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NCGNE0831_COMPLETE FILE - HISTORICAL_20181228
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE P-1HISTORICALFILE ❑ MONITORING REPORTS DOC DATE ❑ YYYYMMDD BD-Diagnostics © �D 1022 Corporate Park drive Mebane, NC bd.com December 18, 2018 Rick Riddle NC Department of Environmental Quality RECEIVED Storm Water 1612 Mail Service Center DEC 28 2018 Raleigh NC 27699-1612 DENR•LANO QUALITY RE: RD NO-Exposure Certificate NCGNE0831 STORMWATER PERMITTING Dear Mr. Riddle Thank you for your time to discuss my No-Exposure Certificate this morning. As I mentioned, BD will be exiting the facility at 780 Plantation Drive, Burlington NC, 27215. We have maintained the No-Exposure Certificate reference above for the site since 2012. All property owned by BD will have been removed and the site turned back over to the landlord, Carolina Hosiery Mill, on or before December 31, 2018. Any questions or concerns about the facility should be forwarded to the owner; Carolina Hosiery Mill. Thank you for your service Sincerely, _ j qi Le, Todd M. Nance EHS Manager I� 919-568-7663 k` • ,� .A " 7 KI NC®ENR .. North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman Governor Director Secretary January 10, 2012 Mr. Todd Nance BD Diagnostics—Women's Health 780 Plantation Drive Burlington, NC 27215 Subject: No-Exposure Certification NCGNE0831 BD Diagnostics—Women's Health 780 Plantation Drive, Burlington, NC Alamance County Dear Mr. Nance: The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting application. Based on your submittal of a signed certification of no exposure at the above referenced facility, and on an inspection by Jenny Graznak of the Winston-Salem Regional office on January 6, 2012, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. ,Please note that by our acceptance of your no-exposure certification, you are obligated to maintain no-exposure conditions at your facility. If conditions change such that your facility no longer qualifies 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. You must self re-certify annually using the included form, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re-certification does not need to be submitted to_DWQ, unless requested. Your conditional exclusion from permitting does not affect your facilities' 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 ,fenny Graznak at (336) 771-4960, or at jenny.graznak@ncdenr.gov. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: WSRO files Stormwater Permitting Unit: No-Exposure File North Carolina Division of water Quality,Winston-Salem Regional Office Location:565 Waughtown St.Winston-Salem,North Carolina 27107 One Phone:336-771-50001 FAX 336.771.46301 Customer Service:1-677-623-6748 NorthCarolina Internet:www,ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer `t " BD Diagnostics ? Diagnostic Systems,TrTalh 780 Plantation Drive Burlington,IBC 27215 EN{�ECED USA tel:336.222.9707 N.C.De'i.of E.NR toll free:800.426.2176 �'� ��� fax:336.222.8819 DEC U WImlW-5alent Re_ioral Office December 8, 2011 Helping all people Stormwater Permitting Unit live healthy lives Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 No Exposure Certification — BD Diagnostics Burlington Facility Dear Sir Please find enclosed a No Exposure Certification for the BD Diagnostics —Women's Health facility located at 780 Plantation Drive Burlington, NC 27215 If there area any questions concerning the certification, please contact me, Todd Nance, at 336-290-8315 or via email at todd nanceCc_bd.com. Thank you Respectfully Todd Nance, CIH, CSP. Sr. EHS Specialist BD Diagnostics —Women's Health 10 4:r §•N^.�«'�i7�l�iil��HiT'�:i!'J1i'irn. Becton,Dickinson and Company www.bd,corn FOR AGENCY U5E ONLY Ole Division of Water Quality 1 Surface Water Protection sate Received y Year 'Month Day 4 y �w NCDE R National Pollutant Discharge Elimination System CenificateofCovcrage C FG N E C£Ai f OF NO EXPOSURE CERTIFICATION for Exclusion rH�R�uue. s an Nauzu.Rrsa��cFS NCGNEO000 NO EXPOSURE CERTIFICATION National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based on NO EXPOSURE: Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities are protected by a storm resistant shelter(with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DWQ must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"means banded or otherwise secured and with locked or non-operational taps or valves;adequately maintained vehicles used in material handling;and final products, other than products that would be mobilized in stormwater discharges(e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility-wide basis only—not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form,you certify that a condition of no exposure exists at this facility or site and are obligated to comply with.the terms and conditions of 40 CFR 122.26(g). You are required to self re-certify your No Exposure Exclusion annually. 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 BD Diagnostics-Women's Health Contact Todd Nance Street Address 780 Plantation Drive City Burlington State NC ZIP Code 27215 Telephone No. 336 290-8315 Fax: 336 290-8739 Email todd_nance@bd.com Page 1 of 7 SWU-NE-12Aug2010 r� NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name So Diagnostics-Women's Health Facility Contact Todd Nance Facility Street Address 780 Plantation Drive City Burlington State Nc ZIP Code 27215 County Atamance Telephone No. 336 290-8315 Fax: 336 290-8739 Email todd_nance@bd.com 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). 