NCGNE0285_COMPLETE FILE - HISTORICAL_20060725

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /VL&R(L'U�(k�
DOC TYPE C9-IHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ al)L bq
YYYYMMDD

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• � CvK
F'1N A]F Michael F.Easley,Governor
0 9pG William G.Ross Jr.,Secretary
W FCF`.VC" North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.E.Director
' Division of Water Quality
JUL0 2 5 40 4 Coleen H.Sullins,Deputy Director
_4e_, {I Division of Water Quality
July 19, 2006
Mr. Ernie Callahan
Pactiv Corporation I
520 Radar Road
Greensboro, NC 27410 111[[[
Subject: No Exposure Certification NCGNE0285
Pactiv Corporation
820 Radar Road, Greensboro, NC (V)P%%QN0 Lev
Guilford County
Dear Mr. Calahan:
The Division has.reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on May 24, 2006. Based on your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your certification as
provided for under 40 CFR 126.22(g), which is incorporate Terence in North Carolina regulations, and
hereby rescinding your former Certificate of Covers NCG050035. ff --
W+zf}rMAN
Please note that by our acceptance of your no exposure certification you are obligated maintain no
Ygcr1(A'('�
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 S�0 �A�►�
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your QQ TK,
conditional no-exposure exclusion expires in five years(June 30, 2011). At that time you must re-certify with +
the a Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
WRS �er Your certification of no exposure 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. ��4S� ltSC
If you have any questions or need further information, please contact Sarah Young at(919) 733-5083, ext.
502, or at [e-mail].
Sincerely,
ORIGINAL SIGNED BY p
KEN PICKLE `
for Alan W. Klimek, P.E.
cc:-Winston-Salem Regional Office Central Files—wlattachments
Stormwater Permitting Unit Files
WC26C R
N.C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1 6 1 7 [phone] Customer Service
1-877-623-6748

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�M�intain Permit Comment
I�
Permit: NCG050035 Version: 3.0 Status: citve
Entered BY 61%e,mickey
'Comment: (Note:This permit is forthe PactivManufacluring facility
Located at 520 Radar Road. The No Exposure Certification
i(NCGNE0285)issued 7-19-06 was forthe warehouse facility
Totaled at 820 Radar Road. The warehouse never had a SW
permit. The 709f06letter incorrectly rescinded the
NGG050035 permit for the manufacturing facility. This
mistake was corrected when the permitwas reinstated on
�&9-11 (see events tab).[
y 6K^^ _e Cancel
........ ...... __ ... -------------
Ready SID PMCD
Permit: NCG050035 Version: 3.0 Status: dive
EveniType: Permit reinstated 3 J Event Date: 06l09f2011
Responsible Person: !brian.lowther Due Date:
Comment: F his permit is forthe manufacturing facility located at 520 Radar Road and is different from the
warehouse facility located at B20 Radar Road which is covered byNCGNE0285 issued M 9106.
'NCG050035 should not have been rescinded when the NCGNE was issued.
PMED

.
:1 Permit: NCG050035� version: 3.0 Status: Mlye ---
Event Type: Permit rescinded Event Date: b811 212 01 0
Responsible Person: �orey.basinger Due Date:
Comment: 'NCG050035 was incorrectly rescinded on 811200 in response to the No Exposure Certification#
NCONE0285 issued 7118196 for the Pactivwarehouse located at 820 Radar Road. The company
(never held a NCG permit forthe warehouse and the 7118106 NCGNE letter should not have rescinded
NCGD50035 since which is the permitfor the manufacturing facility at 520 Radar Road.
......................................................................................................................................................................................................................._..,........._.,..,.._.,.........,........,..,........,......,..,..,..,....
uK ;Cancel -
Ready ISID:PMED

