NCGNE1286_COMPLETE FILE - HISTORICAL_20180806

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
P0HISTORICAL FILE
DOC DATE
❑ �l9 I � D� L�
YYYYMMDD

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

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
August 6. 2018
Caribou Specialty Materials
Attention: Jeff Classey
10401 Southern Loop Boulevard
Charlotte, NC 28134
Subject: No Exposure Certification NCGNE1286
Caribou Specialty Materials
Mecklenburg County
Dear Mr. Classey:
ROY COOPER
Govemor
MICHAEL S. REGAN
secretary
WILLIAM E. (TOBY) VINSON JR.
Interim Director
The Division of Energy, Mineral and Land Resources (DEMLR) 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 as well as observations made during a site
visit conducted by Mooresville Regional Office staff on July 25, 2018, the Division is granting your conditional
exclusion from permitting as provided for under 40 CFR 122.26(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 the
No Exposure Certification, 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. You must self re -certify annually using the enclosed form, or obtain NPDES permit coverage for
any stormwater discharges from your facility. The annual. self re -certification does not need to be submitted
to DEMLR unless requested.
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 Mr. James Moore at [phone],
Sincerely,
�� S GLr-
r
Zahid Khan, CPM, CPESC, CPSWQ
Regional Engineer
Enclosure RECEIVED
cc: MRO — DEMLR, Stormwater Files (w/o enclosure) AUG 14 201a
RLaleigh-Stormwater- Permitting -Prograrn_No" Exposure- Rtes;(wlo:enclosure) pENR-LAND QUALITY
STORMWATER PERMITTING
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
Mooresville Regional Office I W East Center Avenue I Mooresville, NC 28115
704-663-1699

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
August 6. 2018
Caribou Specialty Materials
Attention: Jeff Classey
10401 Southern Loop Boulevard
Chadotte, NC 28134
Subject: No Exposure Certification NCGNE1286
Caribou Specialty Materials
Mecklenburg County
Dear Mr. Classey:
ROY COOPER
Governor
MICHAEL S. REGAN,.
Secrewy
WILLIAM E. (TOBY) VINSON JR.
Interim Director
The Division of Energy, Mineral and Land Resources (DEMLR) 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 as well as observations made during a site
visit conducted by Mooresville Regional Office staff on July 25, 2018, the Division is granting your conditional
exclusion from permitting as provided for under 40 CFR 122.26(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 the
No Exposure Certification, 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. You must self re -certify annually using the enclosed form, or obtain NPDES permit coverage for
any stormwater discharges from your facility. The annual self re -certification does not need to be submitted
to DEMLR unless requested.
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 focal regulations or ordinances.
If you have any questions or need further information, please contact Mr. James Moore at [phone].
Sincerely,
Zahid Khan, CPM, CPESC, CPSWQ
Regional Engineer
Enclosure
cc: MRO — DEMLR, Stormwater Files (w/o enclosure)
Raleigh Stormwater Permitting Program, No Exposure Files (w/o enclosure)
State of North Carolina � Environmental Quality I Energy, Mineral and Land Resources
Mooresville Regional Office 1 610 East Center Avenue I Mooresville, NC 28l t 5
704-663-1699

Permit: NCGNE1286
SOC:
County: Mecklenburg
Region: Mooresville
Contact Person: Jeff Classey
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Compliance Inspection Report
Effective: Expiration: Owner: Caribou Specialty Materials
Effective: Expiration: Facility: Caribou Specialty Materials
10401 Southern Loop Blvd
Inspection Data: 07/25/2018
Primary Inspector: James D Moore
Secondary Inspector(s):
Title:
Entry Time: 11:15AM
Pineville NC 28134
t
Phone: [phone]
Certification:
Exit Time: 11:35AM
Phone:
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant ❑ Not Compliant
Question Areas:
. Miscellaneous Questions
(See attachment summary)
Page: 1

Permit: NCGNE1286 Owner - Facility: Caribou Specialty Materials
Inspection Date: 07/25/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Based on the inspection I would recommend granting no exposure at this time. The only this stored outside was a small
covered dumpster.
Page: 2

