HomeMy WebLinkAboutNCG050229_COMPLETE FILE - HISTORICAL_20181219PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
HISTORICAL FILE
- MONITORING REPORTS
❑ �1 � I d 1 �I
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I �V C� L � U OS �
DOC TYPE 1 ❑ HISTORICAL. FILE
MONITORING REPORTS
DaC DATE ❑ 6f�D 3 �
YYYYMMDD
Compliance Inspection Report
Permit: NCG050229 Effective: 06/01/18 Expiration: 05131/23 Owner: Sealed Air Corporation
SOC: Effective: Expiration: Facility: Sealed Air Corporation
County: Caldwell 2075 Valway Rd
Region: Asheville
Lenoir NC 28645
Contact Person: Teresa Cornett Title: Phone: 828-726-2100
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection pate: 1211912018 Entry Time: 11;00AM Exit Time: 12:00PM
Primary Inspector: Isaiah L Reed Phone: 828-296-4614
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: ApparellPdntinglPaper/LeatherlRubber Stormwater Discharge COG
Facility Status: Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
permit: NCGO50229 Owner - Facility: Sealed Air Corporation
Inspection Date: 1211912018 Inspection Type : Technical Assistance Reason for Visit: Routine
Inspection Summary:
On December 19, 2018 this facility was inspected in response to a representative outfall status request. I met with Teresa
Cornett on site. No issues were noted on site, and ROS has been granted for the facility. Outfalls 2 and 3 are now
considered representative for the purpose of analytical monitoring for vehicle maintenance.
If you have any questions, please contact this office at (828) 296-4614
Page: 2
Permit: NCG050229 Owner - Facility: Sealed Air Corporation
Inspection date: 1211912018 Inspection Type : Technical Assistance Reason for Visit: Routine
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? M ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the division? ❑ 110 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑
Comment:
Page: 3
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
829-728-0149
Client:
Sealed Air Corporation
PO Box 1018
Lenoir_ NC 28645
Attention:
Seth Bradshaw
Date Received:
2')-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL #:
BRL-2018-0238
Lab Sample ID:
LS[D-2018-01120
Client Sample ID:
Outfall 2
Parameter
Oil &: Grease
Reported By:
Result MQL
5
S. hnson, U.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted -
NC Laboratory Certificate No. 275
Page I of 4
blueridgelabslenoirCgrnaiixom
Unit Method
mgll 1664-A O&G
Analysis Analysis
Time Date
Si2.+2018
Received
JUN 2 9 2018
Land Quality Section
4snevil;e
Analyst
WtrQlty
0
.Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
blueridgelabslerlafr@gmaii.com
Client :
Scaled Air Corporation
PO [lox 1018
I-euoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL 0:
BRL-2018-0238
Lab Sample ID:
LSID-2018-01121
Client Sample ID:
Dutfall 2
Analysis
Parameter
Result
MQL
Unit Method
Time
TSS
#
10
mg/I 2540D 1997
11:14
PH
6.8 HT
0.1
Su 4500H+13 200
14:45
Settleable Solids
*
0.1
ml!1 SM19
15:42
Reported By.
S. hnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except whem noted.
NC Laboratory Certificate No. 275
Paee 2 of 4
Analysis
Date
4127,'2018
4/23i2018
4/2.3r2018
Analyst
KCJ
KCJ
KCJ
Blue Midge Labs
PO Box 2940
Lenoir, NC 28645
828-72"149
blueridgelabslenoir@gmaii.com
Client :
Sealed Air Corporation
1'O Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
BRL #:
BRL-2018-0238
Lab Sample Ill:
LSID-2018-01 122
Analysis Analysis
Parameter
Result MQL Unit Method Time Date Analyst
0it & Grcase
« 5 mg'I 1664-A O&G 5i2:2018 WtrQlty
Reported By-
S. nson, D.R. Wessinger
Concentrations are below Minimum Quantification Liinit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Received
JUN 2 9 2018
Land Quality Section
Asheville
a
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
23-Apr-18
Report Date:
14-May-18
Sample Date:
23-Apr-18
6RL #:
BRL-2018-0238
Lab Sample ID: LSID-2018-01 123
C6e Satntr3e �D�eutialIMAWM
Parameter
TSS
PH
Settleable Solids
Result MQL
10
T2 HT 0.1
0.1
blueridgelabslenoir@gmail.com
Analysis
Unit Method Time
mg1l 2540D 1997 11:15
su 4500H+B 200 14:47
m111 SM19 16:14
Analysis
Date
Analyst
4,127/2018
KCJ
4/23/2019
KCJ
4/23/2018
KCJ
ReCei red
JUN Z 9 2018
tand 4jlalit
Asi)ev 1i 1, ection
Reported Bv: t3hn
son, D.R. Wessinger
Concentrations are bellow Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
,vet A
Reset
t 7 9 tivision of Energy, Mineral & Land Resources
r 47, seetl)n Stormwater Program
p,lzeu 'National Pollutant Discharge Elimination System
Environmental REPRESENTATIVE OUTFALL STATUS (ROS)
Qkjawy
FOR AGENCY USE ONLY
Data Rucciycd
Year
FMonth
I day
RECEIVED
JUN27Z018
If a facility is required to sample multiple discharge locations with very similar storriiriidt*tyUfs1Chg1W<k
permittee may petition the Director for Representative Outfall Status (ROS). DEQ may grant Representative
Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL out
falls are still subject to the qualitative monitoring
requirements of the facility`s permit —unless otherwise allowed by the permit (such as 11ICGO20000) and DEQ
approval. The approval letter from DEQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status.
