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HomeMy WebLinkAboutNCG030636_COMPLETE FILE - HISTORICAL_20180801STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V 4 3Q� DOC TYPE 5K HISTORICAL FILE 0 MONITORING REPORTS DOC DATE ❑ apl g OE� 01- YYYYMMDD Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY August 21, 2018 System Logistics Corporation Attention: Scott Phillips 115 Vista Boulevard Arden, North Carolina 28704 Subject: Compliance Evaluation Inspection Permit: NCG030636 Buncombe County, North Carolina Dear Mr. Phillips: ROY COOPER Gorenior MICHAEL S. REGAN Secrelary WILLIAM E_ VINSON, JR Imerinl Direclor Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection 1 conducted at the subject facility on August 15, 201 S. The report should be self-explanatory; however, should you have any questions concerning this report, please do not hesitate to contact me at (828) 296-4500 or by email at Isaiah.reed@ncdenr.gov. Enclosure: Inspection Report Sincerely, Isaiah Reed, -PSCI, MS4 Cl .w Environmental Specialist Land Quality Section State of North Carolina I Frivironmenlal Qualify I Energy, Mineral and Land Resources 209D US 74 Highway I Swannaitoa, NC 29778-921 1 828 296 4500 T Permit: NCG030636 SOC: County: Buncombe Region: Asheville Contact Person: Ernest Devlin Compliance Inspection Report Effective: 11/16/17 Expiration: 10/31/18 Owner : System Logistics Corporation Effective: Expiration: Facility: System Logistics Corporation 115 Vista Blvd Title: Arden NC 28704 Phone: 828-654-7500 Directions to Facility: From interstate 26E lake exit 38 turn rt at the bottom of the ramp onto hwy 146 (long shoals rd) continue approx 3 mi to vista blvd continue straight on vista blvd and facility is on the rt approx 118 mi from the intersection of long shoals rd brevard rd System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 08/15/2018 Entry Time: 04:OOPM Exit Time: 05:OOPM Primary Inspector: Isaiah L Reed Phone: 828-296-4614 Secondary Inspector(s): Reason for Inspection: Routine inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge COG Facility Status: [] Compliant ® Not Compliant Question Areas: ® Storm Water (See attachment summary) Wage: Permit: NCG030636 Owner . Facility: System Logistics Corporation Inspection Date: 09/1512018 Inspection Type: Compliance Evaluation Beason for Visit: Routine Inspection Summary: On August 15, 2018 this facility was inspected for compliance. I met with Scott Phillips on site. No issues were observed during the inspection. However, the monitoring reports could not be located. The permitee is directed to locate these monitoring reports and incorporate them into the facility's stormwater pollution prevention plan. The permitee is also directed to confirm that the appropriate benchmarks are being applied during Analytical monitoring. Once this is done, please contact this office for a follow up inspection. Page: 2 Permit: NCG030636 Owner -Facility: System Logistics Corporation Inspection Date: 0811512018 Inspection Type. Compliance Evaluation Reason for Visit: RDLtine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ® ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? ® ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? ® ❑ ❑ ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? ®❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ®❑ ❑ ❑ # Has the facility evaluated feasible alternatives to current practices? ® ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ®❑ ❑ ❑ # Does the Plan include a BMP summary? ® ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ®❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ®❑ ❑ ❑ # Does the facility provide and document Employee Training? ®❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ® ❑ ❑ ❑ # Is the Plan reviewed and updated annually? ®❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ®❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? ❑ ®❑ ❑ Comment: See summary for more information Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ®❑ ❑ Comment: See summary for more information Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ❑ ®❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑ Comment: See summary for more information Permit and outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ®❑ ❑ ❑ # Were all outfalls observed during the inspection? ®❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ® ❑ ❑ ❑ Comment: Page: 3 Permit: NCG030636 SOC: County: Buncombe Region: Asheville Contact Person: Ernest Devlin Compliance Inspection Report Effective: 11/16/17 Expiration: 10131118 Owner : System Logistics Corporation Effective: Expiration: Facility: System Logistics Corporation 115 Vista Blvd Titie: Arden INC 28704 Phone: 828-654-7500 Directions to Facility: From interstate 26E take exit 38 turn rt at the bottom of the ramp onto hwy 146 (long shoals rd) continue approx 3 mi to vista bled continue straight on vista blvd and facility is on the rt approx 118 mi from the intersection of long shoals rd brevard rd System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 08/15/2018 Entry Time: 04:OOPM Exit Time: 05:OOPM Primary Inspector: Isaiah L Reed Phone: 828-296-4614 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge CDC Facility Status: ❑ Compliant Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 Permit: NCG030636 Owner - Facility: System Logistics Corporation Inspection Date: 0811512018 Inspection Type : Compliance Evaluation Reason for Visit: Routine Inspection Summary: On August 15, 2018 this facility was inspected for compliance. I met with Scott Phillips on site. No issues were observed during the inspection. However, the monitoring reports could not be located. The permitee is directed to locate these monitoring reports and incorporate them into the facility's stormwater pollution prevention plan. The permitee is also directed to confirm that the appropriate benchmarks are being applied during Analytical monitoring. Once this is done, please contact this office for a follow up inspection. Page: 2 Permit: NCGO30636 Owner- Facility: System Logistics Corporation Inspection Date: 08/1512018 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? 0 ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? 0 ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? 0 ❑ ❑ ❑ # Does the Plan include a detailed site map including oulfall locations and drainage areas? E ❑ ❑ ❑ # 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? 0 ❑ ❑ ❑ # 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? N ❑ ❑ ❑ # Does the facility provide and document Employee Training? M ❑ ❑ ❑ # 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? E ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? ❑ 0 ❑ ❑ Comment: See summary for more information Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ❑ ❑ Comment: See summarV for more information Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ❑ 0 ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ N ❑ Comment: See summary for more information Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? e ❑ ❑ ❑ # Were all outfalls observed during the inspection? E ❑ 1111 # If the facility has representative outfall status, is it properly documented by the Division? 