AQ_F_1900039_20200304_CMPL_Fac-Ltr

NC Dept of Environmental Quality
MAR 4
Nov
020
VENEER Raleigh Regional Office
SPECIALTY • 1
February 28, 2020
North Carolina Department of Environmental Quality
Division of Air Quality
Raleigh Regional Office
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Re: Request for Approval of Responsible Official Delegation
Southern Veneer Specialty Products
Moncure, North Carolina
Dear Sir or Madam:
As the sole owner of the company, I am submitting this delegation of authority for all applicable air permit
applications and reports related to our Title V permit to Rick Payne, Plant Manager, in accordance with
the definition of Responsible Official as provided in 40 CFR 70.2:
Responsible official means one of the following:
(1) For a corporation: a 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 a duly authorized representative of such
person if the representative is responsible for the overall operation of one or more
manufacturing,production, or operating facilities applying for orsubject to a permit and either.
(i) The facilities employ more than 250 persons or have gross annual sales or expenditures
exceeding$25 million (in second quarter 1980 dollars); or
(i'i) The delegation of authority to such representatives is approved in advance by the
permitting authority;
The individual in this role is responsible for the overall operation of the facility and as such meets the
criteria to be designated as the Part 70 Responsible Official for the facility.
If there are any questions or if more information is required, please call Thomas Reams, EHS
Coordinator at 910-605-9258.
Sincerely,
Kendall Adams
President
306 Corinth Rd.
Moncure,NC 27559
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FORM A
GENERAL FACILITY INFORMATION
REVISED DM1[6 NCDE01DIvislon of Air quality.Application for Air Permit to Construct/Operate A
NOTE-APPLICATION WILL NOT BE PROCESSED WITHOUT THE FOLLOWING:
Local Zoning Consistency Determination
(new or modification only) 0 Appropriate Number or Copies of Application Application Fee(please check one option below)
❑r Responsible OfficiaLIXAorized Contact Signature P.E.Seal(it required) Not Required ❑ePayment ❑Check Enclosed
GENERAL INFORMATION
L/pal CO►po►yfa/OwnlrlVams: Southern Veneer Specialty Products.LLC
Site Name: Southern Veneer Specialty Products,LLC-Monoure
Site Address(911 Address)Line 1: 306 Corinth Road
Site Address Una 2:
City: Moncure
State: North Carding
Zip Code: 27559 County: Chatham
CONTACT INFORMATION
Responsible OfOclaVAuthodzed Contact: larvoice Contact:
Namerritle: Rich Payne / Plant Manager Namelf W Rick Payne / Plant Manager
Mailing Address Una 1: 306 Corinth Road Mailing Address Una 1: 306 Corinth ROW
Mailing Address Una 2: Mailing Address Line 2:
City. Moncure State: Moncure Zip Code: 27559 City: Moncure State: NC Zip Code: 27559
Primary Phone NO. [phone] Fax No.: Primary Phone No,: (919)Z75-3249 Fmk No.:
Secondary Phone No.: I Secondary Phone No.:
Email Address: roo{nall0hotmail,com Email Address: rooing31t4hotmail.com
Faclliryllnspectlon Contact: JOW-A-Tachnical Conrad:
NamelT'itle: Rick Payne / Plant Manager Namefritle: Rick Payne / Plant Manager
Mailing Address Una 1: 306 Corinth Road Mailing Address Line 1: 305 Corinth Road
Mailing Address Une 2: Mailing Addrotc Una 2•
City: Moncvre State: NC Zip Code: 27559 City. Moncure State: NC rip Code: 27559
Primary Phone No.: [phone] Fax No.: Primary Phone No.: [phone] Fax No.:
Secondary Phone No.: I Secondary Phone No.:
Email Address: rooine3ktitholmail.com EmadAddress: ro in 3 hotmail.corn
APPLICATION IS BEING MADE FOR
13 New Non-permitted Facility/Greenfield ❑ Modification of Facility(permitted) 0 Renewal Title V ❑ Renewal Non-Title V
❑Name Charge I] Ownership Change ❑Administrative Amendment ❑Renewal with Modification
FACILITY CLASSIFICATION AFTER APPLICATION(Check Only Ono) -
General Small U Prohibitory Small U Synthetic Minor • Title V
FACILITY(Plant Site)INFORMATION
Desviba nature of(plant Otte)operation(s): Plywood manufacturing
Facility O No. 1900039
Primary SlC1NA1CS Code: 24361321212 Currem'Previous Air Permit No, 03424T28 Expiration Date: JZW19
Fadity Coordinates: LaWAC 35 36 Xr Longitude: 79 03 W
Does this application contain —it yes,pleas*contact the DAQ Regional Ofcepriorto submitting this
confidential data? ❑ YES Q NO application.*- (See lnitnKtlOna)
.': PERSON OR FIRM THAT PREPARED APPLICATION
Person Name: Sandra PAlvarsdo Firm Name: Environmental Plarnwng Specialists,Inc.
