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NCGNE1303_COMPLETE FILE - HISTORICAL_20180831
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V CiCo PVCIc3U`� DOC TYPE I Y HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ � O � 0 ��,�j YYYYMMDD r� .4 ROY COOPER Gurrr-ear MICHAEL S. REGAN Energy,Mineral WILLIAM E. (TOBY) VINSON, JR.rr and Land Resources ENVIRONMENTAL QUALITY August 31, 2018 Genpak, LLC Attention: Mr. Philip Leggett 10601 Westlake Drive Charlotte, North Carolina 28273 Subject: No-Exposure Certification NCGNE1303 Genpak - Building #3 1201 Westinghouse Boulevard Charlotte,North Carolina 28273 Dear Mr. Leggett: The Division of Energy, Mineral and Land Resources has reviewed your submittal of the No- Exposure Certification form for Exclusion from NPDES Stormwater Permitting. Based on your submittal and signed certification of no exposure at the above referenced facility, and the inspection dated August 29, 2018, this 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 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 re-certify your No-Exposure status annually and the form can be downloaded by visiting the following web page for the Division of Energy, Mineral and Land Resources Stolmwater Program: http:/(portal.ncdenr.org!web/lr/npdcs-stoi-n-rwater The annual self re-certification does not need to be submitted to DEMLR unless requested. A copy should be maintained in your file. 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. State of North Carolina I Environmental Quality I Energy,Mineral and Land Rcsom ms Mooresville Regional Office 1 610 East Center Ave Ste 341 � Mooresville,NC 28115 704 663 1699 T f� Genpak, LLC NCGNE 1303 August 31, 2018 Page 2 of 2 If you have any questions or need further information, please contact Ms. Angela Lee at (704) 063-1699, or at aiigela.lee(rvilcdeiti•.goN. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section AL/cys Enclosure: Inspection Report c: Annette Lucas, Stormwater Permitting Program, No- Exposure Files NCGNE 1303 7 Compliance Inspection Report Permit: NCGNE1303 Effective: Expiration: Owner: Genpak LLC SOC: Effective: Expiration: Facility: Genpak-Bldg.#3 County: Mecklenburg 1201 Westinghouse Blvd Region: Mooresville Charlotte NC 28273 Contact Person: Morris Ramsey Title: Phone: 704-588-6204 Directions to Facility: located approx.6 mile west of the intersection of interstate 77 and westinghouse bled. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On-Site Representative(s): Related Permits: Inspection Date: 0 812 9120 1 8 Entry Time: 11:20AM Exit Time: 12:1 OPM Primary Inspector: Angela Y Lee Phone: 704-235-2139 Secondary lnspector(s): Reason for Inspection: Other Inspection Type: Technical Assistance Permit Inspection Type: Storrnwater Discharge, No Exposure Certificate Facility Status: 0 Compliant Not Compliant Question Areas: ® Miscellaneous Questions ® Misc (See attachment summary) Page: 1 Permit: NCGNE1303 owner-Facility:GenpakLLC Inspection Date: 08/29/201 B Inspection Type:Technical Assistance Reason for Visit: Other Inspection Summary? The site was inspected due to a request for a No Exposure certification. Morris Ramsey was present for the inspection. Per the inspection, it is found that the site qualifies and is recommend to be granted the No Exposure Certification. Pagel 2 a Permit: NCGNE1303 Owner-Facility:Genpak LLC Inspection Date: 08/29/2018 Inspection Type:Technical Assistance Reason for Visit: Other Misc Yes No NA NE Is the facility compliant? ® ❑ ❑ ❑ Comment: Page: 3 FOR AGENCY USE ONLY U Date Received Divisik of Energy, Mineral and Land Resources Year Month I Dav N :' IjJ Land Quality Section Nati ollutant Discharge Elimination System n Certificate orCoveragc tNIZZO NP EX RE CERTIFICATION for Exclusion f �.-.t Ehvironme aI (� Qualito��d� aF 2 Z NCGNEaooa AUG 2 7 2OtJ 0 a y � <11 �. sp�d��F �OJ��pp Q STp M 4 �Q .4LlTy National Pollutant Dtl limination System application for exclusion from a St�rmwateriPerrmit based on NO EXPOSURE: �'o�0Pc, Submission of this No E sure Certification constitutes notification that your facility does not require a permit for stormwater disArges 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, DEMLR 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—nof 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 922.26(g). If approved, your conditional No Exposure Exclusion has no expiration date BUT MUST BE self re-certified at least annually. Please look for information about re-certification under the No Exposure section on this page: https:ildeg.nc.gov/about/divisions/enerc -ri ineral-land-resourceslenergy-mineral-land-permitslstormwater- perm itslnpdes-industrial-sw For questions, please contact the DEMLR 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 Genpak LLC Contact Philip Leggett Street Address 10601 Westlake Drive City Charlotte State NC ZIP Code 28273 Telephone No. 980 256-7729 Fax: Page 1 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Genpak-Bldg.93 Facility Contact Morris Ramsey Street Address 1201 Westinghouse Blvd. City Charlotte State NC ZIP Code 28273 County Mecklenburg Telephone No. 704 588-6204 Fax:3) Physical location information: 35. 