For questions, please contact the DEQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N" ,C `i N C ::G10 5 10 12 12 19
2) Facility Information:
Owner/Facility Name Sealed Air
Facility Contact Teresa Cornett
Street Address 2075 Valway Road
City Lenoir State NC ZIP Code 28645
County Caldwell E-mail Address teresa.cornett@sealedair.com
Telephone No. 828 726-2100 Fax: 828 754-0580
3) List the representative outfalls) information (attach additional sheets if necessary):
Outfall(s) 1,10.0.8 is representative of Outfall(s) 2
Outfalls' drainage areas have the same or similar activities? es ❑ No
Outfalls' drainage areas contain the same or similar materials? arles ❑ No
Outfalls have similar monitoring results? V es ❑ No ❑ No data*
Outfall(s) 7,6,5,4 its representative of Outfall(s) 3
Outfalls' drainage areas have the same or similar activities? ee o No
Outfalls' drainage areas contain the same or similar materials? es,- ❑ No
Outfalls have similar monitoring results? . [V es ❑ No n No data*
Outfall(s)
is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes a No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 3
SWU-ROS-2009 Last revised 12/30/2009
Representative Outfall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(or, attach a letter or narrative to discuss this information.) For example, describe flow activities and/or
materials are similar.
This site has a vehicle maintenance shop. outfalls 1, 10, 9, & a can be represenated by a sample from Outfall 2.
Ouffall 2 collects water from the North side of the building where the vehicle maintenance shop is located. Outfali 7, 6, 5 &
4 can be repressenaled by a sample from Outfall 3. Outfall 3 collects water from the North side of the building where the
vehicle maintenance shop is located.
5) Certification:
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record,
report, plan, or other document filed or required to be maintained under this Article or a rule implementing this
Article; or who knowingly makes a false statement of a material fact in a ruiemaking 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).
I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES 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: Teresa Cornett
Title: Quality Manger/EHS Director Lenoir Plant
(Signature of Applicant)
W' I)d ,
I
(Dare Signed)
Please note; This application for Representative Outfall Status is subject to
approval by the NCDEQ Regional Office. The Regional Office may inspect your
facility for compliance with the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
❑ This completed form.
❑ Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be included in Question 4.
❑ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
❑ Summary of results from monitoring conducted at the outfalls listed in Question 3.
❑ Any other supporting documentation.
Page 2 of 3
SWu-ROS-2009 Last revised 12I30/2009
Representative Outfali Status Request
Mail the entire package to:
NCDEQ DEMLR at the appropriate Regional Office (See map and
addresses below)
Notes
The submission of this document does not guarantee Representative Outfali Status [ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request is granted by DEQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For questions, please contact the DEQ Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Washington Regional Office
943 Washington Square Mall
Phone (828) 296-4500
Washington, NC 27889
FAX (828) 299-7043
Phone (252) 946-6481
Fayetteville Regional Office
FAX (252) 975-3716
Systel Building,
225 Green St., Suite 714
Wilmington Regional Office
Fayetteville, NC 28301-5094
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone (910) 433-3300
FAX 9101486-0707
Phone (910) 796-7215
FAX (910) 350-2004
Mooresville Regional Office
610 East Center Ave,
Winston-Salem Regional Office
Mooresville, NC 28115
585 Waughtown Street
Winston-Salem, NC 27107
Phone (704) 663-1699
Phone (336) 771-5000
FAX (704) 663-6040
Water Quality Main FAX (336) 771-4630
Raleigh Regional Office
Central Office
1628 Mail Service Center
1612 Mail Service Center
Raleigh, NC 27699-1628
Raleigh, NC 27699-1612
Phone (919) 791-4200
Phone (919) 807-6300
FAX (919) 571-4718
FAX (919) 807-6494
Page 3 of 3
SWU-POS-2009 Last revised 12/30/2009
y ROY COOPER
1 Governor
MICHAEL S. REGAN
�.z r Secretary
WILLIAM E. VINSON, JR
Interim Director
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
June 25, 2018
Sealed Air Corporation -Hudson
Attention: Vincent White
2001 International Boulevard
Hudson, North Carolina 28638
Subject: Compliance Evaluation Inspection
i Permit: NCG050229
Caldwell County, North Carolina
Dear Mr. Vincent:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection I conducted at
the subject facility on June 21, 2018.
