NCGNE1169_Annual Self-Recertification_20211123

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Division of Energy, Mineral and Land Resources Yew I MR"m
Land Quality Section
National Pollutant Discharge Elimination System .� cenificomdcurnn
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NO EXPOSURE CERTIFICATION for Exclusion x _ vtu
NCGNE0000
NOV 182021
_AND OJ,4_!.
National Pollutant Discharge Elimination System application for exclusion from a StormwaterPlt 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, snowmelt, 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Exposure Certification and your NPDES permit is rescinded, your facility must continue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. Ir
addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual
outfa/ls. 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 No Exposure section on this page:
https://deg nc gov/about/divisions/energy-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
Contact
Street Address
city
Telephone No.
FedEx Express Corp.
Karen Ellis
3620 Hacks Crass Rd., Bldg B., 3rd Floor
Memphis State TN ZIP Code 38125
901 434-8465 Pax:
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NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
FedEx Express QWGA
Miranda Jackson
1190 N Wendover Rd
Mecklenburg
336 740-3498
State NC ZIP Code 28211
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 1-73 to 4653(awards Chadoae, Take eldt245Afmm US-74 FJE h,dependance
-Expy, wn8nue on Charlotte Rte 41N Wendover Rd, turn left at Home Depot entrance, wntinue straight with a slight right Into.FedEx property,
(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 IN No--
6) Is this a'Federal facility? E3 Yes G No
6) Latitude 35., 11., 38 Longitude -ao 474136 (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
13 New or Proposed Facility
0 Existing
Date operation is to begin
Date operation began
qj Renewal of existing No Exposure Certification Certification No.: NCGNE 1169
8) Was this facility or site ever covered under an NPDES Stormwater Permit? Cl Yes 0 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 1 5
- -_an— -- --
10) Provide a brief description of the types of industrial ectivitie§ d products produced at this facility:
Courier services, indoor vehicle washino and maintenance
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
• No
El Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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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
❑ Yes M No ❑ NIA
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 spilis/leaks
❑ Yes C No In NIA
c. Materials or products from past industrial activity
❑ Yes fl No ❑ N/A
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes a No ❑ NIA
e. Materials or products during loading/unloading or transporting activities _
❑ Yes C No _p NIA
f. Materials or products stored outdoors (except final products intended for outside
13 Yes ® No ❑ NIA
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,
0 Yes f Nc 13 N/A
tanks, and similar containers
h. Materials or products handled/stored an roads or railways owned or maintained
❑ Yes ® No ❑ NIA
by the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g.,
❑ Yes 0 No ❑ WA
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted)
O Yes M No 13 N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents
❑ Yes 11 No ❑ NIA
not otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
L Empty containers that previously contained materials that are not properly stored
❑ Yes p No ❑ 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
❑ Yes W No ❑ 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 ©Yes ❑ No X NIA
deterioration, or evidence.of leaks?
b. Is secondary containment provided for allexterior ASTs? If so, is it free of any ❑ Yes ❑ No a 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.
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a. Is secondary containment provided for single above ground storage containers
(including drums, barrels, etc.) with a capacity of more than660-gallons?
b. Is secondary containment provided for above ground storage containers stored
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
Amendments and Reauthorization Act (SARA) water Priority chemicals'?
d. Is secondary containment provided for hazardous substances•` designated in
40 CFR §116?
e. Are release valves on all secondary containment structures locked?
El Yes I] No p N/A
M Yes EI No p N/A
MYes 0 No M N/A
EI Yes ❑ No lit WA
17 Yes O No p N/A
15) Hazardous Waste: - - - -- - — - -
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 13Yes a No ❑ N/A
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous A Yes O No 17 N/A
waste generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste E3 Yes 0 No p 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
How is material stored: Drum- AEROSOL RECOVERY
Where is material stored: Vehicle Maintenance Shop
How. many disposal shipments per year. 1 disposal inJanuary of 2020
Name of transport / disposal -
vendor: Heritage Crystal Clean
Vendor address: 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 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 maybe 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.
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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:
e. If you answered yes to d., are those emissions permitted by an Air Quality
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.):
Mes m No 'O N/A
p Yes ©No I7 N/A
p Yes ®No p NIA
p Yes S No p N/A
E3Yes 0 No ■ N/A
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 l have read and understand the eligibility requirements for claiming a condition of "no
exposureand obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stonnwaler contaminated by exposure to industrial activities or
materials from the industrial facility or site identified in this document (except as allowed under40'CFR 122.26(g)(2)). -
I understand that I amobligated to maintain no.exposure conditions and complete a Self -Recertification format least once
each yearand 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 MS4operatorwhere the discharge is into the local MS4, to performinspections
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 theithe site no longer qualifies for a No Exposure Exclusion, I.. understand that) must obtain coverage under
an NPDES permit poor to any point source discharge of stormwater from the facility_Addl-Tonally, l certify under penalty. of
law that this document and all attachments were prepared under my direction or supervision in accordance with -a system -
designed toassure that qualified personnel properly gathered and evaluatedtheinformation submitted. Based on my
inquiryof 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 thepossibilityof fine and imprisonment for
knowingviolations.
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:. Karen Ellis 11/0812021
Title. Managing Director Assistant Treasurer
APPROVED
(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 conditfons prior2o that approval. The Regional Office rimy ilso Inspect your
facility at any time in the future for complilance with the No Exposure Exclusion.
North Carolina GeneralStatute 143-215.6 B(i).provides that:
Any person who.knovdnglymakes 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 Ws Artois, or who knowingly makes a false
statement of a material fact In a rulemaking paimeding or contested case order this Article; or who falsifies, tampers with, or knoWngly
renders Inaccurate any recordingor monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management) Commisslon Implementing this Article shall be guilty of a Class 2 misdemeanor which may Include.a fine.
not toexceed ten thousand dollars ($10,000)..
There Is currently no fee for No Exposure Exclusion.
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