HomeMy WebLinkAboutNCGNE0132_COMPLETE FILE - HISTORICAL_20170120STORMWATER DIVISION CODING SHEET
.NCG PERMITS
PERMIT NO.
NCGNE 01
DOC TYPE
e-HISTORICAL FILE
DOC DATE
❑ -A / 7 0 / -)- D-
YYYYMMDD
A
1
�►"�
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
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NCDENR
National Pollutant Discharge Elimination System
�� GAou�. Oer.nirneni or
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
I Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
�jsll�
N
N
I C
I G
I
E 0 1
3
2
11, Permit status prior to requested change.
a. Permit issued to (company name): Energizer Battery Manufacturitg, Inc
b. Person legally responsible for permit: Steve I' Hall
RECTIVFD
il
JHIN20 it
DENR-LAND QUALITY
STORMWATER PERNOTTING
c. Facility name (discharge):
d. Facility address:
First M 1 Last
Plant Manager
Title
419 Art Bryan Drive
Permit holder Mailing Address
Asheboro NC 27203
City State `Lip
(336) 672-3500 ( )
Phone Fax
Energizer Battery Manufacturing, Inc Plant 2
419 Art Bryan Drive
Address
Asheboro NC 27203
City State rip
e. Facility contact person: Scott V Boyle (336) 672-4546
First 1 MI 1 Last 4Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
Energizer Manufacturing, Inc
Steve T Hall
First
M 1 Last
Plant Manager
Title
419 Art Bryan Drive
Permit
Holder Mailing Address
Asheboro
NC 27203
City
State Zip
(336) 672-4500
SteveT.tiall a Ener gizer.cont
Phone
C-mail Address
d. Facility name (discharge):
Energizer Manufacturing, Inc Plant 2
_
e. Facility address:
419 Art Bryan Drive
Address
Asheboro
NC 27203
City
Stale "Lip
f. Facility contact person:
Scott
V Boyle
First
MI Last
(336) 672-4546
ScottV.Boye ctEnergizer.com
Phone
E-mail Address
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
1V. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
Scott V Boyle
First M I Last
Staff Environmental Coordinator
Title
419 Art Bryan Drive
Mailing Address
Asheboro NC 27203
Citv State Zip
(336) 672-4546 ScottV.Soyie a Energizer.com
Phone I: -mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name changer
® Yes
❑ No (please explain) _
V1. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufticient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting; information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, Steve Hall, attest that this application fora 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 ;?eL'4
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Minerai and Land Resources
Stormwater Permitting Program
- 1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27. 2014
NCDENR
N?xn+ C—LIN4 DEriAITMENT OF
ENYIRONM CNT .. NATURu. RElOUROC9
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
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 C S 0
11. Permit status prior to requested change.
N
N
C
G
E
1 0 1
3
2
WE
a.
Permit issued to (company name):
Energizer Battery Manufacturing
Inc.
b.
Person legally responsible for permit:
Steve T
Hall
First MI
Last
Plant Manager
Title
419 Art
Permit folder Mailing Address
Asheboro NC
27203
City State
Zip
(336) 672-4501 (
)
Phone
Fax
c.
Facility name (discharge):
Energizer Battery Manufacturing, Inc.
d.
Facility address:
419 Arty Bryan Drive
Address
Asheboro NC
27203
City State
Zip
e.
Facility contact person:
Scott V. Boyle (336)
672-4546
First 1 M1 1 Last
Phone
ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
RECEIVED
,W24205
DENR-LAND QUALITY
STORMwATER PERMITTING
Energizer Manufacturing, Inc.
Steve T hall
First MI Last
Plant Manager
Title
419 Art Bryan Drive
Permit Holder Mailing Address
Asheboro NC 27203
City State Zip
(336) 672-4501 SteveT.Hali@,Energizer.com
['hone L"-mail Address
d. Facility name (discharge): _ Energizer Manufacturing, Inc
e. Facility address: 419 Art Bryan Drive
�- Address
Asheboro NC 27203
City Stale Zip
f. Facility contact person: Scott V_ Boyle
First MI. Last
(336 ) 672-4546 ScottV.Boyle@.Energizer.com
Phone E-mail Address
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Scott V Boyle
First M1 Last
Staff Environmental Coordinator
Title
419 Art Bryan Drive
Mailing Address
Asheboro NC 27203
City State Zip
(336) 672-4546 ScottV.Boy]e@,�Energizer.com
Phone - E-mail Address y
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. for a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, ">Tlf , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as inc plete.
Signature Date
APPLICANT CERTIFICATION
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as in - mplete.
Signature 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
A
Energizer. K ow/!n' In9
HouSeho/d Products
Septemeber 2, 2015
Laura Alexander
Administrative Assistant
Stormwater Permitting
NCDENR
1612 Mail Service Center
Raleigh, NC 27699
RE: Energizer Manufacturing, Inc. (formerly Energizer Battery Manufacturing, Inc.)
419 Art Bryan Drive Asheboro, NC 27203 NPDES No Exposure Exclusion No NCGNE0131-"1�6 6-iv EQ
Dear Ms. Alexander:
This is to advise you that the name of our facility will be changing from Energizer
Battery Manufacturing, Inc. to Energizer Manufacturing, Inc., effective July 1, 2015. The
parent company continues to be Energizer Holdings, Inc. with it's headquarters located
in St. Louis, MO. There will be no change in the above -referenced facility's production
processes, raw materials, or operations.
Additionally, there has been a change in the Authorized Contact. The Authorized
Contact is now Steve Hall, Plant Manager.
Should you need further information regarding this name change, please contact (Scott
Boyle, 336-672-4546).
