Loading...
HomeMy WebLinkAboutNCGNE1538_Application_20220519DECEIVED FOR AGENCY USE ONLY MAY - j ?012 NCGNE I S 3 % edto: 8. af/ OEMLR-Sbrrnwa(erProgram ARO RO MRO RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources National Pollutant Discharge Elimination System No Exposure Certification for Exclusion NCGNE0000 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. Industrial materials or activities include, but are not limited to: • material handling equipment or activities, • by-products, • industrial machinery, • final products, or • raw materials, • waste products. • intermediate 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 industrial materials stored in the following container types, provided the containers are not deteriorated and do not leak: • drums, • tanks, and • barrels, • similar containers. For new facilities, applicants should apply no earlier than 60 days before the start of operation. This will allow DEMLR staff to verify conditions during active operation. For facilities that already have an industrial stormwater permit 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 Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. Additionally, 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 forthe 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). For new facilities, applicants should not apply more than 60 days before the start of operation date. This If approved, your conditional No Exposure Certification has no expiration date but must be self -recertified at least annually. Please look for information about recertification under the No Exposure section on this page: https://deg.nc.goy/about/divisions/energy-m ineral-land-resources/npdes-no-exposure. Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The submission of this form does not guarantee exclusion from NPDES stormwater permitting. Prior to exclusion from NPDES stormwater permitting a site inspection will be conducted. Page 1 of 6 1. Owner/Operator (to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible person (as signed in Item 7 below): Southeast Bulk, L.L.C. Aubrey Edge Street address: City: State Zip Cade 7014 A.C. Skinner Parkway Ste 290 Jacksonville Florida 32256 Telephone number: Email address: 04-596-3200 aedge@dailys.com Type of Ownership: Government ❑ County ❑ Federal ❑ Municipal ❑ State Non -government IN Business (If ownership is business, a copy of NCSOS report must be included with this application) ❑ Individual 2. Industrial Facility (facility requesting exclusion): Facility name: Facility environmental contact: Southeast Bulk Facility 69406 Cott Cook Street address: Telephone number: 288 Lyman Street 828-785-4183 Email address: scook@flrstcoastenergy.com ,..._-�': J<ic. _.,:1 -.r.- °- •• � __'-.�- ��k�.,.•=t . City County;•~7 State ^_. "Zip Code :- •: '1, Asheville Buncombe North;C_arolina •.: 28gp1 _ •'' Latitude of entrance: 35E5828036 r - ' -_" - - '' "• — '; - '- •� ti_ '-� Longitude of entrance_:i'82.5668080 •` Parcel Identification Number(PIN)r.,y638967111- - - Date operatiohbegan: 8/31/2016 ' 'Standard Industrial Classification (SIC) Code: 5171,E Brief description of the types of industrial activities and products produced at this facility:''=' - Bulk Storage Facilit 3. Consultant (if applicable): Name of consultant: Consulting firm: Brad Tolliver Sierra Piedmont Street address: City: State and zip code: 139 Village Center West, Suite 120 Woodstock Georgia 30188 Telephone number: Email address: 770-792-6200 btolliver@sierrapiedmont.com 4. Exposure Checklists Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. Using, storing, or cleaning industrial machinery or equipment, and areas where residuals from using, storing, or cleaning industrial machinery or equipment remain and are exposed to stormwater ❑ Yes IN No ❑ N/A Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes © No ❑ N/A Materials or products from past industrial activity ❑ Yes ® No ❑ N/A Material handling equipment (except adequately maintained vehicles) ❑ Yes ® No ❑ N/A Page 3 of 6 Materials or products during loading/unloading or transporting activities ❑ Yes IN No ❑ N/A 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) p Yes ®No ❑ N/A Materials contained in open, deteriorated, non -sealed', or leaking storage drums barrels, tanks, and similar containers ❑yes ®No ❑ N/A Materials or products handled/stored on roads or railways owned or maintained by the discharger ❑ Yes ❑ No ® N/A Final products that would be mobilized in stormwater discharges (e.g., rock salt) ❑ Yes l!] No ❑ N/A Waste material (except waste in covered, non -leaking containers [e.g., dumpsters)) ❑ Yes IT No ❑ N/A Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No IN N/A Particulate matter orvisible deposits of residuals from roof stacks and/or vents not otherwise regulated (i.e. under an air quality control permit) and evident in the stormwater outflow ❑Yes ❑ No ®N/A Empty containers that previously contained materials that are not properly stored (i.e., not closed and stored upside down to prevent precipitation accumulation) ❑Yes ®No ❑ N/A For any exterior ASTs, as well as drums, barrels, tanks and similar containers stored outside, has the facility had any releases in the past three (3) years? ❑yes ®No ❑ N/A 'Sealed means banded or otherwise secured and with locked or non -operational taps or valves. Above Ground Storage Tanks (ASTs) and Secondary Containment If you answer "No" to any of the fallowing -items; you are riot eligible for the`no expposure d0usion:" Are exterior ASTs or piping free ofirmt, damaged`or,weathered coating pits,'or deterioration or evidence of leaks? ''' s ' ', IN Yes ❑'No ❑ N/A Is secondary containment' provided for all exterior ASTsv lfso, is li free of any cracks,•holes, or •' evidence of leaks, and are drain yalves maintaired lock shut? ®Yes ❑ No ❑ N/A Is secondarylcontammentprowded for single above ground storage containers (mcluding_drums - -..t- ®Yes'❑ No El N/A barrels, etc.) with a capacity of more than 660 gallons? y Is secondary, containment provided for aboveground storage containers stored in close,prokimity `v to each other with a combined capacity of more than 1,320 gallons? '',•-'.