NCGNE0601_COMPLETE FILE - HISTORICAL_20090618

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /VCC� NL' U �nU� CUI� QaI
DOC TYPE El HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ awS O �
YYYYMMDD

A7iA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee freeman
Governor Director " Secretary
15 June 2009 1w m c_
Southern Steel and Wire, Inc. i G '1t
Attn: Mr. DeForest Way xr: 1
100 Minich Road g o
Madison, NC 27025-0677 ,E Lo
Subject: No-Exposure Certifications
NCGNE0601 for Southern Steel Facility Located at 100 Minich Way, Madison, NC &
NCGNE0602 for Southern Steel Facility Located at 4790 NC Hwy 704, Madison, NC
Rockingham County
Dear Mr. Way:
The Division has:reviewed the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting forms that
you-submitted for the subject facilities. Based on your submittals and signed certifications of no exposure at the above
referenced facilities, as well,as the physical inspection of the facilities by Mr. Ron Boone, of the Division's Winston-
Salem Regional Office, the Division is granting your conditional exclusions from permitting.for both facilities, 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 certifications, you are obligated to maintain no-exposure
conditions at your facilities. If conditions change such that your facilities can no longer qualify for no-exposure
exclusions, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharges.
Otherwise, the discharges becomes subject to enforcement as un-permitted discharges., Your conditional no-
exposure exclusions for these facilities expire in five years (14 June 2014). At that time you must re-certify with the
Division, or obtain NPDES permit coverage for any stormwater discharges from these.facilities.
Your conditional exclusions from permitting do 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 Robert Patterson at(919) 807-6375, or at
[e-mail]. -
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office
Stormwater Permitting Unit, No-Exposure Files
Wetlands and Stormwater Branch
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Orte "i.;
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 North Cdf6liha
Phone:9IM07-63001 FAX 91H07-6494 4 Customer Service:1-877-623-6748 aturaCCU;
lntemet:www:ncwaterquality.org _,,, ✓ s'.
An FnnA Onnnrf iOv 1 Affitmafiva Aminn Fmnlnver

i
1
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen B. Sullins Dee Freeman
Governor Director Secretary
15 June 2009
`Southern-Steel'and_Wia•e,-Inc]
Attn: Mr. i]eForest Way
100 Minich Road
Madison, NC 27025-0677
Subject: No=Expbsure-Certificati no s
NCGNE0601-fof-Southern-Steel-Facility-Located-at 900•Minich-Way;Madison, NC''&
NCGNE0602-for'Soufhern-Steel_FacilityLocated'at-4790'NC::Hwy704,..Madison;NC
Rockingham County
Dear Mr. Way:
The Division has reviewed the No-Exposure Certification for Exclusion from NPDES Stormwater, Permitting forms that'
you.submitied for the subject facilities. Based on your submittals and signed certifications of no exposure at the above
referenced facilities, as well-as the physical inspection of the facilities by Mr. Ron Boone, of the Division's Winston-
Salem Regional Office, the Division is granting your conditional exclusions from permitting for both facilities, as
provided for under 40 CFR 126.22(g), which is incorporated by reference in North Carol.ina regulations.
Please note that by our acceptance of your no-exposure certifications, you are obligated to maintain no-exposure
conditions at your facilities. If conditions change such that your facilities can no longer qualify for no-exposure
exclusions, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharges.
Otherwise, the discharges becomes subject to enforcement as un-permitted discharges. Your conditional no-
exposure exclusions for these facilities expire in five years (14 June 2014). At that time you must re-certify with the
Division, or obtain NPDES permit coverage for any stormwater discharges from these.facilities.
