DEQ-CFW_00045344

Hazardous Waste Section
File Room Document Transmittal Sheet
M
Your Name:
EPA ID:
Facility Name:
Document Group
Document Type:
Description:
Date of Doc:
Author of Doc:
MEL DEAVER
NCR000165225
DUPONT COMPANY-FAYETTEVILLE WORKS
General (G)
Notification 8700 (8700)
7/17/2015
-0 � 011LT_41_L_1#_)_SX*_,C_v_v&1
File Room Use Only i Month ____ Yr NCR000165225
ea
Date Recieved by File Room: _7 Scanner's Initials:
Date Scanned:
-3 — - - - - - - ---------------
DEQ-CFW-00045344

A
Ac'm•
North Carolina Department of Environment and
ON=
JW-1*1rL:j111$j
= M'
DONNA GODWIN
X�r. *30c
22654 NC HIGHWAY 87 W
FAYETTEVILLE, NC 28306
IZ17rdff 'f k7TMrMrT9M
Secretary
k
The North Carolina Hazardous Waste Section has received Subsequent Notification from
your facility. Our office has accepted and processed the changes. Attached is a RCRA Site
Detail Report for your review to ensure that the information is accurate.
If you have any questions or need assistance, please feel free to contact Melodi Deaver at
(919)-707-8204.
Sincerely,
Business Officer/Supervisor,
HW Financial and Information Management Unit
cc: Central Files (General)
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ Internet: hftp://portal.ncdenr.org/web/Wm
An Equal Opportunity k Affirmative Acton Employer - Made in part by recycled Paper
DEQ-CFW-00045345

Wal]W.,I-Uvjstte 71111arri-WMI
Location 22654 NC HIGHWAY 87 W
Mailing 22654 NC HIGHWAY 87 W
Address: FAYETTEVILLE, NC 28306
Address: FAYETTEVILLE, NC 28306
Contact Person DONNA GODWIN
22654 NC HIGHWAY 87 W
For Source [phone]
FAYETTEVILLE, NC 28306
Information
us
Owner (current)
974 CENTRE RD
E.I. DU PONT DE NEMOURS AND COMPANY
WILMINGTON, DE 198051269 Type: P
From: 01/01/1969
To: Phone:
Operator (current)
974 CENTRE RD
E.I. DU PONT DE NEMOURS AND COMPANY
WILMINGTON, DE 198051269 Type: P
From: 02/01/2015
To: Phone: [phone]
Land Type: P Non Notifier : E
Commercial Availability: Tsd Date:
Accessibility: No. Employees:
State District:
Hazardous Waste Generator Status - Federal: Small Quantity Generator; State: Small Quantity Generator
Transfer Facility: Used Oil Activities
Other Hazardous Waste Generator Activities
Importer Activity:
Mixed Waste Generator:
No Transporter: Nit
No Transfer Facility: N*
Transporter Activity: No
TSD Activity: No
Recycler Activity: No
Exempt Boiler and/or Industrial Furnace
Small Quantity Onsite Burner Exemption: No
Smelting, melting, Refining Furnace
Exemption: No
First Name : DONALD
Re -refiner Activity
Off -Specification Used Oil Burner: No
Used Oil Fuel Marketer Activity
Marketer who direct shipment
off -specification used oil to
off -specification used oil burner: No
Processor: No Marketer who first claims the used
Refiner No oil meets the specifications: No
Underground No Destination Facility for
Injection Control: Universal Waste: No
Title PLT MGR
Last Narne STOCKHAUSEN Date Signed 07/17/2014.
325211
- — ----- — --- ------ — ---- — - — -----
UPDATED 8700-12 DATED 7/17/2015 SITE CONTACT PERSON INFOR, LEGAL OWNER/OPERATOR INFOR.
MD 8/17/2015
-- — ---- — - ----
DEQ-CFW-00045346

