NCGNE1338_COMPLETE FILE - HISTORICAL_20190409

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V CCU NC 13-�)K
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 0 aol 9 OL4 O i
YYYYMMDD

ROY COOPER
4
Governor
MICHAEL S. REGAN
Secretary
Energy,Mineral S. DANIEL Inter PITH
tor
and Land Resources
ENVIRONMENTAL QUALITY
April 9, 2019
Cooper Wiring Devices, Incorporated.
Attention: Mr. Tyler Kiste
5910 Long Creek Drive
Charlotte,North Carolina 28269
Subject:No-Exposure Certification NCGNEl338
5910 Long Creek Drive
Charlotte, North Carolina 28269
Dear Mr. Kiste:
The Division of Energy, Mineral and Land Resources 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 the
inspection dated April 3, 2019, this Division is granting your conditional exclusion from
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. Otherwise, the discharge becomes subject to
enforcement as an unpennitted discharge.
You must self re-certify your No-Exposure status annually and the form can be downloaded by
visiting the following web page for the Division of Energy, Mineral and Land Resources
Siormwater Program:
h.ttp://portal.nedeti.r.org/web/ir/npdes-ston,nwater
The annual self re-certification does not need to be submitted to DEMLR unless requested. A
copy should be maintained in your file.
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.
State of North Carolina � Environmental Quality I Energy,Mineral and Land Resources
Mooresville Regional office 1 610 Fast Center Ave Ste 301 1 Mooresville,NC 28115
704 663 1699 T

` t
Cooper Wiring Devices, Incorporated
NCGNE1338
April 9, 2019
Page 2 of 2
If you have any questions or need further information, please contact Ms. Angela Lee at (704)
663-1699, or at [e-mail].
Sincerely,
Zahid S. Khan; CPM, CPE C, CPS WQ
Regional Engineer
Land Quality Section
AL
Enclosure: Inspection Report
c: Annette Lucas, Stormwater Permitting Program,No- Exposure Files NCGNE1338
k
t
3
1

Compliance InsRection Report
Permit: NCGNE1338 Effective: Expiration: Owner: Cooper Wiring Devices Inc
SOC: Effective: Expiration: Facility: Eaton RWDD
County: Mecklenburg 5910 Long Creek Dr
Region: Mooresville
Charlotte NC 28269
Contact Person: Tyler Kiste Title: Phone: [phone]
Directions to Facility:
From 1-77 south take a lef on Harris Blvd to Statesville Rd.(Hwy 21 BYP)take a right on Statesville Rd,approx one quarter of a mile
take left on to Long Creek Park Dr.Follow road through 4 way stop and turn right.Eaton is approx.200 yards on left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 04/03/2019 Entry Time: 09:20AM Exit Time: 09:50AM
Primary Inspector: Angela Y Lee Phone: [phone]
Secondary Inspector(s):
Matthew J Gigante
Reason for Inspection: Other Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
S Miscellaneous Questions
{See'attachment summary)
Page 1 of 3

i I
permit NCGNE1336 Owner-Facility:Cooper Wiring Devices Inc
Inspection Date: 04/03/2019 Inspection Type:Technical Assistance Reason for Visit: Other
Inspection Summary:
The site was inspected due to a request for a No Exposure certification. Per the inspection,it is found that the site qualifies
and is recommend to be granted the No Exposure Certification.
Page 2 of 3

CGt �$
JFORAOFVCY USE ONLY
Due Received
Division of Energy, Mineral and Land Resources Mantle a A� V-0Land Quality Section on 1 !vtNational Pollutant [discharge Elimination System ��`°"°f!°""'
8
NO EXPOSURE CERTIFICATION for Exclusion �y i �,
Environmental NCCNF,0000 RECE tIF'l
Quality
MAR 14 2019
National Pollutant Discharge Elimination System application for exclusion from ag%K•Po�Ipi d
on NO EXPOSURE: iNtM
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 ail
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, DEMLR 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 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(9).
If approved, your conditional No Exposure Exclusion has no expiration date
BUT MUST BE self re-certified at least annually.
Please look for information about re-certification under the No Exposure section on this,pogo:
htt s://de .ne. oviabouVdivisions/ener -mineral-land-resourcesJener -mineral-land- ermits/stormwater-
ggrmits/nodes-industrial-sw
For questions,please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator(address to which ill certification correspondence,will be mailed):
Name -6s w+-R'V50 C t V I , w l v' Deuf'Geg l,nc
Contact Tyler Kiste
Street Address 5910 Long Creek Park Drive suite S&W -TK 14 V—k S 'T,e (D, CoZ t�%, k"0V1.
City Charlotte State NC ZIP Code 28269
Telephone No. 704 499-5329 Fax:
� T� Ty1s,r o3�'L��2o19
Page I of 7
SWU-NCGNE Last revised 9128/2016

