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HomeMy WebLinkAboutNCGNE0983_COMPLETE FILE - HISTORICAL_20170823Permit: NCGNE0983 Effective: SOC: Effective: County: Cabarrus Region: Mooresville Contact Person: Raymond Brickner Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 08/23/2017 Primary Inspector: Ousmane Sidibe Secondary Inspector(s): Compliance Insoection Resort, Expiration: Owner: Oiles America Corporation Expiration: Facility: Oiles America Corporation 4510 Enterprise Dr NW Concord NC 28027 Title: Phone: Certification: Phone: Entry Time: 01:OOPM Exit Time: 02:OOPM Phone: Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: Compliant Not Compliant Question Areas: Miscellaneous Questions Misc (See attachment summary) Page: 1 Permit NCGNE0983 Owner - Facility:0iles America Corporation Inspection Date: 08/2312017 Inspection Type : Compliance Evaluation Reason for Visit: Routine Inspection Summary: This site inspection was a routine no exposure confirmation inspection. At the time of inspection the site was found to be in compliance with the no exposure granted to the facility, and the facility have completed the self re -certification on 10/21 /2016. . Page: 2 Permit: NCGN€0983 Inspection Date: 08/2312017 Mlsc Is the facility compliant? Comment: Owner - Facility: Oiles America Corporation Inspection Type : Compliance Evaluation Reason for Visit: Routine Yes No NA NE ❑ ❑ ❑ ❑ Page: 3 I Energy, Mineral and land Resources ENWROMMENTAt. OUALITY Division of Energy, Mineral and Land Resources Land Quality Section — Storm -water Permitting National Pollutant Discharge Elimination System ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION NCGNE0000 Do not submit this form to DEMLR unless requested. For questions, please contact the DEMLR Regional Office for your area or the Central Office. (Please print or type) Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY) N C G N E 0 4 8 3 1 0/ 2 1/ 2 1 0 1 1 6 1) Has the facility name or owner changed? ❑ Yes ❑ No (if yes, please submit a separate Name/Ownership Change Form to DEMLR located at: htt :/ide .nc. ov/abouUdivisions/ener -mineral-land-resources/ener -mineral-land ormits/stormwater- ermits/n des- industrial-sw ) 2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DEMLR. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ❑ No 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 c. Materials or products from past industrial activity ❑Yes ®No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ® No e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ® No 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, ❑ Yes ® No tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained ❑ Yes ® No by the discharger L Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes ® No dumpstersj) j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ® No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ❑ Yes ® No not 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 (i.e., not closed and stored upside down to prevent precipitation accumulation) Page 1 of 3 SWU•NESR-Way2016 NCGNE0000 No Exposure Self Re -Certification A m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ® No stored outside, has the facility had any releases in the past three (3) years? 3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DEMLR. a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, ®Yes❑ No ❑ or deterioration, or evidence of leaks? NIA b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ®Yes❑ No ❑ cracks, holes, or evidence of leaks, and are dram valves maintained locked NIA shut? 4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DEMLR. a. Is secondary containment provided for all single above ground storage ®Yes❑ No ❑ containers (including drums, barrels, etc.) with a capacity of more than 660- NIA gallons? b. Is secondary containment provided for above ground storage containers stored ®Yes❑ No ❑ in close proximity to each other with a combined capacity of more than 1,320- NIA gallons? c. Is secondary containment provided for Title III Section 313 Superfund ®Yes❑ No ❑ Amendments and Reauthorization Act (SARA) water priority chemicals*? NIA d. Is secondary containment provided for hazardous substances"* designated in ®Yes❑ No ❑ 40 CFR §116? NIA e. Are release valves on all secondary containment structures locked? ®Yes❑ No ❑ NIA Footnotes to Questions 4) 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.X "Note that amounts below the 660-gallon (single) and 1,320•gailon (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. 5) Other information: If you answer "Yes" to any of the following items, and the answer if different from how it was answered when originally applying, you might not be eligible to maintain your no exposure exclusion. Please contact the Division if this is the case. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes ® No b. Does your facility have coal piles on site? ❑ Yes ® No c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ®No sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes ® No 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? Please specify: ❑Yes❑No®NIA 5W U-NESR-3May2016 Page 2 of 3 r NCGNE0000 No Exposure Self Re -Certification 6) 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/maintaining 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 annually self re -certify No Exposure and, it requested, submit this re -certification to DEMLR or 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 provided. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for providing false information, including the possibility of fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Raymond Buckner, Title: Engineering Manager, (Signature) /oZI6 (Date Signed) Please note: The Regional Office may 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 imptementing 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). This completed form must be kept on file at the facility for at least 5 years. Do not submit this form to DEMLR unless requested. Page 3 of 3 SW U-NESR-3May2016 NCDENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources Tracy E. Davis, PE, CPM Land Quality Section Pat McCrory, Governor Director John E. Skvarla, III, Secreta December 9, 2013 Oiles America Corporation Attn: Mr. Ray Brickner 4510 Enterprise Drive NW Concord, NC 28027 Subject: No -Exposure Certification NCGNE0983 Oiles America Corporation 4510 Enterprise Drive NW Cabarrus County Dear Mr. Brickner: 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, the site visit of December 5, 2013, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. We are also hereby rescinding your current permit Certificate of Coverage, NCG030602. 