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HomeMy WebLinkAboutNCGNE1256_COMPLETE FILE - HISTORICAL_20181018STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE I �� DOC TYPE Q�HISTORICAL FILE DOC DATE I o I f� YYYYMMDD Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY FedEx Ground Durham Facility 4357 S. Alston Ave Durham. NC 27713 Subject: No Exposure Certification NCGNE1256 FedEx Ground -Durham Durham County Ms. Owens: ROY 0001'I--R MICHAEL S. REGAN Secrermv WILLIAM E. VINSON, JR. Interim Direcmr The Division has reviewed your submittal of the application for No Exposure Certification requesting exclusion from NPDES stormwater permitting at the FedEx Gound-Durham Facility. Based on your submittal of a signed certification of no exposure and on inspection by Thad Valentine on January 30, 2018, the Division is granting conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, FedEx Ground -Durham Facility is obligated to maintain no exposure conditions at this facility. If conditions change such that the facility no longer qualifies for no exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for any stormwater discharge. Otherwise, the discharge becomes subject to enforcement as unpermitted discharge. FedEx Ground- Durham Facility must recertify the no exposure status annually using the included form. Any "yes" answer would require that you obtain NPDES permit coverage for, stormwater discharge from the facility. The annual self -recertification form does not need to be submitted to DEMLR, unless requested. Please note that this 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. State of North Carolina I Environmental Quality l latergy, Mincral, and 1-and Resources Raleigh Regional Oflicc 11628 ivlail Service Center I Raleigh, NC 27609 919 791 4200 January 12, 2018 Page 2 of 2 If you have any questions or need further information, please.contact Thad Valentine or me at ((919) 791- 4200. Sincerely, William H. Denton IV, PE Regional Engineer Land Quality Section Enclosures: 1. Annual Self -Recertification Form CC: Stormwater Permitting Unit — No Exposure Files Energy, Mineral and Land Resources ENVIRONMENTAL OUALITV February 7, 2018, FedEx Ground Durham Facility 4357 S. Alston Ave Durham, NC 27713 Subject: No Exposure Certification NCGNE1256 FedEx Ground -Durham Durham County Ms. Owens: ROY COOPER Cm enmr NIICI'IA17L S. REGAN seer emn WILUAM E. VINSON, JR. Interim Dheaar The Division has reviewed your submittal of the application for No Exposure Certification requesting exclusion from NPDES stormwater permitting at the FedEx Gound-Durham Facility. Based on your submittal of a signed certification of no exposure and on inspection by Thad Valentine on January 30, 2018, the Division is granting conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, FedEx Ground -Durham Facility is obligated to maintain no exposure conditions at this facility. If conditions change such that the facility no longer qualifies for no exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for any stormwater discharge. Otherwise, the discharge becomes subject to enforcement as unpermitted discharge. FedEx Ground- Durham Facility must recertify the no exposure status annually using the included form. Any "yes" answer would require that you obtain NPDES permit coverage for stormwater discharge from the facility. The annual self -recertification form does not need to be submitted to DEMLR, unless requested. Please note that this 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. State of North Carolina I Environmental Qualitv I Energy, Mineral, and Land Resources Raleigh Regional Office 1 1628 Nlail Service Center Raleigh, NC 27609 919 791 4200 January 12, 2018 Page 2 of 2 If you have any questions or need further information, please contact Thad Valentine or me at ((919) 791- 4200. Sincerely, William H. Denton IV, PE Regional Engineer Land Quality Section Enclosures: 1. Annual Self -Recertification Form CC: Stormwater Permitting Unit — No Exposure Files �o - Division of Energy, Mineral and Land Resources C tofEnvironmental OLandQuality Section iny National Pollutant Discharge Elimination System " JANQiF�,QSURE CERTIFICATION for Exclusion Energy. Mineral u 00 NCGNE0000 and Land Resources ENVIRONMENTAL OUALITV Raleigh Regional Offico FOR AGENCY USE ONLY Date Received 1'car Month I Dey Cenitiewe of Coverage National Pollutant Discharge, Elimination System application for exclusion from a Storrilwater Permit based on NO EXPOSURE: Submission of this No Exposure Certification constitutes notification that your facility does not-requirej, 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, DEMLR 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). If approved, your conditional No Exposure Exclusion has no expiration date BOT MUST BE self re -certified at least annually. Please look for information about re -certification under the No Exposure section on this page: https://deg. nc. gov/about/d ivisions/energy-m ineral-land-resources/energy-mineral-land-perm its/stormwater- For questions, please contact the DEMLR Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed): Name Contact Street Address City Telephone No. FedEx Ground Package System, Inc. Natalie Owens. Environmental Compliance Specialist State VA ZIP Code Fax:.