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NCGNE1174_COMPLETE FILE - HISTORICAL_20161205
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE DOC TYPE i� HISTORICAL FILE DOC DATE ❑ � � I � � � u S YYYYMMDD ViCGhf 1/�� Division of Energy, Mineral and Land Resources Land Quality Section �— -National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion Energy, Mineral NCGNE0000 and Land Resources ENVIRONMENTAL G11AL.l7Y � � /S /'� /� � OM;-� e , National Pollutant Discharge Elimination System application for ex sion from a S. on NO EXPOSURE: Q FOR AGENCY USE ONLY Date Received e M ertificate orcoverage N N E FC O mwater��+I%t based v,��, n�nr_'�D n,. Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina QL aus 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 Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit.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:lldeg. nc.gov/about/divisions/_e_nergV-mineral-land-resources/energy-mineral-land-Permitslstormwater- For questions, please contact the DEMLR Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of owner/operator (address to which all certification correspondence will be mailed): Name U Contact Street Address City Telephone No. SWI I_Nf (;iUF Rodney Addison Consolidated Container Company - 1408 Unity Street Thomasville 336 472-1500 x0031 Thomasville Page 1 of 7 State NC ZIP Code 27360 Fax: I act raviq"A Q79A/5)n1r, �� Sk' •L� Y � ,��t.�:. t .. Y � �, `� �. � � �b�, , NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Consolidated Container Company - Thomasville Facility Contact Kim Therrien Street Address 1408 Unity Street City Thomasville State NC ZIP Code 27360 County Davidson Telephone No. 336 481-0035 Fax: 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). From North on Interstate 85, take the Finch Farm Rd exit and turn Left. Stay on Finch Farm road and it turns into Unity Street and the facility is approximately 1.78 miles on the right — immediately after crossing the railroad tracks. (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 O✓ No 5) Is this a Federal facility? ❑ Yes QNo 6) Latitude 35' 53' 08.87 Longitude -800 03' 07.38 (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin El 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? 0 Yes ❑ No If yes, what is the NPDES Permit Number?_ NCGO50410 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: 3 0 8 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: Blow molding of plastic bottles 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? Q No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 GWI I_N(IrNF I ;;et rPvieari Q/9R/?nlF; 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 ❑ Yes Q No ❑ 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 ❑ Yes Q No ❑ N/A c. Materials or products from past industrial activity ❑ Yes Q No ❑ NIA d. Material handling equipment (except adequately maintained vehicles) ❑ Yes Q No ❑ NIA e. Materials or products during loading/unloading or transporting activities ❑ Yes Q No © NIA f. Materials or products stored outdoors (except final products intended for outside ❑ Yes Q No 11 NIA 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, ❑ Yes Q No ❑ NIA tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained ❑ Yes Q No ❑ NIA by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes Q No ❑ NIA dumpsters]) j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes Q No ❑ NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ❑ Yes Q 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 ❑ Yes Q No ❑ 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 Q No ❑ 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 QYes ❑ No ❑ NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Q Yes ❑ No ❑ N/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 CWI I_NC7C�NF I act rPvicaA 419RO01A NCGNE0000 No Exposure Certification a. Is secondary containment provided for single above ground storage containers El Yes 0 No ❑ NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored ❑ Yes 0 No ❑ 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 Amendments and Reauthorization Act (SARA) water priority, chemicals*? d. Is secondary containment provided for hazardous substances** designated in 40 CFR §116? e. Are release valves on all secondary containment structures locked? 