NCGNE0423_COMPLETE FILE - HISTORICAL_20070809

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE HISTORICAL FILE
D MONITORING REPORTS
DOC DATE ❑ L/1W 1V U U
YYYYMMDD

�F W'4 rFj9 Michael F.Easle ,Governor
�� OG W IIIiam G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
0 Coleen H.Sullins,Director
Division of Rater Quality
Chuck Wakild,Deputy Director
Division of Water Quality
August-8—, 2007
RECEIVED
N.C.Dent.of ENR
Mr. Terence Gentry
Glen Raven Inc. BUG a7
1831 N. Park Avenue w�hst9^s''�m
RBQ}onal Office
Glen Raven,NC 27217
Subject:No Exposure Certification NCGNE0423
Raven Transportation Inc.
3726 Altamahaw Union Ridge Road
Return# 1149
Alarnance County
Dear Mr. Gentry:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from
NPDES Stormwater Permitting form, which we received on July 13, 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, and hereby rescinding former Certificate of Coverage number NCG 170244.
The Division-is also returning your NOI for NCG060000 received on November 28, 2006 since the
No Exposure Certification takes the place of a permit.
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 (August
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.
NorthCarolin:
vVaturatlll
Wetlands and Stormwaler Branch 1617 Mail Service Center Raleigh,NC 27699-1617 Phone[phone]
Internet h2o.enr.state,mus 512 N.Salisbury St. Raleigh,NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recyd"10%Post Consumer Paper

Application Return#1149
Mr. Terence Gentry
Raven Transportation Inc.
August 8,2007
If you have any questions or need further information, please contact Aisha Lau at [phone],
ext. 578,or at [e-mail].
Sincerely,
for Coleen H_ Sullins
Enclosures
cc: .Winston-Salem Regional Office
Central Files—w/attachments
Stormwater Permitting Unit File
Budget Ms. Fran McPherson

J
O�r�F W A rF9oG Michael F.Easley,Governor
� William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Q Coleen H.Sullins,Director
Division of Water Quality
Chuck Wakild, Deputy Director
Division of Water Quality
August 8, 2007
Mr. Terence Gentry
Glen Raven Inc.
1831 N. Park Avenue
Glen Raven,NC 27217
Subject:No Exposure Certification NCGNE0423
Raven Transportation Inc.
3726 Altamahaw Union Ridge Road
Return# 1149
Alamance County
Dear Mr. Gentry:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from
NPDES Stormwater Permitting form, which we received on July 13, 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, and hereby rescinding former Certificate of Coverage number NCG 170244.
The Division is also returning your NOI for NCG060000 received on November 28, 2006 since the
No Exposure Certification takes the place of a permit.
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 (August
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.
NorthCarolim
Nahirall!f
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/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

Application Return 9 t 149
Mr. Terence Gentry
Raven Transportation Inc.
August 8, 2007
If you have any questions or need further information, please contact Aisha Lau at [phone],
ext. 578, or at [e-mail].
Sincerely,
for Coleen H. Sullins
Enclosures
cc: Winston-Salem Regional Office
,Central Files—w/attachments }
Stormwater Permitting Unit File
Budget— Ms. Fran McPherson

Carter, Kati C&Nje-d 3
From: Gentry, Terence
Sent: Wednesday, July 11, 2007 9:46 AM
To: Carter, Kathy
Subject: FW: Checking that original No Exposure Certification request is in the mail
-----Original Message-----
From: Aisha Lau [mailto:[e-mail]]
Sent: Tuesday, July 03, 2007 7:05 AM
To: Gentry, Terence
Subject: Checking that original No Exposure Certification request is in the mail
Hello Terence,
Thank you for the quick response to my e-mail yesterday. I found the fax of your completed form
in my chair when I got to workt this morning.
I'm sending this e-mail to ensure that the hard copy of your request is in the mail as well. Really
what we need is an original signature on the signature page in order to finish processing the
request.
Thank you for your prompt reply to this request.
Take care,
Aisha
V
Aisha Lau op --
N.C. Division of Water Quality
Stormwater Permitting Unity I
1617 Mail Service Center o
Raleigh, NC 27699-1617g
Phone: [phone] ext. 578
Fax: [phone]
email: [e-mail]
Website: http://h2o.enr.state.nc.us/su/stormwater.htmI
Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's
the only thing that ever has.
Margaret Mead
i