169 &0 � " 90 -, "f n 3 � �9) 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). Located approximately 0.6 miles west of the intersection of Interstate 77 and Westinghouse Blvd. (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?El Yes ® No 5) Is this a Federal facility? ❑Yes W No 6) Latitude 35 Deg. 7' 8.9" Longitude -80 Deg. 56'3" (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 November 2012 ❑ Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? 13 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: 2 6 7 4 10) Provide a brief description of the types of industrial activities and products produced at this facility: Paper printing and bag convertina for the auick serve food industry. 11) Does this facility have any Non-Discharge permits (ex: recycle permits)? El No C Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: Page 2 of 7 5WU-NCGNE Last revised 9/28/2016 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 ® No ©NIA 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 El Yes ® No in NIA c. Materials or products from past industrial activity 13 Yes ® No E3 NIA d. Material handling equipment (except adequately maintained vehicles) 0 Yes E No © NIA e. Materials or products during loading/unloading or transporting activities ©Yes ® No 0 NIA f. Materials or products stored outdoors (except final products intended for outside 0 Yes 19 No 0 NIA 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, 13 Yes a No 0 NIA tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained ©Yes ®No E3 NIA by the discharger i. Waste material (except waste in covered, non-leaking containers [e.g., 13 Yes IN No E3 NIA dumpsters]) j. Application or disposal of process wastewater(unless otherwise permitted) a Yes ® No 13 NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents ©Yes a No EI NIA not 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 0 Yes ® No Q NIA (Le., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers 0 Yes ®No © NIA stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer"No" to any of the following items,you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or p Yes El No M NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No a NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 14) Secondary Containment: If you answer"No" to any of the following items, you are not eligible for the no exposure exclusion. Page 3 of 7 S1A111_N((;NF I act ravicAd Q17Ron1F NCGNE0000 No Exposure Certification a. Is secondary containment provided for single above ground storage containers 0 Yes 13 No a NIA (including drums, barrels, etc.)with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored 0 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 CI Yes © No NIA Amendments and Reauthorization Act(SARA)water priority chemicals'`? d. Is secondary containment provided for hazardous substances" designated in ❑Yes 13 No U NIA 40 CFR §116? e. Are release valves on all secondary containment structures locked? 13 Yes 13 No it NIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑Yes ■ No p NIA b. Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous E3 Yes ■ No 0 NIA waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste M Yes ® No p NIA generated per month)of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport 1 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 minimurtts 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. 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. Page 4 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑Yes M No © NIA b. Does your facility have coal piles on site? p Yes ® No 0 NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, p Yes ■ No Ell NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity(e.g., ©Yes ■No 13 NIA 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 © Yes 13 No ®NIA Permit? 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: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NCGNE Last revised 9/2 812 0 1 6 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)). I understand that I am obligated to maintain no exposure conditions and complete a Self-Recertification format least once each year, and if requested, provide this certification to the operator of the local municipal separate storm sewer system (MS4)into which the facility discharges(where applicable). I understand that I must allow the North Carolina Division of Energy, Mineral, and Land Resources, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must keep a copy of annual re-certifications on file at the facility. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility.Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete,and accurate. Printed Name of Person Signing: Morris Ramsey Title: Plant Manage 8/17/2018 {Signature of Applicant} (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDEQ 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 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: This completed application and all supporting documentation. 