NCGNE1325_COMPLETE FILE - HISTORICAL_20190214

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ / Da
YYYYMMDD

r-'
ROY COOPER
Cnverrn or
MICHAEL S. REGAN
Secrerur;
S. DANIEL. SMITH
Interim Director
tAORTH CAP,OLIMA
Environmental Quality
February 14, 2019
Scan M. St11111van
Troutman Sanders LLP
305 Church at North Hills Strcet. Suite 1200
Raleigh, NC 27609-2669
Subject: Notice of Intent N00060000
Delhaize America DC-9
Granville Countv
Dear iNIr. Sullivan:
On December 12, 2018, the Division of Energy. 'Mineral and Land Resources received your application
for NO Exposure Certification for Exclusion. a Notice of irlterlt for Coverage under General Permit
N°CG060000, and Cashier's Check in the aniotint of $100 for Delhaize America I]istribution LLC's
facility located at 1 703 East 17 Street, Butner NC.
This facility has been inspected, and the Raleigh Regional Office determined that the No Exposure
Certification for Exclusion shali apple to the above facility. A letter Under separate cover will be sent
regarding the No EXposure Certification.
In the meantime, we are returning thc: Notice of Intent for Coverage under General Permit NCG060000
and the Cashier's Check in the '1111011111 of S100.
If you have questions a'0OLlt this matter. please contact Annette LuCas at 919-707-3639, or the Stormwater
staff in 01.11• Raleigh Regional Off ice at 9 19-79 1-4200.
Sincereh.
fur S. Daniel Smith
Interim Director
cc: Raleigh Regional Office —T. Valemille
Stormwater Permitting Program
North Carolina Deporrment of l:nvironmentai LudiiT! ! Division of Enrrgy, Mineral and Land Kesourcrs
Q "I� 512 North Sa[@vbu y Street 1 1612 Mill Service Center 1 Raleigh, North Carolina 27699-1612
Tqzr_—," G-7—.1.0. 919.707.4200

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Not -Negotiable
Ctistorner Copy
Rcm i tier (Purchased By): Dl-'-LIIAIZF-AMF.RTCA.I,I,C Retain for your Records
Bank of America, N.A. 001641000710
SAN ANTONIO, TX
Bank of America Cashier's Check No. 1116109280
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Division at Energy. Mineval and Land Resources
' °O • Land QUZ11it)' Section
National Pollutant Dischar(N Eliniitz:uion Svstem
NCDENK
NOTICE OF INTENT��,�'�
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: r
STORMWATER DISCHARGES associated with activities classified as:/
1
SIC (Standard Industrial Classification) 20 Food and Kindred. Products
SIC 21 Tobacco Products
SIC 283 Drugs j
SIC 284 Soaps, Detergents, & Cleaning Preparations, -Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public'f'iarehousing and Storage (except,4226)
i
For questions, please contact the DEMLR Regional Office for your area. See pane 4.
Do Not use this N01 for renewals.
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed):
Name Delhaize America Distribution LLC
Street Address 1703 East D:Street
City Butner / State NC ZIP Code 27509
telephone No, (919) / 575-5201 Fax: NIA
2) Location of facility producing discharge:
Facility Name Delhaize America DC-9 _
Facility Contact Mike Evans
Facility Address �:'1703 East D Street
Facility City Butner State NC ZIP Code 27509
Facility County / Granvilte _
Telephone Nof [phone] Fax: NIA
r
Email ,/ mevans c han,naford.cocn
3) PhysicalfLocation Information:
Please provide a narrative description of how to get o the'faolity (use street names, state road cumbers, and
distance and direction from a roadway intersection). Traveling on 1-85 North, take exit 191 for NC-56 West.
Turn!right onto South 33Id Street, turn right onto East D Street, Delhaize will be on the left.
copy of a county rraa or USGS quad sheet with the facility dear;y located must to submiaed ,vit this application.)
4)1� Latitude 36° 09' 23.59" N Longitude 780 44' 00.73" W (deg, rein, sec)
i
5) This NPDES Permit Application applies to which of the following:
1
❑ New or Proposed Facility Date operation is to begin
i X Existing
SINU-22 i
Page 1 of 4
Last revised 612 :'14