Outfall- Qualitative Limn Vehicle Limif Comments History Inspections Incidents Enfortements Violations
Detalls'I petalls 2 Blihr4 Evants Reg.Activities Affliatlons Reviewers Related Permits
_.__. - ._.... ._ ._ _ ._....
Permit �ICG050035 Version. 3.0 Status: Acttve $aae
Facility. PactivCorporation-Greensboro I Billing Contact Icaiahan,Ernie Find Por... Ftnd£r;... saint...
County. Guilford Address 1: �520 Radar Rd Tille:
Fee Category: StormwaterJwastewater discharge COCs Address 2: ; Phone: (336)29&2796 Efd,
Bill Month: 8-Augusst Ong Billed: 05f01J1993 Cite Greensboro State: NEC ZIP: 27410
l�W-)Normal _ t7 Fast Track C1 Express Review +
Invoice Type Period YeaTerlodBeginPerlodEnd Billing Month Due Date Invoice Amount Paid Balance Status_
Permit Annual Fee 2011 05J0112011 04J30f2012 August 08/13/2011 2011 PR005936 5100.00J$1.00.00 SQ_00 Paid
PermilAnrual Fee 2010 05J0112010 04J3012011 May WDW2010 2010PR003506 5.1Qp„p0-I.S1-D0.A0...150.0.0..._.._.1Paid
Permit AnnualFEe 2009 05J0112009 0413012010May 06/2712009 2C09PR005373 $1Qp_gQ $100_00 $00 Paid
Perm'dAnnual Fee 2008 0510172008 pd13pJ2009 May 87/18/2008 2008PR005707 S10.Q.D.UJ$100.00J to.00 Paid
Permit Annual Fee 2007 05J01f2007 04J3012008 May 07119J2007 2007PR005818 58.0.0.0.—I580.00_J$0_0.1) Paid
PermilAnnual Fee 2006 05J01f2D06 10413012007 Nay 0711512006 2003PR005916 $50_H—J 580.00 $.0.00 Paid
Permit Annual Fee 2005 05J01J20(i5 04J30120a6Way 0711W2005 2005PR005600 $B0.00J580.00�S1L00 Paid
Permit Annual Fee 12004 105101f2004 104t3a2RR5LMay 07/102094 12004PR003274 gg0_00..__1560.00.___I50.00 Paltl
...,._._.... _............._
Fop Ir.Ern c ir.. i r rr Paym nt h,alniain Inv iJe 1
t Back NF..4 y _shish
j13 Invoices found_ _.._._.. ._._.__ _. _.___ ---Ready __...,._ __....._._'I___.__.._ ._,_.___._.:_._. -IS1D PM01
Outta11 Qualitative Limit Vehicle Limit Comments I H Try Inspections Incidents 1 Enforcements Violations
Details) Details.�. Billing _ Events � Reg.Activities Affiliations r Reviewers Related Permit.
---- _
Permit INCO050035 — Version: i3.0 Status: Active � Save
Permit Type: AppareuPdntingJPapertLeatherlRubberStormwater Discharge COC •
Permit Classification: COC —-- Primary Related Permit: :N0005 00p �
Program Category: jNPOES SW — — 'Admin Region: winston-Saiem
Facility: FacthrCarporagon Greensboro .Qetails... County. iouilrord
Owner: activ Protective Packaging,Inc. Maintain... PralectType: Renewµal
Dates-•
Issued; 6N1J2008 0 rig issued: ' 4l02J1993 []EPA Major Permit
❑Has yubsurfa:e C,rsir,> Tracking Slip
Effective: fJ01J2pDB Statutory 4J16J20a8
v New Farm C,Existing Fermi Farm#:
Expire: 5f3112013 Inactive:
❑Innovstne Avail.Jlcres:
SOC: � Ge�ai19... ❑F?ahiiriea6eiC,vi;e
_ �— _ _ ❑CIC Precent _ _
LastUpdated By: Ifra cmn Pherson Last Updated On: �l12011141 8:2,i AM
<Back `deri n ^ir3ssh Cancel

