NCG050311_COMPLETE FILE - HISTORICAL_20121030

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
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3M Environmental, Health and
Safety Operations
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3M Center, Building 0224-05-W-03
5t. Paul, MN 55144-1000
WOctober 30, 2012
Certified Mail
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleicxh, North Carolina 27699-1617
Subject: NPDES Stormwater Permit Renewal Application for 3M Sanford; Permit
Number NCG050311.
To whom it may concern,
Enclosed is the Notice of Intent for Reauthorization for coverage under General Permit
NCGO50000 for')M's Sanford facility located at 917 Jr Industrial Drive, Sanford, NC
27330.
If you should have any questions concerning this submittal; please feel free to contact
me at 651-737-3604 or via email at [e-mail].
mmm.com.
Sincerely;
Carie Mathison
Environmental Scientist
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NCG050000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Check for $100 made payable to NCDENR
This completed application and all supporting documents
Copy of county reap or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits 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 an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office...,..
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
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SWU-220-071408 Last Revised 7/14/2008

�� Division of Water Quality / Water Quality Section
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NCDENRNational Pollutant Discharge Elimination System
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NCG050000
NOTICE OF INTENT
I Date Received I
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials
SIC 265 Paperboard Containers and Boxes
SIC 267 Converted Paper and Paperboard Products
SIC 27 Printing, Publishing and Allied Industries
SIC 30 Rubber and Miscellaneous Products (except as specified below)
SIC 31 Leather and Leather Products (except as specified below)
SIC 39 Miscellaneous Manufacturing Industries
SIC* N/A Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing
Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit corres ondence will be mailed
Name
Street Address
City
Telephone No.
E-mail Address
Carie Mathison
3M Center, Building 224-5W-03
St. Paul
651-737-3604
[e-mail]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
3M Sanford
Phil Misklow
[e-mail]
917 Jr Industrial Drive -
Sanford
Lee
919-718-0000
StateMN ZIP Code 55144-1000
Fax: [phone]
StateNC ZIP Code 27330-9733
Fax: [phone]
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). From the intersection of Hwy 421 and County Rd 42,
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SWU-220-071408 Last Revised 7/14/2008

NCG050000 N.O.I.
head East on County Rd 42 for -.2 miles, go South on Rosser Rd for -.4 miles, then East on Jr. Industrial
Drive for - 280 feet.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
4) Latitude 3e 27' 35" Longitude -700 8' 10" (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing
6) Standard Industrial Classification
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3083
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: 3M Sanford is a part of 3M Electronic Solutions Division and operates a plastic lamination
manufacturing facility. 3M Sanford is a manufacturing facility, and consists of four (4) individual buildings (1
Film Coating, 1 Bag Making, 1 Workstation product Manufacture, and 1 ShippinglWarehouse).
8) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 6
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? unnamed tributary to Carr Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
10) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
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:
12) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe: Good Housekeeping - no outdoor storage, closed dumpsters;
Preventative maintenance - frequent inspections conducted in industrial areas; visual inspections - routine
inspections of indoor drum storage areas; Spill Prevention and Response - comprehensive Spill Clean up Plan.
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? Effective 6/1/2008 Prior to this, the permit was under acquired company _
14) Are vehicle maintenance activities occurring at this facility?
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NCG050000 N.O.L
X No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) . Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No X Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:Federal Waste codes: D001, D035, F003, F005
How is material stored: Stored in proper containers and labeled appropriately as a hazardous waste in
accordance with local, state, and federal requirements
Where is material stored:Stored outside on secondary containment in covered storage area.
How many disposal shipments per year: 2
Name of transport / disposal vendor: Hazmat Environmental Group Inc (EPA # MYD980769947) / 3M Cottage
Grove ( EPA # MND006172969)
Vendor address: 3M Cottage Grove Center, 10746 innovation Rd- Building 47, Cottage Grove MN 55016
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a 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).
I hereby request coverage under the referenced General Permit. I understand that coverage under this
permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as
an individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: _Tommie Lee
Title: Plant Manager
of Applicant)
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(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
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SWU-220-071408 Last Revised 7/14/2008

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