NCGNE0493_COMPLETE FILE - HISTORICAL_20111216

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

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor
Jim Pederson
Indian Motorcycle - Indian Motorcycle
301 5"' Ave SW
Roseau, MN 2856751
Dear Permittee:
Director
December 16, 2011
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGNI:0493
Indian Motorcycle - Indian Motorcycle
Cleveland County
Dee Freeman
Secretary
On 8/3 1/201 I, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0493. In accordance with your request, Certificate of Coverage
Number NCGNE0493 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of storntwater to
waters ofthe 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 pen -nit coverage when, in fact, continuing permit
coverage was necessary, 11, 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 inform
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,
J
for Coleen H. Sullins, Director
cc: Mooresville Regional Office
Stormwater Permitting Unit
Fran McPherson, DWQ Budget Office - please waive applicable fees
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCaroli na
Location: 5 N. Salisbury St, Raleigh, North Carolina 27604 Naturally
Phone: [phone] V FAX: [phone] Customer Service: 1-877$23-674$
Internet www,ncwaterquaiity org
An Equal Opportunity 1 Affirmative Action Employer

�'� • DiA,ision of Water Quality 1 Surface Water Protection
RCDENR1�`atiorral Pcsllutant I�ischargc E�liminatinn System
RESCISSION REQUEST FORM
ENV�i�ONMC.NT 4N� Nml1RAL RE-ia�H[j_�
FOR AGENCY USE ONLY
Dale Received
Year
Month I Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I C S N I C I G I N I E 0 4 9 3
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Indian Motorcycle
Facility Contact
Street Address
City
County
Telephone No.
Jim Pederson
301 5" Ave SW
Roseau
Roseau
(218)- 463-4489
State MN ZIP Code 56751
E-mail Address [e-mail]
Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
x Facility closed or is closing on 8/31/2011 All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials..
x Facility sold to Polaris Industries Inc ? on 4/19/2011 If the facility will continue operations under the
new owner it may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
�J-r' r,,, fe Cer soh
Print or type name of person signing above
Please return this completed rescission request form to
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 N Salishury St. Raleigh, North Carolina 27604
Phone. [phone]', FAX: [phone] Customer Service: 1-877-623-6748
Interner www,ncwaterqualitr.org
Date
Title
SW NPDES Permit Coverage Rescission
Stormwater Permitting Unit p �LI V 1'/ L 1617.Mail Service Center iJ j]
Raleigh, North Carolina 27699-1617 U
AUG 3 .Y Z011
T{)lic,1� plOWATER
RQUALITY
NOI-trb�fi}BPiNCH
4 Equ;a C:'T 4) lUmtq'%. AVIOT1 *Ac. in F,npioyci

Ski,
��3
NC®ENt
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins
Governor Director
February 20, 2009
Mr. Wes Robison
Indian Motorcycle
116 Battleground Road
Kings Mountain, NC 28086
Dee Freeman
Secretary
Subject: No -Exposure Certification NCGNE0493
Indian Motorcycle
116 Battleground Rd., Kings Mountain, NC 28086
Cleveland County
Dear Mr. Robison:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, the
Division is granting your conditional exclusion from permitting as provided for under 40 CFR 126.22(g), which is
incorporated by reference in North Carolina regulations.
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 (February 19, 2014). At that time you must re -certify with the Division, or
obtain NPDES permit coverage for any stormwater discharges from your facility.
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 Robert Patterson at [phone], or at
[e-mail].
Sincerely,
ORIGINAL SIGNED BY
KEN FICKLE
for Coleen H. Sullins
cc: Mooresville Regional Office -Michael Parker
Stormwater Permitting Unit No- Exposure Files
Wetlands and Stormweler Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Rafegh, North Carolina 27604
Phone: [phone] FAX: 91M07.6494 l Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
An Equal Opportunily 1 Affirmative Action Employer
One
NoahCarolina
Naturally

