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NCGNE0695_COMPLETE FILE - HISTORICAL_20150609
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE DOC TYPE ❑HISTORICAL FILE DOC DATE ❑ � I � V (� D YYYYMMDD �® Division of Energy, Mineral and Land Resources Land Quality Section ��`®E�� National Pollutant Discharge Elimination System t,R UR«N.tR=M�R o NO EXPOSURE CERTIFICATION for Exclusion ENVIPOHMCNT hH� N�TIJR.ti RESOl1RCE9 NCGNE0000 FOR AGENCY USE ONLY Date Received Year Month Dap Certificate orCoverage NICIGINI RECEIVED NO EXPOSURE CERTIFICATION . Please check here if this is a renewal: Ix RENEWAL .�i� g Z�i� National Pollutant Discharge El n aft0,,fA" Mlication for exclusion from a Stormwater Permit based on NO EXPOSURE: 1 VRMWATF-R PERMITTING Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities are protected by a storm resistitipi �;r.;iiir (with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DEMLR must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. Industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.'< Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 922.26(g). You are required to reapply for the No Exposure Exclusion once every five (5) years. For questions, please contact the DEMLR Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of owner/operator (address to which all certification correspondence will be mailed): Name Don Garant Contact Bryan.Jones@Stericycle.com Street Address 5301 Brookshire Blvd. City -telephone No. Charlotte State NC - ZIP Code 28216 704-391-2805 Fax: 704--391-9961 Page 1 of 7 5WU-NE-021309 Last revised 6/24114 N NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Republic Environmental Systems (Transportation Group) LLC Facility Contact Don Garant Street Address 5301 Brookshire Blvd City Charlotte State NC ZIP Code 28216 County Mecklenburg Telephone No. 7 0 4- 3 91- 2 8 0 5 Fax 7 0 4- 3 91- 9 961 3) Physical location information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). see attached ma]2 (A copy of a map with the facility clearly located on it should be included with the certification application.) 4) Is the facility located on Native American Lands? ❑ Yes �5 No 5) Is this a Federal facility? ❑ Yes X No 6) Latitude35deg 16min 38sec Longitude -aodeg 53min 31sec(deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: D New or Proposed Facility Date operation is to begin ❑ Existing Date operation began 0 Renewal of existing No Exposure Certification Certification No.: NCGNE 0695 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes 0 No If yes, what is the NPDES Permit Number? 9) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 4 9 5 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: Facility is a 10 Day transfer facility, which*stages and transports containers of residual and hazardous waste in trailers and box CruuAu. 'fnh u1 w 1e a-e ,ccyc w L.nr[, xr,e n Lur ve—cies except whets beiny [ram u-[e ve[[xcie Cu d: [er e- iao products are stored at this location. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? ca No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NE-021309 Last revised 6/24114 r• 1 NCGNE0400 No Exposure Certification Exposure Checklists (12. - 14) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes 0 No ❑ NIA residuals from using, storing or cleaning industrial machinery or equipment remain and are exposed to stormwater b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes ® No ❑ NIA c. Materials or products from past industrial activity ❑ Yes 0 No ❑ N/A d. Material handling equipment (except adequately maintained vehicles) ❑ Yes 19 No ❑ N/A e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No Li N/A f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ❑ No X N/A use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants) g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes ❑ No ® N/A and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No ❑ N/A the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes E9 No ❑ N/A j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No ff N/A k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ No III N/A otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow I. Empty containers that previously contained materials that are not properly stored ❑ Yes ® No ❑ N/A (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No ❑ N/A stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No 31 N/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No KI N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3of7 5WU-NE-021309 Last revised 6/24/14 { �y NCGNE0000 No Exposure Certification 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for single above ground storage containers (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for Title III Section 313 Superfund Amendments and Reauthorization Act (SARA) water priority chemicals*? d. is secondary containment provided for hazardous substances** designated in 40 CFR §116? e. Are release valves on all secondary containment structures locked? 