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classi;ication code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 4225
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The facility serves as a distribution center for local Food Liongrocery_stores.
Additional on -site activities include fleet maintenance and refuelinci operations.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points ! Receiving waters;
Now many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? _2
_ What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end -up-in ?. Picture Creek
Receiving water classification: VVS-IV, NSVV
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e,g. City of.Raleigh.municipal storm sewer). NIA
9) Does this facility have any other NPDES permits?
X No
❑ Yes
if yes, list the permit numbers for all current NPDES permits for this faciiity:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Secondary containment provided for bulk fluid storage; facility operates and maintains
three separate retention pends for stormwaler control; additional BIMPs outlined in facility SPPP
12) Does this facility have a 5tormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? June 2017
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
Page 2 of 4
SWU•221 Last revised 6/24114

NCG060000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-ye2r flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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 1 disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.66 (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 wish, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that i am familiar with the information contained in this application and that 10 the best of my
knovriedge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Don Molihan
Title: General Manager
C:: 4 Gla$iIr?
(Src�nature of Applicant) (Date Signed)
This Notice of Intent must he accompanied by a check or money order for $100,00, made payable to:
NCCENR. Do not send the check or money order separately.
Page 3 of 4
5'PIU-221 Last revised 6124/14

NCG060000 N.O.I.
Final Checklist
F,
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
❑ This completed application and all supporting documents.
© A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfa€ls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stcrmwater 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 coverage under the General Permit.
For questions, please contact the DE'MLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office....
[phone]
Fayetteville Office ...
[phone]
Nlooresville Office ...
[phone]
Raleigh Office ......
[phone]
Washington Office
... [phone]
Wilmington Office ...
[phone]
Winston-Salem .....
[phone]
Central Office,.........
[phone]
Page 4 of 4
SWU-221 Last revised 6124114

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REFERENCES
1. STENI, NC OIGITAt RASTER GRAPFiICS,
USGS. SCANNED FRON11:24,000-SCALE STEM. NC
TOPOGRAPHIC MAPS, PUBLISHED 2013, USGS.
2. INSET MAP DIGITAL DATA FRCM 2002 NA iCNAL TRANSPORTATION ATLAS,
BUREAU OF TRANSPORTATION STATISTICS, WASHINGTON, D C-
3. PROPERTY BOUNDARY DATA FROM GRANVILLE COUNTY GIS
Atlantic
BIJI'NER..
CONTOUR INTERVAL = 1C FEET
TOPOGRAPHIC SITE MAP
DELHAIZE AMERICA DC-9
1703 EAST D STREET
BUTNER, NORTH CAROLINA
SCALE: 112,000
--,.j Feet
0 1,000 2,000
❑RAN1N
DATE:
BY:
JUNE 20
DRAFT
JOB NO:
CHECK:
CCOR2926 CO
ENG,
GIS NO:
CHECK
04G-R2926 00-1
__.LAPPROVAL:
DWG NO: 1.1

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PRODUCT RECOVERY CENTER #
� I 1
WOODED AREA 1
ALE_ NO. 1 1
78'44.21.66'• W
367C9'31.62- N�
F3RE PUMP BUILDINGID I 1
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+ =t _ 1 f .I .
\ -I _h. �—�-- } rt DRY CQOD '-Io 1, PARKING 1 EMERGENCY GENERATOR WITH BASE -MOUNTED
LOADING DUCK x r 5Q0-GALLON DIESEL AST
_LON DIESEL \ � + .F - , STORAGE � i
NT STORAGE .4tir a- t O 1y �' i y
DOUBLE -WALLED 1,500-GALLON DESEL AST
AND DISPENSERS �, �j !� _, y +
GRASSY AREA'yt EMERGENCY GENERATOR WITH IN-CRNAL
500-GALLON DIESEL AST (DAY -ANTS)
TRUCK WASH BAY _
WOODED AREA 1�=ffiT 1 41
r ` 1
t( TREC L1NC
y +
FROZEN FOOD
l,iH. 1 STORAGE
1 ! 1 +
w00DEDl AREA y T O
RETENTION POND ', r `., t l% +
\ /
SECURITY GATE \ i
\ - I woonED AREA /
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4
RETENTION POND 2
OUTFACE NO. 2 OD
LAT. 36.09.10.80- N r
' LONG. 78.44'04.95' W
niorrrinV NOTES:

Troutman Sanders LLP
305 Church at *Drth Hilis Street, Suitp i200 _.�-;)U,
Raleigh, i!C ?7E :92fS9 sanders
trout:nan.com
Sean I'll. Sulli%ran
Partn-.r
sewn [e-mail]
December 4, 2018
BY FEDERAL EXPRESS
Fes.
Linda Culpepp rl---J
Director
Division of Water Resources
2,17 West Jones Street
Raleigh, NC 27603
. lai
�
i
-iar_S
Re: !Notice of Intent and Certification of No Exposure for Delhaize America LLC Butner
Distribution Center
Dear Linda:
Please find enclosed a notice of intent for coverage under NPDES general permit
number NCGO60000 and a certification of no exposure for Delhaize America LLC's distribution
center located at 1703 East D Street in Butner, NC.. During a call I had with Sheila Holman this
morning, she asked me to submit this to your attention and indicated that she would follow up
with you regarding the substance of our conversation. Sheila and l have been trying to
schedule a call since early November of this year to discuss this submission, but we were
unable to speak until this morning.
Please give me a call at [phone] to discuss this matter further -when you have a
moment. I look forward to speaking with you.
Sincer ly,,
Sean M. Sullivan
cc: Sheila Holman, NC DEQ

i�,. . - `•
ROY COOPER
Governor
�MICI-IAEL S. REGAN
Secrarary
S. DANIEL SMITH NORTH CAPOt_IN.A
In re, im Direcior Environmental Quatity
Fcbruary 14.2019
Scan tVl. Sullivan
Troutman Sanders U.P
305 Church at North Hills Street, Suite 1200
Ralei-li, NC 27609-2669
Subject: No-ExpOsure Certilication
NCGNE 1325
Delhai7e America DC-9
Granville Count,, -
Dear Mr. Sullivan:
The Division has reviewed and approved your application for No F.,xposut•e Certilication for Exclusion for
Delhaize America Distribution l.,l.C's facility located at 1703 East D Street. Butner NC.
Please note that by our acceptance ofthc No Exposure Certification you are obligated to maintain no-
esposurc conditions at Hour facility. 11'conditions change such that vour facility can no longer qualify for
the rto exposure exclusion, }'ou are Obligated to immediately obtain NPD1 S permit coverage for your
stormwater discharge. Otherwise. the discharge becomes subject to enforcement as an Ern -permitted
discharge.
Annual re -certification is required. Please access the following rvebsite location For the form:
httv5://dca.nc:.2ov/about/divisions/enert7v-mineral-lanci-resources/stormwater .
Your certification of No exposure dOes not affect your facility's legal requirements to obtain
environmental permits that may be required tinder other federal, state, or local regulations or ordinances
If you have questions about this matter, please contact Annette l,ticas at 919-707-3639, or the Storrnwater
staffin our Raleigh Regional Office at 919-791- 2100,
Sincerely, � •' r'-"ti
I
41
--
v
.lnr S. Daniel Smith
Interim Director
cc: Raleigh Regional Office—"F. Valentine
Stormwater Permitting Program
_ Idartts CarnGr,a 7epartment er Envlrcnmcntal Quality i Division of cn�rgy. N1ireral and Land Resow ces
'�/1' S12 North Salisbury Street i M-1 Mall5-rvice Center I Raleigh. North Carolina 27699•Ih12
�w:.1„rm c,-�muamc:r 919.707.9200

