HomeMy WebLinkAboutNCGNE0432_COMPLETE FILE - HISTORICAL_20140416STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
°� HISTORICAL FILE
DOC DATE
❑ � n � y � y' �
YYWMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYM M D D
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. George Lorenz
Bimbo Bakers USA Inc
1029 Cox Road
Gastonia, NC 28054
Dear Mr. Lorenz:
NO RESJo n-Z)Skvarla, III
�" liSION OF LA AND QUALITY SECTIOt.4 Secrets rY
April 16, 2014 APR 2 4 2014
IMENI
AND NATURAL RESOURCES
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0432
Bimbo Bakeries USA Inc -Gastonia
Formerly Orograin Bakeries Manufacturing
Gaston County
The Division has reviewed your submittal of the permit name/ownership change form
for the subject No -Exposure Certification, which we received on January 13, 2014. Division
personnel have reviewed and approved your request to transfer the exclusion from NPDES
stormwater permitting requirements.
Please note that by our original acceptance of the No -Exposure Certification and by our
approval of your request to transfer it, you are obligated to maintain no -exposure conditions at
your facility. If conditions change such that your facility can no longer qualify for the 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.
Annual re -certification is required, and we have enclosed one blank Annual No
Exposure Exclusion Self Re -Certification form for your use. 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.
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir!
An Equal Opportunity 1 Atfirmative Action Employer— 50% Recycled 110% Post Consumer Paper
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 807-6300,
Sincerely,
ORIGINAL SIGNED W
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office, Z. Khan
Stormwater Permitting Program Files
Central Files
`�'�r A Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
"°^ �_'°" PERMIT NAME/OWNERSHIP CHANGE FORM
EUN4°4wEN' 4+.a A1utFill REsw�9
FOR AGENCY USE ONLY
Dale Received
Year Month Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
V C S Q I I I I N 1 C 10 C O y ,Z
II. Permit status ru for to requested change.
a. Permit issued to (company name):
�/r9Cl/�re.�► C.�rCr'r�' ) �anc. ,r`7�t�r�_ illt-
"13
sible for permit:
Fir t MI i.ast
Title �a 6 21/
rr Permit Holder Mailing Address
UTY
PO Pli soWWWtias+E �J�
City State Zip
{ O ) . E. { rV) 7 . 2)
Phone Fax
c. Facility name (discharge):.,,
d. Facility address: Y,
Address
City State Zip
e. Facility contact person: %nnJd r4 (jrant- (70`() �? -3c3 t
First / MI 1 Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:. ❑ Change in ownership of the facility
FTName change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
Title
o .1�F
P iut H ]d Maili Add ess
& }".P
rnAci2- r A-
✓>gtl�.�
j�errro er ng r
&Cr In
/ City StateP Zip
(-70- ) i6-7 .36,31 !- &,-, f1 Z 9/M At
Phone E-mail Address
d. Facility name (discharge): /31 rnn.L: R,,_IeCi' - LTS �I _S r¢ _Z4�C o1,sin/ C.,e. Facility address: ;2,
Address rf
LC""CL(9n^ -A ) (_
City State Zip
f. Facility contact person: f lyq -P
First MI Last
Phone E-mail Address
Revised 2012403
r
NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the rnb
son legally responsible for the ermit)
Permit contact: m — _ ��rcrl) 7-
First % MI Last
(Yf4e-6'r4�
el—
Title —
IF, )- � �-'o K ,2,1
/[ Mailing Address
C' y .7 /State Zip
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. tEYes
s ownership or name change?
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR .MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE.CERTIFICATION (Permit holder prior to ownership change):
I, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
"completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as ncomplete. t
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008
Beverly Eaves Perdue
Governor
YIF
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
Apri130, 2010
THOMAS D BAKER
PLANT MANAGER
OROGRAIN BAKERIES MANUFACTURING INC
1029 COX ROAD
GASTONIA NC 28054
Dear Mr. Baker:
Subject: Name/Ownership Change
Dee Freeman
Secretary
No Exposure Certification NCGNE0432
Orograin Bakeries Manufacturing, Inc
Formerly Arnold Foods Company, Inc
1029 Cox Road, Gastonia, NC
Gaston County
The Division has reviewed your submittal of the permit name/ownership change form for your No -Exposure
Certification, which we received on February 9, 2010. Division personnel have reviewed and approved your request to
change coverage under your Certificate of No -Exposure.
