NCGNE1159_Annual Self-Recertification_20211123

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FOR AGENCY USE ONLY
Dare Received
Division of Energy, Mineral and Land Resources Y., Mo,r,n D„
Land Quality Section
National Pollutant Discharge Elimination System c�,ir;�xbofco R x
NO EXPOSURE CERTIFICATION for Exclusion � E `p
EnvQualientai NCGNE0000 ,r r� .t
Quality � QV .l g 262f
National Pollutant Discharge Elimination System application for exclusion from a StormwaW 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, snowme/t, 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Exposure Certification and your NPDES permit is rescinded, your facility must continue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
BUT MUST BE self re -certified at least annually.
Please look for information about re -certification under the Ne Exposure section on this page:
https/ldecl.nc.gov/about/divisions/enemy-mineral-land-resources/energy-mineral-land-permits/stormwater-
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator (address to which all certification correspondence will be mailed):
Name FedEx Express Corp
Contact Karen Ellis
Street Address 3620 Hacks Cross Rd , Bldg B, 3rd Floor
City Memphis State TN ZIP Code 38125
Telephone No, 901 4344465 Fax
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NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name FedEx Express MRNA
Facility Contact Miranda Jackson
Street Address 1555 Rankin take ad
City_ . _ - _ Gastonia State NC ZIP Code 2e052
County Gaston _ -
Telephone No. 336 740-3498 Fax
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). Take Sen Marshall Arthur Rauch Hwy. to N. Chester St then turn -
on to Rankin Lake Road.
(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 ®Nod'
5) Is this a Federal facility? ElYes , m No
6) Latitude 35.,17•.27 Longitude-81.,11-,17 (deg., min., seconds) .
7) This NPDES No Exposure Exclusion application applies to which of the following:
t7 New or Proposed Facility Date operation is tc begin
F3 .Existing- Date operation began
El Renewal of existing No Exposure. Certification Certification No.: NCGNE - 1159
8) Was'this facility or site ever covered under an NPDES Stormwater Permit? O Yes w No
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classifications
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.-=— --
Courler services, indoor vehicle washing and mainteance
11) Does this facility. have any No permits (ex: recycle permits)? `
w No -
E3 Yes
If yes; list the permit numbers for all current Non -Discharge permits for this facility: '
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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 E3 Yes , m No 13 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 spills4eaks
p Yes C No in N/A
c. Materials or products from past industrial activity
0 Yes E No ❑ N/A
d. Material handling. equipment (except adequately maintained vehicles)
D Yes ® No 'O N/A
e. Materials or. products during loading/unloading or transporting activitfes ,
OYes 0 No,. D N/A
f. Materials or products stored outdoors (except final products intended for outside
0 Yes ® No OVA
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 al No D N/A
tanks, and similar containers
' h. Materials or products handled/stored on roads or railways owned or maintained
E3 Yes ©No 0 NA
by the discharger
L Waste material (except waste in covered, non -leaking containers [e.g.,
Yes No N/A
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted)
0 Yes M No D N/A
k.'Particulate matter or visible deposits of residuals from roof stacks and/or vents
13 Yes III No' p N/A
- - not otherwise regulated (i.e:, under an air quality control permit);and evident in the
`
stormwater outflow
-- - — - — f. Empty containers that previously contained materials that are not properly'stored -
O Yes-p No -13 N/A — --
(i.e.,. not closed and stored upside down topravent precipitation accumulation)',' -
-
m. For any exterior ASTs, as well as drums, barrels, tanks, and "similar containers
0 Yes ra No i7 N/A
- - sfored out e,'has the facility hadeny 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
eligiblefor the no exposure exclusion.
- a. Are -exterior ASTs or piping free of rust, damaged or weathered coating; pits, or ,
El Yes - © No ._ ® NIA , _
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any
❑ Yes ❑ No a NIA
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. `
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NCGNE0000 No Exposure Certification
a. Is secondary containment provided for single above ground storage containers
t] Yes E3 No 0 NIA
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Issecondary containment provided for above ground storage containers stored
o Yes f3No 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
E3 Yes t7 No 11 N/A
Amendments and Reauthorization Act (SARA) water Priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in
p Yes p No 0 N/A
40 CFR §116?
e. Are release valves on all, secondary. containment structures locked?
t7Yes o No © N/A
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
Mes ■ No ❑ N/A
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous
M Yes C No 0 N/A
waste generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
O Yes M No t] 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: Spent Aerosols w/Residue
Haw is material stored: Drum -AEROSOL RECOVERY
Where is material stored: Vehicle Maintenance Shop
How many disposal shipments per year: 1 disposal
Name of transport / disposal
vendor: Heritage Crystal Clean
Vendoraddress: 2115 Speedrail Dr., Concord, NC 28025
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/orother 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 foramounts 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.
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a. Does your facility store used, recycled, or otherwise reclaimed pallets outside?
D Yes ® No l] NIA
b. Does your facility have coal piles on site?
17 Yes [El No t] N/A
c. Does your facility store other fuel sources outside in piles, such as wood chips,
0 Yes ® No O N/A
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
E3 Yes 0 No p 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
O Yes O 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:
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NCGNEOOOO No Exposure Certification
17) Certification:.
I certify under penalty -of law that I have read and understand the eligibility requirements for cialming a condition of°no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law.thatthere are no discharges of stornwater contaminated by exposure to industrial activities or
materials from the industrial facility or site identified in this document (except as allowed under40 CFR 12226(g)(2)).
I understand: that I am obligated to maintain no exposure: conditions and complete a Self -Recertification form at least once
each vear,.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 l must allow the North Carolina Division of
Energy, Mineral, and Land Resources, 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 I
must keep a copy of annual re -certifications on file at the faculty:
In the event that the sitenolonger qualifies for a No Exposure. Exclusion, I understand that I must obtain coverage under
an NPDES-permit prior to any point source discharge of stohnwaterfrom the facility. Additionally, 1 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 certity that I am familiar with. the inform, ation 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: Karen Ems 11/04/2021
Tifie:: Managing DIrector,Assistent Treasurer
f i /a WZ,1 a"APPROVED
(Signature of Applicant) (Date Signed)
Please note., This application forthe'No Exposure Exclusion issubject to approval by the NCDEQ
Regional Office prior to issuance. The Regional Office maylnspect your facility for compliance
with no exposure conditions prior to that approval. 'The Region/011fice may.also inspect your.
facility at any in the future forcompliance with the No Exposure Exclusion.
North Carolina General Statute 143-216.6 B(i) provides that:
Any person who knowingly mikes any false statement,representation, or cerlifloatlon in any application, record,. report, plan, or other
document filedor 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 falsities, tampers with, or knowingly
renders inaccurate any recording or monitoring deviceor method required to be operated or maintainedunder this Article or rules of the
lEnibonmental. Managementl Commission Implementing this Article shall be guilty of a Llass 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.
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