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 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: Footnotes to Questions 14) c. & d. ❑ Yes ❑ No 29 NIA ❑ Yes ❑ No ® NIA ❑ Yes ❑ No 22 NIA (-]Yes ❑ No N NIA ❑ Yes ❑ No l& NIA ❑ Yes 2; No ❑ NIA ❑ Yes ® No ❑ NIA ❑ Yes 0 No ❑ NIA *Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title Ill SARA 313 in 40 CFR §372.38. **Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR §117,3, Page 4 of 7 SWU-NE-021309 Last revised 6124114 NCGNE0000 No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water Quality, or,MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing; Don Garant Title: Location Manager (Signature of Applicant) (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval.' The Regional Office may also inspect your facility at any time in the future for compliance with the No Exposure Exclusion. North Carolina General Statute 143-215.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document 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 [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10.000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NE-021309 Last revised 6124114 NCGNE0000 No Exposure Certification 16) Other information: if you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes ® No ❑ NIA b. Does your facility have coal piles on site? []Yes ❑ No In NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ❑ No X NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes lD No ❑ NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No V1 NIA Please specify: f. Please list any other environmental program permits (federal, state, etc.) not ^• specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5of7 SWU-NE-021309 Last revised 6124/14 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: 29 This completed application and all supporting documentation. Z A map with the location of the facility clearly marked. Z If this is a renewal, indicated current NCGNE number in Question 7. © If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. 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 the issuance of a No Exposure Exclusion. 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) 807-6300 Page 7of7 SW U-N E-021309 Last revised 6/24114 77- North Carolina Beverly Eaves Perdue Governor N ODE®®fi�R Department of Environment and Division of Water Quality Coleen H. Sullins Director Mr. Don Garant Republic Environmental Systems, LLC 5301 Brookshire Blvd. Charlotte, North Carolina 28216 Dear Mr. Garant: August 18, 2010 Natural Resources Dee Freeman Secretaq Subject- No -Exposure Certification NCGNE0695 Charlotte Terminal 5301 Brookshire Blvd., Charlotte, NC 28216 Mecklenburg County The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility, and the site visit of August 9, 2010, 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 18, 2015). At that time you must 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 Lon Snider at (704) 663-1699, or at lon.snider@ncdenr.gov. Sincerely, for Coleen N. Sullins cc: Stormwater Permitting Unit No- Exposure Files (Cory Larsen) Mecklenburg and City of Charlotte htoeresviile Regional office Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: (704) 663-15991 Fax: (704) 663-60401 Customer Service: 1-877-623-6748 Intemet: vrrnu.ncwaterquality.org n�® U o o z c No thCarolina Aatutalljl An Equat Osperunity i Af; rmative Action Employer - 30% Recycleol9MPest Ccosur er paper I? r. , o 1� NCDENR Npir Gviou" �cW mcH OF E�•wo NaUftti Resoukr•- Division of Water Quality / Surface Water Protection National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 NO EXPOSURE CERTIFICATION FOR AGENCY USE ONLY Date Received Year Month Day Ld►G r' ,., Certifi cajVf Coverage N N`t✓'1 National Pollutant Discharge Elimination System application for exclusion from a Sto on NO EXPOSURE: W Z Submission of this No Exposure Certification constitutes notification that your facility does no req permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DWQ must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following Industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting. this No Exposure Certification form, you certify. that a condition of no exposure exists at this_ facility or_site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). You are required to reapply for the No Exposure Exclusion once every five (5) years. For questions, please contact the DWQ Regional Office for your area. (See page 6) (Please print or type) 1) :Mailing address of ownerioperator (address to which all certification corres 'ondence ruill be mailed).,. . Name' Don Garant Contact MA 1f 1 1 2010 Street Address 5301 Brookshire Blvd. City Charlotte State: NC ZIP Code 2.8216 Telephone No. 704-391-2805 Fax: 704-391-9961 ' Page 1 o€.7 SWU-NE=021309 Last revised 211312009 NCGNE0000 No Exposure Certification - 2) Location of facility producing discharge: Facility Name Republic Environmental Systems (Transportation Group) LLC _T Facility Contact Don Garant Street Address 5301 Brookshire Blvd City Charlotte State: NC ZIP Code 28216 County Mecklenburg Telephone No. 704-391-2805 Fax: 704-391-9961 3) Physical location information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). (A copy of a map with the facility clearly located on it should be included with the certification application.) 4) . Is the facility located on Native American Lands? ❑ Yes X No 5) Is this a Federal facility? ❑ Yes X No 6) Latitude Latitude35deq 16min 38sec Longitude -80deg 53min 31sec (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin X Existing Date operation began ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes X No If yes, what is the NPDES Permit Number?. 9) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 4955 ,.10) Provide a brief description of the types of industrial activities "and products produced at this facility: Facility is a 10 Day transfer facility stages.and transports containers of residual and hazardous waste in trailers and box trucks., The containers of waste are kept within the motor vehicles except when being transferred from one vehicle to another in an effort to maximize transportation. No containers are stored outside of vehicle and no maintenance activities occur on this site. No products are stored at thism.location. . 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes 'If yes, list the permit numbers for all current Non -Discharge Permits for this facility: Page 2 of 7 SWU-NE-'021309 Last revised 2/13/2009 . rA NCGNEOOOO No Exposure Certification Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes X No ❑ NIA residuals from using, storing or cleaning industrial machinery or equipment remain and are_exposed to stormwater _ b. Materials or residuals on the ground or in stormwater inlets from spills/leaks © Yes X No ❑ N/A c. Materials or products from past industrial activity ❑ Yes X No ❑ NIA d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No ❑ NIA e. Materials or products during loading/unloading or transporting activities ❑ Yes X No ❑ NIA f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ❑ No X NIA use [e.g., new cars] where exposure -to stormwater does not result in the discharge of pollutants) g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes ❑tNo X NIA and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No ❑ NIA the discharger i. Waste material (except waste in covered, non -leaking containers ]e.g., dumpsters]) ❑ Yes X No ❑ NIA j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No X NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ No X NIA otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow I. Empty containers that previously contained materials that are not properly stored ❑ Yes X'No . ❑ NIA (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior AS-rs, as well as drums, barrels, tanks, and similar containers ❑ Yes_ X No ❑ NIA stored outside, has the facility had any releases in the past three (3) years? - 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you.are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No X NIA deterioration, or evidence of leaks? b. Is secondary contain men t-provided for all exterior ASTs? If sojs it free of any cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? G ❑ Yes ❑ No X NIA Page 3 of 7 SWU-NE-021309 Last revised 2/13/2009 NCGNE0000 No Exposure Certification 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for single above ground storage containers (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored in close proximity to each other with a combined capacity of more than 1,320- gallons? :. c. Is secondary containment provided for Title III Section 313 Superfund Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances** designated in 40 CFR §116? e. Are release valves on all secondary containment structures locked? 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? b. Is this facility a Small Quantity Gene.;-itor (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 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 1 disposal vendor: Vendor address: Footnotes to Questions 14)'c. & d. ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes X No ❑ NIA ❑ Yes X No. ❑ NIA ❑ Yes X No ❑ NIA *Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38. **Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR §117.3. Page 4 of 7 S W U-N E-021309 Last revised 2/13/2009 NCGNE0000 No Exposure Certification - 16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes X No ❑ NIA b. Does your facility have coal piles on site? ❑ Yes X No ❑ NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes X No ❑ NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes X No ❑ NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: _ e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No X NIA Please specify: f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Transfer Facility Registration , Program: Division of Waste Management Permit: ,> Program. - Permit: Program: �... hermit: Program: ' Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NE-021309 Last revised 2/13/2009 NCGNE0000- No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of.my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing ,violations. certify that I am familiar with the informatior-contained in this application and that to the best of my knowledge land belief such information is true, complete, and accurate. , Printed Name of Person Signing: _Gregory J Fink_ Title: Manager of Program Compliance_ , pplicant) � l_/� G, (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval. The Regional Office may also inspect your facility at any time in the future for compliance. with the No Exposure Exclusion. North Carolina General -Statute 143-215.6 B(i) provides that: - Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document 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 [Environmental Management) Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NE-021309 Last revised 211312009 NCGNE0000-No Exposure Certification Final Checklist This application should include the following items: ❑ ' This completed application and all supporting documentation. ❑ A map with the location of the facility clearly marked. ❑ If this is a renewal, indicated current NCGNE number in Question 7. ❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. 