NCGNE0148_COMPLETE FILE - HISTORICAL_20100903 (2)

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
d��
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ ���6��
YYYYMMDD

ALIT,
�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 3, 2010
Arm Hollingsworth
F;cott Health and Safety A
4320 Gold -nine Road
Mos:roe, NC 28110
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGNE0148
Scott 1-lealth and Safety
Union County
Dear Permittee:
On 8/23/2010, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0148, In accordance with your request, CertifEcate'of Coverage
Number NCGNE0148 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit will subject the responsible party to a
civil penalty of up to $25,000 per day. It is the intention of DWQ that enforcement proceedings will
occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing permit
cov,2.rage was necessary. if, in retrospect, you feel the site still requires permit coverage, you should
rtotifry this office immediately. Furthermore, if in the future you wish to again discharge to the State's
si�.face waters, you must first apply for and receive a new NPDES pennit. ,
If the facility is in the process of being sold, you will be performing a public servicc if you would inform
the new or prospective owners of their potential need for NPDES pennit coverage.
If you have questions about this matter, please contact Brian Lowther at [phone], or the Water.
Quality staff in our Mooresville Regional Office at NPDES SW.
Sincerely,
4't-/
for Coleen 1-1. Sullins, Director
cc: Mooresville Regional Office
Stormwater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office
r
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCaro l i na
Location'. 512 N. Salisbury St. Raleigh, North Carolina 27604 Vautral r y
Phone. [phone] FAX; 919�07-64941 Customer Service: 1-877-623-6748 Lt `/
Intemet: www.ncwaterquality.org
An Equal opportunity 1 Affirmalive AUion Empioyer

NCO
SCUTT
HEALTH & SAFETY
DATE
TO
FROM
Ma
SCOt r Hu'-dth & Salery
Monroe Corporate Centel
Shippiog Address: Mailing Address:
4320 Goldmh7e Road PO Box 569
Monroe, NC 28110 Monroe, NC 281 11
Tak 704.291.8300
Fax: [phone]
wwwscoulrealthsrfetycorn
August 20, 2010
Mr. Robert Patterson
NCDENR
Wetlands and Stormwater Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Jim Hollingsworth, Manage
Environmental Health and Sa ety
Scott Health and Safety
4320 Goldmine Road
Monroe, NC 28110
Rescind, No -Exposure Certification NCGNE0148
Dear Mr. Patterson:
On August 16, 2010, Scott health and Safety received a letter from your
agency discussing our recertification for our facility declaring No Exposure
Certification as it relates to Stormwater discharge.
This facility is currently operating with a Stormwater Discharge Permit which
was issued by NC Division of Water Quality on October 17, 2007. (General
Permit No. NCG030000 Certificate of Coverage NO. NCG030511).
Therefore, we are requesting that the Certification for No -Exposure
Exclusion be rescinded.
If you have any questions, please call me at 704.291.8327.
f
Thank you for your assistance with this matter. g°
,.
c
I ID
Z_,

NCDENR
North Carolina Department of Environment and Natural Resources
.. Division of Water Quality
Beverly Eaves Perdue
Governor
. Compam.",:.3epresentative
Scott Healti::%& Safety
PO Box 569
Monroe, NC 281114987
Dear. Company Representative:
Coleen H. Suilins.
Director
August 16, 2010
Subject: Nb-Exposure Certification NCGNE0148
Scott Health And Safety
Union County
Dee Freeman
Secretary
As a current holder.gf a No -Exposure Certification, please note the following important change to the Division's
implementation of this program. The No -Exposure Certifications no longer will have an expiration date. Previously your
no -exposure exclusion had to be re -certified with the Division every 5 years. This will no longer be required. Please
disregard the expiration date on your original certification. However, in order to assure that your facility stays in
compliance with,all of the conditions in the no -exposure certification, you must self re -certify your facility at least
annually. Please F�a the attachment for information on self re -certification.
If you. are waiting for a response from the Division for a renewal certification you already submitted, please consider this
letter the Division's approval for renewing your No -Exposure exclusion.
Please note that tf ;.:• does not change your obligation 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 stormwaterdischarge. Otherwise, the discharge becomes
subject to enforcement as an un-permitted discharge. State statute provides for fines of up to $25,000 per day for
un-permitted discharges.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact your Regional Office, or Robert Patterson in the
Stormwater Permitting Unit at [phone], [e-mail].
Sincerely,
b/ut ��� tic• �v
for Coleen H. Sullins
cc: Stormwater Permitting Unit No -Exposure Files
Attachments
Wetlands and Stormwater Branch One 1617 Mail Service Center, Ralegh, North Carolina 27899-1617 NoI fih Carol i na
Location: 512 N. Salisbury St Raleigh, North Carolina 27604 Naturally
91 U07-63001 FAX: [phone] Customer Service: 1V7.623-6748
tntemet: www•nmaterquality.org
An Equal Oppodunity 1 Affumadve Adon Employer

