NCGNE1282_COMPLETE FILE - HISTORICAL_20180905

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV C&NL-
DOC TYPE EJ'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ aolu S Ds
YYYYMMDD

u ROY COOPER
s Governor
MICHAEL S. REGAN
Secretary
Energy,Mineral WILLIAM E. (TOBY) VINSON, JR.
and Land Resources Interim Director
ENVIRONMENTAL QUALITY
September 5, 2018
Save-A-Lot Distribution Center
Attm Joe Kreller
133 Lexington Parkway
Lexington, NC 27295
Subject: Approval of Application for:
No Exposure Certification NCGNE1282
Save-A-Lot Distribution Center— 133 Lexington Parkway
Davidson County
Dear Mr. Kreller:
The Division of Energy. Mineral and Land Resources has reviewed your submittal of the No Exposure
Certification for Exclusion from NPDES Stormwater Permitting form. Based on your submittal and signed
certification of no exposure at the above referenced facility as well as observations made by Brandon Wise
with the Winston-Salem Regional Office on August 30, 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 the
No Exposure Certification, 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. You must self re-certify annually using the enclosed form or obtain NPDES permit coverage for
any stormwater discharges from your facility. The annual self re-certification does not need to be submitted
unless requested.
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 Brandon Wise at(336) 776-9660.
Sincerely, 01
E. Gantt, PE
Regional Engineer
Land Quality Section
Winston-Salem Regional Office
Enclosure
cc: WSRO—DEMLR, Stormwater Files (w/o enclosure)
Stormwater Permitting Program, No Exposure Files (w/o enclosure)
State of North Carolina I Environmental Quality I Energy,Mineral and Land Resources
Fayetteville Regional Office 225 Green Street,Suite 714 { Fayetteville,NC 28301
910-433-3300

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FOR AGENCY USE ONLY
� Date Received
a Division of Energy, Mineral and Land Resources Year Month Dav
�:. Land Quality Section
��®E�� National Pollutant Discharge Elimination System Certificate ofCocerage
Nx+rv+G�+ou.0 OE�rrnurt or NO EXPOSURE CERTIFICATION for Exclusion N N E
EHNRJIINEH�FN�N.VIJIiK F7E50uRCE9
NCGNE0000
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, andlor 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 must be self re-certified at least annually.
Please see information here: http://Rortal.ncdenr.org/web/Ir/npdes-stormwater
For questions,please contact the DEMLR Regional Office for your area. (Seepage 6)
(Please print or type)
1) Mailing address of owner/operator(address to which all certification correspondence will be mailed):
Name Moran Foods, LLC dlbla Save-A-Lot, Ltd.
Contact Shannon Rose, Environmental Compliance Manager
Street Address 100 Corporate Office Drive
City Earth City State MO ZIP Code 63045
Telephone No. 314_ __ 264-9045 Fax: [phone]
NC Department of > �Ci�j�+E
Envir0rrnerstal �;"Itality D
7ecelved
JL"I i 0 5 2610 Page 1 of 7 MAY 212018
DEN4 LAND Q
SWU-NCGNE Winston-Salem STORMWATFR� � d s�s,zoi5
Regional Of ice MI�iNG

3 . 77758'
NCGNE0000 No Exposure Certification � , 3a3 d�V
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2) Location of facility producing discharge:
Facility Name Save-A-Lot Distribution Center
Facility Contact Joe Kreller
Street Address 133 Eexington Parkway
City _Lexington State NC ZIP Code 27295
County Davidson
Telephone No. 136— 937-0581 Fax: 336 _ 237-0580 _
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). Exit off of US Highway 7Q at Harg[ave Lane and go NW
on Hargrave Lane. West on Lexington Parkway, Distribution Center at the end of the road
(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 Ig No
5) Is this a Federal facility? ❑ Yes [x No
6) Latitude 35 46 41 .53 Longitude -80 19 31.86 (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
ER Existing Date operation began 12/1/2011
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? 1:1 Yes U No
If yes, what is the NPDES Permit Number?__NIA
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 Z 5
10) Provide a brief description of the types of industrial activities and products produced at this facility:
General warehouse and storage of retail products for distribution to retail procery stores
11) Does this facility have any Non-Discharge permits (ex: recycle permits)?
(9 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 ID Yes ® No 0 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 I& No ❑ NIA
c. Materials or products from past industrial activity ❑ Yes Io No ❑ N/A
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes IR No ❑ N/A
e. Materials or products during loading/unloading or transporting activities ❑ Yes 2 No ❑ N/A
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes 15t 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 ❑ N/A
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes G4 No ❑ NIA
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters)) ❑ Yes U No ❑ NIA
j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes IR No ❑ N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes R No ❑ NIA
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 [)I No ❑ N/A
(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 ❑ No X N/A
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 fk 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 [A NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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NCGNEOOOO 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 Cl Yes ❑ No 6d 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 ❑ No 154 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 ❑ Yes [] No ® NIA
Amendments and Reauthorization Act(SARA)water priority chemicals*?
d. Is secondary containment provided for hazardous substances"* designated in 40 ❑ Yes ❑ No t) NIA
CFR§116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No W NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X No ❑ NIA
b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste ❑ Yes Cad No ❑ NIA
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ❑ Yes [A 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: nla
How is material stored: n/a
Where is material stored: _
How many disposal shipments per year: n/a
Name of transport/disposal vendor: n/a
Vendor address: n/a
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.
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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. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? 0 Yes lj� No ❑ NIA
b. Does your facility have coal piles on site? ❑ Yes X No ❑ NIA
c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes 19 No ❑ NIA
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity(e.g., ❑ Yes IM No 0 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 Permit? ❑ Yes [] No IR NIA
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: nla Program: nla
Permit: Program.-
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program.-
Permit.- Program:
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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 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.
Printed Name of Person Signing: Shannon Rc)se
Title: Enviroompntal C;nmpliance Manager
(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.
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 fled 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($10.000).
There is currently no fee for a No Exposure Exclusion.
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