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HomeMy WebLinkAboutNCG080633_COMPLETE FILE - HISTORICAL_20171121STORMWATER DIVISION CODINGSHEET NCG PERMITS PERMIT NO. Iv C0 3 3 DOC TYPE HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ d'b � � � L YYYYMMDD ROY COOPER Governor ---MICHAEL S. REGAN Secretory Energy, Mineral T R A C Y DAVIS and Land Resources Director ENVIRONMENTAL QUALITY November 21, 2017 Fed Ex Freight, Inc. Attn: Bradley DeHetre, Service Center Manager 5452 Shipman Road, Hope Mills, NC 28348 Subject: COMPLIANCE EVALUATION INSPECTION NPDES Stormwater General Permit NCG080000 Fed Ex Freight, Inc. Fed Ex, Certificate of Coverage NCG080633 Cumberland County Dear Mr. DeHetre: On November 14, 2017, a site inspection was conducted for the Fed Ex facility located at 5452 Shipman Road, Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your review. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Permit NCG080D00 under Certificate of Coverage NCG080633. Permit coverage authorizes the discharge of stormwater from the facility to receiving waters designated as a UT of Grays Creek, a Class B stream in the Cape Fear River Basin. As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG080000 permit. Please refer to the enclosed Compliance Inspection Report for additional comments and observations made during the inspection. Please be advised that violations of'the NPDES StorMWater'General-Permit are subject to"a civil penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions, comments, or needs assistance with understanding any aspect of your permit, please contact me at (910) 433-3384 or by e-mail at melissa.joyner@ncdenr.gov. Sincerely, ��- Melissa Joyner Environmental Specialist Enclosure: Compliance Evaluation Inspection Report Permit Owner Affiliation Designation Form cc: FRO — DEMLR, Stormwater Files-NCG080000 State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Fayetteville Regional Office 1 225 Green Street, Suite 714 1 Fayetteville, NC 29301 910-433-3300 Permit: NCGO80633 SOC: County: Cumberland Region: Fayetteville Compliance Inspection Report Effective: 11/01/12 Expiration: 10/31/17 Owner : Fedex Freight Inc Effective: Expiration: Facility: Fedex Freight, Inc - Fay 5452 Shipman Rd Contact Person: Service Center Manager Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Title: Inspection Date: 11/14/2017 Entry Time: 09:20AM Primary Inspector: Melissa A Joyner Secondary Inspector(s): Hope Mills NC 28348 Phone: 910-423-6177 Certification: Phone: Exit Time: 10:30AM Phone: Reason for inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Transportation w/Vehicle Maintenance[Petroleum Bulk/Oil Water Separator Stormwater Discharge COC Facility Status: Compliant ❑ Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 permit: NCGO80633 Owner - Facility: Fedex Freight Inc Inspection Date: 11114/2017 -- Inspecticn Type : Compliance,EvaluaGon Reason for Visit: Routine - - Inspection Summary: Melissa Joyner met with Mr. Bradley DeHetre, Service Center Manager, at the Fed Ex facility located on 5452 Shipman Road. She reviewed the Stormwater Pollution Prevention Plan (SPPP) which appeared well -organized, including the majority of the required information as specified in the NPDES Stormwater General Permit NCG080000. Since Brenden Rose is no longer the Service Center Manager, being replaced by Mr. DeHetre, this information will need to be updated on the enclosed Permit Owner Affiliation Designation Form will need to be submitted to the Stormwater Permitting Program, in Raleigh, NC, using the address on this form. The Annual update of the SPPP, stating that it was reviewed with no changes or that there were changes made to the SPPP was noted for 2013, but not for 2014-2017. The SPPP should be reviewed and updated on an annual basis. No spills were noted prior to 3131/2014, but there is no documentation after this date about there being spills or no spills from 4/1/2014 to 10/31/2017. The site map should be modified to include topography, drainage areas, percent impervious drainage area (s), diversion ditches on.the property and adjacent surface waters or ditches to the property. The Spill Prevention and Response Procedures were well -described, but there should be a written list of the facility personnel responsible for implementing the spill response procedures with their dated signature in the SPPP. Mr. DeHetre conducted a tour of the facility with Ms. Joyner. There was one outfall observed with associated diversion ditches which appeared in good condition. Near the dumpster on the site, spilled, solidified concrete was noted on the ground. This should be removed and groundcover re-established in this location as well as on adjacent, bare slopes. If future concrete work takes place on the facility grounds, waste concrete should be disposed of in a contained area. Overall the facility appeared well -maintained. Page: 2 permit: NCG080633 Owner - Facility: Fedex Freight Inc Inspection Date: 11l1412017.