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. You must self re -certify your No -Exposure status annually using the included form or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re- certification does not need to be submitted to DEMLR unless requested. 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. Mooresville Regional Office Locatfon: 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: (704) 663-16991 Fax: (704) 663-60401 Customer Service: 1-877-623•6748 Internet: www.ncnralerquality.org None rthCaroiina Naturally An Equal Opportunity 1 Affirmative Action Employer- 30% Recycled110% Post Consumer paper Ray Brickner Oiles America Corporation — NCGNE0983 December 9, 2013 If you have any questions or need further information, please contact Mr. Samar Bou-ghazale at (704) 663-1699, or at Samar.Bou-Ghazale@ncdenr.gov. Sincerely, �' S Zahid S. Khan Regional Engineer Land Quality Section Enclosure cc: Stormwater Permitting Unit No- Exposure Files Fran McPherson -Budget Office Stormwater Permitting File NCG030602 7A NCDEN'R ,L'_ - r ou— 1 e--F.`rt OR FIIV PON11FNT "n NAIVR?J. nT. a.nc F6 Division of Water Quality / Surface Water Protection National Pollutant Discharge Elimination System ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION NCGNE0000 Do not submit this form to DWQ unless requested. For questions, please contact the DWQ Regional Office for your area or the Central Office. (Please print or type) Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY) N I C G" N I E / / 1) Has the facility name or owner changed? ❑ Yes ❑ No (if yes, please submit a separate Name/ownership Change Form to DWQ located at http://portal.ncdenr.org/web/wq/ws/su/npdessw#Application_Forms_N PDES) 2) 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 to maintain your no exposure exclusion, and must immediately apply for a permit from DWO. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes [:]No 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 c. Materials or products from past industrial activity ❑ Yes ❑ No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ No e. Materials or products during loading/unloading or transporting activities ❑ Yes ❑ No f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ❑ No 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 and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes [—]No the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes ❑ No j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 0 No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ No 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 (i.e., not closed and stored upside down to prevent precipitation accumulation) Page 1 of 3 SwU-NESR-29M2010 NCGNE0000 No Exposure Self Re -Certification m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ❑ No stored outside, has the facility had any releases in the past three (3) years? 3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ. a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ❑Yes❑ No ❑ NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑Yes❑ No ❑ NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DWQ. a. Is secondary containment provided for all single above ground storage ❑Yes❑ No ❑ NIA containers (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 ❑ 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 Superfund ❑Yes❑ No ❑ NIA Amendments and Reauthorization Act (SARA) water priority chemicals'? d. Is secondary containment provided for hazardous substances" designated in 40 [:]Yes[—] No ❑ NIA CFR §116? e. Are release valves on all secondary containment structures locked? ❑Yes❑ No ❑NIA Footnotes to Questions 4) 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 fisted in 40 CFR § 117.3. 5) Other information. If you answer "Yes" to any of the following items, and the answer if different from how it was answered when originally applying, you might not be eligible to maintain your no exposure exclusion. Please contact the Division if this is the case. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? b. Does your facility have coal piles on site? c. Does your facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., 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? Please specify: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑No ❑ Yes [—]No ❑Yes❑ No❑NIA Page 2 of 3 SW U-NESR-29Jul2010 NCGNE0000 No Exposure Self Re -Certification 6) 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/maintaining 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 annually self re -certify No Exposure and, if requested, submit this re -certification to DWQ or 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 facilit . 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 provided. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, theinformation provided is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for providing false information, including the possibility of fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Title: (Signature) (Date Signed) Please note: The Regional Office may 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). This completed form must be kept on file at the facility for at least 5 years. Do not submit this form to DWO unless requested. Page 3 of 3 SW U-N ESR-29.iul2010 -jawci K%aK 1 OILES AMERICA CORPORATION �� r}• , ,1%'•,, 4510 Enterprise Drive NW 4 Concord, NC 28027 ZQj3 November 22, 20 HI NC Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Dear Sir or Madam: Please find attached a completed form SWU-NE- I 2Aug201 0 submitted for a No Exposure Certification for Exclusion from NPDES Storm Water Permitting for our facility located in Concord. NC. We are currently under General Permit NCG030000 and COC NCG030602. Best reds, Raye tier Oiles America Corporation (704) 784-4500 0197 rbr'lekner@olles.com oiles.com cc: Ken Nolsenback, Julie Adams, Howard Honeycutt X 111 L � ftr,� NOV 2 5 20132 • Division of Water Quality / Surface Water Protection NCDENRNational Pollutant Discharge Elimination System NO lCNOUI A0EPPR'fMEN7Or• NO EXPOSURE CERTIFICATION for Exclusion ENVIRONMENT ENO NwuR.ti RE50tJRCES NCGNE0000 NO EXPOSURE CERTIFICATION FOR AGENCY USE ONLY Date Received Year Moctth Day 11 Certificate orcoverap NCIGN I 6Dri8 1.3 National Pollutant Discharge. Elimination System application for exclusion from a Stormwater Permit based on NO EXPOSURE: 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 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. Ir 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 self re -certify your No Exposure Exclusion anni:ally. 