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HomeMy WebLinkAboutNCGNE0421_COMPLETE FILE - HISTORICAL_20070601 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE Q"HISTORICALFILE EJ MONITORING REPORTS DOC DATE ❑ �W1 UG OI YYYYMMDD F W A TF RECEIVED Michael F,Easley,Governor �p N.C.Dent.o'F,17. William G.Ross Jr.,Secretary G sUN0 4 Z001 North Carolina Department of Environment and Natural Resources Coleen H.Sullins,Director w iRStO n-�olPf^ Regional G'fce Division of Water Quality June 1, 2007 Mr. Greg Carter Carter Millwork, Inc. 4264 Old Linwood Road Linwood, NC 27299 Subject: No Exposure Certification NCGNE0421 Carter Millwork, Inc. 4264 Old Linwood Road, Linwood, NC Davidson County Dear Mr. Carter: .The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on April 16, 2007. 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. 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 co ev rage 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 (May 31, 2012). 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 Sarah Young at (919) 733-5083, ext. 502, or at sarah.young@ncmail.net. Sincerely, ORIGINAL.SIGNED BY KEN PICKLE for Coleen N. Sullins cc: Winston-Salem Regional Office' Central Files—wlattachments Stormwater Permitting Unit Files WC-1)MR N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 2 7699-1 6 1 7 (919)733-7015 Customer Service 1-877-623.6748 o i{` 111 Air " y50 •• � ,� r++ +r, �,.� �C i' `f. r �`' ter 0- �~v ! - i;. VMM � 5 0� r !• �t .,* ti..,iif• *_ ,;y r i ,.a.7 ,ter �. '�"`� "�. i� 0 � �. � � ,`{�- 11 'e s.- a ��,1Ci-FT c P _ y- �>" - � a ..cr 3 �i 'ltr �� e. �}• i'*- �� * 5'�` -"'� a7 y M Carter Millwork,Inc. �/ • 'eit ` f�k q .fin Z' •. - • .I. � i t,�tt, { � �;+ � _.�• .4�� CIF ,� i ( ,y' .� G -y��:R_*.e,.E •fir f:. ��� S � - Lti L"t- Az- .c •�L ol� '�,�: a�� !-� }\ '*� I„�—ioU'�`".i r'a�-=�Jf i`! I���:�70 GO UY X. ,19 �/ •/r ,` �.-. �` `r,;�"`t 5 ��1�7;�Q�4]� y} � . V�"� �, r�l"'�' �-� '/�: �r��,• e(/pplr l�� ,1���' � _ �� ({r�'�1: 11� �� �~�\'�r< - '��^_�.� � .� �I-uf�:/ 1�.11�{��i�+�fi� �:�—'�.Jil ir'J,, .� \,il�irll �?t-l:'••.f'}l r����� s,.��'"1' _/ � >'� ��j ��'a`�•��. ��ri�-"� t)�s';. `�;�� . ,� ��`� 7'r. �-y �1 !�� as'J•� ei,yl� ��`� !� .�C� r.;Y�;t:>-��" - 2r. r, -. �.��. ;-�••lv ,R.i�.-� ('i 7 I O ,bf�� 1 i �l/� � t sd .:7` 1 y �I(�• !"�� ����� I �� ! tp i� j) �� •� � �3�`�;aa�i •�-1 '� �' -� 3 6Ta�', , � !!�� f ��i .}'r _-•'- , ,.� � ��!r^ , � t, I / f +�� .r �1} I'�! ! � - ✓�ti �. � - ( ��\�O � frr Jr!/ I f5 i.r�-.�f i���� �,i��ia Ar� `�I�d �-��_`�;�,. ��'•t/;,!,.'��T -ifLJ ''��,�' qH •�� 4 Ll_L� .�.1+r�1 .J � ,�_1; � �C �� � �) '�iJ�r�� ���•3�f� A,%�1 k `-'���t `� l }i �.�� y '�' r4 /(/i4 r•� .[tea "%.•r pplir '�_.�.C� {` ,l� k `f i. �.'—� .:1 z<..s: y*y ` �!. � I '� ���t� / � ; f 1. �I '``' 1��. \\ �,e'-�_�..'� ur--� �"���. � •'A t F �E4L—cf T`� .Y� 11 � -�Yyj,�c••-'+GHU�= �LihOj� :J'i ±1�� = 69 ! �` II ✓r. y• G! r' fry �/ )' j � c U 11' `�{ ( - 3w ��r! . +� (rk��� ��✓J. :{k� Copyright(C)1998,Maptech,Inc. ,r ccl,r ZZO Al r l((4v t � m • VM F e j k A ^R' • r > IJ - — x � � 1g �L i4 fi+ Cn I LLLWORK = . F.L E X I B L E M',O U'L D'T1 N G ^ 4264 Old Linwood Road ° �t V Linwood, NC 2-72r9,9 1 -800-861 -a734 CA �I`ER � . FAX 1 -80Q-861 -0737 �� �� w'w.w.cartEe�flex.cam r MIL.LWO ' � 4 " F L-E X 1 B'L M�q lJ L'D I N K3' 3 ui m } iiiseod, NC X 24h aE GAT 1 'O 11 N`- GNU f 'D E ' , �( `L6re (' LCtS'S 2 c4 rA L ) r k'Ll C nn t,t h 7-! Ordering Information 6 . CARTER We are always hap y to help you with any spec) tcation questions before . k MILLW� K you enter your order. CarterFlex""."> c r e x s L c M o u c o t r+c hnse are some commonly requested configurations and typical a Carter Mthwork has maintained a information we need for production. 