NCGNE1533_No Exposure Certification_20220505

ROY COOPER
Governor
ELIZABETH S. BISER.
secrelatV
BRIAN WPENN
Director
Cardinal Health
Attn: Jennifer Saylor
3031 Nevada Blvd.
Charlotte, NC 28273
Dear Jennifer Saylor:
NORTH CAROLINA
Environmental Quality
May 5, 2022
ECEIVI_r
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DENR-UtW�u,,
Land Quality Section
Mooresville Regional Office
Subject: No Exposure Certification NCGNE1533
Cardinal Health
Mecklenburg County
The Division of Energy, Mineral and Land Resources (DEMLR) has reviewed your submittal of the
No Exposure Certification for Exclusion from NPDES Stormwater Permitting application. Based on
your submittal and signed certification of no exposure at the above referenced facility as well as
observations made during a site visit conducted by inspector with the Mooresville Regional Office
on date of site visit, the Division is granting your conditional exclusion from permitting as provided
for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations.
Please note that by our acceptance of your No Exposure Certification, you are obligated to maintain
no exposure conditions at your facility. If conditions change such that your facility can no longer
qualify for the No Exposure Certification, you are obligated to immediately obtain NPDES permit
coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement
as an un-permitted discharge. You must self -re -certify annually that the No Exposure conditions are
being met by completing the Annual Self Re -Certification Form, which can be found at
https://deq.nc.gov/about/divisions/energy-mineral-land-resources/npdes-no-exposure. The
completed form does not need to be submitted but shall be kept onsite and made available upon
request.
Your conditional exclusion from permitting does not affect your facility's legal requirements to
obtain environmental permits that may be required under other federal, state, or local regulations
or ordinances.
If you have any questions or need further information, please contact Brittany Carson at (919) 707-
3648.
Sincerely,
for Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office / Z. Khan
-' North Carolina Dc *ar tmerit of hnvrrotim vital QUellit L�ivisi n t>f Enerc t4titreral :arid Lanr# C;esottrees
512 worth Salisbury Street 11612 Ntaii Service Center I Raleigh, North Carofina 27699 1612
itoi;4ivi� i aPtnv rGoaro!•5iu�ubaix ()19,707.9200

FOR AGENCY USE ONLY
NCGNE L.5 -� .3 RECEIVED
Assigned to: 0AI
ARO FRO RO RRO WARO WIRO WSRO APR 28 2022
OEMLR.Stormwater Program
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 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.
A No Exposure Certification must be provided for each facility qualifying forthe 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).
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.gov/about/divisions/energy-mineral-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 5

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):
Cardinal Health
Jennifer Saylor
Street address:
City:
State
Zip Code
T28273
3031 Nevada Blvd.
Charlotte
NC
Telephone number:
Email address:
704-587-1903
[e-mail]
Type of Ownership:
Government
El County 0 Federal El Municipal
0 State
Non -government
Business (If ownership is business, a copy
of NCSOS report must be included with this application)
El Individual
2. Industrial Facility (facility requesting exclusion):
Facility name:
Facility environmental contact:
Cardinal Health
Brittany Jackson
Street address:
Telephone number:
3031 Nevada Blvd.
704-587-1920
Email address:
[e-mail]
City
County
State
Zip Code
Charlotte
Mecklenburg
North Carolina
28273
Latitude of entrance: 35.1194180
Longitude of entrance:-80.9441420
Parcel Identification Number (PIN):
20316104
Date operation began:
Standard Industrial Classification (SIC) Code:
August1991
5047
Brief description of the types of industrial activities and products produced at this facility:
Distribution of medical supplies
3. Consultant (if applicable):
Name of consultant: Consulting firm:
Street address: City: State and zip code:
Telephone number: Email address:
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
El Yes 0
No 0 N/A
Materials or residuals on the ground or in stormwater inlets from spills/leaks
ElYes 0
No El N/A
Materials or products from past industrial activity
El Yes 0
No 0 N/A
Material handling equipment (except adequately maintained vehicles)
El Yes El
No 0 N/A
Page 2 of 5