Outfall Qualitative Limit Vehicle UrN Comments r History Inspections Incidents r Enioncements Violations-
Details 1 Details 2 Billing Events Reg.Activities Affiliations Reviewers Related Permits
Permit: NCG0517035 Version: 3,D Status: Active have:
---Entity 'Atti cation Type Name Title Phone Number
Facility Contact Person Vese1€c ,Scott 336 292-2796
Owner
_._.._._................_.,..,..,..,..,.-..,..--...,...-........-._-....-........ ...._._._._.._.-...._...-._.-.-... 847 9. 2H_ Owner a or, is ae -
Permit Blllin Calahan,Ernla [phone]
Add...
_Reroove
Back Ne)t FrRish Cancel.
3 Affillatlons found. Ready 181D:PMAF

F 1N A TE Michael F.Easley,Govemor
� 9pG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.-E.Director
Division of Water Quality
Coleen H.Sullins,Deputy Director
Division of Water Quality
July 19, 2006
Mr. Ernie Calahan
Pactiv Corporation
520 Radar Road
Greensboro, NC 27410
Subject: No Exposure Certification NCGNE0285
Pactiv Corporation
820 Radar Road, Greensboro, NC
Guilford County
Dear Mr. Calahan:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on May 24, 2006. Based on your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your certification as
provided for under 40 CFR 126.22(g), which is incorporated by reference in North Carolina regulations, and
hereby rescinding your former Certificate of Coverage, NCG050035.
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 (June 30, 2011). At that time you must re-certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure 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 Sarah Young at(919) 733-5083, ext.
502, or at [e-mail].
Sincerely,
ORIGINAL.Si NED 13Y
KEN PICKLE
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office Central Files Files--wlattachments
stormwater Permitting Unit Files � 3 s ��.NCV 5
06ENR
N.C.Division of Water Quality 1617 detail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

1i1111]�C Michael F.Easley,Governor
`O�� 9pG William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
0) r Alan W.Klimek,P.E.Director
Division of Water Quality
p Coleen H.Sullins,Deputy Director
Division of Water Quality
July 19, 2006
Mr. Ernie Calahan
Pactiv Corporation
520 Radar Road
Greensboro, NC 27410
Subject: No Exposure Certification NCGNE0285
Pactiv Corporation
820 Radar Road, Greensboro, NC
Guilford County
Dear Mr. Calahan:
The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on May 24, 2006. Based on your submittal and signed
certification of no exposure at the above referenced facility, the Division is granting your certification as
provided for under 40 CFR 126.22(g), which is incorporated by reference in North Carolina regulations, and
hereby rescinding your former Certificate of Coverage, NCG050035,
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 (June 30, 2011). At that time you must re-certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure 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 Sarah Young at(919) 733-5083, ext.
502, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office Central Files—wlattachments
Stormwater Permitting Unit Files
NCDENR
M C.Division of Water Quality 1617 Mail Service Center Raleigh,North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

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Re: rno-exposure apps
Subject: Re: no-exposure apps
From: Corey Basinger <[e-mail]>
Date: Fri, 09 Jun 2006 14:20:44 -0400
To: sarah young <sarah.young@ncmaiLnet>
OK to proceed with issuance of NCGNE0284 & NCGNE0285
Corey Basinger
Corey.Basinger@ECmail .net
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336) 771-5000
Fax (336) 771-4630
On 5/31/2006 3:57 PM, sarah young wrote:
2 more no-exposure apps. for your region. -sarah
Corey Basinger<[e-mail]>
WSRO
NC DENR
t of 1 6/9/2006 3:45 PM