1:11:10 ❑ # Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑ Comment: Page: 3 �1 Riddle, Rick L From: Riddle, Rick L Sent: Wednesday, July 19, 2017 10:49 AM To: 'chris.bland@vertique.com' Subject: NCGO30636 COC & new application Chris Bland, The Division of Energy, Mineral, and Land Resources received your Stormwater Management Permit Application for the referenced project on July 7, 2017. System Logistics-Vertique is already covered under General Permit NCG030000 with permit # NCG030636. There is no need to apply for another permit and your current permit will be renewed automatically assuming that all of your permit fees are up-to-date. We can either void, return or destroy your check. Please let us know what you would like to do with check # 12645. If you have any questions concerning this matter, please contact Richard Riddle at (919) 807-6375 or Laura Alexander at (919) 807-6368. Sincerely, Rick Richard L. Riddle, Jr. Starrnwater Engineer North Carolina Department Enviromental Quality North Carolina Division Energy Mineral Land Resources 919 807-6375 office rick.riddle@ncdenr.gov 512 North Salisbury Street 1612 Mail Service Center Raleigh, NC 27699-1612 f I - X`_ --:�^Nothing Compares--,-, Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties, 1264 APPALACHIAN ENVIRONMENTAL RESOURCES, INC. 395 STEEL STREET JOHNSON CITY, TN 37601 (423) 434-2985 www.aertn.com PAY TO THE NCDENR ORDER OF One Hundred and 001100****************Yr********** Vs NC Dept of Environm't & Natural Resour THE FIRST BANK & TRUST CO. JOHNSON CITY, TN 37602 s8-446-514 6/27/2017 • $ **100.00 „s � DOLLARS MEMO AAHORZECISIGNATUF Vertique _ NPDES app APPALACHIAN ENVIRONMENTAL RESOURCES, INC. NCDENR 6/27/2017 Date Type Reference Original Amt. Balance Due Discount 6/27/2017 Bill Vertique - NPDES app 100.00 100.00 Check Amount 31 RECEIVED JUL 07 2017 DENR-LAND QUALITY STORMWATER PERMITTING 12645 Payment 100.00 100.00 First Bank - Operating Vertique - NPDES app 100.00 O ENDORSEHERE DO '10T WRITE, STAMP OR SIGN BELOW THIS LINE RESERVED FOR F)NANCIAL INSTITuTION uSE yr 5t ff u r - - — ----- - FPS 5 i (Rev. Aj. 'The security features listed below, as well as those not listed, exceed industry guidelines. Security Features: Results of document alteration: MzroPrirt line • r�? SA. iall type in line appears as dotted line when photocopied Chemically Sensitive Paper • Stains or spots may appear with chemical alteration Security Screen • Absence of "Original Document" 1 verbiage on back of check AL RESERVE BOARD OF GOVERNORS REG. CC Division of Energy, Mineral and Land Resources '' • Land Quality Section / National Pollutant Discharge Elimination System NCDENR No+rn+C10EP}.P!WM or NCG030000 ENVIRONMENT AHD Nou RA RESO RCES NOTICE OF INTENT FOR AGENCY USE ONLY Date Received Year Month Da Certificate of Covers +e Check # Amount Permit Assigned ID National Pollutant Discharge Elimination System application for coverage under General Permit NCG030000: RECEIVED STORMWATER DISCHARGES associated with activities classified as: ,JUL 0 7 2017 SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals SIC 3398 Metal Heat Treating DENR-LAND QUALITY SIC 34 Fabricated Metal Products STORMWATER PERMITTING SIC 35 Industrial and Commercial Machinery SIC 36 Electronic and Other Electrical Equipment SIC 37 Transportation Equipment SIC 38 Measuring, Analyzing, and Controlling Instruments For questions, please contact the DEMLR Regional Office for your area. See page 4. (Please print or type) i) Mailing address of owner/operator (address to which all Name Mr. Chris Bland Street Address 115 Vista Boulevard City Arden Telephone No. 828 654-7500 2) Location of facility producing discharge�Z mailed): State NC_ ZIP Code 28704 Fax: Facility Name S stem Lo istic -Verb ue Facility Contact Chris Bland Street Address 115 Vista Boulevar City Arden State ZIP Code County Buncombe Telephone No. 828 654-7500 Fax: Email chris.bland a)vertigue.com 3) Physical Location Information: `(&i,)c,),' 4,?,., I To 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). Take 1-26E to Long Shoals (exit 37) from interstate. From interstate, turn onto highway 146 north to Vista Boulevard (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.) 4) Latitude 350 28' 8.07" Longitude -820 34' 50.86" (deg, min, sec) Page 1 of 4 SWU-218-0714G8 Last revised 7/2/14 NCG030000 N.O.I. 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin X❑ Existing 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility. SIC Code: 3 5 3 5 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: manufacturer of conveyor systems 8) Discharge points 1 Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1 What is the name of the body or bodies of water (creek, stream, river, lake, etc_) that the facility stormwater discharges end up in? Unnamed tributary Deceiving water classification: Is this a 303(d) listed stream? Has a TMDL been approved for this watershed? If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 9) Does this facility have any other NPDES permits? X❑ No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? XO No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No X❑ Yes (Show any structural BMPs on the site diagram.) If yes, please briefly describe: limited exposure of outside storage, training, spill kit storage 12) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X C3 Yes If yes, when was it implemented? 2013 13) Are vehicle maintenance activities occurring at this facility? X ❑ No ❑ Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? X ❑ No ❑ Yes Page 2 of 4 SWU-218-071408 Last revised 7/2/14 NCG030000 N.O.I. b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of hazardous waste? X❑ No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of hazardous waste? X❑No❑Yes d) is hazardous waste stored in the 100-year flood plain? X❑ No ❑ Yes If yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor:_ Vendor address: 15) Certification: North Carolina General Statute 143-215.6B (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 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). I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. 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: Chris Bland Title: Operations Manager (Signature of Applicant) (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDENR Page 3 of 4 SWU-218-071408 Last revised 712114 NCG030000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NCDENR. ❑ This completed application and all supporting documents. ❑ A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, (f) impervious areas, (g) site property lines. ❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map. Mail the entire package to: Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the General Permit. L. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville 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) B07-6300 Page 4 of 4 SWU-218-071408 Last revised 712114 •dam"'! •) - ► ` ; � �, j {• �` _' �.•,,� y _r -. �_... � f + , ,yam , - - _� Y ' � �� ''; • .,ter icy +.r. war. � +'�rr�-.� � * jw�-- ;. t � .