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: vendor: How 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. ❑ Yes ❑ No 0 NIA ❑ Yes ❑ No 0 NIA ❑ Yes ❑ No 0 NIA ❑ Yes 0 No ❑ NIA ❑ Yes 0 No ❑ NIA ❑ Yes 0 No ❑ NIA *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 SWI I_Nf'C�NF I act rauicari QlPA19 iA NCGNE0000 No Exposure Certification r� a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes QNo ❑ NIA b. Does your facility have coal piles on site? ❑ Yes Q No ❑ NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes Q No ❑ NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes Q No ❑ NIA degreasing operations, plating, painting and metal finishing)? if so, describe the industrial activity: e. If you answered yes to d., are those emissions permitted by an Air Quality ❑ Yes ❑ No Q NIA Permit? Please specify: f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 i A0 ravicarl 4monir, 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 format 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. 1 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. I 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. ^w �s Printed Name of Person Signing: Rodney Addison Title: Plant Operations Manager, (Signature of (Date Signed) Please note: 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 13(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 (510,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 Rw1 I ast n-uks-rl Gr7A17n1R NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: Q This completed application and all supporting documentation. 21 A map with the location of the facility clearly marked. Q If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: Stormwater Permitting Program Division of Energy, Mineral and Land Resources 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 ...... (828) 2964500 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) 776-9800 Central Office ......... (919) 707-9220 Page 7 of 7 SWI I_Nr'r,NF I act rauicarl Qlgwmir5 Kim Therrien (Thomasville) From: White, Glen <glen.white@ncdenr.gov> Sent: Friday, November 04, 2016 10:43 AM To: Ken Anderson (Atlanta Corporate) Cc: Rodney Addison (Thomasville); Kim Therrien (Thomasville); Bernie Graham (Thomasville) Subject: RE: Response to Site Inspection at Thomasville Location Ken Send the original to: Stormwater Permitting Program NCDEQ-DEMLR 1612 Mail Service Center Raleigh„ NC 27699-1612 RECLD V CD DEC 0 5 2016 DENR-LAND MIALIT( STORNIVVATER PERW TING They have to enter your application into the State Basin Inventory Management System and assign an NCG NE file number. Once they assign a number I can issue your No Exposure Permit. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy, Minerals & Land Resources 450 Hanes Mill Rd — Suite 300 Winston-Salem, NC 27105 (336)776-9660 From: Ken Anderson (Atlanta Corporate)[mailto:Ken.Anderson@cccllc.com] Sent: Wednesday, November 02, 2016 1:54 PM To: White, Glen <glen.white@ncdenr.gov> Cc: Rodney Addison (Thomasville) <Rodney.Addison@cccllc.com>; Kim Therrien (Thomasville) <Kim.Therrien@cccllc.com>; Bernie Graham (Thomasville) <Bernie.Graham@cccllc.com> Subject: Response to Site inspection at Thomasville Location Mr. White, I have attached the completed and signed No Exposure Certification and pictures of the cleaned drains you requested in your inspection report dated 27 September 2016. We will add monthly inspection and clearing of the drains to the plant Preventive Maintenance schedule. Please let me know if you need the original signed document and we will send it to you. Thank you for your assistance. Ken Anderson I Director of Compliance Consolidated Container Company 3101 Towercreek Parkway I Suite 300 1 Atlanta, GA 30339 T: 678-742-4654 1 C: 678-778-6301 1 F: 678-742-4750 i I 4 I Energy, MineraI & Land Resources i .ENVIRONMENTAL QUALITY Burney Graham Consolidated Container Company 1408 Unity Street Thomasville, NC 27360 September 27, 2016 Subject: Compliance Evaluation Inspection Permit No. NCG 05,0410 Consolidated Container Co. Davidson,County Dear Mr. Graham: PAT_ M,'c,CRORY Governor DONALD PL VAN,DER.VAART 5ecrelury TRAC:Y'DAVIS Director RECEIVED DEC. 0 5,2916 DENR-LAND QUALM STORKNATEf FERNVTTI- 10 1 On September 27, 2016 Glen White of the North Carolina Department of Environmental Quality; Department of Energy, Minerals, and Land Resources met with you at the facility located at 1408 Unity Street in'Thomasville,` to -conduct a compliance inspection per the Industrial . Stormwater Permit requirements. This was the first storinwate'r inspection conducted for this facility. ' 'Inspection corisists of review of the Stormwater Pollution