r
Fs)It �(SI:M1C'Y USE 01"I'Y
Kee• Division �
Q � er of Water unlit / Surface NVat Protection o31N ond, I F
Y'rnr Ulundi Du+
��®��� National P01lLltant Discharge Elimination Svsten� �rriiliratcirtiuvrrugc
1` C , N _ D
1k '-Gwcv. OEwRr TOr NO EXPOSURE CERTIFICATION for Exclusion
EHviA 4-1•wo el.vux.��esoreees 'T i n
NCGNEOOUO
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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,
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 with locked or non-operational taps or valves;
adequately maintained vehicles used in material handling; and final products, other than products that
would be mobilized in stormwater 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 Exp CZ
osure �m r:f
Certification form, you certify that a condition of no exposure exists at this facility or site and are z IJ�U
obligated to comply with the terms and conditions of 40 CFR 122.26(g). CZ
You are required to reapply for the No Exposure Exclusion once ever five 5 ear '
M., o �1
�S V
Q
1j
For questions, please contact the DINO Regional Office for your area. (See page 5)
(Please print or type)
1} Mailing address of owner/operator(address to which all certification correspondence will be mailed):
Name c,
Street Address
City State AX ZIP Code ag 7 d1 7
Telephone No. 3�e, agg' ] b;)/ Fax: 3:3—
2) Location of facility producing discharge:
Facility Name U fJV 7r4it/
Facility Contact GYe,IVci-v e.,Vi,
Street Address 3 ' � AJ oal, 1°
City Yny h,a t State AIZ­ ZIP Code,2 ?
County 12 1A Pr 4 h&..,-U
Telephone No. 3. 3 4, Fax: 3-36- f
Page 1 of 5
SWU-NE-060607 Last revised 06/06/07

5-
NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes Qp No
and similar containers `
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes �] No
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes No
j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ] No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes j No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer"No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or Yes ❑ No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Yes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
14) Secondary Containment: if you answer"No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for single above ground storage containers X Yes ❑ No
(including drums, barrels, etc.)with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored ] Yes ❑ No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Are release valves on all secondary containment structures locked? ] Yes ❑ No
Page 3 of 5
SVVU-NE-060607 Last revised 06/06/07

NCGNE00O0 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street am s, state road numbers, and
d 51ance and directio from a roadway intersection). 7 ��h �jtli-i,'1� ;"Aa
IK os; µ , .
(A copy of a ma with the facility clearly locaked on it should be included wi the certifica ion application.)
4) Is the facility located on Native American Lands? ❑ Yes ❑ No
5) Is this a Federal facility? ❑ Yes ❑ No
6) Latitude�3 G 0 1Dr ,59 ILongitude 790 30' 981) (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
ly Existing Date operation began j/— a l- AM4
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ❑ No
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code)that describes the primary industrial
activity at this facility
SIC Code:
10) Provide 9 brief descript'on of the types of industrial activities and products produced at this facility:
�7 1
�h
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
A No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either"Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes X No
residuals from using, storing or cleaning industrial machinery er equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spilislleaks ❑ Yes No
c. Materials or products from past industrial activity ❑ Yes No
d. Material handling equipment (except adequately maintained vehicles) t] Yes YNo
e. Materials or products during load inglunloading or transporting activities ❑ Yes Y No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes i No
use [e.g., new cars]where exposure to stormwater does not result in the discharge
of pollutants)
Page 2of5
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes No
b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste ❑ Yes l No
generated per month)of-hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ❑ Yes No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s)of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport I disposal vendor:
Vendor address:
16) Certification:
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 stormwater permitting,
I certify under penalty of law that 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 submit a no exposure certification form once every five (5)years to the North Carolina
Division of Water Quality 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 North Carolina Division of Water
Quality, 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.
In the event that the site no longer quafifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any paint source discharge of stormwater 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 r
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.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and
belief such information is true,complete, and accurate.
Printed Name of Person Signing: Ie YANG 2� � A
Title: ti c. 6�_1
7- JL- 2-007
-�5(Signature of ApplicanlJ (Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
Page 4 of 5
SWU-NE-060607 Last revised 06106/07

