HomeMy WebLinkAboutNCGNE0032_COMPLETE FILE - HISTORICAL_20110630STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE 03�
DOC TYPE
"ISTORICAL FILE
DOC DATE
❑ 3 D) l o (9m
YYYYMMDD
r�
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
STF'11FIEN A. SPEARMAN
Division of Water Quality
Coleen H. Sullins
Director
June 23,2011
FUJIFILM DIOSYNT'I-I BIOTECHNOLOGIFS USA,INC
101.1. MORRIS COMMONS LANE
MORRISVILLE,', NC 27560
Dear Spearman:
FR r rN. �#" ED
JUN 3 0 201'1
NO OENR
Raleigh P,erimal Oficc
Dee Freeman
Secretary
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE032
Fujifilm Diosynth Biotechnologies USA, Inc
101 J. Morris Commons Lane, Morrisville, NC
Wake County
The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure
Certification, which we received on June 13, 2011. Division personnel have reviewed and approved your request to transfer
the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the no exposure certification and by our approval of your request to
transfer it, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your
facility can no longer qualify for the 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.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure Exclusion Self Re -Certification
form for your use. Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater Permitting Unit at (919) 807-6300.
Sincerely,
%nr Coleen H. Sullins
cc: Raleigh Regional Office
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919-807-6300 \ FAX: 919-807-6492 \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality ong
One
NorthCarolina
Naturally
An Equa: Opportunity \ A!lirmalwe Acton Employer
No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for un-permitted
discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5 )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to DWQ
unless requested. If requested, submit a copy of the re -certification to the Division and/or the
municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately upon
request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if the
facility can no longer maintain no -exposure conditions.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer system, the operator
of the system, to: (1) inspect the facility; and (2) make such inspection reports publicly available upon request.
* "No exposure" means that all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material
handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or
waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any
raw material, intermediate product, final product or waste product. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal. ncdenr. orghveb/wq/ws/su/npdessw#tab-5
tw
FWATF
�0 '9O Beverly Eaves Perdue, Governor
O � r • Dee Freeman, Secretary
> � -i North Carolina Department of Environment and Nature[ Resources
O T
Coleen 11. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N
I C
I S
10 1
1 N
I C I G I N
E
0
0
3
2
11. Permit
status prior to requested change.
a.
Permit issued to (company name):
FUJIFILM Diosynth Biotechnologies USA, LLC
b.
Person legally responsible for permit:
Stephen A Spearman
First MI Last
President
Title
101 J. Morris Commons Lane
Permit Holder Mailing Address
Morrisville NC 27560
City State Zip
(919)337-4482 (919)337-0920
Phone Fax
c.
Facility name (discharge):
FUJIFILM Diosynth Biotechnologies USA, LLC
d.
Facility address:
6051 George Watts Hill Drive
Address
Research Triangle
Park NC 27709
City State Zip
e.
Facility contact person:
Baxter B. Shelton 919-337-4381
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
/f other please explain
b. Permit issued to (company name):
FUJIFILM Diosynth Biotechnologies USA, Inc.
c. Person legally responsible for permit:
Stephen A Spearman
First MI Last
President
Title
101 J. Morris Commons Lane
Permit Holder Mailing Address
Morrisville NC 27560
City Stale Zip
(919) 337-4482 Stephen.spearman@diosynth-rtp.com
Phone E-mail Address
d. Facility name (discharge):
FUJIFILM Diosynth Biotechnologies USA, Inc.
e. Facility address:
6051 George Watts Hill Drive
Address
Research Triangle
Park NC 27709
City State Zip
f. Facility contgct person:
Baxter B Shelton
First MI Last
Revised 8/2008
id
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
(919) 337-4381 Brad.shelton(adiosynth-rtp.com
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Baxter B Shelton
First MI Last
Manager, Environment Health & Safety
Title
101 J. Moms Commons Lane
Mailing Address
Morrisville NC 27560
City State Zip
(919) 3374381 Brad.shelton(ndiosynth-rtp.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, Stephen A. Spearman, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Revised 7/2008
FUJIFILM
Diosynth
biotechnologies
June 8, 2011
Mr. Bradley Bennett
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Documentation of Company Name Change
Dear Mr. Bennett:
FUJIFILM Diosynth Biotechnologies U.S.A., Inc.
101 J. Morris Commons Lane
Morrisville, NC 27560 U.S.A.
