HomeMy WebLinkAboutNCGNE0803_COMPLETE FILE - HISTORICAL_20090604STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE d�3
DOC TYPE
VHISTORICAL FILE
DOC DATE
❑ �(90W)y
YYYYMMDD
AMA.Ne®R
North Carolina Department of Environment and Natural Resources
vs�
Division of Water Quality
Beverly Eaves Perdue
Coleen H. Sullins
Dee Freeman
Governor
Director
ry
0
May 20, 2009---
Mr. Steve Walker
x'I C
i z
Burt's Bees.
701 Distribution Dr.
a
Durham, NC 27707i
C 7
Subject: No -Exposure Certification
6 CD
c c-,
NCGNE
Burt's Bees
4
U
Durham County
Dear Mr. Walker:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form and made a site visit to assess the potential for stormwater pollution. Based on our observations and
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 (subject to civil penalties
of up to $25,000 per day]. Your conditional no -exposure exclusion expires in five years (May 20, 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 Myrl Nisely at (919) 791-4200 or at
myrl.nisely@ncdenr.gov.
d]nc,rely, j
for Coleen H/ �ulliins
cc: Raleigh Regional Office files
,Stormwater-Permitting Ohit-No=Exposure--Files�P
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 276991628 Phone (919) 791-4200
Internet: w .ncvvatergualitv.org Location: 3800 Barrett Drive Raleigh, NC 27609 Fax (919) 788-7159
N-jo[thCarol i na
Customer �_1? ,,rally
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 50% Recycledl10 % Post Consumer Paper
0 Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: Facility Status: Active Permit: _N_CGNE0603 ❑ Denied Access
Inspection Type: Reconnaissance Inactive or Closed Date:
Reason for Visit: Routine County: Durham Region: Raleioh
Date of Visit: 05/15/2009 Entry Time:08:50 AM Exit Time: 09:20 AM Incident #:
' Farm Name: Burt's Bees, Inc.
Owner Email:
Owner: Burrs Bees Inc
Phone: 919-998-5200
Mailing Address: 633 Davis Or
Morrisville NC 27560
Physical Address: 701 Distribution Dr
Durham NC 27709
Facility Status: ❑ Compliant ❑ Not Compliant
Integrator:
Location of Farm:
Latitude: Longitude:
Question Areas:
Certified Operator:
Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name
Title Phone
On -site representative Steve Walker
Phone: 919-433-4576
Primary Inspector: Myrl Nisely
Phone:
Inspector Signature:
r
Date: J )d
Secondary Inspector(s): -
Inspection Summary:
Site visit made to assess whether facility qualifies for No Exposure. All industrial activity is under roof, and outside housekeeping was
exemplary. Quite clearly, NE is appropriate.
At one corner of the site is a storm drain that may or may not be inside the property line of this company. Maintenance to pull
accumulated leaves and grass is need and advisable from time to time, so Mr. Walker agreed to contact the landlord to find out if the
landlord will be responsible for this, or Burt's Bees.
Page: 1
North Carolina
Beverly Eaves Perdue
Governor
Mr. Steve Walker
Burt's Bees.
701 Distribution Dr.
Durham, NC 27707
Dear Mr. Walker:
NC®ENR
Department of Environment and
Division of Water Quality
Coleen H. Sullins
Director
May 20, 2009
Natural Resources
Subject: No -Exposure Certification NCGNE0603
Burt's Bees
Durham County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form and made a site visit to assess the potential for stormwater pollution. Based on our observations and
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 [subject to civil penalties
of up to $25,000 per day]. Your conditional no -exposure exclusion expires in five years (May 20, 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 Myrl Nisely at (919) 791-4200 or at
myrl.nisely@ncdenr.gov.
