Loading...
HomeMy WebLinkAboutNCGNE0618_COMPLETE FILE - HISTORICAL_20100715 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v CCU Pj C O �9 DOC TYPE 9'HISTORICALFILE ❑ MONITORING REPORTS DOC DATE ❑ YYYYMMDD F f �A �1 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary July 15, 2010 RON PERRY SITE MANAGER AMCOR TOBACCO PACKAGING AMERICAS INC 124 N TECHNOLOGY DRIATE REIDSVILLE NC 27320 Subject: Name/Ownership Change No Exposure Certification NCGNE061 S Amcor Tobacco Packaging Reidsville Formerly Alcan Packaging North Carolina 124 N. Technology Drive, Reidsville,NC Rockingham County Dear Mr. Perry: The Division has reviewed your submittal of the permit name/ownership change form for your No-Exposure Certification, which we received on July 13, 2010. Division personnel have reviewed and approved your request to change coverage under your Certificate of No-Exposure. 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 certification of no exposure does not affect your facility's legal requirements to obtain environmental pennits that may be required under other federal, state, or local regulations or ordinances. If you have any questions or need further information,please contact the Stormwater Permitting Unit at(919) 507-6300. Sincerely, 4�/ 4, & for Coleen H. Sullins cc: Winston-Salem Regional Office Stormwater Permitting Unit Files Wetlands and Stormwater Branch One t 1617 Mail Service Center,Raiegh,North Carolina 27699-1617 North Carolina 1 Location:512 N.Salisbury St.Ralegh,North Carolina 27604 Rhone:919-807-63001 FAX:919-807-64921 Customer Service:1-877-623-6748 ;Vatima!!J Internet:www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer _ e t amcor Division of Water Quality Surface Water Protection Section 1617 Mail Service Center Raleigh,NC 27699-1617 12 July 2010 Subject:Change of Ownership To whom it may concern, This letter is to serve as notification of a change of ownership,thereby requiring a change of the existing No Exposure activity notification under Certificate NCGNE0618. The permit was issued to Alcan Packaging Food &Tobacco, Inc., located at 124 N.Technology Drive. Reidsville,NC,27320. Amcor Tobacco Packaging Americas, Inc.became the new owner,effective 2/1/2010.However the legal name change was not effective 6/7/2010. Please find included: Permit Name/Ownership Change Form Certificate of Amendment of Certificate of Incorporation of Alcan Packaging Food &Tobacco.Inc. (Name change document- Delaware) Should you have questions or need further information,please contact me. Sincerely. 0�� "�D Brannon C.Russell OHSE Coordinator Amcor Tobacco Packaging Reidsville 124 North Technology Drive.Reidsville.NC 27320 T.336-361-5600 F. 336-361-5501 www.amcor.com F WArF d 9QG Beverly Eaves Perdue,Governor Vj Dee Freeman,Secretary 1 North Carolina Department of Environment and Natural Resources O c Coleen H.Sullins.Director Division of Water Quality SURFACE WATER PROTECTION SECTION PERMIT NAME/OWNERSHIP CHANGE FORM I. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N G 5 10 N G G rJ O l+0 152, It. Permit status prior to requested change. a. Permit issued to(company name): PiLCkrS Na2T �a�.t r.►A b. Person legally responsible for permit: 'Pow e-4 First Ml Last S,TC �IA+aA6� Title 2 TG NOL� '- Permit Holder Mailing Address ��1DSJ1u�—c. NC.__ City State Zip (33ka ) 3w- Sb41- Phone Fax c. Facility name (discharge): 1-CAP4 ?A A1000-" QW01 ,tN„�R d. Facility address: SAxk Address City state Zip e. Facility contact person: 11KA"04 (33110)3W First /MI/Last Phone III. Please provide the following for the requested change (revised permit). a. Request for change is a result of: Change in ownership of the facility [j�rName change of the facility or owner If other please explain: "DENR-WATEER ued to(company name): e q C 25 ponsible for permit: First MI Last 132010 SX-M AkAaA�-,,�If Tide 12 4- N. S�eWtao�.oc+�`i s7g� ITY Permit Holder Mailing Address CH f 1l7 r C City State Zip (S1010 SSocfJ c a.r c Q A Mca>L.C or'� Phone E-mail Address d. Facility name (discharge): RMCdt2 -VZGMeo 2AtKACwyAS,., ►"kc e. Facility address: 'F-A*g Address CityState Zip f. Facility contact person: 'I2:12a C_ vEl� First MI Last 3%61-S%34 81 AAl"A.