Best regards,
'�7 1h#
S eve Hail
Facility Manager
RECEIVED
SEP 21 2015
DENR-LAND QUALITY
STORMWATER PERMITTING
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Energizer Battery Manufacturing Inc
419 Art Bryan Drive
Asheboro, NC 27203
Subject: General Stormwater Permit Inspections
Energizer Battery Manufacturing Inc
Permit No. NCGNE0132
Randolph County
Dear Sir or Madaam:
Your facility holds a General Permit from the North Carolina Division of Water Quality to
discharge stormwater associated with industrial activities performed at your facility. Please be
advised that the Winston-Salem Regional Office will be performing NPDES Stormwater
Inspections sometime in the near future.
If this office has not previously inspected your facility, you should be prepared to demonstrate
compliance with all terms and conditions included in the Permit. Specifically, we will be
evaluating the following: Stormwater Pollution Prevention Plan, Stormwater Outfall Locations,
Qualitative and Analytical Monitoring Data and any other activities required by your permit.
Copies of the general permits and accompanying documents can be accessed from the following
webpage: htt :Ah2o,enr.state.ne.us/su/Forms Documents.htm#StormwaterGP.
If you have any questions, please contact Jenny Freeman in the Winston-Salem Regional Office
at (336) 771-4600,
Sincerely,
J
Jenny Freeman
cc: NPS Compliance & Assistance Oversight Unit
5WP-Central Files
WSRO Files
N,opr,�thCarolina
�Aahtrallty
North Carolina Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone (336) 771-4600 Fax (336) 771-4631
Internet: h2o.enr.slate.nc.us
An Equal OpportuniiylAlfirmative Action Employer — 50% RecycleO0% Post Consumer Paper
0� W ATF Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
O C Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Austin M Fine
Energizer Battery Manufacturing
533 Maryville Universit
Saint Louis, MO 63141
Subject: No Exposure Certification NCGNE0132
Energizer Battery Manufacturing Inc - 419 Art Bryan Dr
Randolph County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 3, 2003. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your Stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any Stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at (919) 733-5083 ext.
637, or at jonathan.diggs@ncmail.net.
Sincerely,
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office t Central Files—wlattachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 101 1 Mail Servicc Center Raleigh, North Carolina 27699-1017 (919) 733-7015
NCDENR
Customer Service
1.877-623-6749
i
r�
L ,
I I n) i ForrnI4p o' ved
United States Environmental Protection Agency B No! 2040-021 t
NPDES A Washington, DC 20460 PL, I 20
FORM `'fit NO EXPOSURE CERTIFICATION forl%dUsion from
3514-11
rEPA NPDES Storm Water Permitting UE-.,' �.- ; .t rl;,,�k1Y
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmett, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is
not required for the following industrial materials and activities:
drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. 'Sealed'
means banded or otherwise secured and without operational taps or valves:
- adequately maintained vehicles used in material handling; and
- final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obtigated.to comply with the terms and conditions of 40 CFR .122.26(g).. .. _
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
ENERG IEC-2 BA'TTEOW MAWAFACTuRli I zµcr• '3/ KS"Zoad
1. Name: I I I I I 1 1 l 1 1 1 t I I I I I 1 I I I I l I I II- �I 11 1 2. Phone: L I I' I I I I I I I
3. Mailing Address: a. Street:15131 1 M R �Y VII u-E 14 kl�El R?Cfi 1 1�ieiyf I I I I I I I I I I
W. b. 151T1 • I" //5
OI" 1} ]. I I I I I I I I I I I I I I I c. State: M 10 1 d. Zip Code: 613f / 1411 1- I 11 I
B. Facility/Site Location Information
ENE 241pE2 5ATTEPY li/ii41YUFACTuRr�1G f �s+1C.
1. Facility Name: I I I I I I I I I I I I i 11 1 1 1 1 1 I I I I l l
2. a. Street Address: 141 i Al 7I �I R IY _lA la I 1 its IG I 1 1
b. City: 1 Tr151 �I EI i3 O RD 1 1 1 I I 1 I _I 11 4 1 1 1 I
d. State: L-L_J e. Zip Code: 12I 7121 1'�3 L _ I- I 1 1 1
3. Is the facility located on Indian Lands? Yes ❑ No X❑
4. Is this a Federal facility? Yes ❑ No
c. County: II5AIW I�1 1 L1 P I I I 1
5. a. Latitude: �� �61 11,101 b. Longitude: 4I 1? k f J �qJ LJz f
6. a. Was the facility or site previously covered under an NPDES storm roster permit? Yes No
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: '31 161gI� Secondary (if applicable): I } 1 I
B. Total size of site associated with industrial activity: �' 7 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes � No
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre (Ej- One to five acres More than five acres
EPA Form 3510-11 (10-99)
Page 1 of 4
NPDES e� NO EXPOSURE CERTIFICATION'for Exclusion from Form Approved
FARM ',EPA OMB No. 2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No- in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spillslieaks
3. Materials or products from past industrial activity
❑
4. Material handling equipment (except adequately maintained vehicles)
21,
5. Materials or products during loadinglunloading or transporting activities
2-
6. Materials or products stored outdoors (except final products intended for outside use (e.g., new cars] where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
2
8, Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers (e.g., dumpsters])
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name: [A I U IS IT, i I N I lt4l • I IFI1 IN I E I I I I I I I_ I I I I I I I I I I I I
Print Title: A L I d` i tlIT 1 I8 A l�1J Alqj'F—j Rl I l I I I I I_ I I__l I I_ I_ _l I l i t
Signature: �__ i✓t_ --
Date: 16 l I a17l t i 3
EPA Form 3510-11 (10-99) Page 2 of 4