T: 1 919 337 4400
F: 1 919 337 0900
www.biomanufacturingnetwork.com
JUN 1 3 2011
Attached, please find the completed Surface Water Protection Section Permit Name/Ownership Change Form
for FUJIFILM Diosynth Biotechnologies USA, Inc. On May 16, 2011, our company name changed to FUJIFILM
Diosynth Biotechnologies USA, Inc. (formerly FUJIFILM Diosynth Biotechnologies USA, LLC.).
If you have any questions, please feel free to contact Brad Shelton at 919-337-4381.
Sincerely,
Stephen A. Spearman, Ph.D., MBA
President, FUJIFILM Diosynth Biotechnologies USA, Inc.
A .� r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue colleen H. Sullins
Governor Director
June 23, 2011
STEPHEN A. SPEARNIAN
FUJIFI1—M DIOSYNT'H BIOTECHNOLOGIES USA,INC
101 J. MORRIS COMMONS LANE
MORRISVILLE, NC 27560
Dear Spearman:
Dee Freeman
Secretary
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE032
Fujifilm Diosynth Biotechnologies USA, Inc
101 J. Morris Commons Lane, Morrisville, NC
Wake County
The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure
Certification, which we received on June 13, 2011. Division personnel have reviewed and approved your request to transfer
the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the no exposure certification and by our approval of your request to
transfer it, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your
facility can no longer qualify for the 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.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure Exclusion Self Re -Certification
form for your use. Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater Permitting Unit at (919) 807-6300.
Sincerely,
,�/,i P-�-G
for Coleen H. Sullins
cc: Raleigh Regional Office
Stormwater Permitting Unit Files
Wetlands and stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, Nodh Carolina 27604
Phone: 919-807-6300%FAX: 919 807 6492 \ Customer Service: 1-877-623 6748
Internet'. w.mv.nmaterquality.org
NorthCarolina
Natmil
An Equal Oppoaunav \ Alnumallve Action Employer
No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for un-permitted
discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5 )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to DWQ
unless requested. If requested, submit a copy of the re -certification to the Division and/or the
municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately upon
request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if the
facility can no longer maintain no -exposure conditions.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer system, the operator
of the system, to: (1) inspect the facility; and (2) make such inspection reports publicly available upon request.
* "No exposure" means that all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material
handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or
waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any
raw material, intermediate product, final product or waste product. (40 CFR 122 26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
littp:Hportzil.iicdenr.org/web/wq/ws/su/iipL]essw#tab-5
P
O�OF V1 ATF9QG Beverly Eaves Perdue, Governor
v� Y Dee Freeman, Secretary
>_ y North Carolina Department of Environment and Natural Resources
O �c
Coleen 11. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION j
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S 10 1 1 N C G N E 0 0 3 2
11. Permit status prior to requested change.
a. Permit issued to (company name): FUJIFILM Diosynth Biotechnologies USA, LLC
b. Person legally responsible for permit: Stephen A Spearman
First Ml Last
President
Title
101 J. Morris Commons Lane
Permit Holder Mailing Address
Morrisville NC 27560
City Slate Zip
(919)337-4482 (919)337-0920
Phone Fax
c. Facility name (discharge):
FUJIFILM Diosynth Biotechnologies USA, LLC
d. Facility address:
6051 George Watts Hill Drive
Address
Research Triangle
Park NC 27709
City State Zip
e. Facility contact person:
Baxter B. Shelton 919-337-4381
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain
b. Permit issued to (company name):
FUJIFILM Diosynth Biotechnologies USA, Inc.
c. Person legally responsible for permit:
Stephen A Spearman
First MI Last
President
Title
101 J. Morris Commons Lane
Permit Holder Mailing Address
Morrisville NC 27560
City State Zip
(919) 337-4482 Stephen.spearman@diosynth-rtp.com
Phone E-mail Address
d. Facility name (discharge):
FUJIFILM Diosynth Biotechnologies USA, Inc.
e. Facility address:
6051 George Watts Hill Drive
Address
Research Triangle
Park NC 27709
City State Zip
f. Facility contact person:
Baxter B Shelton
First MI Last
Revised 812008
PERMIT NAME/OWNERSHIP CHANGE FORM
p Page 2 of 2
(919) 337-4381 Brad.sheltonnadiosynth-rtp.com
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Baxter B Shelton
First MI Last
Manager, Environment Health & Safety
Title
101 J. Morris Commons Lane
Mailing Address
Morrisville NC 27560
City State lip
(919) 337-4381 Brad.sheltonna,diosynth-rtp.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERNUTTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, Stephen A. Spearman, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Revised 7I2008
VUAFILM
Diosynth
biotechnologies
June 8, 2011
Mr. Bradley Bennett
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Documentation of Company Name Change
Dear Mr. Bennett:
FUJIFILM Diosynth Biotechnologies U.S.A., Inc.
