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NCGNE1610_Application_20230424
FOR AGENCY USE ONLY NCGNE L rQ Assigned to: y/ Ca0\( C) �p1' ARO FRO RRO WARO WIRO WSRO "NX0,a 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 Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit.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 forthe no exposure exclusion. Additionally, the exclusion from NPDES permitting is available on a facility -wide basis only — not for individual outfalis. 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). 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.gov/about/divisions/enerey mineral-land-resources/npdes-na-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): Li Industries, Inc Zheng Li Street address: City: State Zip Code 1872 Pratt Drive, Suite 1500 Blacksburg VA 24060 Telephone number: Email address: 607-759-5262 ZHENG.LI@Li-Ind.com Type of Ownership: Government ❑ County ❑ Federal ❑ Municipal ❑ State Non -government ® 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: Li Industries, Inc. - Hovis Road Engineering Center Allen Yang Street address: Telephone number: 5130 Hovis Road, Suite H 608-287-6293 Email address: ALLEN.YANG@Li-Ind.com City County L.. State— Zip Code i.. Charlotte Mecklenburg NC 28208 Latitude of entrance: 35-27035' rt I Longitude of entrance:-80.89677 r Parcel Identification Number,(PIN):. 06311441 �>> Date operatii nbegan: �� _,-I'Standard'Industrial Classification (SIC) Code: ' 04/24/23 5093; Brief description of the types of industrial activities and products produced at this facility Sorting end -of -life batteries into different catagorie's, and shipping them out to battery recycling facilities. 3. Consultant (if applicable): Name of consultant: Consulting firm: Branden Barry Trinity Consultants Street address: City: State and zip code: One Copley Parkway, Suite 205 Morrisville NC 27560 Telephone number: Email address 717-574-9547 BBARRY@trinityconsultants.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 (9 No ❑ N/A Materials or residuals'on the ground or in stormwater inlets from spills/leaks ❑ Yes 9 No ❑ N/A Materials or products from past industrial activity ❑ Yes ® No ❑ N/A Material handling equipment (except adequately maintained vehicles) ❑ Yes N No ❑ N/A Page 3 of 6 Materials or products during loading/unloading or transporting activities ❑ Yes ®No ❑ N/A Materials or products stored outdoors (except final products intended for outside use [e.g., new ❑ Yes ® No ❑ 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, ❑ Yes O No ❑ N/A and similar containers Materials or products handled/stored on roads or railways owned or maintained by the discharger ❑ Yes O No ❑ N/A Final products that would be mobilized in stormwater discharges (e.g., rock salt) ❑ Yes ® No ❑ N/A Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes ® No ❑ N/A Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes IN No ❑ N/A Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise ❑ Yes Cl No ❑ 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 ❑ Yes ❑x No ❑ N/A 1 and stored upside down to prevent precipitation accumulation) 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? I ❑ Yes O 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 following items, you are not eligible for the no exposure -exclusion Are exterior ASTs or piping free ofrusf, damaged or weathered coating pits or deterioration, ot. -- ❑ Yes ❑ N,o X N/A evidence of Teaks? Is secondary containment provided for all exterior ASTs? If so is t free.of any cracks,' holes, or ❑ Yes ❑ No M N/A evidence of leaks, and are drain valvesmamtained locked shut? i Is secondary -_containment provided for single above,ground.storagecontalners (including drums,' ❑ Ye's'❑ No � 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' ❑Yes ❑ No F9 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 ❑Yes ❑ No ®N/A Reauthorization Act (SARA) water priority chemicals? Is secondary containment provided for hazardous substances designated in 40 CFR §116? ❑ Yes ❑ No ® N/A Are release valves on all secondary containment structures locked? ❑Yes ❑ No EI 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 ® No ❑ N/A Does this facility have coal piles on site? --I[—❑ Yes ® No ❑ N/A Does this facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.? ❑ Yes ® No ❑ N/A Page,4 of 6 Does this facility have air emissions associated with industrial activity (e.g., degreasing operations, ❑ Yes IR No ❑ N/A plating, painting, or metal finishing)? !f yes: Describe the industrial activity: Are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ 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: Z This facility is a (mark all that apply) N Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility _ ❑ Hazardous Waste Disposal Facility .. v If checked, indicate: • Kilograms of waste -generated each m6nth:`<100 • Type(s) ofwaste:;Damaged Battens and'any contaminated cleaning material • How material is stored: Polypropylene/polyethylene bag lined drum • where material is stored: Designated indoor waste storagearea�with secondary container • Number of waste shipments per year: 12 • Name of,transport/disposal vendor: EnvironmenfahOptions Inc. • Transport/disposal vendor EPA ID: VA0000122994 • Vendor address: 413 Energy Blvd, Rocky Mount, VA 24151 ❑ 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): 17 Copy of most recent Annual Report to the NC Secretary of State (if applicable) ® 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 143-215.66 (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). 