Your conditional exclusions from permitting do not affect your facility's legal requirements to obtain environmehtal
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 Robert Patterson at [phone], or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office
Stormwater Permitting Unit, No-Exposure Files
Wetlands and Stormwater Branch Ohe ,
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 NorthCarolina
Location:512-8 7 Salisbury St Ra-807-North Carolina r Service:
turaCC
Phone:[phone](?01 FAX:919�07-64941 Customer 5ervice:1-877-623-6748 ,
Intemet:www.ncwaterquality.org rr
An Fnuni(lnnnrluniry L Affirmative Artinn Fmnlnver

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RECEIVED
N.C.Dent.of @NR
APR 2 9 2009
Regional Supervisors: S��t0h�;MVJS 20� Winston-Salem
Regional Office
Here are a couple more No Exposure applications for your regions. Please check these
out and either issue or deny them based on your inspections. Please remember to use the
correct template based on the decision. Also, please remember to copy me on them, as
that is the only way I will know to issue or deny them6n BIMS. Please call or email me
with any questions. Thanks as always. Sarah
� e_

ws�
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FOR AGENCY USE ONLY
Date xccfi�Cd
Division ut'Water Quality /Surface Water Protection , ]h,ntn I lea,
N C®�n�� National Pollutant DlscharVti Elimination S)'stcin Centric:'teufClncra'
LL3aee NICIGINIFT
NO EXPOSURE CERTIFICATION for Exclusion
NCGNL0000
NO EXPOSURE CERTIFICATION Please check here if this is a renewal- © RENEWAL
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based 'd
on NO EXPOSURE: c�
Submission of this No Exposure Certification constitutes notification,that your facility,does not require a
permit for Stormwater discharges associated;with industrial activity in the State of North Carolina because
it qualifies for a:no exposure exclusion. A condifion'.of no,exposure at an industrial facility means all
industrial materials and activities are protecied,by;a storm resistant shelter(with some e)iceptions)to
prevent exposure.`to:rain, snpw;snawmelt,andl'or-rurioff. -
For-permitted•facilities-:in North'tarolina,�DWQ must approve your application for'Nb':. '
Exposure Certification:before th exclusion'is effective: Until you are;issued a No
Exposure Certification and your•NPDES perrmt is rescinded, your facility must-icontinue
to abiderby,-theJerms and conditions-of the,:current permit. _
- '.'ri'dustrral;materiafs or betrvities`.rncfude.but are'riot limited to: material handling equipment_dr, ct tivities, ' •,: : __.. _ w
fJlndustriaf,macliinery.,raw-materials .intermediate products; by-products, final products, or.waste producls. ,
Material handling_activlties include`the storage, Ioading and unloading, transportation, or.conveyance of-._
.,.any-raw material,.:intermedrate prod�rct, frnal`prnduct or waste'product. A'sictrirr:resistanr°shelteris-not �t
required far the following�rridusfrra!materrals.and activities: drums,:barrels, tapks,and similar containers
f that'are tightly sealed,.lrovifed_those:containers ar'e�not deteriorated and do not leak; Sealed"means _ {
{ I_banded or otherwise-secured.and wrth'locked ornon-operational taps or val res;:adequately;marntained - i a ;
K vehicles used in'material'handling, arid finalirodiicts, other than products ihat,vvould.be%mobrlrred
storm water discharges.^(e:g: rock,salt):
A N_o Exposure`Certification must be'provided for each facility qualifying for the no exposure exclusion. In
'addition, the exclusion-from NPDES perrrfitting:is available on'a facility wide-basis only—rtot;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 five (5) years.
For questions. please contact the DWQ Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator(address to which all certification correspondence will be mailed):
Name � ,k I& cL ` $. ly Cb rp; Y-A4;a
Contact
Street Address.
City i11�K1 State TL• ZIP Code z�
Telephone No. _ lf3 �aS�l- 21L t Fax: 61b dShf— 3151f
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NCGNEf OOO No Exposure Certification
2) Location of facility producing discharge:
Facility Name .5;e j S�'f I t^.L W,r,--
Facility Contact _ De e— WA
Street Address _ _�4_'7R_0 NG
City M0.1+ 5a� _ State 11�fC- ZIP Code _2_7o25,
County Rini!,�la.�
Telephone No. _ 336 5'48-13bf� Fax: _ S'S4f3-- 603,E
3) Physical location information:
Please provide a narrative description of hOW to get to the facitity (use street names, state road numbers, a
disltJkayn�ce and directs -I from a ;oa0way inte(section). -2-7-0 ri 5 0
[r 1 S 31 M,Let6— I rL y►�
iA copy of a map v.mkh the faca,:y clearly located oil it should be included with the certification application.)
