NCG030677_COMPLETE FILE - HISTORICAL_20161104

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
/HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Energgy. ,44lneral
and W nd Resources
Stephanie Daugherty
Southeastern Tool and Die
105 Taylor Street
Aberdeen, NC 28315
Dear Ms. Daugherty:
PAT MCCRORY
DONALD R. VAN DER VAART
SCC Wt:a
TRACY D-AVIS
November 4. 2016
Subject: General Permit No. NCG030000
Southeastern Tool.and Die
COC NCG030677
Moore County
in accordance with your application for a discharge permit received on October 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 1.43-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage. Also, your NOI application for a No Exposure permit has been
denied due to the observed exposure of equipment, scrap and other racks of materials.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, -Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely.
for Tracy E. Davis., P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Files
State of North Carolina i Environmental Qualitp Energy, Mineral and Land Resources
1612 Mail Scnice Center lj 512 North Salisbury Sireet . Raleigh. NC 27699-1612
919 707 9200 T

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Southeasternse ` • Die
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NCG030677 Southeastern Tool and Die
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Latitude: 351 08' 04" N
W ' ' E Longitude: -790 26' 09" W
County: Moore
S ' Receiving Stream: Aberdeen Creek
Stream Class: C
Map Scale 1:24,000 Index Number: 14-2-11-(6) (Lumber Basin)
'ZYti1 .
Facility Location
J

Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITV
Stephanie Daugherty
Southern Tool and Die
105 Taylor Street
Aberdeen, NC 28315
Dear Ms. Daugherty:
November 4, 2016
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
NOV 1 6 2016
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG030000
Southern Tool and Die
COC NCG030677
Moore County
In accordance with your application for a discharge permit received on October 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may._require modification or revocation and
reissuance of the certificate of coverage. Also; your NOI application_for_a N -Exposurepermit has bee f
Cdenied-due,to-the observed_exposure of equipment; scrap and other_racks of maferia
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
ORIGINAL SIGNED BY
MICHEAL F RANDALL
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

r
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030677
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Southern Tool and Die
is hereby authorized to discharge stormwater from a facility located at
Southern Tool and Die
105 Taylor Street
Aberdeen
Moore County
to receiving waters designated as Aberdeen Creek, a class C water in the Lumber Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective November 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 4, 2016.
NOMINAL SIGNED
MICHEAL F RANDALL
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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Southern Too[ And Die,,
NCG030677
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Map Scale 1:24,000
Southern Tool and Die
Latitude: 351 08' 04" N
Longitude: -790 26' 09" W
County: Moore
Receiving Stream: Aberdeen Creek
Stream Class: C
Index Number: 14-2-11-(6) (Lumber Basin)
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f:t�11
Facility Location

Central Files: APS _ SWP _
11 /4/2016
Permit Number NCG030677 Permit Tracking Slip
Program Category
Status
Project Type
NPDES SW
Active
New Project
Permit Type
Version
Permit Classification
Metal Fabrication Stormwater Discharge COC
1.00
COC
Primary Reviewer
Permit Contact
Affiliation
rick.riddle
G" E I V ®
Coastal SWRule
NOV 0 4 2016
Permitted Flow
CENTRAL FILES
DWR SECTION
Facility
Facility Name
Southeastern Tool and Die
Location Address
105 Taylor St
Major/Minor Region
Minor Fayetteville
County
Moore
Facility Contact Affiliation
Aberdeen NC 28315
Stephanie Daugherty
105 Taylor St
Owner
Aberdeen NC 28315
Owner Name
Owner Type
Southeastern Tool and Die
Non -Government
Owner Affiliation
Stephanie Daugherty
105 Taylor St
Dates/Events Aberdeen NC 28315
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
11 /4/2016 10/19/2016 11 /4/2016 11 /4/2016 10/31 /2017
Regulated Activities Requested /Received Events
Metal products manufacture RO staff report received 11/1/16
RO staff report requested
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Aberdeen Creek 14-2-11-(6) C 03-07-50