--_­"� Page 1 of 7 pYd, 15108 00 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name FedEx Ground - Durham Facility Contact Street Address City County Telephone No. David Foell, Senior Manager 4357 S. Alston Ave Durham State NC ZIP Code 27713 3) Physical location information: 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). From NC-147 S, take exit 7, right turn to Alexander Dr, travel 1.9 miles and facility is on the 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 IX No ^7 /y/ �% ()� ,G 5) Is this a Federal facility? ❑ Yes IN No 35•-7 0.� I � 1 11" � �o � 6) Latitude 35° 54' 30.5" Longitude 78° 52' 57.0" (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 N Existing Date operation began 09/15/2017 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes IN No If yes, what is the NPDES Permit Number? 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: 4 2 1 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: Small package distribution building with indoor cosmetic vehicle washing. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NCGNE - Last revised 9/28/2016 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 a No ❑ N/A 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 ® No ❑ N/A c. Materials or products from past industrial activity ❑ Yes 0 No ❑ N/A d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ® No ❑ N/A e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No ❑ N/A f. Materials or products stored outdoors (except final products intended for outside ❑ Yes @ No ❑ N/A 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, ❑ Yes 5d No ❑ N/A tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained ❑ Yes M No ❑ N/A by the discharger i. Waste material (except waste in covered, non -leaking containers (e.g., ❑ Yes 00 No ❑ N/A dumpsters]) j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes &l No ❑ N/A k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ❑ Yes ® No ❑ N/A not 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 R No ❑ N/A (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 IN No ❑ N/A 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 O No ® N/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No ® N/A 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. Page 3 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification a. Is secondary containment provided for single above ground storage containers ❑ Yes ❑ No ® N/A (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 p 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 ❑ Yes ❑ No IN N/A 40 CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No ® N/A 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes ® No ❑ N/A b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous ❑ Yes ® No ❑ N/A waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes ® No ❑ N/A 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: 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. 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. Page 4 of 7 SWU-NCGNE Last revised 9128/2016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? b. Does your facility have coal piles on site? c. Does your facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.? d. Does your facility havelair emissions associated with its industrial activity (e.g., degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? Please specify: ❑ Yes ® No ❑ N/A ❑ Yes ® No ❑ N/A ❑ Yes Gd No ❑ N/A ❑ Yes @ No ❑ N/A ❑ Yes ❑ No ® N/A f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Industrial Discharge Permit Program: Durham County, Industrial Pretreatment Program Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NCGNE Last revised 9/2812016 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 maintain no exposure conditions and complete a Self -Recertification form at least once each year, and if requested, provide this certification 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 Energy, Mineral, and Land Resources, 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. I understand I must keep a copy of annual re -certifications on file at the facility. 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. 