NCGNE0629_COMPLETE FILE - HISTORICAL_20100715

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. NCGNE Lao D- 1
DOC TYPE C)K HISTORICAL FILE
DOC DATE ❑ ��
YYYYM M DD

FAC®ENR
North Carolina Department of Environment and Natural Resources. , . _
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins DeeFreeman
Governor Director -_--Secretary
July 15, 2010 JUL 2 3 2010
Richard Jalland
Arjobex - Arjobex America
10901 Westlake Dr
Charlotte, NC 282733740
Subject: Stormwater Permit Rescission Request Decrial
Certificate of Coverage Number NCGNE0629
Arjobex - Arjobex America
Mecklenburg County
Dear Permittee:
On 12/31/2009, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0629.
Your request for -rescission has been denied. However, based on our review of your request, we believe a
nacre or ownership change would be more appropriate in the circumstances you describe. The Name or
Ownership Change Fortn can be found on our website here:
httj2://i)ortal.ncdenr.org/web/wq/ws/su/npdcssw
If you have questions about this matter, please contact Brian Lowther at [phone], or the Surface
Water Quality staff in our Mooresville Regional Office at 704-663-1699.
- Sincerely,
/�) elze—
for Coleen H. Sullins, Director
cc: Mooresville Regional Office
Stormwater Per :fitting Unit
DWQ Cent„ai Files
s
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location; 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www rimaterquality.org
An Equal Opporlunity1AffirmativeAction Employer
.One
Aatitra11J

NCDENR
North Carolina Department of Environment and Natural Resource's'' .
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director z Secretary
May 7, 2010
RICHARD W JALLAND o
PROJECT MANAGER
ARJOBEZ AMERICA INC
10901 WESTLAKE DRIVE
CHARLOTTE NC 28273
Subject: Name/Ownership Change
No Exposure Certification NCGNE0629
Adobex America, Inc.
Formerly Arjobex America
10901 Westlake.Drive, Charlotte, NC
Mecklenburg County
Dear Mr. 3alland:
The Division has reviewed your submittal of the permit name/ownership change form for your No -Exposure Certification,
which'we received on April 27, 2010. Division personnel have reviewed and approved your request to change coverage under
your Certificate of No -Exposure.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no exposure conditions at
your facility. If conditions change such that your facility can no longer qualify for a no -exposure exclusion, you are obligated
to immediately obtain NPDES permit coverage for your stormwater discharge. Otherwise, the discharge becomes subject to
enforcement as an un-permitted discharge. Your conditional no -exposure expires on August 10, 2014, At that time you must
re -certify with the Division, or obtain NPDDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental permits that may
be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
ORIGNAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins
cc: Mooresville Regional Office
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch i�TOne
1617 Mail Service Center, Raleigh, North Carolina 27599-1617 t N ortl l Carofi n a
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX; 9IM07-64921 Customer Service: 1-877-623-6748 ;Vi7turallJ
Internet: www.ncwaterquality.org
An Equal Opporhrnity t Affirmgve Action Employer

-� wAr
{� OF 1 99 Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
o -c
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or)
Certificate of Coverage
N I C I S 10
N. I
G 10 C 10 1[O
H. Permit status prior to requested change.
j�
a. Permit issued to (company name):
knob X
otLze-tck
b. Person legally responsible for permit:
(ZkcA oc e-rL>
W _--j t?-r}f'i C�
First
MI Last
►��LM ar
/
M A-rj t-4 Lc`-72
Title
/ 0 9 0 / r �je-
Permit
Molder Mailing Address
City
State Zip
(D4)500-9503
(7a4 )-5f58--_`)506
Phone
+ Fax
c. Facility name (discharge):
v-D -x L- VAXC.A
d. Facility address:
I D Io 4J L�rZt4l�— ti V LE
Address
N)c
City
State Zip
e. Facility contact person:
W (`jp¢) 58 0 •-y 50 3
First / MI / Last
Phone
I1I. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
X Name change of the facility or owner
If other please explain:
b. Permit issued to (company name): tz&k c- I`l c- s
c. Person legally responsible for permit: tc-kkyrft1> LIZI 3 A�1.� �1 p
First MI Last
Title
P P 2 7 Z 01D IV `� 1 ice] gzS Z--Aic....i � Q-
FFIA
Permit Holder Mailing Address
BEN! -4YA� R. QUALI'rY
POINT SOURCE BRANCH City State Zip
Phone E-mail Address
d. Facility name (discharge): L230-XC Al k 0
e. Facility address: —Foq-61C5i L*�4L t eA �l L
Address
rrL— Nc- 273
City State Zip
f. Facility contact person: tG vl1 -N Pr L-• --►'S-1Q
First MI Last
Phone E-maj Address
Revised 8/2008

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:
First Ml Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® 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):
I, . , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to he best of my knowledge. I understand that if all required parts of this application are not
completed d that if all require supporting information is not included, this application package will be
returned a ncomplete.
Signature Date
APPLICANT CERTIFICATION
I, , 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 #nd that if all required supporting information is not included, this application package will be
returned incomplete.
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
Revised 712008