-.. - • Inspection Type : Compliance Evaluation . _ .. _ Reason for Vsit: - Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? 0 ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? N ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? 0 ❑ ❑ ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? 0 ❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ❑ 0 ❑ ❑ # Has the facility evaluated feasible alternatives to current practices? N ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ❑ ❑ 0 ❑ # Does the Plan include a BMP summary? 0 ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? 0 ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? 0 ❑ ❑ ❑ # Does the facility provide and document Employee Training? ■ ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? 0 ❑ ❑ ❑ # Is the Plan reviewed and updated annually? ❑ 0 ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? 0 ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? 0 0 ❑ ❑ Comment Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? 0 ❑ ❑ ❑ Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ❑ ❑ E ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ N ❑ Comment: The facility does not conduct vehicle maintenance activities and does not use more than 55 gallons of new motor oil per month when averaged over the year. Permit and Outfalls. Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑ # Were all outfalls observed during the inspection? ■ ❑ ❑ ❑ # If the facility has representative outfali status, is it properly documented by the Division? ❑ ❑ N ❑ # Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑ Comment: Page: 3 NC®ENR NORTH c.aouHa oewRTHeHr o� EwIRC—EW M0 NA unR RESOURCES Division of Energy, Mineral and Land Resources Land Quality Section / Stormwater Permitting Program National Pollutant Discharge Elimination System (NPDES) PERMIT OWNER AFFILIATION DESIGNATION FORM (individual Legally Responsible for Permit) Use this form if there has been: FOR AGENCY USE ONLY Date Received Year Month Day NO CHANGE in facility ownership or facility name, but the individual who is legally responsible for the permit has changed. If the name of the facility has changed, or if the ownership of the facility has changed, do NOT use this form. Instead, you must fill out a Name -Ownership Change Form and submit the completed form with all required documentation. What does "legally responsible individual" mean? The person is either: • the responsible corporate officer (for a corporation); • the principle executive officer or ranking elected official (for a municipality, state, federal or other public agency); • the general partner or proprietor (for a partnership or sole proprietorship);. • or, the duly authorized representative of one of the above. 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation") applies: Individual Permit (or) Certificate of Coverage ;N' C=. S.11 N` CdG t 2) Facility Information: Facility name: Company/Owner Organization: Facility address: Address City State Zip To find the current legally responsible person associated with your permit, go to this website: http://p6rta1.ncdeiir.orWweb/Ir/sw-permit-contacts and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: First MI Last 4) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit: First Ml Last Page 1 of 2 SM-OWNERAFFIL-25July2014 NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) 5) Reason for this change: A result of: If other please explain: Title Mailing Address City State Zip Telephone E-mail Address Fax Number ❑ Employee or management change ❑ Inappropriate or incorrect designation before ❑ Other The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION: I, , attest that this application for this change in Owner Affiliation (person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this.form are not completed, this change may not be processed. Signature Date PLEASE SEND THE COMPLETED FORM TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 For more information or staff contacts, please call 919-707-9220 or visit the website at: http://portal.ncdenr.orgZweb/ir/stormwater Page 2 of 2 SWU-0WNERAFFIL-25July2014 ALn-KaWA NCDENR �+a9*r G�+ou•• �.