NCGNE0471_COMPLETE FILE - HISTORICAL_20130530

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE Uqj I
DOC TYPE
W""HISTORICAL FILE
DOC DATE
❑ a0150,53b
YYYYMMDD

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NC®ENR
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Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Dato Received
Year
Month
I Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G S 10 1 1 1 1 N I C G E. O 4 —1
11. Permit status prior to requested change.
a. Permit issued to (company name): \N)ym5A�
b. Person legally responsible for permit
606 PT1 04
Fi MI last
PO By �'iTo
•_ f6ao{old�rM`ail^ingAddres�-7s_BS-
X 2 Iy CC
City State Zip
(qlI) 6g13-IIjk ( )
c. Facility name (discharge):
Phone Fax
d. Facility address:
p�p�'`' `T
5 t less
c. Facility contact person:
/ \ 1-
tt3 ( City /' State Zip
7d3 (31 J l� (I Iq) 03-111 �
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
19' Name change of the facility or owner
1fother please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
L CAL flbIN
MAY ") 0 2013
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Po (3c� Tide
-6
Permit I [older Mailing Address
( Xr ejo NC 2-75L�
City State Zip
(g�1) 6G3-1116
Phone E-mail Address
5 Apt C
S dr
L
City StateZi
QALPl+ n
First MI Last
(L1 Iq) 6 q3--Ill b
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
.page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
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, && 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
ret ed as incomplete.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

J.P. Taylor Company, L LC.
P.O. Box 246
311 Providence Road
Oxford, NC 27565
May 28, 2013 Phone [phone]
7r. Pickle, /✓a^%�' c-!a?ae
n Sabatini at Universal Leaf North America Nash Facility had requested
that we complete the Name Change Request on the enclosed DENR form. I
hope that it is completed correctly, and satisfies the state requirement. The
name has changed and the contacts are now updated.
Please advise either me or John if you have any questions or need more
information.
Sincerely,
Chuck Martin
Quality Systems Manager
919-693-1116
@IAllWII
MAY 302013

Pickle, Ken
From:
Nagy, Jim [[e-mail]]
Sent:
Wednesday, May 16, 2012 2:34 PM
To:
Pickle, Ken
Cc:
Sabatini, John; Covington, Robert
Subject:
No -Exposure Certification
Ken —
/��f�C✓8�erirl +��/on ^/0
/11dn1Nl�nlAca%-Y✓� G`i2•,��°
p r�
Thank you very much for your assistance / recommendations during our telephone call this morning. Summarizing our
discussions, Universal Leaf North America, U.S., Inc. (ULNA), is currently in the process of transferring its Oxford facility
(311 Providence Road, Oxford, NC 27565, Granville County) to a newly formed company, J.P. Taylor Co., LLC, which will
be wholly owned by ULNA. The Oxford facility was issued a "No -Exposure Certification NCGNE0471" on February 27,
2009, by the NCDENR Division of Water Quality in relation to NPDES stormwater permitting. As this ownership transfer
will have no effect on the quality or quantity of the stormwater associated with the Oxford facility and ULNA owns the
new company to which the Oxford facility will be transferred, you determined no further action is required as related to
the No -Exposure Certification and the certification will remain in effect with the facility under the new ownership.
Thanks again for your assistance with this matter — Jim Nagy
O
UnKt JIR0T,h-rcoComParr —
Jim Nagy, P.E. I Universal Leaf Tobacco company, Inc. I Engineering
P.O. Box 25099 I Richmond, VA 23260 1 `m': 804.254.1379 IA: 804.915-2211 1 naavi001 Ca)u niversal leaf. corn
The content of this c-mail (inclu(Iing anv attachments) is striclh. cmdi(Icatial and nuiy be commercialh. sensitive If you are
not, or believe you may not be, the intended recipient, please advise the sender immediately by return e-mail. delete this c-mail
and destroy any copies.

►'
NC®ENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Mr. Robert E. Hicks
Universal Leaf North America, US Inc.
PO Box 519
Nashville, NC 27856
Dear Mr. Hicks:
Division of Water Quality
Coleen H. Sullins
Director
February 27, 2009
Natural Resources
Dee Freeman
Secretary
T' I MAR - 4 200°
t_--- _ J
�DENR RALEIGH REM,,,, -IL OFFICEi
Subject: No -Exposure Certification NCGNE0471
Oxford Facility
311 Providence Rd., Oxford, NC 27565
Granville County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, 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 (February 26, 2014). 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 Robert Patterson at [phone], or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Raleigh Regional Office -Danny Smith
Stormwater Permitting Unit No- Exposure Files
Wetlands and Stormwater amnch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location. 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877623-6748
Internet: w .navaterqualiry,org
An Equal opportunity 1 Affirmative Action Employer
One
NorthCarolina
Naturally

