NCGNE0228_COMPLETE FILE - HISTORICAL_20090403

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
AIvCo N�%O 2Zii
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ f76 q 63
YYYYMMDD

{a
CDC R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Coleen H. Sullins
Governor
Director '
Charles Bolton
April 3, 2009
Convatec
211 Aiiiericaii Avenue
Greensboro, NC 27409
Subject: Requested rescission ofstormwater permitcovet-age wider_ _L�G[sNi=_�DZZe3�
❑ Rescission request denied. Reason:
Loy cscissiorl request am)roved, effective Irilliiedlateiv. Permit covera!'_e rescinded on the followin_. basis:
Dee Freeman
Secretary
You reported that you have ceased all regulated activity and sold the facility.
❑
You reported that although you retain ownership or controf of the facility, you have ceased all regulated
activity, Aril) there are no materials reniainin , on site that may preseilt a risk of storniwatcr pollutiori.
[]
You reported that continued permit coverage is not required because the site activities are not regulated by
the NPDES stormwater )errriittiii program.
Note other basis:
rJ DWQ Regional Office concurrence .
❑ Request processed without RO comment
Operating a treatment facility, discharging wastewater, or discharging specific types of storniwater to %vaters of the Stale.
without a valid NPDFS permit will subject the responsible party to a civil penalty of up to $25,000 per day.. Enforcement
action will be certain for persons that have voluntarily relinquished permit coverage when, in fact, continuing perniit
covcraWe was necessary. If; iii retrospect, you feel the site still requires permit coverage, you should notify this off -Ice
ininiediately. Furthermore, if in the future you wish to again discharge to the State'S surface water'S, YOU must First Apply
for and receive new coverage under an NI)DES permit.
If you have questions about this matter, please contact Sarall Young at [phone].
S
incer
ely
,
for Coleen 1-1. Sullins
cc: Regional Office
DWQ Stormwater Perriiittiiig Unit
DWQ Central Files - whittachnlents
Fran McPherson, DWQ Budget Office, rescissions only
Wetlands and Stormwater Branch
1617 Mal Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquallt .org
One
North Caroli lea
An Equal Opportunity 1 Affirmative Action Employer

rescission requests
Subject: rescission requests
From: Corey Basinger <Corey.Basinger a ncmail.net>
Date: Wed, 17 Dec 2008 09:15:16 -0500
To: Sarah Young <Sarah.Young a ncniail.nel>
Sarah,
Can't remember if'I've sent you a response on these 2 or not. I1'so, disregard.
Superbrand Dairy (NCG060252) is not longer the occupant of 1350 W. Fairfield Rd in High Point. OK
to rescinc
ConvaT , (NCGNE0028 is longer the occupant of 7109 Cessna Drive in Greensboro, OK to rescind.
Corey
Corey Basinger
Corey_Basinger.@NCmail_net
NC R DENDivision of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Corey Basinger <Core r.Basin ger a NCmail.net>
WSRO
NC DENR
I of 1 2/6/2009 1:35 I'M

iow
ConvaTec
211 American Avenue
Greensboro, NC 27409
336-855-5500
www.convatec.com
August 14, 2008
Ms. Sarah Young
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Request for Rescinding No Exposure Certification for NCGNE0228, 7109 Cessna Dr
Greensboro, NC 27409
Dear Ms. Young,
Thank you for your help on this project.
As we discussed, in December 2007, ConvaTec sold its site at 7109 Cessna Dr. to the
Quantum Group. At the time of the sale, ConvaTec held a No Exposure Certification,
Permit ID# NCGNE0028. Post sale ConvaTec is no longer associated with the property
in any way.
Please rescind the certification under ConvaTec's name for that location.
If you have any questions, please do not hesitate to contact me at 336-547-3740.
Sincerely,
0
G
9G
Charlotte Bolton
E1-IS Manager
g ,rye CP

Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P E. Director
Division of Water Quality
Coleen I-1. Sullins, Deputy Director
Division of Water Quality
June 22, 2005
Mr. Robbie Heginbotham
Convatec-Bristol Myers Squibb
211 American Avenue
Greensboro, NC 27409
Subject: No Exposure Certification NCGNE0228
Convatec-Bristol Myers Squibb
7109 Cessna Drive
Guilford County
Dear Mr. Heginbotham:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on January 19, 2005, We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(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 un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure 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.
If you have any questions or need further information, please contact Sarah Young at [phone], ext.
502, or at [e-mail].
cc: Winston-Salem Regional Office
1Stormwater Permitting Unit files
0
'Sincerely; - �
n ORiGINAL SIGNED BY
BRAIXEY BENNETT
for' Alan W. Klimek, P.E.
Central Files — w/attachments
N.C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
BWAM
N ENit
Customer Service
1-877.623-6749

06O/ ,C}1N1
++ T
' �-
Off y .
OOT
GOpynght (G) 1998, Maptech, Inc.

