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HomeMy WebLinkAboutNCGNE0893_COMPLETE FILE - HISTORICAL_20160203STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE og93 DOC TYPE HISTORICAL FILE DOC DATE o (:M L oa o3 YYYYMMDD PAT MCCRORY Governor DONALD R. VAN DER VAART Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY February 3, 2016 Mr. Dean Carmichael WestRock Consumer Packaging, LLC 7411 Oakwood Street Ext Mebane, NC 27302 Secretr v TRACY DAVIS Director Subject: Name/Ownership Change Request No Exposure Certification NCGNE0893 WestRock Consumer Packaging, LLC Formerly Mead Westvaco Consumer Packaging, LLC Orange County Dear Mr. Carmichael: The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure Certification, which we received on7antAa*_9 /3,ad6Division 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. State of Noah Carolina I Enviroarnental Qnahty I Energy, Mineral and Land Resources 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612 919 707 9220 T I If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 807-6300. Sincerely, ORIGINAL SIGNED BY BETHANY GEORGOULIAS for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Raleigh Regional Office Stormwater Permitting Program Files Central Files FOR AGENCY USE ONLY Division of Energy, Mineral & Land Resources Date Received 1�1 Land Quality Section/Stormwater Permitting Year mom 1 Da NCDENRNational Pollutant Discharge Elimination System N°"'"°'"°°"'°`"""`" °' PERMIT NAMEIOWNERSHIP CHANGE FORM ["vnoneM a'° NOWu P[fTne[f Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage Permit status prior to requested change. a. Permit issued to (company name): ��A (J�Slvc,c �ns • e)^ �i.cQ n LAC b. Person legally responsible for permit A «' First M1 Last Title 7yll Cal<wocd 5{rEel t)'+' .IFSiV 3 2016 Permit Holder Mailing Address 1ylQba4Q. NC 2Iyo9 City Slate Zip c. Facility name (discharge): d. Facility address: e. Facility contact person: (qi9 )36g cyze ( ) Phone Fax I'rvG)�w� iV`Cti con)JM2t 1%L.L µHT 1•L� Address � nno Jnane NC -L%L4(' 9 City State Zip (cit,urn D ­1ie ( �g19 ) 3014 -OSZ9 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 [1Qame change of the facility or owner Lf other please explain: b. Permit issued to (company name): WAS+RcCk ConsuMar Lk S:"^� LLL c. Person legally responsible for permit: DO/^; 'Lfl d d �c L First Ml Last U'e„zr�•l AALAahsr Title 7LO t)CiL(tAUbfi 2. Permit Holder Mailing Address PV Dhanz V 'C%4Grl City State Zip S 0—f — 0Li-2_ U dc�r�n(tk, adduces,'@wei+rock.cn- Phone E-mail jAddress d. Facility name (discharge): 1,1eS) JuCLk C0f1SUM4 P°jcuGS ti Lt L - e. Facility address: 7L I I Uc l=,,)ou d S+-`O-zf ° t } Address (hQ e NC 2'73c z City State Zip f. Facility contact person: Cobs'^ be," First Ml Last 3c>Y-03arl d� 1.Ct..r '< EI�iUCSFioL4.Ge Phone E-mail Address IV. Permit contact information (if different from the person legally responsible for the permit) Revised Jan. 27. 2014 NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 -, First Ml Last r <,( t-na -oi ni' -i<i�i Vic1 Gw�>�n M�✓i� LGC✓c. -�r2r Title IN V1. Permit contact: Mailing Address ,71/12�an1 /U� 1'7 q 1 q City State Zip IL (�� 3py—C'SZ9 dec:;l,Cc:�;�,�2LtcEl�wu*�cce:_eun Phone E-mail Address Will the permitted facility continue to conduct the same industrial activities conducted prior to thi wnership or name change? Yes ❑ No (please explain) Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ARE I COMPLETE OR MISSING: This completed application is required for both name change and/or ownership change I tivtJ 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 Atiplicant'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 Al nICANT CERTIFICATION 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. tgnature U Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27. 