NCGNE0125_COMPLETE FILE - HISTORICAL_20050420 (2)

- - STORMWATER DIVISION CODING SHEET -
RESCISSIONS .
PERMIT NO. �J oov E U I as
DOC TYPE El COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION YYYYMMDD

o�oF W A rERQG Michael F.Easley,Governor G William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
� Alan W.Klimek,P.E.Director
Division of Water Quality
p C Coleen H.Sullins,Deputy Director
Division of Water Quality
April 20, 2005
Bill Robbins
Sumitomo
78 T W Alexander Dr
Durham, NC 27709
Subject: No Exposure Certification NCGNE0125
Sumitomo Electric Lightwave -78 T W Alexander Dr
Wake 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 July 1, 2004. 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 NCG030477 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hereby rescinded.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: Raleigh Regional Office `"Central Files—wlattachments ,�.�,
Stormwater Permitting Unit Files Fran McPherson - DWO Budget 2=+
NCDENR
N.C.Division or Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1 61 7 [phone] Customer Service
l-877-623-6748

��
9
Form Approved
United States Environmental Protection Agency OMB No,2040-0211
NPDES M� EPA Washington, DC 20460
FORM `� 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: IS 1Lk I'll If T_I0 Ih 101 1 16 IEI�IrIk I r IC I IC I f 16 1N{ TIW1-11VIE1 1 12..Phone: Iq It 19 ISiq i/_19 1)-131(,j
3. Mailing Address: a.Street: I A I I p 1 4-IE LXL_^J�2)l1f Ip-I Ib Ik l I I _I I I I I I I I I I I I I I I
b.City: [b 1 u I R-I H I A 1 r`I I I _I I I I I I i I I f l l. c.State: tJ L d.Zip Code: 2 7 7 10 19 1—
B. Facility/Site Location Information
1.Facility Name: IS IQIMII ITIOIMId 1 IEIL1-1ICITI?-Ir IC IL11 l6I HIT ILJIRiVICI I I I
2.a. Street Address: 1� 18 I IA It IE IX I A 1N I b 16 1_+�_L_i 0 I✓Z I I I I I I I I I l I I I I I I I I
b. City: 10 IU I kI dl A IM c.County: 1 1) Ito I lq IA I h l I I I I
d.State: Il'i I L I e.Zip Code: 12-17 0 IC)19 t—I I I I I
3.Is the facility located on Indian Lands? Yes❑ No
4. Is this a Federal facility? Yes❑ No
5.a. Latitude: 13 S o 9�) 1 b. Longitude: ! 17 le I C-I rl(.I
6.a.Was the facility or site previously covered under an NPDES storm water permit? Yes X❑ No ❑
b. If yes,enter NPDES permit number: A)CG 030 y 7_7uY
7.SiC/Activ4 Codes: Primary: 13 13 117 Secondary(if appiicable): I I I I
8.Total size of site associated with industrial activity: ____S-0 _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 Form 3510-11 (10-99) Page 1 of 4

NPDES
FORM NO NO EXPOSURE CERTIFICATION for Exclusion from 0 M B No2 Approved1
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 El t91
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 V%j
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 El M
& 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])
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.
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 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 t 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: IW I d I& I_11 I,A IH+I IR 10 1­5 I-A 1 l 1,11 51 I I I I I I I i I I I I I I -I I I i
Print Title: S Y A F F y II E IS V i [ n7 ! E
Signature: W t�j� t.!�"_'—
Date: 16 16 I-)-la 10 1
EPA Form 3510-11 (10-99) Page 2 of 4