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
Sincere ,
Isaiah Reed, CEPSCI
Environmental Specialist
Land Quality Section
State of North Carolina j Environmental Quality I Energy, Mineral and Land Resources
2090 US 70 Highway I Swannanoa, NC 28778-8211
928 296 4500 T
f 'I
Compliance Inspection Report
Permit: NGG050229 Effective: 06/01/18 Expiration: 05131/23 Owner: Sealed Air Corporation
SOC: Effective: Expiration: Facility: Sealed Air Corporation
County: Caldwell 2075 Valway Rd
Region: Asheville
Lenoir NC 28645
Contact Person: Teresa Cornett Title: Phone: 828-726-2100
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/21/2018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
EntryTime: 11:00AM Exit Time: 12:30PM
Phone: 828-296-4614
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: ApparellPrinting/PaperiLeatherlRubber Stormwater Discharge COC
Facility Status: [] Compliant in Not Comil
Question Areas:
® 5tann Water
(See attachment summary)
Page: 1
Permit: NCGO50229 Owner - Facility: Sealed Air Corporation
Inspection Date: 0612112018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 21, 2018 this facility was inspected for compliance. I met with Vincent White on site. During the inspection, the
following items were noted
1) Due to vehicle maintenance on site, analytical monitoring has been done on only 2 outfalls. It is recommended that the
facility apply for Representative Outfall Status to address this issue.
2).A number of areas along the rear of the facility, next to the stream were areas of concentrated flow, and could be
considered outfalls. It is recommended that a full evaluation be done of these areas to confirm the accuracy of the location
and number of outfalls.
3) It is recommended that the permitee evaluate all drainage areas leading to the small pond on site, and pursue eliminating
any possibility of stormwater entering the pond.
Page: 2
Permit: NCG050229 Owner - Facility: Sealed Air Corporation
Inspection Date: 06121/2018 Inspection Type ; Compliance Evaluation Reason for Visit: Rauline
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?
0
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
®
❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
®
❑ ❑ ❑
# Does the Plan include a 3MP 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
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annuatly? ® ❑ ❑ ❑
Comment:
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 further 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 storrnwater) discharges? m Cl ❑ ❑
Comment -
Page: 3
Compliance Inspection Report
Permit: NCGO50229 Effective: 06101 /18 Expiration: 05/31/23 Owner : Sealed Air Corporation
SOC: Effective: Expiration: Facility: Sealed Air Corporation
County: Caldwell 2075 Valway Rd
Region: Asheville
Lenoir NC 28645
Contact Person: Teresa Cornett Title: Phone: 828-726-2100
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06121/2018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 11:00AM Exit Time: 12:30PM
Phone: 828-296-4614
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel)PdntinglPaper/Leather/Rubber Stormwater Discharge COC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
Permit: NCGO50229 Owner- Facility: Sealed Air Corporation
Inspection Date: 0612112018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 21, 2018 this facility was inspected for compliance. I met with Vincent White on site. During the inspection, the
following items were noted:
1) Due to vehicle maintenance on site, analytical monitoring has been done on only 2 outfalls. It is recommended that the
facility apply for Representative Outfall Status to address this issue.
2) A number of areas along the rear of the facility, next to the stream were areas of concentrated flow, and could be
considered outfalls. It is recommended that a full evaluation be done of these areas to confirm the accuracy of the location
and number of outfalls.
3) It is recommended that the permitee evaluate all drainage areas leading to the small pond on site, and pursue eliminating
any possibility of stormwater entering the pond.
Page: 2
Permit: NCGO50229 Owner - Facility: Sealed Air Corporation
Inspection Dale: 06/21/2018 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 (l1SGS) map?
0 ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
N ❑ ❑ ❑
# 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?
E ❑ ❑ ❑
# 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 (Si
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■ ❑ ❑ ❑
# Does the facility provide and document Employee Training?
0 ❑ ❑ ❑
# 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?
■ ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
■ ❑ ❑ ❑
Comment
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? 0 ❑ ❑ ❑
Comment:
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? ❑ ■ ❑ ❑
Comment: See summary for further information.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ 0 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? N ❑ ❑ ❑
Comment:
Page: 3
„G
v�
Facility Name: Permit#:
t5,�� � � 1, kI
Time in/out: Date:
Stormwater Pollution Prevention Plan
iOoes the site have a SWPPP?
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 13MP 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?
Comments
Qualitative Monitoring
;Has the facility conducted its Qualitative monitoring semi-annually?
,omments
jHas the facility conducted its Analytical monitoring?
Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
-omments
'*--44 oy-
Enerrgy, Mir�gra!
and Lauri ftesaur'ecs
5Nv1BONMCNTAL (2unLiTr
Yes No NA NE
Yes No NA NE
Yes No NA NE
n '- F1 B
Permit and Outfalls Yes Ne NA NE
is a copy of the Permit and the Certificate of Coverage available at this 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?