2014 PAT MCCRORY a,.rr•,,,,,r DONALD R. VAN DER VAART Energy, Mineral and Land Resources ENVIRONMENTAL OUALITY February 3, 2016 Mr. Dean Carmichael WestRock Consumer Packaging, LLC 7411 Oakwood Street Ext Mebane, NC 27302 a'ecremry TRACY DAVIS Uire[lur Subject: Name/Ownership Change Request No Exposure Certification NCGNE0893 WestRock Consumer Packaging, LLC Formerly Mead Westvaco Consumer Packaging, LLC Orange County Dear Mr. Carmichael: The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure Certification, which we received on 7aru aq , li,00l6Division 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. State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612 919 707 9220 T If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 807-6300. Sincerely, for Tracy E. is, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Raleigh Regional Office Stormwater Permitting Program Files Central Files A7Division of Energy, Mineral & Land Resources Land Quality Section/Stormwater Permitting NCDFNNational Pollutant Discharge Elimination System PERMIT NAME/OWNERSHIP CHANGE FORM Eimmm+w C,rt uD NMn4 F[-AUnC[] FOR AGENCY USE ONLY Date Received Year Month Day Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate. of Coverage N 1 C 1 S 10 1 1 1 1 1 1 N, 10 G 1 N IE 0 8 9 3 IL Permit status prior to requested change. a. Permit issued to (company name): b. Person legally responsible for permit: .iA;413 2016 01'NR-LAND QOALIT'Y illlU,;W/VfLR PER!,.ITYIN c. Facility name (discharge): d. Facility address: Meo88U0-Sl-v"C.0 ConsuMeP Pacts y,'ny LLC- porn;ncck Adl�fci First MI Last GCt'�efA� Nlanuya! Title -14 I I oc kwoo d SI-r ee ✓• Ex+ Permit I folder Mailing Address jvlebarl2 NC 271-loq City State Zip (qi9 )36g oyz(, ( ) Phone Fax tVMiGcI l.JesPy4c0 COnS�m¢r �S��.ka���� LLC 7�10 tl4t WoUd S+- <� fv} Address JMAornlle /JC 'L7 t-lo 9 City State Zip e. Facility contact person: Coburn b -'YK (9ly ) 30y -03Zq 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 Fil-IQame change of the facility or owner If other please explain: b. Permit issued to (company name): (,Wzs+Rock Consumer Pt1Lk4s,11y LLC c. Person legally responsible for permit: A First MI Last GZAQr"I Aticnoctsr Title -lLjl l 004t voo t Sa'ree+ Ex+ Permit I ]older Mailing Address Vn'zQ ank NC 27L(oq �06 :Y� City State Zip 019 ) .3 dour,;a;ck.4dJucc;@wci+rocl.u�n Phone E-mail Address d. Facility name (discharge): L e.S�Kock CpnSUMer PacL(n�,'�5 LLC- c. Facility address: 7till pakwc-vjd S+ "i' v.�1 Address IMF e NC 2�'3oz City State Zip f. Facility contact person: (06u/n bean Ca/nlw�w$ , 7i First MI Last (41�) SOY-OSa9 daart.Garn,tl ¢I a UL)eslrac4.Ca,M Phone E-mail Address IV. Permit contact information (if different from the person legally responsible for the permit) Revised Jan.27, 2014 NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 Permit contact: Colown N0A Can cfh4 First MI Last ���+y I-lCtillln � E�v��a�n�e�k,l Ccw�,�c�oi 'fide —7LIII C:cLL�uvcl Sa-"ar-L Q�C Mailing Address /VI("e A1(_ L73o'Z q 1 qt� City State Zip 304 -O Sz9 �40cul ,ca�n'244r It.I C"' Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to this wnership or name change? [es ❑ No (please explain) V1. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE I COMPLETE OR MISSING: ARE 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 Annlicant'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 A ICANT CERTIFICATION 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 retuFned as incomplete. AM, L zkb __j d S-ign Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Energy, Mineral and Land Resources Storinwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27, 2014 ARM* NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH REGIONAL OFFICE 1628 MAIL SERVICE CENTER �j `/{`may RALEIGH. NORTH CAROLINA _ 91152fi% RECEIVED �QI:I 0 1 1M3 Children & Youth Section 111I111 `' $ zas° 52793 onw7,e C0 ' .rn `" MR. DOMINIC ADDUCCI )I3 MEAD WESTVACO CONSUMER PACKAGING 7411 -- - -- - -- MEB, G NG� 1 512I<�i-:3iG•3 —3 ;zrJ ,. : MEADWESTVaco }+f1 'Rlik 4sia - �--'.ii�'�ft��z��i.