NCGNE0000 No Exposure Certification
2) , Location of facility producing discharge:
Facility Name Eaton RWDD
Facility Contact tytor Kisty
Street Address Salo Long Cree Park drive Suite S&W
City Charlotte State NC ZIP Code 28269
County Mecklenburg
Telephone No. 704 49M329 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). F—i-111"•°""��°'�°^"°^�6v stb..W .daf&Yxr ayP).mk°°Aehl
on Slateeville road,go Fpprox une quaner mile and Lake a to t unto Lvtg e<aek pork Nye.Fosow the road thrauo the 4 way swp a o turn dght Eaton Is ap=Xl 2W yards on the IM
(A copy of a map with the.facility clearly located on it should be included with the certification application.)
4) Is lire taullity located err Native Amedcan Lands?m Yes N No
5) Is this a.Federal facility? O Yea ®No �.
6) Latitude 35-19-58 Longitude 80-5-41 (deg., min.,seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
in New or Proposed Facility Date operation is to begin
in Existing Date operation began 1995
d Renewal of existing No Exposure Certification Certification No.: NLGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? C Yes o No
If yes,what is the NPDES Permit Number?NPDES 3510-11(see anad3ed submhston)
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: 5 0 6 3
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Eaton Charlotte is a distribution facility with small cackaciinc department. We distribute
mostly wall plates and outlets and conduct packaging and assembly the same„products.
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
o No
0 Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
Page 2 of 7
SWu-NCGNE Last revised 912812016

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 chock oithor"Yoe" or"No.") If you anewor"Yoe"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 13 Yes O No 0 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 p Yes p No G NIA
c. Materials or products from past industrial activity p Yes ® No 0 NIA
d. Material handling equipment(except adequately maintained vehicles) ©Yes ®No 0 NIA
e. Materials or products during loading/unloading or transporting activities 0 Yes B No ld N/A
f. Materials or products stored outdoors(except final products intended for outside ID Yes 0 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, El Yes ®No 13 NIA
tanks,and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained ©Yes 0 No 0 N/A
by lire discharger
I. Waste material(except waste in covered, non-leaking containers[e.g., 0 Yes ®No G NIA
dumpsters])
j. Application or disposal of process wastewater(unless otherwise permitted) ©Yes ® No 17 NIA
k_ Particulate matter or visible deposits of residuals from roof stacks and/or vents ©Yes p No El NIA
not otherwise regulated (i.e., under an air quality control permit)and evident in the
stormwater outflow
L Empty containers that previously contained materials that are not properly stored M Yes In No ❑ NIA
(i.o•, not ol000d and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels,tanks, and similar containers E3 Yes ®No 0 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 El Yes 0 No M 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?
14) Secondary Containment: If you answer"No"to any of the following items,you are not eligible for the
no exposure exclusion.
Page 3of7
SWU-NCGNE Last revised 9/2812016

NCGNE0000 No Exposure Certification
a. Is secondary containment provided for single above ground storage containers E]Yes © No ® NIA
(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 E] 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 E3Yes i7 No ® N/A
Amendments and Reauthorization Act(SARA)water priority chemicals*?
d. Is secondary containment provided for hazardous substances`*designated in Ej Yes p No 0 NIA
40 CFR§116?
e.Are release valves on all secondary containment structures locked? [3 Yes G No IJ NIA
15) 1 lazerdous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? OYes a-No ® NIA
b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous in Yes 13 No O NIA
waste generated per month)of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ®Yes ® No 13 NIA
generated per month)of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s)of
waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport I disposal
vendor:
Vendor address:
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.
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.
Page 4 of 7
SWU-NCGNE last revised 912812016