Stormwater Inspection Checklist
Type of Visit:. 5"Compliancelnspection/Program Audit ❑Technical Assistance or Recon
Location: S Zo f?_Ar>AR t2 r.>.
Facility Name: P4GT1V CozPom4*erab1 . C0C4.4CCro5oo35 . Date: 5%14PLe ZVO<- .
Time in: io Ls Time Out �a45 Name/Title of contact(s): £ant �" .
5�r' \/�'Sg4.tUcY � C�.}S N1awlA6�tx
YES NO NA . NE
1. Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑ ❑
2. Does the Plan include a General Location (USGS) map? ❑ ❑ ❑ ❑
3. Does the Plan include a "Narrative Description of Practices"? ❑ ❑ ❑ ❑
4. Does the Plan include a detailed site map including outfall locations and drainage areas? ❑ ❑ ❑ ❑
5. Does the Plan include a list of significant spills occurring during the past 3 years? ❑ ❑ ❑ L _
6. Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑ ❑
7. Has the facility evaluated feasible alternatives to current practices? ❑ ❑ ❑ ❑
S. Does the facility provide all necessary secondary containment? ❑ ❑ ❑ ❑
9. Does the Plan include a BMP summary? ❑ ❑ ❑ ❑
10. Does the Plan include a Spill Prevention and Response Plan (SPRP)? Cl ❑ ❑ ❑
11. Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ❑ ❑ ❑ ❑
12. Does the facility provide and document Employee Training? ❑ ❑ ❑ ❑
13. Does the Plan include a list of Responsible Party(s)? ❑ ❑ ❑ ❑
14. Is the Plan reviewed and updated annually? ❑ ❑ ❑ ❑
15. Does the Plan include a Stormwater Facility Inspection Program? ❑ ❑ ❑ ❑
16. Has the Plan been implemented? ❑ ❑ ❑ ❑
17. Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ❑ ❑ ❑
18. Has the facility conducted its Quantitative (Analytical) monitoring? ❑ ❑ ❑ ❑
19. Has the facility conducted its Analytical monitoring at all outfalls receiving runoff
from Vehicle Maintenance areas (only for facilities using more than 55 gallons
of new motor oil per month)? ❑ ❑ ❑ ❑
20. Were all outfalls observed during the inspection? ❑ ❑ ❑ ❑
21. If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑ ❑
Comments:
PR, � 14CG—a IF c z-BS A-5 ps1P_
Inspector Name: Date:

PACTIV
Advanced Packaging Solutions
m Pactiv Corporation
Z S20 Radar Road
Greensboro,North Carolina 27410
Tel 336,292,2796
"- C=` Fax [phone]
May 19, 2006 c
R
Division of Water Quality
Attn: Sarah Young
1617 Mail Service Center
Raleigh, NC 27699
Re: Storm Water No Exposure Certification
Pactiv Corporation— Warehouse Operations
820 Radar Road, Greensboro, NC
Dear Ms. Young:
After reviewing Pactiv Corporation's Warehouse Operations located at 820 Radar Road
in Greensboro, North Carolina, we believe a National Pollutant Discharge Elimination
System (NPDES) Storm Water permit is not required. Please see enclosed "No Exposure
Certification."
If you have any questions, please contact the Greensboro Plant's Environmental, Health
and Safety Manager Scott Veselicky at [phone] extension 122.
Sincerely,
Ernie Calahan, Plant Manager
Attachment
cc: Michael Rehor, Regional Environmental Manager - Pactiv

United States Environmental Protection Agency Form Approved
g Y OMB No.2040-0211
NPDES �E PA Washington, DC 20450
FORM �` NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES. Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi-Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter 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,
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 without operational taps or valves;
— adequately maintained vehicles used in material handling:and
— final products,other than products that would be mobilized in storm water 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,the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: 1,0 IA I C f rl/I YI I C 101 RI PI O I R 1'Q I T I/)0J N1 I I l I 1 1 l I 11 2. Phone: i 13 16 121 912121 719161
3. Mailing Address: a.Street: IS12101 I t 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 ( - I I
b.City: I I I I I I I I I I I j c.State: ICJ d.Zip Code: 12 1 713v1/101—1 1 1 1 1
B. Facility/Site Location Information
1. Facility Name: lioACT / I VI I CI O .P IP 10 IR A 7- /I 4 n/
2. a. Street Address: 1 0 i I R 1410 IA 1 e 1 i2101A 1,0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
b. City: 16ik 1Ei61�:'IN1FIBI0IR101 1 1 1 1 1 1 1 1 1 1 1 1 I c.County: I617/I/ IL 1"10PeIdl I
d.State: Im C1 e.Zip Code: 1217 1 S/ / p —
�v
3. Is the facility located on Indian Lands? Yes No Z
FM
4. Is this a Federal facility? Yes No yr R,
5. a. Latitude: 1-?16 1 10151 IStZ b. Longitude: 101719 ISIS1 12121 F a t�
rP
6. a.Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No [�
CSC,�D5ov35
b. If yes,enter NPDES permit number: to I
7. SIC/Activity Codes: Primary: SV 2 2 S Secondary(if applicable): I I I { 1 s� I
B.Total size of site associated with industrial activity: 7 acres
9.a.Have you paved or roofed over a formerly exposed,pervious area in order to qualify for the no exposure exclusion? Yes ❑ No ✓�
b. If yes,please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However,your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality,in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres El
EPA Form 3510-4 1 (10-99) Page 1 of 4