11&1-� 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: DEMLR- Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 kT-red . LAM" &L-E*Obt-z Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions,please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: • Asheville Office ...... (828)296-4500 in r" °t° Fayetteville Office ... (910)433-3300 ti , a,_, I d� Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919)791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 _ Winston-Salem ...... (336)776-9800 °1f I'll° Central Office .........(919) 707-9220 � Wil ngron s Page 7 of 7 SWU-NCGNE Last revised 9/28/2016 Polaris 3G Map — Mecklenburg County, North Carolina Genpak LLC - Plant #3 Date Printed: 8/16/2018 3:42:43 PM 'V%& VA " Parcel ID - 20324104 r Address: 1201 Westinghouse Blvd. Land Area - 14.39 AC -Y • .�•��Sri �` i �Gs r 4 b 'b A. ti - 0 0.0125).025 0.05 Miles w �- This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds,plats,tax maps, surveys, planimetric maps,and other public records and data. Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification- Mecidenburg County and its mapping contractors assume no legal responsibility for the information contained herein- Frrr- Gen C.9 �+ August 22,2018 � Gdi-b� moo, AUG 7 dJJ � zone DEMLR—Stormwater Program DFN� Department of Environmental Quality S. i 'iAND i U Ty 1612 Mail Service Center AT � Rj�, � Raleigh,NC 27699-1612 RE: Submission of No Exposure Certification for Exclusion Dear Sir or Madam: "Phis is to inform you of Genpak's submission of the No Exposure Certification documentation for our 1201 Westinghouse Blvd. location in Charlotte. This location,known as Plant 93 produces printed paper bags for quick- serve restaurant customers. One point that should be mentioned regarding this site is that this property is a Formerly Used Defense Site(FUDS). Specifically,this area known as CBP(Commerce Business Park)was part of the Charlotte Naval Ammunition Depot(CNAD),which manufactured and stored munitions during World War 11 through the Korean Conflict.A chlorinated solvent release associated with an off-site vapor degreaser resulted in impacting the groundwater beneath adjacent properties to the Genpak 1201 Westinghouse location.Thus,to Genpak's knowledge,there is no source of contamination on its property. Nearby groundwater contains concentrations of TCE and other chlorinated volatile organic compounds(VOCs) in excess of North Carolina Drinking Water Quality Standards. With respect to the area in question,the Army Corps of Engineers has installed sampling wells and injection wells, located in the southern and southwestern-most portion of this site that are part of an ongoing remediation effort. There has been no Genpak activity or involvement,beyond a minimal amount of lawn maintenance,from the initial property acquisition in early 2012 to present day in these specified areas. Considering this information,Genpak respectfully submits the following certification for your review. Please feel free to contact me with any additional questions. Sincerely, Philip Leggett Corporate Engineering Manager Genpak LLC E-mail: pleggett@genpak.com genpak.com Corporate Office— 10601 Westlake Drive Charlotte, NC 28273 (980)256-7729 `1` 9 � 4� a`�Y - ' I o -�Y1 tad-!cam ,l i FUEL AGENCY USE ONLY. vod Division ofEOeirgy,Mineral-and Land Resources ;YM �4� R, y. Land Quality.Section, + - .I _ Ccrtifrcau ofCovcn, :. i National,Pollutant Discharge Elimination'System �- NO EXPOSURE CERTIFICATION for Exclusion EAviromental 2 7, NCGNE0000 AUK 20' ,l 1�ENR'{�W� .r . Natlonal Pollutant Discharge Elimination System application for exclusion fromfiistgjr qit•based ' on NO EXPOSURE: Submission of'this:Nof ap osure Certification constitutes notification that your facility does not require a =' permlt for storm water discharges'associated with Industrial activity in,the State of North Carolina because- lt:qualif7es for a no,exposure exclusion. A,condition of no exposure at an.Industrial,facillty means all ` Industrial materials and activities:are protected by a storm resistant shelter(with some exceptions)to s prevent exposurB to rain, snow, snowrnelt, and/orrunoff. For permitted facilities in North Carolina;,DEMLR must,afiprove 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. lndustrial.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, transportaflon, or conveyance of any raw material, Intermedlate product, final product or waste producL' 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 rriaintalned' I 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 NODES 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)., If:approved, your condltlonal No Exposure Exclusion has no expiration date BUT MUST BE!self re-certified at least annually. Please look for information about re-certification under the No Exposure section on this page: https:lidea.nc.govfabi)utld-ii_visidh$toneLgy mineral-land-resources/6nergy-mineral-land-permits/storrnwater'- permits/npdes4nd 6strial-sw For questions,please contact ihe DEMLR Reglonal Office for your area..