��'iGw� �nl:ilnlGlln!111lillnntlltllnnllllullll!nll!elulli! . Service ed 1'\ \ � '� > �I � NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild PE Governor Director December 31, 2012 Mr. Dominick Adducci Mead WestVaco Consumer Packaging Group, LLC 7411 Oakwood Street Extended Mebane, NC 27302 Subject: APPROVAL - No -Exposure Certification Certificate of Coverage Number NCGNEO893 Orange County Dear Mr. Adducci: Dee Freeman Secretary The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater Permitting form and has relied on a site visit by Autumn Romanski, to assess the potential for stormwater pollution. The facility tour provided by Jhoana Delgadillo was appreciated. Based on those observations and 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. Your facility was protective of stormwater quality. You must ensure the unloading area is maintained such that no waste electronic material is exposed to stormwater. 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 [subject to civil penalties of up to $25,000 per day]. Your conditional no -exposure exclusion extends into the future without a need for renewal. However, the 1617 Mail Service Center, Ralegh, North Carolina 27699-1617 Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service, 1-877-623-6748 No1rth C arO1 l na www Internet: ,ncwaterqua tig (� Y �t tur" lly An Equal Opportunity 1 Affirmative ve Action Employer Division can make unannounced random inspections to verify conditions, and will rescind this certification if conditions warrant. 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 Dave Parnell at (919) 791-4200 or at david.parnell@ncdenr.gov. Oacerely, // /> /p for Charles Wakild, PE cc: Raleigh Regional Office DWQ Central Files - w/attachments Stormwater Permitting Unit Files (No Exposure) 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001FAX: 91M07-64921Customer Service:1-877-623-6748 One Cc'1C0 1Cla Internet: www.ncvvalerqualiry.org �7 rofi An Equal Opportunity 1 Affirmative Action Employer ��%{(.tural J/ Compliance Inspection Report Permit: NCGNE0893 Effective: Expiration: Owner: McCadwestvaco Consumer Packaging Group LL SOC: Effective: Expiration: Facility: Mead Westvaco Consumer Packaging Group LLC County: Orange 7411 Oakwood St Ext Region: Raleigh Mebane NC 27302 Contact Person: Joseph Embrose Title: Phone: 919-304-0320 Directions to Facility: 1-40 W to 85 W to exit 15 - take right to buckhorn rd - turn left on Industrial Or - right on Mattress Factory Rd - 500 yards then left on Qakwood St - facility is on right asystem Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 12/11/2012 Entry Time: 12:00 PM Exit Time: 12:45 PM Primary Inspector: David R Parnell Phone: 919-791-4260 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certifcate Facility Status: ■ Compliant 0 Not Compliant Question Areas: i Miscellaneous Questions . Misc (See attachment summary) Page:1 Permit: NCGNE0893 Owner - Facility: Meadwestvaco Consumer Packaging Group LLC Inspection Date: 12/11/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Misc Is the facility compliant? Comment: No Exposure Certificate is granted based on an inspection conducted by Autumn Romanski. Her visit constituted the evaluation for NE. She recommended the No Exposure and Dave Parnell is relying on her recommendation for the determination. Yes No NA NE ■ ❑ ❑ ❑ Page:2 a 0 Division of Water Quality / Surface Water Protection i NCDENRNational Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion r.m�rr. u,n N.vnu. nrscuwe NCGNE0000 NO EXPOSURE CERTIFICATION FOR AGENCY USE ONLY D:vc Rccci,M Ycar Month Du Ccnific ie of Covcragc 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. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). For questions, please contact the DWO Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of owner/operator (address to which all certification correspondence will be mailed): Name Contact Street Address City Telephone No. Email Mead WestVaco Consumer Packaging Group, LLC Dominick Adducci 7411 Oakwood Street Extended Mebane State NC ZIP Code 27302 919- 304-0344 Fax: 919- 563-3932 dominick.adducci@inwvlcom �Pagel1 bf 7012 OCT 1 7 2012 SWU-NE-12Aug2010 NC PBR , __ Raleigh Regional Office NCGNE0000 No Exposure Certification 2), Location of facility producing discharge: Facility Name Mead WeslVaco Consumer Packaging Group, LLC Facility Contact Joseph Embrose, Safety, Health, Environment Coordinator Facility Street Address 7411 Oakwood Street Extended City Mebane County Orange County Telephone No. gig- 304-0320 Email joseph.embrose@mwv.com 3) Physical location information: State NC ZIP Code 27302 Fax: 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 40 West to 85 west to exit 15, Take Right to 6uckhorn Rd. then left on Industrial Drive to the end, then a Right on Mattress Facatory Road, 500 yards then Left on Oakwood Street, M WV sign on Right. (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 a No 5) Is this a Federal facility? ❑ Yes 19 No 6) Latitude 364'5° Longitude 7915'0" (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following ❑ New or Proposed Facility Date operation is to begin ft3 Existing Date operation began ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 6) Was this facility or site ever covered under an NPDES Stormwater Permit? @ Yes ❑ No If yes, what is the NPDES Permit Number? NCGO50328 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: 2 6 5 7 10) Provide a brief description of the types of industrial activities and products produced at this facility: Lithographic, arrested offset, non-heatset ink and UV ink printing on Substrate paper stock. For use in folding cartons which are cut and glued at the facility and shipped to Pharmaceutical and Food packaging customers. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? e No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SW U-NE-12Aug2010 NCGNE0000 No Exposure Certification Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes M 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 M No c. Materials or products from past industrial activity ❑ Yes ® No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes M No e. Materials or products during loading/unloading or transporting activities ❑ Yes E No I. Materials or products stored outdoors (except final products intended for outside ❑ Yes e 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 N No the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes M No j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes M 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 a 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 M 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 and piping free of rust, damaged or weathered coating, pits, or deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? ❑ Yes ❑ No ® N/A ❑ Yes ❑ No ® N/A Page 3.of 7 S W U-NE-12Aug2010 NCGNE0000 No Exposure Certification 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for all single above ground storage Ie Yes ❑ No ❑ N/A 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 ❑ N/A 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 ❑ N/A Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances" designated in 40 ■ Yes ❑ No ❑ N/A CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No Jil N/A 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes ® No b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste m Yes ❑ No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes u 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: Still bottom Waste from Recycling Hazardous Solvent How is material stored: 55 gallon steel Drum Where Is material stored: Waste Drum Storage Area inside manufacturing Plant. How many disposal shipments per year: 7- for 