HomeMy WebLinkAboutNCG060437_Application_20220819FOR AGENCY USE ONLY RECEIVED
NCG06 3 ��n[�'��� A„G 1 2022
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Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC20 [Food and Kindred Products], SIC21 [Tobacco Products], SIC283 [Drugs], SIC284
[Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations], SIC 422 [Public
Warehousing and Storage — except for 42261. you can find information on the DEMLR Stormwater Program at
deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
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:
Exela Pharma Sciences, LLC
Mr. Brian Eckert
Street address:
City:
State:
Zip Code:
1245 Blowing Rock Blvd
Lenoir
NC
28645
Telephone number:
Email address:
(630) 688-3938
beckert@exela.us
Type of Ownership:
Government
❑County ❑Federal ❑Aunicipal ❑State
Non -government
El Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑Individual (NCSOS Number 1051484)
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Exela Pharma Sciences, LLC-Au usta Facility
Mr. Brian Eckert
Street address:
City:
State:
Zip Code:
320 Cooperative Way
Lenoir
INC;
28645
Parcel Identification Number (PIN):
County:
09-148-1.53
Caldwell
Telephone number:
Email address:
(630) 688-3938
beckert@exela.us
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2834
1 ❑ New ❑ Proposed El Existing
Operations in progress; began prior to July 2022
Latitude of entrance:
Longitude of entrance:
35.938940
-81.532331
Brief description of the types of industrial activities and products manufactured at this facility:
Manufacturing of sterile injectable solutions and laboratory testing operations
This facility processes meat: ❑Yes iI No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Jeff J. Cook
ECS Southeast LLP
Street address:
City:
State:
Zip Code:
2580 Northeast Expressway
Atlanta
GA
30345
Telephone number:
Email address:
470-510-9569
jcook@ecslimited.com
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑This water is impaired.
001 A
Long Branch Creek
Class C
❑This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.937886
-81.532038
Brief description of the industrial activities that drain to this outfall:
Augusta facility manufactures sterile injectable solutions inside building and materials are transferred to/from building
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes I] No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
F Name of receiving water:
Classification:
❑ This water is impaired.
0018
Long Branch Creek
Class C 1
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.937731
-81.531654
Brief description of the industrial activities that drain to this outfall:
Augusta facility manufactures sterile injectable solutions inside building and materials are transferred totfrom building
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes I] No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
9.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NOI.
Page 2 of 5
S. 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:
0 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Storage and production activities ronducted indoors or under cover; facility personnel to monitor transfer operations to/from buildings.
0 This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
July 2022
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
O This facility is a (mark all that apply)
0 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:
Type(s) of waste:
Augusta- Between 100 and 1000 kg/month(SQG)
waste flammable solvents and wrmsive wastes pdmwily from laboratory testing operations
How material is stored:
Where material is stored:
Sealed drums
Inside main Building and/or storage shed
Number of waste shipments per year:
Name of transport/disposal vendor:
Monthly or as needed
Southern Logistics and Environmental, LLC (SLE)
Transport/disposal vendor EPA ID:
Vendor address:
NCR 000 172 163
2710 Patterson Street, Greensboro, INC 27407
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
O
Check for $100 made payable to NCDEQ
0
Copy of most recent Annual Report to the NC Secretary of State
0
This completed application and any supporting documentation
El
A site diagram showing, at a minimum, existing and proposed:
a)
outline of drainage areas
b)
surface waters
c)
stormwater management structures
d)
location of stormwater outfalls corresponding to the drainage areas
e)
runoff conveyance features
0
areas where industrial process materials are stored
g)
impervious areas
h)
site property lines
O
Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 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).
Under penalty of law, I certify that:
O 1 am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
O The information submitted in this N01 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.