�h��y � Q A . Cory Phone E-mail Address Revised 8/2008 PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 IV. Permit contact information (if different from the person legally responsible for the permit) Permit contact: First MI Last Title Mailing Address Citv State Zip ( ) Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to s ownership or name change? Yes ❑ No(please explain) VI. Required Items: 'PHIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: This completed application is required for both name change and/or ownership change requests. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. ..........................................................................................................I........... The certifications below must be completed and signed by both the permit holder prior to the change, and the new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION (Permit holder prior to ownership change): I, , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. Si ture Date APPLICANT CERTIFICATION I, , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. Sig ure Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Water Quality Surface Water Protection Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Revised 7/2008 I State of Delaware Secreta of State Division offCorporations Delivered 03:00 PM 0610712010 FILED 02:58 PM 0610712010 SRV 100634310 - 04431I9 FILE CERTIFICATE OF AMENDMENT OF CERTIFICATE OF INCORPORATION OF ALCAN PACKAGING FOOD AND TOBACCO INC. (Pursuant to Section 242 of the General Corporation Laws of the State of Delaware) Alcan Packaging Food and Tobacco Inc. (the"Corporation"),a corporation organized and existing under and by virtue of the General Corporation Law of the State of Delaware, DOES HEREBY CERTIFY: FIRST: That by Unanimous Written Consent of the Board of Directors of the Corporation, resolutions were duly adopted proposing and declaring advisable the following amendment to the Certificate of Incorporation of the Corporation: RESOLVED, the Article FIRST of the Corporation's Certificate of Incorporation be amended to read in full as follows: "FIRST: The name of the corporation (hereinafter called the "Corporation") is: Amcor Tobacco Packaging Americas Inc." SECOND: The amendment of the certificate of incorporation herein certified has been duly adopted by the sole stockholder in accordance with the provisions of Sections 228 and 242 of the General Corporation Law of the State of Delaware. IN WITNESS WHEREOF, the undersigned has executed this Certificate of Amendment of the Certificate of Incorporation of Alcan Packaging Food and Tobacco Inc, this 7 day of Tune, 2010. Michael Schmitt,Presidentt NYC#:1 t6163.a Delaware PAGE 1 11he First State I, 7EFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT COPY OF THE CERTIFICATE OF AMENDMENT OF "ALCAN PACKAGING FOOD AND TOBACCO INC. ", CHANGING ITS NAME FROM "ALCAN PACKAGING FOOD AND TOBACCO INC. " TO "AMCOR TOBACCO PACKAGING AMERICAS INC- ", FILED IN THIS OFFICE ON THE SEVENTH DAY OF DUNE, A_D_ 2010, AT 2:58 O'CLOCK P.M. A FILED COPY OF THIS CERTIFICATE HAS BEEN FORWARDED TO THE NEW CASTLE COUNTY RECORDER OF DEEDS. Q >a Jeffrey W.BjIlock,Secretary oFState 0443119 8100 AUTHEN C TION= 8039627 100634310 °FL WPI DATE: 06-07-10 You may verify this certificate online at corp,delaware.gov/authver.shtml NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary 5 August 2009 Alcan Inc. Alcan Packaging North Carolina Attn: Mr. Brannon Russell, EHS Coordinator 124 North Technology Drive Reidsville, NC 27320 Subject: Issuance of No-Exposure Certification NCGNE0618 and Rescission of General Stormwater Permit NCGO50345 Alcan Packaging North Carolina Rockingham County Dear Mr. Russell: The Division has reviewed the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting form that you submitted for the subject facility. Based on your submittals and signed certifications of no exposure, as well as the physical inspection of the facility on 28 July 2009 by Mr. Ron Boone, of the Division's Winston-Salem Regional Office, 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 the facility. If conditions change such that the facility can no longer qualify for no exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharges. Otherwise, the discharges becomes subject to enforcement as un-permitted discharges. Your conditional no-exposure exclusion for this - facility expires in five years (4 August 2014). At that time you must recertify with the Division, or obtain NPDES permit coverage for any stormwater discharges from the facility. Also, due to the issuance of the no-exposure certification, your existing NPDES stormwater permit for the facility, NCG050345, is hereby rescinded and no longer active. 