_j 13a) \ 8
a
Environmental
Quality
hCGh FlP-g6
NO EXPOSURE CERTIFICATION for Ex n RECEIVED
NCGNEAOQO `�G
°CO 0, °j2 / MAY 2 5 2018
EN
National Pollutant Discharge Elimination System a pplica��rao�ioxclWon Sty D ' V ITfed
on NO EXPOSURE: o_ op 9 NG
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination �gv
FOR AGENCY USE ONLY
Date Recch ed
Year
Munth
pay
cerlif1Cal 0 orcoNcmge
Submission of this No Exposure Certification constitutes noq-dbtion that your facility does not require a
permit for stormwater discharges associated with industrial *ivity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DEMLR must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. in
addition, the exclusion from NPDES permitting is available on a facility -wide basis only -not for individual
outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
If approved, your conditional No Exposure Exclusion has no expiration date
BUT MUST BE self re -certified at least annually.
Please look for information about re -certification under the No Exposure section on this page:
https://deg.nc.gov/abo_ut/divisions/energy-mineral-land-resources/e_ne_rgy-mineral-land-permitslstormwater-
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
1) Mailing address of owner/operator
Name f AVI,. Au
Contact
Street Address
City
Telephone No.
B
(Please print or type)
State ZIP Code
Fax: 0 58-3
Page 1 of 7
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NCGNE0400 No Exposure Certification
2)
Location of facility producing discharge:
Facility Name Cairtbok
Facility Contact j2 PP
Street Address
City
County
Telephone No.
State ivr- Lirc;oae _ Z_rsis-+
34 49 M 0 3 Fax:
3) Physical location information:
Please provide a narrative description of how to get to the facility {use street names, state rod numbers, and
distance and direction from a roadway intersection). 14 �SAijj �ok s L DourM5 �d sow H _LOO�
(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 0 No
5) Is this a Federal facility? © Yes # No
G) Latitude 3S I1331G Longitude --90 g0323 1 1 (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
0,-"N�ew or Proposed Facility- Date operation is to begin 3�
Existing Date operation began
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? © Yes
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
2xrs�iK
P"c
No
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2_ 19 S
10) Provide a brief description of the types of industrial activities and products produced at this facility:
epecr►'o"IC_
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
0 Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
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NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where 0 Yes KNo ❑ NIA
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
c. Materials or products from past industrial activity
d. Material handling equipment (except adequately maintained vehicles)
e. Materials or products during loadinglunloading or transporting activities
f. Materials or products stored outdoors (except final products intended for outside
use [e.g., new cars] where exposure to stormwater does not result in the
discharge of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels,
tanks, and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained
by the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g.,
dumpsters))
). Application or disposal of process wastewater (unless otherwise permitted)
p Yes No 0 NIA
❑ Yes No 0 NIA
❑ Yes No © NIA
© Yes No 0 NIA
❑ Yes No 13 N/A
E3 Yes 0 No 13 NIA
0 Yes W No ❑ NIA
10 Yes A No 0 NIA
0 Yes )<No 0 NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents 0 Yes #No ❑ NIA
not 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 0 Yes O(No 0 NIA
(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 XNo ❑ NIA
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 0 Yes ❑ No Pf NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes l3 No XN/A
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.
Page 3 of 7
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NCGNEOOOO No Exposure Certification
a. Is secondary containment provided for single above ground storage containers © Yes p No XN1A
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored © Yes ❑ No P'NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund 0Yes CI No X NIA
Amendments and Reauthorization Act (SARA) water priority chemicals*?
d, Is secondary containment provided for hazardous substances** designated in © Yes p No NIA
40 CFR §116?
e. Are release valves on all secondary containment structures locked? © Yes © No NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes 9 No El NIA
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous E:3 Yes O No NIA
waste generated per month) of hazardous waste?
c. is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste GI Yes t(No 0 NIA
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of
waste:
vendor:
Flow is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal
Vendor address:
Footnotes to Questions 14) c. & d.
*Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
**Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable
Quantities of the hazardous substances listed in 40 CFR §117.3.
16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
Page 4 of 7
SWU-NCGNE Last revised 9/28/2016

NCGNE0000 No Exposure Certification
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
b. Does your facility have coat piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions ermitted by an Air Quality
Permit? Please specify: rim f t-ea ui,re _
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier to this application (such as Hazardous Waste Permits, etc.):
Permit: , Program:
Permit: Program:
Permit: Program:
Permit:
Program:
Permit: Program:
Permit: Program:
Permit: Program:
p Yes XNo 0 NIA
[]Yes O(No 0 NIA
G Yes 0 No O NIA
KYes CI No 0 NIA
© Yes 0 No 'NIA
Page 5 of 7
5WU-NCGNE Last revised 9/28/2016

NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or
materials from the industrial facility or site identified'in this document {except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to maintain no exposure conditions and complete -a Self -Recertification form at least once
each year, and if requested, provide this certification 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
Energy, Mineral, and Land Resources, 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 I
must keep a copy of annual re -certifications on file at the facility.
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: t'
Title: Sf
S 22
(Date Signed)
Please Rote: This application for the No Exposure Exclusion is subject to approval by the NCDEQ
Regional Office prior to issuance. The Regional Office may inspect your facility for compliance
with no exposure conditions prior to that approval. The Regional Office may also inspect your
facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000),
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
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NCGNE0000 No Exposure Certification
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 marked.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7 of 7
SWU-NCGNE Last revised 9/28/2016

5/22/2018
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