jbj1Mj#xr,1
SENDtr
COMPLETED
- - - ----------------- ------------- ----- - -------
FORM TO:
United States Environmental Protection Agencl,,t
1 The Appropriate
RCRA SUBTITLE C SITE IDENTIFICATION FO1,'
State or Regional
Office.
----------- - -
1. Reason for
Reason for Submittal:
Submiftal
0 To provide an Initial Notification (first time submitting site identification information /to obtain an EPA ID number
for this location)
MARK ALL
[9 To provide a Subsequent Notification (to update site identification information for this location)
BOX(ES) THAT
0 As a component of a First RCRA Hazardous Waste Part A Permit Application
APPLY
0 As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment #
0 As a component of the Hazardous Waste Report (if marked, see sub -bullet below)
0 Site was a TSD facility and/or generator of >1,000 kg of hazardous waste, >1 kg of acute hazardous waste, or
100 kg of acute hazardous waste spill cleanup in one or more months of the report year (or State equivalent
- --------
LQG regulations) - --------------------------------------------------
- ----- - ----------------
j
'2. Site EPA ID
-7"A
EPA ID Number N C R 0 0 0 1 6 5 2 2 5
Number
3. Site Name
Name: lVillont Company - Fayetteville Works
-----------------------------------------
4. Site Location
--------- --------------------------------- - - - -- - -------------------------------------
F - — --------------------
Street Address. 22654 NC Highway 87 W
Information
I
--------------------------------- ---------------------
City, Town, or Villa Fayetteville
e: I
County: Bla den
- -----------------
_g
Unite•States
Country. d
--- - ------------------------
Zip Code: 28306
2 Private El Count)t E] District E]Federal []Tribal E] Municipal
State ElOther
6. NAICS Code(
I
for the Site
-
(at least 5-digit
codes)
7. Site Mailing
Street P.O. Box: 22654 NC Highway 87 W
Address
-or
City, Town, or Village: Fayetteville
----------------------- ---------- ------------------------------------------------ - --------- - - ---
- -
ed
UnitStates
Country: ':Zip
Code: 28306
- - - - - - -------------------- - - --------------------------------
8. Site Contact
- ---------------------------------------- ---------- --
I ------------------------------------- --------------------------------------------------- ---
First Name: Donna I Last: Godwin
Person
Title: SHE Competency Consultant
--------------------------------------- ---------------------------------------- - -----------------------------
Street or P.O. Box: 22654 NC Highway 87 W
— ------------------------------------------ — - -------------------------------------------------------------- - — ----------- - ---------------------------------------------------
City, Town or Village: Fayetteville
------------------------ - ----- - -------------------------------
State: North Carolina
Country: United States
-- - ------ ------------
Code: 28306
Zip ----------------------- — --- - --- - --------------------
------------------------------ --- ---- -- ---
Email: [e-mail]
910-213-1383
---------------------------------- -- - ----------------------------------------------------------------
:Fax: [phone]
9. Legal Owner
ii
A. Name of Site's Legal Owner: E. 1. du Pont de Nemours and Company
Date Became
1 01-01-1969
I Owner:
and Operator
of the Site lOwner
------- -----------
Type: 0 Private El County Ll District E] FederaiEl Tribal E]Municipal F-1 State F-1 Other
Street or P.O. Box: 974 Centre Road
---------------------------- -------------------------------------------------
City, Town, or Village: Wilmington
------ - - - - -------------------------------------- ---------- -- ---
Phone: [phone]
State: Delaware
------ - ----------------------------
--------------------------
Country: United States
------ - -------------------
Zi 19805-1269
----- ---------------------------------------- ----
B. Name of Site's Operator: E. 1. du Pont de Nemours and Company
WE
DEQ-CFW-00045347

A. Hazardous Waste Activities; Complete all parts 1-10.
»��M�] 1 Generab�rofHa�/rdous Waste
-- If^Yes",mark only one of the followinA—a, b,orc.
F—le� LOS� Qaner�ea.�any o�endormo�h.1.DUOkg/mo
-- C2.2OO|ho/mojormore ofhazardous waste; qr
Gnnoratne, in any calendar month, or
accumulates edany time, more than 1 hA/mo (2.2
|bo./nu)ufacute hazardous waste; or
Generates, inany calendar month, ur
accumu|ab»oatanydme.momthen1OOhg/no
(22O|ba./no)ofacute hazardous spill cleanup
material.
��
U��b. GOG: 100ho1.000kg/moQ20-2.200|bm/mu ofnon-
acute hozerdouowaste.
��| �
|u� CESOG� Lsmm�hen1O0/mo(22U|bn.hno)ofnon-auute
hazardous waste.
YF� N 21 2. Short -Term Generator (generate from a short-term or one-ti
event and not from on -going processes). If "Yes", provide an
explanation in the Comments section. I
Y[:] NF/� 3. United States Importer of Hazardous Waste
YF� NM 4. Mixed Waste (hazardous and radioactive) Generati
Y f-] N F,/] 1. Large Quantity Handier of Universal Waste (you
accumulate 5,000 kg or more) [refer to your State
regulations to determine what is regulated]. Indicate
types of universal waste managed at your site. If "Yes",
mark all that apply.
e. Batteries
[—1
b. Pesticides
| |
c Mercury containing equipment
[—1
d. Lamps
| |
o. Other (specify)
El
��
t Other (specify)
F—1
��
g. Other (specify)
�—1
LJ
Yr_�N[Z] 2. Destination Facility for Universal Waste
Note: A hazardous waste permit may be required for this
YEJ N[Z] 5. Transporter of Hazardous Waste
If "Yes", mark all that apply.
Ela. Transporter
El b. Transfer Facility (at your site)
YE] N[Z] 6. Treater, Storer, or Disposer of
Hazardous Waste Note: A hazardous
waste Part B permit is required for these
YE] No 8. Exempt Boiler and/or Industrial Furnace
If "Yes", mark all that apply.
a. Small Quantity On -site Burner
Exemption
b. Smelting, Melting, and Refining
Furnace Exemption
YF] NM 9. underground Injection Control
YE] N[Z] 10. Receives Hazardous Waste from Off -
site
C. Used Oil Activities; Complete all parts 1-4.
If "Yes", mark all that apply.
EJ a. Transporter
El b. Transfer Facility (at your site)
yT—�NT-1 3. Used C)i|Processor and/or Re-mfiner
L_] 1.2L
If "Yes", mark all that apply.
Ele. Processor
��
�_l b. Re -refiner
3. Off -Specification Used Oil Burner
YF� Nr7l 4. Used Oil Fuel Marketer
If "Yes", mark all that apply.
0 a. Marketer Who Directs Shipment of Off -
Specification Used Oil to Off -
Specification Used Oil Burner
M b. Marketer Who First Claims the Used
Oil Meets the Specifications