NCGNE0000 No Exposure Certification
North Carolina General Statute 143-215.6 B(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;or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article;or who faisifies,tampers with,or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management]Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars($10,000).
There is currently no fee for a No Exposure Exclusion.
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
D A map with the location of the facility clearly marked.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWQ Regional Office for your'area.
DWQ Regional Office Contact Information:
-� T
Asheville Office ..... [phone]
Fayetteville Office ... [phone] t" ?�•t `� , rR°�
Mooresville Office ... [phone]
Raleigh Office ........ [phone] �, 1 CAshcv;ne
w-J
tMooresville/ ti L
Washington Office ...[phone] t
=�� 1
Wilmington Office ... [phone] t _ _ ,�_ft j �..J;f'',�
�s
Winston-Salem ....., [phone]
Foyctrevillc�yi`:+ .�
Central Office .........[phone]
/Wilmington
Page 5 of 5
SVVU-NE-060607 Last revised 06/06107

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THIS IS NOT A LEGAL DOCUMENT
DISCLAIMER: ALAMANCE COUNTY shall assume no liability for any errors,omissions,
or inaccuracies in the information provided regardless of how caused; or any decision Map Scale
made or action taken or not taken by user in reliance upon any information or data 1 inch =431 feet
furnished hereunder. The user.knowingly waives any and all claims for damages against
any and ail of the entities comprising the Alamance County GIS System that may arise
acnv7Printnnt17ata.—Alamanr:PO/7 'A/71/2006

07/02/2007 15:55 3362212196 GLEN RAVEN TRANSPORT PAGE 01
GLEN RAVEN"
GLEN RAVEN LOGISTICS
3726 ALTAMAHAW-UNION.RIDGE RD
ALTAMAHAW, NC 27202
PHONE:[phone]
FAX: [phone]
Fax To:,�& GLGf
Fax Number:_�19�
Fax From: Terence Gentry 336-513-2559
Safety Director
E-Mail address: [e-mail]
Date;. 7
Pages (including coversheet):
Notes: ' av7J Ni�dahA� 1%milllGa�
5m /V a 15
�'�o �Sr�w c 'GF- Gti,�, ax c�XfG� ,�t�r✓
THANK YOU,
Terence Gentry
5 fety Di for J
Thank ou, ! /
r t

07/02/2007 15:55 3362212196 GLEN RAVEN TRANSPORT PACE 62
y Water
MR AGI NCY I IS]iONI,Y
gn
•T Div lc (i .
Division of ter Quality!Surface 1•�'.titcR- f'roiectinn v�p� I „nII,vC n;,y
� ��� National Pollutant Dischargc Elimination System Cctlifiwlcul'Cu cr.,l•c
C'w,nsr,Cana,x.x Dc�+�n.xcxR nr NO EXPOSURE CERTIFICATION for Exclusion �
F.,Yin(p,b,Ch7 Axe N�TI!n�4 R!n�imrcn
NMNF0000
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit
authorization for its 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 toy 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 with locked or non-operational taps or valves;
adequately maintained vehicles used in material handling;and final products, other than products that
would be mobilized in stormwater 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 lNPDES 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,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).
You are required to reapply for the No Exposure Exclusion once eve five 5) years.
For questions,please contact the DWO Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of ownerioperator(address to which all certification correspondence will be mailed :
Name C.
Street Address
City State_ACC ZIP Cade a! 7
Telephone No. _�gal 6.11/ 1. Fax:
2) Location of facility producing discharge:
Facility Name r91t� r ,4 -YIIIc
Facility Contact Y-6jvv-ci Gv*N
Street Address `� '
Gity YnA h on Sta!�_ /1/r�. _ .ZIP Code,22o26 �
County r�-&-,
Telephone No. 3-3L Fax:
Page 1 of 5
SWU-NE-060607 Last revised 06/06/07

