NCGNE0457_COMPLETE FILE - HISTORICAL_20080303

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV Ci&NL;Oy J
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ �,�C�O,� 03
YYYYMMDD

1
(� 111 A r- Michael P.Easley,Governor
9QG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Coleen 11.Sullins,Director
0 -C Division of Water Quality
February 29, 2008
Mr. Raymond C. Adams RECEITED
C & M Bailing Systems, Inc. C.1]eot.of EN,
POB 16309 MAR U 3 2008
Winston-Salem, NC 27115
Winston-Salem
Regional Office
Subject: No Exposure Certification NCGNE0457
C & M Bailing Systems, Inc.
2095 East 1s' Street
Forsyth County
Dear Mr. Adams:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 11, 2008. Based on your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your conditional exclusion
from permitting 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 (January 31, 2013). At that time you must re-certify
with the Division, or obtain NPDES permit coverage for any Stormwater discharges from your facility.
Your conditional exclusion from permitting 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 [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office-Rose Pruitt Central Files—wlattachments
Stormwater Permitting Unit Files,.
KDER
N.C.Division of Water Quality 16.17 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

�.
i
I
1
oQ f Q j
C�
r � � �
OCR
� �
1
..
i
1 � !

\N R r Michael F.Easley,Governor
`O�d 9QG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Coleen H.Sullins,Director
p Division of Water Quality
February 29, 2008
Mr. Raymond C. Adams
C & M Bailing Systems, Inc.
POB 16309
Winston-Salem, NC 27115
Subject: No Exposure Certification NCGNE0457
C & M Bailing Systems, Inc.
2095 East 1 st Street
Forsyth County
Dear Mr. Adams:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 11, 2008. Based on your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your conditional exclusion
from permitting 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(January 31, 2013). At that time you must re-certify
with the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain
environmental permits that may be required under other federal, state, or focal regulations or ordinances.
If you have any questions or need further information, please contact Sarah Young at(919) 733-5083, ext.
502, or at [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office-Rose Pruitt Cehtral Files—wlattachments
Stormwater Permitting Unit Files :.
fVCDE��tft
N,C.Division of Water Quality .1617 Mail Service Center RRlcigh,North Carolina 2 7699-1 6 1 7 [phone] Customer Service
1-877-623-6748

1
MEMO
Division of Water Quality
Winston-Salem Regional Office
February 6, 2008
Memorandum to: Bradley Bennett, Stormwater Permitting Unit
Through: Steve W. Tender
WSRO Water Quality Supervisor
From: Rose Pruitt
Environmental Specialist
Subject: C & M Baling Systems Inc
No exposure cert
Forsyth County
Application filed after complaint investigation. Received in WSRO 12/28/2007,
copy in SPU?
Site inspection 02/05/2008. OK to issue No Exposure Certification.

i
1 • l
FOR AGENCY USE ONLY
• Dale Received
Division of Water Quality/Surface Water Protection Sea, I Month oay
oZ f
NC®ENR National Pollutant Discharge Elimination Systein Certif:ca[cofCovcrage
NICIGiNIE�
N TlGaol.-,OeP.AT—To• NO EXPOSURE CERTIFICATION for Exclusion
V.,-0.,-T•w0 NdW,L RC$OVRCCS
NCGNEOOOOEcEivn
N.C.Dept.at ENR
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit Winston-saiarr,
based on NO EXPOSURE: Regional office
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 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 Exclusiononce every five (5) Vears.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator address to which all certification corre5 ondence wilt be mailed):
Name K& VAt L i Cd [r lrc' "S' A1; Pvc
Street Address V,d, Bviev�
City wt . ti - cLI twk State ZIP Cade "1 i
Telephone No. aS C.� (� Fax: _ 6,�
2) Location of facility producing discharge:Facility Name 6 l wl�!a .5 \14f lyo:i
Facility Contact b., me A L11%5
Street Address 1-4.0 91;5 &L-54 1—
City W;VAN f State 14C, ZIP Code � �110.
1
County
Telephone No. 3�25�(op�.� Y y�5(c r� Fax: 54%
Page 1 of 5
SWU-NE-110607 Last revised 1$106107

