HomeMy WebLinkAboutNCG030636_COMPLETE FILE - HISTORICAL_20180801STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V 4 3Q�
DOC TYPE 5K HISTORICAL FILE
0 MONITORING REPORTS
DOC DATE ❑ apl g OE� 01-
YYYYMMDD
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
August 21, 2018
System Logistics Corporation
Attention: Scott Phillips
115 Vista Boulevard
Arden, North Carolina 28704
Subject: Compliance Evaluation Inspection
Permit: NCG030636
Buncombe County, North Carolina
Dear Mr. Phillips:
ROY COOPER
Gorenior
MICHAEL S. REGAN
Secrelary
WILLIAM E_ VINSON, JR
Imerinl Direclor
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection 1 conducted at
the subject facility on August 15, 201 S.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact me at (828) 296-4500 or by email at Isaiah.reed@ncdenr.gov.
Enclosure: Inspection Report
Sincerely,
Isaiah Reed, -PSCI, MS4 Cl
.w Environmental Specialist
Land Quality Section
State of North Carolina I Frivironmenlal Qualify I Energy, Mineral and Land Resources
209D US 74 Highway I Swannaitoa, NC 29778-921 1
828 296 4500 T
Permit: NCG030636
SOC:
County: Buncombe
Region: Asheville
Contact Person: Ernest Devlin
Compliance Inspection Report
Effective: 11/16/17 Expiration: 10/31/18 Owner : System Logistics Corporation
Effective: Expiration: Facility: System Logistics Corporation
115 Vista Blvd
Title:
Arden NC 28704
Phone: 828-654-7500
Directions to Facility:
From interstate 26E lake exit 38 turn rt at the bottom of the ramp onto hwy 146 (long shoals rd) continue approx 3 mi to vista blvd
continue straight on vista blvd and facility is on the rt approx 118 mi from the intersection of long shoals rd brevard rd
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/15/2018 Entry Time: 04:OOPM Exit Time: 05:OOPM
Primary Inspector: Isaiah L Reed Phone: 828-296-4614
Secondary Inspector(s):
Reason for Inspection: Routine inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COG
Facility Status: [] Compliant ® Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Wage:
Permit: NCG030636 Owner . Facility: System Logistics Corporation
Inspection Date: 09/1512018 Inspection Type: Compliance Evaluation Beason for Visit: Routine
Inspection Summary:
On August 15, 2018 this facility was inspected for compliance. I met with Scott Phillips on site. No issues were observed
during the inspection. However, the monitoring reports could not be located. The permitee is directed to locate these
monitoring reports and incorporate them into the facility's stormwater pollution prevention plan. The permitee is also directed
to confirm that the appropriate benchmarks are being applied during Analytical monitoring. Once this is done, please contact
this office for a follow up inspection.
Page: 2
Permit: NCG030636 Owner -Facility: System Logistics Corporation
Inspection Date: 0811512018 Inspection Type. Compliance Evaluation Reason for Visit: RDLtine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
® ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
® ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
® ❑ ❑ ❑
# 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?
®❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
® ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
®❑ ❑ ❑
# Does the Plan include a BMP summary?
® ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
®❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®❑ ❑ ❑
# Does the facility provide and document Employee Training?
®❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
® ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
®❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
®❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ®❑ ❑
Comment: See summary for more information
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ®❑ ❑
Comment: See summary for more information
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ®❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑
Comment: See summary for more information
Permit and outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ®❑ ❑ ❑
# Were all outfalls observed during the inspection? ®❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ® ❑ ❑ ❑
Comment:
Page: 3
Permit: NCG030636
SOC:
County: Buncombe
Region: Asheville
Contact Person: Ernest Devlin
Compliance Inspection Report
Effective: 11/16/17 Expiration: 10131118 Owner : System Logistics Corporation
Effective: Expiration: Facility: System Logistics Corporation
115 Vista Blvd
Titie:
Arden INC 28704
Phone: 828-654-7500
Directions to Facility:
From interstate 26E take exit 38 turn rt at the bottom of the ramp onto hwy 146 (long shoals rd) continue approx 3 mi to vista bled
continue straight on vista blvd and facility is on the rt approx 118 mi from the intersection of long shoals rd brevard rd
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/15/2018 Entry Time: 04:OOPM Exit Time: 05:OOPM
Primary Inspector: Isaiah L Reed Phone: 828-296-4614
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge CDC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
Permit: NCG030636 Owner - Facility: System Logistics Corporation
Inspection Date: 0811512018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On August 15, 2018 this facility was inspected for compliance. I met with Scott Phillips on site. No issues were observed
during the inspection. However, the monitoring reports could not be located. The permitee is directed to locate these
monitoring reports and incorporate them into the facility's stormwater pollution prevention plan. The permitee is also directed
to confirm that the appropriate benchmarks are being applied during Analytical monitoring. Once this is done, please contact
this office for a follow up inspection.
Page: 2
Permit: NCGO30636 Owner- Facility: System Logistics Corporation
Inspection Date: 08/1512018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
0 ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
0 ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ ❑
# Does the Plan include a detailed site map including oulfall locations and drainage areas?
E ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
0 ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
0 ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
0 ❑ ❑ ❑
# Does the Plan include a BMP summary?
0 ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
N ❑ ❑ ❑
# Does the facility provide and document Employee Training?
M ❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
0 ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
E ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ 0 ❑ ❑
Comment: See summary for more information
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ❑ ❑
Comment: See summarV for more information
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ 0 ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ N ❑
Comment: See summary for more information
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? e ❑ ❑ ❑
# Were all outfalls observed during the inspection? E ❑ 1111
# If the facility has representative outfall status, is it properly documented by the Division? 1:11:10 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑
Comment:
Page: 3
�1
Riddle, Rick L
From: Riddle, Rick L
Sent: Wednesday, July 19, 2017 10:49 AM
To: 'chris.bland@vertique.com'
Subject: NCGO30636 COC & new application
Chris Bland,
The Division of Energy, Mineral, and Land Resources received your Stormwater Management Permit Application for the
referenced project on July 7, 2017.
System Logistics-Vertique is already covered under General Permit NCG030000 with permit # NCG030636. There is no
need to apply for another permit and your current permit will be renewed automatically assuming that all of your permit
fees are up-to-date. We can either void, return or destroy your check. Please let us know what you would like to do with
check # 12645.
If you have any questions concerning this matter, please contact Richard Riddle at (919) 807-6375 or Laura Alexander at
(919) 807-6368.
Sincerely,
Rick
Richard L. Riddle, Jr.
