NCG060080_Representative Outfall Status Renewal_20210809

FOR AGENCY USE ONLY
NC
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
Representative Outfall Status (ROS) Renewal Certification Form
Please complete this form if you want to maintain current ROS designations.
Directions: Print or type all entries on this certification form. Attach this form and a copy of the original ROS
approval documentation to the Stormwater Upload Form.
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 ... shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
❑� I, as an authorized representative, request renewal of the ROS designations currently granted to the subject
facility.
❑� No site or activity modifications that impact the characteristics of stormwater discharges from the
representative outfalls have occurred at the subject facility.
❑� I am familiar with the information contained in this request and to the best of my knowledge and belief such
information is true, complete, and accurate.
Facility Name: RJ Reynolds Tobacco Company- Whitaker Park Operations
Permit Number: NCG060080
Printed Name of Person Signing: Janae Wells
Title: Sr. Environmental Engineer
08/09/2021
(Sigr, ure of Permi tee) (Date Signed)
D,E
dJORTH ,AROLINA
Department of Environmental Quality

From: White, SU
To; iopk€ns, Max F.
Cc: White, Glen; Abw-rink, Jackie
Subject: RE: Whitaker Park Stormwater System
Date: Tuesday, February 21, 2017 1:14:59 PM
Attachments: image001.nnn
This email is in response to Jackie's and my phone conversation this morning. Whitaker Park has
been granted representative outfall status. Please consider this email evidence of new status.
Thank you.
Sue White, El
Assistant Regional Engineer
Department of Energy, Minerals and Land resources
336-776-9661 office
stje.whlte(@,ncdenr,gov
Winston Salem Regional Office
450 IN. Hanes Mill Road
Winston Salem, NC 27106
KAIC-�.
c�l:ftiklg Con)pLIres:.._:..
Email correspondence to and frolrr this address is subject to the
North Carolina Public Records Lama and may be disclosed to thin! Parties.
From: Hopkins, Max E, [mailto:[e-mail]
Sent: Thursday, August 25, 2016 10:06 AM
To: White, Sue <[e-mail]>
Cc: White, Glen <[e-mail]>; Abou-rizk, Jackie <[e-mail]>
Subject: RE: Whitaker Park Stormwater System
Hey Sue,
Thank you again for your help.
Max
_..
From White, Sue € o:s e ' e e r. ovj
Sent: Thursday, August 25, 2016 10:00 AM
To: Hopkins, Max E.
Cc: White, Glen
Subject: RE: Whitaker park Stormwater System

Hi Max:
Thanks for meeting with us last Friday. Use the link below to access the website on the Industrial
Stormwater page. Scroll down until you see the forms that you need. Click on them to download,
print or fill out, You can also scroll further until you see the row for the NCG06 permit for Food and
Kindred. This will give you some information exclusive to your permit.
httlalle .nc. ov a out dig sions ener _ 'ne al la d resources enervy-mineral-land-
m' s water- ermits des-industrial-sw
As we discussed on the 19th, after the reconfiguration of your site in January 2017, get the two semi-
annual sampling events behind you and we'll meet again to discuss the best course of action.
Glen or I are available if you need any assistance during the transition time.
Sue White, El
Assistant Regional Engineer
Department of Energy, Minerals and Land Resources
336-776-9661 office
sue.white�a_.ncdenr.g ooy
Winston Salem Regional Office
450 W. Hanes Mill Road
Winston Salem, NC 27106
4
Email correspondence to and from this address is subject to the
North Carolina Public Records Lase and may be disciosed to third parties.
From: Hopkins, Max E. frnailto:HOPKINM1fa7RJRT.com]
Sent; Wednesday, August 24, 2016 9:30 AM
To: White, Glen <, n.white-(-ncdenr.goy>; White, Sue <sue.whitela�ncdenr.gov>
Cc: Abau-rink, Jackie <abourj�@rirt.corrs>
Subject: Whitaker Park Stormwater System
Hey Sue and Glen,

