NCGNE0696_COMPLETE FILE - HISTORICAL_20110324

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V Cco NE O 5 L
DOC TYPE O'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE o 0011 03ay
YYYYMMDD

J �� ,gArFgp
BeverEv Eaves perdue,Go.emor
Owl
Dee Freeman,Secretary
> North Carolina Department of Environment and Natural Resources +
O C
Coleen If.Sullins,Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I: Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G .S , N C 1 G 1 N I E 1 0 6 9 6
I I. Permit status pli2ir to requested change.
a. Permit issued to(company name): Tyco Electronics Corp.
b. Person legally responsible for permit: Shawn Robinson
First M I Last
Director of Manufacturing
1,is1L
8010 Piedmont Triad Pkwy.
Permit Holder Mailing Address
Greensboro NC 27409
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): Bldg. 265
d. Facility address: 8010 Piedmont Triad Pkwy.
Address
Greensboro NC 27409
City State Zip
e. Facility contact person: John Willis [phone]
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
X Name change of the facility or owner
If other please exj)1ah7:
b. Permit issued to(company name): TE Connectivity
c. Person legally responsible for permit: Shawn Robinson
First MI Last
Director of Manufacturing
l) � �� 'Title
8010 Piedmont Triad Pkwy.
MAR 2 4 2011 Permit Holder Mailing Address
Greensboro NC 27409
DENR•WATER QillWTY City State Zip
WETiANIjS AND 5TORM4YATERBRphICH [phone] _Isrobinsate.com
Phone E-mail Address
d. Facility name (discharge): Bldg. 265
e. Facility address: 8010 Piedmont Triad Pkwy.
Address
Greensboro NC 27409
City State Zip
£ Facility contact person: John Willis
First M1 Last
[phone] jrwillis a,te.com
Phone E-mail Address
Revised 812008

.PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: John Willis
First R4i Last
Engineer
Title
8010 Piedmont Triad Pkwy.
Mailing Address
Greensboro NC 27409
City State Zip
[phone] jrwillis a te.corn
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
X Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request,the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included; this application package will be
returned as incomplete.
Sianature Date
APPLICANT CERTIFICATION
I, Shawn Robinson, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
3/22/2011
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

W � YF
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
26 May 2010
Mr. John Willis �
Tyco Electronics Corporation
8010 Piedmont Triad Parkway
Greensboro, NC 27409
Subject: No-Exposure Certificatio N�C-y NEQ89 -RQU grand+
Tyco Electronics Corpor tiQ{�ttandsD`
8010 Piedmont Triad Pa way
Guilford County
Dear Mr. Willis:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater
Permitting farm. 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. We are also hereby rescinding your current permit Certificate
of Coverage, NCG030545.
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 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 Corey Basinger at [phone] or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office Stormwater Permitting File NCG030545
Stormwater Permitting Unit No- Exposure Files Fran McPherson-Budget Office
Wetlands and Stormwater Branch One
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 NorthCarolina
Location:512 N.Salisbury 5t.Raleigh,North Carolina 27604 �atuioally
Phone:[phone]pp 1 FAX:919-8t17-64941 Customer Service:1-877-623-6748 `i
Internet:www,ncvatefquality.org
An Equal Opportunity 1 Affirmative Action Employer

W A rF9oG Beverly Eaves Perdue,Governor
v� Dee Freeman,Secretary
North Carolina Department of Environment and Natural Resources
o -c
Coleen H.Sullins,Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N c 1 '5 1 1 Ni I 'e G W a b 9
I1. Permit status prior to requested change.
a. Permit issued to (company name): ILO cs _Cc r
b. Person legally responsible for permit: S 11 A „f a3,'�;-, 5 0 -f
First MI Last
c 'F r'l o.,�v i-, rr K S
Title
JJ Permit Holder Mailing Address
LY 0
City State Zip
( 376 ) /611 -7?oO (336 ) 60 `76U
Phone Fax
c. Facility name (discharge): 1 I 2-6 5"
d. Facility address: ale 1� r'• ���•.�.�r 'hr: p k,:y
Address
/VC..
City State Zip
e. Facility contact person: _ ��.�,,, yr � P�L_Z_ -
First /MI 1 Last Phone
I1I. Please provide the following for the requested change(revised permit).
a. Request for change is a result of- ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: Kn,,,, c c. jL c C f o, : i ,` v ca r- �T 0"M
b. Permit issued to(company name):
c. Person legally responsible for permit:
First Ml Last
1?� �� Title
AUG 3' i2010Permit Holder Mai ling Address
DE14f:-Yl'iE—R" QUALITY City State Zip
POINT SOURCE BRANCH ( )
Phone E-mail Address
d. Facility name(discharge):
e. Facility address:
Address
City State Zip
f. Facility contact person: �,G, ,, _ _ �,� ��-J.
First Ml Last
33t. &16 q- 76o -- c"
Phone —E-mail Address
Revised 812008

PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
W. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title -
L/ 1i Mailing Address/V (
L5^F22r-�3fJC(� Z-� t
City State Zip
Phone 1-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
ff, Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
[ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request,the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1. , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPL�IC1 CERTIFICATION
I,.5�� , attest that this application for a narne/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Llj F �Izs Lro
-Ppl",
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1.617 Mail Service Center
Raleigh,North Carolina 27699-1617
Revised 712008

�C®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
26 May 2010
Mr. John Willis
Tyco Electronics Corporation
8010 Piedmont Triad Parkway
Greensboro, NC 27409
Subject: No-Exposure Certification NCGNE0696
Tyco Electronics Corporation
8010 Piedmont Triad Parkway
Guilford County
Dear Mr. Willis:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. 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. We are also hereby rescinding your current permit Certificate
of Coverage, NCG030545.
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 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 Corey Basinger at(336) 771-4963 or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office Stormwater Permitting File NCG030545
Stormwater Permitting Unit No- Exposure Files Fran McPherson-Budget Office
Wetlands and Stormwater Branch One
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 NorthCarohna
Location:512 Salisbury 5t.Raleigh,North Carolina ���������
Phone:919-8-8Q7$3001 FAX:[phone] Customerr Service!1-877�23-6748
Internet:www.ncwaterquality.org
An Equal Opportunity{Affirmative Action Employer

Z� 1s.swjl pit YA fcse;zo- aS p'E„�,1 VC60SOS9S
E ,
t�C'i�11
FOR AGENCY USE ONLY
Date Received
Division of Water Quality/Surface Water Protection Yea, I Mon>f, Day
�C���� National Pollutant Discharge Elimination System Certificaleof KMINIF1�ve'
NO EXPOSURE CERTIFICATION for Exclusion
r rr�....r.•„un Nau.n.�w..ws NCGNE0000
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: L�i
Submission of this No Exposure Certification constitutes notification that your facility does not:require_-a UM
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 meanslall
industrial materials and activities are protected by a storm resistant shelter(with some exceptions)too sa
prevent exposure to rain,snow,snowmelt,and/or runoff. la " I
For permitted facilities in North Carolina, DWQ must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued allo--� Fa
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
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 five (5) years.
For questions,please contact the DINO Regional Office for your area. (See page 6)
(Please print or type)
t) Mailing address of owner/operator(address to which all certification correspondence will be mailed):
Name Tyco Electronics Corporation
Contact John Willis
Street Address 8010 Piedmont Triad PkY.
City Greensboro State NC ZIP Code 27409
Telephone No. 336-664-7605 Fax: [phone]
Page 1 of 7 RECEIVED '
a
g N.C.sect Of.ENR
SWU-NE-021309 MAY ! 1 2010 Last revised 2/13/2009
Winston-Salem
Regional Office

l
NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name Tyco Electronics
Facility Contact John Willis
Street Address 8010 Piedmont Triad Pky.
City Greensboro State Nc ZIP Code 27409
County Guilford
Telephone No. 336-664-7605 Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers, and
distance and direction from a roadway intersection). I-40 Exit 208 to sandy Ridge Rd, travel Sandy Ridge
Rd south_ 1/4 mi, turn L on Tyner Rd, turn L on Nat'1 Service Rd, turn R on Piedmont Triad Pky;
(A copy of a map with the facility clearly located on it should be included with the certification application"fte on right.
4) Is the facility located on Native American Lands?0 Yes ® No
5) Is this a Federal facility? ❑ Yes ® No
6) Latitude 36 deg,04149" N Longitude 79 deg,58132"w (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
® Existing ' Date operation began 1994
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ® Yes ❑ No
If yes,what is the NPDES Permit Number? NGC030000 PCG 03 D5 u
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 6 7 e
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Facility manufactures electronic components using molding,stamping, and electroplating
processes. Building also houses an indoor waste water treatment plant and warehouse.
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
El No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
Page 2 of 7
SWU-NE-021309 Last revised 2/13/2009