++iHe.ir ae [Nnupur�l�T �+P N•ruw•� Rcsau�e} Division of Energy, Mineral and Land Resources Land Quality Section / Stormwater Permitting Program National Pollutant Discharge Elimination System (NPDES) PERMIT OWNER AFFILIATION DESIGNATION FORM (Individual Legally Responsible for Permit) FOR AGENCY USE ONLY Dole Recci�ed Ycar Month Day if NO CHANGE in company or facility ownership or name has occurred. If a Name Change and/or Ownership Transfer at the facility has prompted this change, do NOT use this form. You must fill out the Name -Ownership Change Form and provide all necessary supporting documentation instead. 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation") applies: Individual Permit Ivcs 2) Facility Information: Facility name: Company/Owner Organization Facility address: (01) Certificate of Coverage NcGpgplP33 FV-Gi VLG S Address Mal 5 N 2g39 g City State Zip To find the current legally responsible person associated with your permit, go to this website: http://portal.ncdenr.orglweb/lr/sw-permit-contacts and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: Pry uce Cln t Gorr I first MI Last 4) NEW OWNER AFFILIATION (Legally responsible for the permit): Person legally responsible for this permit: 13V-aVnO(ev, Rose - First MI Last F_tnvr v-otnyy\evt-La I F_Kq l n ee.v- Fe a ey r=Ye�f l vit ) = rn e- , Z-ZOO FFov%,ja wcA Dr D6_' aa19 Mailing Address H-a rrr'S o rti /fir R 7 2 G D/ City State Zip (870) 3&s -YO97 bY-e-v0cy,.Y'as--e fe.deX,e,c)m Telephone E-mail Address (goI ) 4(9;.-13 Fq Fax Number �..�.�- Page l of 2 5W U-OWNERAFFIL-22May2014 NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) 5) Reason for this change: A result of X Employee or management change ❑ Inappropriate or incorrect designation before ❑ Other If other -please e.rplain: What does "legally responsible person" mean? That person is either: • the responsible corporate officer (for a corporation); • the principle executive officer or ranking elected official (for a municipality, State, Federal, or other public agency); • the general partner or proprietor (for a partnership or sole proprietorship); • or the duly authorized representative of that person above. The certification below must be completed and signed by the permit holder. PERNIITTEE CERTIFICATION: I, C3rC-V\0te*-, �05e- , attest that this application for this change in Owner Affiliation (person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this form are not completed, this change may not be pro ed. Signature Date PLEASE SEND THE COMPLETED FORNI TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 For more information or staff contacts, please visit our website: http://portal.ncdenr.orghveb/Ir/stonnwater Page 2 of 2 SW U-0WNERAFFII,-22May2o14 NC Division of Energy, Mineral and Land Resources NPDES Stormwater Permit Contacts Summary NC DEMLR hoe t, he fojlowin¢ co-nast informatlon In our egrmitDittabasr. for You[ vermitnof J2&aQ .7. Permit Number. NOW80633 Permit •type: Facility Name: Fed�ht. Inc - Fmr Facility Addrenl: 5452 Shloman Rd Facility Addren2: Clty, Sta:ta & Zlp: HooeMML NC 28348 t yIJST submit a phrnpe a Name/Own�euahVp form to DEMLR bo make arty iAanges to this Owner infonmadom t See "Mlsoeliarteous Forms"- at,httn••ILincdcnrorgL,lrfebLldnodrs_„stormwmer owner Name: Owner Type: Non-G mrm Owner Type Group: QWanlzWo0 N -- — ss*'Cegally Responsible for Permit .: (Ra�e corporift efflcer/prbrciple e:cecutNe OMcer or ranldnp elecbcd otHciel/oe'n r m partnm• or proa+tetari +. or any other parron wttlr delapabad dgnmmy euthmtltr: Aom the reaaey c mpa ioi pa'r+on.) Owner. Aftlllatlon: -- 9Wl.. of enAen ?_06e L Title: tnV I VW rWn I "i �r Addraml: � IFDEX fret j/ yr- l l n%. AddrBas2: fir, State & ZIP.- HaDdSM. AR 72601 Work Rwne: 970 -3(ps- 409? 17ol Aq1-Z3gy amen address bl{enden . rose e Fedex. Con ✓ Add �G 12 4 R FBX Email .4 h9&— 6ri1/il�on Fngirou.r 2200 Forward Dr, Ha. PIm, AR 72501 ape-9.4t 13 w 4ti-442- 23M bt( grcn_de_n . Rose . _. ...,F. Iv _,--�.�- Facllity 6n ct,Pemc n(s).� - .