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HomeMy WebLinkAboutNCGNE0832_COMPLETE FILE - HISTORICAL_20120110 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV Cc, N��g�`1 �1 DOC TYPE 9' HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ YYYYMMDD KDENR 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 NCGNE0832 BD Diagnostics—Women's Health 1022 Corporate Park Drive, Mebane, 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 CER 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 Jenny Graznak at (336) 771-4960, or at ienny.Qraznak(a-�ncdenr.gov. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: rWSRO 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:336-771-5000 1 FAX:336-771-46301 Customer Service;1-877-623-6748 NorthCarolina Internet:wvaw.ncvraterauality.org "]A at ra An Equal Opportunity 1 Affirmative Action Employer j/ y sf "//� Compliance Inspection Report Permit: NCGNE0832 Effective: Expiration: Owner: Bd Diagnostics-Women's Health SOC: Effective: Expiration: Facility: BD Diagnostics-Women's Health-Mebane Facility County: Alamance 1022 Corporate Park Dr Region: Winston-Salem Asheboro NC 27203 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: 01110/2012 Entry Time: 11:00 AM Exit Time: 11:30 AM Primary Inspector:, Jennifer F Graznak Phone: 336-771-5000 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ® Compliant ❑ Not Compliant Question Areas: ®Miscellaneous Questions IM Misc (See attachment summary) Page: 1 r Permit: NCGNE0832 Owner-Facility: Bd Diagnostics-Women's Health Inspection Date: 01/1012012 Inspection Type: Compliance Evaluation Reason far Visit: Routine Inspection Summary: Jenny Graznak inspected this facility on January 6, 2012 to determine if a condition of No Exposure exists at the site, The site has the following outside: -dumpsters (2) - one for cardboard recycling, one for office waste - docking area -small storage trailer, but all hazardous waste stored indoors It was determined that the facility does qualify for a No Exposure Certification and will be granted NCGNE0832. Misc Yes No NA NE: Is the facility compliant? ® ❑ l] rl comment: Page: 2 BD Diagnostics / Diagnostic Systems,TriPath 780 Plantation Drive Burlington,NC 27215 USA RECEIVED tel:336.222.9707 N.C.Dept.of ENR toll free?800.426.2176 fax:336.222.8819 DEC 1'6 2011 Winston-Salem Regional Office BDDecember 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 Mebane Facility Dear Sir Please find enclosed a No Exposure Certification for the BD Diagnostics — Women's Health facility located at 1022 Corporate Park Drive Mebane NC 27302 If there area any questions concerning the certification, please contact me, Todd Nance, at 336-290-8315 or via email at todd_nance(a)bd.com. Thank you Respectfully Todd Nance, CIH, CSP. Sr. EHS Specialist BD Diagnostics -- Women's Health DEC 1 2WE zort DENR•WATER QUALITY TLANDSAND STORMWATER BF+,ANE}{ Becton,Dickinson and Company wvvw.bd.com FOR AGENCY USE ONLY Date Received Division of Water Quality/Surface Water Protection Year tiientn Day NCDENItNational Pollutant Discharge Elimination System CertifiicateofCovemp N.Tr L tiwp_uu Cequ.�..Evs of NO EXPOSURE CERTIFICATION for Exclusion N N o 8 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. (Seepage 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 OEC X 2 2011 DENR-WATER QUALITY S W L!-N E-t 2Aug201 p WETLANDS AND STORMWATER BRANCH NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name BD Diagnostics-Women's Health Facility Contact Todd Nance Facility Street Address 1022 Corporate Park Drive City Mebane State NC ZIP Code 03 M 3 o �. County Alamance Telephone No. 336 290-6315 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). I-40 West from Raleigh,Take Exit 153. Turn Right on S 5th St.;Turn Left @ 1st Light on Homes Rd to T intersection;Turn Left on S 3rd St EXT;Take 1st Right on Corporate Park Dr.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 8 No 5) Is this a Federal facility? © Yes 8 No 6) Latitude 36°4'55" Longitude -79°17'53" (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 IN Existing Date operation began October 1,2009 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes 8 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 a A 6 10) Provide a brief description of the types of industrial activities and products produced at this facility: BD Diagnosics manufactures medical diagnostic equipment. 