Mailing Address Line 1: sow IH 10 West,Suite 600 Mailing Address Una 2:
Ciry San Antonio State: Texas Zip Code: 78230 1county, Bexar
Phone No.: [phone] Fax No.: Email Address. salvaradoemontrose-env.com
SIGNATURE OF RESPONSIBLE OFFICIAUAUTHOR¢ED CONTACT
Name(typed)' Title:
X Signelur Iris Info Dale:
Attach Additional ahocfas An Nacaaaary Page 1 of 2
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FORM A (continued, page 2 of 2)
GENERAL FACILITY INFORMATION
REVISED 09/22/16 NCDEQ/Division of Air Qualit
y-Application for Air Permit to Construct/Operate A
SECTION AA1 -APPLICATION FOR NON-TITLE V PERMIT RENEWAL
(Company Name)hereby formally requests renewal of Air Permit No.
fThe-merha-ve been no modifications to the originally permitted facility or the operations therein that would require an air permit since the last permit was Issued.
facility subject to 40 CFR Part 68"Prevnetion of Accidental Releases"-Section 112(r)of the Clean Air Act? ❑ YES ❑ NO
d yes,have you already submitted a Risk Manage Plan(RMP)to EPA? ❑ YES ❑ NO Date Submitted:
Did you attach a current emissions inventory? ❑ YES ❑ NO
If no,did you submit the inventory via AERO or by mail? ❑ Via AERO ❑ Mailed Date Mailed:
SECTION AA2_APPLICATION FOR TITLE V PERMIT RENEWAL
In accordance with the provisions of Title 15A 2Q.0513,the responsible official of (Company Name)
hereby formally requests renewal of Air Permit No. (Air Permit No.)and further certifies that:
(1) The current air quality permit identifies and describes all emissions units at the above subject facility,except where such units are exempted under the
North Carolina Title V regulations at 15A NCAC 2Q.0500:
(2) The current air quality permit cits all applicable requirements and provides the method or methods for determing compliance with the applicable
requirements;
(3) The facility is currently in compliance,and shall continue to comply,with all applicable requiremetns. (Note: As provided under 15A NCAC 2Q.0512
compliance with the conditions of the permit shall be deemed compliance with the applicable requirements specifically Identified in the permit);
(4) For applicable requirements that become effective during the term of the renewed permit that the facility shall comply on a timely basis;
(5) The facility shall fulfill applicable enhanced monitoring requirements and submit a compliance certification as required by 40 CFR Part 64,
The responsible official(signature on page 1)certifies under the penalty of law that a[[Information and statements provided above,based on Information and belief
formed after reasonable inquiry,are true,accurate,and complete.
SECTION AA3-'APPLICATION FOR NAME CHANGE "
New Facility Name:
Former Facility Name:
An official facility name change is requested as described above for the air permit mentioned on page 1 of this form. Complete the other sections if there have been
modifications to the originally premitted facility that would requie an air quality permit since the last permit was Issued and if then has been an ownership charge
associated with this name change.