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 correspondence will be mailed): Name Oiles America Corporation Contact Raymond J. Brickner Street Address 4510 Enterprise Drive NW City Concord State NC ZIP Code 28027 Telephone No. 704-784-4500 Fax: 704-784-4501 Email rbricknerK,r�.oiles.com ECE PJoV252013 Page 1 of 7 SUVU-NE-12Aug2010 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: ;r Facility Name Oiles America Corporation Facility Contact Raymond J. Brickner / Facility Street Address 4510 Enterprise Drive NW ' City Concord State NC ZIP Code 28027 �u County Cabarrus r . ``' Z013 Telephone No. 704-784-4500 Fax: 704-784-4501 ' Email rbricknerCcDoiles.com 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). Interstate 85, Exit 55, East on SR 731/. mile, right on International Drive,'/, mile right on Enterprise Drive, Building is on the right (A copy of a map with the facility clearly located on it should be included with the certification application.) 3) Is the facility located on Native American Lands? C Yes X No 4) Is this a Federal facility? ❑ Yes X No 5) Latitude 350 25' 23" Longitude 80° 39' 30" (deg., min., seconds) 6) 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 1991 > Major expansion completed October 2013 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 7) Was this facility or site ever covered under an NPDES Stormwater Permit? X Yes ❑ No If yes, what is the NPDES Permit Number? General Permit # NCG0300000 COC # NCG030602 Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 3 7 1 4 8) Provide a brief description of the types of industrial activities and products produced at this facility: Oiles is a manufacturer of self-lubricating assemblies, bearings (non -ball and roller type), bushings, and high temperature exhaust seal systems for automotive and industrial applications 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No X Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 S1NU-NE-1 Mug2010 NCGNE0000 No Exposure Certification Exposure Checklists (12. - 14.) 10) 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 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 c. Materials or products from past industrial activity ❑ Yes X No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No e. Materials or products during loading/unloading or transporting activities ❑ Yes X No f. Materials or products stored outdoors (except final products intended for outside ❑ Yes X No 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 X No and similar containers h: Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters)) ❑ Yes X No j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes X No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X No 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 (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 stored outside, has the facility had any releases in the past three (3) years? 11) 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 and 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? Page 3 of 7 SWU-NE-12Aug2010 NCGNEOOOO No Exposure Certification 12) 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 all 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? 13) 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: ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes >❑ No X NIA ❑ Yes ❑ No X NIA ❑ Yes X No X Yes ❑ No (See info below) U Yes X No Type(s) of waste: Liquid solvent waste. CESQG ID # NCD986228500 How is material stored: Stored in 55 gallon drums for pickup. Where is material stored: Inside the manufacturing facility in a designated storage area. How many disposal shipments per year: Typically 1 drum — 3 months / max. 5 drums/year Name of transport / disposal vendor: Giant Resource Recovery - Sumter, Inc. Vendor address: 755 Industrial Blvd, Sumter SC 29151, EPA ID No, SCD036275626 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. Page 4 of 7 SWU-NE-12Aug2010 NCGNE0000 No Exposure Certification 14) 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 b. Does your facility have coal piles on site? ❑ Yes X No c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes X No sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes X No 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: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NE-12Aug2010 NCGNE0000 No Exposure Certification 15) 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 annually self re -certify No Exposure and, if requested, submit the re -certification to DWQ or 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: Ken Holsenback Title; Plant Manager, Oiles America Corporation [C A, ar.C,1�- 1 k 12,c ft 3 (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 w 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 ton thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NE-12Aug2010 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: This completed application and all supporting documentation. ;lam A map with the location of the facility clearly marked. 17 If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question f - 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 S1NU-NE-12Aug2010 TIC I - -7 A ,\K -Ali PSI 1 4_1 L % Oiles America Corporation 6 q: iv% "AL 7 j It- 0.. ts w Z. J1 v AE .69 . it . . . . . . . . 4.4 �: f i j ., y G.7� �,� 7�7' { `;til �� � � 'Y'p; .� y,% ' 1� �l � -,, '� ���J� ,may P-0 f IN .Z lot NCG030602 N w S Mar) Scale 1:16,541 Oiles America Corporation Concord, NC Latitude: 351 25' 23" N Longitude: 800 39' 30" W County: Cabarrus Receiving Stream: LIT to Afton Run Stream Class: C Sub -basin: 13-17-6-6 (Yadkin River Basin) Facility Location