101 J. Moms Commons Lane
Morrisville, NC 27560 U.S.A.
T: 1 919 337 4400
F: 1 919 337 0900
www.biomanufacturingnetwork.com
NME
JUN 1 3 2011
Attached, please find the completed Surface Water Protection Section Permit Name/Ownership Change Form
for FUJIFILM Diosynth Biotechnologies USA, Inc. On May 16, 2011, our company name changed to FUJIFILM
Diosynth Biotechnologies USA, Inc. (formerly FUJIFILM Diosynth Biotechnologies USA, LLC.).
If you have any questions, please feel free to contact Brad Shelton at 919-337-4381.
Sincerely,
Stephen A. Spearman, Ph.D., MBA
President, FUJIFILM Diosynth Biotechnologies USA, Inc.
\07F
Brad Shelton
Diosynth RTP Inc
101 J Morris Commons Ln
Morrisville, NC 27560
Dear Permittee:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Wale) Quality
Colecn H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
CO
Subject: No Exposure Certification NCGNE0032 „
Diosynth RTP Inc - 6051 George Watts Hill r
Wake County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 14, 2003. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification 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 (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at (919) 733-5083 ext.
537, or at jonathan.diggs@ncmail.net.
Sincerely,
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office Central Files —w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733-7015
XM
NCDEN.
Customer. Service
1-877-623-6748
L
AAA Tf9
II J►oi
�® j
April 20, 2005
Brad Shelton
Diosynth RTP Inc
101 J Morris Commons Ln
Morrisville, NC 27560
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural 12esources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleco 11. Sullins, Deputy Director
Division of Water Quality
Subject: No Exposure Certification NCGNE0032
Diosynth RTP Inc - 6051 George Watts Hill
Wake County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 14, 2003. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification 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 (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at (919) 733-5083 ext.
537, or at jonathan.diggs@ncmail.net.
Sincerely,
Ley E%f
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office Central Files — w/attachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733-7015
NA
NCDENR
Customer Service
I-877-623-6748
U
AKZO NOBEL
August 12, 2003
Al1G 1 4 2003
CERTIFIED MAIL # 7000 1670 0013 2192 6481
Mr. Bradley Bennett
Supervisor, Stormwater and General Permits Unit
NCDENR / Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: No Exposure Certification for Diosynth RTP Inc., RTP, NC 27709
Dear Mr. Bennett,
Attached for your use is a "No Exposure Certification for Exclusion from NPDES Storm
Water Permitting."
Please note that the company name has changed since our last correspondence
(attached for reference) from Covance Biotechnology Services Inc. to Diosynth RTP Inc.
We have added a 15,000-gallon wastewater equalization tank to balance our nitrogen
discharge to the Cary POTW. The tank is sited within a containment structure capable
of holding 110% of the tank volume. Stormwater removal from the containment
structure is accomplished, after inspection, by manual activation of a discharge pump.
If wastewater enters the containment structure, it is pumped back into the tank.
There have been no other site changes relative to stormwater management. If you
require additional information in regards to our No Exposure Certification, please
contact me at (919) 337-4381.
Regards.
Brad Shelton
Manager, Environmental Health and Safety
Diosynth RTP Inc. DIOSYNTH
Diosynth RTP Inc.
101 J. Morris Commons Lane
Morrisville, NC 27560
Tel.: (919) 337-4400
Fax: )9191 337-0900
v Form Approved
United States Environmental Protection Agency OMB No:2040-0211
NPDES EPA Washington, DC 20460
FORM
3510-11 NO EXPOSURE `r►' CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual oudalls. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible, for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM
Detailed Instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4
A. Facility Operator Information
1. Name: oil 1 10151YA
r
A rr•I 1 I! I
Ifik CI
I I I I I I I I I I 11
1 2. Phone:
I'll ( 1413131-7141S IR, I[
3. Mailing Address:
a. Street: II
101( I IT[.