\NA T� Michael F. Easley, Governor
RQG William G. Ross Jr., Secretary
North Carolina Department of Privironment and Natural Resources
Alan W. Klimek, 11. F. Director
Division of Water Quality
p Coleen 11. Sullins, Deputy Director
Division ol" Water Quality
April 20, 2005
Michael Moore,. Director Manufactu
Scott Health & Safety
PO Box 569
Monroe, NC 28111
Subject: No Exposure Certification NCGNE0148
Scott Health And Safety - 4320 Goldmine Rd
Union County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on March 7, 2002. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your Stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any Stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office Central Files—wlattachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
NCDENH
Customer Service
1-877-623-0748

Scott
Technologies, Inc.
Scott
Health & Safety
March 5, 2002
MAR - 7 2002
DI .,R - WATER QUA!.0
POINT PRANOH
Division of water Quality
Attn: Bill Mills
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, North Carolina
27699-1617
Dear Mr. Mills,
Scott Health & Safely
P.O. Qox 569
Monroe, NC 28111
I el. 704.282.8400
Fax: [phone]
www. scotthealthsalety.ron?
It was very educational talking to you about the permit requirements
for our new facility. I am attaching a copy of the rescission form we
are sending to Valery Stephens. Once again, I requested the rescission
of the permit be delayed until June 15, 2002 to give us the time we
need to move into the new facility.
Also find attached a copy of the completed Form 3510-11, the NO
EXPOSURE CERTIFICATION application for the new location on Goldmine
Road. I give you a call in a few weeks to follow up. If you have any
questions in the interim, please feel free to contact me at (704) 296-
4610.
Sincerely,
Richard Sabacinski '
Manager, Regulatory Affairs
cc Michael Moore (SCOTT-Director of Manufacturing)

CfsNF, bl y-$-TicQc
Form Approved
United States Environmental Protection Agency OMB No.2040-0211
NPDES AftWashington, DC 20460
FORM ®'1®�1-� NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES Storm Water Permuting
Submission of this No Exposure Certification constitutes notice that the entity identified in Soction A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -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, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment cr 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 without operational taps or vatves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and Is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed Instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1.Name: ISlCIOIYI-rl__lfetlElRILITIHI IAltdl l_JSIAIFIFICIII 1 _1I I 1 12.Phone:I7JQI%Z,IR1tI$1gJOIL!
3. Mailing Address: a. Street: L41.3 I Z. I o I I fn (O 1 L 14 1Ml I I tf l i 1 le I o IA 10 l_ 1 1 1 1 1 1 1_ I 1 l I l l I
b. City: IM l 6 hV 11Li o lC- 1 I I _I I I I I I I I i� I I I I I' c. State: L4_� d. Zip Code: I Z iS t l it i 0 i— i I I I
13. FacllityfSlte location Information
1. Facility Name: ISIC.I0ITI'[I IkIr;IRILIT1641 IA IN11)1 151AIFI&ITI
2.a,Street Address: 1411LI-J9L IG101t-IDJh111 itJJ _LIRIOlAlUl I 11 I I I I I I I I I I
b. City: IMI01N 1 Kltl_l6 1-1 1 1 1 1 1 1 1 1_ 1 1 1 1 1 1 1 I c.County: 10101 t lOINI 1 1 1 1
d. State: IN Ic I e. Zip Code: I z I g I t I t 101 — I 11 1
3, Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. latitude: LILS 0 O &L.5j" b. Longitude: IO 18 10 0 LLJ$� L0 aj "
6. a. Was the facility or site previousty covered under an NPDES storm water permit? Yes ❑ No
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: 13 Ilk 16 19 I Secondary (if applicable): 13 IO 18 19 I
8. Total size of site associated with industrial activity: __ y 51_ acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4

NPDES� NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
3510 1 �EOMB No. 2040 0211
NPDES Storm Water Permitting
C. Exposure 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.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
B. Materials or products hand ledistored on roads or railways owned or maintained by the discharger
El
9. Waste material (except waste in covered, non -leaking containers {e.g., dumpsters])
10. Application or disposal of process wastewater (unless otherwise permitted)
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(i.e.. under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
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 storm water permitting.
I certify under penaky of law that there are no discharges of stone water 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 years to the NPDES permitting authority 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 NPDES permitting authority, 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. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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.
Print Name:IMI] IC1141AIE lL Plait) lOI IZ.IE I 11 I I I I I I I I I I I I I I I_I IA
Print Title:
Signature:
Date: I D l7 1 Did 141 4
EPA Form 3510-11 (10-99) Page 2 of 4