dSincrely,
for Coleen H ullins
cd::Ra lei g h-Reg i o n al:Office.fi I e-s---7
Stormwater Permitting Unit No -Exposure Files
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 27699-1628 Phone (919) 791-4200
Internet: www.ncwatercualitv.orc Location: 3800 Barrett Drive Raleigh, NC 27609 Fax (919) 788-7159
No thCarulina
Customer �Yqmralljl
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
® Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: Facility Status: Active Permit: NCGNE0603 ❑ Denied Access
Inspection Type: Reconnaissance Inactive or Closed Date:
Reason for Visit: Routine County: Durham Region: Raleigh
Date of Visit: 05/1512009 Entry Time:08:50 AM Exit Time: 09:20 AM Incident #:
Farm Name: Burt's Bees, Inc Owner Email:
Owner: Burt's Bees Inc
Mailing Address: 633 Davis Dr Morrisville NC 27560
Physical Address: 701 Distribution Dr Durham NC 27709
Phone: 919-998-5200
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: Longitude:
Question Areas:
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Steve Walker Phone: 919-433-4576
Primary Inspector: Myrl Nisely Phone:
Inspector Signature: Date: 5 )_0 11 0
Secondary Inspector(s):
Inspection Summary:
Site visit made to assess whether facility qualifies for No Exposure. All industrial activity is under roof, and outside housekeeping was
exemplary. Quite clearly, NE is appropriate.
At one corner of the site is a storm drain that may or may not be inside the property line of this company. Maintenance to pull
accumulated leaves and grass is need and advisable from time to time, so Mr. Walker agreed to contact the landlord to find out if the
landlord will be responsible for this, or Burt's Bees.
Page: 1
BtCTIt TS DIES
Earth Friendly Natural Persona[, Care Products
October 12, 2007
(Za ✓S�
tjC&-NF0(oo3
So . zv
i`-
Mr: Ken Pickle z
StormwaterPermittingUnit �0�` A
Division of Water Quality wF
1617 Mail Service Center
b� C
Raleigh, NC 27699-1617 m
Dear Mr Pickle, G.rj GNP
Burt's Bees.voluntarily disclo certain audit findings to EPA.Region 4 last <
month pursuant.to US EPA' au it disclosure policy. This notification is' intended
to address specific stor ater, n n=compliances rel ted to the following facilities`. "
761' Distribution Drive, "; 627 Distribution Drive 900 Aviation: Parkway -
Durham;; NC 27709 Durham, NG277109Morrisville,.NC 2 60
Find enclosed -''No Exposure Certification for Exclusion" forms for our three
affected facilities along with a in sfiowing the' location of each.
Also enclosed is a copy_Of:an authorization letter for, your reference:
I look forward to working hearing from your department soon to arrange the
necessary site visits to confirm' no exposure" status: Please contact me directly
33'
-at (919) 4'45M or swalker@burtsbees.com to make those arrangements.
Kind regards,
teve Wa er, CMMM
Supply Chain Sustainability Manager
c: Gloria Love,'US EPA Region 4
Tony Quartararo, Executive Vice President of Supply Chain (wo attachments)
Tom Fitz, Vice` President of Sustainable Engineering (w/o attachments) -
Mailing Address: P.O. Box 13489, Durham, NC 27709
$hipyingAddrers- 701 Distribution Drive, Durham, NC 27709
®� ' • Division of Water Quality / Surface Water Protection
NCDENR . National Pollutant Discharge Elimination System
N� NO EXPOSURE CERTIFICATION for Exclusion
Fx.•awnvrt,xo Ncw.LL RmAcea
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGENCY USE ONLY
Date Rxeived
Ye. 1 Mouth
1 Day
2-
CeaiHcate of ov.p
n
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notice that your facility does not require permit .
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 industrial
facility means all industrial materials and activities are protected by a storm resistant shelter (with some
exceptions) to prevent exposure to rain, snow, showmelt, andlorrunoff.
Industrial materials or activities include, but are not limited to: material handling equipment oractivities,
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 a%t this facility or site and are
obligated to comply with the terrrrs and conditions of 40 CFR 122.26(g).
You are required to reapply for the No Exposure. Exclusion once.every'five (5)•years.
(Please print or type)
1) Mailing address
of owner/operator (address to which all certification correspondence will be mailed):
Name
Burt's Bees, Inc.
Street Address
633 Davis Drive
City
Morrisville State NC ZIP Code, 27560
Telephone No.