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Stephanie Daugherty
Southern Tool and Die
105 Taylor Street
Aberdeen, NC 28315
Dear Ms. Daugherty:
November 4, 2016
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG030000
Southern Tool and Die
COC NCG030677
Moore County
In accordance with your application for a discharge permit received on October 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage. Also, your NOI application for a No Exposure permit has been
denied due to the observed exposure of equipment, scrap and other racks of materials.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
;��4ii
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Files
State of North Carolina I Environmental Quality � Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030677
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Southern Tool and Die
is hereby authorized to discharge stormwater from a facility located at
Southern Tool and Die
105 Taylor Street
Aberdeen
Moore County
to receiving waters designated as Aberdeen Creek, a class C water in the Lumber Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective November 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 4, 2016.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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NCG030677 Southern Tool and Die
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.0 Latitude: 350 08' 04" N
W
E Longitude: -790 26'09" W
County: Moore
S Receiving Stream: Aberdeen Creek
Stream Class: C
Map Scale 1:24,000 Index Number: 14-2-11-(6) (Lumber Basin)
Facility Location

I
Division of Energy, Mineral and Land Resources
• a Land Quality Section
AM National Pollutant Discharge Elimination System
NCDENR
NORTH CAROLINA DEPARTMENTl� OF CG030000
ENVIRONMENT AND NATURAL RESOURCES
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate ofCovewize
N C GO 3
Check #
mou
ennit Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating V RECEI ED
SIC 34 Fabricated Metal Products f�
SIC 35 Industrial and Commercial Machinery OCT 19 2016
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment DENR-LAND QUALITY
SIC 38 Measuring, Analyzing, and Controlling Instruments STORMWATER PERMITTING
Ji l For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit
Name
Street Address
City State
Telephone No. 7% Fax:
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No. 7 Fax: _
Email S' / z ' e.CvM
3) Physical Location Information:
Please provide a narrative description of how to get to the fa�jility (use
distaQce and direction from a roadway intersection). a t.
ndence will be mail
ZIP Code
ZIP Code a, dK I,
names, state road numbers, and
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
C� � rr--77 / —U t 1 0 / U
4) Latitude 0 6 l Longitude l 64 U (deg, min, sec)
Page 1 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
I Existing
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: IL 3
7) Provide a brief narrative descri
this facility: Z2 Ci/l�/421
n of the types of industrial activities and products manufactured at
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? /
What is the name of the ody or bodies of ater (cr ek, stream, river, lake, etc.) that the facility stormwater
discharges end up in?
Receiving water classification:
Is this a 303(d) listed stream? Hasa TMDL been approved for this watershed?
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
-A No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
4 No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
4 No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
XNo ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
tip No ❑ Yes
Page 2 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
INo ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
f No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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:
15) Certification:
North Carolina General Statute 143-215.66 (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 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).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
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 true, complete, and accurate.
Printed Naf ie of Person Signing: %E
Title: 01
(Sign ture of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
Page 3 of 4
S W U-218-071408
Last revised 7/2/14

NCG030000 N.O.I.
Final Checklist
Th�ig application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDENR.
( This completed application and all supporting documents.
COY A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
9V/(f) impervious areas, (g) site property lines.
Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
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
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
i
Page 4 of 4
S W U-218-071408
Last revised 7/2/14

,.a
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Stephanie Daugherty
Southeastern Tool and Die
105 Taylor Street
Aberdeen, NC 28315
Dear Ms. Daugherty:
November 4, 2016
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG030000
Southeastern Tool and Die
COC NCG030677
Moore County
In accordance with your application for a discharge permit received on October 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage. Also, your NOI application for a No Exposure permit has been
denied due to the observed exposure of equipment, scrap and other racks of materials.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030677
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Southeastern Tool and Die
is hereby authorized to discharge stormwater from a facility located at
Southeastern Tool and Die
105 Taylor Street
Aberdeen
Moore County
to receiving waters designated as Aberdeen Creek, a class C water in the Lumber Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, Il, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective November 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 4, 2016.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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NCG030677 Southeastern Tool and Die
N
Latitude: 350 08' 04" N
W ' E Longitude: -790 26' 09" W
County: Moore
S ' Receiving Stream: Aberdeen Creek
Stream Class: C
Map Scale 1:24,000 Index Number: 14-2-11-(6) (Lumber Basin)
Facility Location

Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITV
Stephanie Daugherty
Southern Tool and Die
105 Taylor Street
Aberdeen, NC 28315
Dear Ms. Daugherty:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
November 4, 2016 TRACY DAVIS
Director
Subject: General Permit No. NCG030000
Southern Tool and Die
COC NCG030677
Moore County
In accordance with your application for a discharge permit received on October 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage. Also, your NOI application for a No Exposure permit has been
denied due to the observed exposure of equipment, scrap and other racks of materials.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
OMINAL SIGNED BV
MICHEAL F RANDALL
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030677
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Southern Tool and Die
is hereby authorized to discharge stormwater from a facility located at
Southern Tool and Die
105 Taylor Street
Aberdeen
Moore County
to receiving waters designated as Aberdeen Creek, a class C water in the Lumber Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective November 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 4, 2016. IG1WAL SIGNED j3y
MICHEAL F RANDALL
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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NCG030677
N
W E
S
Map Scale 1: 24, 000
Southern Tool and Die
Latitude: 350 08' 04" N
Longitude: -790 26' 09" W
County: Moore
Receiving Stream: 'Aberdeen Creek
Stream Class: C
Index Number: 14-2-11-(6) (Lumber Basin)
Facility Location

Riddle, Rick L
From: Lawyer, Mike
Sent: Friday, November 04, 2016 9:22 AM
To: Riddle, Rick L
Subject: Re: Southeastern Tool and Die - Aberdeen, NC
Hey Rick. Around the outside of the facility there was old equipment and racks of metal pipes/materials as well
as several large, uncovered dumpsters that contained various types of scrap metal.
Mike
Michael Lawyer, CPSWQ
Environmental Program Consultant
NCDEQ- Division of Energy, Mineral and Land Resources
Fayetteville Regional Office
P: [phone]
F: [phone]
e-mail: [e-mail]
*E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Riddle, Rick L
Sent: Friday, November 4, 2016 8:36:41 AM
To: Lawyer, Mike
Subject: RE: Southeastern Tool and Die - Aberdeen, NC
Mike,
Happy Friday!!
I was going to put some general language in the NCG03 permit for this company concerning the reason why they were
denied a NO Exposure permit. Can you give me just some basic reason that I can include?
Thanks
Richard L. Riddle, Jr.
Stormwater Engineer
Nothing Compares—,,,,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

We just received an application for coverage under NCG030000 from this facility. However, they also recently submitted
an application for No -Exposure (NCGNE1157). Are you familiar with the facility? There wasn't an inspection in BIMS for
the no -exposure so it doesn't appear that the region told them to apply for the NCG03. Just trying to figure out if we
need to move forward with the permit application or not?
So how are you guys holding up? Hope you didn't get impacted personally with all the flooding in your area.
Bradley Bennett
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: bradley.bennett(@ncdenr.gov
Web: http://portal.ncdenr.org/web/Ir/stormwater
Email correspondence to and from this address may be subject to public records laws

Lawyer, Mike
From:
Bennett, Bradley
Sent:
Friday, October 28, 2016 2:36 PM
To:
Lawyer, Mike
Cc:
Riddle, Rick L
Subject:
RE: Southeastern Tool and Die - Aberdeen, NC
Mike,
Got your voicemail on this one. Thanks for calling. We will move forward with issuing the permit and will try in the
permit letter to add language noting that the no -exposure request has been denied.
m
Bradley Bennett
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Web: hftp://portal.ncdenr.org/web/Ir/stormwater
Email correspondence to and from this address may be subject to public records laws
From: Bennett, Bradley
Sent: Friday, October 28, 2016 9:08 AM
To: Lawyer, Mike <[e-mail]>
Subject: Southeastern Tool and Die - Aberdeen, NC
Mike,
We just received an application for coverage under NCG030000 from this facility. However, they also recently submitted
an application for No -Exposure (NCGNE1157). Are you familiar with the facility? There wasn't an inspection in BIMS for
the no -exposure so it doesn't appear that the region told them to apply for the NCG03. Just trying to figure out if we
need to move forward with the permit application or not?
So how are you guys holding up? Hope you didn't get impacted personally with all the flooding in your area.
Bradley Bennett
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Web: http://portal.ncdenr.org/web/Ir/stormwater
Email correspondence to and from this address may be subject to public records laws

Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG030000
NOTICE OF INTENT
FOR AGENCY USF ON IN
t)ate Rzce 'ed
Yz�r b4onth i i7�,
CeriiSeateoFCov e
N,,C() 3
Check..
nTu
ermii Asbinnad to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating RECEIVED
SIC 34 Fabricated Metal Products
SIC 35, industrial and Commercial Machinery OCT 19 2016
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment DENR-LAND QUALI-Pf
SIC 38 Measuring, Analyzing, and Controlling Instruments STGRf I ATER PER;Afl IN(3
WFor questions, please contact the DEMLR Regional Office for your area. See page 4._ __
t, —
(Please print or type)
1} Mailing address of o,!Terloperator adds.
Name d1f 1� L
Street Address
City
Telephone No. 9m�/�
2) Location of facility producing discharge:
Facility Name
t1
Facility Contact
Street Address
City
County
Telephone No.
Email
3) Physical Location Information:
Please provide a narrative description of how to get to the
distance and direction from a roadway intersection).
State _%ILL ZIP Code
Fax:
State " ZIP Code
Fax:
t'.GvM
ity (use, street names, state road numbers, and
(A copy of a county asap or USGS quad sheet with the facility clearly located must be submitted with this application,)
L / l g 0j
4) Latitude `) L., � 1 .. () Longitude rt &LP VU (deg, min, sec)
17
Page 1 of 4
SwU-218-071408 Last revised 7,2114

NCG030000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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 J disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6E (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 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).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
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 ;ktrue, complete, and accurate.
Printed Nape,of Person Signing: 0x2/F
of
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
1,71rous AN
Page 3 of 4
SWLI-218-071408 Last revised 712114

1 OL
7
Ala��
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NI RA RESOURCE5
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG030000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate OfCovewlze
N C G 0 3
Check #
m u
ernut Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398
Metal Heat Treating
R
RECEIVED
SIC 34
Fabricated Metal Products
SIC 35
Industrial and Commercial Machinery
OCT 19 2016
SIC 36
Electronic and Other Electrical Equipment
SIC 37
Transportation Equipment
DENR-LAND OUALITY
SIC 38
Measuring, Analyzing, and Controlling Instruments
STORMWATER PERMITTING
1
l For questions, please contact the DEMLR Regional Office for your area. See page 4.
1) Mailing address of
Name
Street Address
City
Telephone No.
(Please print or type)
erator (address to which all permit correspondence will be mailed):
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
3) Physical Location uiivrtnauvtt.
State &IC 'ZIP Code
Fax:
Please provide a narrative description of how to get to the fa ility (use street names, state road numbers, and
distagce and direction from a roadway intersection). ZZ
(A copy of a county map or U/SGS quad sheet with the facility clearly located must besubmitted with this application.)
1-] 1 r� 0 / / � i
4) Latitude.) a (7l 50
Longitude (� alP UU (deg, min, sec)
Page 1 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
ql Existing
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: JL 3
7) Provide a brief narrative descript'on of the types of industrial activities and products manufactured at
this facility: /42,(1 , t.Z_./
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
What is the name of the o y or bodies of Water (cr ek, stream, river, lake, etc.) that the facility stormwater
discharges end up in?
Receiving water classification: fi
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?��
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
XNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
A No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
4 No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
4 No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
lYJ No ❑ Yes
Page 2 of 4
S W U-218-071408
Last revised 7/2/14

NCG030000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
INo ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
�hazardous waste?
LXJ No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
( No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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:
15) Certification:
North Carolina General Statute 143-215.6B (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 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).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
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 ;true, complete, and accurate.
Printed Nafne,of Person Signing: J,jgZW%1
of
&/aV0?a/6o
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
Page 3 of 4
SWU-218-071408
Last revised 7/2/14