Thank you for visiting with us at our Whitaker Park facility last Friday. We really do appreciate your
help and advice on how to handle the reduction of our facility footprint. If you would be so kind,
please send us the forms we discussed related to modifying our stormwater permit and any other
information that you think would help us get this right.
Thanks again for your help,
Max
336-741-6932 (office)
336-480-4056 (cell)
CONFIDENTIALITY NOTE; This e-mail message, including any attachment(s), contains information that
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X49MA Diivisioz> of Water Quality / Surface Water 1.'r ateetiori
National Pollutant Dischrrrge laiimbiation System
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FlMnomieur Alfa NfFVfNL REswa... Rl'.I�J.t4!117EN rAT Y E Q �11�i ALL S,1�t1.T V S (ROS)
RE- QUEST FORM
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Dale Received
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If a facility Is required to sample multiple discharge locations with very similar stormwater discharges, the
permittee may petition the Director for Representative Outfall Status (ROS). DWQ may grant Representative
Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where anal t1ca1 sampling requirements apply.
ff Representative Outfall Status is granted, ALL outfalls are still subject to the qualitative monitoring
requirements of the facility's permit ---unless otherwise allowed by the permit (such as N05020000) and DWQ
approval. The approval letterfrom DWQ must be I(ept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must not{fy DWQ in writing If any changes affect representative status.
For questions, please contact the DWQ Regional Office for your area fsee page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
individual Permit for) Certificate of Coverage
ieN a `y fG{ U 6 0 0 8 0
2) Facility information—
Owner/Facility Name R.J. Reynolds Tobacco Co. --Whitaker
Facility Contact
Street Address
City
County
Telephone No.
Lindsey M. Aiello __
1001 Reynolds Blvd,
Winston—Salem
Forsyth
336/741-3233
State NC ZIP Code 27105
E-mall Address [e-mail]
..Fax: [phone]
3) List the representative outfalls) information (attach additional sheets if necessary):
Outfall(s) SI C} 008 is representative of Outfall(s) SOO 002 003 00G, 009-0.14
Outfalls' drainage areas have the same or similar activities? x Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? x Yes ❑ No
outfalls have similar monitoring results? u Yes ❑ No x No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes n No
outfalls' drainage areas contain the same or similar materials? a Yes o No
Outfalls have similar monitoring results? ri Yes ❑ No ❑ No data*
Outfall(s) is representative of Outfall(s) _
Outfalls' drainage areas have the same or similar activities? ❑ Yes n No
Outfalls' drainage areas contain the same or similar materials? Q Yes o No
Outfalls have similar monitoring results? ❑ Yes n No it No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional office responsible for review.
Page 9 of 3
SWU-ROS-2009 Last revised 12.130/2009

Representative Ouffall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
See attached letter.
5) Certification. -
North Carolina General Statute 143-215.6 13(1) 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 he 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)
Comm#ssion 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 Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DWQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES permit.
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.
Tit
ame of Person Signing: Lindsey M. Aiello
lot' ENS Mapager
Of
`7 • ' 1
{Date Signed]
Please note: This application for Representative Outfall Status is subject to approval by the
NCDENR Regional Office. The Regional Office may inspect your facility for compliance with the
conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should Include the following items:
G 'rhis completed form.
0 Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be Included in Question 4.
u Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, Industrial activities, and raw materials/finished products within each drainage area,
❑ Summary of results from monitoring conducted at the outfal is listed In Question 3.
© Any other supporting documentation.
Page 2 of 3
SWU-ROB-2003 Last revised 12/3012609

