NCGNE0206_COMPLETE FILE - HISTORICAL_20050420

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE Ua
DOC TYPE
(/HISTORICAL FILE
DOC DATE
❑ ((ffNao
YYYYMMDD

Michael F. Bosley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Nan W. Klimek, P. E. Director
Division of Water Quality
Coleen I I. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Brian Dick, EHS VP
Atlantic Industrial Services
2760 Vly View Dr
Shreveport, LA 71108
Subject: No Exposure Certification NCGNE0206
Atlantic Industrial Services - 1009-A Schieffelin Rd
Wake 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 December 30, 2004. 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,
�/✓cICC��-t�c,yv�Z4 —'
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office Central Files — w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
NCDENR
Customer Service
1-877-623-6748

Michael P. Easley, Govemor
William G. Ross h., Secretary
North Carolina Department of Environment and Natural Resources
rAlan
W. Klimek, P. E. Director
-.�
Division of Water Quality
Y
Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Brian Dick, EHS VP
Atlantic Industrial Services
2760 My View Dr
Shreveport, LA 71108
Subject: No Exposure Certification NCGNE0206
Atlantic Industrial Services - 1009-A Schieffelin Rd
Wake 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 December 30, 2004. 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].
cc: Raleigh Regional Office
Stormwater Permitting Unit Files
Sincerely,
for Alan W. Klimek, P.E.
Central Files — w/attachments
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
o A
NCDENR
Customer Service
1-877-023-6749

NCGNE�zo�- D�
NPDES EPA
FORM ` W
3510-11
United States Environmental Protection Agency
Washington, DC 20460
NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Form Approved
OMB No. 2040-0211
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, 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 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: LI IITILIAINI. I I Cl III N I � I V IS I T 1211 IA I f-1 IS I C 10 I U Ill L I F IS I 2. Phone: IyI 010121SI6 I qI 9101 of
3. Mailing Address: a. Street: 1d 17 1� 10 1 IV I A I L I L I I`I /I I VI 1 I EI W I I A F I I I I I I I I I I I I I
b.City: LSIHI(y'VEIVIEIPioIRIT 1 1 I 1 1 1 1 1 1 1 1 1 aState: ICJ d.Zip Code: l-7l11II(JIAI—I I II
B. Facility/Site Location Information
1. FacilityIA
Name: rt IT IL IA In I'rll 111 1)1y1101 UISI 71(?1'141r-I ICI CI RI UI'If-I NISI I
2. a. Street Address: I I10101 �I" IAI ISIL Ihl' It l{If le l� I' Ihl Irlo IA Inl 1 1 1 1 1 1 1 1
b. City: RI PiraixI I I I I I I I I I I I I I I I I I I I c. County: IWIA III CI I I I 1 1
d. State: AL e. Zip Code: 1),1'7 151 01 �I — 1 1 11 1 1 I-7
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No FYJ
5. a. Latitude: I3j.5-1 ' L9LS LYLZJ b. Longitude: L1 of 1 L�U LLf
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No ❑K
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: 51 1 I% lol i'5 Secondary (if applicable): I I
8. Total size of site associated with industrial activity: I IL4 acres # ATr-A+1 I nd,fr,x I A,+,o,+�cd
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No ❑A
b. If yes, please indicate approximately how much area was paved or rooted over. Completing this question does not disqualify you for the no expo
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are like
an adverse impact on water quality, in which case you could be required to obtain permit coverage. n
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510-11(10-99)
DES `� 0

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NPDES NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM „EPA 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
❑
Q
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
❑
0
4.
Material handling equipment (except adequately maintained vehicles)
❑
FKI
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
❑
El
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
❑
T
8.
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., dumpslers))
❑
1C
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 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 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: 15 a l I IA IN I I bi I I t- I Iel I I I I I I I I I I I I I I I I I I I I I I I
Print Title:
Signature:
Date 11 1 7 10
EPA Form 3510-11 (10-99) Page 2 of 4

Industrial Services, Inc.
December 17, 2004
Atlantic Industrial Services, Inc.
Atlantic Oil Collection Services, Inc. d/b/a Atlantic Industrial Services
Environmental, Health and Safety Department
2760 Valley View Drive
Shreveport, LA 71108
800-256-9900
www.usedoil.com
CERTIFIED MAIL RETURN RECEIPT REQUESTED
North Carolina Department of Environmental and Natural Resources
NPDES Stormwater Division
512 N. Salisbury St.
Raleigh, NC 27604
RE: Atlantic Industrial Services, Inc. Apex, NC — NPDES Notice of Exclusion
Dear Program Staff,
Enclosed is a completed EPA Form 3510-I1 for a exclusion from NPDES permitting for our new site. The site
will not have an associated discharge of stormwater. All stormwater is collected on site and disposed
through an off water separator system operated by the property owner.
Please contact me with any questions.
Brian Dick
Vice -President of Environmental, Health and Safety
214-914-7369
[e-mail]