1!5cort
Technologies, Inc.
Scott
Health & Safety
March 5, 2002
General Permit Coverage Rescission
Attn: Valery Stephens
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, North Carolina
27699-1617
Dear Ms. Stephens,
Scorn Health & Safety
P.O. Box 589
Monroe, NC 28 1 1 7
Tel: [phone]
Fax: [phone]
www. scottheakhsaferycom
Please find attached the completed rescission request form for the
Scott Aviation site in Union County, COC Number NCG030428. As shown on
the form, we are moving to a new location, some distance from the
existing site.
However, since it will take some time to effect the move, please do not
rescind the permit until June 15, 2002.
Your assistance in this matter is appreciated. Tf you have any
questions, please contact Richard Sabacinski at [phone]. He is
in contact with Mr. Bill Mills regarding our new permit application.
Sincerely,
Michael Moore
Director of Manufacturing

tgco
SCUM
HEALTH AND SAFETY
December 16, 2003
Permitting Authority
North Carolina Department of Environment
Division of Water Quality
512 N. Salisbury Street
Raleigh, NC 27699-1617
ATTN: Bradley Bennett
Dear Mr. Bennett
Scott Health & Safety
Monroe Corporate Center
Shipping Addr ess: Mailing Address:
4320Goldrnine Road P.O. Box 569
Monroe, NC 287 10 Monroe, NC 28111
Tef- 704.291.8300
Fax: [phone]
www, scot rheahhsafe r y. corn
IDEC 19 2003
Please find enclosed our request for "No Exposure Certification for Exclusion from
NPDES Storm Water Permitting" at our 309 W. Crowell Street, Monroe, NC 28111
location. If you have any questions or concerns please feel free to contact Robert Flow at
704-296-3344 or Tim Traywick at 704-291-8301.
Regards,
v
Robert Flow
Manufacturing Engineer

i :'�l:�.nNiNlT�r: f�, ilJ'l i�l�NifNNl���/�N�` l�N�"f!^,F„ 1✓`f /���TNi: fir✓ l% ..f
r
J,�,ZEP STgf U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA) ?
NATIONAL POLLUTAN'[' DISC}[ARGE rLIMINA'PION SYSTEM (NPI)ES)
x STORM WATER NOTICE OF INTENT CENTER
2 a
r
o
Nno'ti°�
1__.�_
SC01"r HEALTH & SAPETY
PO BOX 569
MONROE, NC 28111
REFERENCE NUMBER: NCRNEA071
Dear Operator:
s�
r
'fit'
l�
� -5l ; st
FACILITY LOCATION:
SCO'17 1-1EALTN & SAFETY
309 WEST CROWELL STREET
MONROE, NC
20111
11 /25/2003
Thank you for submitting a "No Exposure Certification for Exclusion from NPDES Storm Water
Permitting" application for the facility noted above. Upon review of your application, it has
been determined that the EPA cannot grant you exclusion from coverage for this facility.
The site location on your form is under the jurisdiction of the State of NC, which has been
authorized by the EPA to implement the NPDES program. Please submit the appropriate
application to the NPDES permitting authority at:
Web Address:
PERMITTING AUTHORITY
North Carolina Department of Environment
Division of Water Quality
512 N Salisbury St
Raleigh, NC 276991617
Phone: [phone]
Fax:
E-Mail: br•aclley.bennctt cr ncmail.nct
Contact Person: Bradley Bennett
Web Address:
if you have any questions regarding this letter, please contact the Storm Water Notice of Intent
Processing Center at [phone]. If you have other general questions concerning the storm
water program, please call the EPA Region 04 contact: Floyd Wellborn, [phone].

United States Environmental Protection A enc Form Approved
9 Y . 't -OMB No. 2040-0211
NPDES �1 Washington, DC 20460
FORM NO EXPOSURE CERTIFICATION for Exclusion from
3510.11 ®s PA , _
NPDES Storm Water Permitting
i
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require,permit authorization fog ils-storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -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, snowmelt, and/or runoff. 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 without operational taps or valves;
- adequately maintained vehicles used in material handling; and
- final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure r"-:ification 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1, Name: 5I C 10 ITJ I A if I A I lr I T LA I I AiNtO I I 3 L 2. Phone: 1 I o l `1 I, J 9 1 t 1913 fo to I
5
3. Mailing Address: a. Street: I'P I o 1 18101 Y.1 I401 L I I I „1 _ 1 1 1 1 1 1 1 1 1 _I 1 1 1 1 1 1 1 1 I
b. City: IM I o I N I Q I o I E:I I I I I I „I I I I, I I I I, I i j c. State: d. Zip Code: I I S I I i I I I I- I I f I
B. Facility/Site Location Information
1. FaciRy Name: 1:5icLa- IT- lrI IHIt IA It-irioI I IA14toI IsIAiFIE ITIYi i I I I 1 I
2. a. Street Address: jj_!Rn_I IWlti?IT- I ICIaYtoiwli-tt-ILI t31TtRIEILITI t I I- i I t I� �
b. City: WALat NI RLaltl 1 I 1 1 1 1 1 1 1 1, t 1 1 1_ I I I c.County: wlNI I I INI_ I I I I_ I
d. State: A[� e. Zip Code: 12.1 B l l I'll 1-1 I I I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: 13ilf� 5 9 o b. Longitude: 1 1210 G 13,31
0 0
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes � No ❑
b. If yes, enter NPDES permit number: 07epm.P 4.1 NC (T 03oo a O - Co v",t - r4 CG 0 3 014 2. B
7. SIC/Activity Codes: Primary: 3 Secondary (if applicable): I I i I I
8. Total size of site associated with Industrial activity: 1D_, 3 o acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11 (10-99)� Page 1 of 4