Starrnwater Engineer
North Carolina Department Enviromental Quality
North Carolina Division Energy Mineral Land Resources
919 807-6375 office
rick.riddle@ncdenr.gov
512 North Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
f I - X`_
--:�^Nothing Compares--,-,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties,
1264
APPALACHIAN ENVIRONMENTAL RESOURCES, INC.
395 STEEL STREET
JOHNSON CITY, TN 37601
(423) 434-2985
www.aertn.com
PAY TO THE NCDENR
ORDER OF
One Hundred and 001100****************Yr********** Vs
NC Dept of Environm't & Natural Resour
THE FIRST BANK & TRUST CO.
JOHNSON CITY, TN 37602
s8-446-514 6/27/2017
•
$ **100.00
„s �
DOLLARS
MEMO AAHORZECISIGNATUF
Vertique _ NPDES app
APPALACHIAN ENVIRONMENTAL RESOURCES, INC.
NCDENR 6/27/2017
Date Type Reference Original Amt. Balance Due Discount
6/27/2017 Bill Vertique - NPDES app 100.00 100.00
Check Amount
31
RECEIVED
JUL 07 2017
DENR-LAND QUALITY
STORMWATER PERMITTING
12645
Payment
100.00
100.00
First Bank - Operating Vertique - NPDES app
100.00
O ENDORSEHERE
DO '10T WRITE, STAMP OR SIGN BELOW THIS LINE
RESERVED FOR F)NANCIAL INSTITuTION uSE yr
5t
ff
u
r
- - — ----- - FPS 5 i (Rev. Aj.
'The security features listed below, as well as those
not listed, exceed industry guidelines.
Security Features: Results of document alteration:
MzroPrirt line • r�? SA. iall type in line appears
as dotted line when photocopied
Chemically Sensitive Paper • Stains or spots may appear with
chemical alteration
Security Screen • Absence of "Original Document"
1 verbiage on back of check
AL RESERVE BOARD OF GOVERNORS REG. CC
Division of Energy, Mineral and Land Resources
'' • Land Quality Section
/ National Pollutant Discharge Elimination System
NCDENR
No+rn+C10EP}.P!WM or NCG030000
ENVIRONMENT AHD Nou RA RESO RCES
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Covers +e
Check #
Amount
Permit Assigned ID
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000: RECEIVED
STORMWATER DISCHARGES associated with activities classified as: ,JUL 0 7 2017
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating DENR-LAND QUALITY
SIC 34 Fabricated Metal Products STORMWATER PERMITTING
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments
For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
i) Mailing address of owner/operator (address to which all
Name Mr. Chris Bland
Street Address 115 Vista Boulevard
City Arden
Telephone No. 828 654-7500
2) Location of facility producing discharge�Z
mailed):
State NC_ ZIP Code 28704
Fax:
Facility Name
S stem Lo istic -Verb ue
Facility Contact
Chris Bland
Street Address
115 Vista Boulevar
City
Arden State ZIP Code
County
Buncombe
Telephone No.
828 654-7500 Fax:
Email
chris.bland a)vertigue.com
3) Physical Location Information:
`(&i,)c,),' 4,?,.,
I To
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 1-26E to Long Shoals (exit 37) from interstate.
From interstate, turn onto highway 146 north to Vista Boulevard
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 350 28' 8.07" Longitude -820 34' 50.86" (deg, min, sec)
Page 1 of 4
SWU-218-0714G8 Last revised 7/2/14
NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X❑ Existing
6) 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 5 3 5
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: manufacturer of conveyor systems
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc_) that the facility stormwater
discharges end up in? Unnamed tributary
Deceiving water classification:
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X❑ No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
XO No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: limited exposure of outside storage, training, spill kit storage
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X C3 Yes
If yes, when was it implemented? 2013
13) Are vehicle maintenance activities occurring at this facility?
X ❑ No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X ❑ No ❑ Yes
Page 2 of 4
SWU-218-071408 Last revised 7/2/14
NCG030000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of
hazardous waste?
X❑ No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
X❑No❑Yes
d) is hazardous waste stored in the 100-year flood plain?
X❑ No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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:
15) Certification:
North Carolina General Statute 143-215.6B (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 Commission implementing this Article shall be guilty of a Glass 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
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: Chris Bland
Title: Operations Manager
(Signature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
Page 3 of 4
SWU-218-071408 Last revised 712114
NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR.
❑ This completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit 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 coverage under the General Permit.
L. For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
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) 771-5000
Central Office .........
(919) B07-6300
Page 4 of 4
SWU-218-071408 Last revised 712114
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June 22, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1617
RE: System Logistics-Vertique
Stormwater Notice of Intent (NOI)
General Permit Coverage -N CG03 063 6
Buncombe County -North Carolina
To Whom It May Concern,
Appalachian Environmental Resources, Inc.
300 W Watauga Avenue, Suite 4
Johnson City, Tennessee 37604
Phone: 423-434-2985
Fax: 423-434-2794
www.aertn.com
RECEIVED
JUL 07 2017
DENR-LAND QUALITY
STORMWATER PERMITTING
The Systems Logistics-Vertique ("Systems Logistics") facility located in Arden, North Carolina is
submitting the following information to the Division of Water Quality ("Division") in regards to the
facility general industrial permit NCG030636. Please note, Systems Logistics was formerly named ITW
Warehouse Automation.
Attached to this cover letter is the complete NOI application for System Logistics. The facility has had
coverage under the general stormwater permit since 2013.
Appalachian Environmental Resources, Inc. has been contracted to handle the water qualityprogram at
the facility. The Stormwater Pollution Prevention Plan (SPPP) has been developed and all information
pertaining to the NPDES permit for Metal Fabrication has been completed.
If you have any questions or require additional information in regards to this submittal, please contact
me Michael Fox at (423)-956-2900.
Since I
ichael Fox
Director-EHS Compliance Services
Appalachian Environmental Resources, Inc.
Cc: File copy
Attachments
PAT MCCRORY
air:vt•„�nr
DONALD R. VAN DER VAART
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
December 20, 2016
Mr. Franco DeAngelis
115 Vista Blvd
Arden, NC 28704
TRACY DAVIS
13rrerlor
Subject: NPDES Stormwater Permit NCG030636
System Logistics Corporation
Formerly Vertique; Inc.
Buncombe County
Dear Mr. DeAngelis:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
fin -Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Asheville Regional Office
Stormwater Permitting Program Files
Central Files
State of North COrolin8 I Jinviromnenlal Qualily 117.nergy, Mineral and Land Rcsolirco
1612 Mail Service Center 1 S 12 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
N
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030636
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
System Logistics Corporation
is hereby authorized to discharge stormwater from a facility located at:
System Logistics Corporation
115 Vista Boulevard
Arden
Buncombe County
to receiving waters designated as an unnamed tributary to Avery Creek, a class B water in the
French Broad River Basin; in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts 1, II, I11, and IV of General Permit No. NCG030000 as
attached.
