NCGNE0129_Complete File - Historical

NCDENR
NC C-UNA DEPARTMENT OF
ENVIRON AND NATURAL R-OURCES
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C S I I I I I N E 0 1 2 1 9
II. Permit status prior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
RECo';'EIVED
OCT 112016
DENR-LAND QUALITY
STORMWATER PERMITTING
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
Elster Solutions, LLC
Donna T Alexander
First MI Last
Director Of Manufacturing
Title
201 S. Rogers Lane
Permit Holder Mailing Address
Raleigh NC 27610
city State Zip
[phone] [phone]
Phone Fax
Elster Solutions, LLC
201 S. Rogers Lane
Address
Raleigh NC 27610
City State Zip
Kenneth N Pearce [phone]
First / MI / Last
Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Elster Solutions, LLC /
Donna T Alexander V
First MI Last
Director Of Manufacturing
Title
201 S. Rogers Lane
Raleigh
Permit Holder Mailing Address
NC
27610
City State Zip
[phone] [e-mail]
Phone
E-mail Address
Elster Solutions, LLC
201 S. Rogers Lane
Raleigh
Address
NC
27610
City
State
Zip ✓
Kenneth N Pearce
First MI Last
[phone] [e-mail]
Phone E-mail Address
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
i
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
Ayp INCOMPLETE OR MISSING:
[Er completed application is required for both name change and/or ownership change
requests.
Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Donna T Alexander, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I, Donna T Alexander, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature
10-(p-16
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

DocuSign Envelope ID: 72A295BC-373B-4B5D-9C43-BE3D95DFBB77
Jacqueline Katzel
Assistant General Counsel and
Assistant Corporate Secretary
October 4, 2016
Re: Certification of Honeywell Purchase of Elster
To Whom It May Concern:
Honeywell
115 Tabor Road
Morris Plains, New Jersey 0795
Oct
ST ocN,�� � 12�16
RMyq FRRQRq(�ry
M�TT�N�
On December 29, 2015, Honeywell International Inc. closed its acquisition of the Elster
division of Melrose Industries plc, and continues its ownership of Elster as of the date of
this letter.
Sincerely,
DocuSlgnetl by:
DC07AA3CBBC24FA...
Name: Jacqueline Katzel
Assistant Corporate Secretary
Honeywell International Inc.

NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 6, 2011
DONNA T. ALEXANDER
ELSTER SOLUTIONS, LLC
201 S. ROGERS LANE
RALEIGH, NC 27610
Dee Freeman
Secretary
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0129
Elster Solutions, LLC
Formerly Elster Electricity, LLC
201 S. Rogers Lane
Wake County
Dear Ms. Alexander:
The Division has reviewed your submittal of the permit name/ownership change form for the subject No -Exposure
Certification, which we received on August 17, 2011. Division personnel have reviewed and approved your request to transfer
the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the no exposure certification and by our approval of your request to
transfer it, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your
facility can no longer qualify for the 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.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure Exclusion Self Re -Certification
form for your use. 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 the Stormwater Permitting Unit at [phone].
Sincerely,
for Coleen H. Sullins
cc: Raleigh Regional Office
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCarolina
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 �atura!!r�
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

No -Exposure Self Re -Certification Information:
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. State statute provides for fines of up to $25,000 per day for un-permitted
discharges.
Your conditional no -exposure exclusion must be self re -certified at least annually as follows:
- Complete the re -certification at a minimum of once per year using the included Self Re -
Certification Form.
(additional copies can be downloaded from http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5 )
- Maintain a record of re -certifications on file at the facility. Do not submit the re -certification to DWQ
unless requested. If requested, submit a copy of the re -certification to the Division and/or the
municipality in which the facility is located.
-During an inspection by DWQ or local government, provide the re -certifications immediately upon
request.
- Notify the Division of any changes in ownership, significant facility and/or activity changes, or if the
facility can no longer maintain no -exposure conditions.
-Allow the NPDES permitting authority or, if discharging into a municipal separate storm sewer system, the operator
of the system, to: (1) inspect the facility; and (2) make such inspection reports publicly available upon request.
* "No exposure" means that 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. (40 CFR 122.26(g))
Information and forms related No -Exposure Certifications can be accessed on the website at:
http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-5