NCGNEOOOO No Exposure Certification
3) Physical location information:'
Please provide a narrative description of how to get to the facility (use street names, state road number , and
distance and direction from a roadwa intersection). D e' S ¢� i' .- � 4-
�r yf{ LL L y..
on r {C C 1 Li IT e" oA Lll�i s� 1
(A copy of a m p with the facility c early located on it 1houId be included with the certification application.)
4) is the facility located on Native American Lands? U Yes XNo
5) Is this a Federal facility? ❑ Yes XNo
6) Latitude3Vj5'4], V� 3 Longitude W 1QM,,3i7 W (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
Existing Date operation began 0 1 I 0 jqqq
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes XNo
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: 3 � 1- 3
10) Provide a brief description of the Lypes of industrial activities and products produced at this facility:
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
'(N o
Q 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 1X No
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed 10 stormwater
b. Materials or residuals on the ground or in stormwater inlets from spitls/leaks ❑ Yes Dk No
c. Materials or products from past industrial activity ❑ Yes X No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes XNo
e. Materials or products during loading/unloading or transporting activities ❑ Yes jK No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes k No
use[e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Page 2 of 5
SWU-NE-110607 Last revised 11/06/07

r •�
NCGNE0000 No Exposure Certification
g, Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes X 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 A No
j, Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes X No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes A 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 PS) 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 Yes ❑ No
.(including drums, barrels, etc.)with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stared '1 Yes ❑ No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for any amount of Title III Section 313 XYes ❑ No
Superfund Amendments and Reauthorization Act (SARA)water priority
chemicals?
d. Is secondary containment provided for any amount of hazardous substances? XYes ❑ No
e. Are release valves on all secondary containment structures locked? AYes ❑ No
Page 3 of 5
SWU-NE-110607 Last revised 11/06/07

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 ❑ No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or.more of hazardous waste ❑ Yes KNo
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Types) of waste: Gta>1 W os- e
How is material stored: Secjej ( re-1.5
Where is material stored: _ 'J.l.i- N
How many disposal shipments per year:
Name of transport/disposal vendor: -,rY-'c e-5
Vendor address: GQ s3 e± it jr 'I5•
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, ii 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 qualifies for a No Exposure Exclusion, I understand [hat I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility.Additionally, I certify under penalty
of taw that this document and all attachments were prepared under my direction or supervis}on 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.
I certify that I am lamiliar 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 Na e of Pers n Sig ing; �av'ow C , 4,101411
Title, ` qy
V
(Sfgnatur o Ap lca ) {Dot Signe )
Page 4 of 5
SWU-NE•l10607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
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.
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 Arficie;or who falsifies,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 for thousand doliars($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.
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 Reclional_Office Contact Information_
3-"ti �it/In Fgrt+SplO ,y� re
Asheville Office ...... [phone]
Fayetteville Office ... [phone] ( �t t� q, A �,� r it 9
Mooresville Office ... [phone] ��
Raleigh Office ......,. [phone] E
Mt
�qorVI t� ° ,2 ` .
Washington Office ...[phone]r � � q
Wilmington Office [phone]
Winston-Salem ...... [phone] � Y°"rrtl0�` r�
Central Office .........[phone] -_ +
w��-1rJrf nghon
Page 5 of 5
SWU-NE-110607 Last revised 11/06/07

dive Search Maps
earth results for C&M Baling Systems, Inc
C & M Baling Systems Inc
2095 E 1 st St, Winston Salem, NC
0.01 mi [phone]
!ii-tual Earthtl' old Q� nsbOTO Rd_
a Q1dr��nshoro Fed ,
J N-PbT� .._.... Flay S:- —
.
Irg, s,i tia
_ 7
• s
1 I
•11 ..t.. .1ST 51 d�WF r -'Y _ - _ ... `yA
E3 9 421'J
ushy Fork G a
Park
L4nerY SI
- .- -w...... -Winston-Salem^
�t
u•'f"O ,
20071AicrosaftCorp. „,:x' 02007NAVTEQf

ti
le"
MEMO
Division of Water Quality
Winston-Salem Regional Office
February 6, 2008
Memorandum to: Bradlev Bennett, Stormwater Permitting Unit
Through: Steve W. Tedder
WSRO Water Quality Supervisor
From: Rose Pruitt
Environmental Specialist
Subject: C & M Baling Systems Inc
No exposure cert
Forsyth County
Application filed after complaint investigation. Received in WSRO 12/28/2007,
copy in SPU?
Site inspection 02/05/2008. OK to issue No Exposure Certification.