Materials or products during loading/unloading or transporting activities
0 Yes El No 0 N/A
Materials or products stored outdoors (except final products intended for outside use [e.g., new
0 Yes El No R N/A
cars] where exposure to stormwater does not result in the discharge of pollutants)
Materials contained in open, deteriorated, non -sealed', or leaking storage drums barrels, tanks,
0 Yes ED No 0 N/A
and similar containers
Materials or products handled/stored on roads or railways owned or maintained by the discharger
El Yes 0 No El N/A
Final products that would be mobilized in stormwater discharges (e.g., rock salt)
r7l Yes 0 No 0 N/A
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
El Yes 0 No 0 N/A
Application or disposal of process wastewater (unless otherwise permitted)
El Yes l No 0 N/A
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise
0 Yes 0 No 0 N/A
regulated (i.e. under an air quality control permit) and evident in the stormwater outflow
Empty containers that previously contained materials that are not properly stored (i.e., not closed
0 Yes El No 0 N/A
and stored upside down to prevent precipitation accumulation)
For any exterior ASTs, as well as drums, barrels, tanks and similar containers stored outside, has
0 Yes 0 No 0 N/A
the facility had any releases in the past three (3) years?
'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 following items, you are not eligible for the no exposure exclusion.
Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or deterioration, or
DYes n No M N/A
evidence of leaks?
Is secondary containment provided for all exterior ASTs? If so, is it free of any cracks, holes, or
DYes ONo El N/A
evidence of leaks, and are drain valves maintained locked shut?
Is secondary containment provided for single above ground storage containers (including drums,
DYes El No El N/A
barrels, etc.) with a capacity of more than 660-gallons?
Is secondary containment provided for above ground storage containers stored in close proximity
DYes El No N/A
to each other with a combined capacity of more than 1,320 gallons?
Is secondary containment provided for Title III Section 313 Superfund Amendments and
DYes 0 No 0 N/A
Reauthorization Act (SARA) water priority chemicals?
Is secondary containment provided for hazardous substances designated in 40 CFR §116?
DYes [:]No l N/A
Are release valves on all secondary containment structures locked?
El Yes 0 No 0 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?
nYes 0
No 0 N/A
Does this facility store used, recycled, or otherwise reclaimed pallets outside?
El Yes El
No 0 N/A
Does this facility have coal piles on site?
0 Yes El
No 0 N/A
Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.?
El Yes l
No 0 N/A
Page 3 of 5

Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, ❑ Yes ❑ No l N/A
plating, painting, or metal finishing)?
If yes:
Describe the industrial activity:
Are those emissions permitted by an Air Quality Permit? E]Yes E]No
Please specify:
5. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ 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:
E1 This facility is a (mark all that apply)
13 Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
• Kilograms of waste generated each month: 454 kg (1000 Ibs)
• Type(s) of waste: Flammable liquids, flammable solids, corrosive
• How material is stored: Material is stored in poly plastic drums
• Where material is stored: Materials is stored in a locked caged in the east corner of the warehouse
• Number of waste shipments per year: 2
• Name of transport/disposal vendor: Veolia ES Technical Solutions, LLC
• Transport/disposal vendor EPA ID: NCD986166338
• Vendor address: 2176 Will Suitt Rd. Creedmoor, NC 27522
❑ 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):
ID Copy of most recent Annual Report to the NC Secretary of State (if applicable)
17 This completed application and any supporting documentation
121 Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 4 of 5

7. Applicant Certification
North Carolina General Statute 143-215.613 (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). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
0 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.
0 I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES stormwater permitting.
El 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)).
0 1 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 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 recertifications on file at the facility.
17 I understand that in the event that the site no longer qualifies for a No Exposure Exclusion that I must obtain coverage
under an NPDES permit prior to any point source discharge of stormwater from the facility.
IZI The information submitted in this NO1 is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
Printed Name of Person Signing: Jennifer Saylor
Title: Director of Operations
Signatu of Appli t Date Signed
Mail the entire package to: DEMLR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 5 of 5

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LIMITED LIABILITY COMPANY ANNUAL REPORT
10/2017
NAME OF LIMITED LIABILITY COMPANY: Cardinal Health 200, LLC
SECRETARY OF STATE ID NUMBER: 1127927 STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: gf171
Filing Office Use Only
E - Filed Annual
Report
1127927
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Distribution of Medical Supplies
2. PRINCIPAL OFFICE PHONE NUMBER: (614) 7rri7-sonn x
4. PRINCIPAL OFFICE STREET ADDRESS
7000 Cardinal Place
Dublin, OH 43017-1091
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
7000 Cardinal Place
Dublin, OH 43017-1091
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: Allegiance Corporation NAME:
TITLE: Member TITLE:
ADDRESS:
7000 CARDINAL PLACE
DUBLIN, OH 43017
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Allegiance Corporation, by SANDRA REDELINGHUYS Executive Assistant 4/12/2021
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Allegiance Corporation, by SANDRA REDELINGHUYS Executive Assistant Member
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525