NPDES A Form Approved
FORM �w®EPA NO EXPOSURE CERTIFICATION for Exclusion from OMB No.2040-0211
3510-11' NPDES Storm Water Permitting
C. Exposure 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.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
1, Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spillstleaks
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loading/unloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
g, Materials or products handled/stored on roads or railways owned or maintained by the discharger
9. Waste material (except waste in covered, non -leaking containers (e.g., dumpsters])
10. Application or disposal of process wastewater (unless otherwise permitted)
11, Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(i.e.. under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
Yes No
❑ d
❑ E
❑ 121,
❑ 2
❑ Eur
❑ 3
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 storm water permitting.
I certify under penalty of law that thero are no discharges of storm water 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 years to the NPDES permitting authority 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 NPDES permitting authority, 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. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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.
Print Name: 1Ml_t_ CIHIAIEILI I _Ltr11_0to R 1 r_I I I I I I I I_ I I I I E 11_ I I I I I_ i
Print Title: I1> I I I fk I C I +C I T I
Signature: '4;
Date: I I I a 131 1 1 0 13
EPA Form 3510-11 (10.99) Page 2 of 4

NPOES A Form Approved
FORM .w Instructions for the NO EXPOSURE CERTIFICATION for OMB No.2040-0211
3510-11 fwEPA Exclusion from NPDES Storm Water Permitting
Who May File a No Exposure Certification Section B. Facility/Site Location Information
Federal law at 40 CFR Part 122126 prohibits point source discharges of
storm water associated with industrial activity to waters of the U.S. without
a National Pollutant Discharge Elimination System (NPDES) permit. However,
NPDES permit coverage is not required for discharges of storm water
associated with industrial activities identified at 40 CFR 122.26(b)(14)(i)-
(ix) and (xi) if the discharger can certify that a condition of "no exposure"
exists at the Industrial facility or site.
Storm water discharges from construction activities identified in 40 CFR
122.26(b)(14)(x) and (b)(15) are not eligible for the no exposure exclusion.
Obtaining and Maintaining the No Exposure Exclusion
This form is used to certify that a condition of no exposure exists at the
industrial facility or site described herein. This certification is only applicable
in jurisdictions where EPA is the NPDES permitting authority and must be
re -submitted at least once every five years.
The industrial facility operator must maintain a condition of no exposure at
its facility or site in order for the no exposure exclusion to remain applicable.
If conditions change resulting in the exposure of materials and activities to
storm water, the facility operator must obtain coverage under an NPDES
storm water permit immediately.
Where to Fife the No Exposure Certification Form
Maii the completed no exposure certification form to:
Storm Water No Exposure Certification (4203)
USEPA
401 M Street, SW
Washington, D.C. 20460
Completing the Form
You must type or print, using uppercase letters, in appropriate areas only.
Enter only one character per space (i.e., between the marks). Abbreviate
if necessary to stay within the number of characters allowed for each item.
Use one space for breaks between words. Cne form must be completed
for each facility or site for which you are seeking to certify a condition of no
exposure. Additional guidance on completing this form can be accessed
through EPA's web site at www.epa.gov/owm/sw. Please make sure you
have addressed all appllcable questions and have made a photocopy for
your records before sending the completed form to the above address.
Section A. Facility Operator Information
1. Provide the legal name of the person, firm, public organization, or any
other entity that operates the facility or site described in this certification.
The name of the operator may or may not be the 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 manager.
2. Provide the telephone number of the facility operator.
3. Provide the mailing address of the operator (P.O. Box numbers may be
used). Include the city, state, and zip code. All correspondence will
be sent to this address.
1. Enter the official or legal name of the facility or site.
2. Enter the complete street address (if no street address exists, provide
a geographic description [e.g., Intersection of Routes 9 and 55]), city,
county, state, and zip code. Do not use a P.O. Box number.
3. Indicate whether the facility is located on Indian Lands.
4. Indicate whether the industrial facility is operated by a department or
agency of the Federal Government (see also Section 313 of the Clean
Water Act).
5. Enter the latitude and longitude of the approximate center of the facility
or site in degrees/minutes/seconds. Latitude and longitude can
be obtained from United States Geological Survey (USES) quadrangle
or topographic maps, by calling 1-(888) ASK-USGS, or by accessing
EPA's web site at http://www.apa.gov/owm/swriindustryAndex.htm and
selecting Latitude and Longitude Finders under the Resources/Permit
section.
Latitude and longitude for a facility in decimal form must be converted
to degrees (1), minutes ('), and seconds (") for proper entry on
the certification form. To convert decimal latitude or longitude to
degrees/minutes/seconds, follow the steps in the following example.
Example: Convert decimal latitude 45.1234567 to degrees (°), minutes
and seconds (").
a) The numbers to the left of the decimal point are the degrees: 45°.
b) To obtain minutes, multiply the first four numbers to the right of the
decimal paint by 0.006: 1234 x 0.006 = 7.404.
c) The numbers to the left of the decimal point in the result obtained
In (b) are the minutes: 7'.
d) To obtain seconds, multiply the remaining three numbers to the
right of the decimal from the result obtained in (b) by 0.06:
404 x 0.06 = 24.24. Since the numbers to the right of the decimal
point are not used, the result is 24".
e) The conversion for 45.1234567 = 451 7' 24".
6. Indicate whether the facility was previously covered under an NPDES
storm water permit. If so, include the permit number.
7. Enter the 4-digit SIC code which identifies the facility's primary activity,
and second 4-digit SIC code identifying the facility's secondary activity,
if applicable. SIC codes can be obtained from the Standard Industrial
Classification Manual, 1987.
8. Enter the total size of the site associated with industrial activity in acres.
Acreage may be determined by dividing square footage by 43,560, as
demonstrated in the following example.
Example: Convert 54,450 ft2 to acres
Divide 54,450 ft2 by 43,560 square feet per acre:
54,450 ft2 + 43,560 ft2/acre = 1.25 acres.
9. Check "Yes" or "No" as appropriate to indicate whether you have paved
or roofed over a formerly exposed, pervious area (i.e., lawn, meadow,
dirt or gravel road/parking tot) in order to qualify for no exposure. If yes,
also indicate approximately how much area was paved or roofed over
and is now impervious area.
EPA Form 3510-11 (10-99) Page 3 of 4