This certificate of coverage shall become effective December 20, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 20, 2016.
for Tracy E. Davis, A.E., Director
Division of Energy.. Mineral, and Land Resources
By the Authority of the Environmental Management Commission
CC) .
Division of Energy, Mineral & hand Resources —FOR AGENCCY LISt:oni_r
bate Received
Land Quality Section/Stormwater Permitting Year Montn_r oar
NCDERRational Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. I'lease enter the permit number for which the change is requested. V v D�
NPDE..S Permit (or) Certificate of C ovlerage
N C j S IT- F-7-1- l F N G (i -tq 3 1. 0 1 0 0_
IL Permit status prior to requested change.
a. Permit issued to (company name): VERTIQUE, INC,
b, Person legally responsible ror permit; ERNEST _ D_EVLIN_
First � Mt Last
VICE-PRESIDENTIOPERATIONS _
115 VISTA -
Permit Holder tvfailing Address
ARDEN NC 28704
City Stutc Zip
(828 )654-7500
Phone Fax
c. Facility name (discharge): VERTIQUE
d, facility address: 115 VISTA
Address
ARDEN 'NC 28704
City State 'Lip
Facility contact person: CHMS BLAND (828 ) 654-7500
First / MI I Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: 0 Change in ownership of the facility
❑ Name change of the facility or owner
IJ'other please explarrr. (See cover letter)
b. Permit issued to (company narne): SYSTEM LOGISTICS CORPORATION
c. t'erson legally responsible for perrnit: FRANCO DE ANGELIS
First MI Last
PRESIDENT
�`�° j��� l'illc �`""j 1 15 VISTA BLVD. _..__..-._.._...._..
DECPcnnit Helder Mailing Address
U 05 2016 ARDEN NC 28704
City Sttuc ZipDElJR LA"lD QUA? IlY ( 828 ) 654-7500
STORMOIATER PERMITTING — Phone E-mail Address
ti. 'Facility name (discharge): SYSTEM_ LOGISTICS CORPORATION
e, iraciliry address: 115 VISTA BLVD. /
Address V/
ARDEN NC 28704
City slate Zip
1 Facility contact person: ERNEST_ DEVLIN
i'irst _ MI Last
{ 828 ) 654-7500 ernestd@vertique.com
Phom. H-mail Address
IV. Permit contact information (it'different rrom the person lcga)ly responsible for the permit)
Revised Jan. 27 2014
NPOES PERM17 NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: FRANCO DE ANGELIS
First M1 List
PRESIDENT
Title
115 VISTA BLVD.
Mailing Address
ARDEN NC 28704
City $tote 'Lip
1 828 1 654-750 D
Phone Email Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
[J Yes
0 No (please explain)
Vi Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARP: INCOMPLETE OR MISSING:
❑J This completed application is required for both name change and/ter ownership change
requests.
0 f,egal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.................................................................................................................
The certifications below must be completed and signed by hoth the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PIERMIJ,TEE. CERTIF[CATION (Permit holder prior to ownership change):
l f"rNas attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this :application package will be
returned as incomplete.
1 I zq 2 r5 [ 1a
Signature ate
APPLICANT CERTIFICATfON
1, Franco attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of nny knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
11/28/2016
Signalure Date
PLEASE SENT) THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy. Mineral and Land RC$OUrces
Storrnwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan, 27, 201.1
EXECUTION VEIISION
BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT
This Bill of Sale, Assignment and Assumption Agreement (this "Bill of Sale") is
executed and delivered as of December I, 2016 by Illinois Tool Works Inc., a Delaware
corporation ("Seller"), to System Logistics Corporation, a Delaware corporation, ("Buyer").
Capitalized terns used but not defined herein are as defined in the Asset Purchase Agreement
(defined below).
RECITALS
WHEREAS, pursuant to the Asset Purchase Agreement, dated as of the date hereof, by
and between Buyer and Seller (the "Asset Purchase Agreement"), Seller agreed to sell and Buyer
agreed to purchase the Purchased Assets, all on the terms and conditions specified in the Asset
Purchase Agreement;
WHEREAS, Seller and Buyer agree that this Bill of Sale shall evidence the transfer of the
Purchased Assets; and
WHEREAS, subject to the terms of the Asset Purchase Agreement, the Buyer has agreed
to assume and to pay, perform and discharge the Assumed Liabilities on the terms and conditions
specified in the Asset Purchase Agreement.
NOW, TI-IEREI`ORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged:
1. The Seller hereby sells, transfers, assigns, conveys, grants and delivers unto the
Buyer and its successors and assigns all of its right, title and interest in and to the Purchased
Assets pursuant to the terms of the Asset Purchase Agreement.
2. - The Buyer hereby assumes the Assumed Liabilities pursuant to the terms of the
Asset Purchase Agreement.
3. This Bill of Sale shall be governed and construed in accordance with the laws of
the State of Delaware as to all matters, without regard to the conflicts of laws principles thereof.
4. This Bill of Sale is executed and delivered in connection with the Asset Purchase
Agreement and is intended to fulfill the terms therein. This Bill of Sale is expressly subject to all
the terms and provisions of the Asset Purchase Agreement; in the event of any conflict between
any term or provision hereof and any term or provision of the Asset Purchase Agreement, the
Asset Purchase Agreement shall control.
5. This Bill of Sale shall bind the parties hereto and inure to the benefit of the parties
and their respective successors and assigns.
6. This Bill of Sale may be executed in counterparts (including via fax or .pdo, each
of which shall be an original and both of which together shall constitute one and the same
instrument.
criicn001a2913096
Signature Page to Bill of Sale, Assignment and Assumption Agreement
EXECUTED AND DELIVERED effective.as of the date first written above.
SELLER:
ILLINOIS TOOL WORKS INC.
Namb:'gteven Henn
Its: Group President
Signafure page to Bill of Sale, Assignment and Assumption Agreement
EXECUTED AND DELIVERED effective as of the date first written above.