11) Does this facility have any Non-Discharge permits (ex: recycle permits)? I9 No ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: Page 2 of 7 SW U-EVE-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 V_No c. Materials or products from past industrial activity ❑ Yes PC No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes V No e. Materials or products during loading/unloading or transporting activities ❑ Yes flNo f. Materials or products stored outdoors (except final products intended for outside ❑ Yes P�_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 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 l;XNo k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes C�,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 I0,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 7(Yes ❑ No ❑ N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 5WU-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 fi�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 N/A 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 ,Jt N/A 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes K No b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes VLNo 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: 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 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 an site? ❑ Yes XNo c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes X 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: e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? ❑ Yes ❑ No XNIA Please specify: I. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: NCR000148841 Program: Hazardous Waste CESQG Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 S W U-N E-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 paint,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: Title: (Signature of Applicant) (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 6 of 7 S W U-N E-12Aug2010 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: Ej This completed application and all supporting documentation. ED 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. DWQ Regional Office Contact Information: _ 4 rye Asheville Office ...... ($28) 296-4500 ° { , Fayetteville Office ... (910) 433-3300 L , = gh -'� Mooresville Office ..- (704) 663-1699 °�- Raleigh Office ........ (919) 791-4200 Ito Q lei Washington Office ...(252) 946-6481ry Wilmington Office ... (910) 796-7215 Winston-Salem ...... 336 771-5000 Central Office ......... 919 807-6300 W1h ngton Page 7 of 7 5WU-NE-12Aug2010 1022 Corporate Park Drive, Mebane,NC ' Google.Maps Paged of l . Address 1022 Corporate Park Dr Goodie Mebane, NC 27302 GetCleNiapsonyotuphone 9 Tart 6*v-d�GMi1P5'to4bfia53 # � F- of I �. _ x 4000 4 1 e1 m s< - } sitaCXkm Not Tra 1dh19i ,. � �i 02011 Goog[e-M p data®2011 Google- http://maps_google-com/maps?f—q&source=s_q&h1=en&geocode=&q=1022+Corporate+P.... 1119/20 11 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 NCGNE0832 BD Diagnostics —Women's Health 1022 Corporate Park Drive, Mebane, 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 DWQR_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 Jenny Graznak at (336) 771-4960, or at ienny.graznak(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:1-877-623.6748 NorthCarolina Internet:www.ncxaterquaiity.org //� An Equal Opportunity 1 Affirmative Action Employer �/ ►/']�']atutal BD Diagnostics / Diagnostic Systems,TriPath 780 Ptantation Drive Burlington, NC 27215 - RECEIVED 1 USA tel:336.222.9707 FV.C,DBAt.of ENf3. toll free:800.426.2176 �' P fax 336.222.8819 DEC G fF E Winstcin-Salem Regliartat office 60, FAA B D 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 Mebane Facility Dear Sir Please find enclosed a No Exposure Certification for the BD Diagnostics —Women's Health facility located at 1022 Corporate Park Drive Mebane NC 27302 If there area any questions concerning the certification, please contact me, Todd Nance, at 336-290-8315 or via email at todd nance@bd.com. Thank you Respectfully gal e" Todd Nance, CIH, CSP. Sr. EHS Specialist BD Diagnostics —Women's Health w . . . }nC.'I'I_rt•YJ�`uy��,w:;���'i�<�`riil eS;,'rr.�: Becton,Dickinson and Company www.hd.com FOR AGENCY 115E ONLY ' +A Dale Received Division of Water Quality/Surface Water Protection Year Month Day ��`®�� National Pollutant Discharge Elimination System lvT certi6IGIcateofCover ge N`*r C.Aa—cc—..eYr.�r NO EXPOSURE CERTIFICATION for Exclusion rN nn'Jµr%T ANC.NA11 Jl.RF'C1,:iCFS 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, andlor 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 our No Exposure Exclusion annual! . For questions,please contact the DWQ Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of ownerloperator(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 41� itf, ,4�r. Page 1 of 7 c 'z SWU-NE-12Aug2010 1�iF�!