.. y
NPDES SOMA
Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FORM `..rvE�A OMB No.2040-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Section C. Exposure Checklist
Check "Yes" or "No" as appropriate to describe the exposure conditions at
your facility. It you answer "Yes" to ANY of the questions (1) through (11)
in this section, a potential for exposure exists at your site and you cannot
certify to a condition of no exposure. You must obtain (or already have)
coverage under an NPDES storm water permit. After obtaining permit
coverage, you can institute modifications to eliminate the potential for a
discharge of storm water exposed to industrial activity, and then certify to
a condition of no exposure.
Section D. Certification Statement
Federal statutes provide for severe penalties for submitting false information
on this application form. Federal regulations require this application to be
signed as follows:
For a corporation: by a responsible corporate officer, which means:
(i) president, secretary, treasurer, or vice-president of the corporation
In charge of a principal business function, or any other person
who performs similar policy or decision making functions for the
corporation, or
(ii) the manager of one or more manufacturing, production, or
operating facilities, provided the manager is authorized to make
management decisions which govern the operation of the
regulated facility including having the explicit or implicit duty of
making major capital investment recommendations, and initiating
and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary systems
are established or actions taken to gather complete and accurate
information for permit application requirements; and where
authority to sign documents has bean assigned or deiegated to
the manager in accordance with corporate procedures;
For a partnership or sole proprietorship: by a genera! partner or the
proprietor; or
For a municipal, State, Federal, or other public facility: by 0her a
principal executive or ranking elected official.
Paperwork Reduction Act Notice
Public reporting burden for this certification is estimated to average 1.0 hour
per certification, including time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Burden means She total time,
effort, or financial resources expended by persons to generate, mainlaln,
retain, or disclose to provide information to or for a Federal agency. This
includes the time needed to review Instructions, develop, acquire, install,
and utilize technology and systems for the purposes of collecting, validating,
and verifying information, processing and maintaining information, and
disclosing and providing information; adjust the existing ways to comply with
any previously applicable instructions and requirements; train personnel to
be able to respond to a collection of information; search data sources;
complete and review the collection of information; and transmit or otherwise
disclose the information, An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of inlormation unless it
displays a currently valid OMB control number. Send comments regarding
the burden estimate, any other aspect of the collection of information, or
suggestions for improving this form, Including any suggestions which may
increase or reduce this burden to: Director, OPPE Regulatory Information
Division (2137), USEPA, 401 M Street, SW, Washington, D.C. 20460.
Include the OMB control number of this form on any correspondence. Do
not send the completed No Exposure Certification form to this address.
EPA Form 3510-11 (10-99) Page 4 of 4