- __ -- IfAnt.rt Nam Adclum � �6 5tisa AilpmLn P,.WA Marnaqur liumvilft NC, 2134b J � �M�re $rcndm - ash ParmR Bllling�contac Contmi No Eft aenden Rose ih En Imu 9Z3-��({p lorev JeA . tb se qIO 423-0I77 110 (�ede�. coin Addnm Pho 2200 Forward Dr, Hanft, AR 72601 41a423,&i7D: Adding ffiRtlo 2200 Forward Dr, Hanftn, AR 72601 ` Y017 Dc�22t9 ,amm"m brer.Acn. MV6 013 iax F,uI@Il , �rf1-4R2-� brcndQn. rose FWdex.. Corn 8/24/2017 Page 1 ANIFX� NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Fed Ex Freight East; Inc 5452 Shipman Rd Hope Mills NC 28 Division of Wafer Quality Coleen H. Sullins Dee Freeman Director Secretary Mav 25. 2010 Subject: COMPLIANCE EVALUATION INSPECTION Fed Ex NPDES Stormwater General Permit-NCG080633 Cumberland County Dear: Mr. Watts On May 21, 2010, I, Danny Strickland from the Fayetteville Regional Office of the Division of Water Quality, conducted a site inspection at the Fed Ex facility located 5452 Shipman Rd, Cumberland County; North Carolina. A copy of the Compliance Inspection Report is enclosed for your review. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Permit-NCG080633 Accordingly, the following observations were noted during the Division of Water Quality inspection (please see the enclosed addendum for information about your permit): 1) Stormwater Pollution Prevention Plan (SPPP) A Stormwater Pollution Prevention Plan (SPPP) has been developed, recorded, and properly implemented. Yes ■ No ❑ 2) Oualitative Monitoring Qualitative monitoring has been conducted and recorded in accordance with permit requirements. Yes ■ No ❑ Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301 Phone: 910-433-33001 FAX 910-486-07071 Customer Service:1-877-623-6748 Internet: www.ncwaterquality org An Equal OpportuMy 1 Affirinahe Actien Eriployer One NorthCarol ina ;V19turutttf Please refer to the enclosed Compliance Inspection .Report for additional comments and observations made during the inspection. Please be advised that violations of the NPDES General Permit are subject to a civil Penalty° assessment of up to S25,000 per day for each violation. If you or your staff has any questions, comments. or needs assistance with understanding any aspect of your permit, please do not hesitate to contact me at (910) 433-3309. Enclosure cc: FRO -Surface Water Protection NPS-Assistance & Compliance Oversight Unit DWQ Central Files Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301 Phone: 910-433-33001 FAX: 91CA86-07071 Customer Service: 1-877-623-6748 Internet: WWW.nCWalerquality.org An Equal Opportunity's Affirmative Action Employer Sincerely, �a►,-mil/ _ . Danny'�tric,kland Environmental Sr. Technician Nne orthCarohna Naturally r Compliance Inspection Report Permit: NCGO80633 Effective: 11/01/07 Expiration: 10/31/12 SOC: Effective: Expiration: County: Cumberland Region: Fayettevilie Contact Person: Randall Smith Title: Directions to Facility: System Classifications: Primary ORC: Certification: Secondary ORC(s): On -Site Representative(s): Related Permits: Owner: Fedex Freight East Inc Facility: Fedex Freight East, Inc. 5452 Shipman Rd Hope Mills NC 28348 Phone: 910-423-6177 Phone: Inspection Date: 05/21/2010 Entry Time: 01 00 PM Exit Time: 01:45 PM Primary Inspector: Danny Strickland. ' — Phone: „ :✓y. X Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Transportation wNehicle Maintenance/Petroleum Bulk/Oil Water Se orator Stormwater Discharge COC Facility Status: ® Compliant Not Compliant Question Areas: ® Storm Water (See attachment summary) Page: 1 Permit: NCG080633 Owner - Facility: Fedex Freight East Inc Inspection Date: 05/21/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: This facility was clean and neat in apperance. I spoke with Mr. Watts about applying for the No Exposure Certfication for this facility. Page.2 Permit: NCG080633 Owner - Facility: Fedex Freight East inc Inspection Date: 05/21/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan' m n n n # Does the Plan include a General Location (USGS) map? ■ n n n # Does the Plan include a "Narrative Description of Practices"? ■ n n n # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ n n n # Does the Plan include a list of significant spills occurring during the past 3 years? ■ n n n # Has the facility evaivated feasible alternatives to current practices? ■ n Cl n # Does the facility provide all necessary secondary containment? ■ n n n # Does the Plan include a BMP summary? ■ n n n # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ n n n # [does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ n n n # Does the facility provide and document Employee Training? ■ n n n # Does the Plan include a list of Responsible Party(s)? ■ n n n # Is the Plan reviewed and updated annually? ■ n n n # Does the Plan include a Stormwater Facility Inspection Program' ■ n n n Has the Stormwater Pollution Prevention Plan been implemented? ■ n n n Comment: Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ n n n Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? n n ■ n # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? n n ■ n Comment: This facility does not conduct vechile maintenance activities and does not use more than 55 gallons of new motor oil per month when averaged over the year. Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ■ n 00 # Were all outfalls observed during the inspection? ® n n n # If the facility has representative outfali status, is it properly documented by the Division? ® n n n # Has the facility evaluated all illicit (non stormwater) discharges? e n n Cl Comment Page: 3 F-K �wi Division of Water Quality / Surface Water Protection NCDEidRNational Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion r 1'Y'RJVx.F_<r u1R N.TlM;4. f11"yCJ0.�.rfi NCGNE0000 FOR AGENCYUSE ONLY Dale Received Year Month Day Certificate of Covcrige NEGME NO EXPOSURE CERTIFICATION Rleasencheck hereitthis rs.la�renewai:OREIVEWAL 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. Ir addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). You are required to reapply for the No Exposure Exclusion once every five (5) years. For questions, please contact the DINO 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 Contact Street Address City Telephone No. Page 1 of 7 State ZIP Code Fax: SWU-NE-021309 Lasi revised 211312009 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. 3) Physical location information: State ZIP Code Fax: 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). (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? 0 Yes ❑ No 5) Is this a Federal facility? ❑ Yes ❑ No 6) Latitude Longitude (deg., min., seconds) 7) This NPDES. No Exposure Exclusion application applies to which of the following: ❑ New or Proposed Facility ❑ Existing Date operation is to begin Date operation began ❑ Renewal of existing No Exposure Certification Certification No.: NCGNF 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: 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 5WU-NE-021309 Last revised 2/13/2009 NCGNEOOOO 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 ❑ Yes ❑ No ❑ NIA c. Materials or products from past industrial activity ❑ Yes ❑ No ❑ NIA d. Material handling equipment (except adequately maintained vehicles) ❑ Yes ❑ No ❑ NIA e. Materials or products during loading/unloading or transporting activities ❑ Yes ❑ No ❑ NIA I. Materials or products stored outdoors (except final products intended for outside ❑ Yes ❑ No ❑ 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, tanks, ❑ Yes ❑ No ❑ NIA and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes ❑ No ❑ NIA the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes ❑ No ❑ NIA j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ❑ No ❑ NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ❑ No ❑ NIA 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 ❑ 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 ❑ 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 ❑ Yes ❑ No 0 NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? It 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 SWU-NZ_-021309 Last revised 2/13/2009 r NCGNE0000 No Exposure Certification 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for single above ground storage containers (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored 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 Amendments and Reauthorization Act (SARA) water griority chemicals'? d. Is secondary containment provided for hazardous substances" designated in 40 CFR §116? e. Are release valves on all secondary containment structures locked? 