SYSTEM LOGISTICS CORPORATION
By:
Name: Franco DeAngelis
Its: President
J�
Parker Poe
Mary Katherine H. Stukes
Farfner
Telephone:704.335.9495
Direct Fax: 704.334.4706
marykatherinestukes@parkerpoe.com
December 2, 2016
Via Federal Express
Laura Alexander
North Carolina Department of
Environmental Quality
Division of Energy, Mineral and Land
Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Atlanta, GA
Charleston, SC
Charlotte, NC
Columbia, SC
Greenville, SC
Raleigh, NC
Spartanburg, SC
RECEIVED
DEC 0 5 2016
DE`,,R-L,^ `') GUAUTY
S-1-OW,,'0, NATER NE'r'ciV,(T ING
Re: NDPES Industrial Stormwater General Permit No. NCG030000
Notification of Ownership Change
Ms. Alexander,
My firm has been retained as counsel to assist System Logistics Corporation ("System")
in submitting the enclosed Permit Name/Ownership Change Form to notify the NCOEQ Division
of Energy, Mineral and Land Resources (the "Division") of a corporate change in connection
with the Vertique facility located at 115 Vista Boulevard in Arden, NC, which currently operates
under the general permit referenced above (the "Permit"). On December 1, 2016 System
acquired the assets of the Vertique business from Illinois Tool Works Inc. ("IT "). As a result of
this acquisition, System now owns and will operate the facility. Although System may continue
to use the Vertique name to denote the business unit operating the Vertique business, the
proper permittee for the facility following this transfer of ownership will be System. System will
retain the same address, contact information, management, and operations as the existing
permittee. Accordingly, we are submitting the enclosed form with an attached copy of the Bill of
Sale associated with the transfer to notify you of these ownership and corporate changes and
request that the Permit be transferred and processed as a minor modification.
We believe that this submission satisfies all requirements necessary to modify the
Permit as a minor modification under 40 CFR 122.63(d). Please feel free to contact me at (704)
335-9495 should you have any questions. I appreciate your assistance in this matter.
PPAB 3484993v1
Parker Poe Adams & Bernstein LAP Attorneys and Counselors at Law Three Wells Fargo Center 401 South Tryon Street Suite 3000 Charlotte, NC 28202
t 704.372.9000 f 704.334,4706 www.parkerpoe.com
Division of Energy, Mineral and Land Resources
December 2, 2016
Page 2
Sincerely,
----5
Mary Kathe in . Stukes
cc: Bruce Landay, Esq., Landay Leblang & Stern
Enclosures
PPAB 3484993v7
t
f'�IctnrJA Co
Division of Energy, Mineral & Land Resources tiriAGENcv usEowtY
oeio Receivod
Land Quality Section/Stormwater
Permitting rear tuRec
NCDENNational Pollutant Discharge Elitninatian System
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. Please enter the permit Number for which the
change is requested.�[J
NPDES Permit
(or) Certif-tcate of Cowage
�F��-] o r .-�
_ G 3 0
T _.
U. Permit status pria to requested change.
a. Pertnit issued to (company name):
VERTIQUE, INC.
b. Person legally responsible for permit:
ERNEST
_DEVLIN
First M1 -..._Last —
VICE-PRESOENTlOPERATIONS
Title
115 VISTA BLVD.
Permi! Holder Mailing Address
ARDEN NC 28704
_
City ~hate Lip
__.__( 828 ) 654.7500 _ ._...�
P hone E'ar
c. Facility name (discharge):
VERTIQUE_
d. Facility address:
115 VISTA BLVD.
Addfcss
ARDEN NC 28704
City State Zip
e. Facility contact pc: -on:
CHRIS BLAND ( 828 ) 654-7500
First / MI 1 Last I>honc
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:❑
Change in ownership of the facility
❑ Name change of the facility or owner
ll'other please explain. See cover letter)
b. Permit issued to (company name):
SYSTEM LOGISTICS CORPORATION
c. Person legally responsible for permit:
FRANCO DE ANGELIS
First MI Du%t
PRESIDENT
r�
Vj�
'title
•1,..
I IS VISTA BLVD.
Q
Pennit bolder Mailing Address
DEC 52016
ARDEN NC 28704
�-[ �� 1
DEP! a'l��k Qlj:.1 , f Ty
STORp„',WATER
city Swte Zip
(828 ) 654.7500
PER&;IT�I.1A1(,
Phone F inail Address
d. Facility name (discharge):
SYSTEM LOGISTICS CORPORATION
e, Facility address:
I IS VISTA BLVD.
�— A�Idress
ARDEN NC 28704
City stutr /Jp
f. Facility contact person:
ERNEST DEVLIN
First -- MI-
_f 828 ),654-7500 _ ernestd@vertique.com _ii
Phone I: -mail Address
IV. Permit contact information (ifdifterent from the person tcga;;y responsible for the gerTrit)
ReAW AA.27 a14
I
NPDES PERMIT NAf &0VVNERSWP CHANGE FORM
Page 2 at 2
Permit contact; FRANCO _ DE ANGELIS
Firg MI List
PRESIDENT
115 VISTA BLV7.
Mailing A drrss —�
ARDEN NC 28704 _
City State %ip
1 828 1 654-7500
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
0 Yes .
❑ No (please explain)
Vf. Required Items: THIS APPLICATION WILL BE IIETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
J This completed application is required for both name change and/or ownership change
requests.
Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a gill of sale) is requirerequireg for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The ccrtifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicsnt's Ceit'tfication is sufficient.
PERMII.TEF CERTIFICATION (Permit holder prior to ownership change):
],ElfW, attest that this application for a narne/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
2PI J2 6140
Signature _.._ ( atL
APPLICANT CERTIFICATION
I, France, attesl that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that ifall required supporting information is not included, this application package will be
returned as incomplete,
_
tt/2l3rza1s
Signature Bate
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RkMle l Jan.27. 2114
EXECUTION VERSION
BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT
This Bill of Sale, Assignment and Assumption Agreement (this "Bill of Sale") is
executed and delivered as of December 1, 2016 by Illinois Tool Works Inc., a Delaware
corporation ("Seller"), to System Logistics Corparation, a Delaware corporation ("Buyer").
Capitalized terms used but not defined herein are as defined in the Asset Purchase Agreement
(defined below).
RECITALS
WHEREAS, pursuant to the Asset Purchase Agreement, dated as of the date hereof, by
and between Buyer and Seller (the "Asset Purchase Agreement'), Seller agreed to sell and Buyee
agreed to purchase the Purchased Assets, all on the terms and conditions specified in the Asset
Purchase Agreement;
WHEREAS, Seller and Buyer agree that this Bill of Sale shall evidence the transfer of the
Purchased Assets; and
WHEREAS, subject to the terms of the Asset Purchase Agreement, the Buyer has agreed
to assume and to pay, perform and discharge the Assumed Liabilities on the terms and conditions
specified in the Asset Purchase Agreement.