919 998-5200 Fax: 919 998.-5201
2) Location of facility
producing discharge:
Facility Name
Burt's Bees, Inc.
Facility Contact
Steve Walker
Street Address
701 Distribution Drive
City
Durham State NC ZIP Code 27,709
County
Durham
Telephone No.
919 998-5200 Fax: 919 998-5201
Page 1 of 5
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 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). 0 .2 miles east of Davis Drive on Park
Knoll; 0.2 miles south on Distribution Drive
(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 . CR No
5) Is this a Federal facility? ❑ Yes El No
6)' Latitude 35 52 07 Longitude -78 51 33 (deg, min, sec)
7) This NPDES Permit Application applies to which of the following: ,.
❑ . New or Proposed Facility Date operatiomis to.begin `...___
0 Existing Date operation began 2000
.8) Was this facility or site ever covered under an NODES Stormwater Permit? O Yes N 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: 2 8 4 4
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Manufacture of natural personal care 'products.
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:
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
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 loading/unloading 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)
0 Yes IX No
❑ Yes
® No
❑ Yes
® No
❑ Yes
C9 No
❑ Yes
® No
❑ Yes
ix No
Page 2 of 5
SWU-NE-060607 Last revised 06/06/07 .
NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes N No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes 0 No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes N No
j. Application or disposal of process, wastewater (unless otherwise permitted)
❑ Yes N No
k. Particulate matter or visible deposits of 'residuals from roof stacks and/or vents not
❑ Yes I$ 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 [K 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? Not Applicable
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any. ❑ Yes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Not Applicable
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 aboveground 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. Are release valves on all secondary containment structures locked?
❑ Yes Cl No
Not Applicable
o Yes ❑ No
Not Applicable
0 Yes ❑ No
Not Applicable
Page 3 of 5.
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ' ❑ Yes M No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes 0 No
generated per month) of hazardous waste? CESQG
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes ® No
generated per month) of hazardous waste? CESQG
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. -
Icertify 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 exposure 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 Irnust allow the North Carolina Divisionof 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'eequest: -
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: toassure that qualified personnel properly gathered and evaluated theinformation submitted. Based
ori'my ingtiiry�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;_':
I certify;ttiat I am familiar with the information contained in this application and that to the best of my knowledge and -
belief such information is true,'66mplete, and accurate.
Printed Name of Person
Steven D. Walker
10/12/07
(Date Signed)
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.
Page 4 of 5
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 No Exposure Certification
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 rulerraking 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 ($10,000). -
There is currently no, fee fora No Exposure Exclusion.
Final Checklist .
This application should include the following items:
f$ This completed application and all supporting documentation.
M A map with the location of the facility clearly marked.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699 1617
Note
The subm[ssion`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 Recilonal'Office Contact Information:
Asheville Office ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office :..
(704) 663-1699
Raleigh.Office ........
(919) 791 4200
Washington Office ...(252)
946-6481 ;"-_'
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........
(919) 733-5083
Page 5 of 5
SWU-NE-060607 Last revised 06/06/07
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Division of Water Quality/ Surface Water Protection
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
O EXPOSURE CERTIFICATION
ational Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
3sed on NO EXPOSURE: >"
ubrnission of this'No Exposure Certification constitutes notice that your facility does not require permit'.
i&h r/iation for its stormwater discharges associated with industrial activity in the State of North
aroma because it qualifies for a no exposure exclusion. A condition of no eicpo"sure at an.industrial.,
crhty means all industrial materials and activities are protected by a storm resistant shelter (with some
rce Tons) to prevent exposure to rain; snow, snowmelt, an&orrunoff.
dus nal materials or act/vftles include; but are, not limited to materiai handling equipment or activities,
dustnal'machlnery raw materials, intermediate products, by products final products, or waste
oducts.: Material handling activities include the storage; loading and unloading, transportation, or
>nveyance of any raw material intermediate product final product or waste product A'storm resistant,,
ie/tens not required for the following in -- terials and activities drums barrels, tanks, and
mdar containers that are,'tightly seaied; provided those containers are not deteriorated and do not leak.