Comments and Others Present:
J
k
MAYiifJ/2rjj8/'THU It '.-2q Any
FAX N1,
P. 001/001
WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 28604
(828)998-6277
CLIENT. BLUE RIDGE LA138
ADDRESS; P.O. BOX 2940
CITY: LENOIR
STATE; NC ZIP 20645
ID#:
LOGIN TIME:
SAMPLER;
RECEIVED DATE:
REPORTED DATE-. "ay-1 8
OIL & GREASE
1105
7.2
5.00
MAIL
2-m8v-18
Pi
OIL & GREASE
1107
10.4
5.00
MG/L
2-Mat18
PI
OIL & GREASE
1120
<5
6.00
MOIL
2-MM18
Pt
OIL & GREASE
1.121
<5
5.00
MGA-
2-k4ay-18
Pi
OIL & GREASE
1141
<6
5.00
MG/L
2-M2y-18
Pi
OIL & GREASE
1173
<5
5,00
MG/L
2-M8y-1 8
1 Pi
REPORTED BY,. NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 blueridgelabslenoir@gmail.com
Data Qualifiers
The following is a list of data qualifiers used or, Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state; reporting. Data qualifiers are
found in the results coiumn and their definitions are as follows:
* The concentration found is below our minimum concentration value, which is
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in -an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being subrntted.
D Sample was diluted due to physical problems with the sample.
i Value iS an estimate from a library search using the nearest internal standard_
NCA Nor, -certified Analysis
Revised -10/21/16
NPDS Reporting Grounds,v.11er
eCc(A C9 I -t 1-
Inc.
BeeRidge Labs,
s
P.O. Box 2940
Lenoir. NC 296 4i
Telephone (928) 728-01 R9 Fax (828) 728-0131
Chain of Custody
Sanitary Landfill Hazardous Waste
us,ra ttsl Fund Reporutll�
Bill 'i'u:
27 ,;5 • t� �'t 1-!� " _, 13rojcct Manic:
1110 NLIrnber: _
Ice Present: Y N
I�rr cr ry rlivnc I ah C'Ilyd:
Fit+lrl
Industrial or QC Notl State Report111Q _
C-Composity
G- Grab
Sanyple Ifs
Sample
Type
Date
Titmt:
I" 11 &
'11111p
1- R MM
°C
Field
Sulfide
Check
Y N
F& Field
Sutffde
Present 1
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
3echlorination
Y N
131"1
Resid
Chlor
1' or A
Temp
"C'
Sampler
hlltlilL%
Analysis Requested
At t
A
JD5 %l
I linquish Bv: Late:
Date: 1'1111e:
If
Ullon submi-ssion al'S.Imples. client abWes that ia%'tticcs are due al the ti nr: uvrk is completed, Open uccounis Eire due 20 days €ullowing invuicc date, A kwance charge of 1.51.l€t:r ntontlt will be imposed on all pAuV accounts.
When relinquishing sumplzs to tlluc Rid,ge Labs (BR€.)• buyer uuthnriw,, FIRE, to perform only the Itt7'tlySk inditrued F1bove and u1so agreos Fri pny collection and attorney fcus if the awltint heeontcs delinquou Mue Rklgc I.aHs
resm%:s the right to deny ductrmetttaliurt €m my work -where. payment has no hcen made, in eliect rcnderin= that data unsupported ror regnlatcin purposes. BIU. cann:n guararnee shut any rqultunry uuiliorily will aarelit arty work
suhlltilwd, therefnrc it is Iltc cticnt•s resttnn;ihility to request on this litrnt apprgpriMe tests, tiC: DI NR teniticd l.ah W275
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JP,.
Interim Director
January 11, 2018
Sealed Air
Attention: Teresa Cornett
2075 Valway Road
Lenoir, North Carolina 28645
Subject; Representative Outfall Status Request
Sealed Air
NPDES Stormwater Permit NCGO50229
Caldwell County
Dear Ms. Cornett:
Staff with the Fayetteville Regional Office of the Division of Energy, Mineral & Land
Resources has reviewed your request for a determination that stormwater discharge
outfall (SDO) 2 be granted representative outfall status for stormwater outfalls 1,10,9, and
8. Also that stormwater discharge outfall (SDO) 3 be granted representative outfall status
for stormwater outfalls 7,b,5, and 4. Based on the information and maps provided and the
site visit, we are approving this request. In accordance with 40 CFR §122.21(g)(7), you are
authorized to sample outfall numbers 2 and 3 as a representative outfalls. This approval is
effective with the next sampling event. Please be reminded that the permit requires
Qualitative (visual) Monitoring to be performed at all stormwater discharge outfalls,
regardless of representative outfall status.
Please remember that any actions you initiate in response to benchmark exceedances as
directed in the tiered response provisions of your permit must address all drainage areas
represented by SDO 2 and 3, where appropriate.
Please append this letter to your Stormwater Pollution Prevention Plan (SPPP) to
document that representative outfall status has been approved. If changes in drainage
areas, structures, processes, storage practices, or other activities occur that significantly
alter the basis of this approval, representative outfall status is no longer valid. In that case,
you should resume sampling at all SDOs, or reapply to this office for representative outfall
> Nor; ""•tea
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Asheville Regional Office 12090 US. Highway 70 1 Swannanoa, North Carolina 28778
828,296.4500
status based on updated i icirmation. If you have any questions c,_-omments concerning
this letter, please contact Isaiah Reed at (828) 296-4614.