1; YP F f x. leadership`iole,hy helprng artisans;��` " G create their_vision Through moulding': ,. ' 7bad s V g rel)liCaitons`z HEIGHT r , HALF ROUND GR builders aesigners °.Our`Made-To-Match process(t\RT'11 ,, $ RADIUS who appreciatarcfiitectur-al - gives Carter Millwork the uniqprominence andty of moulding oppp�tumty to,match any style ou Carter Millwork,Inc.has become the tV a zGx customers wish to replicate:ThrougfZ rt: �- - - WIDTH solution for both small and large installations. this process,our skills and techno1 ! Whether the need is one uniquely designed q p (DIAMETER) allow us to reproduce the most intricate ARCS OR EYEBROWS style or hundreds of feet with optimum and minimal moulding designs provided ;r+e ;; RISE consistency,we satisfy the demand with quality far re lication P assured mouldings.Each piece is individually j P ——————— '————=—— inspected to provide the highest qualitycontrol By:working with our skilled order a� LEG 9. Here the most features des red at make products o CarterFlex ne to match you anori fashion as ion radius pieces a ELLIPSES wlDrri i HEIGHT i" the building industry. 3 Typically,we•create;12 ft.molds of the gip, OVALS •MATERIALS . samples that you send.We.replicate " Polyurethane Composite Material the.moulding to fit your templates and •WARRANTY specifications.We can ship both striiijhl. TEfv1"TE REQUIRED Lifetime warranty for products and curved mouldings to fityour project (WE I LAVE SOME STANDARD TEMPLATES) � • MOULDING SIZESg needs Same sizes as wood "` ;: RADIUS CROWN MOULDINGS because we gyve each arder:`spectal •FLEXIBILITY attention,we have`a reputation of',-'-'- ( CONVEX 6 standard sizes cover 1/8 to 710 Half Round h ; • FINISHING : exceeding industry delivery standards. t,b OSR We stock many profiles so that we can Accepts paint or stain provide accelerated delivery:Many of CONCAVE •MACHINING ." these items are,marked with"an"S';:in z °R Use same tools as wood € ISu • STRENGTH this guide;however;we have many Heat-Minimal Effect w' more designs that may fit your ideas: Please provide a radius dimension of wall or width of unit and how much the Cold-Minimal Effect We'can"search our inventory"of V �'P.` wall or ceiling recesses([SR)or projects(OSR). •VALUE mouldings using a small moulding piece Low cost with excellent performance :..you tracing as reference.No order NOTE:Cured ceilings or dormers(barrel Vaults?are convex or OSR applications. I iR is to large;or too small Call us ; Please specify at time of order. We are available to provide any ordering information t t IMPORTANT:Straight(lineal,non pre-radiused)pieces will only he suitable for or answer any questions Monday through Friday. �� ° certain applications.Please call us with any information to insure appropriate You may order by calling 1-800-861-0734 or sending C material is ordered and provided. faxes to 1-800-861-0737. c MT ;II Y. f' CARTER , We ship all orders Prepaid and delivery of Stock ��M I L LWQRK f IV items is made within one or two days for UPS aUlu M IQ' "0 LD1"P shipments.We schedule regular deliveries with common j.� The drawings shown in this honk arc a reference and may be different than actual mouldings produced f € carriers for larger orders. MA°F To`atATcr1`"' t 2 ", Installation and care instructions for�a�erFlex on page 4. "S"items are in stock 3 1 800 86.1-07,34 �. _. : Y � 1 • ` � � 5 d�c�s o 1�a r CARTERS'�'� r MILLWORK MILLWORK e x r e.k e_M,o.D.4 D,].H:D_ Matr),more profiles uvailahle, call...1-800-861-0734•FAX 1-800-861-0737 MTM W1W CarterFleX LIFETIME WARKANTY INSTALLATION Carter Millwork, Inc. warrants that for the g ,ma "lifetime" ownership, thcCARTFRFLEX _�� S �� �` �� �� "» USE: moulding is free from defects in material CM356 CM366 This flexible