NCGNE0686_Historical File_20100406

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V (i& N Fo L &L
DOC TYPE
AHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 00703 I �
YYYYMMDD

•
0• 00
• ,.0 Stericycle'.
Protecting People. Reducing Risk:
March 16, 2015
Storm Water Permitting Unit
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina, 27699-1612
RE: Stericycle, Inc. Haw River Facility
NO EXPOSURE CERTIFICATION
Dear Sir or Madam:
Please find a completed No Exposure Certification for Exclusion from NCGNE0686 (NEC) Renewal
Form for Stericycle, Inc. Haw River facility in Alamance County, North Carolina.
If additional information is required, please feel free to contact me at 513-543-7073 or via email at
dnussgstericy le.com .
Eincerely,
t-j�.Z�
Don Nuss .��
Regional Environmental Manager M `` - IN��/ rE
Stericycle, Inc. V; ,N �9 2015
�r�.a,
DENR-L.AND QUA'_ITY
S 1 QRM VVAiER PE-1RI�41I'T1NG

Division of Energy, Mineral and Land Resources
Land Quality Section
NCDENR National Pollutant Discharge Elimination System
NORTH CAROLINA DEPARTMENT OF NO EXPOSURE CERTIFICATION for Exclusion
ENVIRONMENT AND NATURAL RESOURCES
NCGNE0000
FOR AGENCY USE. ONLY
Date Received
Year
Month
Day
Certificate of Coverage
NCGNE
NO EXPOSURE CERTIFICATION Please check here if this is a renewal: X
RENEWAL
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit 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Exposure Certification and your NPDES permit is rescinded, your facility must continue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. In
addition, 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 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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type) R E _� I`VE:
1) Mailing address of owner/operator (address to which all certification correspondence �wig pbe mailed):
Name Stericycle, Inc. (Haw River Facility)
Contact Don Nuss P)r_-- ,P-L1'1N D 01-11AL ITY
Street Address 3614 Hoskins Court
ST0R1MVVA,[ER PERfv/I!] 'INIS
City Hamilton
Telephone No. [phone]
Page 1 of 7
State: Ohio
ZIP Code 45011
Fax: [phone]
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
2)
Location of facility producing discharge:
Facility Name Stericycle, Inc. (Haw River Facility)
Facility Contact Alan Skrzypczak
Street Address 1168 Porter Ave
City Haw River
County Alamance
Telephone No. [phone] x24
State NC ZIP Code 27258
Fax: [phone]
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). Located SE of 1-40/1-85 and Jimmie Kerr Road: from
Jimmie Kerr Road (south of 1-40/1-85), go east on Bakatsias Ln.: then right on Porter Ave
(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 X No
5) Is this a Federal facility? ❑ Yes X No
6) Latitude 36.3.59.4174N Longitude 79.20.55.4994W (deg., min.,
seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing Date operation began
X Renewal of existing No Exposure Certification Certification No.: NCGNE 0686
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes X 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: 4953
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Treatment of waste from healthcare facilities (treatment occurs inside building)
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
s 2) 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 X No ❑ N/A
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 spills/leaks ❑ Yes X No ❑ N/A
c. Materials or products from past industrial activity
❑ Yes
X No
❑ N/A
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
X No
❑ N/A
e. Materials or products during loading/unloading or transporting activities
❑ Yes
X No
❑ N/A
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
X No
❑ N/A
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, tanks,
❑ Yes
X No
❑ N/A
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
X No
❑ N/A
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes
X No
❑ N/A
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
X No
❑ N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X No ❑ N/A
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes X 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 X No ❑ N/A
stored outside, has the facility had any releases in the past three (3) years?
1 3) 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 X Yes ❑ No ❑ N/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No X N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for single above ground storage containers
(including drums, barrels, etc.) with a capacity of more than 660-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?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored. -
How many disposal shipments per year:
Name of transport / disposal vendor:_
Vendor address:
Footnotes to Questions 14) c. & d.
❑ Yes ❑ No X N/A
❑ Yes ❑ No X N/A
❑ Yes ❑ No X N/A
X Yes ❑ No ❑ N/A
❑ Yes ❑ No X N/A
❑ Yes X No ❑ N/A
❑ Yes ❑ No X N/A
❑ Yes ❑ No X N/A
*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 may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
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.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes X No ❑ N/A
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: Treatment of Medical Waste
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify: Title V Permit #05896T22
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Solid Waste # 01-02-ICIN-M Program: NCDENR Solid Waste.
Permit: Title V Permit #05896T22 Program: NCDENR Air Quality`
Permit: IUP #0030 Program: City of Graham POTW
Permit:
, Program:
Permit: Program:
Permit: Program:
Permit: Program:
❑ Yes X No ❑ N/A
❑ Yes X No ❑ N/A
X Yes ❑ No ❑ N/A
X Yes ❑ No ❑ N/A
Page 5 of 7
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that 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)).
I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality and, if requested, 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 Water
Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, 1 certify under penalty of
law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of 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 the possibility of fine and imprisonment for
knowing violations.
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.
Prii t d Name Person Signing: Don Nuss
Titl : egional nvironmental Manager — Stericycle, Inc.
(Signature of Applicant)
_3/16/15
(Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(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; 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] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SWU-NE-021309 Last revised 6/24/14