NPDES NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM ,t�-,EPA OMB No.2040-0211
3510-1i NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation,now or in the foreseeable future?
(Please check either"Yes"or"No"in the appropriate box.) If you answer"Yes"to any of these questions
(1)through(11),you are not eligible for the no exposure exclusion.
Yes No
1. Using,storing or cleaning industrial machinery or equipment,and areas where residuals from using,storing 0`
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
3. Materials or products from past industrial activity
4. Material handling equipment(except adequately maintained vehicles) ❑✓
5. Materials or products during loading/unloading or transporting activities El
6. Materials or products stored outdoors(except final products intended for outside use[e.g.,new cars]where El ID
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open,deteriorated or leaking storage drums,barrels,tanks,and similar containers
& Materials or products handled/stored on roads or railways owned or maintained by the discharger [�
9. Waste material(except waste in covered,non-leaking containers[e.g.,dumpsters]) �✓
10. Application or disposal of process wastewater(unless otherwise permitted) Er
11. Particulate matter or visible deposits of residuals from root stacks and/or vents not otherwise regulated ❑ Q
(i.e.,under an air quality control permit)and evident in the storm water outflow
D. Certification Statement
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 storm water permitting.
I certify under penalty of law that there are no discharges of storm water 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 years to the NPDES permitting authority 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 NPDES permitting authority,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. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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.
Print Name: ��IR Iw]/lEl_ l C 1414_14[,YI,41 M I I I I I 1 I I I I—1 I I I ) 1 l I I
Print Title: 100 1 L 141 All?-I 11Vl_4l1Vl,4lSle_lRjll
Signature: --
Date: 101s 11191 016
EPA Form 3510-11 (10-99) Page 2 of 4