� �„ ` � 4 ,.,,�. ,fir `�"�► ~�-� a M ,� .' � � ' � ' � • ,�( st r ti IC 11 IL Jt MOW id June 22, 2017 Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, NC 27699-1617 RE: System Logistics-Vertique Stormwater Notice of Intent (NOI) General Permit Coverage -N CG03 063 6 Buncombe County -North Carolina To Whom It May Concern, Appalachian Environmental Resources, Inc. 300 W Watauga Avenue, Suite 4 Johnson City, Tennessee 37604 Phone: 423-434-2985 Fax: 423-434-2794 www.aertn.com RECEIVED JUL 07 2017 DENR-LAND QUALITY STORMWATER PERMITTING The Systems Logistics-Vertique ("Systems Logistics") facility located in Arden, North Carolina is submitting the following information to the Division of Water Quality ("Division") in regards to the facility general industrial permit NCG030636. Please note, Systems Logistics was formerly named ITW Warehouse Automation. Attached to this cover letter is the complete NOI application for System Logistics. The facility has had coverage under the general stormwater permit since 2013. Appalachian Environmental Resources, Inc. has been contracted to handle the water qualityprogram at the facility. The Stormwater Pollution Prevention Plan (SPPP) has been developed and all information pertaining to the NPDES permit for Metal Fabrication has been completed. If you have any questions or require additional information in regards to this submittal, please contact me Michael Fox at (423)-956-2900. Since I ichael Fox Director-EHS Compliance Services Appalachian Environmental Resources, Inc. Cc: File copy Attachments PAT MCCRORY air:vt•„�nr DONALD R. VAN DER VAART Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY December 20, 2016 Mr. Franco DeAngelis 115 Vista Blvd Arden, NC 28704 TRACY DAVIS 13rrerlor Subject: NPDES Stormwater Permit NCG030636 System Logistics Corporation Formerly Vertique; Inc. Buncombe County Dear Mr. DeAngelis: Division personnel received your request to revise your stormwater permit Certificate of Coverage to accurately reflect your new company and/or facility name. Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 707-9220. Sincerely, fin -Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Asheville Regional Office Stormwater Permitting Program Files Central Files State of North COrolin8 I Jinviromnenlal Qualily 117.nergy, Mineral and Land Rcsolirco 1612 Mail Service Center 1 S 12 North Salisbury Street I Raleigh, North Carolina 27699-1612 919 707 9220 T N STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030636 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, System Logistics Corporation is hereby authorized to discharge stormwater from a facility located at: System Logistics Corporation 115 Vista Boulevard Arden Buncombe County to receiving waters designated as an unnamed tributary to Avery Creek, a class B water in the French Broad River Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, I11, and IV of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective December 20, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day December 20, 2016. for Tracy E. Davis, A.E., Director Division of Energy.. Mineral, and Land Resources By the Authority of the Environmental Management Commission CC) . Division of Energy, Mineral & hand Resources —FOR AGENCCY LISt:oni_r bate Received Land Quality Section/Stormwater Permitting Year Montn_r oar NCDERRational Pollutant Discharge Elimination System PERMIT NAMEIOWNERSHIP CHANGE FORM I. I'lease enter the permit number for which the change is requested. V v D� NPDE..S Permit (or) Certificate of C ovlerage N C j S IT- F-7-1- l F N G (i -tq 3 1. 0 1 0 0_ IL Permit status prior to requested change. a. Permit issued to (company name): VERTIQUE, INC, b, Person legally responsible ror permit; ERNEST _ D_EVLIN_ First � Mt Last VICE-PRESIDENTIOPERATIONS _ 115 VISTA - Permit Holder tvfailing Address ARDEN NC 28704 City Stutc Zip (828 )654-7500 Phone Fax c. Facility name (discharge): VERTIQUE d, facility address: 115 VISTA Address ARDEN 'NC 28704 City State 'Lip Facility contact person: CHMS BLAND (828 ) 654-7500 First / MI I Last Phone Ill. Please provide the following for the requested change (revised permit). a. Request for change is a result of: 0 Change in ownership of the facility ❑ Name change of the facility or owner IJ'other please explarrr. (See cover letter) b. Permit issued to (company narne): SYSTEM LOGISTICS CORPORATION c. t'erson legally responsible for perrnit: FRANCO DE ANGELIS First MI Last PRESIDENT �`�° j��� l'illc �`""j 1 15 VISTA BLVD. _..__..-._.._...._.. DECPcnnit Helder Mailing Address U 05 2016 ARDEN NC 28704 City Sttuc ZipDElJR LA"lD QUA? IlY ( 828 ) 654-7500 STORMOIATER PERMITTING — Phone E-mail Address ti. 'Facility name (discharge): SYSTEM_ LOGISTICS CORPORATION e, iraciliry address: 115 VISTA BLVD. / Address V/ ARDEN NC 28704 City slate Zip 1 Facility contact person: ERNEST_ DEVLIN i'irst _ MI Last { 828 ) 654-7500 ernestd@vertique.com Phom. H-mail Address IV. Permit contact information (it'different rrom the person lcga)ly responsible for the permit) Revised Jan. 27 2014 NPOES PERM17 NAME/OWNERSHIP CHANGE FORM Page 2 of 2 Permit contact: FRANCO DE ANGELIS First M1 List PRESIDENT Title 115 VISTA BLVD. Mailing Address ARDEN NC 28704 City $tote 'Lip 1 828 1 654-750 D Phone Email Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to this ownership or name change? [J Yes 0 No (please explain) Vi Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARP: INCOMPLETE OR MISSING: ❑J This completed application is required for both name change and/ter ownership change requests. 0 f,egal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. ................................................................................................................. The certifications below must be completed and signed by hoth the permit holder prior to the change, and the new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification is sufficient. PIERMIJ,TEE. CERTIF[CATION (Permit holder prior to ownership change): l f"rNas attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this :application package will be returned as incomplete. 1 I zq 2 r5 [ 1a Signature ate APPLICANT CERTIFICATfON 1, Franco attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of nny knowledge. 1 understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. 11/28/2016 Signalure Date PLEASE SENT) THE COMPLETE APPLICATION PACKAGE TO: Division of Energy. Mineral and Land RC$OUrces Storrnwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan, 27, 201.1 EXECUTION VEIISION BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT This Bill of Sale, Assignment and Assumption Agreement (this "Bill of Sale") is executed and delivered as of December I, 2016 by Illinois Tool Works Inc., a Delaware corporation ("Seller"), to System Logistics Corporation, a Delaware corporation, ("Buyer"). Capitalized terns used but not defined herein are as defined in the Asset Purchase Agreement (defined below). RECITALS WHEREAS, pursuant to the Asset Purchase Agreement, dated as of the date hereof, by and between Buyer and Seller (the "Asset Purchase Agreement"), Seller agreed to sell and Buyer agreed to purchase the Purchased Assets, all on the terms and conditions specified in the Asset Purchase Agreement; WHEREAS, Seller and Buyer agree that this Bill of Sale shall evidence the transfer of the Purchased Assets; and WHEREAS, subject to the terms of the Asset Purchase Agreement, the Buyer has agreed to assume and to pay, perform and discharge the Assumed Liabilities on the terms and conditions specified in the Asset Purchase Agreement. NOW, TI-IEREI`ORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged: 1. The Seller hereby sells, transfers, assigns, conveys, grants and delivers unto the Buyer and its successors and assigns all of its right, title and interest in and to the Purchased Assets pursuant to the terms of the Asset Purchase Agreement. 