NCGNE0000 No Exposure Certification L
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 ® No ❑ 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 ® No ❑ NIA
c. Materials or products from past industrial activity ❑ Yes ® No ❑ NIA
d. Material handling equipment(except adequately maintained vehicles) ❑ Yes ® No ❑ NIA
e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes 191 No ❑ 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, ❑ Yes ® No ❑ NIA
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No ❑ NIA
the discharger
i.Waste material(except waste in covered, non-leaking containers[e.g., dumpsters]) ❑ Yes M No ❑ N/A
j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes M No ❑ NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No ❑ 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 ® No ❑ N/A
(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 ❑ 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 I& N/A
deterioration,or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any [:] Yes ❑ No ® N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SW U-NE-021309 Last prised 2lf 312D09

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 ® N/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 ® N/A
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title I II Section 313 Superfund ❑ Yes ❑ No ® N/A
Amendments and Reauthorization Act (SARA) water priority chemicals*?
d. Is secondary containment provided for hazardous substances"designated in 40 ❑ Yes ❑ No ® N/A
CFR§116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No eg N/A
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes ® No ❑ N/A
b. Is this facility a Small Quantity Generator (less than 1000 kg.of hazardous waste ❑ Yes ® No ❑ NIA
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg.or more of hazardous waste W Yes ❑ No ❑ 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: spent plating bath solution (D002,D006,D007,D008) ,gold(D003,F007)resins/filters
How is material stored: stored in drums (on Pallets)
Where is material stored: indoors near plating operation
How many disposal shipments per year: monthly shipments, quantity varies
Name of transport/disposal vendor:Heritage Environmental/World Resources co./Advanced Chemical
Vendor address:Heritage Env. - 7901 W. Morris St., Indianapolis, IN 46231
World Resources Co. - 170 Walnut Ln., Pottsville, PA 17901
Advanced Chemical - 105 Bellows St., Warwick, RI 02888
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 §117.3.
Page 4 of 7''
SWU-NE-W3M K=reWsed 2113rdMM.'-

NCGNE0000 No Exposure Certification
16).Other information: If you answer"Yes"to any of the following items,you-might not be eligible forrthe f
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? ❑ Yes M No- ❑ NIA
b. Does your facility have coal piles on site? ❑ Yes ❑ No in NIA
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ❑ No ® NIA
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity(e.g., ❑ Yes ❑ No o NIA
degreasing operations, plating, painting and metal finishing)? If so,describe the
industrial activity: _
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No ® 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.):
Hazardous Waste Large
Permit: NCRo00005751 , Program: quantity Generator,North Carolina
#o149 City of High Point, North Carolina
Permit: Program: Waste Water Pre-treatment permit
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Page 5 of 7
SW U-N E-021309 Last revised 2113l2009

NCGNE0000 No Exposure Certification :;-,'E 00ULf 14v
:,:._,,,. . .. ... „'17)'Cer'tification• - - - .. . . --
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.
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)).
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 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: _Ss1�P-1 fie
Title: frt +9 rare'
(Signature of Applicant) ( ate 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($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SW U-NE-021309 Last reMised 703r2"

NCGNEOOOO No Exposure Certification �.Y„• _._r. _ , v� Sri
Final Checklist
iThis application should include the following items: - ir,r,;;;;, ,;r} -,,,�, ., t:--, sn!a,;lht;i;r• fr =.- ,,•
td This completed application and all supporting documentation.
Q A map with the location of the facility clearly marked.
CR 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 DWQ Regional Office for your area.
DWO Regional Office Contact Information:
Win sale
Asheville Asheville Office ...... [phone]
Fayetteville Office ... [phone] r al sh a
Mooresville Office ... [phone]
Raleigh Office ........ [phone] 'Ilew oar la
Washington Office ...[phone]
Wilmington Office ... [phone]
Winston-Salem ...... [phone] F cltZ,nllaY
Central Office .........[phone]
;.Wl.,.ngton
Page 7 of 7.-
SWU-NE-021309 Last revised 2I3120M