moulding is designed for interior and workmanship. "Lifetime"means as long 11he X2$4 in. 11116 X 2114 in. and exterior use.This product is stable and as the original purchaser owns the structure tiviR not absorh moisture.However,the use of to which the CARTFRFLEX moulding has Upaint or el stain and sealer is recommended been properly attached. Carter Millwork, all applications. Inc. will repair or replace at its option any CARTERFI_EX moulding that has failed as a MACHINING r result of defective material and € i a Conventional woodworking tools can be used workmanship.This remedy Is the purchaser's S, .�� ,- with this material.Material can be cut,sanded p' Y I �"'" ` "'- tl � exclusive remedy for breach of warranty CM44ro 5 ° ' fi'= and shaped with ease.Miter saws work well hereunder. when trimming this material. As with all types 11Ae X 3114 in. CM444 of trim material,use care when marking and THE FOREGOING WARRANTY IS IN LIEU OF 3114in. cutting. OF ALL OTHER WARRANTIES, EXPRESS OR FASTENING IMPLIED, INCLUDING BUT NOT LIMITED Always install moulding material in a relaxed TO THE IMPLIED WARRANTIES OF position.Use construction or panel adhesive MERCHANTABILITY AND FITNESS FORA A. or mastic type glue continuously on hack side PARTICULAR PURPOSE:. S and nails to secure moulding material In place CM376 until adhesive bonds. At no time will Carter Millwork, Inc. be • DO NOT use staples to fasten material, liable for more than the origina I purchase 1V76 X 21A in. CM444A • Keep nails to a minimum,no closer than price of the moulding, nor will Carter 6"between nails. Millwork, Inc. be liable for any special, "he X 3112in. • Do not nail closer than-3/8"from edge of incidental or consequential damages based moulding." upon breach of warranty, breach of contract, ,zr CLEANING loss of profits, loss of savings or revenue, r. 1'riortofinishing clean themouldinphywiping loss of use, the claims of third parties and injury to property. Some states do not allow , with a cloth using snap and 4vater, , thinner limits on warranties or on remedies for qr any mild solvent to clean any in or rease - P '-, +, chat may have accumulated dunng instal Ilion. breach in certain transactions. In such states, CM470 fir': , the limits in this paragraph and the preceding ' is 5," PAINT&STAININGparagraph ma not apply.11 1 !1e x Vila in. All CARTFRFLEX material is paint grade and Y I f y CM442 most profiles have grain and can be stained. It shall remain the responsibility of the 11h6 X 2114 in. Inspect for grain or call for information on customer to insure that the moulding comppatibility of staining.Staining of purchased is designed or(heir particular CARWRFLFX material requires the use of a gel Instal lotion.type slain. ` � s TO AVOID DAMAGE DO NOT NAIL a CLOSER THAN 3181N.FROM EDGE CM4 1 V16 x 3112 in. S CM97 Ithe X 3112 in. 4 .` \A� '" 5 GARTER MILLWORK,INC. P CARTER MILLWORK,INC. Compliance Inspection Report Permit: NCGNE0421 Effective: 06/01/07 Expiration: Owner: Carter Millwork Inc SOC: Effective: Expiration: Facility: Carter Millwork, Inc, County: Davidson 4264 Old Linwood Rd Region: Winston-Salem Linwood NC 27299 Contact Person: Greg Carter Title: Phone: 336-956-0002 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On-Site Representative(s): On-site representative Greg Carter Phone: 336-956-0002 Related Permits: Inspection Date: 02/16/2012 Entry Time: 01:55 PM Exit Time: 02:05 PM Primary inspector: Jenifer Carter Phone: 336-771-5000 Secondary Inspector(s): Reason for inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ■ Compliant 0 Not Compliant Question Areas: E Miscellaneous Questions 0 Misc (See attachment summary) Page: 1 Permit: NCGNE0421 Owner-Facility: Carter Millwork Inc Inspection Date: 