NCG030000 N.O.I.
Final Checklist
Th' application will be returned as incomplete unless all of the following items have been included:
l�Check for $100 made payable to NCDENR.
This completed application and all supporting documents.
L� A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
/ (f) impervious areas, (g) site property lines.
OV Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
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
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
S W U-218-071408
Last revised 7/2/14

NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
FOR AGENCY USE ONLY
Date Received
e r
M
ay
Certificate of Coverage
NCGNE
ItwI
National Pollutant Discharge Elimination System application for exclusion from a_Stor"mwater Permit based
on NO EXPOSURE:
S E P 12 2016
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 ofNorth 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, 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(g).
If approved, your conditional no -exposure exclusion must be self re -certified at least annually.
Please see information here:
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ow er/operator (address to which all certification correspondence will be mailed):
Name
Contact
Street Address U (U(
City State VC ZIP Code
Telephone No. t 0 qq q _ 7(p`2 Fax: 9T Qqy aaj 5 /
RECEIVED
AUG 2 6 2016
Page 1 of 7 DENR-LAND QUALITY
CSTORMWATER PERMITT1NIrct ravicorl

NCGNE0000 No Exposure Certification
2) Location of facility
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
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). O-J-) us ,2
(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 XNo (�
5) Is this a Federal facility? � ❑ Yes No O �/ 35. 3 �1 ��"� (� "I. -I 31P a'
6) Latitude,3 �7 5-6 Longitude 7q o�U (� (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
AExisting Date operation began
❑ 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? i
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
10) Proyide a brief description of the typgs,of industrial activities and prodyicts produced at this facility:
11) 0-646f6facl"UyNXf any Non -Discharge permits (ex: recycle perm
>(No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
CWI I_N(:(:NF I act rovicorl g;1s1gn1s

NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion. `/
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes I( No ❑ N/A
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 XNo ❑ N/A
c. Materials or products from past industrial activity
❑ Yes
[�(No
❑ N/A
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
C�(No
❑ N/A
e. Materials or products during loading/unloading or transporting activities
❑ Yes
"o
❑ N/A
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes WNo ❑ N/A
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes 2(No ❑ N/A
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes i/No ❑ N/A
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes 09�No ❑ N/A
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes -Z�No ❑ N/A
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
I. Empty containers that previously contained materials that are not properly stored
❑ Yes >SrNo ❑ 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 12K<o ❑ N/A
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 *es ❑ No ❑ N/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any XYes ❑ No ❑ N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
CVVI I_Nrr:NF I act ravicPH .ri/r%19n1.ri

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
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored
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
Amendments and Reauthorization Act (SARA) water priority chemicals*?
d. Is secondary containment provided for hazardous substances** designated in 40
CFR §116?
e. Are release valves on all secondary containment structures locked?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
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.
Yes ElNo N/A p�y�6
❑ Yes ❑ No 1><N/A
❑ Yes ❑ No �/A
❑ Yes ❑ No [�N/A
XYes ❑ No ❑ N/A
❑ Yes YNo ❑ N/A
[-]Yes ❑ No �N/A
❑ Yes ❑ No ffN/A
*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
RWI I-Nr'( 1JF I act ravicari _rw..cw9ni.r,

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 �o ❑ N/A
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
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?
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:
❑ Yes Colo ❑ N/A
❑ Yes KNo ❑ N/A
❑ Yes ;No ❑ N/A
❑ Yes ❑ No -54N/A
Page 5 of 7
CWI I_N( (:NF I act rovicarl rilrion1F,

ACGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into
which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water
Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of
law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage 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 NaTe of Pgsop Signing,\\) �;� rLLI 11'( , I �t&J-
of Applicant)
?,/�/Awb
( ate igned)
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
CWI 1 acf ra,Acarl .ri/.ri/9n1F

.NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
5� 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 Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
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 ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7 of 7
CUVI I_NrrNF I act ravicarl ri/ri/7f1lri

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SOUTHEASTERN TOOL & DIE N
USGS TOPOGRAPHIC MAP 1 inch equals 400 feet
ABERDEEN, NORTH CAROLINA

Moore
1:798 Feet

Moore
1:798 Feet

798.8'
573.8'
x 2 drain
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