2. - The Buyer hereby assumes the Assumed Liabilities pursuant to the terms of the Asset Purchase Agreement. 3. This Bill of Sale shall be governed and construed in accordance with the laws of the State of Delaware as to all matters, without regard to the conflicts of laws principles thereof. 4. This Bill of Sale is executed and delivered in connection with the Asset Purchase Agreement and is intended to fulfill the terms therein. This Bill of Sale is expressly subject to all the terms and provisions of the Asset Purchase Agreement; in the event of any conflict between any term or provision hereof and any term or provision of the Asset Purchase Agreement, the Asset Purchase Agreement shall control. 5. This Bill of Sale shall bind the parties hereto and inure to the benefit of the parties and their respective successors and assigns. 6. This Bill of Sale may be executed in counterparts (including via fax or .pdo, each of which shall be an original and both of which together shall constitute one and the same instrument. criicn001a2913096 Signature Page to Bill of Sale, Assignment and Assumption Agreement EXECUTED AND DELIVERED effective.as of the date first written above. SELLER: ILLINOIS TOOL WORKS INC. Namb:'gteven Henn Its: Group President Signafure page to Bill of Sale, Assignment and Assumption Agreement EXECUTED AND DELIVERED effective as of the date first written above. SYSTEM LOGISTICS CORPORATION By: Name: Franco DeAngelis Its: President J� Parker Poe Mary Katherine H. Stukes Farfner Telephone:704.335.9495 Direct Fax: 704.334.4706 marykatherinestukes@parkerpoe.com December 2, 2016 Via Federal Express Laura Alexander North Carolina Department of Environmental Quality Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, NC 27699-1612 Atlanta, GA Charleston, SC Charlotte, NC Columbia, SC Greenville, SC Raleigh, NC Spartanburg, SC RECEIVED DEC 0 5 2016 DE`,,R-L,^ `') GUAUTY S-1-OW,,'0, NATER NE'r'ciV,(T ING Re: NDPES Industrial Stormwater General Permit No. NCG030000 Notification of Ownership Change Ms. Alexander, My firm has been retained as counsel to assist System Logistics Corporation ("System") in submitting the enclosed Permit Name/Ownership Change Form to notify the NCOEQ Division of Energy, Mineral and Land Resources (the "Division") of a corporate change in connection with the Vertique facility located at 115 Vista Boulevard in Arden, NC, which currently operates under the general permit referenced above (the "Permit"). On December 1, 2016 System acquired the assets of the Vertique business from Illinois Tool Works Inc. ("IT "). As a result of this acquisition, System now owns and will operate the facility. Although System may continue to use the Vertique name to denote the business unit operating the Vertique business, the proper permittee for the facility following this transfer of ownership will be System. System will retain the same address, contact information, management, and operations as the existing permittee. Accordingly, we are submitting the enclosed form with an attached copy of the Bill of Sale associated with the transfer to notify you of these ownership and corporate changes and request that the Permit be transferred and processed as a minor modification. We believe that this submission satisfies all requirements necessary to modify the Permit as a minor modification under 40 CFR 122.63(d). Please feel free to contact me at (704) 335-9495 should you have any questions. I appreciate your assistance in this matter. PPAB 3484993v1 Parker Poe Adams & Bernstein LAP Attorneys and Counselors at Law Three Wells Fargo Center 401 South Tryon Street Suite 3000 Charlotte, NC 28202 t 704.372.9000 f 704.334,4706 www.parkerpoe.com Division of Energy, Mineral and Land Resources December 2, 2016 Page 2 Sincerely, ----5 Mary Kathe in . Stukes cc: Bruce Landay, Esq., Landay Leblang & Stern Enclosures PPAB 3484993v7 t f'�IctnrJA Co Division of Energy, Mineral & Land Resources tiriAGENcv usEowtY oeio Receivod Land Quality Section/Stormwater Permitting rear tuRec NCDENNational Pollutant Discharge Elitninatian System PERMIT NAMEIOWNERSHIP CHANGE FORM I. Please enter the permit Number for which the change is requested.�[J NPDES Permit (or) Certif-tcate of Cowage �F��-] o r .-� _ G 3 0 T _. U. Permit status pria to requested change. a. Pertnit issued to (company name): VERTIQUE, INC. b. Person legally responsible for permit: ERNEST _DEVLIN First M1 -..._Last — VICE-PRESOENTlOPERATIONS Title 115 VISTA BLVD. Permi! Holder Mailing Address ARDEN NC 28704 _ City ~hate Lip __.__( 828 ) 654.7500 _ ._...� P hone E'ar c. Facility name (discharge): VERTIQUE_ d. Facility address: 115 VISTA BLVD. Addfcss ARDEN NC 28704 City State Zip e. Facility contact pc: -on: CHRIS BLAND ( 828 ) 654-7500 First / MI 1 Last I>honc Ill. 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 ll'other please explain. See cover letter) b. Permit issued to (company name): SYSTEM LOGISTICS CORPORATION c. Person legally responsible for permit: FRANCO DE ANGELIS First MI Du%t PRESIDENT r� Vj� 'title •1,.. I IS VISTA BLVD. Q Pennit bolder Mailing Address DEC 52016 ARDEN NC 28704 �-[ �� 1 DEP! a'l��k Qlj:.1 , f Ty STORp„',WATER city Swte Zip (828 ) 654.7500 PER&;IT�I.1A1(, Phone F inail Address d. Facility name (discharge): SYSTEM LOGISTICS CORPORATION e, Facility address: I IS VISTA BLVD. �— A�Idress ARDEN NC 28704 City stutr /Jp f. Facility contact person: ERNEST DEVLIN First -- MI- _f 828 ),654-7500 _ ernestd@vertique.com _ii Phone I: -mail Address IV. Permit contact information (ifdifterent from the person tcga;;y responsible for the gerTrit) ReAW AA.27 a14 I NPDES PERMIT NAf &0VVNERSWP CHANGE FORM Page 2 at 2 Permit contact; FRANCO _ DE ANGELIS Firg MI List PRESIDENT 115 VISTA BLV7. Mailing A drrss —� ARDEN NC 28704 _ City State %ip 1 828 1 654-7500 Phone E-mail Address V Will the permitted facility continue to conduct the same industrial activities conducted prior to this ownership or name change? 0 Yes . ❑ No (please explain) Vf. Required Items: THIS APPLICATION WILL BE IIETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: J 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 gill of sale) is requirerequireg for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The ccrtifications 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 Applicsnt's Ceit'tfication is sufficient. PERMII.TEF CERTIFICATION (Permit holder prior to ownership change): ],ElfW, attest that this application for a narne/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. 