NCGNE1271_COMPLETE FILE - HISTORICAL_20180601

STORMWATER DIVISION CODING SHEET
.NCG PERMITS
PERMIT NO.
NCGNE I �`i'
DOC TYPE
[Y HISTORICAL FILE
DOC DATE
❑ j Ll
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL ❑UAL17Y
June 01, 2018
Amazon.com.dede, LLC
Attention: Derek Jones
Attention: Lance Jones
345 Boren Avenue North
Seattle, Washington 98109
Subject: No -Exposure Certification NCGNE1271
Amazon.com.dede, LLC -- UNC1
300 Dalton Avenue
Charlotte, North Carolina 28206
Dear Mr. Jones,
1
ROY COOPER
Governnr
MICHAEL S. REGAN
Seererary
WILLIAM E. (TOBY) VINSON, JR.
Interim Drrecvor
The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from
NPDES Stormwater Permitting. Based on your submittal and signed certification of no exposure at the above
referenced facility, and the inspection dated May 31, 2018, the Division is granting your conditional exclusion
from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina
regulations.
Please note that by our acceptance of your no -exposure certification, you are obligated to maintain no -
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for 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 unpermitted discharge.
You must self re -certify your No -Exposure status annually and the form can be downloaded by visiting:
http:llportaLlicdenr.org/web/ir/npdes-stormwater the web page for the Division of Energy, Mineral and Land
Resources Stormwater Program. The annual self re -certification does not need to be submitted to DEMLR
unless requested. A copy should be maintained in your file.
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.
State of North Carolina I Environrnental Quality I Energy, Mineral and Land Resources
Mooresville Regional Office 1 610 Fast Center Ave Ste 301 j Mooresville, NC 291 f S
704 663 1699 7

Amazon.com.dedc, LLC
NCGNE1271
June 01, 2018
Page 2 of 2
If you have any questions or need further information, please contact Angela Lee at [phone], or
at [e-mail].
Sincerely,
' Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosure: Inspection Report
c Annette Lucas. Stormwater Permitting Program, No- Exposure Files NCGNE1271

Compliance Inspection Report
Permit: NCGNE1271 Effective: Expiration: Owner; Amazon Corn Dedc LLC
SOC: Effective: Expiration: Facility: Amazon.com.dedc, LLC - UNC1
County: Mecklenburg 300 Dalton Ave
Region: Mooresville
Charlotte NC 28206
Contact Person; Israel Burch Title: Phone: [phone]
Directions to Facility:
take exit 3 B off hwy 277 on w 12th st and continue until it ends at n graham st (rt 49) and turn right, in 114 mile turn right onto dalton
avenue, in another 114 mile the facility is on your left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/31/2018 Entry Time: 11:30AM Exit Time: 12:OOPM
Primary inspector: Angela Y Lee Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Other Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
Page: 1

Permit: NCGNE1271 owner- Facility: Amazon Cam Dedc LLC
Inspection Date: 05/31/201 B Inspection Type : Technical Assistance Reason for Visit: Other
Inspection Summary:
The site was inspected due to a request for a No Exposure certification. Per the inspection, it is found that the site qualifies
for the No Exposure Certification.
Page: 2

permit: NCGNE1271 Owner • Facility: Amazon Cam Dedc LLC
Inspection Date: D51311201 B Inspection Type : Technicai Assistance Reason for Visit.• . Other
Misc
Is the facility compliant?
Comment:
Yes No NA NE
❑ ❑ El
Page: 3

4
is
amazonFULFILLMENT
�..w+� F Mxrr� TK Cu.v��mr Menm�w.
August 8, 2017
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Change of Responsible Official on No Exposure Certification for Exclusion from Industrial
Stormwater Permitting
To Whom It May Concern:
ME
I am writing to request a change of contact information listed on the No Exposure Certification for the
Amazon.com.dedc, LLC — LINC1 facility located at 300 Dalton Ave, Charlotte, NC 28206. Please accept
this request to remove Derek Jones from the Responsible Authority contact and add Kevin Winston as
the Responsible Authority for the No Exposure Certification at this facility. Please find attached a NPDES
Owner Affiliation Designation Form as the request for this change. For your reference, Kevin Winston's
information is as follows:
Kevin Winston
Senior Regional Environmental Manager
Cell: [phone]
Email: [e-mail]
Mailing Address:
NA Environmental Dept.
Amazon.com
P.Q. Box 80842
Seattle, WA 98108
RECEIVED
AUG 2 4 2017
DENRIAND OUALITY
STORMWATER PERMITTING
Please let me know if you have any questions or require any additional information.
Sincerely,
%A,1� F�1�
Kevin Winston
Senior Regional Environmental Manager

w ,
lienr�v
NCDENR
NC GROLI� DC TMENT OF
ENVIRONMENT F D NAf AL i KE UROE5
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Date Received
Year
Momh
Day
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form. You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit
N c I S'
2) Facility Information:
Facility name:
Company/Owner Organization
Facility address:
(of) Certificate of Coverage
11 N:c I G
Amazon.com.dedc, LLC - UNC1
Amazon. com.dedc, LLC
300 Dalton Ave
Address
Charlotte NC 28206
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portaI.ncderir.or;J/web/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
4)
Previous legally responsible individual:
Derek
First Nil
NEW OWNER AFFILIATION
`(Leo
responsible for the permit):
Person legally responv�,Vt is permit: Kevin
C1 4� First
uG G+
Jones
Last
Winston
MI Last
DUpyCS _ or, Senior Regional Environmental Manager
DENR\"
S, (00 �(PR
Title
P.O. Box 80842, Attn: Amazon.com, NA Environmental Dept.
Mailing Address
Seattle WA 98108
City State Zip
( 925 ) 577 - 5326 [e-mail]_
Telephone E-mail Address
Fax dumber
SWU-OWNERAFFIL-22May2014
Page I of 2