Prevention Plan, training, monitoring and spills records as well as observation of the general condition of the site, the outfalls and any possible exposures to downstream stormwater. Permit:. This facility holds General,Stormwater Permit NCG050410 to discharge 'Stormwater from industrial activity.associated with Apparel, Printing, Leather, Rubber, & Miscellaneous Manufacturing under the National Pollutant Discharge Elimination, System (NPDES). The, permit became effective June 1, 2013.and expires on May 31, 2018. A copy of the current permit is required to be maintained with the Stormwater Pollution Prevention Plan (SPPP) documents. . _Records[Reports: This facility was required to develop and maintain a (Stormwater Pollution Prevention Plan) SPPP in accordance with Part II, Section A of the permit. The facility has developed a SPPP. Facility Site Review: This facility.produces rigid plastic packaging. -Examples are plastic. bottles containing food, drink, cleaning products, etc. All production occurs inside of the building. Storage tanks,for plastic pellets are'stored outside but any spill can be cleaned up fairly"easily without affecting downstream waters and property. It appears that Consolidated Container Co. qualifies for No Exposure Exclusion to the North Carolina General Stormwater Permit under current operating procedures as there are virtually no exposure from industrial processes. An application for Exclusion is submitted with this letter and may be used to apply if you so choose. Bate of North Carolina I Environmental Quality I Energy, 41inelal and Land Resources Winston-Salem Regional off:ce,1 450 Haries Mill Road, Suite 300 1 Winston-Salem. NC Z7103 336 7776 4800 I — Effluent Receiving Waters: Effluent from this facility drains to North Hamby Creek, class "C" waters of the Yadkin Pee Dee River Basin. Self-Mon_itorin�_Program: Part ll, Section C of the permit requires semi-annual qualitative monitoring. No analytical monitoring is required under current operating procedures and permit requirements. The grate inlet in the loading dock area is clogged and appears to have been clogged for some time. There are also tow clogged culverts under the railroad spur serving the property from the rear. Please have the loading dock grate and the two culverts cleaned out to prevent future issues. Mr. Graham's assistance with this inspection was very much appreciated. The facility was found to be compliant with requirements of its industrial stormwater permit. If you have questions or need additional information, please contact Glen White at (336) 776-9660. Sincerely, Matthew E, Gantt, F.E. Regional Engineer Land Quality Section Winston-Salem Regional Office Enclosures, lrispection'Report cc,. File Copy Divisionof Energy; Mineral and Land. Resources (WSRO) State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Winston-Salem Regional Office f 450,Hanes Mill Road. Suite 300. 1 Winston-Salem. NC 27103 336 776 9800 • All, ' Compliance Inspection Report ,Permit: NCG050410 Effective: 06/01/13 Expiration: 05/31/18 Owner: Consolidated Container Company LP SOC: Effective: Expiration: Facility: Consolidated Container Company 1408 Unity St County: Davidson Region:' Winston-Salem Thomasville NC 27360 Contact Person: Barry Elliott Title: Phone: 336-472-1500 " Directions to Facility: Fram nortli on interstate 85 take the finch farm rd exit and turn left stay on fincg farm rd and it turns into unity st and facility is approx 1.78 mi on the rt immediately after crossing the railroad tracks System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits; , s} 1 S Inspection Date: 09/2712016 Entry Time: 11:30AM Exit Time: 12:OOPM t Primarylnspectori Glen_White'.` �" Phone: 336-776-9800 Secondary inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation !' Permit inspection Type: ApparellPnntinglPaperlLeatherlRubber Stormwater pischarge COC i Facilitystatus ® ;C mpllantlr s p . ..,, o -`Q Not Com liant Question Areas: Xt M1 a �.,, r;• t ® Storm Water At (See attachment summary) • Page: 1 Permit; NCG050410 Owner- Facility: Consolidated Container Company LP Inspection Date: 09127/2016 Inspection Type : Compliance Evaluation Reason for Visit: Routine -Inspection. Summay (See Compliance Letter) I ty "4 Permit: NGG050410 owner -Facility: Consolidated Container. Company 13 ® Inspection Date: 09l27I2056 Inspection Type :Compliance Evaluation Reason for Visit: Routine r Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑" ❑ .N ;❑ Comment:. No ahalVticalmonitorinq is required under current facility operation nor under current permit requirements. Permit and outfalls Yes No 'NA NE 1 # Is a copy of.the Permit and the Certificate of Coverage available at the site? ❑ ❑ El # Were all-outfalls observed during the inspection? '® .