Tyco Electronics Corp.
8010 Piedmont Triad Pkwy.
Greensboro, NC 27409
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Michael F.Easley,Governor
William G.Ross Jr.,Secretary
C9W y North Carolina Department of Environment and Natural Resources
p Coleen H.Sullins,Director
Division o£Water Quality
12 September 2008
Mr. J. DeWitt Pace
TYCO Electronics
8010 Piedmont Triad Parkway
Greensboro,NC 27409
SUBJECT: Compliance Evaluation Inspection
TYCO Electronics
NPDES Permit No. NCG030545
Guilford County
Dear Mr. Pace:
A Compliance Evaluation Inspection was performed on the TYCO Electronics general stormwater permit(NCG030545)on
September 11, 2008 by Corey Basinger of the Winston-Salem Regional Office. The inspection consisted of two parts: an
on-site inspection of the facility and an in-office file review. The following are the findings from the subject inspection.
1. Permit
The NPDES General Stormwater Permit for TYCO Electronics(NCG030545)became effective on November 1,2007 and
expires on October 31, 2012. A copy of the permit was on file at the facility,
II.' Records/Reports
The Storrnwater Pollution Prevention Plan (SPPP)was complete, thorough and well organized. All required information
was present and all applicable data had been collected as per the NPDES Permit requirements. No deficiencies were noted.
Attached please find an updated version of the self-ronitoring form as well as a No Exposure Certification form.
III. Facility Site Review
The subject facility has two(2) stormwater ponds on site. The larger of the two ponds receives storm"s,ater runoff from
sources other than TYCO Electronics. The smaller of the two ponds only receives storrnwatar runoff from TYCO
Electronics. No problems were noted with respect to the stormwater ponds.
IV. Effluent& Receiving Waters
TYCO Electronics discharges stormwater to East Fork Deep River. There was a discharge on the date of the inspection.
V. Self-Monitoring Program
Thelelf-monitoring program is consistent with the NPDES Permit requirements. All inspections had been conducted and
all required qualitative and quantitative monitoring had been conducted.
Overall the facility is deemed to be in substantial compliance with NPDES General Permit No.NCG030545. If you sliould
have any questions or concerns regarding this report,please contact this Office at(336)771-5000.
Sincerely
Steve W. Tedder
Water Quality Supervisor
One
Cc: Guilford County Health Dept. Np thCarohna
Central Files, WSRO Alatumlly
North Carolina Division of A'ater Quality 585 Waughtowm Street Phone[phone] Customer Service
Winston-Salem Regional Oft-ice Winston-Salem,NC 27107 Fax [phone] 1-877-623-6748
Internet: ww•A'.ncw•aten3uali1Y.org
An Equal OpportunitylAHirmative Action Employer—50%Recycied110%Post Consumer Paper

sA^s Form Approved
�} OMB No.2040-0057
- ° Approval Expires
United States Environmental Protection Aeencv. Washington. D-C._ 20460 8-31-98
Section A: National Data System Coding
Transaction Code NPDES No. Yr/11Io1Day Inspection Type Inspector FacilityType
IN 5 NCG030545 08-09-11 C S 2
Facility Evaluation Rating BI QA ..........Reserved...........
5 N N
Section B: Facility Data
Name and Location of Facility Inspected: Entry Time: Permit Effective
TYCO Electronics 1300 hrs. Date: Nov, 1,2007
Located at 8010 Piedmont Triad Parkway in Guilford County.
Exit Time: Permit Expiration
1435 hrs. Date: Oct. 31;2012
Name(s)of On-Site Representative(s): Title(s): Phone No(s):
Mr.J. DeWitt Pace Project Manager 336 664-7655
Name,Address of Responsible Official:- Title: Project Manager
Mr.J. DeWitt Pace
TYCO Electronics
Phone No. Contacted? Yes
8010 Piedmont Triad Pkwy
336-664-7655
Greensboro,NC 27409
Section C: Areas Evaluated During Inspection(check only those areas evaluated)
X Permit NA Flow Measurement X Operations/Maintenance NA Sewer Overflow
X Records/Reports X Self-Monitoring Program NA Sludge Handling/Disposal NA Pollution Prevention
X Facility Site Review NA Compliance Schedules NA Pretreatment
X Effluent/Receiving Waters NA Laboratory X Stormwater
Section D: Summary of FindingslComments
See attached letter for further details regarding the subject inspection.
Names and Signatures}of Inspectors: Agency/Office/Telephone: Date:
DWQ/WSRO I(336)771-5000
Signature ofRevi wer: Agency/Office: Date:
DWQ/WSRO/[phone]