I
En Nflo.era '
r.nd _, a-.md pesotfrr, ?.5
=M V1 ONMENTAL OUALITY
Division of Energy, Mineral and Land Resources
Land Quality Section -- Storm►vater Permitting
National Pollutant Discharge Elimination System
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCCNEaooa
Do not submit this form to DEMLR unless requested.
For questions, please contact the DEMLR Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY)
N C I G I N EI. 1/1 1 /
1) Has the facility name or owner changed? ❑ Yes ❑ No
(if yes, please submit a separate NameiOwnership Change Form to DEMLR located at:
2)--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 to maintain your no exposure exclusion, and must immediately apply for
a permit from
DEMLR.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where
❑ Yes
❑ 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
❑ No
c. Materials or products from past industrial activity
❑ Yes
❑ No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
❑ No
e. Materials or products during loadingfunloading or transporting activities
❑ Yes
❑ No
f, Materials or products stored outdoors (except final products intended for outside
❑ Yes
❑ 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,
❑ Yes
❑ No
tanks, and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained
❑ Yes
❑ No
by the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g.,
❑ Yes
❑ No
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
❑ No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents
❑ Yes
❑ No
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
. ❑ No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SWU-NESR-3May2016

NCGNE0000 No Exposure Self Re -Certification
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ❑ No
stored outside, has the facility had any releases in the past three (3) years?
3) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply fora permit from DEMLR.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, ❑Yes❑ No ❑
or deterioration, or evidence of leaks? NIA
Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑(es❑ No ❑
cracks, holes, or evidence of leaks, and are drain valves maintained locked NIA
shut?
4) Secondary Containment: If you answer "No" to any of the following items, you are not eligible to
maintain your no exposure exclusion, and must immediately apply for a permit from DEMLR.
a. Is secondary containment provided for all single above ground storage
❑Yes❑ No ❑
containers (including drums, barrels, etc.) with a capacity of more than 660-
NIA
gallons?
b. Is secondary containment provided for above ground storage containers stored
❑Yes❑ No ❑
in close proximity to each other with a combined capacity of more than 1,320-
NIA
gallons?
c. Is secUridary cuntaimnent provided for Tltle III Sectlon 3,13 Superfund
❑Yes❑ No ❑
Amendments and Reauthorization Act (SARA) water priority chemicals`?
NIA
d. Is secondary containment provided for hazardous substances— designated in
❑Yes❑ No ❑
40 CFR §116?
NIA
e. Are release vaives on all secondary containment structures locked?
❑Yes❑ No
NIA
Footnotes to Questions 4) 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 mirimis amounts of certain substances, and/or other qualifiers, as described in the exemptions
from reporting requirements of Title III SARA 313 in 44 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,iess than the Reportable Quantities of the hazardous substances listed in 40 CFR
§117.3
5) Other information: If you answer "Yes" to any of the following items, and the answer if different from
how it was answered when originally applying, you might not be eligible to maintain your no exposure
exclusion. Please contact the Division if this is the case.
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 have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
If you answered yes to d., are those emissions permitted by an Air Quality
Permit? Please specify:
® Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑No
❑ Yes
❑ No
❑Yes❑ No❑
NIA'
Page 2 of 3
SWu-NESR-3May2016

NCGNEOOOO No Exposure Self Re -Certification
6) 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/maintaining 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 this re -certification to
DEMI_R or the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where
applicable). I understand that t must allow the North Carolina Division of Water Quaiity, 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 provided. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information provided is to the best of my knowledge and belief true, accurate and complete. I am aware
` J - __that'there are significant penalties for -providing false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this document and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing:
Title:
(Signature)
(Date Signed)
Please note: The Regional Office may 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 er 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).
This completed form must be kept on file at the facility for at least 5 years. Do not submit this
form to DEMLR unless requested.
Page 3 of 3
SWU-NESR-3May20l6

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