O I will abide by all conditions of the NCG060000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
O 1 hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: Mr. Brian Eckert
Title: Environmental Health and Safety Manager
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5
Additional Outfalis
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a.TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5
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° NORTH CAROLINA
vas
oA Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
(Long Form)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do hereby
certify that
EXELA PHARMA SCIENCES, LLC
a limited liability company organized under the laws of Delaware was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the 30th day of
May, 2008,
with its period of duration
being Perpetual, under the name Exela Pharma Sciences, LLC
and the following documents have been filed since that date:
Date
Event
Filed Document
5/30/2008
Creation Filing
Application for Certificate of Authority Limited Liability
8/6/2008
Amendment
Articles of Correction
4/3/2009
Annual Report
Annual Report LLC
8/14/2009
Name Change
Corporation Name Change (Foreign)
4/15/2010
Annual Report
Annual Report LLC
4/14/2011
Annual Report
Annual Report LLC
3/19/2012
Annual Report
Annual Report LLC
4/12/2013
Annual Report
Annual Report LLC
3/28/2014
Annual Report
Annual Report LLC
3/3/2015
Annual Report
Annual Report LLC
1/5/2016
Annual Report
Annual Report LLC
4/12/2017
Annual Report
Annual Report LLC
6/19/2017
Amendment
Change of Address of Registered Office/Agent
6/27/2018
Annual Report
Annual Report LLC
3/26/2019
Annual Report
Annual Report LLC
4/10/2020
Annual Report
Annual Report LLC
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 9th day of February, 2022.
Scan to verify online.
Certification# 112073297-1 Reference# 18094285- Page: 1 of 2 Secretary of State
Verify this certificate online at littps://www.sosuc.gov/verification
Date Event
2/22/2021 Annual Report
Scan to verify online.
Filed Document
Annual Report LLC
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 9th day of February, 2022.
Certification# 112073297-1 Reference# 18094285- Page: 2 of 2 Secretary of State
Verify this certificate online at https://www.sosnc.gov/verification
I, FURTHER certify that no record is found of other corporate documents having been filed since the 22nd day of February,
2021
I FURTHER certify that the said limited liability company's certificate of authority is not suspended for failure to comply with
the Revenue Act of the State of North Carolina; that the said limited liability company's certificate of authority is not revoked for
failure to comply with the provisions of the North Carolina Business Corporation Act; that its most recent annual report required by
G.S. 55-16-22 has been delivered to the Secretary of State; and that a certificate of withdrawal has not been issued in the name of the
said limited liability company as of the date of this certificate.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 9th day of February, 2022.
online.Scan to verify
Certification# 112073297-1 Reference# 18094285- Page: 3 of Secretary of State
Verify this certificate online at https://www.sosac-gov/verification
Delaware Pagel
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "EXELA PHARMA SCIENCES, LLC" IS DULY
FORMED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS
OFFICE SHOW, AS OF THE NINTH DAY OF FEBRUARY, A.D. 2022.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "EXELA PHARMA
SCIENCES, LLC" WAS FORMED ON THE THIRTIETH DAY OF MAY, A.D. 2008.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
PAID TO DATE.
4554331 8300 '
SR# 20220443575 "
You mayverify this certificate online at corp.delaware.gov/authver.shtml
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Authentication: 202620830
Date: 02-09-22
12022
NOTTRANSFERABLE
STATUTE GS 81.10Q119
L I C E N S E/C E RT I F I CATE:
TYPE
Expiration Date
North Carolina Department of Agriculture & Consumer Services
Stove Troxlor, Commissioner
Food and Drug Protection Division
Outsourcing Facility
12/31/2022
LICENSEE EXELA PNARMA SCIENCES, LLC 1245
OR Blowing Rock Blvd, 1325 William White Place NE,
CERTIFICATOR 320 Cooperative Way, 2101 Morganton Blvd
Lenoir INC 28845
THIS LICENSEICERTIFICATE MAY BE SUBJECT TO REVOCATION OR SUSPENSION AS PROVIDED eY LAW
2022
NOT TRANSFERABLE
STATUTE GS St.103.119
North Carolina Department of Agriculture & Consumer Services
Steve Troxlor, Commissioner
Food and Drug Protection Division
LICENSE/CERTIFICATE: Manufacturer
TYPE
PRESCRIPTION DRUG LICENSE
Expiration Date
12131/2022
LICENSEE
EXELA PHARMA SCIENCES, LLC
OR
1245 Blowing Rock Blvd, 1325 William White Place NE,
CERTIFICATOR
320 Cooperative Way, 2101 Morganton Blvd
.
Lenoir NC 28645
THIS LICENSEICERTIFICATE MAY BE SUBJECT TO REVOCATION OR SUSPENSION AS PROVIDED BY LAW
.ai3tr< LT%-c--
STEVE TROXLER, COMMISSIONER
LICENSEICERTIFICATE NO.
764
Y �1' '•�'9j.
1: s
i
Frlr'VIIF.V \$11
aww V"7-4---
STEVE TROXLER, COMMISSIONER