NCGNE0000 No Exposure Certification
a. Roes your faciltty store used,.recycled, or otherwise reclaimed pallets outside? ©Yes ®No o N/A
b. Does your facility have coal piles on site? p Yes ® No ® 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., ri Yes ® No in 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 G Yes C No © NIA
Permit? Please specify:
r. Pleaar►list any other anvironmental prograrn porrnits (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 5 of 7
SVVU-NCGNE Last revised 0/28/2016

NCGNE0000 No Exposure Certification
17) Certification:
1 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)).
1 understand that I am obligated to maintain no exposure conditions and complete a Self-Recertification form at least once
each year, and if requested,provide this certification 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
Energy. Mineral,and Land Resources, 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. {understand I
must keep a copy of annual re-certifications on file at the facility.
In the event that the site no longer qualifies for a No Exposure Exclusion,I understand that I must obtain coverage under
an NPUES pbrlrilt prior to atry pulril suurr u dischareu ut ti6irnwator-from 11io(acidly.Additionally, I(;ettlly wider petia4y ul
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: Tyler I iste
Title: Operations Manager
3 -; 1
turo ofAppli ant} (Date Signed)
Please note:This application for the No Exposure Exclusion is subject to approval by the NCDEQ
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]Commisslon Implementing this Article shall oe 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 6of7
S NU-NCGNE Last revised W26l2016

NCGNE0000 No.Exposure Certification
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
0 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 B.
Mail the entire package to:
DEMLR-Stormwater.Program
Dept_ of Environmental Quality
'1612 Mall Service Center
Raleigh, North Carolina 2,7699-1612
Note
The submission of this document does not guarantee the Issuance of a No Exposure Exclusion.
For questions,please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office .._ [phone]
Mooresville Office --- [phone]
Raleigh Office ........ [phone]
Washington Office
.(25 2)94676481
Wilmington C e ... (20) r
e
796-7215
Winston-Salem ...... 336 776-9800
Central Office ...-.---.[phone]
Page 7 of 7
SWU-NCGNE Last revised 912812016

Biron, Sher
From: Biron,Sherry
Seat: Thursday, March 7, 2019 9:1 S AM
To: Biron,Sherry
Subject: Sent from Snipoing Tool
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https,fiwww.google.com/maps/plaGe1591 G+Lon +Creek+Park++r,+Charlotte +NC+282691a'_35-3363239
80,8493704,6832m/data=!3m1!1 e3!4m5!3m4!1 sOx8856a715fee73519:Ox2ebe8fO465359c84!8m2!3d35.3276406!4d-80.8374457

Eaton Charlotte RWDD provided this notification to EPA in 2015, but we have not located a copy in your
records of any forms submitted to NC,so we are providing the NC forms now.