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
X This completed application and all supporting documentation.
X A map with the location of the facility clearly marked.
X If this is a renewal, indicated current NCGNE number in Question 7.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
C
Fayetteville Office ...
[phone]
f '­
Mooresville Office ...
[phone]�
Raleigh Office ........
[phone]
Washington Office ...
(252) 946_ 6481
`{•$it
.,
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
WinstonRS©lern i t
rr ~ gh;'�
w�ss#}ington
AFtpor�svtilc � �(�
.t
pr
w F,c�yericville
r.
/ Wi1tSngton
Page 7 of 7
SWU-NE-021309 Last revised 6/24/14

1168 Porter Ave, Haw River, NC 27258 Directions, Location and Map I MapQuest Page 1 of 1
Notes
a p qi f?. _
i
Map of:
1168 Porter Ave
Haw River, NC 27258-9547
500ft
mapquest 100m
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You assume all risk of use.View Terms of Use
http://www.mapquest.corn/print?a=app.core.aOaa2feaf2ce8c01157e510b 3/16/2015

AM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Freeman r
Governor Director cretary
April 6, 2010
Mr. Kelly Roberts
Stericycle, Inc.
254 West Keene Road
Apopka, Florida 32703
71
C
Subject: No -Exposure Certification NCGNE0686
Stericycle, Inc. — Haw River Facility
1168 Porter Avenue, Haw River, NC 27258
Alamance County
Dear Mr. Roberts:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater Permitting
form. Based on your submittal of signed certification of no exposure at the above referenced facility and the site visit
conducted by Ms. Jenny Graznak of the Division's Winston-Salem Regional Office on March 31, 2010, the Division is granting
your conditional exclusion from permitting as provided for under 40 CFR 126.22(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 a no -exposure exclusion,
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. Your conditional no -exposure exclusion expires in five
years (April 5, 2015). At that time you must re -certify with the Division, or obtain NPDES permit coverage for any
stormwater discharges from your facility.
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 Jenny Graznak at [phone], or at
[e-mail].
Sincerely,
for Coleen H. Sullins
cc: Winston-Salem Regional Office
Stormwater Permitting Unit, No -Exposure Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarotina
Naturally

Permit: NCGNE0686 Effective:
SOC: Effective:
County: Alamance
Region: Winston-Salem
Contact Person: Kelly Roberts
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Compliance Inspection Report
Expiration: Owner: Stericycle Inc
Expiration: Facility: Stericycle, Inc. (Haw River Facility)
1168 Porter Ave
Title:
Inspection Date: 03/31/2010 Entry Time: 11:00 AM
Primary Inspector: Jennifer F Graznak
Secondary Inspector(s):
Haw River NC 27258
Phone: [phone]
Certification:
Exit Time: 12:00 PM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
Page: 1