21 December 2009.
Michael Parker,
NDCENR.
Wetlands & Stormwater Branch,
1617 Mail Center,
Raleigh, NC 27699-1617
Ref, No Exposure Certilicatian NCGNE0629
Dear Mr. Parker,
SALES 1-800-VOLYAK1-
SALES FAX [phone]
MILL PHONE [phone]
MILT_ FAX [phone]
1.i DEC 12009
IVATER Qf IALITY _C7-ION
This is to notify you that effective at the close of business December 31, 2009, Arjobex
America, a North Carolina general partnership, will be dissolved into Arjobex America,
Inc., a Connecticut corporation, and the latter company will be conducting the business
going forward from that point.
Be assured that Arjobex America, Inc. will continue business as usual starting on January
1, 2010.
If you need further documentation concerning this name change, please contact me by
phone at 704-588-9503 ext- 125 or by entail at Dick.Jalland cr arjobexalnerica.r.o:.z
We look forward to continuing our association with you.
Yours,
Arjobex America, Inc.
2
ARJOWIGGINS
Arjobex America • 10901 Westlake Drive • Charlotte, NC 2 82 73

North Carolina
Beverly Eaves Perdue
Governor
Mr. R. J. Jalland, Project Manager
Arjobex America
10901 Westlake Drive
Charlotte, NC 28273
Dear Mr. Jalland:
��
AW
NCDENR
Department of Environment and Natural
Division of Water Quality
Coleen H. Sullins
Director
August 10, 2009
Resources
Subject: No -Exposure Certification NCGNE0629
Arjobex America
Mecklenburg County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. Based on your submittal, a signed certification of no exposure at the above referenced facility, and a
site visit conducted on March 28, 2007, by Mr. Jon Beller with the Mecklenburg County Water Quality Program, the
Division is granting your conditional exclusion from permitting as provided for under 40 CFR 126.22(g), which is
incorporated by reference in North Carolina regulations.
Please note that by our acceptance of your no -exposure certification, you are obligated to maintain no -exposure
conditions at your facility. If conditions change such that your facility can no longer qualify for a no -exposure
exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge.
Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your conditional no -
exposure exclusion expires in five years (August 10, 2014). At that time you most re -certify with the Division, or
obtain NPDES permit coverage for any stormwater discharges from your facility.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Mr. Michael Parker at [phone], or at
Michael. Parker@ncdenr,gov.
Sincerely,
for Coleen H. Sullins
cc: Mooresville Regional Office p
p
Stormwater Permitting Unit, No -Exposure Files ¢°g
Mecklenburg County Water Quality Program
� � a
N �C
g CCD
V
Wetlands and Stormwater Branch One t
1617 W1 Service Center, Raleigh, North Carolina 27699-1617 NOrC17Cc`1TO I h ]
Phone:Locatio
512 7 Salisbury : Raleigh, North Carolina Service:
Phone: 919�47-53001 FAX: 919-8Q7.64941 Customer Service: 1-877-6236748 "
Internet: www.ncwaterquality.org

��j C5,
United States Environmental Protection Agency Form Approved
9 Y OMB No.2040-0211
NPDES ;' ��� Washington, DC 20460
FORM '�'' NO EXPOSURE CERTIFICATION for Exclusion from
351 D-11
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfalls. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM. few
�
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4. Z ��
A. Facility Operator Information /q� �I ff��
1, Name: �I�IJI I�ILIXI Ii�I E-1124l IClk I I I I I I I I I I I I 12. Phone: 0 1 12) O
1�}} C3
3. Mailing Address: a. Street: h Q W L
b. City: le -I A42—iLio I TI f ICJ I I 1 1 I I I I 1 1 I I j c. State: (UC- d. Zip Code: Z 2- —
B. Facility/Site Location Information
1. Facility Name: {y�1 , 10 1�JlCl 1, }11NINIIE411 IL' A I I I I I I I I I I I I I 1 1
2. a. Street Address: {+ I D l �l of if 1 I W=1S I�I.11 IL� Cil A e-I I I JI C I I I I I I I I I I 1_
b. City: I6AI0y1Q_IL401( ITIQ I I I I I I I I I I I 1 1 c.County:
d. State: 0 1(21 e. Zip Code: irw cr1Z1712J — I I 1 I
3. Is the facility located on Indian Lands? Yes No
4. Is this a Federal facility? Yes No
5. a. Latitude: J _ � 101 j� �_f _i, b. Longitude: L 131 J ' 15,$J
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes No
b. If yes, enter NPDES permit number:
7. SICYActivity Codes: Primary: 3 0511 Secondary (if applicable):
S. Total size of site associated with industrial activity: acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes E No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre F7 One to five acres ❑ More than five acres
EPA Form 3510-11 (10-99) Page 1 of 4

NPDES ,A NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM �-rEPA OMB No.2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the Following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
FX
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during load inglunloading or transporting activities
❑
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
❑
9
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
❑
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
Rl
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
❑
0
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name:
Print Title:
Signature:
Date:
EPA Form 3510-11 (10-99) Page 2 of 4