Sincerely,
Isaiah Reed, CEPSCI, MS4CECI-
Environmental Specialist
Land Quality Section
Enclosure: Inspection Report
North Carolina Department of Environmental Quality I Division cf Energy, Mineral and Land Resources
Asheville Regional Office 1 2090 U.S. Highway 70 1 Swannanoa, North Carolina 28778
828.296A500
Compliance Inspection Report
Permit: NCGO50229 Effective: 06101 /18 Expiration: 05/31/23 Owner: Sealed Air Corporation
SOC: Effective: Expiration: Facility: Sealed Air Corporation
County: Caldwell 2075 Valway Rd
Region: Asheville
Lenoir NC 28645
Contact Person: Teresa Cornett Title: Phone: 828-726-2100
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
Ori-Site Representative(s):
Related Permits:
Inspection Date: 1211912018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
EntryTime: 11:00AM Exit Time: 12:00PM
Phone: 828-296-4614
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: ApparellPrintinglPaperfLeatherlRubber Stormwater Discharge COC
Facility Status: ® Compliant ❑ Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1
Permit: NCGO50229 Owner - Facility: Sealed Air Corporation
Inspection Date: 12/1912018 Inspection Type : Technical Assistance Reason for Visit: Routine
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outtalls observed during the inspection?
# If the facility has representative outfaEl status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Yes No NA NE
IN ❑ ❑ ❑
E3 ❑ ❑ ❑
❑ ❑ ® ❑
111111
Page: 3
WG,wl;7-9
INVOICE
Blue Ridge Labs, Inc.
Invoice # 2017- 0325
Date: 5/30/2017
P.O. Box 2940
Lenoir. NC 28645
Phone: 8287280149 Fax: 8287280131
Client: Sealed Air Corporation
Bill To:
Sealed Air Corporation
PO Box 1018
PO Box 950
Lenoir, NC 28645
r
Duncan, SC 29334
PO NUMBER LAB REF. ID TERMS
i LAB CONTACT ',
PROJECT NAME
309 Net 10 Days
Steve Johnson
Stormwater Analysis
Sample Name Outfall 2, Outfall 2 5-9-17
TARGET NAME
QUANTITY UNIT PRICE EXTENDED PRICE
Oil & Grease 1684-A
2
$50.00 $100.00
pH
2
$5.00 $10.00
Sample Disposal
t
$2.00 $2.CD
Settleable Solids
2
$20,00 $40.OD
Total Suspended Solids
2
$15.00 $30.DD
Please Remit: $182.00
6AJ AJ L 0-J 5 IA O
Kra
Upon submission of samples, buyer agrees that Invoices are due at time of delivery. Open accounts are due 20 days following
the invoice date. A finance charge of 1.5 % per month will be imposed on all past -due accounts, When relinquishing samples to
Blue Ridge Labs, buyer agrees to pay all collection and attorneys fees if the account becomes deiiquent. Blue Ridge Labs
reserves the right to deny all QC and support documentation for all open accounts which are greater than 60 days. Additionally,
Blue Ridge Labs also reserves the right to inform the appropriate local, state or federal agency that all support documentation
is not available due to the failure to the above invoice terms. Data used for compliance purposes will be rendered invalid for
reporting until the account is cleared.
.flue .Ridge Labs
PO Box 2940
Lenoir, JVC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
09-May-17
Report Date:
30-May-17
Sample Date:
09-May-17
Bit #-.
BRL-2017-0309
Lab Sample LD,
LSID-2017-01213
Client Sample ID:
Outfal1 #2
Parameter
Oil & Grease
Result MQL
5.3 5
blueridgela bslenoir@gma il.co m
Unit Method
mg/I 1664-A O&G
Analysis
Time
Analysis
[late
5'3012017
Reported By:
5. VJsoAn,D.R. Wessinger
* Concentrations are beIow Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 1 of 4
Analyst
WzrQtly
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149 blueridgelabslenoir@gmail.com
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
09-May-17
Report Date:
30-May-17
Sample Date:
09-May-17
BRL 4:
BRL-2017-0309
Lab Sample ID:
LSID-2017-01214
Client Sample ID:
Outfali #2
Analysis
Analysis
Parameter
Result
MQL
unit Method
Time
Date
Analyst
TSS
17.3
5.1
mg/l 2540D 1997
17:11
5/11/2017
KC7
pH
6.3 HT
0.1
su 4500H- 1H 200
1 1:05
5/9;'2017
KC.!