r
NC®ENR.
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Robert E. Hicks
Universal Leaf North America, US Inc.
PO Box 519
Nashville, NC 27856
Dear Mr. Hicks:
Division of Water Quality
Coleen H. Sullins
Director
February 27, 2009
Subject: No -Exposure Certification NCGNE0471
Oxford Facility
311 Providence Rd., Oxford, NC 27565
Granville County
Dee Freeman
Secretary
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater
Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility, the v
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 (February 26, 2014). 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 Robert Patterson at [phone], or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Raleigh Regional Office -Danny Smith
Stormwater Permitting Unit No- Exposure Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: w rncwaterqualiry.org
An Equal opportunity 1 Affirmative Action Employer
NorthCarolina
;Vaturallif

.r
Division of Water Quality / Surface Water Protection
AARR-I)v
NCDENRNational Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NCGNE0000
NO EXPOSURE CERTIFICATION
National Pollutant Discharge Elimination System application for exclusion from a
based on NO EXPOSURE:
FOR AGENCY USE ONLY
Datc Received
\bar I 61.1h
I Da
01 1 to
Cafilcate of Coven c
D
Submission of this No Exposure Certification constitutes notice that your facility does not re
authorization for its stormwater discharges associated with industrial activity in the State of
Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an it
facility means all industrial materials and activities are protected by a storm resistant shelter
exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff.
00
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 outfal/s. 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 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed
Name /`a`JC,� r! Pjj(S
Street Address 17`I .d ;e /h;11 Pon /Z.a 0 x 5-19
City a) 4 i k k State <_ ZIP Code d7rr
Telephone No. fSd. `ibl-`11S Fax: z5464-`Sgo
2) Location of facility producing discharge:
Facility Name (/nt-yCrro1 L_9 F /J#L Ap)ericc y L/ -�t\c OxJ
Facility Contact
Street Address
City
County
Telephone No.
Ga
Page 1 of 5
State NC ZIP Code
Fax: 911
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state rot: nd
distance and
11 direction from/ a roadway intersection). T^it.sec� i o %o� r�7. cc I`•o� • ��
(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 dNo
5) Is this a Federal facility? ❑ Yes Ef No
6) Latitude Longitude (deg, min, sec)
7) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
Existing Date operation began 1 -7 7 0 s ticpa Cs t vrrt��
6) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes f(No UJn l ,now
If yes, what is the NPDES Permit Nu
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: - 1 Lj ]
10) Provide a brief description of the types of industrial activities and products produced at this facility:
If
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
ErNo
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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
ZNo
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
ZNo
c. Materials or products from past industrial activity
❑ Yes
ZNo
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
Z/No
Materials during loading/unloading
e. or products or transporting activities
❑ Yes
Of/No
I. Materials or products stored outdoors (except final products intended for outside
❑ Yes
2(No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
Page 2 of 5
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
❑ Yes
IZ/N0
and similar containers
/
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
Z No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes
ICJ NNo
d/No
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not
❑ Yes
0 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
0 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
K'No
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
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any H Yes ❑ No
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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 IZJ Yes ❑ No
(including drums, barrels, etc.) with a capacity of more than 660-gallons? /
b. Is secondary containment provided for above ground storage containers stored 4J Yes ❑ No
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Are release valves on all secondary containment structures locked? ZYes ❑ No
Page 3 of 5
SWU-NE-060607 Last revised 06/06/07

NCGNE0000 No Exposure Certification
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes L�(/N9
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes f>s No
generated per month) of hazardous waste? /
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes Z No
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:
16) 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 stonmwater permitting.
I certify under penalty of law that there are no discharges of stonnwater 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 o Person S,�g ning P.
Title: VicC f'rej, )tr Coen EEti^t
Xla�� 10-I1.07
(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.
Page 4 of 5
SWU-NE-060607 Last revised 06/06/07

MapQuest: Maps, Addresses, Business Directory & Satellite Photos
Page 1 of 1
° ;'UEST,
311 Providence Rd
Oxford NC
27565-3194 US
text visible within note field will print.
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► SIGNA'I URE COCKTAILS
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http://www.mapquest.com/maps/print.adp?mapdata--GMCh6lTzs963 ilbFtICV 0 W 5g3OJy... 10/11 /2007

NCGNE0000 No Exposure 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).
There is currently no fee for a No Exposure Exclusion.
Final Checklist
This application should include the following items:
p�/This completed application and all supporting documentation.
p� A map with the location of the facility cl arly marked.
package to: V v /
Stormwater Permitting
Division of Water Quality JJ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
submission of this aocunrenc does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWQ Regional Office for your area.
DWQ Reoional Office Contact Information:
Asheville Office ......
(828) 2964500
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
733-5083
Page 5 of 5
SWU-NE-060607 Last revised 06/06/07