0710212e07 15:55 3362212196 GLEN RAVEN TRANSPORT PAGE 04
NCGNr OOOO No Exposure Certification
3) Physical location information:
Please provide a narrative description of haw to get to the facili y(rise str et am s, state road numbers, and /
di ance and directio From a roadway intersection). i w LJt i;f.
J ' n S; r r
(A copy of a maiiiwlth the facility clearly loc ed on it should be included WA the certifica on application.)
4) Is the facility located on Native American Lands? 0 Yes ❑ No
5) Is this a federal facility? ❑ Yes ❑ No
p
6) Latitude C)01 59 1 1 Longitudo r r�fl fl (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
G New or Proposed Facility Date operation is to begin
Existing Date operation began / 0�
8) Was this facility or site ever covered under an NPDES Stormwatcr Permit? ❑ Yes ❑ No
If yes,what is the NPDES Permit Number?___
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classifications Code (SIC Code)that describes the primary industrial
activity at this facility
SIC Code:
10) ProvidQ brief descript-on of the types of industrial activities and products produced at this facility:
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
No
r� Yes
If yes, fist the permit numbers for all current Non-Discharge perrnils for this facility: _
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either"Yes"or"No.") If you answer"Yes" to any of these items,you are not
eligible for the no exposure exclusion.
a. using, storing, or cleaning industrial machinery or ea uipment• and areas where ❑ Yes X No
residuals from using,storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets From spills/leaks ❑ Yes YS No
c. Materials or products from past industrial activity ❑ Yes YY No
d. Material handling equipment(except adequately maintained vehicles) ❑ Yes VNo
e. Materials or products during loadinglunloading or transporting activities M Yes Yi No
f. Materials or products stored outdoors (except final products intended for outside 0 Yes No
use(e.g., new cars]where exposure to stormwatef does not result in the discharge
of pollutants)
Page 2 of 5
Swu-NE•060607 Last revised 06/06/07

07/02/2007 15:55 3352212196 GLEN RAVEN TRANSPORT PAGE 03
NCGNEU000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, 0 Yes X No
and,similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by 0 Yes Y No
the discharger
i.Waste material(except waste in covered, non-leaking containers (e,g- dumpsters]) d Yes No
j.Application or disposal of process wastewater (unless otherwise permitted) M Yes No
k. particulate matter or visible deposits of residuals from roof stacks andlor vents not ❑Yes No
otherwise regulated (i.e., under an air quality Control permit)and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m, For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes No
stored outside, has the facility had any releases in the past three.(3) years?
13) Above Ground Storage Tanks (ASTs): If you answer"No"to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs or piping free of rust, damaged or weathered coatirg, pits., or Yes ❑ No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Yes 11 No
cracks, hotel, or evidence of leaks, and are drain valves maintained locked shut?
14) Secondary Containment: If you answer"No" to any of the following items,you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for single above ground storage containers Yes ❑ No
(including drums, barrels, etc.)with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored Yes a No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c, Are release valves on all secondary containment structures locked? Yes ❑ No
Page 3 of 5
SWU-Nr--060607 Last revised 06/06107

07/02/2007 15:55 3362212196 GLEN RAVEN TRANSPORT PAGE 05
NCGNEOOOO No Exposure Certification
15) hazardous Waste:
a, Is this facility a Hazardous Waste Treatment.Storage, or Disposal Facility? ❑Yes 1 No
b. Is this facility a Small Quantity Generator(less than 1000 kg, of hazardous waste ❑Yes No
generated per month)of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg.or more of hazardous waste ❑Yes No
generated per month)of hazardous waste?
If you answered ycs to questions b. or c„ please provide the following irformation:
Type(s)of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/disposal vendor _
Vendor address:
16) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of"ne
exposure"and obtaining an exclusion from NP❑ES stormwatet permitting.
I certify under penalty of law that there are no discharges of stormw•ater coniarnlnated by exposure to industrial activities
or malefials from the industrial facility or site identified in This document(k:xcepl.as allowed under 40 CFR 122.26(g)(2)).
1 understand that I am obligated to submit a no exposure rm once rhvoa five 5 ears to the North Carolina
❑Msion of Water Quality 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 North Carolina Division of Water
Quality,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 reeauest.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of st❑rmwater from the facility.Additionally, 1 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 informalion suhrnitted la to the hest 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.
I certify,that I am familiar with the information contained in this application and that to titre best of my knowledge and
belief such information is true,complete,and accurate.
Printod Name of Person Sign'ng A
Title:
r /
(Sicnahn e of A.pl�fktrrrf {fj8to Signed)
Please note: rhis application for the No Exposure Exclusion is subject to approval by the
NCOENR Regional Office prior to issuance, The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval, The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion,
Page 4 of 5
SWU-NE-060607 Last rcvisod 1161`06107