Sculeable Solids
*
0.1
mUl SM19
13:15
5:9.2017
KC]
Reported By:
S. J. J on, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
09-May-17
Report Date:
30-May-17
Sample Date:
09-May-17
BRL #:
BRI_-2017-0309
I,ah Sample ID;
LSID-2017-W 21 S
Client Sample ID:
Outfall #3
Parameter
Oil & Create
Result
MQL
* 5
blueridgelabslenolr@gmall.com
Unit Method
mg/l 1664-A O&G
Analysis Analysis
Time Date Analyst
5/30/2017 WtrQtly
Reported By: ,Q`�°
S. J) , nson, D.K. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Scaled Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Seth Bradshaw
Date Received:
09-May-17
Report Date:
30-May-17
Sample Date:
09-May-17
BRL #:
BRL-2017-0309
Lab Sample ID:
LSID-2017-01216
Client Sample Ill:
OUtfail #3
blueridgelabslenoir@gmail.com
Parameter Result MQL Unit Method
TsS 12.9 5.1 mg,1 2540D 1997
PH 6.2 HT 0.1 su 45001i+B 200
Settleable Solids * 0.1 niU1 SM19
Analysis
Analysis
Time
Date
Analyst
17:12
51111'2017
KCJ
11:08
5i9l2017
KCJ
14:35
5!912017
KCJ
Reported By:
S. J. nson, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 28604
(828) 898-6277
CLIENT: BLUE RIDGE LABS
ADDRESS: P.O. BOX 2940
CITY; LENOIR
STATE: NC ZIP 28645 REPORTED DATE:
I D#:
30-May-17
Ah{Ai YSIS
LSID # :
• '.:
ANALYSIS
i2ESUI.TS::.
::: MQL`.s..:
UAfIT.S.::
:':
:SAMPLE
I_t3CATIaN
ANALYSIS::..:INT:.::
- DATE ....
.
OIL & GREASE
1213
5.3
5.00
MGIL
30-Ma -17
PI
OIL & GREASE
1215
<5
5.00
MGIL
30-Ma -17
PI
OIL & GREASE
1219
<5
5.00
MGIL
3D-Ma -17
PI
OIL & GREASE
1222
<5
5.00
MGIL
30-Ma -17
PI
OIL & GREASE
1234
6.1
5.00
MGJL
30-Ma -17
Pi
OIL & GREASE
1237
<5
5.00
MGIL
30-Ma -17
PI
REPORTED BY: NC CERTIFIED LAB # 544
1
r •
PAUL ISENHOUR, SUPERVISOR
Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state reporting. Data qualifiers are
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value which is
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
D Sample was diluted due to physical problems with the sample.
J Value is an estimate from a library search using the nearest internal standard.
NCA Non -certified Analysis
Revised 10/21/16
NPDS Reporting Groundwater
Aie
Blue Ridge Labs, Inc.
11.0. Box 2940
Lenoir- NC 28645
"Telephone (828) 728-0149 Fax (828) 728-0131
Chain of Custody
Sanitary Landfill Hazardous Waste Industrial or QC Non State Reporting
UST/Trust Fund Reporting
Bill To:
Project Name:
PO Number: _
lee Present: Y N C-Composite
Field Preservatives Lab Check G- Grab
Sample 1D
Sample
Type
Date
Time
Time &
Temp
HR:MM
°C
Field
Sulfidc
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
Dechlorination
Y N
pli
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
#3
or
I
elinquish By- Dale: Time: Rece, Da Time:
I
Uprio submission of samptcs. client agrees that invniccs an, dne at the time N ork is completed. Open accounts are due 211 d/ibllowing invoice date. A finance charge of 1.5°L per month will be imposed nit all patdue accouals.
i� hen relinouishing samples to Blue Ridge Labs (BRL)_ buyer authorizes BM- to pertbrri only the analysis indiwcd above and also agrees To pay collection and attorney fees if the account becomes delinquent. Mae Rid's.-e Laps
reserve,, the right to deny d:>cumenlation for any Hark where payment has not bLcn made. ill tffcct renderit:g that data unsupported for reguiatoty purp�»es, Rltl . cunnol guarantee that am re-gulatury authority will aceepi ant work
, ibntittcd. therefore it is the client-,, responsibility to request on this form appropriate rest%. W: DFNR t;crtir.=d Lab"?
INVOICE
Blue Ridge Labs, Inc.
hcCr' 05-0 a aq
Invoice # 2015- 0712
Date: 10/9/2015
P.O. Box 2940
Lenoir. NC 28645 '
Phone: 8287280149 Fax: 8287280131
Client: Sealed Air Corporation Bill To: Sealed Air Corporation
PO Box 1018 PO Box 950
Lenoir, NC 28645 Duncan, SC 29334
PO NUMBER LAB REF. ID TERMS LAB CONTACT PROJECT NAME
755 Net 10 Days Steve Johnson Stormwater Analysis
Sample Name Outfail 2, Outfall 3
TARGET NAME QUANTITY UNIT PRICE EXTENDED PRICE
Oil & Grease 1664-A 2 $45.00 $90.00
pH 2 $5.00 $10,00
Total Suspended Solids 2 $15.00 $30 00
Please Remit: $130.00
C�J
Upon submission of samples, buyer agrees that invoices are due at time of delivery. Open accounts are due 20 days following
the invoice date. A finance charge of 1.5 % per month will be imposed on all past -due accounts. When relinquishing samples to
Blue Ridge Labs, buyer agrees to pay all collection and attorneys fees if the account becomes deliquent. Blue Ridge Labs
reserves the right to deny all QC and support documentation for all open accounts which are greater than 60 days. Additionally,
Blue Ridge Labs also reserves the right to inform the appropriate local, state or federal agency that all support documentation
is not available due to the failure to the above invoice terms. Data used for compliance purposes will be rendered invalid for
reporting until the account is cleared.