t
NPDES UkITED STATES ENVIRONMENTAL PROTECTION AGENCY Form Approved
FORM WASHINGTON,DC 20460 OME No,2040-0211
3510-11 `�A EPA NO Ex O81JRs CERTIFICATION FOR FXCLUS1014 FROM NPDES STORMWATER
PEWATTING
Submission of this No Exposure Certification constitutes notice that the entity identified In Section A does not require permit authorization for Its
stormwater discharges associated with indurWal activity In the State Idengflod In Section B under Et A's Stormwater Mold Sector General Permit
due to the existence of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to
prevent exposure to rain,snow,snowmen,andlor runoff.Industrial materials or activitles Include,but are not Elm€tod to,material handling equipment
or acWtles,industrial machinery,raw materials, intermediato products,by-products,final products,or waste products.Material handling activitles
include the storage,loading and unloading,transportation,or conveyance of any raw material,Intermediate product,final product or waste product,
A storm resistant shelter to not required for the fallowing Industrial materials and activities:
— drums,basis,tanks,and similar containers that are tightly scaled,provided those containers are not doteriorated and do not leak.'Sealed'
means banded or otherwise socured and without operational taps or valves;
— adequately,meinlained vehicles used in material handling;and
i
— final products,other than products that would be mobilized In sto(mwater discharges(e.g.,rock salt).
A Nn Expnsum('erllfiration must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES
permitting is available an a facility-mAde basis only,not for Individual outialls, If any Industrial activities or materials are or will be exposed to
preclpilaltbu,lira faekilly li rot aIIgIble IUr the nil wiposum imdusloh.
By signing and submitting this No Exposure Certification form,the entity in 5eclion A is certifying that a wridilion of no exposure exists at its facility
or site,and is obligated to comply with the terms and conditions of 40 CFR 122.260)_
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detaltod Instructions for completing this form and obtaining the no exposure exclusion are provided on pages S and 4.
A,Facility Operator Information
t
Name. OIA1gIl)I�� 1LIUIC�14161 1516101d�,C zl lI. I I l 1 1 2.Phone:
3.Email: II�lttl�l�l�l'�ul�lf�lt+�lole> I�lo�rillld l u l l
f
4,Mailing Address: a.Street fi D N R }� p R{( Q
b.City: c.State d.ZIp Cade: a
1c1�I��lL1aL� ll_LI_LL_1.1.1_�_1111 L Asll"-LLLIJ
B.Facilityl91te Location Information
1.Facility Name:
2.a.Street Address: �1�1)1N Idol/Old JCJCJFlJl MAIR14 kpl-04 Wul:dN4 Isl�l '
!
b.City: 1c1 ff 1 Al QI L 1 I0I±ICI 1. 1 1 1 111 1 1, 1 1 ILI c.County: K GH v
r
I
d.State: a.ZIP Code: l�l g lal l l-1 1 I
3.1s the facility located an Indian Lands? ❑YES NO j
4.Is this a Federal facility? ❑Y[S ®NO }
5.a.Latitude: M*1 1 I F 1`&. b.Longitude: L_0`1 w1`jqj 11, I
i
6.a.Was the facility or site previously covered under an NPDES storrnwater permll7 ❑YES 2g NO
b.if yes,enter NPDES permit number or tracking number:
7.SICIAcdvlfy Codas: Primary:' Secondary
I1 {wQ!}I�� (!f applicable):
8.Total size of site associated with industrial activity: acres /
/ri0 OV145g'�f_ pPtQq�:oirg 4.t'ASt�O tflCY�i��
8.a.Have you paved or roofed over a formerly exposed,pervious area in order to qualify for the no exposure exclusion?. ❑YES ❑NO j
b.If yes,please Indicate approximately how much area was paved or roofed over.Completing this question does not disqualify you for the no I
exposure exclusion.However,your permitting authority may use this information In considering whether stormwaler discharges from your site ;
are likely to have an adverse Impact on water quality,In which rasa you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than mm acres ❑
EPA Form 3510-11 (09-08) Page 1 of 4
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C. Exposuro Checklist
Are any of the following materials or activities exposed to precipitation,now or in the foreseeable future?
(Please check either"Yes"or"No"in the appropriate box.)It you answer"Yoe"to any of these questions t
(1)through(11),you are ttpt eligible for the no exposure exclusion. } Yes No
1.Using,stor-mg or cleaning industrial machinery or equipment,and areas where residuals from using,storing or cleaning ❑ 1 +
Industrial machinery or equipment remain and are exposed to stounwalet
{
2.Materials or residuals on the ground or in stormwater inlets from spillslleom
i
3.Materials or products hem past Industrial activity 13
i
4.Material handling equipment(except adequately maintained vehicles) ❑
5.Materials or products during loadinglunluading or transporting activities ® !
6.Materials or products stored outdoors(except final products Intended for outside use(e.g.,new cars)where ❑ L
exposure to stcrmwater does nol result In the discharge of pollutants)
7.Materials contained in open,deteriorated or looking aforago drums,barrels,tanks,and similar containers n
d.Materiale or products Iiandledfafoiad uii ivads ui ialiways owitod or mandairred try Ilia dierharger n
1 Waste material{except waste In covered,non leaking containers[e.g.,dumpstorsl)
10.Application or disposal of process wastewater(unless otherwise permitted) 4
11.Particulate matter or visible deposits of reslduab from roof stacks and/or vents not otherwise regulated
(i.e.,under an air quality control permit)and evident In the stormwater outflow
D.Cerdfiaation Statement i
I certify under penalty of law that t have read and understand the eligibility requirements for claiming a condition of-no exposure'and obtainlno
an exduslon from NPDES stormwater pefmltting•
I certify under penalty of law that Urere are no discharges of stormwater contaminated by exposure to industrial activities or materials from the i
industrial facility or alto identified in this document(except as allowed under 40 CFR 122.26(g)(2)), t
I understand that I am obligated to submit a no exposure certification farm once every fare years to the NPDES permitting authority and, If
requested, to the operator of the local municipal separate storm sower system (MS4)into which the facility discharges (where applicable), 1
understand that t must allow the NPDES permitting autliodly,of 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.t understand that I must obtain
coverage under an NPDES permit prior to any point source discharge of stormwater from the fact€ity.