Re: [Fwd: No -Exposures] N
Subject: Re: [Fwd: No -Exposures]
From: Corey Basinger <[e-mail]>
Date: Tue, 21 Jun 2005 08:02:5 l -0400
To: Sarah Young <[e-mail]>
Sarah,
I visited these two (2) locations Monday, June 20th. You can go ahead and issue the certifications. 1
Corey
On 6/ 17/2005 7:14 AM, Steve Tedder wrote:
I'll let you respond to these.
-------- Original Message --------
Subject: No -Exposures
Date:Thu, 16 Jun 2005 14:44:28 -0400
From:sarah young <[e-mail]>
To:Steve Tedder <[e-mail]>
Hi Steve -
I have two no -exposure applications in for your region, and I was
wondering if it was ok to issue these certifications. I have scanned
them and attached them to this email. If you are not the contact person
for this, please forward it to the appropriate person. I will now be
handling these for the SH2O group, and I am trying to develop a process.
If I have not heard from you within 30 days, and will assume that it is
ok to issue. Thanks, Sarah Young
Sarah M. Young
Processing Assistant
NCDENR Division of Water Quality
Wetlands and Stormwater Branch
[phone] x502
[e-mail]
http://h2o.enr.state.nc.us/
Corey Basinger <[e-mail]>
WSRO
NC DENR
l of 1 6/21/2005 8:57 AM

I 1'� /\j 6 2, -Z 9 , D� �HHH
JAN 19 2005
United States Environmental Protection Agency OMB No.2040-0211
NPDES ;'
3510-11 PA
Washington, DC 20460
FORM �' NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. 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 without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water 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, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information r,
1. Name: '.0 O T E C = B �Ij jS/�TIOp TY7 �S,� S Q U I LBO ,2: Prose:, 3 3 5f 5141 7I 31 7141 0�
3. Mailing Address: a. Street: 12,111, hIl � ly l iNl �j U l' 4 1 1 1 IT1,LI 1--1-1 l t i
b. City: �G1R{EIEIN,SIBOIR101 I I I I - I 11 1 1 1 1 I c. State: NIC, d. Zip Code: 2/ 714101 J(�I — I I I I I
B. Facility/Site Location InforrmaatiioJn� T� D (� j�/j (ITT
1. Facility Name: I�LONIy I�TIE'�1C1C�1�—+1�BTIR II1S�IRTI�I� _ 11� YFIRS, ISIQ UI IIE�
2, a. StreetAddress:' 171110191 �rIC,E,S,Sl1 " A, IDj1R I1 V IE, I I t I I II I ' , IT I I II __j
b. city: I�-'I�EIENlSIBIgj `LOI_.7I_/I_I 1c I" 1, i I I 1 1 ­1 I I :c.county: QUlI13—IIEIBF� jQI I
d. State: PIP e. Zip Code: 1Z 1403i — I I I I I
3. Is the facility located on Indian Lands? Yes ❑ No
4. 1s this a Federal facility? Yes ❑ No
5. a. Latitude: 3� o I0J �. b. Longitude: _7L9 Imo! 13,?�
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No
b. If yes, enter NPDES permit number.
7. SIClActivity Codes: Primary; 3 81 [412 Secondary (if applicable): I I I I 1
S. Total size of site associated with industrial activity; I I acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? - Yes ❑ No Q
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five'acres Q "" More than five -acres ❑ -
EPA Form 3510-11 (10-99) Page of 4

I
amp

NPOES A Form Approved
FORM OMB NO EXPOSURE CERTIFICATION for Exclusion from OMB No.2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
121
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
❑
3. Materials or products from past industrial activity
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loadinglunloading or transporting activities
El
F7
6. Materials or products stored outdoors (except final products intended for outside use te.g., new cars] where
El
10
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
El
121
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
El
FV-J
10. Application or disposal of process wastewater (unless otherwise permitted)
El
7
11. Particulate matter or visible deposits of residuals from roof stacks andlor vents not otherwise regulated
El
7V111
(i.e., under an air quality control permit) and evident in the storm water outflow
O. Certification Statement
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 storm water permitting.
I certify under penalty of law that there are no discharges of storm water 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 1 am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, 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 NPDES permitting authority, 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 that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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.
Print Title: LI
Signature:
Date:
EPA Form 3510-11 (10-99) Page 2 of 4

1
- _. � ._,
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. i' - �,,

!ten cAr``' U.S. ENVIRONMENTAL PROTECTION AGENCY (EPA)
NATIONAL POLLUTANT DISCHARGE ELIMINATION
SYSTEM (NPDES)
0e, STORMWATER NOTICE OF INTENT PROCESSING CENTER
\sr. P�iCn��
QPERATOR:
FACILITY:
CONVATEC-BRISTOL MYERS SQUIBB
ATTN: ROBBIE HEGINBOTHAM
211 AMERICAN AVE
GREENSBORO, NC 27409
TRACKING NUMBER: NCNOEI
03/15/2005
CONVATEC-BRISTOL MYERS SQUIBB
7109 CESSNA DRIVE
GREENSBORO, NC 27409
Thank you for submitting your NPDES form. EPA cannot process your form because the site location indicated on
I
he form is vender jurisdiction of a state which has been authorized by EPA to implement the NPDES program.
Check with the state permitting authority noted below to determine the regulatory options available to you in that
area.
Permitting Authority:
Name: Bradley Bennett
Organization: North Carolina Department of Environment & Natural Resources / Division of
Water Quality
Dept Address: 512 N Salisbury St
Raleigh, NC 27626-1617
Phone: [phone]
EMail [e-mail]
If you have general questions regarding the stormwater program, please call:
Region 4
Mike Mitchell [phone]
If you have questions about your form, please call the EPA NOI Processing Center at 1-866-352-7755 (toll free)
or send an inquiry via the online form at http:///www.epa.gov/npdes/noicontact.
EPA NOI Processing Center
Operated by CTGi
1200 Pennsylvania Ave., NW
Mail Code: 4203M
Washington, DC 20460
1-866-352-7755