(See page 6) r (Please print or type) .1) Mailing address of owner/operator(address to which all certification-correspondence will be mailed):- s Name Genpak LLC , Contact Philip Leggett Street Address 10601 Westlake Drive City Charlotte State NC ZIP Cade 28273 Telephone No. 980 2564.7729 Fax; - G Page 1 of 7 1 SWU-NCGNE, Last revised 9/28/2016 ` . i ' NCGNEOOOO No Exposure Certification , I , 2) Locafiori of facility°prodiicirfo ischarge: T t.' ak-.Bldg::#3 f en _.. Fa66iy Contact, Morris`Ramsey r Street`Address 12D1'Westinghou§e,Blvd. 1 City, Charlotte= _ State,NC- _ ZIP Code 28273 we _ 17 County Mectctenburg ', Teiepho. 744 5.88,6204 - 3) Physical.loeation information: E p a narrative description of how to get.to the.facility(use streat names,state road riurmbers,-and ' ` distance:and di - Located a roxlmatel '.. Please rOVtdQ. reCtion frorn a roadway interSectibnj. PP y l}.6 miles west ot,the:lntersactlon bi,lnterstate 7 W s ngh ys Bfvd�' ' f, 7 and. a tt a e r ',: ., •" r . '• ,�� T (A copy'of a map with the facility clearly located on it-should be included with the cerli(ication appkicai3on.} 4) Is,the facllity located'.on Native-ArnertcanLands70Yes ®'No �- 5) Is this,a Federal facility? p Yes a No i > f 3 6} Latitude.. 36 Deg..7' 8.9 Longitude,-80 Deg.56':3" (deg.,-ml4n. seconds) e ` 7} This-NPiaES.No Exposuie Exclusion app,licatlon applies,to which of•the.foilowing: i i.. .' ' aNew.or.Proposed Facility C1ate,operation,is to- begin } r E Existing bate operation'began '. November 2012 ~- _ . . ff Renewal bf.exisUng N6Exposure'Certification Certifcatfbn No NCGNE r• 8) Was this facility,or site:ever covered under'an NPDES Stormwatar'P.er nit? 13 Yes WNo ` If yes;,what Is;the NODES'Perrnft Number? = w 9) Standard tndu"strial'Classif3cation: - Provide the.4-digit Standard Industrial..Classifrcat on Code(SIC Code)thatdescribes,tho primary industrial -� i. activity at this facility , SIC Code: !2, 6 7 4 r - I 1l)) Provide' brief of the °types of.Industriaf activities and products produced_at this facilityW, ' Paper prihM6 and bad convertiria'forthe,aiiick serve-food industry: T =� 11) Dbes.thls facility have any Non-Dischargwpenrits (ex:-recycle permits)? i i ©Yes. If yes,list the permit numbers forall'current Non-Discharge.permits far this facility:' Page 2 of T t SWU-NCdNE` , Cast revised 912812076- NCGNE0000 No Ekposure 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 0 Yes. ■ No D NIA 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 0 Yes S No 0 NIA c. Materials or products from past industrial activity M Yes ■ No 13 NIA d. Material handling equipment(except adequately maintained vehicles) 0 Yes ■ No 0 NIA e. Materials or products during loading/unloading or transporting activities 0 Yes ■ No 0 NIA f. Materials or products stored outdoors (except final products intended for outside 0 Yes ■ No 13 NIA 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, 0 Yes 0 No 0 NIA tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained 0 Yes ®No 0 NIA by the discharger i.Waste material (except waste in covered, non-leaking containers[e.g., 0 Yes ■No G NIA dumpsters]) j. Application or disposal of process wastewater(unless otherwise permitted) ®Yes ■ No A NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents 0 Yes !No 0 NIA not 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 0 Yes ■No p NIA (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 D Yes ■No G NIA stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer"No"to any of the following items,you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or M Yes 0 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? 14) Secondary Containment: If you answer"No"to any of the following Items,you are not eligible for the no exposure exclusion. Page 3 of 7 RUJI I_N(.r.NF I A0 ravicAol QOROMA r NCGNE0000 No Exposure Certification a. Is secondary containment provided for single above ground storage containers M Yes 0 No ■NIA (including drums, barrels, etc.)with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored 13 Yes MNo ®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 o No ■ NIA Amendments and Reauthorization Act(SARA)water priority chemicals'? d. is secondary containment provided for hazardous substances—designated in [3 Yes p No ■ N/A 40 CFR§116? e.Are release valves on all secondary containment structures locked? 13 Yes a No RNIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment,Storage,or Disposal Facility? ©Yes ■No 13 NIA b. Is this facility a Small Quantity Generator(less than 1000 kg.of hazardous a Yes ■ No 0 NIA waste generated per month)of hazardous waste? c. Is this facility a Large Quantity Generator(1000 kg.or more of hazardous waste a Yes ■No p NIA generated per month)of hazardous waste? If you answered yes to questions b_or c., please provide the following information: Type(s)of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport 1 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, andlor 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. 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. Page 4 of 7 SWU-NCGNE Last revised 9/2812016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? 0 Yes ■No io NIA b. Does your facility have coal piles on site? p Yes ■ No 0 NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, M Yes ■No p NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity(e.g., 0 Yes ■No .0 NIA 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 0 Yes 0 No NIA Permit? 