Ropresentative Outfall Status Regiaost
Mail the entire package to:
NC DENR division of Water Quality
Surface Water Protection Section
at the appropriate Regional Office (See trap and addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request Is granted by DWQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For questions, please contact the DWQ Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone [phone]
FAX [phone]
Fayetteville Regional Office
Systel building,
225 Green St., Suite 714
Fayetteville, NC 28301-5094
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 Fast Center Ave.
Mooresville, NC 28115
Phone [phone]
FAX [phone]
Raleigh Regional Office
1628 Mali Service Center
Raleigh, NO 27699-1628
Phone [phone]
FAX [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
FAX [phone]
Wilmington Rogional Office
127 Cardinal Drive Extension
Wilmington, NC 28405 -
Phone [phone]
FAX [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Water Quality Main FAX [phone]
Central Office
1617 Mall Service Center
Raleigh, NO 27699-1617
Phone [phone]
FAX [phone]
Page 3 of 3
SWU-ROS-2009 East revised 12/30/2009

R.J. Repolds Tobacco Coinpany
February 7, 2017
Mr. Matt Gantt
NCDEQ - Winston-Salem Regional Office
Division of Energy, Mineral and Land Resources
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
Re; Request for Representative Outfall Status
R. J. Reynolds 'Tobacco Company
Whitaker Park Facility
Winston-Salem., North Carolina
Dear Mr. Gantt:
The R. I Reynolds Tobacco Company (RJRT) Whitaker Park facility property boundary will
change effective March 7, 2017. This will change several of the stormwater discharge outfalls
(SDOs) from the facility. Accordingly, RJRT has revised the facility's Stormwater Pollution
Prevention Plan (SWP3).
The Whitaker Park facility stormwater permit will encompass a total of approximately 100
acres. Stormwater from approximately 26 acres (-26%) of the facility will discharge at a
new outfall, SDO 008. This acreage includes the steam plant (Building 602) and its
associated tank farm,181 Shed, and the tobacco processing operation (Building 603-1).
Stormwater discharge outfalls two, three, and six (SDO 002, 003, and 006) are unchanged
and have little to no exposure to potential stormwater contamination. SDO 002 and SDO
003 are located at research and development facilities. SDO 006 is located at the Shorefair
facility. These facilities have limited activity and minimal storage areas outdoors, thus low
potential exposure to stormwater contamination.
Stormwater discharge outfall nine (00 009) will transport stormwater from the
loading/unloading areas outside of Building 603-5 which houses a product recovery
operation, a computer depot and a maintenance shop,
Stormwater discharge outfalls ten through fourteen (SDO 010 through 014) will transport
stormwater froin the roof of Building 603-5, and no significant stormwater contamination
should be present.
Considering all of the SDOs and the related potential exposure, RJRT requests
representative outfall status for stormwater discharge outfall number eight (SDO 008) at
the Whitaker Park facility under General Stormwater Permit NCG06OOOO, Certificate of
P.O. pox 2959 Whittoll-Salom, NC 27102 :536,741.5000 wWWArt.co€n Tralls/Q1'1ninyTOIIam

Coverage NCG060080. Stormwater draining to SDO 008 will be the most representative of the
site due to the operations that take place within its drainage area.
The facility's Stormwater Pollution. Prevention Plan has been updated to include the new outfalls,
otttfall numbers eight through fourteen [SD0 008 SDO 014, respectively), along with existing
outfalls two, three and six (SDO 002, 003 and 006), including locations and drainage areas, as
per attached drawings E-15387-017, E-1.5387-018 and 1-1.5387-023, showing the eastern
and western portions of the facility. Stormwater flow direction is shown by arrows for
overland flow and within storm sewers on the drawings, indicating the drainage areas for
each outfall,
Please advise if there are any questions about this submittal or if any additional information is
requited.
cerel ,
Lindsey M. Aiello
Senior EFIS Manager
3661741 -3132
Cc: Ms. Sue White -- NCDENR — Winston-Salem Regional Office
Mr, Glenn White — NCDENR — Winston-Salem Regional Office
Enclosures, Drawings E-15387-017, E-15387-018 and E-15387-023 (2 copies of each)
Representative Outfall Status (ROS) Request Form SWU-ROS-2009
P.O. Box 2959 Wills toll-Snloitl, NC 273U2 336,741,5000 Www.rirt,com AvisforrtlkyTobacco