I MIO I RIR
11151 IL IO IMIMIO INISI 1414W
IEl
I I I I I I I
b. City: IMIO Iit121%
ISIVII
IL ILI EI I
I I I I
I I I I I I C. State: lNCJ
d. Zip Code:
11I-71516101—I I� I 11
B. Facility/Site Location Information
1. Facility Name: IDI C 10151YIN%I l ft I M T Pl lityi c1 I I I I I I I I I I I 11 1
2. a. Street Address: 1610151I1 IeIE�Io IRIiAlEl IYI/41—IT151 *%ILIIL1 1D1R1%1VIEl I I I I
b.City: IRIGI%IC-IA-I(ZIL.IHI 1/121IIMdI&LIFI 1PIPrISLIW I c. County: Iwl/+1K15 I I I 1 11
d. State: IiCJ e. zip Code: 19-1717 101q I — 131 R 16151
3. Is the facility located on Indian Lands? Yes ❑ No
VZNk
4. Is this a Federal facility? Yes No
5. a. Latitude: 1351 o 1G J 1310J b. Longitude: wJ I5J 11 111.
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑,' No'�
b. If yes, enter NPDES permit number:
7. SIC/Acfivity Codes: Primary: ii4oj Secondary (if applicable): 1 I I 1
8. Total size of site associated with industrial activity: 6 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to quality for the no exposure exclusion?', Yes No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre 0 One to five acres 0 ' More than five acres
EPA Form 3510-11(10-99)
Page 1 of 4
NPDES n NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM -,EPA OMB No. 2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either Wes" or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1.
Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
or cleaning industrial machinery or equipment remain and are exposed to storm water
2.
Materials or residuals on the ground or in storm water inlets from spills/leaks-
3.
Materials or products from past industrial activity
N7(
4.
Material handling equipment (except adequately maintained vehicles)
Rr
5.
Materials or products during loading/unloading or transporting activities
Koorl
6.
Materials or products stored outdoors (except final products intended for outside use (e.g., new cars] where
❑
Er
exposure to storm water does not result in the discharge of pollutants)
'
7.
Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
8.
Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
rtvr
9.
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
10.
Application or disposal of process wastewater (unless otherwise permitted)
❑
11.
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
❑
9
(i.e., under an air quality control permit) and evident in the storm water outflow
1
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stoim:water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
.. I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
_ the operator of the local municipal separate storm sewer system (MS4) into which the facility. discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspectionreports publicly available.upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility. '
Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations. ••II
Print Name: LILll� Aibi IS iH1 EI LITDINI 1 i 1 i 1 1 1 i 1 1 1 1 i 1 i 1 1 I, I I ,
Print Title:
Signature:
Date: 011 /I/10IS�
EPA Form 3510-11 (10-99) Page 2 of 4
CO V E'
Covence Biotechnology Services
• THE DEVELOPMENT SERVICES COMPANY
6051 George Watts Hill Drive
P.O. Box 13865
Research Triangle Park
August 25, 2000
North Carolina 27709.3865
Tel: 919/468.9400
Fax: 919/468-9070
CERTIFIED MAIL # Z-170-099-868
Mr. Bradley Bennett
Supervisor, Stormwater and General Permits Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Category 11 Exemption
Covance Biotechnology Services Inc. (Covance)
Wake County
Dear Mr. Bennett,
Covance has recently installed a Guanidine Hydrochloride waste storage tank.
Wastewater is pumped from the main facility to the tank. The waste is.pumped from the
tank site into a tanker truck for transportation to the designated disposal site.
Covance believes that this tank does not change the current exemption from requiring a
stormwater permit based on its installation to avoid an impact on stormwater. The
following information is provided for your review.
Installation
One, 7925 gallon fiberglass tank, 10' ID, 14' high (see attached drawing).
Located northwest of the main building (see location map).
199% containment is provided by a concrete containment structure 22'x24'x4'
which will hold 15,800 gallons. There is no direct discharge from this
structure. Liquid collected in the structure would be pumped from a sump for
either disposal by tanker truck if it contains waste or to the surface after
inspection to confirm it is uncontaminated stormwater.
The tanker truck loading area is on a sloped containment pad that drains back
into the containment structure.
All pumps and piping, except the pipe transporting the waste from the main
facility, are located within the containment structures (tank & tanker loading).
The material transfer piping is double contained, heat traced, insulated, and
equipped with a liquid leak detection system.
THE AMERICAS EUROPE ASIA/PACIFiC
AFRICA
Procedures are in place to assure the tank is not overfilled. The tank is
equipped with a high level alarm which is tied into our Building Maintenance
System (BMS). In addition to this level detector, a locally mounted LED
display is to be installed which will provide a continuous reading on the tank's
volume.
If you have any questions or would like to arrange a site inspection, please call
me at (919) 349-2965 or Dr. Ron Venezia at (919) 467-6551.
Sincerely,
Brad Shelton
Environmental Health and Safety Specialist
Covance Biotechnology Services Inc.