V
i
FOR AGENCY USE OONLYAxNA
Date Received
Division of Water Quality/Surface Water Protection Year I Month I Day
�
Adabodmoods
NCDENRNational Pollutant Discharge Elimination System Certificate ofcovcra e
X. C.-O` DE„1T E 1p. NO EXPOSURE CERTIFICATION for Exclusion
E„"ao„�E�„„DN�wRC�ICE= NCGNE0040 _._ - -
RECElVE>]
N.C.Dept,of ENR
NO EXPOSURE CERTIFICATION DEC 2 $ 2001
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit Winston-Salem
based on NO EXPOSURE: Regions!Of£ce
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 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 reapplV for the No Exposure Exclusion once every five 5 ears.
r
For questions,please contact the DINO Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of ownerloperator address to which all certification correspondence will be mailed):
Name MoyJ A&Lmsdo C{ ti 5 -S'4rA5J I;n1C .
Street Address oXO
City a1 f-M State ZIP Code
Telephone N . Fax: Le
2) Location of facility producing discharge:
Facility Name _a l m 80.1+i► ej _<v�; �e .
Facility Contact au Me rti1
Street Address fah
City i� State ZIP Code 3110
�
County ik
Telephone No. (0(0 Fax: i --
Page 1 of 5
SWU-NE-110607 Last revised t 1106/07

1 t .
NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility street names, state road number , and
distance and direction from a roadwa intersection). (use 0 e
(A copy of a m p with the facility c early located on it 4hould be included with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes )kNo
5) Is this a Federal facility? ❑ Yes PNo
6) Latitude3u j5'0,139't) Longitude JSCb Im tl (deg, min,sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed facility Date operation is to begin
9 Existing Date operation began O 1 �j o7_ 1i4g
8) Was this facility or site ever covered under an NPDES Stormwater Permit? 11 Yes IkNo
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: 3 2
10) Provide a brief description of the##ypes of industrial activities and products produced at this facility:
b l; R557'.s VK QC r
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
%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 or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes ¢No
c. Materials or products from past industrial activity ❑ Yes X No
d. Material handling equipment(except adequately maintained vehicles) 0 Yes %No
e. Materials or products during load inglunioading or transporting activities ❑ Yes A No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes k No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Page 2 of 5
SWU-NE-110607 Last revised 11/06/07

i
NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes DE No
and similar containers
In. 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 Q!Q No
k. Particulate matter or visible deposits of residuals from root stacks and/or vents not ❑ Yes A No
otherwise regulated (i.e., under an air quality control permit) and evident in the
siormwater outflow
` I. Empty containers that previously contained materials that are not properly stored ❑ Yes K 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 )Q 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 i(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 bQ,Yes ❑ No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for any amount of Title III Section 313 'A Yes ❑ No
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. 1s secondary containment provided for any amount of hazardous substances? XYes ❑ No
e. Are release valves on all secondary containment structures locked? AYes D No
Page 3 of 5
5WU-NE-110607 Last revised 11/06/07

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 P<Yes ❑ No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ❑ Yes KNo
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:,✓
Type(s) of waste: ! pu wm
How is material stored: %A eA f1, e.
Where is material stored: 7Z `
How many disposal shipments per year:
All 5-10
Name of transport 1 disposal vendor: %f r- 5
Vendor address:
16) Certification:
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 aflowed 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 10 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 qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point 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
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 Na e of Pels n Sig ing: Pa
Title: II
6� � T
(Signatur o Ap ic-a ) (Dot Signe )
Page 4 of 5
SWU-NE•110607 Last revised 11/06/07

NCGNE0000 No Exposure Certification
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.
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 tact in a rulomaking proceeding or contested case under this Article;or who falsifies,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.
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 DWO Regional Office for your area.
DWQ Regional Office Contact Information:,
Asheville Office ...... [phone]
Fayetteville Office ... [phone]
Mooresville Office ... [phone] ��' '^"" � '�
1 ��_�e+ a y 'F"h- n r.h. `Grp ffgge
Raleigh Office ........ [phone] "l?! : `�
Washington Office ...[phone] ,
o—tr y le f 1 ' r' `� A
Wilmington Office ... [phone]
Winston-Salem ...... 336 771-5000 'Yert villa
Central Office .........[phone]
' Wit n9ton
r
Page 5 of 5
SWU-NE-110607 Last revised 11/06/07

' dive Search Maps
Search results for C&M Baling Systems, Inc
1. C & M Baling Systems Inc
2095 E 1 st St, Winston Salem, NC
0.01 mi [phone]
Mk-soft'
`Virtual Eartb G�gnsb4To
Old _
R -��nsbarn Rd
P
Flag St�.7
7 7
I�
Bus 427 L
s-
6-Isr to
3rushyrFork
Park
1S0 Lp�ti yef gf
Winston-Salem
@2007MiarpsaftCorp. 0200?NAVTEQ