Additionally.I certify under penalty of law that this document and all attachments were prepared under my direction or superviston 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 sysfam,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.
Print Name: WAA)Idd ILIO�gAWO I IAWCINIEJ� I I I I I, I I I I I I
Nrint•itle: IpI �IcI�Ial !nlxlsl�-Ir�l l��l�I=I� IdPI IRI�L d _LI
1
signature:
0—U6 � t
t
Date: !I 1 0
MeII Day Year
Email:
i
EPA Form 3510-11 (09-00) Page 2 of 4
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Instructions for the NO EXPOSURE CERTIFICATION for Excluelon from NPOES Stormwater Permitting
Who May File a No Exposure Certification Section B.FacllltylSito Location Information
i
Federal taw at 40 CFR Part 122.26 prohibits point source 1. Enter the official or legal name of the facility or site,
discharges of stormwater associated with Industrial activity to waters
of the U.S. without a National Pollutant Discharge Elimination 2, Enter the complete street address(if no street address exists,
System (NPDES)permit. However, NPOES permit coverage Is not provide a geographic description[e.g., Intersection of Routes 9
required for discharges of stormwater associated with iNustriai and 55)),city, county,state, and zip code. Do not use a P.O.
activities Identified at 40CFR 122-26(b)(14)(€)-(lx) and (xi) if the Box number.
discharger can certify that a condition of"no exposure'exists at the #
industrial facility or site. 3. Indicate whether the facility is located on Indian Lands. i
I
Stormwoter discharges from construction activities identified in 4. Indicate whether the Industrial facility is operated by a
40 CFR 122.26(b)(14)(x) and (b)(15) are not eligible for the no department or agency of the Federal Government (see also I
exposure ex(;lusiur1. Section 313 of the Cloan Water Act)
Obtaining and Maintaining the No Exposure Exclusion 5. Enter the latitude and longitude of the approximate center of I
the facility or site in degroo slminutesleaconds. Latitude and
longitude can he obtained from United Slates Aeologirxl
f lsl3 loon is coact to etrttfy that a rurrddlurr of uu b,cpaaurd t,xiats id longitude
(USGS) quadrangle or topographte maps, by calling
the indusirlat facility ur stlo daauihed herelit.This cerlirrr:atiu€i ib urlly 1-{688} ASK-USGS, or by accessing the Census Bureau at,
apphcobto in )urisdict€ens where EPA Is the NPOES permitting
authority and must be to-submitted at least once every five years. +nnnnv.census. rnrl I-bin aze er
The industrial facility.operator must maintain a condition of no latitude and longitude for a facility In decimal form must be
exposure at As facility or site in order for the no exposure exclusion contested to degrees minutes('},and seconds far proper
to remain applicable.If conditions change resulting in the exposure entry an the certification farm. To convert decimall latitude of materials and acthritias to stormwater, the facility operator must longitude to degrees/minutesJseconds, follow the steps in theo
following example.
obtain coverago under an NPDES stormwater permit immediately.
ExattlA[a: Convert decimal latitude 45.1234567 to degrees('),
Where to File the No Exposure Certification Form minutes('),and seconds C).
No Fxpucuru Forma actor rdguiar mull: rwrris swil uvunilylrUr,rt,raa6: a)Tiw nuinbbrb to llib left of tlw docisnul polut aru IIL6 d8946eb:
45'.
SW No Exposure Ceriiricallon(4203M) SW No Exposure Certification
USEPA US EPA East Buitding,Rrn.7420 b)To obtain minutes,multiply the first four numbers to the right
1200 Pennsylvania Avenue,NW 1201 ConstiluCon Avenue,NW of the decimal point by 0.006;1234 x O.006=T404.
Washington,O.C.20460 Washington,D.C.201)04
[phone] c)The numbers to the left of the decimal point in the result
obtained in(b)are the minutes:7'.
Completing the Form d)To obtain seconds, multiply the remaining three numbers to
You MyN type or print,using uppercase fetters,In appropriate areas the right of the decimal from the result obtained in (b) by
only. Enter only one character per space(Le.,between the masks). 0.06:404 x 0.06=24.24,Since the numbers to the right of
Abbreviate if necessary to stay within the number of characters the decimal point are not used,the result Is 24".
allowed for each item, Use one space for breaks between words. e)The conversion for 45.1234567=45'7'24".
One form must be completed for each facility or site for which you
are seeking.Ao certify a condition of no exposure. Additional 6. Indicate whether the-facitiity was previously covered under an
guidance on completing this form can be accessed at EPA's NPDFS stormwater permit If so, include the permit number or
webslte: +��vw.egayovinpdeslslurrssw3tor. ]'lease make surd you permit tracking number,
have addressed all applicable questions and have made a ,
photocopy for your records before sending the completed form to 7. Enter the 4-digit SIC code which identifies the facility's primary I
the above address, activity and second 4-digit SIC code identifying she facility's I
secondary activity, if applicable, SIC codes can be obtained
Section A.Facility Operator Information from the Standard tftduatijal ClagaifigatiQn , 19a7.
1. Provide the legal name of the person,firm,public organization,or 8. Enter the total size of the s€le associated with industrial activity
any other entity dial operates the facility or site described In this In acres. Acreage may be determined by dividing square I
certification. The name of the operator may or may not be the footage by 43,560,as demonstrated In the following example.
same as the name of the facility.The operator is the legal entity '
that controls the facility's operation, rather than the plant or site Exa :Convert 54,450 fe to aces
manager.
Divide 54,450 fe by 43,450 square feet per acre: _
2. Provide the telephone number of the facility operator. 54,450 If•43.560 ftzlacre=1.25 acres.
3. Provide the email address of the facillty operator. 9. Check"Yes'or'No"as appropriate to indicate whether you have
paved or roofed over a formerly exposed, pervious area (i.e.,
4, Provide the mailing address of the operator(P.O, Box numbers lawn, meadow,dirt or gravel roadlparking lot)in older to qualify
may be used). Include the city, state, and zip code- All for no exposure. If yes, also indicate approxkmately how much I
correspondence will be sent to this address, area was paved or roofed over and is now impervious area,
EPA Form 3510-11 (OMS) Page 3 of 4

