. 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 I C I MI 5 I In.j c_L 1 Di B A I T I pi.rt d y n t i Ti Q a. S I I 1 1 2. Phone: 131 31 6 a 9 11 D 19
3. Mailing Address: a.Street: 1 31 91 31 61 IW I P I -,I tl tij 6 if W 17 h_gr 11"1ir—la 1 I I i I I I I I I I I
b.City: W I 1 I n I I I I i c.Slate: LN LC� d.Zip Code: 21 71 11 0 3—1 61 71 _LA
B. Facility/Site Location Information
1. Facility Name: � Zl 0 M 5 1 l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I 11
2.a.Street Address: 12 16 12.101.
b. City: t tL 1n Is ItsInl_ R t3 11 leItnI i I L I I 11 1j c.County: IF Ioir1sl Vi ta,h I I �
d.State: N C e.Zip Code: V 17 11 10 f 31-16 17 I l 191
3.Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5.a. Latitude: LIL6J -h 19J LLL7 J' b. Longitude: 8 ^ 1 1 1 91
6.a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No ❑X
b. If yes,enter NPDES permit number:
7.SIC/Activity Codes: Primary: 14 1 2 1 2 1 5 Secondary(it applicable):
S.Total size of site associated with industrial activity: /•Q 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 tSU
b. It 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
P N(A"o V

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NPDES A Form Approved
FORM ^CPA 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 FRI
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 ❑ ❑X
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,lanks,and similar containers
& Materials or products handled/stored on roads or railways owned or maintained by the discharger LAIJ
9. Waste material(except waste in covered,non-leaking containers[e.g.,dumpsters])
10. Application or disposal of process wastewater(unless otherwise permitted) LIW
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated Q
(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 IOCat 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: I T„ P I u t rl s I I
Print Title: e I I P t r I e
Signature:
Date: ��I Z. of Sbl
EPA Form 3510-11 (10-99) Page 2 of 4

mans Directions to Teradyne Connection Systems
V N 3936 Westpoint Blvd, Winston Salem, NC 27103-6719 - [phone]
8.1 mi— about 14 mins.
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6585&'aughtown St, Winston Salem, NC 27107
4
1. Head southeast on Waughtown St toward Old Lexington Rd go 338 ft
total 338 ft
2. Take the 1 st right onto Old Lexington Rd go 0.1 mi
total 0.2 mi
3. Take the 1 st right onto E Sprague St goo.1 mi
total 0.3 mi
(1) 4. Turn left to merge onto NC-8 S/US-311 SIUS-52 S go 0.2 mi
About 1 min total 0.5 mi
5. Take exit 107B to merge onto 1-40 W toward Statesville go 4.4 mi
About 5 mins total 5.0 mi
6. Take exit 189 for US-1581Stratford Rd go 0.3 mi
total 5.3 mi
1 7. Turn right at S Stratford Rd1US-158 go 1.8 mi
About 3 mins total 7.1 mi
8. Turn left at Kirnwell Dr go 0.4 mi
About 1 min total 7.5 mi
9. Take the 3rd right onto Empire Dr go 0.4 mi
About 1 min total 7.9 mi
10. Turn left at Westpoint Blvd go 0.2 mi
total 8.1 mi
43936
Teradyne Connection Systems
Westpoint Blvd, Winston Salem, NC 27103-6719 - [phone]
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from
the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route.
Map data©2009, Tele Atlas

4 3226 Gatesville Rd, Greensboro, NC 27405
1. Head south on Gatesville Rd toward McKnight Mill Rd go 0.2 mi
total 0.2 mi
2. Take the 1 st right onto McKnight Mill Rd go 0.4 mi
About 1 min total 0.6 mi
3. Turn left at Sands Dr go 0.4 mi
About 1 min total 1.0 mi
4. Take the 1st right onto E Cone Blvd go 0.3 mi
About 1 min total 1.3 mi
29 5. Turn left to merge onto US-29 S go 4.6 mi
About 6 mins total 5.9 mi
6. Take the 1-8511-40 exit toward High Point/US-220/US-70/Charlotte/US-29 go 0.7 mi
About 1 min total 6.6 mi
7. Merge onto 1-40 Bus W11-85 Bus SIUS-220 S1US-29 S1US-70 W go 5.5 mi
Continue to follow 1-85 Bus SIUS-29 SIUS-70 W total 12.1 mi
About 6 mins
8. Merge onto I-85 S go 1.4 mi
About 1 min total 13.5 mi
9. Slight right at 1-85 Busl1-85 S Bus1US-29 SIUS-70 (signs for US-2911-851US-701High Point) go 7.1 mi
Continue to follow 1-85 Bus/US-29 SIUS-70 total 20.6 mi
About 8 mins
10. Take the US-311 exit toward Downtown go 0.3 mi
total 20.9 mi
311 11. Turn right at S Main St1US=311 (signs for High Point) go 1.2 mi
Continue to follow US-311 total 22.1 mi
About 2 mins
12. Turn left at W Grimes Ave go 0.2 mi
About 1 min total 22.3 mi
F 13. Take the 2nd right onto Tomlinson St go 453 ft
total 22.4 mi
4 Ready Mixed Concrete Co
406 Tomlinson St, High Point, NC 27260-6639 - [phone]
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from
the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route.
Map data C2009 , Tele Atlas
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