Moneris Solutions - eSELECTplus - Merchant Resource Center - monus09242 Page 1 of 1
BLUE RIDGE LABS
TRANSACTION APPROVED - THANK YOU
Pa ment Details
Transaction Type: AUTH COMPLETION
Transaction Amount: $130.00 USD
Order ID:2015-0712
Card Num: **** "*** **** 8645
Card Type: MC
Response Code:001
Auth Code: 046529
Reference Num: 641011290013560020 M
Date/Time: Oct 14 2015 02:41PM
CVD Result: CVD was not performed. (Code: n/a)
AVS Result: AVS check was not performed. (Code: n/a)
SIGNATURE
Cardholder will pay card Issuer above amount pursuant to Cardholder Agreement
https:llesplus.moneris.comlusmpglreportslrecelptlindex.php?order no=2015-0712&trans... 10/14/2015
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention: Rick Taylor
Date Received:
25-Sep-15
Report Date:
09-Oct-15
Sample Date:
25-Sep-15
BRL #:
BRL-2015-0758
Lab Sample ID:
LSID-2015-03075
Client Sample ID:
Outfall 2
Parameter Result MQL
TSS 35.0 T9
pH 6.9 HT 0.1
blueridgelabslenoir@gmail.com
Analysis Analysis
Unit Method Time Date Analyst
mgll 2540D 1997 15:34 9/30/2015 KCJ
su 4500H+B 200 10:03 9/25/2015 KCJ
Reported By:
S. Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 1 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention:
Rick Taylor
Date Received:
25-Sep-15
Report Date:
09-Oct-15
Sample Date:
25-Sep-15
BRL #:
BRL-2015-0758
Lab Sample ID:
LSID-2015-03076
Client Sample ID:
Outfall 2
blueridgelabslenoir@gmail.com
Parameter Result MQL Unit Method
Oil & Grease * 5 mg/l 1664-A O&G
Analysis Analysis
Time Date Analyst
9/29/2015 WtrQtly
Reported By:
S. J. son, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, AIC 28645
828-728-0149
blueridgeiabslenoir@gmail.com
Client :
Sealed Air Corporation
PO Box .1018
Lenoir, NC 28645
Attention:
Rick Taylor
Date Received:
25-Sep-15
Report Date:
09-Oct-15
Sample Date:
25-Sep-15
BRL 9:
BRL-2015-0758
Lab Sample ID:
LSID-2015-03077
Client Sample ID:
Outfall 3
Analysis
Analysis '
Parameter
Result MQL
Unit Method Time
Date Analyst
TSS
* 10
mg/1 2540D 1997 15:35
9/30/2015 KCJ
pH
6.8 HT 0.1
su 4500H+B 200 10:05
9/25/2015 KCJ
Reported By:
a�
P
Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
blueridgelabsienoir@gmail.com
Client: Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Attention: Rick Taylor
Date Received: 25-Sep-15
Report Date: 09-Oct-15
Sample Date: 25-Sep-15
BRL #: BRL-2015-0758
Lab Sample ID: LSID-2015-03078
Client Sample ID: Outfal1 3
Analysis Analysis
Parameter Result YIQL
Unit Method Time Date
Oil & Grease * 5
mg/l 1664-A O&G 9/29/2015
Reported By:
S. . Johnson, A.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
Analyst
WtrQtly
r
OCT/08/2015/TRU 02:15 PM FAX No. P. 001/1001
WATER QUALITY LAB & OPERATIONS, INC.
P.O. Box 1161
BANNER ELK, NC 28604
(828) 898-6277
CLIENT: BLUE RIDGE LABS
ADDRESS: P.O. BOX 2940
CITY: LENOIR
STATE: NC ZIP 28645
10#-.
REPORTED DATE: 8-Oct-15
......... ..........
......... ................
.........................
LS]D:#;::::ANAL-'V
::ns
L
.
.8M.,PL ................
..............
LOCATION'
'T
-ANAi
. .................