02l16f2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Met with Greg Carter. Provided No Exposure Self-Recertification Form & info. Still meet NCGNE conditions, except for storing refurbished pallets outside. Will notifiy our office when covered. Mist; Yes No NA NE Is the facility compliant? ■ ❑ Q ❑ Comment: Page: 2 t V4 A r Michael F.Easley,Governor 9pG William G.Ross Jr.,Secretary North Carolina Department of Environment and Natural Resources Coleen H.Sullins,Director .0 Division of Water Quality June 1, 2007 Mr. Greg Carter Carter Millwork, Inc. 4264 Old Linwood Road Linwood, NC 27299 Subject: No Exposure Certification NCGNE0421 Carter Millwork, Inc. 4264 Old Linwood Road, Linwood, NC Davidson County Dear Mr. Carter: The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on April 16, 2007. 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. 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 (May 31, 2012). 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 Sarah Young at(919) 733-5083, ext. 502, or at sarah.young@ncmail.net. Sincerely, for Coleen H. Sullins cc: Winston-Salem Regional Office Central Files—wlattachments ' Stormwater Permitting Unit Files NCDENR N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 (919)733-7015 Customer Service 1-877-623-6748 :ngton; 70 47 u• �� r `���...--J ,w � /,.�� 'r J y`~ J�`iE�f ,4�, �� .•F �R •fI`�f i�'s'rf e •a•r '1 rr�M r ': _rr.',-x.� tfi F�•f •..s• ,.� � '� 'a. 4a� •�;, T r ��` �, - '' L `'R:.�.. •I e� it .,r ".,�„ �'! i�7 t�6 ���+;.� �« Z.i �i�F[ 'fir•i- .•4'�h, � 1 f'll �('�f n �N T•r� �, � > �iFaS�.�• �I �•6 r'M • y �{y�!�;?. 4a7�rsj-' ��3 r� 0� i { l) }} tf�• Yry ' s'�\`1 r '!• - /•/'J�:,��i..�' f(i�`-;��'�.••�=l %rC.,+`f/ '� ` 24 ' ^I ; �` `�J r � ��� ,r•�c � tire, Al f%• �a-'� �LrnWOOd � i"'+! �',r/'� �� �.. •�1 4!�` `�,_!r i4 l �lr��sl<���t' j �,� \= / � �Q, !/.^"�1�/ 4�t } �r,��\ �:. 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's -—\����r`^`.� � ••i..� ;j"��'��� ' Copyright(C)1998,Maptech•Inc. r ' United States Environmental Protection Agency Form Approved S Y OMB No.2040-0211 NPDES Awl Washington, DC 20460 FORM '�' NO EXPOSURE CERTIFICATION for Exclusion from 3510-17 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 Genera!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: lC I RI TI 641 1 1 I I 1 1 1 1 1 1 2. Phone: 13131(p1915-11150 Q )dlR 3. Mailing Address: �,ta.Street: O L I 17 b.WY 1L1 r 01 wlol 4>1 J> _ I I I I _I_ L j 1 i I 1. 1_I i_j c.State: 1AC, d.Zip Code: 7 491411— I I I I B. Facility/Site Location Information `' 1.Facility Name: 0�4 11T1 0',R !141 I(.i Ll 1qA 4 Kl l I IA4C+ L I I_ I .I .J_L. I I i 2.a.Street Address: L7LGl1rI �!41� I L I/ 1NI Q�� ROA A I I I I I I i I I I l b.City: lGl/ 14 0101 1 _1 E_ _I II I I ( I I I I I L. l c.County: 1P0IVI1IVS101/ti'f I 1 d.State: INJC�l e.zip code: 14 7 eQ 19 l—I 1 I I J §1 a 1 3.Is the facility located on Indian Lands? Yes❑ No 1� 4.Is this a Federal facility? Yes❑ No 5.a. Latitude! I3-6 I ,L41 li l f l b. Longitude: LL$J !I 1 0 1 � 6.a.Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No Rn 7 b. If yes,enter NPDES permit number: 0 p� a •, 7.SIC/Activity Codes: primary: 3�I�I�J Secondary(if applicable): [ I I I `' l B.Total size of site associated with industrial activity: �� 5 1`t 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 qualit)A 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 . � ;� , � _ .� �� �! � ' - . f ��} l Y y... • � i , ti _' f . 1.• i .e a �w �. � � � �� 9 . A ., � 'y 1 P ey. �, Ni"fiii� ')Y � � r �� ., 1 - �3.;�c:7 ! � � 3 �� 'I� 3'\ {.�rl � , ' �'i • Y � , � l I•!��is .]