�' ®Yes ❑ No ❑ N/A Is secondary containment provided for Title III Section 313 Superfund Am endme_n_t`s;and Reauthorization Act (SARA) water priority chemicals? ❑Yes ❑ No ®N/A Is secondary containment provided for hazardous substances designated in 40 CFR §116? ❑ Yes ❑ No O N/A Are release valves on all secondary containment structures locked? In Yes ❑ No ❑ N/A 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. Are vehicles used in material handling in disrepair and/or leaking fluid? ❑ Yes ® No ❑ N/A Does this facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes M No ❑ N/A Does this facility have coal piles on site? ❑ Yes ® No ❑ N/A Does this facility store otherfuel sources outside in piles, such as wood chips, sawdust, etc.? ❑ Yes IN No ❑ N/A Page 4 of 6 Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, ❑ Yes IN No ❑ N/A plating, painting, or metal finishing)? If yes: Describe the industrial activity: Are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No Please specify: Other Facility Conditions (check all that apply and explain accordingly): ID This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: NCG080797 ❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non -Discharge permits: ❑ This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: Cl This facility is a (mark all that apply) ❑ Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility ❑ Hazardous Waste Disposal FaciliEy °' =' ""•" ' - _ If checked, indicate: - - nY..! • Kilograms of waste;generaYed each month: • Type(s) of waste" - • How material is stored: -- •- • Where.material„isistored:- • Number of waste shipments per year: - • Name of.transport/disposal vendor: +� r.;y-^^' ^ '• • Transport/disposal vendor EPA ID: :4 '''`'��• • Vendor address: ❑ This facility is located on a Brownfield or SUPERFUND site. If checked, briefly describe the site conditions: ❑ This facility is located on Native American Lands. 6. Required Items (Application will be returned unless all of the following items have been included): IN Copy of most recent Annual Report to the NC Secretary of State (if applicable) O This completed application and any supporting documentation ® Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 5 of 6 7. Applicant Certification North Carolina General Statute 143-215.613 (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 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). 1 hereby request exclusion from NPDES stormwater permitting. Under penalty of law, I certify that: Rl I am the person responsible for the industrial activity, for satisfying the requirements of this exclusion, and for any civil or criminal penalties incurred due to violations of this exclusion. Rl I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. Gd 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 CPR 122.26(g)(2)). Q 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 allowthe North Carolina Division of Energy, Mineral, and Land Resources, or M54 operator where applicable, 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 recertiflcations on file at the facility. Rl I understand that in the event that under an NPDES permit prior to an 50 The information my inquiry of the person or information. 1'Y Printed Name,of Person Signing: Title: Signature i thiss'NOI is, to.the`best of my knowledge:and persons who manage the system,.orthose per n Date Signed Mail the entire package to: DEMLR—Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 6 of 6 i`e,:accurate, and complete based on My responsible forgathering the i III J9 LIMITED LIABILITY COMPANY ANNUAL REPORT tl6=2 NAME OF LIMITED LIABILITY COMPANY: Southeast Bulk, L.L.C. SECRETARY OF STATE ID NUMBER: 1532636 STATE OF FORMATION: DE REPORT FOR THE CALENDAR YEAR: 2022 SECTION A: 1. NAME OF REGISTERED AGENT: Paracorp Incorporated 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1532636 CA202207605890 3117/2022 04:30 SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENI 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 176 Mine Lake Ct #100 176 Mine Lake Ct #100 Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417 SECTION B: 1. DESCRIPTION OF NATURE OF BUSINESS: Bulk Storage Facility 2. PRINCIPAL OFFICE PHONE NUMBER: (904) 596-3200 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 7014 A.C. Skinner Parkway Ste 290 7014 A.C. Skinner Parkway Ste 290 Jacksonville, FL 32256-6940 Jacksonville, FL 32256-6940 6. Select one of the following if applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Aubrey L Edge NAME: TITLE: Man ADDRESS: 7014 A. C. Skinner Parkway, Suite 290 Jacksonville, FL 32256 TITLE: ADDRESS: NAME: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Aubrey L Edge SIGNATURE Form must be signed by a Company Official listed under Section C of This form. Aubrey L Edge Print or Type Name of Company Official 3/17/2022 DATE Print or Type Tile of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of Stale, Business Registration Division, Post Office Box 29525, Raleigh, NC 2762"525 Buncombe County Map 9631 3567 5534 t 0525 8 R VERVIEW DR 8455 290 DEPOT ST 179 LYMAN 5 T • 9325 9398 4311 J9381 - 280 LYMAN ST 9265 8262 8164 2$2 LYMAN ST 81,08 9230 7111 � 3170 3485 288 S 0YMAN 284LYMAN ST� 284 LYMAN ST #1 9083 9969 9944 8960 4834 %999 LYMAN ST 9848 • 9841 99999 LYMAN ST • 8797 9733 3607 • 509 9637 7590 360250 April 26, 2022 1:2, 257 0 0.0175 0.035 0.07 mi S... Esrl HERE, Gartnin, Irtamap, irv�PCaP, GEBCO, USES, FAO, NPS. NRCAN G.0 .., IGN, Kx ester NL, Grtll3re Svc y. Ew