❑ _❑ ❑ i # If the facility has representative outfall status, is it properly documented by the Division?, ,❑ ❑ ,N El # Has the facility evaluated all illicit (non stonnwater) discharges? ❑, ❑ ❑ j Comment: Two drain pipes that run under.the railroad spur at the rear of the facility are clogged and need to ! be cleared to prevent standing water and'possible undermining of the railroad spur and the - 1 building itself. Drain at the loading dock is clogged and appears to have been clogged for some time: Please clear. • Qualitative Monitoring Yes No -NA NE Has the facility conducted its Qualitative Monitoring semi-annually? e ❑ ❑. ❑ " Comment: No deficiency noted. Stormwater Pollution Prevention Plan Yes NoNANE Does the site have a Stormwater Pollutiori Prevention Plan? '❑ ❑ ❑ '# Does the Plan include a General Location (USGS) map?. ,®.; ❑ ❑ '❑ # Does the Plan include a "Narrative Description of Practices"? WE! .❑ El # Does the Plan include a detailed site map including outfall locations and drainage areas? ❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ❑ ❑ N ❑ # Has the facility evaluated feasible alternatives to current practices? ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? " t ❑ ❑ ❑ i # Does the Plan include a BMP summary? ❑ '❑ ❑ I' # Does the Plan include a Spill Prevention and Response Plan (SPRP)? E ❑ ,❑ El # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? 0 ❑ ❑ ❑ ®# Does the facility provide and document Employee Training? ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? E ❑ ❑ ❑ Page: 3 Permit: NCG050410 Owner - Facility: Consolidated Container Company LP Inspection Date: 0912712016 Inspection Type : Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE # Is the Plan reviewed and updated annually? 0 ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ■ ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? 0 ❑ ❑ ❑ Comment: No deficiency noted. 15 a O.NCDENR Nc.r. Cw0u t]rr.v=rwc.rt ov E.mno�r+e'rr Iwo wvurw- ResouRces Division of Energy, Mineral and Land Resources -Land Quality Section National Pollutant Discharge Elimination System 'NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 FOR AGENCY USE ONLY Date Received Year Month Day Certificate of Coverage NICIGINLE1 National Pollutant Discharge. Elimination System application for exclusion from a Stormwater Permit based on NO EXPOSURE: t• Submission of this No Exposure Certification, constitutes notification thatyour facility does not require a permit for 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, 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, Joading 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 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 permittingds 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.facilityor site and are o_ bligated to comply with the terms and conditions of 40-CFR 122.26(g). If approved, your conditional no -exposure exclusion must be self re -certified at least annually.. Please see.information here: http://portal.ncdenr.org/web/Ir/npdbs-stormwater For questions, please contact the DEMLR Regional Office for your area. (See page 6) ! (Please print or type) 1) Mailing address of ownerloper'ator (address to which all certification corres ondence will be mailed): Name Contact Street Address City Telephone No. Page 1 of 7 State ZIP Code .= Fax: SWU-NCGNE Last revised 5/5/2015 L NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City State ZIP Code ' County Telephone No. Fax. 3) Physical location information: Please provide,a narrative descriptionW how to get to the facility.(y§e street names, state road numbers, and distance and direction from a roadway intersection). (A copy of.a map with the facility clearly located on itshould,be included with the certification application.)` 4) Is the facility located on" Native American 'Lands? 