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? c. Is this facility a barge Quantity Generator (1000 kg. or more of hazardous waste 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. ❑ Yes ❑ No ❑ NIA ❑ Yes ❑ No ❑ NIA 0 Yes ❑ No ❑ NIA ❑ Yes ❑ No ❑ NIA ❑ Yes ❑ No ❑ NIA ❑ Yes 0 No 1:1 NIA ❑ Yes ❑ No ❑ NIA ❑ Yes ❑ No O NIA '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 Deportable Quantities of the hazardous substances listed in 40 CFR §1 17.3. SWU-NE-021309 Page 4 of 7 Last revised 2/13/2009 NCGNE0000 No Exposure Certification 0 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 ❑ NIA b. Does your facility have coal piles on site? ❑ Yes ❑ No ❑ NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes ❑ No ❑ NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ❑ Yes ❑ No ❑ 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 Permit? ❑ Yes ❑ No ❑ NIA Please specify: f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Program: Permit: Program: Permit: Program. - Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NE-021309 Last revised 2/13/2009 NCGNE0000 No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclus}on from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the locale 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 focal MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publVy 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 tfle 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 maintasned 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 mainta}red 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-NF-02120g Last revised 2/13/2009 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 this is a renewal, indicated current NCGNE number in Question 7. 0 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: AsheviNe Office ...... (828) 296-4500 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) 771-5000 Central Office .........(919) 807-6300 Page 7 of 7 SWU-NE-021309 Last revised 2/13/2009 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources o�oF WAr�gQI r August 23, 2002 RANDALL SMITH AMERICAN FREIGHTWAYS-FAYETTEVILLE 2200 FORWARD DRIVE HARRISON, AR 72601 Dear Permittee: Alan W. Klimek, P.E., Director Division of Water Quality Subject: NPDES Stormwater Permit Renewal American Freightways-Fayetteville COC Number NCGO80633 Cumberland County In response to your renewal application for continued coverage under general permit NCG080000, the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983. The following information is included with your permit package: A new Certificate of Coverage A copy of General Stormwater Permit NCG080000 A copy of a Technical Bulletin for the general permit Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package please contact Delonda Alexander of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 584 Sincerely, Bradley Bennett, Supervisor Stormwater and General Permits Unit cc: Central Files Stormwater & General Permits Unit Files Fayetteville Regional Office N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 ®�A NCDENK Customer Service 1- 800-623-7748 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCGO80000 CERTIFICATE OF COVERAGE No. NCG080633 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, AMERICAN FREIGHTWAYS is hereby authorized to discharge stornwater from a facility located at AMERICAN FREIGHTWAYS-FAYETTEVILLE 5452 SHIPMAN RD HOPE MILLS CUMBERLAND COUNTY to receiving waters designated as a UT of Grays Creek, a class B stream, in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set lorth in Parts 1, 11, III, IV, V, and VI of General Permit No. NCGO90000 as attached. This certificate of coverage shall become effective September I, 2002, This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day August 23, 2002. for Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission �QF NlAjFpP 'rye;- r�,.,� j.. s !r':'��� Michael F, Easley, Governor William G. Ross Jr., Secretary `Q G North Carolina Department of Environment and Natural Resources FES 2 � Gregory J. Thorpe, Ph.D. Acting Director 0 _ • Division of Water Quality ___ __ �Dcccnabci 27. 2001 RANDAI_Ir SMITH AMERICAN I-�IZEIGI-f-I'WAYS-FAYE"Ivl'EVI 2200 FORWARD 1)R HARRISON, AR 72601 Subject: NI'I)f3S Stormwater Permit Renewal AMERICAN FlREIGFI`I-WAYS-I-AYI "I"I IsVI COC Nuniber NCG080633 Cumberland County Dear Pcnniticc: Yom' facility is Currently COVerCd for storniwuter discharge under General Permit NCC;080000. This licrmit expires on August 3I, 2002. The Division staff is currently in the process of rcwriting this permit and is SCItCdulCd to have the permit reissued by late Summer of 2002. Once the permit is rcissuCd, your facility would he CligihlC lirr CuniinuCrl Coverage undo_ file r'cissucd permit. In order to ratSure your continued coverage -under the