4) is the facility located on Native American Lands? :i Yes V-K10
5) Is this a Federal facility? _ Yes 1p,110
6) Latitude 36& 23! (n Longitude _7` " S7r 2`r (deg., ruin., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
Es New or Proposed Facility Date operation is to begin
E� Existing Date operation began 146 i
❑ Renewal of existing No Exposure Certification' Certification No,: NCGNE '
S) Was this facility or site ever covered under an NPDES Stormwater Permit? © Yes GrNo
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard tndustrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:
10) Provide a brief description of the types of industrial activities and products produced at this facility:
t 1 ITT ,1✓r d� :Q r0 [ e " '�I`t_ "e, fo i-C.+
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
E� ,"0
❑ Yes
If yes. list the permit numbers for all current Non-Discharge permits for this facility:
i
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NCGNE0000 No Exposure Certification
ExAosure 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 G�No Q NIA
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 I<o I] N/A
c. Materials or products from past industrial activity ❑ Yes Fe<o ❑ NIA
d. Material handling equipment (except adequately maintained vehicles) © Yes ( Flo ❑ NIA
e. Materials or,products during loadinglunloading or transporting activities ❑ Yes FA- c ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes F.4o ❑ N/A-
use (e.g., new cars]where exposure to stormwater does not result in the discharge
of pollutants)., .
g. Materials contained in open, deteriorated or leaking storage drums, barreIs,.tanks, ❑ Yes t✓l�fo .O NIA
and similar containers
h. Materials or products handled/stored on roads-or railways_owned or maintained by ❑ Yes,'t�i!o- q NIA
N_ the discharger ,
i. Waste material (except waste in covered, non-leaking containers [e,g., dumpsters])' ❑ Yes. G!<o ❑ N/A
j. Application or'disposal of process wastewater(unless otherwise permitted) © Yes C✓�o b NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not El Yes VKo E7 NIA
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 Cl Yes PllC o ❑ NIA
(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 W o ❑ NIA
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 216A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No f'l1A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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NCGNE0000 No Exposure Certification
14) Secondary Containment: It 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 Fvll/A
(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 [;-,,</A
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund ❑ Yes ❑ No V1 IA
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances— designated in 40 ❑ Yes ❑ No CXIA
CFR §116?
e. Are release valves on all secondary containment structures lacked? ❑ Yes ❑ No tX/A
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage,-or Disposal Facility? ❑ Yes E- o ❑ NIA
b. Is this facility.a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑4es ❑ No ❑ N/A
generated per month) of hazardous waste?
c. is this facility a Large Quantity Generator(1000,kg, or more of hazardous waste Q Yes r✓ffo ❑ N/A
generated per month) of hazardous waste?
If you answered yes to questions b. or c;, please provide the following information:
Type(s) of waste: Ft%jX L-M-S
How is material stored: dbSck _ Peal b►% e-$4ie_ d rvw+S
Where is material stored:b;,MP9 _n S (a ate, f� cen�.-: .►)-:iW% �l�r. S.c try- - cY�ail�y
How many disposal shipments per.year: Z P%r%.dbSeA_r nrf'tt$ rr54 hv:l�(i�
Name of transport posal vendor: A l7n✓�ro .� +nr ��h c.1dL�� Ci�YtTY�;+tgtt.�T
Vendor address: PO 6r+,L 464 ' 'i, c-.— yc Z-72-6 Ij_
Footnotes to Questions 14) C. & d.