�F J J i •- y ��.:. � � - � r. �' ���� `� I�, 1 � 1 �11 f� � --f'� I G;-1 N _ f 1 ' � f r NPDES ��EPA NO EXPOSURE CERTIFICATION for Exclusion from Form Approved FORM ++► 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 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 loadingfunloading 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,tanks,and similar containers & 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) L_16 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 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. 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 under40 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(M54)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 property 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�pIRI�Gf IGIAI+�I rORI I i I I I i I I I I I I i I I I I I 1 1 I Print Title: r R S Signature: Date: EPA Form 3510-11 (10-99) Page 2 of 4 • t CARTER MILLWORK, INC. 4264 OLD LINWOOD ROAD LINWOOD, NC 27299 RECEIVE&) N.C.Dent.of c,yR F'EB 2 7 2007 Wins;en-Salo,-n February 26, 2006 Regional wee Steve W. Tedder Water Quality Regional Supervisor NCDENR Division of Water Quality 585 Waughtown St. Winston Salem,NC 27107 Dear Mr. Tedder, Enclosed is our"No Exposure Certification" application form to apply for exclusion from NPDES permitting. Should you have further questions or concerns, please feel free to contact me at 336-956-0002. Regards, LLAPRL2007 Greg Carter President Enclosure f f ``ee -1!! _ •— .�. � �1 _ ��1 ` • - ice} li � ��y. 1 � � -, i •. % � i — 11 _. . • � � �' � ' • S � 1 r•� ' - - �r } i_ ,F' t f ' : ;t' �. • :�'� ' _ t..! (; !.�,, 'C; Vie', • �. �� Form Approved Protection Agency OMB No.2040-0211 4 NPDES AM rr '.0460 FORM `III►'E � 1N for Exclusion from 35i0-11 � - � �'c G�1 ,:l�� �1 2�� �' • Permitting — iSubmission of this No Ex sure CI { ` f / A does not require permit authorization for its storm water discharges associated with indusl r '� �C'J i 1 �s�r (r m Water Multi-Sector General Permit due to the existence F of a condition of no exposure. � ��' ex�%�4�� �e , A condition of no exposure /'J� exists dies are protected by a storm resistant shelter to prevent exposure to rain, snow, snowmei 1/ e not limited to,material handling equipment or activities, industrial machinery,raw material l" ACC VLV-S jr Zj� `� vn� products: Material handling activities include the storage, loading and unloading,transport, Cl final product or waste product. A storm resistant shelter is not required for the following indu I I Li r -� - - drums, barrels,tanks,and �� ainers are not deteriorated and do not leak. "Sealed' means banded or otherwis - adequately maintained vet - final products,other than I. l�l5i� rock salt). A No Exposure Certification must urs piw,v—, �...._._._,_ _ :lusion. 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 ��-t 1. Name: rl,!�ITI ICI L'MII I/I�C I I,(,.. r 1 I I I``i 1 2. Phone: (+�iSi��91.r1�gVldl 3. Mailing Address: a.Street: I"f!°�(OI 101 ILL I��ot�I�I I��IAj) I I__L I-� I L nl I I -� b.citY 11-1! I uAo1 0I l71 I- ( l_S I _1 l -I I L I I I 1 I c.State: d.Zip Code: LQ 7 9 1- B. Facility/Site Location Information `' t.Facility Name: 1�LITIIC�1 IM/ iGtLigAj4�l I I A4 I I I I l I I_ l I _ I \ 2.a. Street Address: ARLl} G L L / N C7 V b.City: ILIJ I4 4APJA A i _I 1 1 i I I I t i I I I I I c.County: IDAVI t!I2�Si DIA _I d.State: IN IC-1 e.Zip Code: Lea 7-.2- 9191� I i d 3.Is the facility located on Indian Lands? Yes No 4,is this a Federal facility? Yes No o � 5.a.Latitude: b. Lon itude: p 713�J 45-1 l-�..�J g L..L�J 1..�_J 6�iJ 6.a.Was the facility or site previously covered under an NPDES storm water permit? Yes No Lin , Y b. If yes,enter NPDES permit number: O 7.SIC/Activity Codes: Primary: $ Secondary(if applicable): ''++ 8.Total size of site associated with industrial activity: �,6�"1 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