NCGNE0258_COMPLETE FILE - HISTORICAL_20190611

im
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
C1x HISTORICAL FILE
DOC DATE
❑ c�C�I°1' o u 1 I
YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Interim Director
NORTH CAROLINA
Environmental Quality
June 11, 2019
Bsn Jobst, Inc
Attention: Michael Pencola
Post Office Box 390
Rutherford College, North Carolina 28671
Subject: Compliance Evaluation Inspection
Certification Number: NCGNE0258
Burke County, North Carolina
Dear Mr. Pencola:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection I conducted at the subject facility on June 5, 2019.
The report should be self-explanatory, however, should you have any questions
concerning this report, please do not hesitate to contact me at [phone] or by email
at [e-mail].
Since
Isaiah Reed, CPSWQ, CEPSC, MS4CECI
Environmental Specialist
Land Quality Section
Enclosure: Inspection Report
®� � - North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Asheville Regional Office 1 2090 U.S. Highway 70 1 Swannanoa, North Carolina 28778
NORM cvaocwA
°.c"°"�^"°" m- °°'"h 828.296,4500

Permit: NCGNE0258
SOC:
County: Burke
Region: Asheville
Compliance Inspection Report
Effective: 02/27/06 Expiration: Owner: Bsn-Jobst Inc
Effective: Expiration: Facility: BSN-Jobst, Inc.
100 Beiersdorf Dr
Contact Person: Michael Pencola Title:
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/06/2019 EntryTime: 11:OOAM
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Rutherford College NC 28671
Phone: [phone]
Certification: Phone:
Exit Time: 12:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
® Miscellaneous Questions ® Misc
(See attachment summary)
Page 1 of 3

® 0
Permit: NCGNE0258 owner - FacilityjBsn-JobstInc
Inspection Date: 06105/2019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 5, 2019 this facility was inspected for compliance. Upon inspection, it was found that the facility is currently under
new ownership, and that the NEC currently associated with the facility is not accurate. Please fill out and submit the
attached Rescission Request as soon as possible to avoid compliance issues in the future.
If you have any questions, please contact this office at [phone]
Thank You
Page 2 of 3

Permit: NCGNE0258 Owner - Facility: Bsn-Jobst Inc
Inspection Date: 06/05/2019 Inspection Type : Compliance Evaluation Reason for Visit: Routlne
Misc
Is the facility compliant?
Comment:
Yes No NA NE
❑ ❑ ® ❑
Page 3 of 3

Permit: NCGNE0258
SOC:
County: Burke
}legion: Asheville
Compliance Inspection Report
Effective: 02/27/06 Expiration: Owner: Bsn-Jobst Inc
Effective: Expiration: Facility: BSN-Jobst, Inc.
100 Beiersdorf Dr
Contact Person: Michael Pencola Title:
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/05/2019 EntryTime: 11:OOAM
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Rutherford College NC 28671
Phone: [phone]
Certification: Phone:
Exit Time: 12:00PM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
Page 1 of 3

•
2
permit; NCGNE0258 Owner - Facility: Bsn-Jobst Inc
Inspection Dale: 0610512019 Inspection Type ; Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 5, 2019 this facility was inspected for compliance. Upon inspection, it was found that the facility is currently under
new ownership, and that the NEC currently associated with the facility is not accurate. Please fill out and submit the
attached Rescission Request as soon as possible to avoid compliance issues in the future.
If you have any questions, please contact this office at [phone]
Thank You
Page 2 of 3

MA 0
Permit: NCGNE0258 Owner - Facility: Bsn-Jobst Inc
Inspection Date: 06/05/2019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Misc
Is the facility compliant?
Comment:
Yes No NA NE
❑❑■❑
Page 3 of 3

O�OF 4"•1
A TLc�QG
Michael F. Easley, Governor
William G. Ross Jr., Sccrelary
North Carolina Department of Environment and Natural Resources
Mr. Michael A. Pencola
BSN-JOBST, Inc.
100 Beiersdorf Drive
Rutherford College, NC 28671
Dear Mr. Pencola:
Alan W. Klimek, 1'. E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Watcr Quality
February 24, 2006
Subject: No Exposure Certification NCGNE0258
BSN-JOBST, Inc.
100 Beiersdorf Drive, Rutherford College, NC
Burke County
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on November 18, 2005. 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 (February 1, 2011). 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 Sarah Young at [phone], ext.
502, or at sarah.young®ncmail.net.
Sincerely,
,/lr/'
for Alan W. Klimek, P.E.
cc: Asheville Regional Office Central Files — wlattachments
Stormwater Permitting Unit Files
fJCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699.1617 [phone] Customer Service
1.977-023-6748