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117-1
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NCGNE0000 No Exposure Certification
16) Other information: It you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? 1 V"Yes ❑ No ❑ NIA
b. Does your facility have coal piles on site? ❑ Yes LEI,< ❑ NIA
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes LL4-< ❑ NIA
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity(e.g., E-I4es ❑ No ❑ NIA
degreasing operations, plating, painting and Cnetal finishing)? If so, describe the
industrialri al activity: exec55, dk"4y,Q(s6, C ' ✓P�4 � plJ0o�ti-)V3G,4c� C-1VAII) J 4WkK a�
e. 'yo&u�an+s4wMereodvy0.es tod.Wa1re th✓se emLiss+io1n s p2_eirmv%it.tedRby Air Quality Fi-ermit? ❑ Yes �✓�Vo ❑ iVIA
Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit-, ;" e Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: ; Program:
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NCGNE0000 No Exposure Certification
17) 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 taw 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 qualities 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 Name of Per Signing: 5rutc-G IAC�
Title: �Y�,rf+N +� —11 -6 1 i'� Grp � A rtc
Zo 2.009.
(Signature of A 1icant) (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.
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 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($M000).
There is currently no fee for a No Exposure Exclusion.
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NCGNE0000 No Exposure Certification
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.
❑ If this is a renewal, indicated current NCGNE number in Question 7.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
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] �" W`° tan S°ta f '— ti
� '
Fayetteville Office ... [phone] �
Mooresville Office ... [phone]
Raleigh Office ....... [phone] #
\ l�sfj�lr llt! py�oar sv� t
Washington Office ...[phone] r �•, l-M— r_ _ _�=;;:
Wilmington Office ... [phone]
Winston-Salem ...... [phone]yetse�r,11°`
Central Office .........[phone]a,� "
f Ir tnMon
Page 7of7
5WU-NE-021309 Last revised 2/13/2009

_ \
9
a � �,� �� _

FUR AGENCY USE,ONLY
� icrd
Division of Water Quatit�°/Surface Water Protection ,.v "Daic Rerc OCCunth I nay
NCDENR
National Pollutant Disehat-e Elimination System Certisicate0Co,enve
ly i N 1NO EXPOSURE CERTIFICATION for Exclusion
,s.r••r rrr.r.x:-au rrn�,.Yn
NCGNEOOOO
NO EXPOSURE CERTIFICATION Please check here if this is a renewal: ❑ RENEWAL
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for 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..
t`or permitted facilities in Carolina, DWQ must approve your application for No
Exposure Certification before this exclusion is effective. Until you'are:issued a No'
Exposure Certification'arid your NPDES permit is rescinded,:your facility gust continue
_ to abide by th,e terms and conditions of the.current permit.
Industrial materials.or_activities include, but are not lirriited_to: material handling equipment orractivities,.'
industrial machinery:,raw materials, intermediate.products. by-products;Whal.products.,or waste:products.
Material handling activities,include the storage;loading and unloading, transportation; or conveyance of
'l any_raw material, intermediate product, final product or waste product: A storm.resistant shelter is not,r,
required for-the:fotlowing industriai materials and activities:,drums, barrels, tanks;:and similar containers
,.- 'that are+tightly sealed'providedahose containers are notr'deterrorated arid da not leak: 'Sea led!',means=
banded:or.otherwise secured and with locked or non-ope'rafiorial taps or valves;adequately,maintained
I. .
- vehicles,used in material,_'hartdling;and final products,,oihe'r than products;thkt vould be ril ilized in. .Ir.
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
outfalis. 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 five (5) years.
For questions,please contact the DWO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator(address to which all certification correspondence will be mailed):
Name �{� �a,•..� � ( t.Or c,rA' ay. �m
Contact- ,
Street Address e-f
"City, ��1►lc�d State FL•_ ZIP Code 6 7-14)
Telephone No. Ifta 65"t- 246 Fax: btu
l
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NCGNE0000 No Exposure Certification
2) Location of facility producing discharge: r
Facility Name ou4k�e�n Sic e-( t ,k W►►"� _ •
Facility Contact Dec-
Street Address 100 't t7tvAt R.on
City KArlis0-. State AEG ZIP Code 7-7tVzS
County lz;3�nj h,
Telephone No, 336 5`1 — "(1 Fax: 35S 3`ts-- 6030
3) Physical location information:
Please provide a narrative description of how to get to(�he facility (use street names, state road numbers, and
distance and direction from a roadway intersection). 4, -7u4 e,, Z'yn 4 4o MAd 1 se.,
+ �
Y4�la hr( 1< au �ap �i.'� C7'o 4 �f.ZS 4 �r. {wit- Gbcv-t j4
(A copy of a map with the facility clear y located on it should be includ d with the certification application.)