RWBT Inc -
NCGNE0494
RWBT Inc -
Rowan
220 W Ritchie
Salisbury
I will let you know about this permit, later this week or early next week.
Indian
Motorcycle -
NCGNE0493
Indian
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1116 Battlegrourt
Kings Mountain
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Charlotte
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Pratt Industries
185 Deer Ridge,
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Steele & Sons,
Inc.
145 National Dr
Statesville
No-(D8)
Stowe
NCGNE053B
Woodward LLC
Mount Hope
Machinery
2000 Donald Re
Charlotte
I will let you know about this permit, later this week or early next week,
Gillett
Evemham
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�� ` • Division of Water Quality 1 Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
N CA LINA C1EpARiMENror NO EXPOSURE CERTIFICATION for Exclusion
ENVIRONMENT AND 0.rVRA RE9 RlE NCGNEOOOO
NO EXPOSURE CERTIFICATION
FOR AGENCY USE ONLY
Date Received
Year
I Month
Day
p
Certdleale of Coverage
NICIGIN 3
National Pollutant Discharge Elimination System application for exclusion from a Stormwater
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require
authorization for its stormwater discharges associated with industrial activity in the State of North
Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an indusb
facility means all industrial materials and activities are protected by a storm resistant shelter (with
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff.
..ma�yy
I V
C
I>
V V
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 ouffalls. If any industrial activities or materials are, or will be, exposed to precipitation, the
facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure
Certification form, you certify that a condition of no exposure exists at this facility or site and are
obligated to comply with the terms and conditions of 40 CFR 122.26(g).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWO Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name
Street Address --I i ----t���i' L.F_ Glkc�UN'D KOAD_ -- - -
City OUMT State ZIP Code 2ES06G
Telephone No. 937- 4024 Fax: D4 937- 7794-
2) Location of facility producing discharge:
Facility Name + l 01 AW 1\Ao-roRc.-Yc_ 1_E
Facility Contact w65 RC>Bi50(4 �VUJiAGER - MrG. ii nUA L VT Y
Street Address 11 G BAT7 t�E.GP_csu Q TD ROAD
City
County
Telephone No.
GE30IE5(o
Page 1 of 5

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Map of 1 l 6 Battleground Rd Kings Mountain, NC by MapQuest
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entire map, try clicking the "Printer -Friendly" link at the top of your results page.
MAPQVST;
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116 Battleground Rd
Kings Mountain, NC 28086-8259, US
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entire map, try clicking the "Printer -Friendly" link at the top of your results page.
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This map is informational only. No representation is made or warranty given as to Its content. User assumes all risk of use. MapQuest and
its suppliers assume no responsibility for any loss or delay resulting from such use.
http://www.mapquest.com/maps/map.adp?searchtype=address&country=US&addtohistory... 2/25/2008

NCGNEOOOO No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). F E "' oN INMI267ATE 14 IWAJ 55
`t RIJ MOR11A Ol i WIWAj Zl%(S� Vwl-ZRL2 GD APPt?UX, VZ FAGILIii IS 60 Lc- PT.
(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 X No
5) Is this a Federal facility? ❑ Yes -gNo
6) Latitude 35° Id' 56 N Longitude gl' 24 59" III (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
-44. New or Proposed Facility Date operation is to begin L9 OF:!)
❑ Existing Date operation began
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ❑ No
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 7 5 1
10) Provide a brief description of the types of industrial activities and products produced at this facility:
ASSEMRI `i nF Mb-rC]QG%IC.i .Ak\v..
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
�&No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Ex osure 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 XNo
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
ZNo
c. Materials or products from past industrial activity
❑ Yes
><No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
)"o
e. Materials or products during loading/unloading or transporting activities
❑ Yes
XNo
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
`XN'No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)

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NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes )KNo
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes XNO
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes XNo
j. Application or disposal of process wastewater (unless otherwise permitted) 0 Yes 1 No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ><No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes A No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes X No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or Yes ❑ No
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any )9,Yes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
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 any amount of Title III Section 313
Superfund Amendments and Reauthorization Act (SARA) water priority
chemicals?
d. Is secondary containment provided for gjn amount of hazardous substances?
X Yes ❑ No
Yes ❑ No
X Yes ❑ No
)Yes ❑ No
e. Are release valves on all secondary containment structures locked? KYes ❑ No

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes ;KNo
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes '5(No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes *A No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
16) 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 expo§ure 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.
certify that I am familiar with the information contained in this application and that to the best of my knowledge and
belief such information is true, complete, and accurate.
Printed Name of Person Signing: WESLEV L. - 1Za5L5C:t1
Title: Ni,AQAGER. � QUALiTV
of
4 108
( ate rgrted)

NCGNE0000 No Exposure Certification
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 Managementl 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.
Final Checklist
This application should include the following items:
❑ This completed application and all supporting documentation.
❑ A map with the location of the facility clearly marled.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
733-5083