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: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 5WU-NCGNE Last revised 9/2812016 r NCGNEOOOO No Exposure Certification 17) Certification: 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 maintain no exposure conditions and complete a Self-Recertification form at least once each Year,and if requested,provide this certification to the operator of the local municipal separate storm sewer system (i into which the facility discharges(where applicable). I understand that 1 must allow the North Carolina Division of Energy, Mineral,and Land Resources,or MS4 operator where the discharge is into the local M54,to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must keep a copy of annual re-certifications on file at the facility. 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 property 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: Morris Ramsey Title: Plant Manage 8117/2018 (Signature of Applicant) (Date Signed) Please note: This application for the No Exposure Exclusion is subject to approval by the NCDEQ 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 Glass 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). 'There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NCGNE Last revised 9/28/2016 NONE0000 Nb Exposure Certification Final Checklist This application should include the following items:' - Sr -7hjs completed.applicatiori and all"supporting documentation. ® o'* 'A map with the location of the facllity clearly marked. � k © ',If the site currently has a6 NPDES Storrlwater Permit, be sure to indicate the permit number in Question 8. i Mall'the entire package to: 7 DEMLR-Stormwater Pfograri Dept.of Environrriental Quality 1612 Mail Service Center `Raleigh; North Carolina 27699-1612 *(;Tw bwl kLJEYAPJbW Note The submission.of this document does not guarantee the Issuance of a No Exposure Exclusion. For questions,please contact th`e DEMLR Regional Office for your area; DEMLR Regional Office Contact Informati--on: Asheville Office ...... (828)2964500 � Fayetteville Office ... (910)433-3300 _ �! Mooresville Office ... (704)663-1699 Raleigh Office .-......,(919)791-4200 Washington Office ..:(252)946-6481 Wilmington Office ... (910)796-7215 Winston-Salem .:..--.(336)776-9800 as1 ! Central Office .........(919)707-9220 •' t F t i 4 e .0 ' ff} i Page 7 of 7 SWU-NCGNE last revised 912&2416 + Polaris 3G Map — Mecklenburg County, North Carolina r Genpak LLC - Plant #3 Date,Printed:'8/1612018 3:42:43 PM r' L �. Parcel ID-20324104 Address: 1201 Westinghouse Blvd. Land Area- 14.39 AC • a rr 0"0.0125 25�0.05 Mile$ u n r e This map or report is prepared for the inventory of rest property wdhln Mecklenburg County and b compiled lrom recorded deoda,plats,tax maps,surveys,planimetric maps,,and•other public records and Baia. re"cis of this map or port am hereby notified that the ahramentloned pudic primary.lnformatlon sources should be consulted for verification.Meckenburg County and ilsmapping conlractoraareurne no legal t . responsibility for the information contalneit hereln. - l Frjp-6npak* August 22,2018 A U . VSU DEMLR—Stormwater Program Department of Environmental Quality " 1612 Mail:Service Center Raleigh,NC 27699-1612 RE: Submission of No Exposure Certification for Exclusion Dear Sir or Madam: This is to inform you of Genpak's submission of the No Exposure Certification documentation for our 1201 Westinghouse Blvd. location in Charlotte. This location,known as Plant 43 produces printed paper bags for quick- serve restaurant customers. One point that should be mentioned regarding this site is that this property is a Formerly.Used Defense Site(FUDS). Specifically,this:area known as CBP(Commerce Business Park)was part of the Charlotte Naval Ammunition Depot'(CNAD),which manufactured and stored munitions during World War'll through the Korean Conflict.A chlorinated solvent release associated with'an off-site vapor degreaser resulted in impacting the groundwater beneath adjacent properties to the Genpak 1201 Westinghouse location.Thus;to Genpak's knowledge,there is no source of contamination on its property. Nearby groundwater contains'concentrations of TCE and other chlorinated volatile organic compounds(VOCs)in excess of North Carolina Drinking Water Quality Standards. With respect to the area in question,the Army Corps of Engineers has installed sampling wells and injection wellsi- _ locate&in the southern and southwestern-mast portion of this site that are part of an ongoing.remediation effort. There has been no Genpak activity or involvement,beyond a minimal amount of lawn maintenance,ftpin the initial property acquisition in early 2012 to present day in these specified areas. Considering this information,Genpak respectfully submits the following'certifcation for your review. Please feel free to contact me with any,additional questions. Sincerely; Philip.Leggett Corporate Engineering Manager Genpak LLC E-mail:pleggett@genpak.com y - 5 Corporate Office— 10601 Westlake Drive Charlotte,NC 28273 (980)256-7729