.04t'�
OIL & GREASE
2841
45
5.00
MG/L
29-Sop-1 5
Pi
OIL & GREASE
2892
<5
5.00
MGJL
2 9-Sep- 15
Pi
OIL & GREASE
3076
<5
.00
MG/L
29-sep-15
pi
OIL & GREASE
3078
<5
5.001
MG/L
29-Sep-15
pt
OIL & GREASE
3089
<5
5.00
MG/L
29-Sep-15
Pi
OIL & GREASE
3092
<5
5.00
M GIL
29-Sep-1 5
PI
OIL & GREASE
3095
<5
5.10
1 MOIL
REPORTED BY: NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR
rs �
NCDENR
r* r �N� ew
ErmR .EW Iwo Nm — r"OWW
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year j Month Da
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I Q. 1 $ 10 N G G 4 1 5 10 2 2 9
IL Permit status REj2r to requested change.
a. Permit issued to (company name): Sealed Air Corporation
b. Person legally responsible for permit: Jason A Clouser ^
First Nil Last
Title
PO Box 1018
Permit Holder Mailing Address
Lenoir NC 28645
City State Zip
(828)726-2100 ext ( }
Phone Fax
.._____.__...�...
c. Facility name (discharge): Sealed Air Corporation
d. Facility address: 2075 Valway Drive
Address
Lenoir NC 28645
City State Zip
e. Facility contact person: )
First / MI / Last Phone
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
If other please explain: Contact name change
b. Permit issued to (company name): _ Sealed Air Corporation
c. Person legally responsible for permit: u Roger Jackson
First MI Last
Regional Plant Manager
Title -
PO Box 1018
Permit Holder Mailing Address
Lenoir
NC 28645
City
State "Zip
(828)726-2100
Phone
E-mail Address
d. Facility name (discharge):
Sealed Air Corporation
e. Facility address:
2075 Valway Road
Address
Lenoir
NC 28645
City
State Zip
f. Facility contact person:
Teresa
K Cornett
First
MI Last
(828) 726-2100
Teresa.cornett@sealedair.cotn
Phone
E-mail Address
f NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Teresa K Cornett
First MI Last
Quality+ Control Manager
Title
PO Box 1018
Mailing Address
Lenoir NC 28645
City State Zip
(828) 726-2100- Teresa.cornett@sealedair.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
X Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ 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 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 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
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest 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 if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
1, Teresa Cornett, 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.
311Z/13
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
XNA),C Michael F. Easley, Governor
`OHO RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
�J r Alan W. Klimek, P.E. Director
J Division of Water Quality
April 28, 2003
Craig Robert
Sealed Air Corporation
PO Box 1018
Lenoir, NC 28645
Subject: NPDES Stormwater Permit Renewal
Sealed Air Corporation
COC Number NCGO50229
Caldwell County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring form
Y A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. 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 Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office
Stormwater and General Permits Unit at (919) 733-5083, ext. 578.
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
MEW
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-8053 Customer Service
1 800 623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050229
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,
Sealed Air Corporation
is hereby authorized to discharge stormwater from a facility located at
Sealed Air Corporation
2075 Valway Rd
Lenoir
Caldwell County
to receiving waters designated as Blair Fork Creek, a class C stream, in the Catawba River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
CRAIG ROBERT
SEALED AIR CORP-LENIOR
PO BOX 1018
LENOIR, NC 28645
A��
oENr�
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG050229
Caldwell County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued 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 December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have -
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
0 A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number (919) 733-5083
Sincerely, 1�
fJ/Lctr�r� �'-ail
foA. Preston Howard, Jr., P. E.
P.D. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE NO. NCG050229
STORMWATER DISCHARGES
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,
SEALED AIR CORP-LENIOR
is herby authorized to discharge stormwater from a facility located at.
2075 VALWAY ROAD
LENOIR, NC
CALDWELL COUNTY
to receiving waters designated as Blair Fork Cheek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts I,
II, W and IV of General Permit No. NCG050000 as attached.
This Certificate of Coverage shall become effective May 1, 1998_
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 30,1998
for A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authorization of the Environmental Management Commission
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
A. Preston Howard, Jr., P.E., Director
August 26, 1994
Ms. Carol Ann Noris
Sealed Air Corporation
Park 80 Plaza East
Saddle Brook, NJ 07662
C)EHNF1'
Subject: General Permit No. NCG050000
Sealed Air Corporation
COC NCG050229
Caldwell County
Dear Mr. Noris:
In accordance with your application for discharge permit received on July 25, 1994, we are forwarding
herewith the subject certificate of coverage 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Aisha Lau at telephone number 919/733-5083.
Sincerely, Or;
,girtal Signed By
COleeri E 1- SU!!inS
A. Preston Howard, Jr., P. E.
cc: Asheville Regional Office
P,O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 PAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO, NCG050000
CERTIFICATE QF COVERAGE No. NCGO50229
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARQE 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,
Sealed Air Corporation
is hereby authorized to discharge stormwater from a facility located at
Sealed Air Corporation
Hwy 90 North
Lenoir
Caldwell County
to receiving waters designated as Blair Fork Creek in the Catawba River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, 1I, I1I and IV of General Permit No.
NCGO50000 as attached.
This certificate of coverage shall become effective August 26, 1994.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 26, 1994.
Or;ginp,1 ,irned f?i
I+ tlfli s
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission
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