1-4011-85 west from Raleigh;Exit 145 turn Right on 49N. Take 1st Left on Plantation Drive. Facility is-112 mile on Right (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 IN No 5) Is this a Federal facility? ❑ Yes 8 No 6) Latitude 36°3'5s- Longitude -79'26-40' (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 ® Existing Date operation began 1994 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ® 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: 3 8 2 6 10) Provide a Brief description of the types of industrial activities and products produced at this facility: So Diagnosics manufactures reagents to support medical diagnostic equipment. 11) Does this facility have any Non-Discharge permits(ex: recycle permits)? i No ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: Page 2 of 7 SWU-NE-12Aug2010 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 IN 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 XNo c. Materials or products from past industrial activity ❑ Yes D(No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes XNo e. Materials or products during loading/unloading or transporting activities ❑ Yes XNo f. Materials or products stored outdoors (except final products intended for outside ❑ Yes 9 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, © Yes X No and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ,X No the discharger i. Waste material (except waste iri covered, non-leaking containers [e.g., dumpsters]) ❑ Yes XNo j. Application or disposal of process wastewater(unless otherwise permitted) ❑ Yes j8(No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes J�,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 XNo 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 ❑ N/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Yes ❑ No ❑ N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 SWU-NE-12Au92010 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 P<'N/A 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 NIA 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 XN1A 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 ,1f No b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste XYes ❑ No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes )"0 generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: Ignightable riquids;Empty Containers of a P Listed waste,Small amounts cf lab waste. How Is material stored: Liquids are maintained in Drums or in original containers Where Is material stored: Inside the building and inside a fully enclosed waste shed equipped with a sealed sump How many disposal shipments per year: -s Name of transport/disposal vendor: clean Harbors Environmental Vendor address: 208 Watlington Industrial Drive;Reidsville,NC 27302 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 SWU-NE-12Aug2010 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 )�No b. Does your facility have coal piles on site? ❑ Yes )2�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 ❑ No degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: Fugitive alcohol vapors associated with reagent manufacturing. e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes KNo ❑ NIA Please specify: Emissions have been evaluated and are well below threshold limits f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: NC0000145292 Program: Hazardous Waste Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SwU-NE-12Aug2010 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 annually self re-certify No Exposure and, if requested,submit the re-certification to DWQ or the operator of the iocal municipal separate storm sewer system (MS4) into which the facility discharges (where applicable), l understand that f 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 fag! .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: Title: �-11R Ct;+ti1r w L� (Signature of Appfic tJ V (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval b the AP P 1 PA Y 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 roe 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 [Environrnenta;Managementi 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 S W U-N E-12Aug2010 NCGNEOOOO No Exposure Certification Final Checklist This application should include the following items: ❑ 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 27699-1617 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions,please contact the DWO Regional Office for your area. DWO Regional Office Contact Information: _ e Asheville Office ...... (828) 296-4500 �oi` otou�� Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 � Bat Raleigh Office ........ (919) 791-4200 max °" a„w � s Ills Washington Office ...(252) 946-6481 .7b9r Wilmington Office ... (910) 796-7215 �:�, � � _ r F Winston-Salem ...... 336 771-5000x Central Office .........(919) 807-6300Tti �" _1Nil J ngton w� Page 7of7 5WU-NE-12Aug2010 .780-Plantation Drive, Burlington,NC.- Google Maps Page.1'of J. Address 780 Plantation.Dr Notes BD Diagnostics-Women's . 010 Burlington, NC 27215 Health Facility co ' c ° •7 Albany CD St Bi- on' Malden rf -- a Rndal .tar Q ti OFF - 1¢' I.I3frk]nC2 ar Z+ -.