Instructions for the NO EXPOSURE CERTIFICATION for Exclusion from NPDES Stormwater Permitting
Section C.Exposure Checklist application requirements; and where authority to sign l
documents has been assigned or delegated to the
Clhedc "Yes' ur "No" as appropriate to describe the exposure manager In accordance with corporate procedures;
condition at your facility. If you answer "Yea" to .ANY of the For a partnership or site proprietorship;by a general partner
questions(1)through (11)in this section, a potential for exposure or the proprietor,or
exists at your site and you cannot certify to a conditlon of no
exposure. You must obtain (or already have)coverage under an
NPDES stommater permit. After obtaining permit coverage, you For a municipal, State, Federal, or other public facility: 6y
either a principal executive or ranking elected official
can institute modifications 10 eliminate the potential for a discharge
of stormwater exposed to industrial activity, and then certify to a
condition of no exposure. Paperwork Reduction Act Notice
Public reporting burden for this cenlficatton Is estimated to average I
Section D.Certification Statement 1.0 hour per certification, Including time for reviewing Instructions,
Federal statutes provide for severe penalties for submitting false searching existing data sources, gathering and maintaining the f
Information on this application form. Federal regulations require data needed, and completing and reviewing the collection of i
this appllaatlon to he siynud an fulluwr: Information. Burden means the total time, effort, .or financial i
resources expended by persons to generate, maintain, retain, or
Far A r:,",ratinn by a rartpvnsibie aarperate officer, whinh disclose to provide information to or for a Federal agency. This
moons:
Includes the time needed to review instructions:develop, acquire, i
Install, and utilize technology and systems for the purposes of
(i) president, secretary,treasurer,or vice-president of the collecting, validating, and verifying tnfuuriatlun, processing and
corporation in charge of a principal business function, maintaining information, and disclosing and providing information;
or any other person who performs similar policy or adjust the existing ways to comply with any prevto0sty applicable
decision making functions for the corporation,or instructions and requirements; train personnel to be able to
respond to a collection of Information; search data sources;
(10 the manager of one or more manufacturing,production, complete and review the collection of information; and transmit or i
or operating feed€8es, provided the manager is otherwise disclose the information.An agency may not conduct or
authorized to make management decisions which sponsor,and a person is not required to respond to,a collection of
govern the operation of the regulated facility including information unless it displays a currenlly valid OMB control number.
having the explicit or Implicit duty of making major Send comments regarding the burden estimate, any other aspect
capital investment recommendations,and initiating and of the collection of information, or suggestions for improving this
directing other comprehensive measures to assure long form,including any suggestions whk h may inuwtsse or reduce t)ls
term environmental compliance with environmental laws burden to: Director,OPPE Regulatory Information Division(2137),
and regulations; the manager can ensure that the USEPA, 401 M Street, SW,Washington, l].C. 20460, Include the
necessary systems are established or actions taken to OMS control number of this form on any correspondence. Do not
gather complete and accurate Informatlon for permit send the completed No Exposure Certification form to this address. I
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EPA Forum 3510-14 (D9-08) rage 4 of 4 i