wl ,
NPDES ea Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FORM �W,EPA& OMB No.2040-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Who May File a No Exposure Certification Section B. Facility/Site Location Information
Federal law at 40 CFR Part 122.26 prohibits point source discharges of t. Enter the official or legal name of the facility or site.
storm water associated with industrial activity to waters of the U.S.without
a National Pollutant Discharge Elimination System(NPDES)permit. However, 2. Enter the complete street address(if no street address exists,provide
NPDES permit coverage is not required for discharges of storm water a geographic description[e.g., Intersection of Routes 9 and 55]),city,
associated with industrial activities identified at 40 CFR 122.26(b)(14)(i)- county,state,and zip code. Do not use a RO.Box number.
(ix)and(xi) if the discharger can certify that a condition of"no exposure"
exists at the industrial facility or site. 3. Indicate whether the facility is located on Indian Lands.
Storm water discharges from construction activities identified in 40 CFR 4. Indicate whether the industrial facility is operated by a department or
122.26(b)(14)(x)and(b)(15)are not eligible for the no exposure exclusion, agency of the Federal Government(see also Section 313 of the Clean
Water Act).
Obtaining and Maintaining the No Exposure Exclusion
5. Enter the latitude and longitude of the approximate center of the facility
This form is used to certify that a condition of no exposure exists at the or site in degrees/minutes/seconds. Latitude and longitude can
industrial facility or site described herein. This certification is only applicable be obtained from United States Geological Survey(USGS)quadrangle
in jurisdictions where EPA is the NPDES permitting authority and must be or topographic maps, by calli;%g 1-(888) ASK-USGS, or by accessing
re-submitted at least once every five years. EPA's web site at http:/lwww.epa,gov/owin/sw/industry/index.htrn and
selecting Latitude and Longitude Finders under the Resources/Permit
The industrial facility operator must maintain a condition of no exposure at section.
its facility or site in order for the no exposure exclusion to remain applicable.
If conditions change resulting in the exposure of materials and activities to Latitude and longitude for a facility in decimal form must be converted
storm water, the facility operator must obtain coverage under an NPDES to degrees ('), minutes ('), and seconds (") for proper entry on
storm water permit immediately, the certification form. To convert decimal latitude or longitude to
degrees/minutes/seconds,follow the steps in the following example.
Where to Fife the No Exposure Certification Form Example: Convert decimal latitude 45.1234567 to degrees(0), minutes
Mail the completed no exposure certification form to: ('),and seconds(").
a) The numbers to the left of the decimal point are the degrees: 450.
Storm Water No Exposure Certification(4203)
USEPA b) To obtain minutes,multiply the first four numbers to the right of the
401 M Street,SW decimal point by 0.006: 1234 x 0.006=7.404.
Washington,D.C. 20460 c) The numbers to the left of the decimal point in the result obtained
in(b)are the minutes: 7'.
Completing the Form
d) To obtain seconds, multiply the remaining three numbers to the
You must type or print,using uppercase letters,in appropriate areas only. right of the decimal from the result obtained in (b) by 0.06:
Enter only one character per space(i.e.,between the marks). Abbreviate 404 x 0.06=24.24. Since the numbers to the right of the decimal
it necessary to stay within the number of characters allowed for each item. point are not used,the result is 24'.
Use one space for breaks between words. One form must be completed
for each facility or site for which you are seeking to certify a condition of no e) The conversion for 45,1234567=450 7' 24".
exposure. Additional guidance on completing this form can be accessed
through EPA's web site at www.epa,gov/owm/sw. Please make sure you 6. Indicate whether the facility was previously covered under an NPDES
have addressed all applicable questions and have made a photocopy for storm water permit. If so, include the permit number.
your records before sending the completed form to the above address.
7. Enter the 4-digit SEC code which identifies the facility's primary activity,
and second 4-digit SIC code identifying the facility's secondary activity,
Section A. Facility Operator Information if applicable. SIC codes can be obtained from the Standard Industrial
1. Provide the legal name of the person,firm,public organization,or any Classification Manual, 1987,
other entity that operates the facility or site described in this certification. 8. Enter the total size of the site associated with industrial activity in acres.
The name of the operator may or may not be the same as the name of Acreage may be determined by dividing square footage by 43,560.as
the facility. The operator is the legal entity that controls the facility's demonstrated in the following example.
operation,rather than the plant or site manager.
2. Provide the telephone number of the facility operator. Example: Convert 54,450 ft2 to acres
Divide 54,450 ft2 by 43,560 square feet per acre:
3. Provide the mailing address of the operator(P.O.Box numbers may be 54,450 ft2:43,560 ft2lacre=1.25 acres.
used). Include the city, state, and zip code. All correspondence will
be sent to this address. 9. Check"Yes"or"No'as appropriate to indicate whether you have paved
or roofed over a formerly exposed,pervious area(i.e., lawn, meadow,
dirt or gravel road/parking lot)in order to qualify for no exposure. If yes,
also indicate approximately how much area was paved or roofed over
and is now impervious area.
EPA Form 3510-11 (10-99) Page 3 of 4