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. North Carolina Division of Water Quality,Winston-safem Regional Office Location:585 Waughtown St.Winston-Salem,North Carolina 27107 One Phone:336-771-50001 FAX:336.771-4630 ti Customer Service:1-877-623-6748 NorthCarolina Internet:www.ncwaterquality.org Vatura`lff An Equal Opportunity 1 Affirmative Action Employer Alvan Inc. Alvan Packaging North Carolina Attn: Mr. Brannon Russel, EHS Coordinator No Exposure Certification NCGNE0618 NPDES Stormwater General Permit NCG050000 Certifcate of Coverage#:NCGO50345 Page 2 of 2 If you have any questions or need further information, please contact Robert Patterson at (919) 807-6375, or at robert.patterson@ncmaii.net. Sincerely, for Coleen H. Sullins cc: Winston-Salem Regional Office Stormwater Permitting Unit, No-Exposure Files, Attn: Sarah Young_' Stormwater Permitting File NCG050345 Budget Office, Attn: Fran McPherson �Ip ro?r--, a I NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary 5 August 2009 Alcan Inc. Alcan Packaging North Carolina Attn: Mr. Brannon Russell, EHS Coordinator 124 North Technology Drive Reidsville, NC 27320 Subject: Issuance of No-Exposure Certification NCGNE0618 and Rescission of General Stormwater Permit NCGO50345 Alcan Packaging North Carolina Rockingham County Dear Mr. Russell: The-Division has reviewed the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting form that you submitted for the subject facility. Based on your submittals and signed certifications of no exposure, as well as the physical inspection of the facility on 28 July 2009 by Mr. Ron Boone, of the Division's Winston-Salem Regional Office, the Division is granting your conditional exclusion from permitting as provided for under40 Ca=R 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 the facility. If conditions change such that the facility can no longer qualify for no-exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharges. Otherwise, the discharges becomes subject to enforcement as un-permitted discharges. Your conditional no-exposure exclusion for this _ facility expires in five years (4 August 2014). At that time you must recertify with the Division, or obtain NPDES permit coverage for any stormwater discharges from the facility. Also, due to the issuance of the no-exposure certification, your existing NPDES stormwater permit for the facility, NCG050345, is hereby rescinded and no longer active. 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. North Carolina Division of Water Quality,Winston-Salem Regional Office Location:585 Waughtowrt St.Winston-Salem,North Carolina 27107 1��One 1 Phone:336-771-50001 FAX:336-771.46301 Customer Service:1-877-623-6748 1 V orthCarolina Internet:www.wwaterquality.org /Vahly,Uy Aa Equal Opportunity 4Afirmative Action Empbyer y L " Alcan Inc. Alcan Packaging North Carolina Attn: Mr.Brannon Russel,EHS Coordinator No Exposure Certification NCGNE0618 NPDES Stormwater General Permit NCGO50000 Certifcate of Coverage#:NCGO50345 Page 2 of 2 If you have any questions or need further information, please contact Robert Patterson at (919) 807-6375, or at robert.patterson@ncmail.net. Sincerely, for Coieen H. Sullins cc: EWinston-Salem Regional Office I Stormwater Permitting Unit, No-Exposure Files, Attn: Sarah Young Stormwater Permitting File NCG050345 Budget Office, Attn: Fran McPherson Cell'�re-1 /'"iVQS igCGCi6c) 34S' v -07?tom. _ + � NC.G-0 5 0 3q-S t� ��� � FOR AGENCY USE ONLY Division of Water Quality Y/Surface Water Protection Date Received VS ear NCQ ,r NR National Pollutant Discharge Elimination System CenifcateofCoverage c NO EXPOSURE CERTIFICATION for Exclusion rHmouMrxr,yrn��.