2011 RY (660 gallons total) Name of transport / disposal vendor: Nexeo Solutions Vendor address: 5200 Blazer Prkwy, DS-2, Dublin, Ohio 43017 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 S W U-N E-12Aug2010 NCGNE0000 No Exposure Certification 16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ■ Yes ❑ No 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., a Yes ❑ No degreasing operations, plating, painting and metal finishing)? If so, describe the Industrial activity: Printing e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? Is Yes ❑ No ❑ N/A Please specify: Permit #06885R15, Facility ID #6800065 (Orange County) I. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Air Quality Program: Small (06885R15) Permit: Hazardous Waste Program: Small (NCD982125437) Permit: Hazardous Material DOT Program: (#053112 551 097U) Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SW U-NE-12Aug2010 NCGNE0000 No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to 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: Dominick Adducci Title: (Signature of Applicant) /o-/s a oiz (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval. The Regional Office may also inspect your facility at any time in the future for compliance with the No Exposure Exclusion. North Carolina General Statute 143-215.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SW U-NE-12Aug2010 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: Z"' This completed application and all supporting documentation. HA map with the location of the facility clearly marked. VIf the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DWO 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 S W U-NE-12Aug2010 9/4/12. Google Maps I Mi i10 ECento, r 11. v �I I A. �J My/V r I X paxvmtd Exa, �1. Oakhu6d $tJ �,•�. I , A �t r 9 C . :G a' V. mot "Gmate. 1 Get Google Maps on your phone Text the word "GMAPS"to466453 TiCY.rc./p rty Rd 11 ` I w t A 4 tl I a i t14 ''IdilP.e r v I WTen Rd -..... Ad. ;... I � 1 �1 O O z: kl A JI � It y .QU C� •M� o https://maps.googIe.com/?ie=UTF8&11=36.074979,-79.236617&spn=0.028131,0.038581 &t=m&z=15&vps... 111 Mead Westvaco Corporation 7411 Oakwood Street PO Box 408 Mebane, NC 27302 MeadWestvaco October 15, 2012 Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Dear Sir or Madam: I� E Global Pharmaceutical & Healthcare Packaging let 919 304 0300 fax 919 563 4584 We have enclosed an application for a No Exposure Certification (NCGNE0000) based on an inspection by Ms. Autumn Romanski September 24"i, 2012. 1 requested that she perlorm an inspection for Non - Exposure, as we were in the process of filing for a Non -Exposure permit for next year. Autumn stated site would send her findings to your office for your approval or comment. If you should have any further questions, please feel free to call or email me at the number below. Sincerely, Joseph Embrose Environmental Coordinator MWV Consumer Packaging- Mebane, INC Facility 7411 Oakwood Street Extended DEC Mebane, NC 27302 l J Ph: 919-304-0320 ioseph.embrosenmwv.com 2012 �l � r �J JOE EMBROSE Safety, Health and Environmental Coordinator MWV Healthcare Mead Westvaco Corporation 7411 Oakwood Street Extension P. O. Box 408 Mebane, NC 27302 +1 919.304.0320 t +1 919.563.3932 r joseph.embrose@mwv.com mwv.com AIM\/] G Regional Inspectors' Checklist for Field Parameters Facility Name: fc,"+ L .ncenM WRF Regional Plant Inspector: CkaAbr2C ate, NPDES #: C Ofl 1/ ' ' '? Regional Inspector Contact #: F t 4— -7 9 Field Lab Certification #: 9 4 cia Region: QR d Lab Contact: _4 Date: 1-2i4 /i a fz- I. Check the parameter(s) performed at this site for reporting purposes. ❑ Total Residual Chlorine (TRC) [RTemperature (TEMP) ❑ Specific Conductivity (SC) Q] pH Q( Dissolved Oxygen (DO) 1CMSettleable Residue (SETT) s"f$('0 Mq_}er I. General Laboratory (note any exceptions in section XI) Are instruments, meters, probes, photometric