4d0iJl)d4 I-itu a uuelujb r-fllf
' United States Environmental Protection Agency r t' V� C'�eFN zone 02�1�'
NPDES �� Washington, DC 20460
3 FORM®�� r NO EXPOSURE.CERTIFICATION for Exclusion mitt rIov 0
NPDES Storm Water Permitting
Submission of this No Exposure Cerli ication constitutes notice that the entity Idamifled in'Seetion A does not require perm t
discharges associated with industrial activity in the State identified in Section 8 under 15f A's Storm water Multi-Soeter Go Ir
of a conditionpf 66 exposure,.
A condition of no exposure exists at an Industrial facillty when all industrial materials and activities are protected by a to
exposure to rain, snow, snowmalt, ondlor runoff. Industrial materials or activities include, bat aro'not limited to, material Pz
industrial machlnery, raw materials, Intermediate products, by-products, final products, of waste products. Matorlal handlln!
loading and unloading, transportation, or conveyance of any raw material, intermodiate product, final product or waste proft
not required for the following industrial materials and activities: IIp -- drums, barrels, tanks, and 6imilar containers that are tightly sealed, provided those containers are not deteriorate
mans handed or otherwise secured and without oparalionai taps or valves:
- adequately maintained vehicles used in material handling; and
- final �pioducts, othor than products that would be mobilized in storm water discharges (e.g„ rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the ex ffic
available on a facility-wido basis only, not for individual ouValls. If any industrial activities or materials are or will be expo e
not etirglbio for the no exposure exclusion.
)n?of Its storm water
due to the oxistoncc
resistant shelter to prevent
Ing equipment or activities,
:iivitles include the storage,
A storm resislanl shatter Is
and do not leak. "Sealed"
On from NPDES permitting is
to proelpitation, the facility is
By signing and submltlinn this No Exposuro Certification form, the antity in Section A is certifying that a condition of no ex osure exists at Its facility or she,
and is obligated to comply with the terms and condltlons of 40 CPR 122.26(g),
ALL INFORMATION MUST RE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure excluslon are provldod on pages 3 alnd 4.
A. Facility Oporaftor Iriformatianl ,1 r^ p
1. Name: I GI t ] hlul {u�J 5j 1 rl 1 A i Si 11`t t �.t IO DpeLY _i to In ISI {; 7: Phone: 3 3 b .2 4 4 (-1 I
3: Mailing Addroct: a. Strael: I" 61 01 14 81�O t
b, City; ��IQI X1 l I I11QI�IO till I _l_ I l 1 I 1 _i l l I , c, State: w Ct . d. Zlp Code,
6. Facility/Site Location Information. .
1. Facility Name:_ r t151 t I�r,L,Wn}}loll lS 1.T1 r] 1 1 %0 � 1 IVtLI IUIUI�I �I C1 11 ► 101I�I-
2. a: Street Address: 12 i I' 10I. ' IrVlal l I$ IQ-1 lr RIt' 0lQ[4I I 1 _l 1 1 �_Jl 1 1 1 1
b, City: LQ-i xi i i n is l i6 n l I i I _1__ 1 I_ - i__-LL-__ I 1' I - l C. County: UL54
d- State: e. Zip Code: 121 1 t2 I t5, - I_L—L I.
3, Is the facility located on Indian Lands? Yes ❑ No Z
4, Is this a Federal facility? Yes No 42­� ` 1
5, a. t.atilude: I iiJ G I� Lea - N b. Longllude. o I15,
6, a. Was the facility or she previously covered under an NPDES storm water permit? Yes ❑ No I1�
b. If yos, enter NPDES permit numbers —
7. SIC1Activlty Codes: Primary: 2_ Secondary (if appllcable): L I I I
8. Total size of site associated with industrial activity: ,._28._46 acres
9. a, Have you paved or roofed over a formerly exposed, porvlous area in order to qualify for the no exposure excluslon? Yes ❑ No ��•
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not isqualify you (or the no exposure
exclusion. However, your permitting authority may use:hls information In cnnstdering whether storm water discharg s from your site Oro likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to live acres ❑ More than five acres ❑ r
(p f [tin I j ,�
EPA Form 3510-11 (10-99) I Page 1 of 4
D g C 2 9 2003
01