�j c6w F�-'Da5s 0111-�i
United States Environmental Protection Agency orrn A
B No. 2040.021
NPDES A Washington, DC 20460 0� 13 2005
FORM `VA EPA NO EXPOSURE CERTIFICATION for Exclusion m
351 D-11
NPDES Storm Water Permitting By
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization far its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Mufti -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 shatter to prevent
exposure to rain, snow, snawmelt, 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,
toading 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 addhibn, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfalls. If any industrial activities or materiats 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 she,
and is obligated 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
1. Name: 19I-SIM—ISIi9IBI5ITI III'IiP I I I I ,I I, I I I I I. I E I 1 1 2.Phone: lYJAI?JTi71lsll01,91
3. Mailing IA�ddress: a. Street I (I al 01 I BI Ei r I �l �! si A �IRI Fi I pl �I I ✓ E i tfi Pi 'idi 0l KI Qi 9i 0i 1
b. y K. 14 IT I # I EI l ,-�l DI lGO' I G 1 I Ef t E I I 1 _1 c. State: LLB d- Zip Code: k ?I6l 71 11— 1 1 1 1 1
B. Facility/Site Location Information
1. Facility Name: i9 I S I 1 `I7i 0 iA-S ITI 1 f I Mi CI I i I I I I I i l I I l l l I 1
1
2. a. Street Address: I( 10 1 01 19 E r 147915'1,01 Ml "'l 1,9 I RI ( I ✓I I i I I I I I I
I I I 1
b.City: 1gj4iT%fjERiFi0AD1 I I I I I c.Cuurrty: 19AXI
E
d. State: 14/1 ci e. Zip Code: I►t.l 64 i 7i h— 1 I I I
Z
3. Is the facility located on Indian Lands? Yes ❑ No 0
2L �0
C:)
C
4. Is this a Federal facility? Yes No
Ro
D
�►
n
Li uu
5. a. Latitude: 1-31J o L"' l IJ . b. Longitude: I— 131 0 1 .11 (1 1 1 1
dp
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes No
CA �
r-r7
i n�n
b. If yes, enter NPDES permit number:
4a
uIJIJ
7. SIC/Activity Codes: Primary: A, z, s, z4 Secondary (if applicable):
8. Total size of site associated with industrial activity: 70 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 roofad over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this infbrmation 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 acreEl One to five acres ❑ More than five acres
EPA Form 3510-11 (10-99)
U 1012110s
Page 1 of 4

a �' 1
.}
S .»
Y � _
... t
.. � , � � i . 'r.
.. � ..
.' - � r - '
r 1' F:
. ..� .. � q
1 `
� _ � �i ,
i - i
i � � � � �
_. ___� ._ _ _ � ....... . .. ...... .. _., - 7
� � � S S r � 4
1 �
1 1
j 1
�, ! � � ` '
7
.1
5 • _ _
_ � . _ � 1 �
� - y
_ _ '
f , I_
1 .� � � � r
.. - .
i

NPDES �iEPA Form Approved
FORM NO EXPOSURE CERTIFICATION for Exclusion from OMB No.2o4i]-f)z11
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
❑
2r
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 spills/leaks
0
E_
3. Materials or products from past industrial activity
!�
4. Material handling equipment (except adequately maintained vehicles)
Q"
5. Materials or products during loadinglunloading or transporting activities
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
B. Materials or products trandiedlstored 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)).
I 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 M54, 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 property 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, aerate 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: i�11 (I�I r`I�EI� E�I I/ I'FINICIVlL1 l I I I I I I I I I I I I I I I
Date: i I 10101C1 ols�
EPA Form 351D-11 (10-99) Page 2 of 4

`-.
�
F,
�•
� f
' _ ' _
f - _ .. .. . _ _ _ _ . ifl

U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA)
x NATIONAL POLLUTANT DISCHARGE ELIMINATION
SYSTEM (NPDES)
° STORMWATER NOTICE OF INTENT PROCESSING CENTER
OPERATOR:
BSN-JOBST INC
ATTN: MICHAEL A PENCOLA
100 BEIERSDORF DRIVE
PO BOX 390
RUTHERFORD COLLEGE, NC 28670
TRACKING NUMBER: NCNOE0050
10/2712005
FACILITY:
BSN-JOBST INC
100 BEIERSDORF DRIVE
RUTHERFORD COLLEGE, NC 28671
Thank you for submitting your NPDES form. EPA cannot process your form because the site location indicated on
the form is under jurisdiction of a state which has been authorized by EPA to implement the NPDES program.
Check with the state permitting authority noted below to determine the regulatory options available to you in that
area.
Permitting Authority:
Name: Bradley Bennett
Organization: North Carolina Department of Environment & Natural Resources 1 Division of
Water Quality
Dept Address: 512 N Salisbury St
Raleigh, NC 27626-1617
Phone: [phone]
EMail [e-mail]
If you have general questions regarding the stormwater program, please call:
Region 4
Mike Mitchell [phone]
If you have questions about your form, please call the EPA NOI Processing Center at 1-866-352-7755 (toll free)
or send an inquiry via the online form at http:///www.epa.gov/npdes/noicontact.
EPA NOI Processing Center
Operated by Avanti Corporation
1200 Pennsylvania Ave., NW
Mail Code: 4203M
Washington, DC 20460
1-866-352-7755