Graznak, Jenny
From: Whaley, Katherine S (5KW) <[e-mail]>
Sent: Thursday, July 18, 2013 2:06 PM
To: Graznak, Jenny
Subject: RE: Stericycle Haw River - NCD986197515
Thank you, Ms. Graznak.
From: Graznak, Jenny [mailto:jenny.graznakC-&ncdenr.gov]
Sent: Thursday, July 18, 2013 1:10 PM
To: Whaley, Katherine S (5KW)
Cc: Skrzypczak, Alan (ASkrzypczak(-aSTERICYCLE.com)
Subject: RE: Stericycle Haw River - NCD986197515
Ms. Whaley,
Stericycle is still considered to be No Exposure based on the most recent inspection on March 31, 2010. The facility is
required to maintain a record of self -certifications on file. If requested, the facility must submit a copy of the re-
certification to Division of Water Quality. By copy of this email, I am requesting that Alan Skrzypczak, Facility Manager
at Stericycle, submit copies of their re -certifications to date to the Division of Water Quality for review.
As requested, Ms. Whaley, please find attached a copy of the letter and inspection report from my site visit on March
31, 2010. Do not hesitate to contact our office with any questions. Thank you.
Jenny Graznak
E-mail Address: [e-mail]
NCDENR Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
[phone]; fax [phone]
www.ncwaterguality.org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Whaley, Katherine S (5KW) [ma iIto: Katherine. Whaley a ettp.doe.gov]
Sent: Thursday, July 18, 2013 12:11 PM
To: Graznak, Jenny
Subject: Stericycle Haw River - NCD986197515
Re: No Exposure Certification NCGNE0686 for stormwater discharge
Hello Ms. Graznak,
URS I CH2M Oak Ridge, LLC (UCOR), prime contractor to the Department of Energy (DOE) for the Oak Ridge
Reservation facility East Tennessee Technology Park (ETTP), sends medical waste to Stericycle for handling, storage,
processing, and transportation to ultimate disposition. We are conducting our annual review, and request your response
to the following questions.

ma
As 0 o
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 6, 2010
Mr. Kelly Roberts
Stericycle, Inc.
254 West Keene Road
Apopka, Florida 32703
Subject: No -Exposure Certification NCGNE0686
Stericycle, Inc. — Haw River Facility
1168 Porter Avenue, Haw River, NC 27258
Alamance County
Dear Mr. Roberts:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES Stormwater Permitting
form. Based on your submittal of signed certification of no exposure at the above referenced facility and the site visit
conducted by Ms. Jenny Graznak of the Division's Winston-Salem Regional Office on March 31, 2010, the Division is granting
your conditional exclusion from permitting as provided for under 40 CFR 126.22(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 a no -exposure exclusion,
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. Your conditional no -exposure exclusion expires in five
years (April 5, 2015). At that time you must re -certify with the Division, or obtain NPDES permit coverage for any
stormwater discharges from your facility.
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 Jenny Graznak at [phone], or at
[e-mail].
Sincerely,
4 14(Z 6zo
for Coleen H. Sullins
cc: Winston-Salem Regional Office
Stormwater Permitting Unit, No -Exposure Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St, Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
;Vaturallff

Permit: NCGNE0686 Effective:
SOC: Effective:
County: Alamance
Region: Winston-Salem
Contact Person: Kelly Roberts
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Compliance Inspection Report
Expiration: Owner: Stericycle Inc
Expiration: Facility: Stericycle, Inc. (Haw River Facility)
1168 Porter Ave
Title:
Inspection Date: 03/31/2010 Entry Time: 11:00 AM
Primary Inspector: Jennifer F Graznak
Secondary Inspector(s):
Haw River NC 27258
Phone: [phone]
Certification:
Exit Time: 12:00 PM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ■ Compliant [1 Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
NCSCCpQS
Page: 1