1
•� n
Form Approved
United States Environmental Protedlon Agency OMB No.2040.0211
NPDES PA
Washington, DC 20460 Sfl� ���
3FORM
110 11 NO EXPOSURE CERTIFICATION ion from
NPQES Storm W� R Ing .�
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A do��sstl�teuire perm' an far its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Wale's Multi-Se r i due to the existence
of a condition of no exposure. �O
A condition of no exposure exists at an industrial facility when all industrial materials and activiti »defied by a storm resistant shelter to pr=vent
exposure to rain,snow,snowmelt,and/or runoff. Industrial materials or activities include,but-areWn "d to,material handling equipment or activities,
industrial machinery,raw materials,intermediate products,by-products,Gnal products,or waste products. Material haadlfng 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 ere lightly 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 NPIDES permitting is
available on a facility-wide basis only,not for individual outfalls. Ifrany 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 entily in Section A is certifying that a conditionof 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 Infoinnation
1. N2me: ISItAIl"If ITIOIM [a_1. 16it [EICITIk_!!jC[ ICI116li{[TLf'ilA1_V1_11 € _I 2.Phone: jqIj 19 Si! t z 3 (.
3. Mailing Address: a.Street: Q181 I R I etEIXIAINIbI I?—I IbIkI I I l_ I b I I I I I I_J I I I l _I
b.City. lb I LI 1 Z I Fl I A I T'l_]_L I IL I I 1 _1 I1_I I I I I I c.State: rJ� d.Zip Code: I i 7 r7 0 1.1,1— I
B. FacilitylSite Location Information
1.Facility Name: IS IU I/A I I [TIO I M 10 1 IEIy1EICIT'I IIICI IL11161 HIT IOIAIV16, 1 _ I _I
2. a.Street Address: I7191 IA I t 19.IX I A'IAJ I b l 6 IX l I lk I € I I I I I I I I I _I I I I I I I
b.City: IV I U I Z;i4 I A IN I I I I I I I I I I I 1 1 t 1 1 I I c.County: 10 I u I'Z Ih IA IAI I I I I
d.Slate: �� e.Zip Code: I?17 0 I D 19 1—1 1 I I I
3.Is the facility located on Indian Lands? Yes❑ No R]
4. Is this a Federal facility? Yes❑ No
S.a.Latitude: 13 3 a LELhj 3 Iz I" b. Longitude: I 171� i t Lu 1
6.a.Was thedacility or site previously covered under an NPDES.storm water permil7 Yes X❑ No ❑
b. If yes,enter NPDES permit number: A)CG 0 3 0 q 7 7
7.SIC/Activity Codes: Primary: 13 3 tY 17 Secondary(if applicable): I II _I J
8.Total size of site associated with industrial activity: SD __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,Ki
b. If yes,please indicate approximately haw 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[his 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 he required to obtain permlt coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page'1 of 4

FORM ;�ER1\ NO EXPOSURE CERTIFICATION for Exclusion from oMa Np 2040-02ii
3510.11 A 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"cr"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 residu;�ls an the ground or in storm water inlets from spills/leaks El Is
3. Materials or products from past industrial activity
4. Material handling equipment(except adequately maintained vehicles)
5. Materials or produc:s during loadinglunloa&ng or transporting activities
6. Materials or products stored outdoors(except final products intended for outside use[e.g.,new cars]where
exposure to storm vraterdoes not result in the discharge.of.pollutants)
7. Materials contained in open,deteriorated or leaking storage drums,barrels,tanks,and similar containers El 9
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger ❑ 19
9. Waste material(except waste in covered,non-leaking containers(e.g.,dumpstersl) ❑ 19
10. Application or disposal or process wastewater(unless otherwise-permitted) El 91
11. Partculate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(f.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 actioities-or-materiais from the industrial
facility or site identified h this document(except as allowed under 40 CFR.122.26(g)(2)).
understand that I am obligated to submit a no exposure certification form once every rive years to the NPDES.permltting authority and,If requested,to
the operator of.the local municipal separate storm sewor 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 quaWiEcl personnel properly gathered and evaluated the inform ation.:sub mitted. Based on my inquiry of the person or
persons who manage the system,or those persons directly respons€ble 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: IW I i I(- I f IA lk I ,IR-I p IS P 11 I'll 51 I I I I I I I I I I I I I I I I I I
Print Title: IAit-I 171Y111-ItJjVI �f ICI')16It I I I lI I I 1 .I I
i_
Signature: --- C✓: 6,1 A�-4- -- ------�— __------------------
Date: 10 161-�-I� 10lyl
EPA Farm 3510=11 (10-99) Page 2 of 4