NCGNE0742_COMPLETE FILE - HISTORICAL_20111103

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV C& NEOW'l
�y
DOC TYPE C3'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ �I 1 ! 1 03
YYYYMMDD

Division of Water Quality / Surface Water Protection
�r RECEkVED
National Pollutant Discharge Elimination System N.C.Dept.of ENR
F .._..
NCDENR ANNUAL NO EXPOSURE EXCLUSION SELF RE-CERTIFICAT ONNUV 0 3 2011
" �_0��-oF
E—RO-Mexr µo rr,e„Ati Resawc s NCGNE0000 Wlnstun-Salem
Regional office
Do not submit this form to DWQ unless requested.
For questions,please contact the DWQ Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY)
N C G N E 0 7 4 1 2 1 1 1 / 0 I 1 / 1 2 0 1 1
1) Has the facility name or owner changed? ❑ Yes ® No
(if yes, please submit a separate Name/Ownership Change Form to DWQ located at
http://porLal.ncdenr,org/web/wq/ws/su/npdessw#Application_Forms_NPDES)
2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where [:] Yes ® 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 ® No
d. Material handling equipment(except adequately maintained vehicles) ❑ Yes ® No
e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ® No
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
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes ® No
j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes ® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No
otherwise regulated (i.e., under an air quality control permit)and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored [:] Yes ® No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SWU-NESR-29Ju12010

NCGNE0000 No Exposure Self Re-Certification
m�'Tor any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No
`§toyed outside, has the facility had any releases in the past three (3)years?
r3) Above Ground Storage Tanks (ASTs): If you answer"No"to any of the following items,you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit1rom DWQ.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑Yes❑ No ® NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑Yes❑ No ® NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
4) Secondary Containment: If you answer"No"to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must Immediately apply for a permit from DWQ.
a. Is secondary containment provided for all single above ground storage ❑Yes❑ No ® NIA
containers (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 ® NIA
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 ® NIA
Amendments and Reauthorization Act(SARA)water priority chemicals*?
d. Is secondary containment provided for hazardous substances"'designated in 40 ❑Yes❑ No ® NIA
CFR§116?
e. Are release valves on all secondary containment structures locked? ❑Yes❑ No ® NIA
Footnotes to Questions 4)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 ill 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.
5) Other information: If you answer"Yes"to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion. Please contact the Division if this is the case.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ® Yes ❑ No
b. Does your facility have coal piles on site? ❑ Yes ® No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ®No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity(e.g., ❑ Yes 0 No
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:
Page 2of3
SWU-NESR-29Jul2010

NCGNE0000 No Exposure Self Re-Certification
6) Certification:
certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of"no
exposure" and obtaining/maintaining 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 annually self re-certify No Exposure and, if requested, submit this re-certification to
DWQ or 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. Additiohally, 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 provided. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for providing false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing:
Title: 1=Nyiigs Qm =kri 4d_ -REP E0SF-Al TA l IVY
!f al 1
(Sig Lure (Date Signed)
Please note: The Regional Office may 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).
This completed form must be kept on file at the facility for at least 5 years. Do not submit this
form to DWQ unless requested.
Page 3 of 3
SWU-NESR-29Ju12010

�,wffns

;A
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 11, 2011
Mr. Denny Boice
B/E Aerospace
2599 Empire Drive
Winston-Salem, NC 27103
Subject: No-Exposure Certification NCGNE0742
B/E Aerospace,West Point Facility
2599 Empire Drive, Winston-Salem, NC 27103
Forsyth County
Dear Mr. Boice:
The Division has reviewed your submittal of the No-Exposure Certification form for exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no-exposure at the above referenced facility, and a site visit
conducted by Mr. Ron Boone of the Winston-Salem Regional Office, the Division is granting your conditional exclusion from
stormwater permitting as provided for under 40 CFR 122.26(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. Failure to obtain a No-
Exposure exclusion could also subject you to enforcement for an unpermitted stormwater discharge.
You must self re-certify your No-Exposure status annually using the included form or obtain NPDES permit coverage for
any stormwater discharges from your facility. The annual self re-certification does not need to be submitted to DWQ
unless requested. Please note that 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 Mr. Boone at [phone] or by email at
[e-mail].
Sincerely,
—
-To Coleen W. Sullins
cc: Stormwa ertert Pefmitting'Unit-Noz Exposure-Files-(Cory Larsen)) tr X
Fran McPherson, Budget Office
Stormwater Permitting Unit Q °�
ryaR�- Ptie6 x
Narth Carolina Division of Water Quality,Winston-Salem Regional.Office
Location:585 Waughtown St.Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone] Customer Service:1-877-M-6748 Nor hCaroiina
Internet:www.nmvaterquality.org Naturally
An Equal Opportunity 1 Affirmative Action Employer