'arPrinted Name of Person Signing: ANTHONY SPA LVI€Ri Title: (Sign re of Appli (Dot Please note: This application for the No Exposure Exclusion is subject to approval by the NCDEQ 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 fled 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 SWU-NCGNE Last revised 9/2812016 NCGNEO000 No Exposure Certification Final Checklist This application should include the following items: d This completed application and all supporting documentation. t� A map with the location of the facility clearly marked. If 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 Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433'-3300 Mooresville Office ... (704) 66371699 Raleigh Office ........ (919) 7914200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 776-9800 Central Office .........(919) 707-9220 Page 7 of 7 SWU-NCGNE Last revised 9/28/2016 CERTIFIED MAIL December 19, 2017 Stormwater Permitting Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Re: FedEx Ground — Durham / Z,DUR (277) 4357 S. Alston Ave Durham, NC 27713 'fo Whom It May Concern, Please find enclosed the following No Exposure Certification for Exclusion from NPDES Stormwater Permitting for the above referenced facility. Ifyou have any further questions, please contact NatalielOwens, Environmental Compliance Specialist at 412-262-7347, environmental c fedex.com. "thank you. Sincerely, Matthew Stewart Environmental Compliance Administrator— FedEx Ground Enclosures RECEIVE® JAN 02 2018 DENR-LAND QUALITY $tb§&ATEF F-E MIi`1'NO S -vl, ,) Ell -}--)� cv — � Division of Energy, Mineral and Land Resources Cj'A"' Land Quality Section NC®ENR National Pollutant DischarQc Elimination S\Stcm NO EXPOSLIKI. (.:I-'K I'IFICATION for Exclusion NCGNE0000 FOR AGr.NCP CSI'. ON I. r, at,wil m, i 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, DEMLR 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 materiafs, 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 mobili2ed 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(y). If approved, your conditional no -exposure exclusion must be self re -certified at least annually. Please see information here:_._.nodes-sio,nxvaiar pac�,Lrdanrorr^,v>plL,l-___- __......-_--..___... For questions, please contact the DEMLR Regional Office for your area. (See page (I) (Please print or type) 1) Mailing address of ownerloperator (address to which all certification correspondence will be mailedl: Name 7i C.1, C. �Ate� C iw,.P �.- 'ty. 1"S Contact Street Address City State +NL ZIP Code Telephone No. �X ICL t t t - 29 S Fax Page 1 of 7 S1NU-NCGNE Last revised S'5G`315 • r, NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name SA' -'A ; (_ cC.'t a Facility Contact Street Address C ity County Telephone No. State Eu ZIP Code )_ 1 -3 O LC C. `1 \cl 114- ".S >;•i-t `n Fax. 'tlr1 -I -A i'2 3) Physical location information: Please provide a narrative description of how to get to the facility (use street names. state road numbers, and distance and direction from a roadway intersection), t= , 1 t \.� `� i S r,r.d 1,15 4 )1 'to i,lS y21 ti'vs t r l° Tc.l Cx r 1 3 i' l n byL4 i coti.< nva o �nS `12t fe.iy .r e.. R-� R r\�� (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 5 No 5) Is this a Federal facility? Cl Yes X No -- - - ---6) Latitude ,�`�._'t �I � k I`�_ Longitude - ( `I . I `'i`i (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 ( Existing Date operation began f`U r I S Z ct 1 S ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes iXNo If yes, what is the NPDES Permit Number? 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: 3 2 CI 10) Provide a brief description of the types of industrial activities and products produced at this facility: C_1�, .. r�r.n..., !-.:. A_ . ,nQtiA._. Vt�4.n.;t r..: t\.,_tn�.. ,-ha... � ��i b.: •i .1. `31:cvcs 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? V, No ri Yes It yes. list the permit numbers for all current Non-Discharae permits for this facility. Page 2 or 7 S`P/U-NCGr4C Lasl revised 5i5i2015 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 D Yes ;A No ❑ N/A 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 C Yes R No ::) N/A c. Materials or products from past incustrial activity Li Yes 'ANu CI NIA d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No J NIA e. Materials or products during loading/unloading or transporting activities G Yes :A No Cl N/A f. Materials or products stored outdoors (except final products intended for outside CI Yes p4 No F1 N/A 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. :j Yes 'A No ❑ N/A and similar containers h, Materials or products handledfstnred on roads or railways owned or maintained by G Yes 'X No ❑ NiA the discharger i. Waste material (except waste in covered. non -leaking containers (e.g,, durnpstersi) ID Yes V No ❑ NIA i. Application or disposal ofprocess