4) Is the facility•located on Native American Lands? ❑ Yes *<O' �p0`� �d�" �- ' ���y)I
5) Is this a Federal facility? ❑ Yes ❑
6) Latitude Zy 3o Longitude zf 7' (deg., min., seconds) ;
7) This NPDES No Exposure Exclusion application applies to which of.the.following:. .
❑ -New or. Proposed Facility Date operation is to-begin ; ..-
U/Existing Date operation began M13
❑ Renews# of.existirig•No Exposure Certificatioh Certification No.: NCGNE
8):,.Was this facility or site°.ever covered under an-NPDES=Stormwater:Permit? ❑Yes
If yes what is the NPDES Permit-Number,?
9) Standard Industrial Classification: r "
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 LIF q to
10) Provide a brief description of the types of industrial activities and products produced at this facility:
L IIA- 'end s+r�d1 Qtcclvc'�.ng tu} a_r� w+r-c- pfodt�e_ 'S.
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
LwlC o
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
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NCGNE0000 No Exposure Certification
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 CI<o Cl NIA
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 Flo ❑ NIA
c. Materials or products from past industrial activity ❑ Yes F-,<o ❑ N/A
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes. f-'Xlo ❑ NIA
e. Materials or products during Ioadinglunloading or transporting activities ❑ Yes N,<o ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes E4<6 ❑ NIA
use (e.g., new cars)where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage-drums, barrels, tanks, 0 Yes. .1✓IGo ❑ NIA
and similar containers
h. Materials or.products handled/stored on roads or railways owned or maintained by D Yes E-I o L-1 NIA
the discharger .
i. Waste material (except waste in covered,inon-leaking containers [e.g., dumpsters]) ❑ Yes <o ❑ NIA
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes F----f4o ❑ NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes Cit l�o ❑ N/A
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
1. Empty containers that previously contained materials that are not properly stored ❑ Yes C�10 ❑ NIA
(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 Wl<o ❑ NIA
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 CAIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No G+KA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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NCGNE0000 No Exposure Certification
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 �/A
(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 R/f11A
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund ❑ Yes 0 No rP4A
Amendments and Reauthorization Act (SARA) water prioriiy chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40 ❑ Yes ❑ No tX/A
CFR §116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No F-✓ IA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes C✓ICIo 0 NIA
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes lel to ❑ NIA
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes Io ❑ N/A
generated per month) of hazardous waste? -. .
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: NJ rk
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
`Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
-Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §1 17.3.
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16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?i F✓Yes ❑ No ❑ NIA
yk>VN- C e�+ G.r►1`�nw�
b. Does your facility have coal piles on site? ❑ Yes 9,lgo ❑ NIA
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes Goo ❑ NIA
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., K-I'S'es ❑ No ❑ NIA
degreasing operations, plating painting and metal finishing)? If so, describe the
industrial activity: _e_-wit r�rtti 4 it 4er 5olyAt,L Gj�ew►�.« �S .twi}
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes Lv<o ❑ NIA
Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: V\ Program:
Permit: Program: _
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Perrnit: Program:
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NCGNE0000 No Exposure Certification
17) 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 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 she 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 Per n Si fling: [��`^{� ��✓�
.Title: Er/1V w ro rn vl a vd- 54±01 (7J�c r
(Signature of Applicant) {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.
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 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 la exceed ten thousand dollars($10.000).
There is currently no fee for a No Exposure Exclusion.
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NCGNE0000 No Exposure Certification
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.
❑ If this is a renewal, indicated current NCGNE number in Question 7.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question B.
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] _ '� t� �'f �;, raj r+�• �'
Raleigh Office ........ [phone]
Washington Office ...[phone]
Wilmington Office ... [phone]
Winston-Salem ...... [phone] yG '~'
Central Office .........[phone] r .,r�
�Vs+i ,nqfon
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