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HomeMy WebLinkAboutNCGNE1467_Application_20210322Division of Ener FOR AGENCY USE ONLY gy, Mineral and Land Resources Date Received Land Quality Section Year Nto�ct - National Pollutant Discharge Elimination System gay NO EXPOSURE CERTIFICATION for Exclusion Certificate°Peoverage Environmental N C G N E Quality NCGNE0000 National Pollutant Discharge Elimination S on NO EXPOSURE: System application for exclusion from a Stormwate14P R 2 b 20 Submission of this No Exposure Certification constitutes notification that our DENR I I .,.. I , A�.tJ QUALITY permit for stormwater discharges associated with industrial activity in the State of - ' ' IN( it qualifies for a no exposure exclusion. A condition u tr exposure at the facility does not require a industrial materials and activities are protected by a storm resistant shelter u North Carolina because Prevent exposure to rain, snow, sn re Prot, and/or runoff industrial facility means all For permitted facilities in North Carolina p (with some exceptions) to Exposure Certification before this exclusion is effective.must Until Exposure Certification and your NPDES approve your application for No to abide by the terms and conditions of the current permirescinded, you are issued a No Your facility must continue Industrial materials or activities include, but are not limited to: industrial machinery, raw materials, intermediate products, b material handling e Material handling activities include the storage, loading and unloading,g equipment or activities, by-products, fins/ products, or waste products. any raw material, intermediate product, final product or waste product. A storm resistant required for the following inter is not dustrial materials and activities: drums transportation, or conveyance of that are tightly sealed , barrels, tanks, and sirr�ilal r containers 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 vehicles used in material handling; and final products, other than products that w stormwater discharges e. ,adequately maintained g ( g., rock salt). would be mobilized in A No Exposure Certification must be provided for each faci/its addition, the exclusion from NPDES y qualifying, for the no exposureOutfaexclusion. /n eligible if any industrial activities or materials are, or will be, exposed to precipitation, permitting is available on a facility -wide basis only —not for individual eligible for the no exposure exclusion. By signing and submitting this No Exposure certify that a condition of no exposure exists at this facility or site and are the facility /s not terms and conditions of 40 Cex osure p are Certification form, you (g). obligated to comply with the If approved, your conditional No Exposure Exclusion has n Please look for informationUTMSTBE self -certified a least anDual X. ration date https://de ok ov tisi about re-certification er q. g e No Expo section on this page: gy-mineral-land-resources/npdes-no-exposure For questions, please contact the DEMLR Regional Office for your area. See (Please print or type) ( page 6) 1) Mailing address of (Please ator (address to which all certification corres Name ms Comma �ation & �� tu-e_ !�7 dence will ngi Bering Technology (ACET)be mail( Contact Bee Castle py Street Address 529 B Highway 70 West City Havelock Telephone No. 443 784_3397 State NC Fax: ZIP Code 28532 Page 1 of 7 SWU-NCGNE NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Adams Communication & Engineering Technology (ACET) Facility Contact Bee Castle Street Address 529 B Highway 70 West City Havelock State NC ZIP Code 28532 County Craven Telephone No. 443 784-3397 Fax: 3) Physical location information: Please provide a narrative description of how to get to the a facility (usestreetaVeoet names, ck, turn state from d numbers, twe aebetween distance and direction from a roadway intersection). Sound of Freedom Shoppes and Shell gas station (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 ® No 5) Is this a Federal facility? 0 Yes ® No 6) Latitude 34.91056 Longitude -76.93880 (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: M New or Proposed Facility a Existing Date operation is to begin Date operation began 1/10/2021 p Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? 0 Yes ® 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 2 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: The facility is used to manufacture, store, and ship aircraft wiring harnesses and modification kits. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? w No p Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 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 0 Yes 0 No 0 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. Materials or products from past industrial activity d. Material handling equipment (except adequately maintained vehicles) e. Materials or products during loading/unloading or transporting activities f. Materials or products stored outdoors (except final products intended for outside 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, and similar containers 0 Yes 0 No [3 N/A 0 Yes IN No 0 N/A 0 Yes M No 0 N/A 0 Yes E No 0 N/A 0 Yes ® No 0 N/A 0 Yes Iff No 0 N/A h. Materials or products handled/stored on roads or railways owned or maintained 0 Yes W No 0 N/A by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., 0 Yes 0 No 0 N/A dumpsters]) j. Application or disposal of process wastewater (unless otherwise permitted) 0 Yes IN No 0 N/A k. Particulate matter or visible deposits of residuals from roof stacks and/or vents 0 Yes M No 0 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 0 Yes R No 0 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 0 Yes ® No 0 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 0 Yes 0 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 r-1 Yes ® No lia 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 El Yes M No ® N/A in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for Title III Section 313 Superfund p Yes M No ® N/A Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances** designated in p Yes E No IN N/A 40 CFR §116? e. Are release valves on all secondary containment structures locked? [3 Yes El No ® N/A 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ElYes a No p N/A b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous M Yes 13 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 0 Yes 0 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 9/28/2016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? 0 Yes ® No E3 N/A b. Does your facility have coal piles on site? []Yes ® No 0 N/A c. Does your facility store other fuel sources outside in piles, such as wood chips, El Yes M No 0 N/A sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., M Yes ® No El N/A 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 Ei Yes 0 No ® N/A Permit? Please specify: f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NCGNE Last revised 9/28/2016 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. Printed Name of Person Signing: ,L72 e- eqS Ile - Title: ,5eA),e/ (Signature of Applicant) (Date Signed) 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 143-216.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: e This completed application and all supporting documentation. A map with the location of the facility clearly marked. 2' If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: DEMLR - Stormwater Program Dept. of Environmental Quality 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) 776-9800 Central Office ......... (919) 707-9220 Page 7 of 7 SWU-NCGNE Last revised 9/28/2016 3/12/2021 Google Maps Imagery @2021 Maxar Technologies, U.S. Geological Survey, USDA Farm Service Agency, Map data @2021 100 ft https://www.google.com/maps/place/529b+U.S.+Hwy+70+W/@34.910683,-76.9400348,458m/data=!3ml ! 1 e3!4m6!3m5! 1 sOx89a8c32e4edbO897:Oxa5... 1/1 North Carolina Secretary of State Search Results Page 1 of 1 • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Business Corporation Legal Name ITSoft Consulting Inc. Information Sosld: 0654999 Status: Multiple O Date Formed: 12/4/2002 Citizenship: Domestic Fiscal Month: December Annual Report Due Date: April 15th Registered Agent: Alabovitz, John K. Addresses Principal Office Reg Office 4142 Starboard Court 4142 Starboard Court Raleigh, NC 27613 Raleigh, NC 27613 Off icers Stock Class: Common Shares: 1000 No Par Value: Yes https://www.sosnc.gov/online_services/search/Business Registration_Results 3/23/2021