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged:
1. The Seller hereby sells, transfers, assigns, conveys, grants and delivers unto the
Buyer and its successors and assigns all of its right, title and interest in and to the Purchased
Assets pursuant to the terms of the Asset Purchase Agreement.
2. The Buyer hereby assumes the Assumed Liabilities pursuant to the terms of the
Asset Purchase Agreement.
3. This Bill of Sale shall be governed and construed in accordance with the laws of
the State of Delaware as to all matters, without regard to the conflicts of laws principles thereof,
4. This Bill of Sale is executed and delivered in connection with the Asset Purchase
Agreement and is intended to fulfill the terms therein. This Bill of Sale is expressly subject to all
the terms and provisions of the Asset Purchase Agreement; in the event of any conflict between
any term or provision hereof and any term or provision of the Asset Purchase Agreement, the
Asset Purchase Agreement shall control.
5. This Bill of Sale shall bind the parties hereto and inure to the benefit of the parties
and their respective successors and assigns.
6. This Bill of Sale may be executed in counterparts (including via fax or .pdt), each
of which shall be an original and both of which together shall constitute one and the same
instrument.
CH ICAGO/#2913096
Signalure Page to Bill of Sale, Assignment and Assumption Agreement
EXECUTED AND DELIVERED effective as of the date first written above.
SELLER:
ILLINOIS TOOL WORKS INC.
r� f
Narn! :. Steven Henn
Its: Group President
Signature Page to Bill of Sale, Assignment and Assumption Agreement
EXECUTED AND DELIVERED effective as of the date first written above.
BUYER:
SYSTEM LOGISTICS CORPORATION
By: --1�4
Name; Franco DeAngelis
Its: President
U?
Parker Poe
Mary Katherine H. Stukes
Partner
Telephone: 704.3 35.9495
Direct Fax_ 704.334,4706
marykathe6nestukes@parkerpoe.com
December 2, 2016
Via Federal Express
Laura Alexander
North Carolina Department of
Environmental Quality
Division of Energy, Mineral and Land
Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Atlanta, GA
Charleston, SG
Charlotte, NC
Columbia, SC
Greenville, SC
Raleigh, NC
Spartanburg, SC
REC Y I-�
DEC 05 2016
DE 111-LAU A1.1TY
ST )f:! •^,','4' ATE,R R—FItiAiTTING
Re: NDPES Industrial Stormwater General Permit No. NCG030000
Notification of Ownership Change
Ms. Alexander,
My firm has been retained as counsel to assist System Logistics Corporation ("System")
in submitting the enclosed Permit Name/Ownership Change Form to notify the NCDEQ Division
of Energy, Mineral and Land Resources (the "Division") of a corporate change in connection
with the Vertique facility located at 115 Vista Boulevard in Arden, NC, which currently operates
under the general permit referenced above (the "Permit"). On December 1, 2016 System
acquired the assets of the Vertique business from Illinois Tool Works Inc. ("ITW"). As a result of
this acquisition, System now owns and will operate the facility. Although System may continue
to use the Vertique name to denote the business unit operating the Vertique business, the
proper permittee for the facility following this transfer of ownership will be System. System will
retain the same address, contact information, management, and operations as the existing
permittee. Accordingly, we are submitting the enclosed form with an attached copy of the Bill of
Sale associated with the transfer to notify you of these ownership and corporate changes and
request that the Permit be transferred and processed as a minor modification.
We believe that this submission satisfies all requirements necessary to modify the
Permit as a minor modification under 40 CFR 122.63(d). Please feel free to contact me at (704)
335-9495 should you have any questions. I appreciate your assistance in this matter.
PPAB 3484993v1
Parker Poe Adams & Bernstein tt.F Attorneys and Counselors at Law Three Wells Fargo Center 401 South Tryon Street Suite 3000 Charlotte, NC 28202
t 704.372.9000 f 704.334.4706 www.parkerpoe.com
Division of Energy, Mineral and Land Resources
December 2, 2016
Page 2
Sincerely,
Mary Kath3in . Stukes
cc: Bruce Landay, Esq., Landay Leblang & Stern
Enclosures
PPAB 34849930
<xESC ANALYTICAL REPORT myESC
-i.N.c.E. s.c.E5 May 19, 2016
I
i
Appalachian Environmental Resources `�� 3
rJ �
Sample Delivery Group: L834297
Samples Received: 05/10/2016
Project Number: VERITiQUE RECEIVED
Description: JW4 0 6 Z 1
i
I
Report To. -
RECEIVED
I
JUN 9 6 2016
CENTRAL FILES- _
DIIVF2 SECTION
M
' �i p'•
CENTRAL FILE,
Mike Fox DWR SECTION
395 Steel St.
Johnson City, TN 37601
Entire Report Reviewed By: �
Linda Cashman
Technical Service Representative
Results relate only to the Items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by M is
performed per guidance provided in laboratory standard operating procedures:060302, 060303, and 060304.
.'Y t
{I�r.
I ^�
TABLE OF CONTENTS ONE LAB. NATIONWIDE.
FP
'Cp: Cover Page 1
2Tc: Table of Contents
2
3Ss: Sample Summary
3
pow
4Cn: Case Narrative
4
ISS]
SSr: Sample Results
5
SW-01 L834297-01
5
Fqn
60c: Quality Control Summary
6
r qr
Gravimetric Analysis by Method 2540 D-2011
6
Wet Chemistry by Method 1664A
7
FC
Metals (ICP) by Method 200.7
8
7Gl: Glossary of Terms
9
F
BAl: Accreditations & Locations
10
rAl
9Sc: Chain of Custody
11
9
5c
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
Appalachian EnAronmental Resources VERITIQUE L934297 0511911617;17 2 of 13
SAMPLE S U M M A R Y ONE LAB. NATIONWIDE.
Collected by Collected datelhme Received clateltime
SW-01 L834297-01 WW Mike Fox 05/021l61335 05110A610:00 + C
P
Method
Batch
dilution Preparation
Analysis
Analyst
datettime
dateltime
El
Gravimetric Analysis by Method 2540 0-2011
WG871437
1 05/10/1619:25
051011619:40
MMF
Metals (0) by Method 200.7
WG871507
1 0511211618:12
05P3116 08:39
RD5
Wet Chemistry by Method 1564A
WG872260
1 05113M 08:22
05113/1612:14
TJG
4
Cn
s
5r
fi
QC
7G1
FAI
Sc
r
ACCOUNT:
PROJECT:
SDG:
OATE/TIME:
PAGE:
Appalachian Environmental Resources
VERITIQUE
L834297
05119/1617:17
3 of 13
CASE NARRATIVE
ONE LAB. NATIONWIDE.