F WATF
\�Q 90G Beverly Eaves Perdue, Governor Q
00
Dee Freeman, Secretary
� North Carolina Department of Environment and Natural Resources
O '<
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
IN I C 19111 1 1 F17IF&] N I E 10 1 2 9
II. Permit status Arior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
Elster Electricity, LLC
Donna T Alexander
First MI Last
Vice President of Manufacturing
Title
201 S. Rogers Lane
Permit Holder Mailing Address
Raleigh NC 27610
City State Zip
[phone] [phone]
Phone Fax
Address
City State Zip
Baldie Bissette [phone]
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
R R0WLq
AUG 1 7 2011
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
d. Facility name (discharge):
Facility address:
f. Facility contact person:
Elster Solutions, LLC
Donna T Alexander
First MI Last
Vice President of Manufacturing
Title
201 S. Rogers Lane
Permit Holder Mailing Address
Raleigh NC 27610
City State Zip
(919) 2124782 Donna.T.Alexander(cuus.elster.com
Phone E-mail Address
Address
City State Zip
Baldie W Bissette
First MI Last
[phone] [e-mail]
Phone E-mail Address
Revised 8/2008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I, Donna T. Alexander, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
'tea $ - K' Z0il
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

\NA 7-F
Michael F. Easley, Governor
O R4G
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
>_
Division of Water Quality
O
Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Donna T Alexander
Elster Electricity LLC
201 S Rogers Ln
Raleigh, NC 27610
Subject: No Exposure Certification NCGNE0129
Elster Electricity LLC - 201 S Rogers Ln
Wake County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on December 30, 2002. 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 Jonathan Diggs at [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Raleigh Regional Office Central Files — w/attachments
Stormwater Permitting Unit Files VFI
NMENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

APR 26 05

United States Environmental Protection Agency U FgRp, 40-0ved
NPDES Washington, Washington, DC 20460 DEC 30�16 40 0211
FORM NS
3510-11 EPA 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
1. Name: 1t1l ISITlelrl ICI (lelc4+1r-l` ICI' I+I_Y_I- I_L4L
3. Mailing Address: a. Street:
2. Phone: I q, 1 111 04 1 1;45 1 I�t!G
b. City: 104 Al Li E M I ol1qI I I I I I I I I I I I I I I I c. State: W d. Zip Code: 18171(oi IIQ - I I I I I
B. Facility/Site Location Information
1. Facility Name: IEII Isl_r lel rI IEI ( 1-f4C+1rlt IC -It I' I Iv
I ILIL-IQr I I I I I I I
2. a. StreetAddress: AO L i5owi4bI I P.l(71CU(tIrISI ILICAIrN e� I I I I I I I I I_ I I
b. City: lEla I l IG f I QI k I I I I/ I I I I I I I I I I I I c. County: 10al klel I I I I I I
d. State: � e. Zip Code: 1i71 (I l I oI - I I I I I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
5. a. Latitude: & ' Ah 1,91 b. Longitude: 617181 ' 323-1 L03
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. SIC/Activity Codes: Primary: 131 Dv104 Secondary (if applicable): I I I I
8. Total size of site associated with industrial activity: ------ 11, Jr_______ 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
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 ❑ More than five acres ❑
EPA Form 3510-11 (10-99) Page 1 of 4

NPDESFORM NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
35110--1^1 IB EPA NPDES Storm Water Permitting OMB No.2040-0211
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
❑
/❑�
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 loading/unloading or transporting activities
❑
6. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where
❑
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
❑
Er
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
❑
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑
10. Application or disposal of process wastewater (unless otherwise permitted)
❑
z-- .
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
❑
(i.e., under an air quality control permit) and evident in the storm water outflow
D. 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 I 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 Name: 11>I O IN IN I Al ITI I AI Li E1 A Al N bI EIR I I I I I I I I I I I I I I I 1 1
Print Title: 141 )1C1F-1 IPIR1F-151*IOIEINITI 1fk1AINIUIFIAIC1TIy1?.1IINiC-1 I I I I
Signature: __-- `'mac" ' `
Date: I( I zl ZI O 10 1 Z+
EPA Form 3510-11 (10-99) Page 2 of 4