wastewater (unless otherwise permitted) ❑ Yes SC. No ❑ NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes % No ❑ N/A 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 Fj Yes x No I7 N/A (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 a Yes X No ❑ N/A 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 C Yes O No R I deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes 0 No •X N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 sS^!U.NCGNF Last revised 51512015 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 single above ground storage containers Q Yes _• No X. N/A (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored G Yes ❑ No K NIA in close proximity to each other with a combined capacity of more than 1,320- gal Ions? c. Is secondary containment provided for Title III Section 313 Superfund = Yes 7 No N/A Amendments and Reauthorization Act (SARA) water priority chemicals`? d. Is secondary containment provided for hazardous substances" designated in 40 C 'Yes = No N/A CFR §116? e. Are release valves on all secondary containment structures locked? C Yes D No N/A 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage. or Disposal Facility? a Yes Yq No WA Is. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste AYes C No J NIA generated per month) of hazardous waste? c Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes X No ❑ N/A generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: c Type(s)ofwasle�. .eoiatof'asiz..l�clx,•, nK •r-1h,vw..p, Ci�.'rc.,r`.,r�{-zd �, as How is material stored: 6 r ,rv,� Where is material stored: rvNSS2, l'>J.rtA��c How many disposal shipments per year. L� Name of transport / disposal vendor: t« ri o Vendor address. Li 47)o Ov.-k-1�,sc., 'rr1 C-•� .�.SV�:;,;. v�.; l� :11'-fUl 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 maybe made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Iltle III SARA 313 in 40 CFR §312.38. "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 SVW-NCCNE last ravised 5I512015 NCGNE0O00 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 othermse reclaimed pallets outside? ❑ Yes );No N/A b. Does your facility have coal piles on site? c. Does your facility store other fuel sources outside in piles. such as wood chips, sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g_ degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: Kubu:a �Y tI _S 0 " i,+ e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? Please specify. T I. Please list any other environmental program permits (federal, stale, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc ). Permit: o �'. j t1 O 1-1 Program: 1 , it 12_ �.. I�"r Permit: _.. Program. Permit Program: Permit: Program. Permit: Program: Permit: Program: Permit: Program: ❑ Yes %No ❑ N/A Ll Yes X, No - N/A Yes ❑ No ❑ N/A R Yes a No ._ N/A Page 5 of 7 S\NU-NCGNE ' as: revised Si512015 NCGNE0000 No Exposure Certification 17) Certification: certify under penalty of law that I have read and understand the eligibility requirements for clai:r.ino a condition of no exposure- and obtaining an exclusion from NPDES stormwater permiring. I cerly under penalty of law :hat :here are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site ideWiGed in Il:is drn:untent (except as allumed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no ex posure certification form once every five (=,?_years to the North Carolina Division. of Water Quality and, if reauested. to the operator of the local municipal separate storm sewer system (fv1S4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Waver Quality, or tv1S4 operator where the discharge is into the local fv1S4. to perform inspections :o confirm the condition of no exposure and to make soon inspection ropors publicly available upon request. In the event that the site no longer uualifies for a No Exoosure Exclusion, I understand ti)at 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 atti that qualified personnel properly gathered arc evaluated the information submitted Based on my Inquiry of the persor or persons who manage the system, or ;hose persons directly responsible 'tor gathering the -- --information, the information submitted is to the best of my inow,edge are belief true, accurate and complete.. I am aware that more are significant penalties for suomitting false information, including the possibility of `me and imprisonment for knowing violations. I certify the: I am familiar with the information contained in this application and that to the best or my knowledge and belief such information is true, comolete, and accurate. Printed Name of Person Signing L 0-, f P . v._ i) . V Y a.:. S Title:y' C'k i"rN c\vv v.