All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been corrected for the
'gyp
dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the rTcl
sample results. By my digital signature below, I affirm to the best of my knowledge, all
problems/anomalies observed by the laboratory as having the potential to affect the quality of the data
have been identified by the laboratory, and no information or data have been knowingly withheld that rss]
would affect the quality of the data.
r—Sr
F
.
4& (Utw� FG
Linda Cashman El
Technical Service Representative El
Sample Handling and Receiving
The following samples were prepared and/or analyzed past recommended holding time. Concentrations should be
considered minimum values.
ESC Sample ID Project Sample ID Method
L634297-01 sw-01 2540 D-2011
ACCOUNT: PROJECT; SDG: DATEITIME: PAGE:
Appalachian Environmental Resources VERITIQUE L834297 0511911617:17 4 of 13
SW-01 SAMPLE
RESULTS - 01
ONE LAB. NATIONWIDE.
Collected dateltime: 05/02/16 13:35
L834297
Gravimetric Analysis by Method 2540 D-2011
Result Qualifier
RDL
Dilution Analysis
Batch
FC P]
Analyte mgA
v —
mgll date I time
—
— —
z
Suspended Solids 7.46
2.50
1 05/10/201619:40
WG871427
TC
Wet Chemistry by Method 1664A
FSSI
Result Qualifier
RDL
Dilution Analysis
Batch
Analyte mgll
mgli
date 1 time
rqn
Oil & Grease (Hexane Extrl 10.4
7.14
1 051131201612:14
WG872260
Metals (1CP) by Method 200.7
0
Result Qualifer
Analyte mgA
v
RDL
mg/1
Dilution Analysis
date l time
Batch
e
_ --- — — _ — QC
Copper ND
0.0100
1 05/13/20160839
WG871507
Lead ND
O.O0500
1 05113/201509:39
WG871507
FGI
Zinc O.C817
0.0500
1 05/13/201608:39
WG871507
ACCOUNT: PROJECT: SDG: DATElf IM E: PAGE:
Appalachian Environmental Resources VERITIOUE L834297 05119M 1717 5 of 13
WG871437
QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Gravlmetrlc Analysis by Method 2540 D-2011
L834297-01
Method Blank (MB)
(MB) R3135649-1 05/10/76 19:40
MB Result M9 Qualifier MB MDL
MB RDL
Anaiyte mdl mgfi
R� T
mgfl
a _
m
Suspended 5oiids U 0.3.50
2.50
— — -- — - --
— — — - - --- ---- - —
FSS1
L832857-01 Original Sample (OS) • Duplicate (DUP)
(OS) L832857-01 05110/1619:40 • (DUP) R3135649-4 05/10/1619:40
FC
Original Result DUP Result Dilution DUP RPD
Analyte mgm mgfl %
DUP Qualifier DUP RPD Limits
%
Sr
❑
Suspended Solids 58.0 54.0 1 7.14
J3 5
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3135649-2 05/10/16 19:40 • (LCSD) R3135649-3 05/10/16 1940
C'I
Spike Amount LCS Result LCSD Result
LCS Rec.
LCSD Rec. Rec. timits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mo mgff 171311
%
% % % %
Suspended Solids 773 808 --- E08 T---
105
— 105
r
Sc
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Appalachian Environmental Resources VERITIQUE L834297 05/19/16 17:17 6 of 13
WG872260
Wet Chemistry by Method 1664A
Method Blank (MB)
QUALITY CONTROL SUMMARY
L834297-01
(MB) R3136502-1 05/13/16 12:09
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mgll mg/1_--
Oil & Grease (Hexane Extr) U 116 5.00
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3136502-2 05/13/16 12:09 • {LCSD) R3136502-3 05/13/16 12:14
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mgA mgll mg/I % % % % %
Oil &Grease (Hexane Extr) 40.0 37.7 _ 37.5 94.3 93.8 78.0 i14 YY 0.532 _ 24
ONE LAB. NATIONWIDE.
Cp
----- -- sic
3
qS
Rn
_—_-- - Fr
FGI
1711
FC
ACCOUNT: PROJECT: SVG: DATE/TIME: PAGE:
Appalachhlan Environmental! Resources VERITIQUE L834297 05/19/16 1717 7 of 13
WG871507 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE.
Metals (ICPI by Method 200.7 L834297-01
Method Blank (MB)
(MB) R3136413-1 05113l16 08:19
MB Result
Analyte
mg/l
Copper
U
Lead
U
Zinc
U
MB Qualifier M8 MDL
MB RDL
mg/1
mgfl
0.007
0.0100
0.002
0.005D0
0.0034
0.0500
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3136413-2 05/13/16 08:22 • (LCSD) R3136413-3 05/13/16 08:24
Spike Amount LCS Result LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte mg/l mgll mg/f
%
%
Copper 1,00 1A2 1,04
102
104 _---85-115
_—Z
20
Lead 1.00 1,04 1.05
104
105
85-115
1
20
Zinc 1.00 1.01 1.01
101
101
85-115
0
20
L834419-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L83441MI 05/13/16 01127 • (MS) P3136413-5 05/13/16 0833 • (MSD) R3136413-6 05/13/16 D8:36
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte
mg/I
mgll
mgll
mgrl
%
%
%
%
%
Capper
1.00
U
1.05
1.03 _
105
103
1 70-130
1
20
Lead
1.00
U
1.05
1.04
105
104
1 70-130
0
20
Zinc
1.00
0.00400
0.993
0.989
99
99
1 70-130
0
20
L834481-01 Original Sample (OS) • Matrix Spine (MS) • Matrix Spike Duplicate (MSD)
(OS) L834481-01 05/13/16 09:41 • (MS) R3136413-7 05/13/16 09:43 • (MSD) R3136413-8 05/13/16 09:46
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec,
Dilution Rec. Limits
MS Quaker MSD Qualifier RPD
RPD Limits
Analyte
mgR
mgfl
mgll
mgP
%
%
%
%
%
Copper
1.00
ND
1.03
1.02
103
102
1 70-130
T 0
20
Lead
1.00
ND
1.04
1.04
104
104
1 70-130
0
20
Zinc
1.00
ND
1,03
1.03
100
100
1 70-130
0
20
FP]
ITC
r
qS
FC
SSr
FGI
flAl
E
ACCOUNT: PROJECT: SDG:
Appalachian Environmental Resources VERITIOUE L834297
OATE1TIME:
05A916 17:17
PAGE:
8of13
GLOSSARY OF TERMS
ONE LAB. NATIONWIDE.
Abbreviations and Definitions
SDG
Sample Delivery Group.
RP
MDL
RDL
Method Detection Limit.
Reported Detection Limit.