f r�a� ss
4- �
Z�2,
.� FOR AGENCY USE ONLY
Division of Water Quality/Surface Water Protection Dace Received
Year n,ouh Day n
N�DENR National Pollutant Discharge Elimination System Cenificate of Coverage
Nrnin GnOUY•O[PMTYC MY o• NO EXPOSURE CERTIFICATION for Exclusion N t �
f...nn0+✓.Cr r.ho N.rypa�RESOUaE[5 ���
NCGNE0000
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 itsstormwaler discharges-associated with industrial activity in the State of North
Carolina because it qualifies for a no'exxppo'sure'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 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 every fine (5) years.
For'questions,'pleasc-ontact the DWQ Regional Office for your area. (See page 5)-
(Please pr'sni or type)
1) Mailing address of owner/operator address to which all certification correspondence will be mail
Name 1 �M ' �-- C jr,
Street Address I�JUY, 11.0-solIlk
City 11 o cL I-e-M State NC, ZIP Code "1 i l 47
Telephone No. 3 Fax
2) Location of facility producing discharge:
Facility Name Q� N StP-YNIs ° �1
Facility Contact Mfl A
Street Address Ea
City W-'r\ N S
tate-14C ZIP Code IQ I
County U
Telephone No. 4Itocj Fax: 3 l
Page 1 of 5
SWU-NE-110607 Last revised 11/06/07

MAY 22 '08
. � e
� 1

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road number , and
distance and direction from a roadwa intersection). 0 c? 5 eel-
(A copy of a m p with the facility c early located on it ehould be included with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes ANo
5) Is this a Federal facility? ❑ Yes ANo
5) Latitude `' ` J, %9'14 Longitude 61 fd .3701W (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
19 Existing Date operation began b 1 r 0 i eft{
8) Was this facility or site ever covered under an NPDES Stormwater Permit? © Yes No
If yes, what is the NPDES Permit dumber?
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: - 9 3 C3334
10) Provide a brief description of the#ypes of industrial activities and products produced at this facility:
ltilan��i�c,�� e.f- f [JCL f 5i'. uk D ac r:5
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
%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 IX 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 ¢No
c. Materials or products from past industrial activity ❑ Yes X No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes IX No
e. Materials or products during loading/unloading or transporting activities ❑ Yes ja No
I. Materials or products stored outdoors (except final products intended for outside ❑ Yes D(No
use [e.g., new cars]where exposure to stormwater does not result in the discharge
of pollutants)
Page 2 of 5
Swu-NE-110607 Last revised 111p6/07

5 5
NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes X No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes 54 No
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes K No
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes PQ No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X 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 pfoperly stored ❑ Yes X 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 Ply 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 [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. Is secondary containment provided for�!ny amount of Title Ili Section 313 XYes ❑ No
5uperfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for�ny amount of hazardous substances? AYes ❑ No
e. Are release valves on all secondary containment structures locked? Yes ❑ No
Page 3 of 5
SWU-NE-110607 Last revised 11/06107

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes XNo
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 hazardaus waste © Yes KNo
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: .R -1� was
How is material stored: Seto eA (t
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor: 'O 'l fit`d C c?5
Vendor address: I ( 4 v c� .S 1530
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, it 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 qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point 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
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 possibiNy 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 Na e of Pets n Sig ing: �Olv4
Title:
L� V I
(Signatur o Ap wa ) (Dot 5igrte )
Page 4 of 5
SWU-NE-110607 Last revised t 1/06107

NCGNE0000 No Exposure Certification
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.
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[his Article or a rufe 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 falsifies,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 line
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:
10/ This completed application and all supporting documentation.
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.
DWO Regional Office Contact Information:
Asheville Office ...... [phone] r { s�
Fayetteville Office ... [phone] � (, ;�
Mooresville Office ... [phone] ,,
a 3
Raleigh Office [phone] r ` t �f
� fFt s r e N yorgs � ' a
Washington Office ...[phone]
Wilmington Office ... [phone] ;}
Winston-Salem ...... [phone]s(ar�rs
L -.
Central Office .........[phone] W'
if nglon
r
Page 5 of 5
SWU-NE-110607 Last revised 11106r07

tB V BV CMRrL SIM
MAY 22 08

Live Search Maps
Search results for C&M Bating Systems, Inc
1. C & M Baling Systems Inc
2095 E 1st St, Winston Salem, NC
0.01 mi [phone]
Michsoft'. �
`Vkual Earth' nsboto Rd r—
��A' ` pId Gree
�fd _b'oro Rd
P
Flag St -7
C7
glh Sr '
U
i 2, 7 7
L E_1st_sr�
I5O
BUB 421
3rushy Fork
Park
ISO _�rnti Yer St
Winston:-Salem
02007 Microsoft Cop. 02007NAVTEQ