ti..
r , . ..
•�
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41:10 34 I-lbo r.uUd/Uut1 1•-(llr
DES s-i p NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM 0���6 r� OMB No, 2040-0211
3510-11 s NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following maleriais or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes' or "No' in the appropriate box.) Ifyou answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning Industrial machinery or equipment, and areas where residuals from using, storing
❑
or cleaning industrial machinery or equlpmont remain and are exposed to storm water
2. Materials or residuals on the ground or In storm water inlets from spills leaks
❑
3. Materials or products from past Industrial activlty
❑
4, Material handling equipment (except adequately maintained vehicles)
❑
5. Matorlais or products during Ioadlnglunloading or transporting activhles
❑
6. Materials or products stored outdoors (except final products Intended for outside use [e.g., new cars] where
❑
exposure to storm water does not result In the discharge of pollutants)
T
7. Materials containud In open, deteriorated or leaking storage drums, barrets, tanks, and similar containers
U
S. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9, Waste material (except waste in covered, non -leaking containers [e.g„ dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permlt(od)
[]
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
under an air quality control permit) and evident in the storm water outflow
D. Cartification Statement
I certify under penalty of taw that I have read and understand the eligibility requirements for claiming a condition ot'no exposure" and obtaining an
exclusion from NPDES storm water permitting. i
I cenlfy under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activitlis or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). i
I understand that I am obligated to submit a no exposure certification form once every five years 1e the NPDES permit.ing authorlty and, If requested, to
the operator of the local munlclpal separate storm sewer system (MS4) Into which the facility discharges (where app icable), I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local' MS4, to perform Inspect) ns to confirm the condition of no
exposure and to make such Inspection reports publicly available upon request. I understand that I must obtain cover ga under an NPDES permit prior
In any point sourca discharge of storm water from the facility.
Additionally, I certify under penally of low that this document and all attachments were prepared under my dlr rctlon or supervision in accordance with a
system designed to assure that qualtfled personnel properly gathered and evaluated the Information submitted. Gas don my inquiry of the parson or
persons who manage the system, or those persons directly responsible for gathering the information, the informatl n submitted is to the bout of my
knowledge and belief true, accurate and complete_ I am aware that there are significant penalties for submitting false in ormation, including the possibility
of fine and imprisonment for knowing violations,
Print Name M i I
Print Title:
Signature:
Date: 0
6,1031
EPA Form 3510-11 110.99)
Pago 2 of 4

Pickle, Ken
From: Pickle, Ken
Sent: Tuesday, September 07, 2010 4:15 PM
To: '[e-mail]'
Cc: Lowther, Brian; Georgoulias, Bethany
Subject: Rescinded No Exposure notification letter for Scott Health and Safety
Jim,
Thanks for your call this morning. Corroborating our earlier conversation, I have the following guidance on the three
topics you raised.
1. Our September 3, 2010 notification letter of rescission of No Exposure Exclusion from permitting.
a. Scott's facility in Monroe is currently covered under Certificate of Coverage NCG030511, as seems
appropriate for the facility as you described it.
b. We have rescinded the No Exposure Exclusion, NCGNE0148, as per your request. This also seems
appropriate for the site conditions, as we discussed today.
The second paragraph of our September 3, 2010 notification letter misses the mark with respect to the
current permitting status of your site. At the time we produced the notification letter, we missed the
point that while we did indeed rescind your coverage under NCGNE0148, your site still had continuing
coverage under NCG030511. The second paragraph is pointed at the much more common
circumstance of a facility applying for a rescission, and without any continuing regulatory obligation
under the NPDES stormwater permitting program. This is not the case for Scott Health and Safety. I'm
sorry for our oversight, and your resulting confusion.
In summary, you are properly permitted under NCG030511, and the second paragraph in the
notification letter should be understood as part of a mass mailing letter template that does not apply to
your site under its current circumstances.
You also advised me that you are not contemplating a sale of the facility, and so again, the third
paragraph of the notification letter should be understood as standard template language not applying to
your site under its immediate circumstances.
2. Analytical sampling results showing a high hit for TSS.
a. You asked me about submitting an atypical stormwater sampling result encountered in the July -
December 2010 sampling event; a T55 value of 925 mg/L.
b. Despite your execution of a Tier 1 walk -around, you were not able to conclusively identify the source of
the benchmark exceedance. You supposed that potential causes may have been: poor sampling
technique in that the third party sampler reported sampling from a flow that was so shallow that the act
of sampling stirred up the bottom sediments in the flow channel; the extended preceding dry period
may have exacerbated the first flush delivery of accumulated pollutants; an adjacent grassed area was
very dry and may have lost some sediment compared to a fully vegetated condition; very recent grass
clippings may have entered the discharge flow, thereby raising the TSS.
c, Three other outfalls sampled in the same rain event had TSS values in the range of 30 mg/L to 60 mg/L.
There is no particular reason to suspect unusual exposure or risk in this sub -drainage area, although the
facility receiving docks are in this sub -drainage area.
d. I advised you to go ahead and submit the 925 mg/L result, with an explanation of your suspicions as to
the possible causes, and the inconclusive results of your Tier 1 walk -around. We talked about
alternative strategies, but it seems to me this is the best approach. The permit obligates you to submit
the first valid sampling results during the monitoring period. For you own management purposes, you
may wish to re -sample just the one outfall forjust TSS — as an investigation into whether there really is a
continuing source, or whether this really is a case of poor sampling conditions leading to poor sampling
technique, but you are not required to accomplish this extra sampling under your permit.

DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
DIVISION OF LAND RESOURCES
LAND QUALITY SECTION
PERMIT
for the operation of -a mining activity
In accordance with the provisions of G.S. 74-46 through 68, "The Mining
Act of 1971," Mining Permit Rule 15A NCAC 5 B, and other applicable
laws, rules and regulations
Permission is hereby granted to:
J S Farms, Inc. DBA Selby Land Concepts
Brinn Pit
Beaufort County - Permit No. 07-58
for the operation of a '
Sand Mine
which shall provide that the usefulness, productivity and scenic values of
all lands and waters affected by this mining operation will receive the
greatest practical degree of protection and restoration.
MINING PERMIT EXPIRATION DATE: August 27, 2020

3. (1pportunities to discontinue TTO analyses in the future.
a. You reported TTO results within the benchmark values, i.e. < 1 mg/L.
b. You reported that the only solvent present on site is IPA, perhaps 2S gallons on site today, and perhaps
110 gallons on site in a year.
c. I advised that the permit text itself provides that you can be excused from continuing the TTO analyses
upon petition to DWQ and upon the development and implementation of a solvent management plan
for all of your on -site solvents (per your report, just the IPA in your case.) I offered the opinion that for
such a small quantity, and for just the one solvent, an approved Solvent Management Plan would
require fairly simple documentation.
d. We further discussed the small quantities involved, and I suggested that perhaps we might consider that
the small quantities involved would allow us to waive the TTO analyses based on a de minimis
argument, rather than based on the strict wording in the permit text requiring a Solvent Management
Plan. I've reconsidered that perspective, and I now believe that the clearest path forward would be for
you to be excused from TTO only upon the development of the required Solvent Management Plan,
Jim, please contact me with any questions.
Ken Pickle
DWQ Stormwater Permitting Unit
[phone]
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.

Page 2
In accordance with the application for this mining permit, which is hereby approved by the
Department of Environment and Natural Resources, hereinafter referred to as the Department,
and in conformity with the approved Reclamation Plan attached to and incorporated as part of
this permit, provisions must be made for the protection of the surrounding environment and for
reclamation of the land and water affected by the permitted mining operation. This permit is
expressly conditioned upon compliance with all the requirements of the approved Reclamation
Plan. However, completed performance of the approved Reclamation Plan is a separable
obligation, secured by the bond or other security on file with the Department, and may survive
the expiration, revocation or suspension of this permit.
This permit is not transferable by the permittee with the following exception: If another
operator succeeds to the interest of the permittee in the permitted mining operation, by virtue
of a sale, lease, assignment or otherwise, the Department may release the permittee from the
duties imposed upon him by the conditions of his permit and by the Mining Act with reference
to the permitted operation, and transfer the permit to the successor operator, provided that
both operators have complied with the requirements of the Mining Act and that the successor
operator agrees to assume the duties of the permittee with reference to reclamation of the
affected land and posts a suitable bond or other security.
In the event that the Department determines that the permittee or permittee's successor is not
complying with the Reclamation Plan or other terms and conditions of this permit, or is failing
to achieve the purposes and requirements of the Mining Act, the Department may give the
operator written notice of its intent to modify, revoke or suspend the permit, or its intent to
modify the Reclamation Plan as incorporated in the permit. The operator shall have right to a
hearing at a designated time and place on any proposed modification, revocation or
suspension by the Department. Alternatively and in addition to the above, the Department
may institute other enforcement procedures authorized by law.
Definitions
Wherever used or referred to in this permit, unless the context clearly indicates otherwise,
terms shall have the same meaning as supplied by the Mining Act, N.C.G.S. 74-49.
Expiration Date
This permiL.s6l be effective from the date of its issuance until August 27, 2020.
Conditions
This permit shall be subject to the provisions of the Mining Act, N.C.G.S. 74-46, et. seq., and
to the following conditions and limitations:
OPERATING CONDITIONS:
A. Any wastewater processing or mine dewatering shall be in accordance with the
permitting requirements and rules promulgated by the N.C. Environmental
Management Commission.

Al -- r a 3 a -57
NCDEMR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Jim Hollingsworth
Scott Health and Safety
4320 Goldmine Road
Monroe, NC 28110
Dear Pennittee:
Division of Water Quality
Coleen H. Sullins
Director
September 3, 2010
Dee Freeman
Secretary
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGNE0148
Scott Health and Safety
Union County
v
On 8/23/2010, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNEO148. In accordance with your request, Certificate of Coverage
Number NCGNEO148 is rescinded effective immediately. .
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit will subject the responsible party to a
civil penalty of up to $25,000 per day. It is the intention of DWQ that enforcement proceedings will
occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing pennit
coverage was necessary. If, in retrospect, you feel the site still requires permit coverage, you should
notify this office immediately. Furthermore, if in the future you wish to again discharge to the State's
surface waters, you must first apply for. and receive a new NPDES permit. ,
If the facility is in the process of being sold, you will be performing a public service if you would inforni
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Brian Lowther at [phone], or the Water
Quality staff in our Mooresville Regional Office at NPDES SW.
Sincerely,
for Coleen 14. Sullins, Director
cc: Mooresville Regional Office
Stormwater Pennitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office
Wetlands and Stormwaler Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet www,ncwaterqualit .org
An Equal Opportunity lAtfrnnativeAetion Employer
J
One
Nol-thCarolina
,Naturally
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