HomeMy WebLinkAboutNCGNE0074_COMPLETE FILE - HISTORICAL_20100609STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE bb79
DOC TYPE
Pr-H'ISTORICAL FILE
DOC DATE
❑Q 0 1 -D DLO 0
YYYYMMDD
FIWA
di
NCDENR
Nor-th Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins
Goverrlar Director
May 25, 2010
Mr. Tommy Thompson, Senior Manager
Intenational Environmental Affairs
Hanesbrands, Inc.
1000 E. Hanes Mill Road
Winston-Salem, NC 27105
Subject:
Dear Mr, Thompson:
1
No -Exposure Certification NCGNE0074
Northridge Imagewear Distribution
521 Northridge Park Drive
Rural Hall
Forsyth County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Storm' water
Permlittirg form. Based on 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 CaroMa 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 immedsately obtain NPDES permit coverage for your stormwater discharge.
Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge.
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 Steve Mauney at (336) 771-4969, or at
ste.v6.mauney@ncdenr.gov.
Sincerely,
feve W. edder
Winston-Salem Regional Supervisor
cc: SWP-Central Files & WSRO
Fran McPherson-DWQ Budget Office
Andy Allen, Winston-Salem Stormwater Division
North Carolina Division of ,,Valer OuaRy, `Alinstm-Salem Regional Office
Location: 585 VdauaMown SI. Knslon-Salem, Noah Carolina 27107
Phone: 336-771-50001 FAX 336-771-46301 Customer Service 1-877-623-6748
inlemer. wwA,.ncwalerquality.org
An Equal Oppo,tunity', Affirmative Action Employer
Stormwater Permitting Unit, No- Exposure Files
o llc
North Cziroli[act
,Natut-ally
o�0b-u-
a .•. —i
Hanes Printables
521 Northridge Business Park
Rural Hall, NC 27045
Subject:' General Stormwater Permit Inspections
Hanes Printables
Permit No. NCGNE0074
Forsyth County
Dear Sir or Madaam:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Your facility holds a General Permit from the North Carolina Division of Water Quality to
discharge stormwater associated with industrial activities performed at your facility. Please be
advised that the'Winston-Salem Regional Office will be performing NPDES Stormwater
Inspections sometime in the near future.
If this office has not previously inspected your facility, you should be prepared to demonstrate
compliance with all terms and conditions included in the Permit. Specifically, we will be
evaluating the following: Stormwater Pollution Prevention Plan, Stormwater Outfall Locations,
Qualitative and Analytical Monitoring Data and any other activities required by your permit.
Copies of the general permits and accompanying documents can be accessed from the following
webpage: htW.-11h2o.enr.state.nc.us/su/Forms Documents. htm#StormwaterGP.
If you have any questions, please contact Rose Pruitt in the Winston-Salem Regional Office at
(336) 771-4600.
Sincerely,
&.,a �aa�
Rose Pruitt
cc: NPS Compliance & Assistance Oversight Unit
SWP-Central Files
WSRO Files
q a
NCarolina
J17tumlIll
North Carolina Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone (336) 771-4600 Fax (336) 771-4631
Internet: h2o.encstate.nc.us
An Equal OpportunitylAtfirmative Action Employer — 50% Recycled110% Post Consumer Paper
FIEW BY CFJMAL RES
FEB -9 06
D_E C E I �,
N C G-N TE ml y
NIP4s A
FORM ``�,
3510-11
I j� _ 2Q02 061te States Environmental Protection Agency
1 I Washington, DC 20460
_ NO EXPpSILI E CERTIFICATION for Exclusion
DENWQt1ALITY NI DES Storm Water Permitting
POtNl- SOURCE BRANCH I
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require pi
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector
of a condition of no exposure.