2PI J2 6140 Signature _.._ ( atL APPLICANT CERTIFICATION I, France, attesl that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this application are not completed and that ifall required supporting information is not included, this application package will be returned as incomplete, _ tt/2l3rza1s Signature Bate 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 RkMle l Jan.27. 2114 EXECUTION VERSION BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT This Bill of Sale, Assignment and Assumption Agreement (this "Bill of Sale") is executed and delivered as of December 1, 2016 by Illinois Tool Works Inc., a Delaware corporation ("Seller"), to System Logistics Corparation, a Delaware corporation ("Buyer"). Capitalized terms used but not defined herein are as defined in the Asset Purchase Agreement (defined below). RECITALS WHEREAS, pursuant to the Asset Purchase Agreement, dated as of the date hereof, by and between Buyer and Seller (the "Asset Purchase Agreement'), Seller agreed to sell and Buyee agreed to purchase the Purchased Assets, all on the terms and conditions specified in the Asset Purchase Agreement; WHEREAS, Seller and Buyer agree that this Bill of Sale shall evidence the transfer of the Purchased Assets; and WHEREAS, subject to the terms of the Asset Purchase Agreement, the Buyer has agreed to assume and to pay, perform and discharge the Assumed Liabilities on the terms and conditions specified in the Asset Purchase Agreement. NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged: 1. The Seller hereby sells, transfers, assigns, conveys, grants and delivers unto the Buyer and its successors and assigns all of its right, title and interest in and to the Purchased Assets pursuant to the terms of the Asset Purchase Agreement. 2. The Buyer hereby assumes the Assumed Liabilities pursuant to the terms of the Asset Purchase Agreement. 3. This Bill of Sale shall be governed and construed in accordance with the laws of the State of Delaware as to all matters, without regard to the conflicts of laws principles thereof, 4. This Bill of Sale is executed and delivered in connection with the Asset Purchase Agreement and is intended to fulfill the terms therein. This Bill of Sale is expressly subject to all the terms and provisions of the Asset Purchase Agreement; in the event of any conflict between any term or provision hereof and any term or provision of the Asset Purchase Agreement, the Asset Purchase Agreement shall control. 5. This Bill of Sale shall bind the parties hereto and inure to the benefit of the parties and their respective successors and assigns. 6. This Bill of Sale may be executed in counterparts (including via fax or .pdt), each of which shall be an original and both of which together shall constitute one and the same instrument. CH ICAGO/#2913096 Signalure Page to Bill of Sale, Assignment and Assumption Agreement EXECUTED AND DELIVERED effective as of the date first written above. SELLER: ILLINOIS TOOL WORKS INC. r� f Narn! :. Steven Henn Its: Group President Signature Page to Bill of Sale, Assignment and Assumption Agreement EXECUTED AND DELIVERED effective as of the date first written above. BUYER: SYSTEM LOGISTICS CORPORATION By: --1�4 Name; Franco DeAngelis Its: President U? Parker Poe Mary Katherine H. Stukes Partner Telephone: 704.3 35.9495 Direct Fax_ 704.334,4706 marykathe6nestukes@parkerpoe.com December 2, 2016 Via Federal Express Laura Alexander North Carolina Department of Environmental Quality Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, NC 27699-1612 Atlanta, GA Charleston, SG Charlotte, NC Columbia, SC Greenville, SC Raleigh, NC Spartanburg, SC REC Y I-� DEC 05 2016 DE 111-LAU A1.1TY ST )f:! •^,','4' ATE,R R—FItiAiTTING Re: NDPES Industrial Stormwater General Permit No. NCG030000 Notification of Ownership Change Ms. Alexander, My firm has been retained as counsel to assist System Logistics Corporation ("System") in submitting the enclosed Permit Name/Ownership Change Form to notify the NCDEQ Division of Energy, Mineral and Land Resources (the "Division") of a corporate change in connection with the Vertique facility located at 115 Vista Boulevard in Arden, NC, which currently operates under the general permit referenced above (the "Permit"). On December 1, 2016 System acquired the assets of the Vertique business from Illinois Tool Works Inc. ("ITW"). As a result of this acquisition, System now owns and will operate the facility. Although System may continue to use the Vertique name to denote the business unit operating the Vertique business, the proper permittee for the facility following this transfer of ownership will be System. System will retain the same address, contact information, management, and operations as the existing permittee. Accordingly, we are submitting the enclosed form with an attached copy of the Bill of Sale associated with the transfer to notify you of these ownership and corporate changes and request that the Permit be transferred and processed as a minor modification. We believe that this submission satisfies all requirements necessary to modify the Permit as a minor modification under 40 CFR 122.63(d). Please feel free to contact me at (704) 335-9495 should you have any questions. I appreciate your assistance in this matter. PPAB 3484993v1 Parker Poe Adams & Bernstein tt.F Attorneys and Counselors at Law Three Wells Fargo Center 401 South Tryon Street Suite 3000 Charlotte, NC 28202 t 704.372.9000 f 704.334.4706 www.parkerpoe.com Division of Energy, Mineral and Land Resources December 2, 2016 Page 2 Sincerely, Mary Kath3in . Stukes cc: Bruce Landay, Esq., Landay Leblang & Stern Enclosures PPAB 34849930 <xESC ANALYTICAL REPORT myESC -i.N.c.E. s.c.E5 May 19, 2016 I i Appalachian Environmental Resources `�� 3 rJ � Sample Delivery Group: L834297 Samples Received: 05/10/2016 Project Number: VERITiQUE RECEIVED Description: JW4 0 6 Z 1 i I Report To. - RECEIVED I JUN 9 6 2016 CENTRAL FILES- _ DIIVF2 SECTION M ' �i p'• CENTRAL FILE, Mike Fox DWR SECTION 395 Steel St. Johnson City, TN 37601 Entire Report Reviewed By: � Linda Cashman Technical Service Representative Results relate only to the Items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by M is performed per guidance provided in laboratory standard operating procedures:060302, 060303, and 060304. .'Y t {I�r. I ^� TABLE OF CONTENTS ONE LAB. NATIONWIDE. FP 'Cp: Cover Page 1 2Tc: Table of Contents 2 3Ss: Sample Summary 3 pow 4Cn: Case Narrative 4 ISS] SSr: Sample Results 5 SW-01 L834297-01 5 Fqn 60c: Quality Control Summary 6 r qr Gravimetric Analysis by Method 2540 D-2011 6 Wet Chemistry by Method 1664A 7 FC Metals (ICP) by Method 200.7 8 7Gl: Glossary of Terms 9 F BAl: Accreditations & Locations 10 rAl 9Sc: Chain of Custody 11 9 5c ACCOUNT: PROJECT: SDG: DATEMME: PAGE: Appalachian EnAronmental Resources VERITIQUE L934297 0511911617;17 2 of 13 SAMPLE S U M M A R Y ONE LAB. NATIONWIDE. Collected by Collected datelhme Received clateltime SW-01 L834297-01 WW Mike Fox 05/021l61335 05110A610:00 + C P Method Batch dilution Preparation Analysis Analyst datettime dateltime El Gravimetric Analysis by Method 2540 0-2011 WG871437 1 05/10/1619:25 051011619:40 MMF Metals (0) by Method 200.7 WG871507 1 0511211618:12 05P3116 08:39 RD5 Wet Chemistry by Method 1564A WG872260 1 05113M 08:22 05113/1612:14 TJG 4 Cn s 5r fi QC 7G1 FAI Sc r ACCOUNT: PROJECT: SDG: OATE/TIME: PAGE: Appalachian Environmental Resources VERITIQUE L834297 05119/1617:17 3 of 13 CASE NARRATIVE ONE LAB. NATIONWIDE. All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been corrected for the 'gyp dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the rTcl sample results. By my digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that rss] would affect the quality of the data. r—Sr F . 