ARJOWIGGINS
NC Division of Water Quality,
Water Quality Section,
Storm Water and General Permits Unit,
1617 Mail Service Center,
Raleigh, NC. 27699
21 July 2009
Re -No Exposure Certification.
Dear Sir/Madam,
It has come to our attention that we need to apply for a No Exposure
Certificate for our storm water
We had a Facilities Inspection conducted on 28 March 2007 by the
Mecklenburg County Water Quality Program, that recommended that a storm water
permit was not recommended for the facility.
Please find Application for No Exposure Certification and copy of
Facilities inspection attached.
Sincere
RW Jalland.
Project Manager.
pq ® Arjobex America - 10901 Westlake Drive, Charlotte, N.C. 28273 USA
Mill Phone : [phone] - Mill fax : [phone] - Sates Phone : [phone] - Sales Fax : [phone]
rynth�tia paper

MECKLENBURG COUNTY
Land Use and Environmental Services Agency
Water Quality Program
April 12, 2007
Dick Jalland, Project Manager
Arjobex America
10901 Westlake Drive
Charlotte, NC 28273
Subject: Industrial Facilities Inspection
Arjobex America
10901 Westlake Drive
Charlotte, NC 28273
Dear Mr. Jalland:
On Maxch 281h, 2007, Jon Beller of the Mecklenburg County Water Quality Program .
(MCWQP) conducted an inspection of the subject facility. The inspection was conducted under
authority granted by the Charlotte City Code; Chapter 18, Article II1, Section18-84. The attached
report should be self-explanatory.
Should you have any questions concerning the attached report or any other matters, please
contact me at 336-5500.
Sincerely,
Jon Beller
Environmental Specialist
cc: . Mr. Steve Jadlocki, Charlotte Storm Water Services
Attachment
II

Facility: Arjobex America
Inspection Date: March 28, 2007
Purpose:
The inspection was conducted as part of the Industrial Facilities Inspection Program as is
required by the City of Charlotte Phase I Storm Water Permit. The purpose was to identify
potential storm water pollution problems associated with this facility. Inspections are also
conducted to review maintenance, storm water and training records to ensure the site is in
compliance with all applicable Local, State and Federal Storm Water Regulations.
Background:
The Arjobex America complex is comprised of one building with mixed use office space,
manufacturing and warehouse. There is also a wastewater pretreatment area, materials storage
area and rail spur unloading area located on the property. Arjobex America manufactures a
synthetic paper product called Polyarto. Polyart® is a high -density Polyethylene film 'Willi a
matte clay coating on both sides.
Mr. Dick Jalland is the Project Manager for Arjobex America's facility and handles
environmental compliance concerns. Mr. Jalland conducted a brief facility tour that included
manufacturing area, materials storage area, wastewater pretreatment area and rail spur delivery
area.
Records:
A records review revealed the following:
+ Storm water runoff from the Arjobex America facility drains to Steele Creek, a Class C
surface water in the Catawba River Basin.
• The facility does not hold any storm water permits.
• The facility has an active CMU Industrial Pre-treatment Permit and on -site wastewater
treatment plant (WWTP).
+ MCWQP records revealed that there was a wastewater spill of approximately 1500
gallons from the pretreatment area on 11/30/04. Dick Jalland notified MCWQP when the
spill occurred. A NOV was issued to Arjobex America for the release and subsequent
clean up and repairs to high water alarm and equipment were made to correct the issue
and prevent reoccurrence.

Facility: Arjobex America
Inspection Date: March 28, 2007
On -Site Inspection:
The Arjobex America facility is situated on approximately 7 acres and is housed in one
building. Outside of the building there is a WWTP, materials storage area, and railroad spur
unloading area located on the property grounds.
Storm water from the parking lot area drains to an open channel at the North East area of
the property.
All manufacturing activities occur inside the facility. There are floor drains in the facility
around process equipment. All drains located in the facility discharge wastewater to the on -site
WWTP. Wastewater consists mainly of municipal water, clay, and a small amount of ammonia.
The outside material storage area contained totes of ammonia used in manufacturing
process and flocculent used in WWTP. This area was bermed at the enterance and remaining
three sides had retaining walls. There was also an above ground storage tank for ammonia
contained within a sufficient secondary containment. The valves to both the containment areas
were closed.
The WWTP area was self contained inside retaining walls and there were also Boor
drains that returned any run off to the WWTP system.
The railroad spur delivery area is where polyethylene pellets are delivered by railcar.
There was one storm drain located on the delivery pad. This storm drain was fitted with a screen
to catch pellets that may be spilled during unloading process. The screen is inspected regularly
and was in good working order.
Conclusions/Recommendations:
The Arjobex America facility appeared to be very clean and orderly. All manufacturing
activities are contained within the building and there appeared to be minimal exposure of process
material to storm water. The outdoor materials storage area and WWTP had sufficient secondary
containment and drains that would catch spills and return wastewater to the WWTP. This facility
is to be commended for their measures to minimize the potential for impacts to surface waters.
Because of the minimal potential for material exposure to storm water at this facility, a storm
water permit is not recommended.