ND,U
Not detected at the Reporting Limit (or MDL where applicable).
RPD
Relative Percent Difference.
(dry)
Results are reported based on the dry weight of the sample. (this will only be present on a dry
S5
r
Original Sample
report basis for soils].
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD�
Fn1
from a quality control sample. The Original Sample may not be included within the reported SDG.
p
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control
Sample/Duplicate and Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring
El
recovery. Surrogates are not expected to be detected in all environmental media.
Rec.
Recovery.
sQC
SDL
Sample Detection Limit.
MQL
Unadj. MQL
Method Quantitation Limit.
Unadjusted Method Quantitation Limit.
Qualifier
Description
rAl
J3
The associated batch QC was outside the established quality control range for precision.
FC1
ACCOUNT: PROJECT: SDG DATEMME: PAGE:
Appalachian Environmental Resources VERITIQUE L834297 05119/1617:17 9 of 13
A C C R E D I T A T I O N S& LOCATIONS ONE LAB. NATIONWIDE. V
ESC Lab Sciences is the only environmental laboratory accredltedlcert sled to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other
lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the
network laboratories in our industry, The most significant benefit to our 'ore iocallon" design is the design of our laboratory campus. The model is conducive to Accelerated productloty, C p
decreasing turn-eround time, and preventing crass contamination, thus protecting sample integwy. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
* Not all certifications held by the IabOrawry are ao icable 10 the results reported in the altathed report. FTc
State Accreditations
Alabama
40660
Nevada
TN-03-2002-34
s
Alaska
UST-080
New Hampshire
2975
SS
Arizona
AZO612
New Jersey—NELAP
TNO02
Arkansas
88-0469
New Mexico
TN00003
"Cn
California
01157CA
New York
11742
Colorado
TN00003
North Carolina
Env375
Conneticut
PH-0197
North Carollna
DW21704
SSr
Florida
E87487
North Carolina'
41
Georgia
NELAP
North Dakota
R-140
e
Georgia'
923
Ohio—VAP
CL0069
QC
Idaho
TN00003
Oklahoma
9915
Illinois
200008
Oregon
TN200002
Indian
C-TN-01
Pennsylvania
68-a
68.02979979
Iowa
364
Rhode Island
221
Kansas
E-10277
South Carolina
84004
Kentucky''
90010
South Dakota
n1a
Kentucky'
16
Tennessee"
2006
Louisiana
A130792
Texas
T104704245-07-TX
y
Maine
TN0002
Texas'
LA80152
SC
Maryland
324
Utah
6157585858
Massachusetts
M-TNO03
Vermont
VT2006
Michigan
9958
Virginfa
109
Minnesota
047-999-395
Washington
C1915
Mississippi
TN00003
West Virginia
233
Missouri
340
Wisconsin
9980939910
Montana
URT0086
Wyoming
A21-A
Nebraska
NE-OS-IS-05
Third Party & Federal Accreditations
QLA — ISO 17025
1461.01
AIHA
100789
QLA— ISO 17025s
1411.02
DOD
1461.01
Canada
1461.01
USDA
S-67674
EPA—Cryplo
TN00003
` prinking Water ' Underground
Storage Tanks ; Aquatic Toxicity
` Chemical/Miuoblological 5 Mold - Accreditation not applicable
Our Locations
ESC Lab Sciences has sixty-four client support centers that prcvlce sample pickup andlor the delivery of sampiing supplies. If you would like assistance from one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
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ACCOUNT: PROJECT; Si DATE/TIME: PAGE:
Appalachian Environmental Resources VERITIQUE L834297 05/1911617:17 10 of13
Company Name/Address: Billing Information; Anais Container Preservative chain of Custody pag# 09
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Report to: lone,
To: Wftm kd*k TN 37112
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, GPM
Director
August 22, 2013
Mr. Alan Bush, HR Manager
Vertique, Inc. Div. of Illinois Tool Works Warehouse Automation
115 Vista Boulevard
Arden, Korth Carolina 28704
Dear Mr. Bush:
Pat McCrory, Governor
John E. Skvarla, III, Secretary
Received
AUG 2 9 20
Subject: General Permit No. NCG0U06(Quallty 5eW00
Vertique, Inc. Asheville
COC No. NCG030636
Buncombe County
In accordance with your application for a discharge permit received on May 7, 2013, we are
forwarding herewith the subject certificate of coverage (COQ to discharge under the subject state -
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit
are unacceptable to you, you have the right to request an individual permit by submitting an
individual permit application. Unless such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Energy, Mineral and Land Resources (Division). The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not
affect the legal requirements to obtain other permits which may be required by the Division orf }r.�
permits required by the Division of Water Resources, Coastal Area Management Act or any otter
federal, state or local governmental permit that may be required.
Ally: ? , qrq
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Programs Planner at telephone number f9191 B07-6369.
Sincerely,
ORIGINAL SIGNED �--w--- - —�-�
KEN PICKLE RECEIVED
` '- or Tracy F. Davis
cc: Asheville Regional Office 1116celved
Central Files AUG 2 7 2013
Stormwater Permitting Unit Files �lj^ ��
Attachments AN $ III 2M bWQ/Surface WaterPratection Section
,L Asheville Regional office
Land" =W SeWon
1612 Mail Service Center, Raleigh, North Carolina 2769-1612AJft"1pg 919-707-92201 PAX. 919-733-2876
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:tiportal.ncdenr.org/web/Ir/land-quality
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
puq
We $0 M3
CCC 0 A r,
V"*IJGA!Jllg
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030636
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
1n compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Vertique, Inc. — A Division of Illinois Tool Works Warehouse Automation
is hereby authorized to discharge stormwater from a facility located at
Vertique, Inc. — A Division of Illinois Tool Works Warehouse Automation
115 Vista Boulevard
Arden
Buncombe County
to receiving waters designated as an unnamed tributary to Avery Creek, a Class B waterbody, French Broad River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, 11I, IV, V and VI of General Permit No. NCG030000, as attached.
This Certificate of Coverage shall become effective August 22, 2013,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 22, 2013.
ORIGINAL SIGNED 6)
KEN PICKLE
for Tracy E. Davis, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
,r■0 1 S 3 2&iv i:0 7 1000 2aa1: 4 3r.-O 2 1.610118
NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR.
X This completed application and all supporting documents.