NPDES Instructi6ns for the NO EXPOSURE CERTIFICATION for Form Approved
FORM -,EPA OMB No.2040.0211
3510-11 Exclusion from NPDES Storm Water Permitting
Section C. Exposure Checklist authority 10 sign documents has been assigned or delegated to
the manager in accordance with corporate procedures;
Check"Yes"or"No as appropriate to describe the exposure conditions at
your facility. If you answer"Yes"to ANY of the questions(1)through(11) For a partnership or sole proprietorship: by a general partner or the
in this section,a potential for exposure exists at your site and you cannot proprietor;or
certify to a condition of no exposure. You must obtain (or already have)
coverage under an NPDES storm water permit. After obtaining permit For a municipal, State, Federal, or other public facility: by either a
coverage, you can institute modifications to eliminate the potential for a principal executive or ranking elected official.
discharge of storm water exposed to industrial activity,and then certify to
a condition of no exposure. Paperwork Reduction Act Notice
Section D. Certification Statement Public reporting burden.forthis certification is estimated to average 1.0 hour
per certification, including time for reviewing instructions,searching existing
Federal statutes provide for severe penalties for submitting false information data sources,gathering and maintaining the data needed,and completing
on this application form. Federal regulations require this application to be and reviewing the collection of information. Burden means the total time,
signed as follows: effort,or financial resources expended by persons to generate,maintain,
retain, or disclose to provide information to or for a Federal agency. This
For a corporation: by a responsible corporate officer, which means: includes the time needed to review instructions;develop,acquire, install,
and utilize technology and systems for the purposes of collecting,validating,
(i) president,secretary,treasurer,or vice-president of the corporation and verifying information, processing and maintaining information, and
in charge of a principal business function,or any other person disclosing and providing information;adjust the existing ways to comply with
who performs similar policy or decision making functions for the any previously applicable instructions and requirements;train personnel to
corporation,or be able to respond to a collection of information;search data sources;
complete and review the collection of information;and transmit or otherwise
(ii) the manager of one or more manufacturing, production, or disclose the information. An agency may not conduct or sponsor,and a
operating facilities,provided the manager is authorized to make person is not required to respond to, a collection of information unless it
management decisions which govern the operation of the displays a currently valid OMB control number. Send comments regarding
regulated facility including having the explicit or implicit duty of the burden estimate, any other aspect of the collection of information, or
making major capital investment recommendations,and initiating suggestions for improving this form,including any suggestions which may
and directing other comprehensive measures to assure long increase or reduce this burden to: Director,OPPE Regulatory Information
term environmental compliance with environmental laws and Division (2137), USEPA, 401 M Street, SW, Washington, D.C. 20460.
regulations; the manager can ensure that the necessary systems Include the OMB control number of this form on any correspondence. Do
are established oractions taken to gather complete and accurate not send the completed No Exposure Certification form to this address.
information for permit application requirements; and where
EPA Form 3510-11 (10.99) Page 4 of 4

1
Advanced Packaging Solutions
v Pactiv Corporation
z 520 Radar Road
Greensboro,North Carolina 27410
s>•
Tel 336,292.2796
Fax [phone]
May 19, 2006 p Q
Division of Water Quality
Attn: Sarah Young
1617 Mail Service Center
Raleigh, NC 27699
Re: Storm Water No Exposure Certification
Pactiv Corporation—Warehouse Operations
820 Radar Road, Greensboro,NC
Dear Ms. Young:
After reviewing Pactiv Corporation's Warehouse Operations located at 820 Radar Road
in Greensboro, North Carolina, we believe a National Pollutant Discharge Elimination
System (NPDES) Storm Water permit is not required. Please see enclosed "No Exposure
Certification."
If you have any questions. please contact the Greensboro Plant's Environmental, Health
and Safety Manager Scott Veselicky at [phone] extension 122.
Sincerely_.
Ernie Caiahan, Plant Manager
Attachment
cc. Michael Rehor,Regional Environmental Manager - Pactiv