{v.Ci v,s LiL (Sign`ature ofApolicant) (Date 9yned) 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 cerson wno knovnngly makes any false sta:emerd. representation, or certification in any apolication, record, repent, plan. or otnef duuu wnl filed or required to be maintained under OM Ar:iGe or a rule imcicirr ;ing this 4rticic: or }vho knowingly make, o false sta:eirent of a mxerial fact in a rulemaking proceeding or contested case under this Article, or wl.o fa;srfies. )ambers with, or knowing yy renders inaccurate any recording if monitoring device or method required :o be operated or maimaired under this Anide or r ules of the (Environmental MaragemenQ Cornniiss'on :mplemen:inq this A-cle. shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thgrlSand dollars 1$l O.IOb), There is currently no fee for a No Exposure Exclusion. it Page 6 of 7 Swu NCGNE last revised 5i520 15 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: This completed application and all supporting documentation. A map with the location of the facility clearly marked. C If 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 Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh. North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLR 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 .a Page 7 of 7 SViU-t`CGP1E Last revisec 5152015 Static Control Plant IS 2980 Lee Avenue Sanford, NC 27330 4 i 111 1 CIA ri �rU.y� !• a � _ b e t Ck' e � r Energy. Mineral & Land Resources ENVIRONMENTAL QUALITY October 4, 2018 Static Control Components Attn: Debbie Bigelow 2980 Lee Avenue Sanford, NC 27330 Subject: No Exposure Certification NCGNE1097 Static Control Plant 18 Lee County Mrs. Bigelow: ROY COOPER MICHAEL S. REGAN 5enrrnry WILLIAM E. (TOBY) VINSON, JR. Into, im Director 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 as well asl,observations made by Thad Valentine with the Raleigh Regional Office on October 3, 2018, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(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 the No Exposure Certification, 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. You must self re -certify annually using the enclosed form or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be submitted to DEMLR unless requested. Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental permits that may be regUired under other federal, state, or local regulations or ordinances. If you have any questions or need further information, please contact Thad Valentine at (919) 791-4200, Sincerely, rorWilliam E. (Toby) Vinson, Jr. Enclosure cc: RRO — Land Quality Section, Stormwater Files (w/o enclosure) Stormwater Permitting Program, No Exposure Files (w/o enclosure) St k, or N(,r(h t anfllna I Envilemu V,,t,J Quoit. i bnrutr'. D:!trrci 4d:1nd Land Re,ctrc , RaF ldhr yin:z7;)r 1 )dt,6 CA.mt Drive I r ¢h N,vd, Cmiblj 27m(P? 019 791L'00 St air of N,,r kh C-,rolw, 1 b,,�t DlQo, i It v Luu Mio,' 4 i ,r,,i z�;,d know you'.(Off ice! )6ct I P Dfl,e : P,a!<igl, N,th 1119 ^7 41.0,) Energy, Mineral and Land Resources ENVIRONMENTAL 0UALITY June 15,2018 Pablo Hernandez Humacyte, Inc. 2525 E. NC-54 Durham, NC 27713 Subject: No Exposure Certification NCGNE1262 Humacyte, Inc. Durham County Mr. Hernandez: ROY COOPER Cio�'el,lol' MICHAEL S. REGAN S","'In. WILLIAM 17.(T0BY) VINSON, JR. /ntrrim Director The Division has reviewed your submittal of the application for No Exposure Certification requesting exclusion from NPDES stormwater permitting at Humacyte, Inc. Based on your submittal of a signed certification of no exposure and on inspection by Thad Valentine on June 15, 2018 the Division is granting conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, Humacyte, Inc. is obligated to maintain no exposure conditions at this facility. If conditions change such that the facility no longer qualifies for no exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for any stormwater discharge. Otherwise, the discharge becomes subject to enforcement as unpermitted discharge. Humacyte, Inc. must recertify the no exposure status annually using the included form. Any "yes" answer would require that you obtain NPDES permit coverage for stormwater discharge from the facility. The annual self -recertification form does not need to be submitted to DEMLR, unless requested. Please note that this 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. State of North Carolina I Environmental Quality I L-nergy, Nliner 1, and Land Resources Raleigh Regional Office I 1628 Nlail Service Center I Raleigh, NC 27609 919 791 4200 March 12, 2018 Page 2 of 2 If you have any questions or need further information, please contact Thad Valentine or meat (919) 791- 4200. Sincerely, William H. Denton, IV, PE Regional Engineer-RRO Land Quality Section Enclosures: Annual Self -Recertification Form CC Stormwater Permitting Unit — No Exposure Files