D. Eligible Academic Entities with Laboratories —Notification for opting into or withdrawing from managing laboratory hazardous
wastes pursuant to 40 CFR Part 262 Subpart K
You can ONLY Opt into Subpart K if:
you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affiliation
agreement with a college or university; or a non-profit research institute that is owned by or has a formal affiliation agreement with
a college or university; AND
you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state
T L_j NL_j 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories
See the item -by -item instructions for definitions of types of eligible academic entities. Mark all that apply:
Ela. College or University
Elb. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university
Oc. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college or university
YE] No 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories
11. Description of Hazardous Waste
A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at
your site. List them in the order they are presented in the regulations (e.g., D001, D003, F007, Ul 12). Use an additional page if more
spaces are needed.
D001
F003
D002
F005
D003
U002
D008
U031
D009
U080
D018
U151
D035
U159
F001
U220
I
I
F002
U243
I
I
B. Waste Codes for State -Regulated (i.e., non -Federal) Hazardous Wastes. Please list the waste codes of the State -Regulated
hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more
spaces are needed.
i,i I I I I 1 11 In I I I'M Ii I I III, 1 11
iIN! I 11� � I I I I 11� I �' 1' ''1 k , 13111
DEQ-CFW-00045349

INNINIUM Imm"
12. Notification of Hazardous Seconda!y Material (HSM) Activi�y
Y[] N[Z] Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25)?
If "Yes", you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary
Material.
13. Comments
This submittal is a change of the Site Contact Person for this Small Quantity Generator hazardous waste facility.
14. Certification. 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 gather and evaluate 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 fines and imprisonment for knowing violations. For the RCRA
Hazardous Waste Part A Permit Application, all owner(s) and operator(s) must sign (see 40 CFIR 270.1 0(b) and 270.11).
Sinnature of legal owner, operator, or an
PU horized representative
Name and Official Title (type or print)
Date Signed
(mmldd/yyyy)
01 1
Donald C. Stockhausen / Plant Manager
07117 /20 /5-
DEQ-CFW-00045350

ADDENDUM TO THE SITE IDENTIFICATION FORM:
NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY
ONLY fill out this form if:
-*e You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR 261.2(a)(2)(ii),
261.4(a)(23), (24), or (25) (or state equivalent). See hftp://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible
states; AND
4- You are or will be managing excluded HSM in compliance with 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25) (or state
equivalent) or you have stopped managing excluded HSM in compliance with the exclusion(s) and do not expect to manage any
amount of excluded HSM under the exclusion(s) for at least one year. Do not include any information regarding your hazardous
waste activities in this section.
I Indicate reason for notification. Include dates where requested.
El Facility will begin managing excluded HSM as of (mm/dd/yyyy).
[-I Facility is still managingi excluded HSM/re-notifying as required by March 1 of each even -numbered year.
E:1 Facility has stopped managing excluded HSM as of (mm/dd/yyyy) and is notifying as required.
2. Description of excluded HSIVI activity. Please list the appropriate codes and quantities in short tons to describe your excluded HSM
activity 2NLY (do not include any information regarding your hazardous wastes). Use additional pages if more space is needed.
a. Facility code
(answer using
b. Waste code(s) for HSM
c. Estimated short
tons of excluded HSIVI
d. Actual short tons
of excluded HSIVI
e. Land -based unit
code (answer using
codes listed in the
to be managed
that was managed
codes listed in the
Code List section of
annually
during the most
Code List section of
the instructions)
recent odd-
the instructions)
numbered year
3. Facility has financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). (Financial assurance is required for reclaimers and
intermediate facilities managing excluded HSM under 40 CFR 261.4(a)(24) and (25))
YR] NE] Does this facility have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi)?
OEQ-CFVV_00045351