X A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
X Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
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) 771-5000
Central Office .........(919)
807-6300
Page 4 of 4
5 W U-218-071408
Last revised 7114/08
Diuguid, Bill
From: Fox, Tim
Sent: Thursday, May 16, 2013 7:51 AM
To: Diuguid, Bill
Cc: Cranford, Chuck
Subject: FW: NCG030636 Vertique Inc Arden NOI
Attachments: NCGO30636 Vertique Inc Arden NOI May 13 2013.pdf
M
I have reviewed the NOI application and recommend to issue the permit.
will put this facility on my inspection list. If you need anything else please let us know.
Have a good weekend.
Tim
Tim Fox - tim.fox@ncdenr.gov
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Surface Water Protection
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: 828-296-4500
Fax: 828-299-7043
Notice: Email correspondence to and from this address may be subject to the NC Public Records Law and may be
disclosed to third parties.
From: Diuguid, Bill
Sent: Monday, May 13, 2013 12:02 PM
To: Cranford, Chuck
Subject: NCG030636 Vertique Inc Arden NOI
Chuck Cranford, Asheville RO:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule.
Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located
in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt with, and
(3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the NOI and a
location map for your review.
COC # Facility P(�cation City/County
A j
NCG030636 Vertique, Inc �I115 Vista Blvd Arden/Buncombe II
- - — -
Subbasin 04-03-02, Stream Index 6-60, UT to Avery Creek, Class B, French Broad
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 06/13/2013,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
4 Y
Bill Diuguid, AICP
Staff Planner, Stormwater Permitting
Wetlands and Stormwater Branch
Division of Water Quality I NCDENR
1617 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location 8v Parcels)
Raleigh North Carolina 27699-1617
Phone: 919-807-6369 1 Fax: 919-807-6494
Website: http_//portal.ncdenr,org/web/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.
2
Division of Water Quality / Surface Water
Protection Section
NCDENRNational Pollutant Discharge Elimination System
ft mn Canutwa pnrrrr.wfr: ar
Lr�w.[K a.m N.rwr 1iMeuwG�
NCG030000
NOTICE OF INTENT
tQR'AOIiMGY USIEOULY'.
IYaik 2y_' d
Ycor:.
IMonrh''
liav
certifidi ofcovcri x -
.AwkN '.' Amnti
At 4lrY)-
NmCd 4%ijjn,16'
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
- — - SIC -(Standard Industrial- Ciassification).335 Rolling,- Drawing rand Extruding of Nonferrous Metals -
SIC 3398 Metal Heat Treating
SIC 34 Fabricated Metal products
SIC 35 industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments
.W.
For questions, please contact, the DWQ Reglonal Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Vertique, Inc. -A Division of Illinois Tool Works Warehouse Automation
Street Address 115 Vista Boulevard
City Arden. StateNC ZIP Code 28704
Telephone No. 828-654-7500 Fax:
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
Vertique, Inc. -A Division of Illinois Tool Works Warehouse Automation
Mr. Alan Bush
115 Vista Boulevard
Arden StateNC Zlpcod
Bumcombe
828-654-7500 Fax: 828-654-8908 .
alan.bush@vertique.com "MAY ,7: , .
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, sta ;i ads
distance and direction•from„a roadway i6t§iori). Frdm� intei'state'26E,.take exit 38.- urn: ght a
bottom of the ramp onto highway 146 (Long Shoals Road). Continue approximately 3 miles to Vista
Boulevard. Continue straight on Vista Boulevard and facility is on the right, approximately 118 mile
from the intersection of Long Shoals Road, Brevard Road, and Vista Boulevard.,
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this applieation.)-
4) Latitude 35,28,7,3086 Longitude-82,34,52.1256 (deg, min, sec)
Page 1 of 4
SWU-218-071408 Last revised 7114108
NCG030000 N.O.I.
5) This NPDES Permit Application applies to.which of the following:
X New or Proposed Facility Date operation is to begirt/1/2013
❑ Existing
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial.
activity at this facility.
SIC Code: .3535
7) Provide a brief narrative description of the types of'industrial activities and products manufactured at
—this'facility: manufacturer of distribution and,conveYor equipment - -- —
8) Discharge,points 1•Receiving waters:
How many discharge points (ditches, pipes, channels -,,etc) convey stormwater from the property? 4
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? unnamed tributary to French Broad River
Receiving water classification: River
Is this a'303(d) listed. stream?. No _. Hasa TMDL been approved for this watershed?.,
If the site stormwater discharges,to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers,for all current NPDES permits for this facility:._
10) Does this facility have any Non7Discharge permits (ex: recycle permit)?.
X No
❑ Yes
If yes, list.the permit numbers for all current Non -Discharge permits for this facility,
11) Does this facility employ any best management practices for stormwater control?
X No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented? In process of implementation
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
Page 2 of 4
SWU-218-071408 Last revised 7114108
NCG030DD0 N.O.I.
D No X Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X. No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No- ❑ Yes If yes, include information to demonstrate protection from flooding,
e) if you answered yes to questions b. of 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:
15) Certification:
North Carolina General Statute 143-215.68 (i) provides that:
Any person who knowingly makes any false statement, rapresentation, 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 undei 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 Commission implementing this Amide shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ton thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
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 tr com teWh
d accurate.
.,�,,,
Printed Name of -Person Signing:
Title: J�
il
(Signature
Y'zL -r2
(Date Signed)
This Notice of Intent must be accompanied by a check or money order far $100.00, made payable to:
NCDENR
Page 3 of 4
SWU-218-071408 Last revised 7114108
t
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t"
41WI
Appalachian Environmental Resources, Inc.
395 Steel Sheet
Johnson City, TN 37401-2694 j
Phone:423-434-29a5
Fax:423-434-2794
May 2, 2013
Storm water Permitting Unit
Division of Water Quality
1617 Mail Service Center
-- _ - -Raleigh, North Carolina_27699-1617
RE:. ITW Warehouse Automation -Buncombe County
Storm water Notice of Intent
NPDES permit coverage
To Wham It May Concern,
I
The Illinois "fool Works Warehouse Automation ("ITW") facility located in Arden, NC is
sending this correspondence to the' Division of Water Quality ("Division") in regards to storm
water coverage for the facility. ITW is located in Buncombe County.
t
Attached to this cover letter -are the following;
Notice of Intent (NOI)
• Site diagram with identifications of outfalls, conveyances, etc.
• USGS quadltopo sheet identifying. facility
Fee payment
ITW has prepared the above information for general permit coverage under the National
Pollutant Discharge Etirnination System (NPDFS). ITW .will prepare to collect stone water
samples and comply with the requirements listed fvr the SIC 3535 coverage.
If you have questions or require additional information, please contact me at 1-423-956-2900.
Sincerely,
Michaa h_ &
Director, EHS Compliance Services
Appalachian Environmental Resources, Inc.
Cc:. Nile copy/aw
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