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 the issuance of a No Exposure Exclusion. 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 7 of 7 SWU-NE-021309 Last revised 2/13/2009 V N 0, U n V. n yj A— �A .,z 4 % n-- 4! Y11 K 5•�. 0 JAI xa V �24 -V, tbz J Subject Property 1 �7 11� FJ t' on • 71,.1.11 L � -Ark NZ ;79, 7 dd 11 15 !Is J� 2� AJ N. 2, Portion of 7.5-minute Series (Topographic) Map Mountain Island Lake United States Department of the Interior (1997) Geological Survey North Carolina Figure 1 5301 Brookshire Boulevard Site LO'cation Charlotte, North Carolina Project No. 11009-109105.00 Last Revision: t-, V July 14,2009 N Salem Baptist Church 18) Figure 2 Site map N Franklin Waste Water Treatment Plant `n (5301) oQ J Pole -Mounted Transformers Groundwater :�s:aeYa_ s,:, Flow Direction 1'UlIEAGE UJ1� \ Area Residence 5301 Brookshire Boulevard Charlotte, North Carolina Last Revision: 'ect No. 11009-109105.00 July 14, 2009 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director August 18, 2010 Mr, Don Garant Republic Environmental Systems, LLC 5301 Brookshire Blvd. Charlotte, North Carolina 28216 Dee Freeman Secretary Subject: No -Exposure Certification NCGNE0695 Charlotte Terminal 5301 Brookshire Blvd., Charlotte, NC 28216 Mecklenburg County Dear Mr. Garant: The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility, and the site visit of August 9, 2010, 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 18, 2015). At that time you must 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 Lon Snider at (704) 663-1699, or at lon.snider@ncdenr.gov. Sincerely, for Coleen H.-Sullins cc: Stormwater Permitting Unit No- Exposure Files (Cory Larsen) Mecklenburg and City of Charlotte Mooresville Regional Office One Location: 610 East Center Ave., Suite 301 Mooresville, No 28115 Nor thCarolina Phone: (704) 663-16991 Fax: (704) 663-60401 Customer SerAce: 1-877-623-6748 Internet: www,riavaterquality.org Natifirallif �1� r NCDENR �.�[. CvpJw DE TIEIT OF Division of Water Quality / Surface Water Protection National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 NO EXPOSURE CERTIFICATION PieasecheckhtsretfiisLi .,a National Pollutant Discharge Elimination System -application for exclusion from a Sto on NO EXPOSURE: Submission of this No Exposure Certification constitutes notification that your facility does dUrequire a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DWQ must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. Industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting. this No Exposure Certification form, you certify.that a condition of no exposure exists at this_ facility or, site and are obligated to comply with the terms and conditions of 40 CFR 122.260. You are required to reapply -for the No Exposure Exclusion once every five (5) years. For questions, please contact the DWQ Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of ownerloperator (address to which all certification corres ondence will be mailed): Name- Don Garant Contact MA -1 1- W10 Street Address 5301 Brookshire Blvd, City Charlotte State: NC ZIP Code 28216 Telephone No. 704-391-2805 Fax: 704-391-9961 Page 1 of.7 SWU-NE=021309 Last revised 2/13i2009 NCGNE0000 No Exposure Certification - 2) Location of facility producing discharge: Facility Name Republic Environmental Systems (Transportation Group) LLC Facility Contact Don Garant Street Address 5301 Brookshire Blvd City Charlotte State: NC ZIP Code 28216 County Mecklenburg_ Telephone No, 704-391-2805 Fax: 704-391-9961 3) Physical location information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). (A copy of a map with the facility clearly located on it should be included with the certification application.) 4) Is the facility located on Native American Lands? ❑ Yes X No 5) Is this a Federal facility? © Yes X No 6) Latitude Latitude35deg 16min 38sec Longitude -80deg 53min 31sec (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin X Existing Date operation began _ III Renewal of existing No Exposure Certification Certification No.: NCGNE = 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes X No If yes, what is the NPDES Permit Number? 9) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 4955 10) Provide a brief description of the types of industrial activities and products produced at this facility: Facility is a 10 Day transfer facility stages.and transports containers of residual and hazardous waste in trailers and box trucks. The containers of waste are kept within the motor vehicles except when being transferred from one vehicle to another in an effort to maximize transportation. No containers are stored outside of vehicle and no maintenance activities occur on this site. No products are stored at this location. V _ 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes 'If yes, list the permit numbers for all current Non -Discharge permits for this facility: SWU-NE=021309 Page 2 of 7 Last revised 2/1312009 NCGNE6000 No Exposure Certification Ex osure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where'-- ❑ Yes X No ❑ NIA residuals from