-77 Coli C_ 71 Rd .r Le�v:s br - ef - J 4 �'Sacle 4ve X _ r a ®2011 Google-Map data©2011 GOb�f�, http:llmaps.google.com/maps?f—q&source=s_q&hl=en&geocode=&q=780+Plantation+Dr... 11/9/2011 AG A NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman Governor Director Secretary January 10, 2012 Mr. Todd Nance BD Diagnostics —Women's•Health 780 Plantation Drive Burlington, NC 27215 Subject: No-Exposure Certification NCGNE0831 BD Diagnostics—Women's Health 780 Plantation Drive, Burlington, NC Alamance County Dear Mr. Nance: The Division has reviewed your submittal of the No-Exposure Certification for Exclusion from NPDES Stormwater Permitting application. Based on your submittal of a signed certification of no exposure at the above referenced facility, and on an inspection by Jenny Graznak of the Winston-Salem Regional office on January 6, 2012, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations, Please note that by our acceptance of your no-exposure certification, you are obligated-to maintain no-exposure conditions at your facility. If conditions change such that your facility no longer qualifies 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. You must self re-certify annually using the included form, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re-certification does not need to be submitted to DWQ unless re guested. Your conditional exclusion from permitting does not affect your facilities' legal requirements to obtain environmental_ permits that may be required under other federal, state, or local regulations or ordinances. If you have any questions or need further information, please contact Jenny Graznak at (336) 771-4960, or at iennygraznak(a)ncdenr.gov. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: / WSRO files,' Stormwater Permitting Unit: No-Exposure File North Carolina Division of Water Quality,Winston-Salem Regional Office Location;585 Waughtown St.Winston-Salem,North Carolina 27107 One Phone:336-771-50001 FAX:336-771-46301 Customer Service:1-877.623-6745 North Carolina Internet:wvwv.nwaterquality.org Vat rally An Equal Opportunity 1 Affirmative Action Employer y `fit[ +� Compliance Inspection Report Permit: NCGNE0831 Effective: Expiration: Owner: Bd Diagnostics-Women's Health SOC: Effective: Expiration: Facility: BD Diagnostics-Women's Health County: Alamance 780 Plantation Dr Region: Winston-Salem Glen Raven NC 27215 Contact Person: Todd Nance Title: Phone: 336-290-8315 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On-Site Representative(s): 24 hour contact name Todd Nance Phone: 336-290-8315 Related Permits: Inspection Date: 01/06/2012 Entry Time: 10:00 AM Exit Time: 10:30 AM Primary Inspector: Jennifer F Graznak Phone: 336-771-5000 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compiiance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ® Compliant [1 Not Compliant Question Areas: ®Miscellaneous Questions 10 Misc (See attachment summary) Page: 1 Permit: NCGNE0631 Owner-Facility: Bd Diagnostics-Women's Health Inspection Date: 01/0612012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Jenny Graznak inspected this facility on January 6, 2012 to determine if eligible for No Exposure Certification. The facility has outside: -dumpsters (2)-one for cardboard recycling, one for office waste -docking area -empty drums, which are stored on their side in a shed -small trailer for hazardous waste storage (secondary containment) The facility was found to have a condition of NO EXPOSURE and will be granted NCGNE0831. Mlsc Yes No NA NE Is the facility compliant? ® � ❑ Q Comment: Page: 2 BD Diagnostics Diagnostic Systems,TriPath 780 Plantation Drive Burlington,NC 27215 RECEIVED USA tel:336.222,9707 tiV.C.Dept.Of ENR toll free:800A26.2176 DEC 1 fi 2011 fax:336.222.8819 Winston-Salem Re ionalO�im i"ABDDecember 8, 2011 Helping all people Stormwater Permitting Unit live healthy lives Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 No Exposure Certification — BD Diagnostics Burlington Facility Dear Sir Please find enclosed a No Exposure Certification for the BD Diagnostics —Women's Health facility located at 780 Plantation Drive Burlington, NC 27215 If there area any questions concerning the certification, please contact me, Todd Nance, at 336-290-8315 or via email at todd_nance(cDbd.com. Thank you Respectfully Todd Nance, CIH, CSP. Sr. EHS Specialist BD Diagnostics — Women's Health D (� Qb" fir DEC 12 2011 WETLANDSAND STORMINATER BRANCH Becton,Dickinson and Company www,bd.com FOR AGEi3CY USE ONLY . Date Received Division of Water Quality/Surface Water Protection Year Month Day NCDENR National Pollutant Discharge Elimination System CerlificateofCoverage NICIGI '��rx'rn Gwo�au,peaun*e+r ar NO EXPOSURE CERTIFICATION for Exclusion N Ew YFgYMI..T wxn Nvt��u.F�sa.acfs NCGNE0000 NO EXPOSURE CERTIFICATION National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based on NO EXPOSURE: Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all industrial materials and activities are protected by a storm resistant shelter(with some exceptions)to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DWQ must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"means banded or otherwise secured and with locked or non-operational taps or valves;adequately maintained vehicles used in material handling;and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility-wide basis only—not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). You are required to self re-certify your No Exposure Exclusion annually. For questions, please contact the DWQ Regional Office for your area. (See page 6) (Please print or type) i) Mailing address of owner/operator(address to which all certification correspondence will be mailed): Name BD Diagnostics-Women's Health Contact Todd Nance Street Address 780 Plantation Drive City Burlington State NC ZIP Code 27215 Telephone No. 336 290-8315 Fax: 336 290-8739 Email todd_nance@bd.com E I M vr](lr R 0W19 5 D Page 1 of 7 EC 12 2011 DENR-WATER QUALITY WETLANDS AND STORIMATER BRANCH SWU-NE-12Aug2010 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name BD Diagnostics-Women's Health Facility Contact Todd Nance Facility Street Address 780 Plantation Drive City Burlington State NC ZIP Code 27215 County Alamance Telephone No. 336 290-8315 Fax: 336 290-8739 Email todd nance@bd.com 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). 