cells, etc. maintained in good condition? I ❑ Yes ❑ No Are standards, reagents and consumables used within manufacturer expiration dates? RC gel standard is exempt.] ❑ Yes ❑ No Are the following items documented where applicabie : Item TRC pH TEMP DO SC SETT Date of sample collection* Time of sample collection* Sam le collector's initials or signature Date of sample analysis* Time of sample analysis* Analyst initials or signature Sample location *Date and time of sample collection and analysis may be the same for in situ or on -site measurements. III. Total Residual Chlorine Total Residual Chlorine meter make and model: Is a check standard analyzed each day of use? Circle one: gel or liquid standard ❑ Yes ❑ No What is the assigned/observed value of the daily check standard? Is a 5-point calibration verificationperformed? Note date of last verification: ❑ Yes ❑ No Alternatively, does the lab construct a linear regression, using 5 standards, to calculate results? Note date of last calibration curve constructed: ❑ Yes ❑ No True values: ❑ pg/L ❑ mg/L Obtained values: ❑ pg/L ❑ mg/L What program are samples analyzed on? Are results reported in proper units? Check one: ❑ /L ❑ m /L ❑ Yes ❑ No Are results reported between the facility's permit limit and the compliance limit of 50 Ng/L? If value is less than the low standard, report as "<x", where x=low standard conc. ❑ Yes ❑ No Are samples analyzed within 15 minutes of collection? ❑ Yes ❑ No IV. pH pH meter make and model: ; u'l I ua 1 S 46 r- Is the pH meter calibrated with at least 2 buffers per mfg's instructions each day of use? Note buffers used: Yes % ❑ No Is the pH meter calibration checked with an additional buffer each day of use? Note check buffer used: Yes ❑ No Does the check buffer read within t0.1 S.U. of the known value? Yes ❑ No Are the following items documented: Meter calibration? Yes ❑ No Check buffer reading? Yes ❑ No Are samples analyzed within 15 minutes of collection? I LZ Yes ❑ No Are sample results reported to 0.1 pH units? Yes ❑ No V. Temperature What instrument(s) is used to measure temperature? Check all that apply: ❑ pH meter • b0 meter ❑ Conductivity meter ❑ Digital thermometer ❑ Glass thermometer Is the instrument/thermometer calibration checked at least annually against a NIST traceable or NIST certified thermometer? Yes ❑ No Are temperature corrections even if zeroposted on the instrument/thermometer? Yes ❑ No Are samples measured in situ or on -site? [REQUIRED - there is no holding time for temperature] ® Yes ❑ No Are sample results reported in degrees C? ®Yes ❑ No VI. Dissolved Oxygen HA C-H J-/ DO meter make and model: V_ Is the air calibration of the DO meter performed each day of use? Yes ❑ No Are the following items documented: Meter calibration? 0 Yes ❑ No Are samples analyzed within 15 minutes of collection? Yes ❑ No Are results reported in m /L? Yes ❑ No VII. Conductivity Conductivity meter make and model: Is the meter calibrated daily according to the manufacturer's instructions? Note standard used this is generally a one -point calibration): ❑ Yes ❑ No Is a daily check standard analyzed? Note value: ❑ Yes ❑ No Are the following items documented: Meter calibration? ❑ Yes ❑ No Are samples analyzed within 28 days of collection? ❑ Yes ❑ No Are results reported in mhos/cm some meters display equivalent S/cm units)? ❑ Yes ❑ No Vill. Settleable Residue Does the laboratory have an Imhoff Cone in good condition? ❑ Yes ❑ No Is the sample settled for 1 hour? ❑ Yes ❑ No Is the sample aitated after 45 minutes? ❑ Yes ❑ No Are the following items documented: Volume of sample analyzed? Note volume analyzed: ❑ Yes ❑ No Date and time of sample analysis(settling start time)? ❑ Yes ❑ No Time of agitation after 45 minutes of settling? ❑ Yes ❑ No Sample analysis completion(settling end time)? ❑ Yes ❑ No Are samples analyzed within 48 hours of collection? ❑ Yes ❑ No Are results reported