1
J
Compliance Inspection Report
Permit: NCGNE0742 Effective: 01/11/11 Expiration: Owner: Denny Boice Environmental Representative
SOC: Effective: Expiration: Facility: BIE Aerospace-West Point Facility
County: Forsyth 2599 Empire Or
Region: Winston-Salem
Winston Salem NC 27103
Contact Person: Denny Boice Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 11/04/2010 Entry Time: 09:00 AM Exit Time: 09:30 AM
Primary Inspector: Ron Boone Phone: [phone]
Secondary Inspector(s): 4-z�1.? Ext.2202
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant 0 Not Compliant
Question Areas:
®Miscellaneous Questions Z Misc
(See attachment summary)
Page: 1

Permit: NCGNE0742 Owner-Facility: Denny Boice Environmental Representative
Inspection Date: t 1/04/2010 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Inspection conducted for approval of no exposure certification application. Application approved.
Mise Yes No NA NE
Is the facility compliant? S 0 n I_l
Comment: Inspection conducted for approval of no exposure certification application.
Application approved.
Page: 2

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 11, 2011
Mr. Denny Boice
B/E Aerospace
2599 Empire Drive
Winston-Salem, NC 27103
Subject: No-Exposure Certification NCGNE0742
B/E Aerospace, West Point Facility
2599 Empire Drive, Winston-Salem, NC 27103
Forsyth County
Dear Mr. Boice:
The Division has reviewed your submittal of the No-Exposure Certification form for exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no-exposure at the above referenced facility, and a site visit
conducted by Mr. Ron Boone of the Winston-Salem Regional Office, the Division is granting your conditional exclusion from
stormwater permitting as provided for under 40 CFR 122.26(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. Failure to obtain a No-
Exposure exclusion could also subject you to enforcement for an unpermitted stormwater discharge.
You must self re-certify your No-Exposure status annually using the included form or obtain NPDES permit coverage for
any stormwater discharges from your facility. The annual self re-certification does not need to be submitted to DWQ
unless requested. Please note that 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 Mr. Boone at(336) 771-5000 or by email at
[e-mail].
Since eIy,
or�een M. Sullins
cc: Stormwater Permitting Unit No- Exposure Files (Cory Larsen)
Fran McPherson, Budget Office
Stormwater Permitting Unit
North Carolina Division of Water Quality,Winston-Salem Regional Office
Location:585 Waughtown St.Winston-Salem,North Carolina 27107 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet:www.ncwaterquality,org ;Vatura//y
1 An Equal Opportunity L Affirmative Action Employer

r
Compliance Inspection Report
Permit: NCGNE0742 Effective: 01/11/11 Expiration: Owner: Denny Boice Environmental Representative
SOC: Effective: Expiration: Facility: B/E Aerospace-West Point Facility
County: Forsyth 2599 Empire Dr
Region: Winston-Salem
Winston Salem NC 27103
Contact Person: Denny Boice Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 11/0412010 Entry Time: 09:00 AM Exit Time: 09:30 AM
' 4
Primary Inspector: Ron Boone l Phone: [phone]
Ext.2202
Secondary Inspector(s): � %� / I
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant ❑ Not Compliant
Question Areas:
®Miscellaneous Questions ®Misc
(See attachment summary)
Page: 1
1

i.
}
Permit: NCGNE0742 Owner'-Facility: Denny Boice Environmental Representative
Inspection pate: 11/04/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Inspection conducted for approval of no exposure certification application. Application approved.
Misc Yes No NA NE
Is the facility compliant? ■ ri Q n
Comment: Inspection conducted for approval of no exposure certification application.
Application approved.
i
Page: 2

'1011212 0:07 PM
FOR AGENCY USE ONLY
.,�,.,� �� •� - .�_-._. ...� �....,... -_ . .. ._ Date Received
""
Division of Water Quality 1 Surface Water Protection Year I �fornth Day
NCDENRNational Pollutant Discharge Elimination System Certificate ofCowraee
NO EXPOSURE CERTIFICATION for Exclusion T E
rHr.{1'Y+r•.F,T aNr+NSiYW.Rf4J:'iGFA
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 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.
For permitted facilities in North Carolina, DWQ must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
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 facgtty 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 self re-certify our No Exposure Exclusion annuall .
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 Denny Boice Environmental Representative
Contact Denny Boice
Street Address 2599 Empire Drive
City Winston-Salem - State NC ZIP Code 27103
Telephone NO. 336 776-2513 Fax: 336 776-3550
Email [e-mail] :ER
]2D ,,,--�i��l{jTVRECEIVED
N,C.I]errt,cf 5NR DEC 010Page 1of �DEC 17 20�0 JDENR-WUALETYSWU-NE-12Aug2010 Regional C-' OkNT SB1�AP .H
P1