4& (Utw� FG Linda Cashman El Technical Service Representative El Sample Handling and Receiving The following samples were prepared and/or analyzed past recommended holding time. Concentrations should be considered minimum values. ESC Sample ID Project Sample ID Method L634297-01 sw-01 2540 D-2011 ACCOUNT: PROJECT; SDG: DATEITIME: PAGE: Appalachian Environmental Resources VERITIQUE L834297 0511911617:17 4 of 13 SW-01 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE. Collected dateltime: 05/02/16 13:35 L834297 Gravimetric Analysis by Method 2540 D-2011 Result Qualifier RDL Dilution Analysis Batch FC P] Analyte mgA v — mgll date I time — — — z Suspended Solids 7.46 2.50 1 05/10/201619:40 WG871427 TC Wet Chemistry by Method 1664A FSSI Result Qualifier RDL Dilution Analysis Batch Analyte mgll mgli date 1 time rqn Oil & Grease (Hexane Extrl 10.4 7.14 1 051131201612:14 WG872260 Metals (1CP) by Method 200.7 0 Result Qualifer Analyte mgA v RDL mg/1 Dilution Analysis date l time Batch e _ --- — — _ — QC Copper ND 0.0100 1 05/13/20160839 WG871507 Lead ND O.O0500 1 05113/201509:39 WG871507 FGI Zinc O.C817 0.0500 1 05/13/201608:39 WG871507 ACCOUNT: PROJECT: SDG: DATElf IM E: PAGE: Appalachian Environmental Resources VERITIOUE L834297 05119M 1717 5 of 13 WG871437 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Gravlmetrlc Analysis by Method 2540 D-2011 L834297-01 Method Blank (MB) (MB) R3135649-1 05/10/76 19:40 MB Result M9 Qualifier MB MDL MB RDL Anaiyte mdl mgfi R� T mgfl a _ m Suspended 5oiids U 0.3.50 2.50 — — -- — - -- — — — - - --- ---- - — FSS1 L832857-01 Original Sample (OS) • Duplicate (DUP) (OS) L832857-01 05110/1619:40 • (DUP) R3135649-4 05/10/1619:40 FC Original Result DUP Result Dilution DUP RPD Analyte mgm mgfl % DUP Qualifier DUP RPD Limits % Sr ❑ Suspended Solids 58.0 54.0 1 7.14 J3 5 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3135649-2 05/10/16 19:40 • (LCSD) R3135649-3 05/10/16 1940 C'I Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. timits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mo mgff 171311 % % % % % Suspended Solids 773 808 --- E08 T--- 105 — 105 r Sc ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: Appalachian Environmental Resources VERITIQUE L834297 05/19/16 17:17 6 of 13 WG872260 Wet Chemistry by Method 1664A Method Blank (MB) QUALITY CONTROL SUMMARY L834297-01 (MB) R3136502-1 05/13/16 12:09 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mgll mg/1_-- Oil & Grease (Hexane Extr) U 116 5.00 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3136502-2 05/13/16 12:09 • {LCSD) R3136502-3 05/13/16 12:14 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mgA mgll mg/I % % % % % Oil &Grease (Hexane Extr) 40.0 37.7 _ 37.5 94.3 93.8 78.0 i14 YY 0.532 _ 24 ONE LAB. NATIONWIDE. Cp ----- -- sic 3 qS Rn _—_-- - Fr FGI 1711 FC ACCOUNT: PROJECT: SVG: DATE/TIME: PAGE: Appalachhlan Environmental! Resources VERITIQUE L834297 05/19/16 1717 7 of 13 WG871507 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE. Metals (ICPI by Method 200.7 L834297-01 Method Blank (MB) (MB) R3136413-1 05113l16 08:19 MB Result Analyte mg/l Copper U Lead U Zinc U MB Qualifier M8 MDL MB RDL mg/1 mgfl 0.007 0.0100 0.002 0.005D0 0.0034 0.0500 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3136413-2 05/13/16 08:22 • (LCSD) R3136413-3 05/13/16 08:24 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mg/l mgll mg/f % % Copper 1,00 1A2 1,04 102 104 _---85-115 _—Z 20 Lead 1.00 1,04 1.05 104 105 85-115 1 20 Zinc 1.00 1.01 1.01 101 101 85-115 0 20 L834419-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L83441MI 05/13/16 01127 • (MS) P3136413-5 05/13/16 0833 • (MSD) R3136413-6 05/13/16 D8:36 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mgll mgll mgrl % % % % % Capper 1.00 U 1.05 1.03 _ 105 103 1 70-130 1 20 Lead 1.00 U 1.05 1.04 105 104 1 70-130 0 20 Zinc 1.00 0.00400 0.993 0.989 99 99 1 70-130 0 20 L834481-01 Original Sample (OS) • Matrix Spine (MS) • Matrix Spike Duplicate (MSD) (OS) L834481-01 05/13/16 09:41 • (MS) R3136413-7 05/13/16 09:43 • (MSD) R3136413-8 05/13/16 09:46 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec, Dilution Rec. Limits MS Quaker MSD Qualifier RPD RPD Limits Analyte mgR mgfl mgll mgP % % % % % Copper 1.00 ND 1.03 1.02 103 102 1 70-130 T 0 20 Lead 1.00 ND 1.04 1.04 104 104 1 70-130 0 20 Zinc 1.00 ND 1,03 1.03 100 100 1 70-130 0 20 FP] ITC r qS FC SSr FGI flAl E ACCOUNT: PROJECT: SDG: Appalachian Environmental Resources VERITIOUE L834297 OATE1TIME: 05A916 17:17 PAGE: 8of13 GLOSSARY OF TERMS ONE LAB. NATIONWIDE. Abbreviations and Definitions SDG Sample Delivery Group. RP MDL RDL Method Detection Limit. Reported Detection Limit. ND,U Not detected at the Reporting Limit (or MDL where applicable). RPD Relative Percent Difference. (dry) Results are reported based on the dry weight of the sample. (this will only be present on a dry S5 r Original Sample report basis for soils]. The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD� Fn1 from a quality control sample. The Original Sample may not be included within the reported SDG. p Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring El recovery. Surrogates are not expected to be detected in all environmental media. Rec. Recovery. sQC SDL Sample Detection Limit. MQL Unadj. MQL Method Quantitation Limit. Unadjusted Method Quantitation Limit. Qualifier Description rAl J3 The associated batch QC was outside the established quality control range for precision. FC1 ACCOUNT: PROJECT: SDG DATEMME: PAGE: Appalachian Environmental Resources VERITIQUE L834297 05119/1617:17 9 of 13 A C C R E D I T A T I O N S& LOCATIONS ONE LAB. NATIONWIDE. V ESC Lab Sciences is the only environmental laboratory accredltedlcert sled to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry, The most significant benefit to our 'ore iocallon" design is the design of our laboratory campus. The model is conducive to Accelerated productloty, C p decreasing turn-eround time, and preventing crass contamination, thus protecting sample integwy. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. * Not all certifications held by the IabOrawry are ao icable 10 the results reported in the altathed report. FTc State Accreditations Alabama 40660 Nevada TN-03-2002-34 s Alaska UST-080 New Hampshire 2975 SS Arizona AZO612 New Jersey—NELAP TNO02 Arkansas 88-0469 New Mexico TN00003 "Cn California 01157CA New York 11742 Colorado TN00003 North Carolina Env375 Conneticut PH-0197 North Carollna DW21704 SSr Florida E87487 North Carolina' 41 Georgia NELAP North Dakota R-140 e Georgia' 923 Ohio—VAP CL0069 QC Idaho TN00003 Oklahoma 9915 Illinois 200008 Oregon TN200002 Indian C-TN-01 Pennsylvania 68-a 68.02979979 Iowa 364 Rhode Island 221 Kansas E-10277 South Carolina 84004 Kentucky'' 90010 South Dakota n1a Kentucky' 16 Tennessee" 2006 Louisiana A130792 Texas T104704245-07-TX y Maine TN0002 Texas' LA80152 SC Maryland 324 Utah 6157585858 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginfa 109 Minnesota 047-999-395 Washington C1915 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana URT0086 Wyoming A21-A Nebraska NE-OS-IS-05 Third Party & Federal Accreditations QLA — ISO 17025 1461.01 AIHA 100789 QLA— ISO 17025s 1411.02 DOD 1461.01 Canada 1461.01 USDA S-67674 EPA—Cryplo TN00003 ` prinking Water ' Underground Storage Tanks ; Aquatic Toxicity ` Chemical/Miuoblological 5 Mold - Accreditation not applicable Our Locations ESC Lab Sciences has sixty-four client support centers that prcvlce sample pickup andlor the delivery of sampiing supplies. If you would like assistance from one of our support offices, please contact our main office. ESC Lab Sciences performs all testing at our central laboratory. WA MT N6 OR MAN t 10 SID T LVI T hrY 1p L! V/1' TAI T r __ NL ` Ilit t L 1 CA 1 NV UT CA _ CO KS M! T 4�lV VMT KY r QN T 71S At GA AK \ p FL ACCOUNT: PROJECT; Si DATE/TIME: PAGE: Appalachian Environmental Resources VERITIQUE L834297 05/1911617:17 10 of13 Company Name/Address: Billing Information; Anais Container Preservative chain of Custody pag# 09 rs *ESC Report to: lone, To: Wftm kd*k TN 37112 ft-w615,751-sm tRX Project City/State Description, Collected: ;ent Project Lab Project 0 C i -:...7 z Ptt . . .... —ZCj C)o V Cl D250 e Collected by (print): SitelFacility ID a P.O. a AWqurw. Fax! _ fv\, Nex Collected by (signature): Date Results Needed Rush? (Lab MUST Be Notified) same Ozy .............. ......... 20M i,3 Neit Email? —No _Yes' lmmediatefy .... ............. FW No IS thrwe Day..._ .. ............. ...... __Yes hioo J! Via Packed on Ice N Y I of D Time WI; Sample 10 Comp/Grab matrix Depth Date 0A wnhj Matrix: SS - Soll GW - Oroundwater Ww -. Wastewater Ow - Drinklrkg water OT - Other_ Remarks: Relinq Data- Tl": Received by; (Sign . ZM L-;"-nQ 1/7601 IT 0 711 s III pH Temp T.CkW7, Flow Other 53MPICS retuned A; 13 UPS COWIM. 0., C3 FeclEx 0 COUFler I r - IC ;Hotties Received. (signal Date: Time PHChec*ad -C ;7z- m�.. NCDENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral, and Land Resources Land Quality Section Tracy E. Davis, PE, GPM Director August 22, 2013 Mr. Alan Bush, HR Manager Vertique, Inc. Div. of Illinois Tool Works Warehouse Automation 115 Vista Boulevard Arden, Korth Carolina 28704 Dear Mr. Bush: Pat McCrory, Governor John E. Skvarla, III, Secretary Received AUG 2 9 20 Subject: General Permit No. NCG0U06(Quallty 5eW00 Vertique, Inc. Asheville COC No. NCG030636 Buncombe County In accordance with your application for a discharge permit received on May 7, 2013, we are forwarding herewith the subject certificate of coverage (COQ 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 October 15, 2007 (or as subsequently amended). 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 Energy, Mineral and Land Resources (Division). 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 the Division orf }r.� permits required by the Division of Water Resources, Coastal Area Management Act or any otter federal, state or local governmental permit that may be required. Ally: ? , qrq If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater Programs Planner at telephone number f9191 B07-6369. Sincerely, ORIGINAL SIGNED �--w--- - —�-� KEN PICKLE RECEIVED ` '- or Tracy F. Davis cc: Asheville Regional Office 1116celved Central Files AUG 2 7 2013 Stormwater Permitting Unit Files �lj^ �� Attachments AN $ III 2M bWQ/Surface WaterPratection Section ,L Asheville Regional office Land" =W SeWon 1612 Mail Service Center, Raleigh, North Carolina 2769-1612AJft"1pg 919-707-92201 PAX. 919-733-2876 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:tiportal.ncdenr.org/web/Ir/land-quality An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper puq We $0 M3 CCC 0 A r, V"*IJGA!Jllg STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030636 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM 1n 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, Vertique, Inc. — A Division of Illinois Tool Works Warehouse Automation is hereby authorized to discharge stormwater from a facility located at Vertique, Inc. — A Division of Illinois Tool Works Warehouse Automation 115 Vista Boulevard Arden Buncombe County to receiving waters designated as an unnamed tributary to Avery Creek, a Class B waterbody, French Broad River Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 11I, IV, V and VI of General Permit No. NCG030000, as attached. This Certificate of Coverage shall become effective August 22, 2013, This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day August 22, 2013. ORIGINAL SIGNED 6) KEN PICKLE for Tracy E. Davis, Director Division of Energy, Mineral and Land Resources By Authority of the Environmental Management Commission ,r■0 1 S 3 2&iv i:0 7 1000 2aa1: 4 3r.-O 2 1.610118 NCG030000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: X Check for $100 made payable to NCDENR. X This completed application and all supporting documents. X A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, (f) impervious areas, (g) site property lines. X Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map. 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 coverage under the General Permit. For questions, please contact the DWQ Regional Office for your area. DWQ Regional Office Contact Information: Asheville 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 4 of 4 5 W U-218-071408 Last revised 7114/08 Diuguid, Bill From: Fox, Tim Sent: Thursday, May 16, 2013 7:51 AM To: Diuguid, Bill Cc: Cranford, Chuck Subject: FW: NCG030636 Vertique Inc Arden NOI Attachments: NCGO30636 Vertique Inc Arden NOI May 13 2013.pdf M I have reviewed the NOI application and recommend to issue the permit. will put this facility on my inspection list. If you need anything else please let us know. Have a good weekend. Tim Tim Fox - tim.fox@ncdenr.gov North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Surface Water Protection 2090 U.S. 70 Highway Swannanoa, NC 28778 Tel: 828-296-4500 Fax: 828-299-7043 Notice: Email correspondence to and from this address may be subject to the NC Public Records Law and may be disclosed to third parties. From: Diuguid, Bill Sent: Monday, May 13, 2013 12:02 PM To: Cranford, Chuck Subject: NCG030636 Vertique Inc Arden NOI Chuck Cranford, Asheville RO: Please review the attached NOI application with the objective of responding to me with a recommendation to issue the permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule. Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt with, and (3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the NOI and a location map for your review. COC # Facility P(�cation City/County A j NCG030636 Vertique, Inc �I115 Vista Blvd Arden/Buncombe II - - — - Subbasin 04-03-02, Stream Index 6-60, UT to Avery Creek, Class B, French Broad If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 06/13/2013, I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and comments back to me with a recommendation to issue the permit. Thanks. Bill 4 Y Bill Diuguid, AICP Staff Planner, Stormwater Permitting Wetlands and Stormwater Branch Division of Water Quality I NCDENR 1617 Mail Service Center (Mail) 512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location 8v Parcels) Raleigh North Carolina 27699-1617 Phone: 919-807-6369 1 Fax: 919-807-6494 Website: http_//portal.ncdenr,org/web/wq/ws/su E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. 2 Division of Water Quality / Surface Water Protection Section NCDENRNational Pollutant Discharge Elimination System ft mn Canutwa pnrrrr.wfr: ar Lr�w.[K a.m N.rwr 1iMeuwG� NCG030000 NOTICE OF INTENT tQR'AOIiMGY USIEOULY'. IYaik 2y_' d Ycor:. IMonrh'' liav certifidi ofcovcri x - .AwkN '.' Amnti At 4lrY)- NmCd 4%ijjn,16' National Pollutant Discharge Elimination System application for coverage under General Permit NCG030000: STORMWATER DISCHARGES associated with activities classified as: - — - SIC -(Standard Industrial- Ciassification).335 Rolling,- Drawing rand Extruding of Nonferrous Metals - SIC 3398 Metal Heat Treating SIC 34 Fabricated Metal products SIC 35 industrial and Commercial Machinery SIC 36 Electronic and Other Electrical Equipment SIC 37 Transportation Equipment SIC 38 Measuring, Analyzing, and Controlling Instruments .W. For questions, please contact, the DWQ Reglonal Office for your area. See page 4. (Please print or type) 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed): Name Vertique, Inc. -A Division of Illinois Tool Works Warehouse Automation Street Address 115 Vista Boulevard City Arden. StateNC ZIP Code 28704 Telephone No. 828-654-7500 Fax: 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. Email Vertique, Inc. -A Division of Illinois Tool Works Warehouse Automation Mr. Alan Bush 115 Vista Boulevard Arden StateNC Zlpcod Bumcombe 828-654-7500 Fax: 828-654-8908 . alan.bush@vertique.com "MAY ,7: , . 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, sta ;i ads distance and direction•from„a roadway i6t&sectiori). Frdm� intei'state'26E,.take exit 38.- urn: ght a bottom of the ramp onto highway 146 (Long Shoals Road). Continue approximately 3 miles to Vista Boulevard. Continue straight on Vista Boulevard and facility is on the right, approximately 118 mile from the intersection of Long Shoals Road, Brevard Road, and Vista Boulevard., (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this applieation.)- 4) Latitude 35,28,7,3086 Longitude-82,34,52.1256 (deg, min, sec) Page 1 of 4 SWU-218-071408 Last revised 7114108 NCG030000 N.O.I. 5) This NPDES Permit Application applies to.which of the following: X New or Proposed Facility Date operation is to begirt/1/2013 ❑ Existing 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial. activity at this facility. SIC Code: .3535 7) Provide a brief narrative description of the types of'industrial activities and products manufactured at —this'facility: manufacturer of distribution and,conveYor equipment - -- — 8) Discharge,points 1•Receiving waters: How many discharge points (ditches, pipes, channels -,,etc) convey stormwater from the property? 4 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? unnamed tributary to French Broad River Receiving water classification: River Is this a'303(d) listed. stream?. No _. Hasa TMDL been approved for this watershed?., If the site stormwater discharges,to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 9) Does this facility have any other NPDES permits? X No ❑ Yes If yes, list the permit numbers,for all current NPDES permits for this facility:._ 10) Does this facility have any Non7Discharge permits (ex: recycle permit)?. X No ❑ Yes If yes, list.the permit numbers for all current Non -Discharge permits for this facility, 11) Does this facility employ any best management practices for stormwater control? X No ❑ Yes (Show any structural BMPs on the site diagram.) If yes, please briefly describe 12) Does this facility have a Stormwater Pollution Prevention Plan? X No ❑ Yes If yes, when was it implemented? In process of implementation 13) Are vehicle maintenance activities occurring at this facility? X No ❑ Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? Page 2 of 4 SWU-218-071408 Last revised 7114108 NCG030DD0 N.O.I. D No X Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? X. No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? X No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? X No- ❑ Yes If yes, include information to demonstrate protection from flooding, e) if you answered yes to questions b. of c., please provide the following information: Type(s) of waste: How is material stored: Where. is material stored. - How many disposal shipments per year: Name of transport ! disposal vendor: Vendor address: 15) Certification: North Carolina General Statute 143-215.68 (i) provides that: Any person who knowingly makes any false statement, rapresentation, 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 undei 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 Commission implementing this Amide shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ton thousand dollars ($10,000). I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. 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 tr com teWh d accurate. .,�,,, Printed Name of -Person Signing: Title: J� il (Signature Y'zL -r2 (Date Signed) This Notice of Intent must be accompanied by a check or money order far $100.00, made payable to: NCDENR Page 3 of 4 SWU-218-071408 Last revised 7114108 t 'r t" 41WI Appalachian Environmental Resources, Inc. 395 Steel Sheet Johnson City, TN 37401-2694 j Phone:423-434-29a5 Fax:423-434-2794 May 2, 2013 Storm water Permitting Unit Division of Water Quality 1617 Mail Service Center -- _ - -Raleigh, North Carolina_27699-1617 RE:. ITW Warehouse Automation -Buncombe County Storm water Notice of Intent NPDES permit coverage To Wham It May Concern, I The Illinois "fool Works Warehouse Automation ("ITW") facility located in Arden, NC is sending this correspondence to the' Division of Water Quality ("Division") in regards to storm water coverage for the facility. ITW is located in Buncombe County. t Attached to this cover letter -are the following; Notice of Intent (NOI) • Site diagram with identifications of outfalls, conveyances, etc. • USGS quadltopo sheet identifying. facility Fee payment ITW has prepared the above information for general permit coverage under the National Pollutant Discharge Etirnination System (NPDFS). ITW .will prepare to collect stone water samples and comply with the requirements listed fvr the SIC 3535 coverage. If you have questions or require additional information, please contact me at 1-423-956-2900. 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