0 Yes i 0 -No 5) .Is this a Federal facility? ❑ Yes ❑ No.. ; 6) Latitude Longitude (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility 'Dat6.oberation is -to begin ❑ Existing Date ope(ation"began ❑ ; Renewal of -existing No Exposure Certification Certificati'oh,No.:.NCGNE 8), Was this facility or site ever,covered under an NPDES Stormwater.Permit? ❑•Yes Q 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 atthis facility. SIC Code: 10) Provide a brief description of the types of industrial activities and products Produced at this facility: I .11) S Does this facility have any Non -Discharge permits'(ex: recycle permits)? e •0 No a Yes . If -yes, list the permit numbers for all current,Non-Discharge permits for this facility: Page 2 of 7 ..f I Last revised 5/5l2015 ' , 1 ter+•• 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 ❑ Yes ❑ No :0„NIA I residuals from using,storing or cleanin industrial machine e u� remai g machinery orequipment q p n and are exposed to stormwater. b. Materials or residuals on the ground'or-in""toirriwater inlets from spills/leaks p Yes ❑ No '❑ NIA I c. Materials or products from past industrial activity 0 Yes, 0 No :,E] N/A, . d. Material handling a ui ment (except adeuatel maintained vehicles o-Yes -U'No t]tN/A e, Materials or products during Ioeidinglur loading:o�,transporting activities 0 Yes` ❑•No p NIA f, Materials or products stored outdoors (except•final products; intended for outside ❑ Yes.' [D No ' D.NIA 4 use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants} i g. Materials contained in open, deteriorated or, leaking storage,drums, barrels, tanks, ❑ Yes- 0 No �❑ NIA and similar containers - h. Materials or products handled/stored on roads.or railways owned or maintained by' ❑ Yes Cl No 0 NIA the discharger i. Waste material (except waste in covered,-nondeaking containers [e.g., durripsters]). 0 Yes '0 No D,NIA j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes C3 No' ,❑'N/A k.'Particulate matter or visible deposits of -residuals from roof.stacks and/or vents not fD Yes ❑ No '❑ NIA otherwise regulated (i.e., under an airquality,control permit) and evident in the stormwater outflow ; } I. Empty containers that previously contained materials,that are not properly stored .Yes. 'El No. El N/A }1 - (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 'D Yes, d No C] NIA, 1 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 'SD No ' 0 N/A ' deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes '• ❑ No 0 NIA cracks, holes, or evidence of leaks, -and are drain valves maintained locked shut? [7 Page 3 of 7 Swu-NcGNE Last revised 5/5/2015 NCGNE0000 No Exposure Certification 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 ❑ Yes_ ❑ No .0 NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? . b. Is secondary containment provided for above ground storage containers stored o Yes .❑ No © NIA . . in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for Title IIL.Section 313 Superfund ❑ Yes ❑ No,,.:OVA, .. . Amendments and Reauthorization Act (SARA) waterpriority chemicals"? d. Is secondary containment provided for:hazardous substances** designated in 40" ❑ Yes 0 No ij N/A CFR-.§116? e. Are release valves on all secondarycontainment structures locked? 0 Yes • ❑ No ❑ NIA 15) HazardousWaste: > a. Is'this facility a,•Hazaedous Waste Treatment, Storage, or Disposal Facility? ,-p Yes„ .0 No, ❑.IN/A b. Is.this facility a Small Quantity Generator (less than 1000 kg, of,hazardous waste ©Yes ❑,No ❑'NIA generated per month) of hazardous waste? I 6, is this facility a'Large.Quartity Generator(1000 kd.or more of hazardous waste'. , _Iq'Yes. .0 !Vo ❑;NIA generated per month) of hazardous waste? t If you answered yes to questions L. 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: r ' Name of transport l disposal vendor - Vendor address: Footnotes to Questions 1`4) c. "Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require" r 1 secondary containment. However, some exceptions may be made for de minirnis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title III.SARA'313 ih 40 CFR §372:3$. "Note that amounts below the,660-gallon,(single) and 1,320-gallon-(combined)',bu'lk storage minimum's require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40.CM§117.3. s Page 4 of 7 SWU-NCGNE Last revised 5/5/2015 ' t j NCGNE0000'No Exposure Certification 16) Other information: If you.answer "Yes"'to any of,the following items, you might. not be eligible for,the .° no exposure exclusion. Amore M-depth evaluation' of the site circumstances may be required. i a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes ❑ No_. D NIA ; b. Does your facility have coal piles on site? . ❑ Yes ❑ No .