f
United States Environmental Protection Agency Form Approved
9 Y OMB No.2040-0211
NPDES ®��� Washington, DC 20460
FORM
3510-11 �' NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi-Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain,snow,snowmelt,andfor runoff, 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 without operational taps or valves;
— adequately maintained vehicles used in material handling;and
— final products,other than products that would be mobilized in storm water 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 Irom 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,the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g),
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: poi41CITI,/1�/1 ICl0IRI,1IOIRIAIrt/Ipl^/i I I I I I I I I t I 12•Phone: I2I9€ZI-,I7WI6I
3, Mailing Address: a.Street: ISI2i 01 I4'1410141,V! I I I ! ! J ! I I i I I I I _I I __I I_ I I I_ I I
b.City: I�1R I j�i y If 13101 R j G l } I 1_ I I_ I I I I I I I c.State: INJ CJ d.Zip Code: j-1 17 I Y I/10, t t I k
B. Facility/Site Location Information
1. Facility Name: 1PI4Ir17-1/ IVI I Cl 0 V?If 10 Ile iA1rl/IpIN1 I I L I I I I 1_ I _I
2.a.Street Address: IS12101 1!pl4i-6IAIRI IRIDIA€4f I .I € I I I- 1 I I f f f I I 1 I I
b. City: IGlk i�i�M _IB1 �R1�I I I� I I I I I I _I I I I I c.County: I//I 1Gj1171 LRIdL I I
d.State: n C e.Zip Code: I i 171 yl/II of-, I I 1 I it
ma
3. Is the facility located on Indian Lands? Yes❑ No a LZ
917
4. Is this a Federal facility? Yes❑ No n
5, a. Latitude: b. Longitude: 101719 LLA P
X
6.a,Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No
b. It yes,enter NPDES permit number: �C l� 50 J� ✓ n
7.SIC/Activity Codes: Primary: ,V 1 S Secondary(it applicable): Zr
I I 1 I f
8.Total size of site associated with industrial activity: _ Y•Z acres
9.a.Have you paved or roofed over a formerly exposed,pervious area in order to quality for the no exposure exclusion? Yes ❑ No Q
b. If yes,please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However,your permitting authority may use this information in considering whether storm water discharges from you r site are likely to have
an adverse impact on water quality,in which case you could be required 10 obtain permit coverage.
Less than one acre ❑ One to live acres ❑ More than live acres ❑
EPA Form 3510-11 (10.99) Page 1 of 4 �
h

r,
NPDES n NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM `�,EpA OMB No.2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation,now or in the foreseeable future?
(Please check either"Yes"or"No"in the appropriate box.) It you answer"Yes"to any of these questions
(1)through(11),you are not eligible for the no exposure exclusion.
Yes No
1. Using,storing or cleaning industrial machinery or equipment,and areas where residuals from using,storing Q
or cteaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spillsAeaks El Q
3. Materials or products from past industrial activity
4. Material handling equipment(except adequately maintained vehicles) Q
5. Materials or products during loadinglunloading or transporting activities Q
6. Materials or products stored outdoors(except final products intended for outside use[e.g.,new cars]where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open,deteriorated or leaking storage drums,barrels,tanks,and similar containers []
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger Q
9. Waste material(except waste in covered,non-leaking containers(e.g.,dumpsters])
10. Application or disposal of process wastewater(unless otherwise permitted) 13
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated Q
(Le.,under an air quality control permit)and evident in the storm water outflow
D. Certification Statement
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 storm water permitting.
I certify under penalty of law that there are no discharges of storm water 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 l am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority 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 NPI]ES permitting authority,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. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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 cr
persons who manage the system,or those persons directly responsible for gathering the information,the information submitted is to the best of rry
knowledge and belief true,accurate and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name: �Eielyl�lEl C'1AIL1Alf,IAt� I f t 1�_ I f I III I I I_ I I_I I I
Print Title: P L i1 1 T M R A F c R
Signature: (,
Date: 1 1--1/I P 1 of 61
EPA Form 3510-11 (10-99) Page 2 of 4