'1 ,
/�
0
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RECEIVED
N.C. Dept. of ENR
MAR 2 4 2010
Division of Water Quality / Surfa�e Water ction
ns on-Sa em
Regional Office
National Pollutant Discharge Elimination System
NO EXPOSURE CERTIFICATION for Exclusion
NO EXPOSURE CERTIFICATION
NCGNE0000
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
lD
o
0
Certificate of Coverage
NCGNE
Please check here if this is a renewal: ❑ RENEWAL
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit 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, DWQ 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. In
addition, 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 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).
You are required to reapply for the No Exposure Exclusion once every five (5) years.
For questions, please contact the DWQ 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 Stericycle, Inc. (Haw River Facility)
Contact Kelly Roberts
Street Address 254 W. Keene Road
City Apopka State FL ZIP Code 32703
Telephone No. [phone] Fax: [phone]
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NCGNE0000 No Exposure Certification
2)
Location of facility producing discharge:
Facility Name Stericycle, Inc. (Haw River Facility)
Facility Contact Alan Skrzypczak
Street Address 1168 Porter Ave.
City
County
Telephone No.
State NC ZIP Code 27258
Alamance
[phone] x24 Fax: [phone]
Haw River
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). Located SE of 1-40/1-85 and Jimmie Kerr Road; from
Jimmie Kerr Road (south of 1-40/1-85), go east on Bakatsias Ln. ; then right on Porter Ave.
(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 X No
5) Is this a Federal facility? ❑ Yes X No
6) Latitude 36, 3, 59.4174N Longitude 79, 20, 55.4994W (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility
X Existing
Date operation is to begin
Date operation began 1992 (?)
X Renewal of existing No Exposure Certification Certification No.: NCGNE (Number Unknown)
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes X No
9)
If yes, what is the NPDES Permit Number?
Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4953
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Treatment of waste from healthcare facilities (Treatment occurs inside building.).
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
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NCGNE0000 No Exposure Certification
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 X No ❑ N/A
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 spills/leaks ❑ Yes X No ❑ N/A
c. Materials or products from past industrial activity ❑ Yes X No ❑ N/A
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No ❑ N/A
e. Materials or products during loading/unloading or transporting activities ❑ Yes XNo ❑ N/A
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes X No ❑ N/A
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, tanks, ❑ Yes X No ❑ N/A
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes X No ❑ N/A
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes X No ❑ N/A
j. Application or disposal of process wastewater (unless otherwise permitted) [:]Yes X No ❑ N/A
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X No ❑ N/A
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes X 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 X 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 X Yes ❑ No ❑ N/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No X N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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NCGNE0000 No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. Is secondary containment provided for single above ground storage containers
(including drums, barrels, etc.) with a capacity of more than 660-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?
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
Footnotes to Questions 14) c. & d.
[:]Yes ❑ No X N/A
❑ Yes ❑ No X N/A
❑ Yes ❑ No X N/A
X Yes ❑ No ❑ N/A
❑ Yes ❑ No X N/A
❑ Yes X No ❑ N/A
❑ Yes ❑ No X N/A
❑ Yes ❑ No X N/A
*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 may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
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NCGNE0000 No Exposure Certification
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.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes X No ❑ N/A
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: Incineration of waste from healthcare facilities
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify: Title V Permit # 05896T17
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Solid Waste # 01-02-1 Program: NCDENR Solid Waste
Permit: Title V Permit # 05896T17 Program: NCDENR Air Quality
Permit: UP # 00300 Program: City of Graham POTW
Permit:
, Program:
Permit: Program:
Permit: Program:
Permit: , Program:
❑ Yes X No ❑ N/A
❑ Yes X No ❑ N/A
X Yes ❑ No ❑ N/A
X Yes ❑ No ❑ N/A
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NCGNE0000 No Exposure Certification
17) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that 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)).
I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality and, if requested, 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 Water
Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of
law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of 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 the possibility of fine and imprisonment for
knowing violations.
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 Naw,@ef Person Signing: Al Burson
itle: Corporate Director of Environmental Quality —
(Signatur Applic')jnt)
03/11 /2010
(Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(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; 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] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
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NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
X This completed application and all supporting documentation.
x A map with the location of the facility clearly marked.
❑ If this is a renewal, indicated current NCGNE number in Question 7.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
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SWU-NE-021309 Last revised 2/13/2009

Stericycle Haw,RIver, NC - Google Maps
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March 11, 2010
VIA UPS NEXT DAY DELIVERY
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Stericycle, Inc. — Haw River Facility
NO EXPOSURE CERTIFICATION
Dear Sir or Madam:
Please find attached a completed No Exposure Certification for Exclusion from NCGNE0000
(NEC) for the Stericycle, Inc. Haw River facility in Alamance County, North Carolina.
If additional information is required, please feel free to contact Mr. Kelly Roberts at (407) 948-
2398 or via email at krobertsgstericycle.com.
AB/ab
attachments
cc w/ attachments:
Robert Brown
Kelly Roberts
Alan Skrzypczak
Sincerely,
Alfred (Al) L. Burson, Sr.
Corporate Director of Environmental Quality
Stericycle, Inc.
Environmental Quality Department - 28161 N. Keith Drive, Lake Forest, IL. 60045