Baled" means banded or otherwise secured and with locked or non -operational taps or valves;
re¢qua`tely maintained vehicles used in material handling; and final products, other than products that
rald be, mobilized in stormwater discharges (e.jy, rock salt).
No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion.
addition; the exclusion fromNP .DES'permitting is available on a facility -wide basis only=not for
fividual. outfalls :4f 1.any industrial activities or materials are, or will be, exposed to precipitation, the
Arty is not ebgihie for the no exposure exclusion. By signing and submitting this No Exposure;
rtfrcation form, you certify that a condition of no exposure. exists at this facility or site and are
hgated to comply with the terms and conditions of 40 CFR 122.26(g).
iU are'r'egUire&t'o reapply for the No Ezoosure Exclusion once every five (5) years
r For questions, please contact the DWQ Regional Office for your area: (See page 5)
(Please print or type)
Mailing address of owner/operator (address to which all certification correspondence will be mailedl:
„...
Name Burt' s Bees , ' Iric i x
street Address 633.. Davis Drive
City it Morrisville'` State :'NC ZIP Code 27560
Telephone No: 919 998'-5200: Fax:.. .919 998-5201.
Location of facility producing discharge,'
Facility Name Burt's Bees*;.Inc:
Faality.Contact.' Steve Walker
StfEet Address 62Z•:.:Distribution".`Drive::...
City Durhdfn*,I'rr
. State ,'NC ZIP Code'. 27709
County: Ddrhain •i.
Telephone No 919.' 998=5200 Fax . 919 - 998-5201
Page 1 of 5
FOR AGENCY USE ONLY
Date Rmcmd
Year
Month
Day
Certi6wie
of Coverage
NFC E
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 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). 0 .2 miles east of Davis Drive on Park
Knoll, 0.18 miles south on Distribution Drive
(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? 0 Yes M No
5) Is this a Federal facility? ❑ Yes M No
6) Latitude 35 52 15 Longitude -78 51 33 (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
IN .Existing Date operation began May 2005
8) Was this facility or site ever covered under an NPDES Stormwater Permit7'0 Yes I& 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: 4 2, 2 5
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Warehousinq of packaginq components for personal care products.
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
M No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Exposure Checklists (12. - 14)
r.
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 eq'bipment, and areas where ❑ Yes M No
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 loading/unloading or transporting activities
I. 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)
❑ Yes M No
q Yes M No
❑ Yes M No
❑ Yes M No
❑ Yes CINo
Page 2 of 5
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes 0 No
and -similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes 0 No
the discharger .... .
i. Waste material (except waste in covered, non -leaking containers [e.g., dumosters]) ❑ Yes N No
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes IIK No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not 0 Yes I$ No
otherwise regulated (i.e., under an air duality control permit) and evident in the
stormwater outflow
1. Empty containers that previously.contained materials that are not properly stored ❑ Yes 19 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 N 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
0 Yes .: ❑ No
deterioration, pr evidence of leaks? _
Not Applicable
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any
O Yes ' Cl No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Not Applicable
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 0 Yes ❑ No
(including drums barrels, etc) "with a capacity of more than 660-gallons? Not 'Applicable:
b. Is secondary containment provided for above ground storage containers stored; 0 Yes b No
in close proximity to each other with a combined capacity of more than 1,320- Not Applicable
gallons?
c. Are release valves on all secondary containment structures locked? O Yes ❑ No
Nof: Applicable
Page 3 of 5
Last revised 06/06/07.
NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c, Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
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:
❑ Yes IR No
❑ Yes M No
.,.CESQG
D Yes ® No
CESQG
I certify underpenalty 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 under40 CFR 122.26(g)(2)):
I understand that I am obligated to submit a no exposure 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 facilitydischarges (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 1 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
nfo motion; the inform anon 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. 'r
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.
of Pcrenn s�nn�nn Steven D
Walker
(Signature of Applicant) (Date Signed)
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.
Page 4 of 5
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 No Exposure Certification
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 wth, 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.