1-4011-85 West from Raleigh:Exit 145 turn Right on 49N. Take 1st Left on Plantation Drive, Facility is-112 mile on Right (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 a No 5) Is this a Federal facility? ❑ Yes @ No 6) Latitude 36°3'W Longitude -79°26'40^ (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 lk Existing Date operation began 1994 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes @ 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: 3 8 2 6 10) Provide a brief description of the types of industrial activities and products produced at this facility: BD Diagnosics manufactures reagents to support medical diagnostic equipment. 11) Does this facility have any Non-Discharge permits (ex: recycle permits)? i No ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: Page 2 of 7 5WU-NE-12Aug2010 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 8 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 O(No c. Materials or products from past industrial activity ❑ Yes '<No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes XNo e. Materials or products during loading/unloading or transporting activities ❑ Yes p<No f. Materials or products stored outdoors (except final products intended for outside ❑ Yes V 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, ❑ Yes No and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes , f 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 1�,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 9�No stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage'franks (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 ❑ N/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Yes ❑ No ❑ NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 SW U-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 j<N/A 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 X 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 gN/A Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances" designated in 40 ❑ Yes ❑ No XN/A CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No XN/A 1 S) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes XNo b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste 'Yes ❑ No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes )"o generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: lgnightable riquids;Empty Containers of a P Listed Waste,Small amounts of lab waste. How Is material stored: Liquids ate maintained in Drums or in original containers Where Is material stored: !ride the building and inside a fully enclosed waste shed equipped with a sealed sump How many disposal shipments per year: `s Name of transport/disposal vendor: clean Harbors Environmental Vendor address: 208 watlington Industrial Drive;Reidsville,NC 27302 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 SW U-NE-12Aug2010 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 fp�No b. Does your facility have coal piles on site? ❑ Yes XNo c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes 1P11No sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., >1 &es ❑ No degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: Fugitive alcohol vapors associated with reagent manufacturing. e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes KNo ❑ NIA Please specify: Emissions have been evaluated and are well below threshold limits f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: NCO000145292 Program: Hazardous Waste Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SW U-NE-12Aug2010 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 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. 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.r LN Printed Name of Person Signing: /ie4b4t-r A Title: I A� rl (Signature of Applic t) (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval. The Regional Office may also inspect your facility at any time in the future for compliance with the No Exposure Exclusion. North Carolina General Statute 143-215.6 B(i) provides that: Any person who knowingly makes any false statement, representation,or certification in any application, record, report,plan,or other document filed or required to be maintained under this Article or a rule implementing this Article;or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article;or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management]Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). There is currently no fee for a No Exposure Exclusion. Page 6of7 SW U-NE-12Aug2010 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: ❑ 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 27699-1617 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions,please contact the DWQ Regional Office for your area. DWQ Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 ! Raleigh Office ........ (919) 791-4200 ' °v f , tta` o le J' °• = Washington Office ...(252) 946-6481 0 x s Wilmington Office ... (910) 796-7215 rills Winston-Salem ...... (336) 771-5000 Fett ary, Central Office .........(919) 807-6300 " Wif ngton R Page 7 of 7 SWU-NE-12Aug2010 780'Plantation Drive, Burlington,'NC - Google.Maps Page.l of I — ' Address 780 Plantation.Dr Notes BID Diagnostics -Women's GOki le Burlington, NC 27215' Health Facility +J � p- nor 5L�6. Cp_.. S,�*. � Y 3 d r f� -.aVL 4 CD 100 y�gfAdlty,si,�r. 1 � 0 _ 11 Bridal Mart 49 x a� q o + 02011:poogle-Map data 00 �Go http://maps_google_com/maps?�—q&source=s_q&h1=en&geocode=&q=780+PlantationfDr... 11/9/2011