in ml/L? ❑ Yes ❑ No IX. Was a paper trail (comparing contract lab and on -site data to DMR) performed? If so, list months reviewed: Apr" } 0 1 Z [K Yes ❑ No X. Is follow-up by the Laboratory Certification program recommended? ❑ Yes ONo XI. Additional comments: Please submit a copy of this completed form to the Laboratory Certification program at: DWQ Lab Certification, Chemistry Lab, Courier # 52-01-01 Electronic copies may be emailed to Iinda.chavisCEMcdenr.aov. Revision 04/20/2012 'M Beverly Eaves Perdue Governor A7jA NCDENR North Carolina Department of Environment and Division of Water Quality Charles Wakild PE Director December 31, 2012 Mr. Dominick Adducci Mead WestVaco Consumer Packaging Group, LLC 7411 Oakwood Street Extended Mebane, NC 27302 Dear Mr. Adducci: Natural Resources Subject: APPROVAL - No -Exposure Certification Certificate of Coverage Number NCGNEO893 Orange County Dee Freeman Secretary The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater Permitting form and has relied on a site visit by Autumn Romanski, to assess the potential for stormwater pollution. The facility tour provided by Jhoana Delgadillo was appreciated. Based on those observations and 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. Your facility was protective of stormwater quality. You must ensure the unloading area is maintained such that no waste electronic material is exposed to stormwater. 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 [subject to civil penalties of up to $25,000 per day]. Your conditional no -exposure exclusion extends into the future . itho �e ��� r `newal. However, the n '1 JAN 1 ' 202 1617 Mail Service CenteRalegh, North Carolina 27699.1617 p - W P, 6 nch Location. 512 N, SalisburySt, Rate i h, North Carolina 27604 One Phone: 91980763001FAX: 919807-64921 Customer Service:1877623.6748 W[e) dr �JOrehCaCOjlna Internal: tvww.nnity eA Affirmative c Naturally An Equal Opponuniry 1 Affirmative Action Employer Division can make unannounced random inspections to verify conditions, and will rescind this certification if conditions warrant. 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 Dave Parnell at (919) 791-4200 or at david.parnell@ncdenr.gov. Ocerely, for Charles Wakild, PE cc: Raleigh Regional Office DWQ Central Files - w/attachments Stormwater Permitting Unit Files (No Exposure) 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604• Phone: 919-807-63001 FAX :919-807.64921 Customer Service: 1-877 623-6748 �One C1C0 lCl �l Internet vev ncRalerquality.org An Equal Opponuniry 1 Affirmative Aci'on Employer (1Va l r17 L// !1 qWa Permit: NCGNE0893 Effective: SOC: Effective: County: Orange Region: Raleigh Compliance Inspection Report Expiration: Owner: McCadwestvaco Consumer Packaging Group LL Expiration: Facility: Mead Westvaco Consumer Packaging Group LLC 7411 Oakwood St Ext Contact Person: Joseph Embrose Title: Mebane NC 27302 Phone: 919-304-0320 Directions to Facility: 1-40 W to 85 W to exit 15 - take right to buckhorn rd - turn left on Industrial Dr - right on Mattress Factory Rd - 500 yards then left on akwood St - f cilit is on right ystem Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 12/11/2012 Entry Time: 12:00 PM Exit Time: 12:45 PM Primary Inspector: David R Parnell Phone: 919-791-4260 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ■ Compliant 0 Not Compliant Question Areas: ■ Miscellaneous Questions ■ Misc (See attachment summary) Page: i LIA Permit: NCGNE0893 Owner - Facility: Meadwestvaco Consumer Packaging Group LLC Inspection Date: 12/1112012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Misc Is the facility compliant? Comment: No Exposure Certificate is granted based on an inspection conducted by Autumn Romanski. Her visit constituted the evaluation for NE. She recommended the No Exposure and Dave Parnell is relying on her recommendation for the determination. Yes No NA NE Page:2