North Carolina Secretary of State Search Results Pagc i of I
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing• Order a Document Online•Add Entity to My Email
Notification List•View Filings• Print a Pre-Populated Annual Report form Print an Amended a Annual Report form
Business Corporation
Legal Name
Cooper Wiring Devices, Inc,
Prev Legal Name
'.e
Eagle Electric Manufacturing Co., Inc.
Information'
Sosld: 0094130
Status: Current-Active
Animal Repuit 5talus. Cumaiii
Citizenship: Foreign
Date Formed: 12/17/1984
Fiscat Month: December
State of Incorporation:
NY
Registered Agent: CT Corporation System
Addresses
Mailing Principal Office Reg Office Reg Mailing
1000 Eaton Blvd. 1000 Eaton Blvd. 160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Cleveland, OH 44122-6058 Cleveland, OH 44122-6058 Raleigh, NG 27615-6417 Raleigh, NC 27615-6417
Officers
President Vice President Treasurer General Counsel
REVAITHI, ADVAITHI RICHARD H FEARON TRENT M MEYERHOEFER_ HEATH B MONESMITH
1000 Eaton Blvd 1000 EATON BLVD 1000 EATON BLVD 1000 EATON BLVD
Cleveland OH 44122 CLEVELAND OH 44122 CLEVELAND OH 44122 CLEVELAND OH 44122
ControLler Assistant Secretary Secretary
KEN D SEMELSBERGER TARAS G SZMAGALA LIZBETH L WRIGHT
1000 EATON BLVD. 1000 EATON BLVD. 1000 EATON BLVD
CLEVELAND OH 44122 CLEVELAND OH 44122 CLEVELAND OH 44122
Stock
Class: 99 uC[:CCRT
Shares: 0
Par Value 0
https://ww%v.sosiic.gov/oiiliiie-services/searclt/Busiiiess Registration Results 3/27/2019