��a NCGNE0000 NO EXPOSURE CERTIFICATION Please'check.he�e if tfiis`isra 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 storm water 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. v For permitted facilities in North Carolina, DWQ must approve your application fc J p Exposure Certification before this exclusion is effective. Until you are issued alp' E Exposure Certification and your NPDES permit is rescinded, your facility must c " 1nu4-' 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 a ►jties� industrial machinery, raw materials, intermediate products, by-products, final products, or waste 6ucts; Material handling activities include the storage, loading and unloading, transportation, or conve — f any raw material, intermediate product, final product or waste product. A storm resistant shelter; 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 eve-rive (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 AI.CA�1 �Hc.1CpkCyr.�C� Contact � Street Address 124 r4. `}-ECH w�qu oC�'t `fig City _KF__1 .f State_ jG ZIP Code Z73Z� Telephone No. 33Ln 3%401 - SboO Fax: 3�"1- % RECEIVED N.G.Dent of ENR Page 1 of 7 JUN 2 9 2M / Reg Iona$OfAco SWi1-NE-021309 r Last revised 2/13/2009 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name R -po 1 1_�L Facility Contact ,414c&.1 Street Address Z r4 . City L F State IS1 ZIP Code 2TSZz.., County 13oCr=114 �A Telephone No. 3� 3"Ol-5�4 Fax: 33to _ Sol-StoO� 3) Physical location information: Please provide a narrative description of how to get to the facility(use street names, state road numbers, and distance and direction from a roadway intersection). f T 1 ok a 2g crz-r {�E�.1g401i2 — Ili o �`�+ "C — 1 ' ILA,11 �$Y1LL (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 R No 5) Is this a Federal facility? ❑ Yes TrNo 6) Latitude 3b.314-4-�O Longitude (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 111"'Existing Date operation began 7 O'� ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? lames ❑ No If yes, what is the NPDES Permit Number? McGo srz' is 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: 2 J_ 5 10) Provide a brief description of the types of industrial activities and products produced at this facility: -- 11) Does this facility have any Non-Discharge permits (ex: recycle permits)? ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: Page 2 of 7 5W U-NE-021309 Last revised 2/13/2009 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 eeNo ❑ 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 I-Vo ❑ N/A c. Materials or products from past industrial activity ❑ Yes 13No ❑ N/A d. Material handling equipment(except adequately maintained vehicles) ❑ Yes RrlVo ❑ N/A e. Materials or products during loading/unloading or transporting activities ❑ Yes [fir o ❑ N/A f. Materials or products stored outdoors (except final products intended for outside ❑ Yes RKNo ❑ 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 erNo ❑ N/A and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes Er'No ❑ N/A the discharger i. Waste material (except waste in covered, non-leaking containers[e.g., dumpsters]) ❑ Yes &-I o ❑ N/A j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes 2"No ❑ N/A k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes IN o ❑ 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 12 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 2 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 ❑ Yes ❑ No "/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No R�/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 SWU-NE-021309 Last revised 2/13/2009 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 21"Yes ❑ No G NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored Imes ❑ No G N/A 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 2/yes ❑ No G w1A Amendments and Reauthorization Act(SARA)water priories chemicals`? d. Is secondary containment provided for hazardous substances" designated in 40 IR'Yes ❑ No ❑ NIA CFR §116? e. Are release valves on all secondary containment structures locked? l"Yes ❑ No h NIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 0/yes ❑ No ❑ NIA b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes ❑ No CKNIA generated per month) of hazardous waste? c. N this facility a Large Quantity Generator (1000 kg. or more of hazardous waste 9KYes ❑ No ❑ NIA generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: 1 INKS_ How is material stored: Where is material stored: taS4s7G- THE How many disposal shipments per year: 30 Name of transport/disposal vendor: L-rCAFI.