'10/12/2 0:16 PM
NCGNEOU00 No Exposure Certification
2) Location of facility producing discharge:
Facility Name $/E Aerospace West Point Facility
Facility Contact Denny Boice Environmental Representative
Facility Street Address 2599 Empire Drive
City Winston-Salem State NC ZIP Code 27103
County Forsyth _
Telephone No. 336 776-3500 Fax: 336 776-3550
Email [e-mail]
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). Stratford road south past I40 turn right on
Kimwell drive to Empire Drive (right) to 2599 Empire Drive
(A copy of a map with the facility clearly located on it should be included with the certification application.)
4) Is the facility located on Native American Lands?❑ Yes ® No
5) Is this a Federal facility? ❑ Yes EI No
6) Latitude N 36 deg 02.425' Longitude W 080 deg 19.294(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
2!l Existing Date operation began November, 2008
❑ 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?
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: z s 3 1
10) Provide a brief description'of the types of industrial activities and products produced at this facility:
Airline seating assembly (only) facility
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
ixl No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
Page 2of7
SWU-NE-12Aug2o10
-. P1

'1011212 0:07 PM
— NCGNE0000 No Exposure Certification'"
Fxposure 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 Q 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 0 Yes 12 No
c. Materials or products from past industrial activity ❑ Yes ® No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ® No
e. Materials or products during loading/unloading or transporting activities ED Yes ® No
f. Materials or products stored outdoors (except final products intended for outside ❑Yes ® No
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
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by 0 Yes ll No
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes In No
j. Application or disposal of process wastewater (unless otherwise permitted) o Yes ® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes El No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes . ® No
(i.e., not closed and stored upside down to prevent precipitation-accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No IN NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes [-] No ® NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SW U-N E-12Aug2010
P3

'10/12/2 0:07 PM
NCGNE0000 No Exposure Certi#icatiorti
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 all single above ground storage ❑ Yes ❑ No (�3 NIA
containers (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 NIA
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 ® NIA
Amendments and Reauthorization Act(SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40 ❑ Yes ❑ No ® NIA
CFR §116?
e. Are release valves on all secondary containment structures locked? ❑ Yes C1 No ® NIA
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 IN No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/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 §117-3.
Page 4 of 7
SWU-NE-12Aug2o10
P4

'10/12/2 0:07 PM
NCGNE0000 No Exposure Certification
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? ❑ Yes ❑ No
b. Does your facility have coal piles on site? ❑ Yes ® No
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes 13 No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes M No
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 Duality 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.):
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Page 5of7
SWU-NE-12Aug201 U
P5

'10/1212 0:07 PM -`
NCGNE0000 No Exposure Certification
17) 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 allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to annually self re-certify No Exposure and, if requested, submit the re-certification to
DWQ or 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: SIR }Cx�
e.
Qa J
I Z. oz,It o
(Signatur o App icant) (Date Si ned)
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 13(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
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10/12/2 0:07 PM
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 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:
Nffin ton15ole tom ' .,kR•
Asheville Office ...... [phone]
Fayetteville Office ... [phone] -i —` `l •gh r
Mooresville Office ... [phone] 4 �� � o•-f: '
Raleigh Office ........ [phone] �x ftic , tio. in
Washington Office ...[phone]
Wilmington Office ... [phone] -{� V
Winston-Salem ...... [phone] `� ctt� ll`
Central Office .........[phone] ` !�
Wil ngton
Page 7 of 7
SWU-NE-1 Mug2010
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 3, 2010
Mr. Phillip Powell
NC Central University
1801 Fayetteville St.
Durham,NC 27707
Ms. Linda Lamb
Kleinfelder Southeast, Inc.
3500 Gateway Centre Blvd.
Suite 200
Morrisville, NC 27560
Subject: Denial of No-Exposure Certification NCGNE0707
NC Central University
City of Durham
Durham County
Dear Mr. Powell:
The Raleigh Regional Office (RRO) of the Division of Water Quality has reviewed your submitted request for
a No Exposure Certification for Exclusion from NPDES Stormwater Permitting. RRO received this request
on July 14, 2010. The Division is unable to concur with your certification of no exposure.
Based on an inspection of your facility on August 31, 2010, Raleigh Regional Office staff found that several
materials on your site were exposed, along with the presence of a fueling pump station used for lawn mowers
that has the potential for a petroleum release. Therefore, DWQ cannot grant your requested exemption from
permit coverage. Instead, you are requested to apply for General Permit NCGO80000 for the Vehicle
Maintenance facility. Please see the enclosed application form. An electronic version is available at
http://portal.ncde ir.org/web/wq/ws/su/npdessw#tab-2 Scroll to NCG08 and the column for Notice_oLIntent--
F�
If you have any questions or need further information, please contact Myrl Nisely at (919) 791-'4? 0.
Sincerely,
coo 3:
z
a/2•� "J ` �C, d
for Colee . Sullins M
c-
Enclosure
cc.- Raleigh Regional Office File DWQ Central Files
Stormwater Permitting Unit Files
1(I I aru€Ina
North Carolina Division or Water Quality 1628 ylail Service Center Raleigh,NC 27699-1628 Phone(9 i9)791 200 Customer Service✓�llt!/IYl//!f
Internet: www.ncwaterqualiiy.org Location: 3800 Barrett Drive Raleigh,NC 27609 Fax [phone] 1-877-023-6748
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Past Consumer Paper