SECTION AA4-APPLICATION FOR AN OWNERSHIP CHANGE,
By this application we hereby request transfer of Air Quality Permit No. from the former owner to the new owner as described below_
The transfer of permit responsibility,coverage and liability shall be effeclive (immediately or insert date.) The legal ownership of the
facility described on page 1 of this form has been or will be transferred on (date). There have been no modifications to the originally
permitted facility that would require an air quality permit since the last permit was Issued.
Signature or New(Buyer)Responsible Official/Authorized Contact(as typed on Page 1):
X Signature(Blue Ink):
Dale:
{{i New Facility Name:
I Fortner Facility Name:
f
Si nature of Former fSeller)Responsible Official/Authodzed Contact:
Name(typed or print);
t
Title:
X Signature(Blue Ink):
Date:
Former Legal Corporate/Owner Name:
In Ileu of the seller's signature on this form,a letter may be submitted with the seller's signature indicating the ownership change
SECTION AA5-APPLICATION FOR ADMINISTRATIVE AMENDMENT
Describe the requested administrative amendment here(attach additional documents as necessary):
Attach Additional Sheets As Necessary Page 2 of 2
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FO RMs A2, A3
EMISSION SOURCE LISTING FOR THIS APPLICATION -A2
112r APPLICABILITY INFORMATION -A3
REVISED o9122116 NCDEQIDivision of Air Quality-Application for Air Permit to ConstructlOperate A2
EMISSION SOURCE LISTING: New,Modified,Previously Unpermitted,Replaced,Deleted
EMISSION SOURCE EMISSION SOURCE CONTROL DEVICE CONTROL DEVICE
ID NO. DESCRIPTION ID N0. DESCRIPTION
Equipment To Be ADDED By This Application (New,Previously Unpermitted,or Replacement)
Existing Permitted Equipment To Be MODIFIED By This Application
Equipment To Be DELETED By This Application
112(r)APPLICABILITY INFORMATION A3
Is your facility subject to 40 CFR Part 68"Prevention of Accidental Releases"-Section 112(r)of the Federal Clean Air Act? L1 Yes LA No
If No,please specify in detail how your facility avoided applicability: All chemicals are below reporting thresholds.
If your facility is Subject to 112(r),please complete the following:
A Have you already submitted a Risk Management Plan(RMP)to EPA Pursuant to 40 CFR Part 68.10 or Part 66.150?
❑ Yes ❑No Specify required RMP submittal date: if submitted,RMP submittal date:
B. Are you using administrative controls to subject your facility to a lesser 112(r)program standard?
❑ Yes ❑No If yes,please specify:
C. List the processes sub*t to 112(r)at your facility:
PROCESS LEVEL MAXIMUM INTENDED
PROCESS DESCRIPTION (1,2,or 3) KAZARDOUS CHEMICAL INVENTORY LBS)
Attach Additional Sheets As Necessary
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FORM E5
TITLE V COMPLIANCE CERTIFICATION (Required)
EVISED 09/22/16 NCDEQlD'ivision pf Alr Quality•Application for Air Permit to Canstructl0perate E5
In accordance with the provisions of Title 15A NCAC 20.0520 and.0515(b)(4)the responsible company official of,
SITE NAME: Southern Veneer Specialty Products,LLC
SITE ADDRESS: 306 Corinth Rd
CITY,NC; Moncure
COUNTY: Chatham
PERMIT NUMBER., 03424T28
CERTIFIES THAT(Check the appropriate statement(s):
❑✓ The facility is in compliance with all applicable requirements
In accordance with the provisions of Title 15A NCAC 20,0515(b)(4)the responsible company official certifies that the proposed minor
modification meets the criteria for using the procedures set out in 20.0515 and requests that these procedures be used to process the permit
application.
❑ The facility is not currently in compliance with all applicable requirements
!f this box is checked,you must also complete Form E4 Emission Source Compliance Schedule'
the undersigned certifies under the penalty of law,that all Information and statements provided in the application,based on
nformation and belief formed after reaconablo Inquiry,are true,accurate,and complete.
Date:
Slgnatur6 of responsible company official(REQUIRED,USE SLUE INK)
Rick Payne,Plant Manager
Name,Title of responsible company official(Type or print)
Attach Additional Sheets As Necessary
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