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 on May 30, 2011. 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.
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-63001 FAX: 91U07-64941 Customer Service: 1-877-623-6748
Internet: www.nomaterquality.org
An Equal opportunity 1 Affirmative Action Employer
onr NthCarolina
;Vatlllally
r
No Exposure Certification NCGNE0432
If you have any questions or need further information, please contact the Stormwater Permitting Unit at (919) 807-
6300.
Sincerely,
4 e�
far Coleen Fl. Sullins
cc: ( pLoo L;-•a1P5 e5 r�e4- kavc C,tes -'o.r No L�, 5
Mooresville Regional Office 5 PU nn 1y
Stormwater Permitting Unit Files D
Beverly Eaves Perdue, Governor vs�
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N I C t S 10 1 1 1
3�A_
11. Permit status prior to requested change.
a. Permit issued to (company name):
Ran n LFooD5 Cc (T\C
b. Person legally responsible for permit:
:D.
(o r i i r`0.. nv e�c7ui� �.
First Ml Last
P L -
AVTG�)1 naae2
jDrrnenck_ LL*0 f5
Title
1 oaQ �a,c �-R
n b 1c)NQP pklc! �� ,f ��
a� +4-� -�Pt 1 r4y, `�iorficcs
_ocj
Permit Holder Mailing Address
� s 6N 10 - N L �gQS
�-{
lan{- m f-g ��
City State Zip
(7oq )%7 -3 L31 x,2y9 (r76q) &17 553 I
Phone Fax
c. Facility name (discharge):
5 AM F 145 0-J06U 2.
d. Facility address:
5A-M C A-6
Address
�54m F (rS at.-6a v -2
e. Facility contact person:
City State Zip
�(oS Z). 6a kc , Oo4) $tn�- ' x
First l Ml / Last Phone
Ili. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
❑ in ownership of the facili
ame change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person Iegally responsible for permit:
I
FEB � 9-10
d. Facility name (discharge
e. 'Facility address:
f. Facility contact person:
o ee(N es l
�lll�
�a m'2 �.
First MI Last
�� &o_4 rnc,, nanez -
Title J�
oaf Cokoc
Permit Holder Mailing Address
N�_
City State Zip
00g }�363I,(agq tkC keP_ e bbc.,m41'[.
com
Phone E-mail Address
0R0Ra,'n kek)r (Vc tC
1(1C4 _Pe
C�Ct
Address
N �, CU05 c/
Moty State Zip
ker
ma5
First MI Last
aou ) g xa�q _ _ 7ki)d _(A
LMCZ (.
Phone E-mail Address
CWI
Remised 0008
or
,
I
9
i
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
W. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: S AM
First MI Last
Title
Mailing Address
erne _ -
City State Zip
e.
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this rship or name change?
❑ qYes
o (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED tF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both E��
nd/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. Fora name chan ire re uest, the signed
Applicant's Ce ff ation is suffit i� (no -me do y
PERNIITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Date
APPLICANT CERTIFICATION
[, 6Orra atfe'st application for a nam /ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
� -5-bald
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 71200$
o�oF w A rFRp�
Mr. Dan Taormina
Arnold Foods Company
1029 Cox Road
Gastonia, NC 28054
Dear Mr. Taormina:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
.G„.4, r -, _
Coleen H. Sullins, Director
n;_;: ;_ rw�tP n...r,.,
JA N 10 2008
NC ®ENR MRO
M-Surface dater Protection
Subject., No Exposure Certification NCGNE0432
Arnold Foods Company, Inc.
1029 Cox Road, Gastonia, NC
Gaston County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on May 17, 2007. 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, and is
hereby rescinding your current Certificate of Coverage number NCG060157.
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 (December 31, 2012). 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 Sarah Young at (919) 733-5083, ext.