�•G;ill NCGNE0000 No Exposure Certification ' 2) Location of facility producing discharge: Facility Name BD Diagnostics-Women's Health Facility Contact Todd Nance Facility Street Address 1022 Corporate Park Drive City Mebane State NC ZIP Code x2n03 ,�13 County Alamance Telephone No, 336 290-8315 Fax_ 336 290-8739 Email todd—naRce@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). 1-40 West from Raleigh,Take Exit 153. Turn Right on S 5th St.;Tum Left @ 1st Light on Homes Rd to T intersection;Turn Left on S 3rd St EXT;Take 1st Right on Corporate Park Dr.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 ® No 5) Is this a Federal facility? ❑ Yes IN No 6) Latitude 36°4'55- Longitude -79° 17'53" (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 October 1,2009 ❑ 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: 10) Provide a brief description of the types of industrial activities and products produced at this facility: BD Diagnosics manufactures medical diagnostic equipment. 11) Does this facility have any Non-Discharge permits (ex: recycle permits)? 8 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 M 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 ® 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 p�No c. Materials or products from past industrial activity ❑ Yes No d. Material handling equipment (except adequately maintained vehicles) ❑ Yes �d No e. Materials or products during loading/unloading or transporting activities ❑ Yes ANo f. Materials or products stored outdoors (except final products intended for outside ❑ Yes P�,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 1p No and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes K No the discharger i. Waste material (except waste in covered, non-leaking containers [e.g., dumpsters]) ❑ Yes 4No j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 9�No k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes t�;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 9!�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 �dNo 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 ❑ NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? Page 3 of 7 SW U-NE-Mug2010 NCGNEOOOO 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 gNIA 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 NIA CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes ❑ No XNIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes No 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 ANo generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: 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 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 4of7 S W U-N E-12AU92010 NCGNE0000 No Exposure Certification r 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? 0 Yes ;<No b. Does your facility have coal piles on site? El Yes PeNo 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., I] Yes 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 D No XN/A 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: NCR000148841 Program: Hazardous Waste CESQG Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NE-12Aug2010 NCGNED000 No Exposure Certification 4 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 D WO Regional Office for your area. DWO Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Ya ii c� Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699w ter+ s Li Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 t ; 5 .vim Wilmington Office ... (910) 796-7215 Winston-Salem .... . (336) 771-5000y Central Office .........(919) 807-6300 ' :W3' ngton r Page 7 of 7 SWU-NE-12Aug2010 1022 Corporate Park Drive, Mebane,NC - Google Maps Paged of 1 o Address 1022 Corporate Park Dr Get Google Maps an your phone Mebane, NC 27302 Text the word"GMAPS"tv466453 49 5.� 3_a 7 y�;ng C" O( b ' S5"Sx s _ 119 Dogwoc!6% i Sank r4 ziL:3Gw_ina crC.� y ��• t '��..��, © act. v` _., �-::"_ —*R—,...`-ti..��..r� Pilnt Tfa-,�I' i Gent�r"-' I ®2011 Google-Map data 02011 Google- http://maps.google-com/maps?f-=q&source=s q&h1=en&geocode=&q=1022+Corporate+P.... 1119l2011 ?J' ,/ INDUSTRIAL FABRICATORS 4328 SOUTH YORK HWY GASTONIA, NC 28052 Reference: No Exposure Certification #NCGNE0838 Industrial Fabricators Welding Division 4320 South York Hwy Gastonia, NC 28052 Dear Sir or Madam, Industrial Fabricators intends to renew the no exposure certificate. We are cleaning the parking lot of wooden skids, scrap metal and plan to have the dumpster covered. We have retained Applied Water Technology of Raleigh NC to advise on implementing best management practices to assure maintenance of the no exposure certificate. We expect to complete the clean up within the next three to four weeks. Best regard ck Herndon, Quality/Environmental Engineer Industrial Fabricators FRECITIVED FEB 13 2018 0l=NR-LAND QUAL17-Y STORMWATER PERMITTING