1 hereby request exclusion from NPDES stormwater permitting. Under penalty of law, I certify that: IN 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. ® I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. ® 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 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. ® 1 understand that in the event that the site nq_longer qualifies for a No,Exposure Exclusion that.l must obtain coverage under an NPDES permit prior to any pointsource discharge of stormwater from the facdity. " ® The information submitted in this-Nol is, to#ne best of my knowledge and belief, true; accurate, and complete based on my inquiry of the personorpersons who manage the system or those"prisons directly'respo`nsible forgathering the information. Printed Name,of Person :Signing Title: Engineering 'Manager ` 4/13/23 Sig ature 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 6 of 6 DowSlgn Envelope ID: D2EE739F-tA15-42DC-A4FD33E99879E528 SOSI➢: 2584415 j Date Filed: 2/28/2023 9:13:00 Abt Elaine F.Matshall State of North Carolina North Carolina Secretary of State Department of the Secretary of State C2023 054 04193 ;.. APPLICATION FOR CERTIFICATE OF AUTHORITY Pursuant to §55.13-03 of the General Statutes of North Carolina, the undersigned corporation hereby applies for a Certificate of Authority to transact business in the State of North Carolina, and for that purpose submits the following: 1. The name of the corporation is Li Industries, Inc. and if the corporate name is unavailable for use in the State of North Carolina, the name the corporation wishes to use is: 2. The state or country under whose Taws the corporation was organized is: Delaware 3.'I'he date of incorporation was 04/13/2018 1:1 4. Its period of duration is: Z perpetual or a date certain (ntmlddiyyyy) 5. Principal office information: (Select either a or bj a. ®The corporation has a principal office. The street address and county of the principal office of the corporation is: Number and Street 1872 Pratt Or Ste 1500 Blacksburg, VA, 24060 Montgomery_ -City, Statc; Zip Code--- - -- - —County The mailing address, if differentfront the street address, of the principal office of the corporation is: Number and Street City, State, Zip Code b.❑The corporation does not have a principal office. County 6. The street address and county of the registered office in the State of North Carolina is: Number and Street 160 Mine Lake Ct., Ste. 200 City Raleigh State N 1G Zip Code. 27615-6417 County: Wake 7. The mailing address, ifdifferett front 11testreet address, of the registered office in the State of North Carolina is: Number and Street City: State NC , Zip Code: _ County: 8. The name of the registered agent in the State of North Carolina is: C T Corporation System BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622 (Revised July 2017) (!'oral B-09) DocuSign Envelope ID: D2EE739F-lAt6-42DC-A4FO-33E99879E528 9. The names, titles, and usual business addresses of the current officers of the corporation are (attach if necessary): Name Title Busiauss Address Zheng Li Chief Executive Officer 1872 Pratt Dr Ste 1500, Blacksburg, VA, 24060 Xu Han Chief Financial Officer 1872 Pratt Or Ste 1600, Blacksburg, VA, 24060 David Young Chief Technology Officer 1872 Pratt Dr Ste 1500, Blacksburg, VA, 24060 10. Attached is a Certificate of Existence (or document of similar import) duly authenticated by the Secretary of State or other official having custody of corporate records inthe state or country of incorporation. The Certificate of Esistenee must he an original and less than Av rnonllrs old. 11. If the corporation is required to use a fictitious name in order to transact business in this State, a copy of the resolution of its board of directors, certified by its secretary, adopting the fictitious name is attached. 12. This application will be effective upon filing, unless a delayed dateand/or time is This is the 23rd day of February 20 23 — Li Industries, Inc. NAh4E OF CORPORATION ooca'sLro�ea ey: t c..,�az�zc< a ,cESignature Xu Han, Chief Financial Officer Type or Print Name and Title NOTES: 1. Filing fee is $250. This document must be filed with the Secretary of State. BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622 (Revised July 2017) (For'n B-09) lju�laware Page 1 The First State I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY "LI INDUSTRIES, INC." IS DULY INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD STANDING AND HAS A LEGAL CORPORATE EXISTENCE SO FAR AS THE RECORDS OF THIS OFFICE SHOW, AS OF THE TWENTY-THIRD DAY OF FEBRUARY, A.D. 2023. AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL REPORTS HAVE BEEN FILED TO DATE. AND I DO HEREBY FURTHER CERTIFY THAT THE FRANCHISE TAXES HAVE BEEN PAID TO DATE. 6843113 8300 SR# 20230655919 You may verify this certificate online atcorp.delaware.gov/aathver.shtmi Jenrc Y M. Ull1� oP. SITYtAary M Sego Authentication: 202771486 Date: 02-23-23 d A n I V' �.`",^- iy3 ✓ + �' b"' guy` ` 7" -`. ,M It IN It 1 i 1 x ti y t a,i i IN I "+ L "jam t s e-�..�4 ,3. 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