general permit, you trust apply to the Division of Water Quality (DWQ) lOr rcncwal of your permit coverage. To slake this renewal process easier, we are informing you in advance thal your per'rltit will he cxpiri!12. l_-nclosCd you will find a General Permit Coverage Renewal Application Form. The application must be c01111)[00d and returned by March 4, 2002 in order to assure continued coveragC under the general permit. l,ailure to rcyuest renewal within this (line period may rosin( in a civil assessment of at least $250.00. Larger penalties may he assessed depeluling cm the dClirtcluCncy of the NLILICst. DischargC of storrnwaler from your facility willtout Cc>vcr'agC under a valid stornlwatcr NPDES permit would ConslitLIW a violation oh NCGS 143-215. I and C1uld resell in asscssmcnts of Civil pc11',11OUS of up to $10MOt1 per day. Please note that recent ICLICral le*islation has extended the " no CxpoSurC Cxclusion" to all operators of industrial facilities ill any of the I I categories of "stoma water discharges associalcd with industrial activity." (except Construction activities). It'you feel your facility can certify a Condition of "rto CxposurC", i.C. the facilly industrial materials and operations arc not exposed to stor, uwaler, you can apply for the no exposure CxClusion. For additional informalion contact the Central Office Stornnvatcr Staff member listed below or check the Stormwater &, General Per'nlils Unit Web Site athttp://h2o.enr.slale.nc.us/su/Stormw',tcr.litniI If the subject stormwater disc•har-c to waters of the state has been tCrminated, please complete the enclosed Rescission Request Form. Mailinv instructions are listed on the bottom of the fornl. You will he nolified when (lie rescission process has been completed. ll' you have any questions re-ardinl- the permit renewal procedures please contact Ricky Revels (.)]'the Fayetteville Regional Oflice at 910-486-1541 or Dclonc4t Alexander of the Central Office Stornlwater Unit al (c) 19) 733-5083, ext. 584 Sincerely, hi 4,161 �711�~ Bradley 13cnnetl, Supervisor Slormwaatcr and General Permils Unit cc: Central Filcs �v%ttivill� i2cf�ionat�,_ ['Off is NCDENR N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 Customer Service 1- 800-623-7748 'f State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr. Secretary Kerr T. Stevens, Director Mr. Randall Smith American Freightways - Fayetteville 2200 Forward Drive Harrison, AZ 72601 Dear Mr. Smith: NCDENR NORTH CAROLNA' DEF?ARTMENT OF ENVIR ltllaT eA Op,N ffJFJA RESOURCES January 31, 2001 FEB 5 pool Subject: General Permit No. NCG080000 American Freightways -Fayetteville Permit Number NCG080633 Cumberland County In accordance with your application for discharge permit received on January 13, 2000 we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit, please contact Darren England at telephone number 919/733-5083 ext. 545. Sincerel „ wwvlay'�-� For Kerr T. Stevens cc: Fayetteville Regional Office Central Files Stormwater and General Permits Unit Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE No. NCG080633 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, AMERICAN FREIGHTWAYS FAYETTEVILLE CUSTOMER CENTER is hereby authorized to discharge stormwater from a facility located at AMERICAN FREIGHTWAYS FAYETTEVILLE CUSTOMER CENTER 5452 SHIPMAN ROAD HOPE MILLS CUMBERLAND COUNTY to receiving waters designated as a UT of Grays Creek, a class B stream, in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCGO80000 as attached. This certificate of coverage shall become effective January 31, 2001. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day January 31, 2001. "=MCNILS for Kerr T. Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission Facility Location Map USGS Topographic Map 7.5 Minute Series Facility: American Freightways — Fayetteville Customer Center Map ID: H23NE Latitude: 3411 56' 33" Longitude: 780 56' 06" FACILITY COUNTY NPDES MAP 4 DSN FLOW SUB BASIN LATITUDE LONGITUDE RECEIVING STREAM STREAM CLASS DISCHARGE CLASS EXPIRATION DATE American Freightways - Fayetteville Customer Center Cumberland NCG080633 H23NE NIA 03 06 15 340 56' 33" 78" 56' 06" UT of Grays Creek B Stormwater 08/31/02 R G Facility: Map ID: Latitude: Longitude: Facility Location Map USGS Topographic Map 7.5 Minute Series A 4 1 Yk4, �611 :® ROS�11� f } y _ �d � � -1i1•• j ►.1-4® American Freightways — Fayetteville Customer Center H23NE 340 56' 33" 78" 56' o6"