using, storing or cleaning industrial machinery or equipment remain - and are exposed to stormwater b. Materials or residuals on.the ground or in stormwater inlets from spills/leaks ❑ Yes X No ❑ N/A c. Materials or products from past industrial activity ❑ Yes X No 0 NIA d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No ❑ N/A e. Materials or products during loading/unloading or transporting activities © Yes X No ❑ NIA f. Materials or products stored outdoors {except final products intended for outside ❑ Yes ❑ No X NIA use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants) g, Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes D. No X NIA and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No ❑ NIA the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes X No ❑ NIA j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No X NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ No X NIA otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow I. Empty containers that previously contained materials that are'not properly stored ❑ Yes X No ❑ NIA (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers - ❑ Yes_ X No ❑ NIA stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No X NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so,' is it free of any ❑ Yes ❑ No X NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 0 Pag e 3 of 7 5WU-NE-021309 Last revised 2/13/2009 . NCGNE0000 No Exposure Certification 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for single above ground storage containers ❑ Yes ❑ No X NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored ❑ Yes ❑ No X NIA in close proximity to each other with a combined capacity of more than 1,320- gallons? . c. Is secondary containment provided for Title III Section 313 Super -fund ❑ Yes ❑ No X NIA Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances" designated in 40 ❑ Yes ❑ No X NIA CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No X NIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes X No ❑ N/A b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes X.No ❑ NIA generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes X No ❑ NIA generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stared: How many disposal shipments per year: Name of transport/ disposal vendor:_ Vendor address: Footnotes to Questions 14)-c. & d. *Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38. "Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR §117.3. G Page 4 of 7 s W U-N E-021309 Last revised 2/13/2009 NCGNE0600 No Exposure Certification - 16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes X No ❑ NIA b. Does your facility have coal piles on site? 0 Yes X No ❑ NIA c. Does your facility store other fuel sources outside in piles, such as wood_c_hips, . 17) Yes X No ❑ NIA sawdust,. etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes X No 17 NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes' © No X NIA Please specify: f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Transfer Facility Registration , Program: Division of Waste Management Permit:. Program: Permit: Program: - �Permit: Program: Permit: Program: Permit: Program: Permit: Program: r Page 5of7 SWU-NE-021309 Last revised 2/13/2009 NCGNE0000"No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that [ must allow the North Carolina Division of Water Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, l certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing ,violations. I certify that I am familiar with the informatiorr-contained in this application and that to the best of my knowledge dmd belief such information is true, complete, and accurate. Printed Name of Person Signing: _Gregory J Fink Title: Manager of Program Compliance_ tore of Applicant) (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval' The Regional Office may also inspect your facility at any time in the future for compliance: with the No Exposure Exclusion. North Carolina General -Statute 143-215.6 B(i) provides that: - Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document 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 [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. J � Page 6 of 7 SWU-NE-021309 Last revised 2/13/2009 NCGNE0600-No Exposure Certification Final Checklist This application should include the following items: ❑ This completed application and all supporting documentation. ❑ A map with the location of the facility clearly marked. ❑ If this is a renewal, indicated current NCGNE-number in Question 7. ❑ If the site currently has an NPDES Stormwater-Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Rafeigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. 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 7 of 7 SWU-NE-021309 Last revised 2/13/2009 .9 i 3 � l' ° t�► t "'r.�d .� r,_ . Portion of 7.5-minute Series Mountain Island Lake (Topographic) Map United States Department of the Interior (1997) Geological Survey North Carolina s'u,E: Figure 1 5301 Brookshire Boulevard Site Location Charlotte, North Carolina itl2a Last Revision: Project No. 11009-109105.00 MY 14,2009 Shell (5455)� Franklin Waste Water Treatment Plant �r0 o� sh�I 0 f :� Groundwater t- Flow Direction Area Figure 2 5301 Brookshire Boulevard Site map s Charlotte, North Carolina r_u2� Lust KcvisSon: Project No. 11009-109105.00 luiv la, zoos L�J