NCGNE0828_COMPLETE FILE - HISTORICAL_20120321

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V 0833
DOC TYPE 9'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ a n36 f
YYYYMMDD

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�o
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
March 21, 2012
Keen Transport, Inc.
Attn: William R. Keen
P.O. Box 298
New Kingstown, PA 17072
Subject: No-Exposure Certification NCGNE0828
Keen Transport, Inc.
3350 Temple School Road, Winston-Salem A
Forsyth County
Dear Mr. Keen:
The Division has reviewed your submittal of the No-Exposure Certification(NEC) for Exclusion from
NPDES Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the
above referenced facility, 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. Ron Boone, of the
Winston-Salem Regional Office, also visited the site on March 21,2012, and toured the facility with Tom
Sheedy. Mr. Boone noted no conditions that would prevent us from issuing the NEC for this site.
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
storrnwater discharge. Otherwise, the discharge becomes subject to enforcement as an unpermitted
discharge. You must self recertify annually using the included form,or obtain NPDES permit coverage
for any stormwater discharges from your facility. The annual self recertification does not need to be
submitted to DWQ, unless requested.
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 Waughtown Street.Winston-Salem,North Carolina 27107
Phone:[phone] L FAX:[phone] l Customer Service 1-877-623-6748
Internet:www.ncwatemuality.orq One�
An Equal Oppodunity 1 Affirmative Acton Ernooyer No,, hCarofina
Naturallrf

Keen Traniport,Inc.
No Exposure Certification NCGNE000828
March 21,2012,Page 2 of 2
If you have any questions or need further information, please contact Ron Boone at [phone], or at
[e-mail].
Sincerely,
for Chuck Wakild, P.E.
r
cc: WSRQ Files
Stormwater Permitting Unit,No-Exposure Files
Keen Transport, Inc.
Attn: Tom Sheedy
3350 Temple School Road
Winston-Salem,NC 27107

7_arh
MCDEN V
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
March 21, 2012
Keen Transport, Inc.
Attn: William R. Keen
P.O. Box 298
New Kingstown, PA 17072
Subject: No-Exposure Certification NCGNE0828
Keen Transport, Inc.
3350 Temple School Road, Winston-Salem
Forsyth County
Dear Mr. Keen:
The Division has reviewed your submittal of the No-Exposure Certification (NEC) for Exclusion from
NPDES Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the
above referenced facility, the Division is granting your conditional exclusion from permitting as provided for
under 40 ChR 126.22(g), which is incorporated by reference in North Carolina regulations. Ron Boone, of the
Winston-Salem Regional Office, also visited the site on March 21, 2012, and toured the facility with Tom
Sheedy. Mr. Boone noted no conditions that would prevent us from issuing the NEC for this site.
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 unpermitted
discharge. You must self recertify annually using the included form, or obtain NPDES permit coverage
for any stormwater discharges from your facility. The annual self recertification does not need to be
submitted to DWQ, unless requested.
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 Waughtown Street.Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone] Customer Service 1-877-623-6748
Internet:www.nmater4ualitv.org e 7
An Equal Opportunity lAffirma6ve Action Employer Nonl hCaI'olina
;Vattrallry

Keen Transport,Inc.
No Exposure Certification NCGNE000828
March 21,2012,Page 2 of 2
If you have any questions or need further information,please contact Ron Boone at(336) 771-4967, or at
[e-mail].
Sincerely,
for Chuck Wakild, P.E.
r
cc: WSRO Files
Stormwater Permitting Unit, No-Exposure Files
Keen Transport, Inc.
Attn: Tom Sheedy
3350 Temple School Road
Winston-Salem,NC 27107

FOR AGENCY USE ONLY
Dale Received
! '�, Division of Water Quality/Surface eater Protection Year Month Day
NCDENR National Pollutant Discharge Elimination System Certi!-tcate of Coverage
N t
�r�u.,.NPYWYMEv, NO EXPOSURE CERTIFICATION for Exclusion
r RQ.HN�n.„R Nu rev.Rf a r RECEIVED
NCGNE0000 N.C.Dept,of ANN
NO EXPOSURE CERTIFICATION DEC 0 7 2011
1FIir r�n_4 al im
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Perm�f based.
on NO EXPOSURE: n� ta41a!W6.1ce
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, snowmell, and/or runoff.
For permitted facilities in North Carolina, DWO must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are,not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products.
Material handling activities include the storage, loading and unloading, transportation, or conveyance of
any raw material, intermediate product, final product or waste product. A storm resistant shelter is not
required for the following industrial materials and activities: drums, barrels, tanks, and similar containers
that are tightly sealed, provided.those containers are not deteriorated and do not leak. "Sealed"means
banded or otherwise secured and with locked or non-operational taps or valves;adequately maintained
vehicles used in material handling;and final products, other than products that would be mobilized in
stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In
addition, the exclusion from NPDES permitting is available on a facility-wide basis only—not for individual
outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the facility is not
eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form,you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
You are required to self re-certify your No Exposure Exclusion annually.
For questions,please contact the DWO 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 Keen Transport, Inc.
Contact William R. Keen
Street Address P.o. Box "4 219 q
City New Kingstown State PA ZIP Code 17072
Telephone No. 717-214-1200 Fax:
Email Bill .Keen@keent_ra_nsport.com n �]
Lc`=
Page 1 of 7 NOV 2 3 2011
SWU-NE-12Aug2010
DENR-WATER QLXU
� $N+N$TORMrifAiERBRANCH

NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name Keen Transport
Facility Contact Tom Sheedy
Facility Street Address 3350 Temple School Road
City Winston-Salem State NC ZIP Code 27107
County Forsyth
Telephone No. 912-748-3999 Ext. 3010 Fax:
Email ti [e-mail]
i} ate - 231 - L,76 - 3955
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). From intersection of US 311 & Union Cross Rd. , go
0 .3 mile north, turn it. onto High Point Rd. ,go 0.7 miles turn rt.on Temple School Rd., So 0.4 mile
(A copy of a map with the facility clearly located on it should be included with the certification application.)to project
4) Is the facility located on Native American Lands? ❑ Yes Lf No on left.
5) Is this a Federal facility? ElYes O No
3(,o.0 75 y0.
6) Latitude 36 03 ' 27" N Longitude 80 07' 44" w (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
1-1 New or Proposed Facility Date operation is to begin March 1, 2012
o Existing Date operation began
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes Lf No
If yes, what is the NPDES Permit Number?
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4 2 1 3 t
10) Provide a brief description of the types of industrial activities and products produced at this facility:
Trucking firm to ship arts for nearby Caterpillar. Site is staging area for trucks
waiti Nci r' o
11) Does this facility have any Non-Discharge permits(ex: recycle permits)?
0 No
Li Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
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SWU-NE-12Aug2010

, r
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 Ca,No
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 13 No
c. Materials or products from past industrial activity ❑ Yes E No
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes M No
e. Materials or products during loading/unloading or transporting activities ❑ Yes ® No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes ® No
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, o Yes IN No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ® No
the discharger
i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) © Yes ® No
j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes ® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes 0 No
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 ® No
(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 ® No
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 and piping free of rust, damaged or weathered coating, pits, or ❑ Yes ❑ No ® NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No 12 NIA
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
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SWU-NE-12Aug2010

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 all single above ground storage ❑ Yes ❑ No ® NIA
containers (including drums, barrels, etc.) with a capacity of more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored ❑ Yes ❑ No Q 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 ❑ Yes ❑ No ❑ NIA
Amendments and Reauthorization Act (SARA) water priority chemicals`?
d. Is secondary containment provided for hazardous substances" designated in 40 ❑ Yes ❑ No ® N/A
CFR §116?
e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No ® NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes I3 No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes 12l:No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste ❑ Yes ® No
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: N/A
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
`Note that amounts below the 660-gallon (single) and i,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
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NCGNE0000 No Exposure Certification
16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes 13 No
b. Does your facility have coal piles on site? ❑ Yes ® No
c. Does your facility store other fuel sources outside in piles, such as wood chips, © Yes ® No
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes In No
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No 0 NIA
Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Applied - City of Winston,- Program: Erosion Control permit
Permit: Salem Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
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r
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.
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)).
understand that I am obligated to annually self re-certify No Exposure and, if requested, submit the re-certification to
DWQ or 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.
1FHFited�N�[ame of_Perso.n Signing: W I r-4An �'t IA-
,(Sigridfure df Applicant) (Date Signed)
Please mote: 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 falsities,tampers with,or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management]Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars($10,000).
There is currently no fee for a No Exposure Exclusion.
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SW U-NE-12Aug2010

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
0 This completed application and all supporting documentation.
® A map with the location of the facility clearly marked.
❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1 61 7
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions,please contact the DWQ Regional Office for your area.
DWO Regional Office Contact Information:
Win ton-Sale ! ~ n
Asheville Office ...... [phone]
Fayetteville Office ... [phone]
Mooresville Office ... [phone] ' �
Raleigh Office ........ [phone] �, ''Ile
aor v Ic
Washington Office ...[phone]
Wilmington Office 910 796-7215 ,
Winston-Salem ...... [phone] Foyet►ewille .�
Central Office .........[phone]
Wil ngton
Page 7of7
5W U-NE-12Aug2010

S#i m m e Sui N.Trade Street date: 11/22/201 ! job #: 11-178
Suite 200
Winston Salem,NC project: Keen Transport
Landscape Architecture 27101-2916
Civil Engineering
P:336.723.1067
Stimmel Associates, PA Land Planning F:336.723.1069
letter of transmittal
attn: NCDENR sent via: C;, Attached
to: Stormwater Permitting Unit 0 Under Separate Cover
Division of Water Quality ('—J U.S. Mail r By Hand
1617 Mail Service Center W6 Over Night Service r For Pick-Up
Raleigh, NC 27699-1617 r Fax#
# of pages total =
We are sending you the following items:
J Prints Calculations r Base Drawings IJ Diskette/CD
r Reproducibles r Information r--j Correspondence C-I Email with Attachments
r' Originals r Specifications r Change Order/Addendum r
copies sheet dated description
1 No Exposure Certification
remarks, comments, & details:
NOV 2 3 2011
DENR•WATER QUALM
WETLANDS AND STORMTER BRANCR
If noted enclosures are not received, please notify us.
copies to: File by: Bob Young