� Vendor address: 2-'150 �P►TLE�So�1- Footnotes to Questions 14)c. & d. "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 5WU-NE-021309 Last revised 2/13/2009 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 "o ❑ NIA b. Does your facility have coal piles on site? ❑ Yes "o ❑ NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, © Yes 2<0 © NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity(e.g., 2*Yes ❑ No ❑ NIA degreasing operations, plating, painting and metal finishing)? It so, describe the industrial activity: COWTCW3mejM c7ir 4kf,- C=,Rare trJtC d-Sa�.J -�S e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? R- es ❑ No ❑ NIA Please specify: !�eRft_%_ Q Lypxz;E L CQN'rAlaS q9"lo nF gr►''LIS3%oaS f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: ;ZQ0 vo859O Program: VST Permit: 02 Program: R 1i2_ Permit: 052— OlD Program: 14,4_ . WAS'rfr Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NE-021309 Last revised 2/13/2009 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 Name of Person Signing: Z?E 4ArJ0 C. •'JRuSSELL- Ttle: I N � r5U9 ( ignature of Applicant (Date Si ned) 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 SW U-NE-021309 Last revised 2/13/2009 T� � Markers Name: NCGO50345 -Alcan Packaging North Carolina Short Name: 050345 Coordinates: 0360 18' 58.66" N, 079' 39' 51.26" W Comment: NCG050345, Alcan Packaging North Carolina, subbasin 03-06-01, Cape Fear River _ Basin, Rockingham County, UT to Little Troublesome Creek, Class C NSW, B20SW { •^•-..._� - z^ -r.-�. iSr L AS ���'.�� ..•.(y �� ptl, •,� � ���'ai�`�/:� �Y��� a" R,0�0,5�'m.� t,��s',��^Y�'e�i `l 1 C} ; t�\.���r�.�l�"t1 +.�=.-a..,.� � �+:� Ch $haal?r 11g ,`-.•sra '\ `t ''� -�''"a ;.,t':�.•- r/ �r" /i,�' 1F, /'•a }? ~i� ��.\ �`-•`••`�`'�•! `.f 1�' .1 1 4 Sl°{ lit Jac �'. `�6Ur� 1� \ j �[�_ l�✓ 1't .- Ok r�1/�J' 1 \,,•+,�°�;'„ ��- ./l� •�Gar}�C-ursr• ,�a( a;,�R,{. •�. :�.� r-' �p,�q; .1:� Lr � „�iY �t(' ;i' 1``• t �aC4,�._...`��I l .� ,_�.4� \` �}r'. '! I�7 Gtllr COyi5e' }�•itl��'" } i��' ' -:..✓ •' � �'� L� i� -:r ,Vim t •r �� SS,, •r i I� �� <i �+ r+••X'�.✓ - y.'d'i, ?y' -& a S'.'�ss ".mil `�+>.,�-r.yt1 Via` /� -�f•.''� •r�':. i (�`-.- •Li'.: ,(�£�/t !� )7'L ,.r Syr 4f �f,� F �444",r t.fi A� z ��.��.,f `-� � .l�,j: •�� !:�. •�`��.:y� 1• �11�7�-. �C��1p,��1.•idr-}.��..t���E��� f ('(`��"� i $- �i�, 4iCh J i � � ln t �1 � •vS �! r ��, ✓-_ ��( tr,'€( p � �.�� ����`�, t / ,if,'y .f' --��..f` IY` -t r � �� r. ski f� •l/4('� h- I,Et 461 71 101 t._.._�� ! ' t J •• 'r,,{, l'.; tatC �--.�.��y \R � �•,.�• ' '�" . i�.� �- � Se,79 "il✓ �{c�f},Cy ., hz .}"r * E' n li�,f F �,, •'• ./..y 1�•' i � �1brsp.;osa1[ a - � �,��a:i�t., �_-._ -�� �-i � �• ���m 7:�-- r f �`;-.�' {� �j'�-�, ,� ��`�•=,f�'", � � f `�-.,f_.o etgrr t�_" ,,� � M.� � r' '!s nj ia'c Coma7aait' _ ..•,.'' '"1 �l � `.l� 4 �'i \ s. .-` f .G , p,� yrd �..- e fyI �i `~' 44\\)) k r "1ff. .' �: y r.:.�"` L /.! _� p � (f /� _,✓ = j �.`�t st+ '! •, .'a"..;, .t. •'T� /I: 33 ` f i' ��ffy{ J,yG� /+✓�r!.# '1.41 ^"'^`.. ♦` :1 }� ,�' 1 .wi G050345Y y4lcan-P ck gFNortn7 ara�� ��'F t ,fir. `.[� �tea-� ;`''� t tu:' � ��`-�'�-„� -` ! •� �.. ..''' �,•�•�S �' --joy Wo � ��a�+"w� t� � � .�°y S� J°��i'�� �� \.� ,e�a '."�`•--j ;�`r'�' '�1'.4:\���f- �.�'Jn� r.'<� �`� � � L &t �` r�� ,.��.-rJ� l.�.� 9B{: ar,..� ��� �•t��....` • R'- - r��e:.. � jr- ..�i h� �- � � r i r,^ f .�" i a ( ( r j \.� r l;:s t`j%�` _ • 'T bk t r i/r� [ '�_ '. ins . ' % WX i � \....! «-� �l` "g' ✓�� '� hr -, .I / fa p d f � � fro ♦F- �p i�' ty �1 -"4i! a+`_ f - ��•+ `• arF .�'Jd' .''""��� `�'' ...tr I! ,,. , ' Gh $J Y ,1, jj � 1 •s'r"a- j Y-«' �, ) �� At Lip f7--- : l4 Fq �.:,+!`'7 •-� �`..�"-- •TriiNW F✓ .,rC..�" `` '. ,� .r.,- ,n.w "T..r _ � �e .V, � �-a r �''..v ���ti li L3✓'�.F i" •.t `.' '"° �+.�.�•.p„ '/f�` �.� � � '739 a ! r �•-"ter--� ,*sr, ��� y •�1 � ;�- .: E1m�G SR-M;2�R 1 t/ �, ( Ch■ {v ari Aw }'.��; .��-'�1�.. �'-?Y��..y.` x.�»-. ; .r9 �. 3 i#� �. "��c�`.�`''�� l� `P �j; 4 �J� �-1..•J� :' i ��.. !`� _ J072 "• -- !r� `".'" '.. ^t_.. _.... `'CE ., 4 ram;.. emu. Copyright(C)1998,Maptech,Inc.