due to the. existence
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: 1,;NAjA1IC-_l5I
n 2. Phone: 13l 3161 S J 12 �t1 P rl
3.Mailing Address: a, Street:311A,1ll INQIRITI��IisI L,DILL IgiYl S l. I IP& R IkII I I I I I I 1
b.City: IKlatIRIA I k I lAdI T I I I I I I I I. I_. 1 l 1 1 c.State: 1,4(&A d.ZlpCode: 17=1-7101 IS-1-1 I I I
B. Facility/Site Location Information
1. Facility'Name: 19IA iA/iEi5 i I I`IPi l iMI ri,6 i gi l lelSI , I _I I I I �} I I I I I, I I I
2. a. Street Address: krilili �flliWigifilli l!IDi6 i, IRIGtdi-I if iAiRikl I�'InIRIS
I I I I Li
b. City: A M R IA k i i tiiA l i k I I f I I I I I I I I I I I c. County: �I R I S i YI r1 /1I I, I I
d. State` I&/ &j e. Zlp Code: 117 i O I T IS1- 1 I I I I
3. Is the facility located on Indian Lands? Yes No
4. is this a Federal facility? Yes No
5. a. Latitude: 13 i g 1 O 6.0 . 111/ 1" b. Longitude: i s l o C I l 1 VJ , 0�J
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes No
b. If yes, enter NPDES permit number:
7. SIC/Activity. Codes: Primary: I'h),i)LjS_j Secondary (if applicable): I I I I
8. Total size of site associated with industrial activity: IrQ acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No LiL]
b. If yes, please indicate approximately how much area was paved or roofed over. Completing 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.0 One to five acres More than five acres
EPA Form 3510-11 (10-99) Page 1 of 4
t
M
P 8
r2m
N10-11
NO EXPOSURE CERTIFICATION for Exclusion from
\-.EPA NPDES Storm Water Permitting
Form Approved
OMB No. 2040 0211
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 spills/leaks
3. Materials or products from past industrial activity
[]
4. Material handling equipment (except adequately maintained vehicles)
❑
[./]
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
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., dumpsters])
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21,
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
certify under penalty of law that t 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: 141t i [.SiUl711p1�-1/vI I I 1 I I I I I I I I I I I _I I I I 1 I I I
Signature:
Date: I p15:] 2� 3 I a �
EPA Form 3510-11.(10-99) Page 2 of 4
Farm Approved
United Slates Environmental Protection l encyr1` �g.No. 2(?4of0211
NPDES A Washington, DC 20460 1 J jt
35010 1n1 `�, EPA NO EXPOSURE CERTIFICATION for E clusion(,feom
NPDES Storm Water Perm i in l ���2
9
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does t require permit authorization for its,4rm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water IOIBfti=Sector�Genera�Pe`rmd�tlue io the existence
of a condition of no exposure. fAfi6N ±f
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: IJ IAIGIki 18 64C'I/t I I I I I I' I I I I I I I I I 11 /�1 I p1 2.Phone': I.3131W1 �/191 i1910181
3. Mailing Address: a'.Street: I� 1I / I I M 0 I R I TI F%IK I I 1 26I k 1 RI A S I I AAA Ill k'-E I I I I I 11 I
b. City: I�IuSiAd i Il iAi tlll I I I I I I I I I i 1 I c.State: d.Zip Code: 71j01 ytS-I I I 11
B. Facility/Site Location Information
1, Facility Name: IYIIAI1VI'6S1 1l/'i/R�1t♦1N/r�IAj�I�IGIsI I I I I�1 I I/� I]_ I I I! I
2. a. Street Address: /{ I Sik I I I IVV Q I /C I TL%>✓I K I l I 0 6 6l I RI l S I i I' IAI I'll >rCi i 1_rI
b. City: A IK iAl! 1 i�A 1 l 1/ 1 I I i 11 i I I I I I I 1 c.County: 1FjQiAIS I
d. State: " e. Zip Code: � 1I %101 .1J.t,1 — I I I I 1
3. Is the facility located on Indian Lands? Yes ❑ No Rr
4. Is this a Federal facility? Yes ❑ No 2r
5. a. Latitude: }3 161 o i I I LLIJ b. Longitude: 1. Ih2 ] It I-L2•1
6. a. Was the facility or site previously covered under an NPOE S storm water permit? Yes ❑ No ✓❑�
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: L,~l� ll�L/J Secondary (if applicable): 1 I I I 1
8. Total size of site associated with industrial activity: ___CO__ _ acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does'not disqualify you fog 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
r"
FORMNPDE�, 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
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
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during load inglunloading or transporting activities
6. Materials or products stored outdoors (except final products intended for outside use (e.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
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., 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
El
L►Q
(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: 1,4I r< 11 SI a(_%I P#i -11ltli I I I I I I I I [ I I I I I I" I I I I I I I i
Print Title: 1,�j I S 17 1 00 , (z 14 I% i I d i!sz [AlAIM-416 I CS121 1 _ (1 1 1 1 1 1
Signature:�ti__�___�_W_�
Date: 1 / 101 / 11161 ?h
EPA Form 3510-11 (10-99) Page 2 of 4
w A rF9Q
Michael F. Easley, Govemor
�oF
G
William G. Ross Jr., Secretary
North Carulina Department of Environment and Natural Resources
`O
c r
Alan W. Klimek, 11. E. Director
_{
Division of Water Quality
Q ^C
Coleen I L Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Al Sutphin, Distribution Manager
Hanes Printables
521 Northridge Business
Rural Hall, NC 27045
Subject: No Exposure Certification NCGNE0074
Hanes Printables - 521 Northridge Busines
Forsyth 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 May 24, 2002. 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 12622(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 (919) 733-5083 ext.
537, or at jonathan.diggs@ncmail.net.
Sincerely,
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office - Central Files—wlattachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Scrvice Center Raleigh, North Carolina 27699-1617 (919) 733-7015
NC:DE a
Customer Servicc
1-877-623-6748