502, or at sarah.young@ncmail.net_
Sincerely,
�odze-1
for Coleen H. Sullins
cc: Mooresville Regional Office -Michael Parker Central Files — wlattachments
Stormwater Permitting Unit Files Fran McPherson -Budget office ,=a
Permit file NCGO60157
1�Eh�R
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733-7015 Customer Service
1-877-623-6748
Re: 2nd group no exposures NCGNE0429, NCGNE0432, NCGNE0435
Subject: Re: 2nd group no exposures NCGNE0429, NCGNE0432, NCGNE0435
From: Michael Parker <m ichael.parker@ncmail. net>
Date: Mon, 17 Sep 2007 12:11:41 -0400
To: Sarah Young <sarah.young@ncmail.net>
Issue at your convenience.
Mike
Sarah Young wrote:
Michael Parker - Michael.Parker@ncmail.net
Environmental Engineer II
Forth Carolina Dept. of Environment & Natural Resources
Division of Water Quality
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Ph: (704) 663-1699 Fax: (704) 663-6040
1 of 1 1211 IY2007 1:50 PM
r
May 15, 2007
Storm Water No Exposure Certification (4203)
USEPA
401 M Street, SW
Washington, DC 20460
TO: STORMWATER DIVISION
RE- No Exposure Certification
Arnold Foods Company, Inc.
COC Number NCG060157
Gaston County
DAN TAORMINA
GENERAL PLANT MANGER
Neo
Our facility is currently covered for stormwater discharge under General Permit
NCG060000 that expires August 31, 2007. Attached is our No Exposure
Certification for exclusion from NPDES Storm Water Permitting for this facility.
With our General Permit expiring in the near future, please advise the status of our
No Exposure request so we can assure compliance with permit requirements if
necessary.
Sincerely,
GEORGE WESTON BAKERIES
Dan Taormina
Plant Manager
Attachment
CC: Mr. Bradley Bennett — NCDENR - DWQ
-Raleigh, NC- ,
49i
VZ 1
tjC&Wf04W3Z
Agency
United States Environmental Protection A Form Approved
g y OMB No. 2040-0
NPDES �� Washington, DC 20460
FORM ®Nw. NO EXPOSURE CERTIFICATION for Exclusion from 01FID
3510-11
EPA NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section 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, an&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 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: I Ri N 01 l {" �I I(!IPmf _ I8!_ y11 � _ I- -I_ 1_-I- I--� 2• Phone: � _ 1 _ I 1 _ I I _�J
Mailing Address a. Street: / I t I! I Ul Cq /I I� i f I� IC)lif 11�f I I I I I I i I I I I I! I I I I I
���S - b. City: DIr VI r i I I I I f I I# I I I I C. State: di C1 d. zip Code: kA Q p C45-
S. Facility/Site Location Information
/� �j 1. Facility Name: th-IPI NnLI
2. a. Street Address:/� -
b. City: C-IA_ ,I plA� Ji Ir Q �I - 1 I I I I I I I # i I I I c.County: A` �I `E' ? I I I
d. State: I "2-
t T e. Zip Code: As K s 4 -- I I I I
3. Is the facility located on Indian Lands? Yes No
4. Is this a Federal facility? Yes No
/n G'
5. a. Latitude: b. Longitude: ) �J T 1
6. a. Was the facility or site previously covered under an V
NPDES //stoorm water permit? Yes No
b. If yes, enter NPDES permit number: /\JL C 06- Gd G
7. SIC/Activity Codes: Primary: i_- P, Secondary (if applicable): +
8. Total size of site associated with industrial activity: �Ii }} aaues� (Q-+
9. a. Have you paved or roofed over a formerly exposed, pervious a ea ifrorder`to q aiii�yffb� th9 no exp sitre xclusion? Yes No
b. If yes, please indicate approximately how much area was paved or roofed over. Compieting 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
w
NPDES NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM `�'EP� 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.
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 spillsAeaks
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loadingluntoading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use je.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 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
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.
l certify under penalty of law that there 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 a4l 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
knowingviolations.
Print Name: XO�ILC)viAT [
I I I I I I I I I I I I I I I I ! I I I l
Print Title: I Y 11_ 1
Signature: gar ``
Date:
EPA Form 3510-11 (10-99) Page 2 of 4
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