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
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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