Final Checklist
This application should include the following items:
0 This completed application and all supporting documentation.
0 A map with the location of the facility clearly marked.
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 "......
(828) 296-4500
Fayetteville"Office :..,
(910) 433-3300
Mooresville Office...
(704) 663-1699.
Raleigh Office ........
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........
(919) 733-5083
Page 5 of 5
SWU-NE-060607
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206m S.Id, 1 rt,. iXde .,
t 4 ",A& Division of Water Quality / Surface Water Protection
NCDENR National Pollutant Discharge Elimination System
FOR AGENCY USE ONLY
Date Received
Year.
Month
Day
certificate
of Coverago
..NO EXPOSURE CERTIFICATION for Exclusion
aNmwiflodnc, NCGNEOOOO
NO EXPOSURE CERTIFICATION
National PollutantDischarge Elimination System application for exclusion from'a Stormwater Permit
based ou NO EXPOSURE:.
'Submission of this No Exposure Certification;constrtutes`notice that your facility does"not require permit
authorization for rts'stormwater discharges associated with industrial activity m the State of, North
..
Carolina because it, qualifies for a no exposure exclusion `A condition'of no exposure at aii iirdustriai.
facility means ail industrial matenals and activities are protected by a storm resistant shelter (withsome
exceptions) to prevent exposure to rain,`snow,snowmelt' and%or runoff
r
Industnai materials or activities in1.clude, butane not hmrted to material handling egmpment or activities,. "
industrial machinery; raw matenals, inteimedI ,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 p"roduct or_waste product. A storm resistant
shelter rs not required for the following industnal'matenals.'and activities m drus;, barrels,tanks, and
Similar containers that are Sghtly'sealed,'provided.those containers are not deteriorated and do not leak..:
v,
"Sealed means banded or otherwise secured and w/tfr locked or non -operational taps or valves;
adequateiy', marntamed vehicles used in material handling; and final product`s;other than products that '
would be rnrobrhzed in stormwater discharges (e.g.; rock salt):
tat
A No Exposure Certification must be provided for each facility quahfyrny for the no exposure exclusion
-- _
In addition; the exclusion from NPDES permitting is available on:a facility wide basis only-; not'for
indwid to' iidf ils. It any industrial activities or materials are; or will be, exposed fo precipitation; the
faahtys not ehgible.for the rip; exposure exclusion. By signing and submitting this No Exposure
Certrficatron form, you certify that a condition of no exposure exists at this facihty or site and are
obhg'ated to comply,wrth the terms and conditions'of 40 CFR 122.25(g). � .
You are`regui�ed•to reapply for the,No.Exposure Ezclusion'once e'very five (5) years.
.:. -. ..; ..t.
For. questions, please contact the 6W� Regional Office fo yourarea;'(See page 5) •
(Please print or type)
1) Mailing address,of owmTloperator (address to which all certification correspondence will be mailed)
Name Burt s Bees;: Inc:
Street Address 633 Davis Drive' .. i
City Morrisville State '.NC ZIP,.'.Code 27.560
'(919 998-5200.` Fax. '(9 9 9.98.-5'201"
Telephone No. )_..`,' 1 )
2) Location of facility producing discharge
Facility Name . Burt Bees`; Inc.
Facility Contact Steve' Walker
Sti@etAddress• 90.O:Avidti6n Parkway.
City Morrisville; ".State?.NC ZIP. Code. 27560
County,; Wake '
Telephone No. '9i9 998-5200 Fax' 419 998-5201
Page T of b
SWU-NE-060607 - Last revised 06/06/07
NCGNE0000 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),I.4 miles south of.I-40 on. east sic
of Aviation.Parkway. SW quadrant of building.
(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? O Yes N No
5) Is this a Federal facility? ❑ Yes ® No
6) Latitude 35 50 14 Longitude -78 48 35' (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Data operation is to begin
* Existing Date operation began 2007
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes I& 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: 4 2 2 5
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Distribution of. natural persona1`care `products.