❑ NIA ' i c.,Does your facility store other fuel sources, outside,in piles', such as wood chips, - ❑ Yes 11 No El NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes ❑ No 0 NIA• degreasing operations, ,plating, painting: and meta! -finishing)? ,If so, describe the :. industrial activity: t e. If you answered yes to d., are those ernissions.permitted by an Air Quality Permit? ❑ Yes ❑ No ❑ NIA i Please specify- „ f. Please list any other environmental program permits (federal, state, etc.) not specified, earlier in this application (such'as-Hazardous.Waste:Permits,•etc-): Permit: 2 Program: Permit: Program: Permit: Program: ' Permit: M Program: Permit: 'Program: „ Permit: Program: Permit: Program: 0 r Page 5 of 7 SWU-NCGNE Last revised 5l512015 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 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 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 fo'r' 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,-,Addiiionally; I certify, under penalty,of v lavv'that-this document all ap attachments'.we�eibrepared under,my direc4ion or'supervision in accordance with a system ° . ;;. 'designed to assure thatqualified,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 far gathering the information, the information submitted is to the' est of, my knowledge' and belief true,"accurate and complete. am aware , ,I othat there are significant;penaities;for submitting false information; including the. possibility o'f fine' and imprisor m'6nt for knowing violations. I certify that I am familiar with the information contained in this application and that to the best of rriy knowledge and belief ..such information is true, complete, -.and accurate: '. t" Printed Name of Person Signing Title:, s •4• nY: I (Signature of Applicant) Y (Date Signed) Please note: 'Tills lapplrcatorl 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 afso 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 staterndnt, representation, or certifiication'iri any application record report, plan .or other! " document filed or required.to be maintamed'under this Article or a rule implementing this Article orjvvho knowingly niakes a,raise , statement of a material fact in a rutemakrng proceeding or contested "case und& this Article; or who falsifies tamper5.wiifi, or k'nomnngly +' renders inaccurate any recording or monitoring: device or method required to be operated or maintained under this Article or rides-ofthe [Environmental Management[ Commission mptenienting this Article shall be guilty of a Class 2 misdemeanor which may mclude.a fine 1 not to exceed ten thousand dollars ($40 OQo).. ,•r �• i r ..Z There is 'currently. no,fee fora No Exposure'EXclusion. Page 6'of 7 SWl1-NCGNE fast revised 5!5l2015 , _ .. �, Jam.-...,� • 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: I Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center -Raleigh, North Carolina 27699-1612 . ,r '• -Vote 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: ; • , ' .' -�' .. ;:• Win ' Asheville Office ...... (828) 296 -4500 g.. Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704)663-i699 ,•, " , , Raleigh Office ........ (919) 791=4200 Yi� ... • b , ; h .-• Washington Office ... 252 946=6481 h�,. Wilmington Office ... (910.) 796-7215 Winston-Salem'. ..... (336) 771=5000 • `}4' , a., Ile Central Office (919) 807-6300 , .1 "atom Page 7 of 7 - Last re0sed 515I2015 Alexander, Laura From: White, Glen Sent: Friday, December 16, 2016 3:45 PM To: Alexander, Laura Subject: RE: NCGNE1174 Follow Up Flag: Follow up Flag Status: Flagged Hi Laura, I don't have any problem with issuing of the No Exposure. I visited that facility and they don't have any real stormwater exposures outside of the facility. Glen White Environmental Specialist NCDENR Winston-Salem Regional Office Division of Energy, Minerals & Land Resources 450 Hanes Mill Rd— Suite 300 Winston-Salem, NC 27105 gicti.whitc@licdent-.gov ncdenr.gov (336)776-9660 From: Alexander, Laura Sent: Thursday, December 15, 2016 12:45 PM To: White, Glen <glen.white@ncdenr.gov> Subject: NCGNE1174 Glen, i rec'd a no exposure application from Consolidated Container. I see that they currently have NCG050410. Do you want me to rescind and make a note that it is being replaced by NCGNE1174? Thanks, Laura Alexander Administrative Assistant Stormwater Permitting Program North Carolina Division of Energy. Mineral and Land Resources North Carolina Department of Environmental Quality 919 807 6368 Office 919 807 6494 Fax laura.alexander ncdenr. ov 512 North Salisbury Street 1612 Mail Service Center Raleigh, North Carolina 27699