%
NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Dame/Ownership Change)
5) Reason for this change:
A result of: 0 Employee or management change
❑ inappropriate or incorrect designation before
❑ Other
If other please explain:
What does "legally responsible person" mean?
That person is either:
• the responsible corporate officer (for a corporation);
o the principle executive officer or ranking elected official (for a municipality,
State, Federal, or other public agency);
o the general partner or proprietor (for a partnership or sole proprietorship);
• or the duly authorized representative of that person above.
The certification below must be completed and signed by the permit
holder.
PERMITTEE CERTIFICATION:
1 Kevin Winston , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. 1 understand that if all required parts of this form are not completed, this change may not be
processed. r�
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website:
http-.//portal.ncdenr.orgweb/Ir/stormwater
Page 2 of 2
SM-OWNERAFFIL-22May2014

Division of Energy, Mineral and Land Resources
€' Land Quality Section
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
Energy. Mineral NCGNEOODO
and Land Rcsourres
ENVIRONMENTAL C�UALI1'Y
FOR AGE4NCY USH ONLY
Date Received
Ycar
I \fonds
Day
Certificate ni'Cm erage
N r ' L
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
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 because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DEMLR must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means
banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual
outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
If approved, your conditional No Exposure Exclusion has no expiration date
BUT MUST BE self re -certified at feast annually.
Please look for information about re -certification under the No Exposure section on this
page: htt s:/Ide .nc. ov/about/divisions/ener -mineral-land-resources/ener -mineral-land- ermitslstormwater-
perm its/n pdes-industrial-sw
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed):
Name Amazon. com.dedc, LLC
Contact Kevin Winston
Street Address PO Box 80842, Amazon.com, NA Env. Dept. (ATTN: Eric Chapman)
City Seattle ^^ State WA ZIP Code 98108
Telephone No. 925 577-5326 Fax:
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NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name Amazon.com.dedc. LLC - UNC1
Facility Contact Israel Burch
Street Address 300 Dalton Avenue
City Charlotte State _NC ZIP Code _28206
County Mecklenber
Telephone No. [phone] _ 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), Take exit 3B off of Highway 277 on W I St. and continue
until it ends at N. Graham St. Mt. 49) and turn riaht. In mile turn right onto Dalton Ave, in another Y. mile the
facility is on your left.
(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 M No
5) Is this a Federal facility? 11 Yes ® No
6) Latitude 35.239999 Longitude-80.830989 (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
53 Existing Date operation began 5/30/2017
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ® 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:
The site will store finished goods for distribution to the customer.
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
IS No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ®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
® No
❑ NIA
c. Materials or products from past industrial activity
© Yes
IN No
❑ NIA
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
® No
❑ NIA
e. Materials or products during loading/unloading or transporting activities ❑ Yes IN No ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes © No ❑ 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, tanks, ❑ Yes ® No ❑ NIA
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No ❑ NIA
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes W No ❑ NIA
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ® No ❑ NIA
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes N No ❑ NIA
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
1. Empty containers that previously contained materials that are not properly stored ❑ Yes ® 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 N 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 ❑ Yes ❑ No ® NIA
deterioration. or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No (3 NIA
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.
a. Is secondary containment provided for single above ground storage containers ❑ Yes ❑ No ® NIA
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
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NCGNE0000 No Exposure Certification
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. 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?
❑ Yes ❑ No ® NIA
❑ Yes ❑ No ® NIA
❑ Yes ❑ No ® NIA
❑ Yes ❑ No El NIA
❑ Yes ® No ❑ NIA
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes ® No ❑ NIA
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes N No ❑ NIA
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
**Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable
Quantities of the hazardous substances listed in 40 CFR §117.3.
16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes U No ❑ N/A
b. Does your facility have coal piles on site? ❑ Yes ® No ❑ N/A
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NCGNE0000 No Exposure Certification
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity: Only exempt HVAC equipment
e. If you answered yes to d., are those emissions permitted by an Air Quality
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:
❑ Yes ® No ❑ NIA
❑ Yes a No ❑ NIA
❑ Yes ❑ No ® NIA
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NCGNEOOOO 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 lawthat there are no discharges of stornmater contaminated by exposure to industrial activities or
materials from the industrial facility or site identified in this document (except as aftwed under 40 CFR 122.26(gX2)).
I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once
each year and if requested, provide this certification to the operator of the local municipal separate storm sewer system
(M54) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of
Energy, Mineral, and land Resources, or M$4 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 l
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 penatty 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_
Printed Name of Person Signing: Kevin Winston
Title: Senior Re_nional Environmental Manager
(Signature of Applicant)
(D to Signed)
Please mote: This application for the No Exposure Exclusion is subject to approval by the
NCDEQ Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or wtio 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
fenders irate 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 (310,000).
There is currently no fee fora No Exposure Exclusion.
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