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:
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 of equipment, and areas where ❑ Yes rg No
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
El No
c. Materials or products from past industrial activity
❑ Yes
® No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
® No
e. Materials or products during loading/unloading or transporting activities
❑ Yes
. ® No
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
I$ No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Page 2 of 5
SWU-NE-060607
Last revised
06/06/07
NCGNE0000 No Exposure Certification
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])
j. Application or disposal of process wastewater (unless otherwise permitted)
k. 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
stormwater outflow
I. Empty containers that previously contained materials that.are not properly stored
(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
stored outside, has the facility had any releases in the past three (3) yeaFs?
❑ Yes
N No
❑ Yes
X No
❑ Yes
N No
❑ Yes
® No
❑ Yes
[K No
0 Yes ® No..
❑ Yes N No
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? Not Applicable
b..ls secondary containment provided for all exterior ASTs? If so,:is it free of any 0 Yes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Not Applicable
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. Are release valves on all secondary containment structures locked?
SWU-NE-060607
❑ Yes ❑ No
.Not Applicable
❑ Yes ❑ No
Not Applicable
❑ Yes ❑ No
Not Applicable
Last revised 06/06/07
NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes. W No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes ® No
generated per month) of hazardous waste? CESQG
c. Is this facility a Large Quantity Generator (1006 kg. or more of hazardous waste ❑ Yes El No
generated per month) of hazardous waste? CESQG
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 acondition 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 exposure 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 Imust 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 aa6ble upon request.
Intheevent 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 directionor supervision in accordance with
system designed to assure that qualified personnel properlygathered and evaluated the information submitted. Based
on my mquuyof the person or persons who manage the system, or those persons directly responsible for gathering the.,
ri onnat on the information submitted is to the best of my knowledge and belief We, accurate and complete. I am aware
' that there 6r significant penalties for submitting false information, including the possibility of fine and -imprisonment for
knowing Violations.
I certify that l 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: Steven D . Walker
Title: supply Chain Sustainabilitv Manager
10/12/Q7
(Signature of Applicant) (Date Signed)
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.
Page 4 of 5
SWU-NE-060607 Last revised 06/06/07
NCGNE0000 No Exposure Certification
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 Mice; 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.
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. '
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
Ttie 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 Confac£Information
Asheville Office ......
(828) 2964500
Fayetteville Office ...
(910) 439-3300
Mooresville'Office L.
(704) 663-1699
Raleigh Office ...
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem_......
(336) 771-5000
Central Office .........
(919) 733-5083
SWU-NE-060607
yJs ya t} irk._ ii7 +Ml
ri
m' ,y}y�ir �� *I r ! M1i t rt _.'�f•ey�� f���.1�,� � y S�t� i'tx
yS� I A M1k[t b nn\\
Ewth Friendly Araavvl Personal Care Products
September 18, 2007
To Whom It May Concern:
As a responsible corporate.officer" as defined in 40 CFR 122.22, I appoint Steven •:
Walkef,. Supply Chain Susfaivability Manager, as "authorized representative" of Burt's .
Bees;.Inc for reporting related to the Clean Water Act:
As an "owner or operator" under 40 CFR 370, I appoint Steven Walker, Supply Chain
> Sustainability Manager; as an "officially designated representative" of Burt's Bees; Inc
for EPCRA reporting purposes.
These authorizations remain in effect until revoked in writing by myself or another
"responsible coipoiate officer" and/or "owner or operator"..
.Mailing Addrrm P.O. Box 15489, Durham, NC 27709
-V,O(ring.dddm . 701 Distribution Drivq Durham, NG 27709
p (919) 998-5200 f (919) 998-5201 - wuwhrubces corn
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to
Mr. Ken Pickle
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
1
2. Article Number
(rmnsfer fmm service labeq
A. Signature
❑
X Agent
❑ Addressee
B. Received by ( Printed Name) - C. Date of Delivery
D. Is delivery address different from Item 1?
❑ Yes
If YES, enterr-W+,ypd"�OTv:
0 No
\ �
I
3. Service Type
XCertlfled Mail ❑ Express Mall
❑ Registered C@ Return Receipt for Merchandise i
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7007 0710 0003 2480 0227
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1 W
i