07/02/2007 15:55 3362212196 GLEN RAVEN TRANSPORT PAGE 06
NCGNEOOOO No Exposure Certification
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes Any false statement,repre zentarion,or certircation In any application, record,reper,plan,or other
dorument filed or required to he maintained under this Artidv ci a role impiemernting this ArticlL:or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this ArIiefe;or Who falsifias,tarnperc with,or knowingly
renders inaccurate any recording or monitonng device or rnonod required in be operated or maintained under this Article or rules ei the
[Environmettal Management]CQmmission imolementing thin Article she,;be cuilly of«Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars($10,000).
There is currently no fee for a No Exposure Exclusion.
Final Checklist
This application should include the following items:
This completed application and all supporting docurrientation.
❑ A map with the location of the facility clearly marked.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
Forquestions,please contact the DWO Regional Office foryour area.
DW9 Regional Office Contact Information:
;, • Wirt on'Satem ; i i, '� '`
Asheville Office ...... [phone]
Fayetteville Office ... [phone]
i % -11�a4i ingrari
IUlooresvillc Office .,, (704)663-18$9
Raleigh Office ........ [phone] T ?
;1,ahrrillr, hyn�orn•villr, ,r"��'- �I
Washington Office ...[phone]
Wilmington Office ... [phone] f'
• .. J '1F 1
Winston-Salem ...... [phone] 1=dyr,rr.an --
Central Office .........[phone]
r! Wrlritin_ryhan
Page 5 of 5
SWU-N5-060607 Last revised 06*5/07

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07/02/2007 15:55 3362212196 GLEN RAVEN TRANSPORT PAGE 08
Gentr , Terence
From; Aisha Lau ([e-mail])
Sent: Monday, July 02, 2007 3:05 PM
To; Gentry, Terence
cc: [e-mail]
Subject: Storinwater permit coverage required for your Glen Raven Inc.'s Altamahaw facility...
Helln Terence,
I just got off of the phone with my coworker_, jenny Freeman, out of the Winston.-Salem
office. She informed me that during her visit to your facility this morning she didn't
observe any sto,rmwater pollution exposure points. .I.f you arc able to maj.nL'ain these
operating conditions then your site would best be covered with a "No Exposure
Certif`1G.ltion"
certificate instead of a permit certificate of coverage.
At the following link you should find a copy of the No Exposure Certification form:
http://h2o.en.r_ .state.nc.us/su/documents/NCGN-App.7.icaticn_000.pdf
There are no fees required with the No Exposurc Cezi:ification, So, if you'd like to
pursue tni.s option please complete the form and get it to my attention. when we f.a_nish
procas3ing it here we will send iL back to you along with the general. permit application
that you Previously submitted,
Tf you have any addi_tonal questions regarding this mattez don't hesitate to ask me.
Take care,
Aisha
Ai ha eau
N.C. T•Ivisic�n o;f;water Qi;ality
`_:tormwater Permitting Unit
1.617 Mail Service Center
Raleigh, NC 27699-1617
Phone-: (919) 733-5083 ext. 578
Fcx: (919) 733-961.2
email : aisha.J.au?ncmail.net
Websitc: h tp://h?c`..enr.stets.nC.U3/su/storm:�at�z _hL'ml
Never doubt that a small UrQup of thoughtful, comrnittcd Citizens can change the world;
indeed, it's rhA- only thing that evcr has, s
Margaret Niiead
• 1