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HomeMy WebLinkAboutNCG020052_DOSA Form_20221201November 28, 2022 REC;EI\/ED DFC 61 2V? D'cNR•LAND QUALITY STORimP/ATER PERMITTING Ms. Bethany Georgoulias, Environmental Engineer DEMLR Stormwater Program 512 N. Salisbury Street Raleigh, NC 27604 RE: Hanson Aggregates Southeast LLC Stormwater Permit Delegation of Signature Authority Form Dear Ms. Georgoulias: ■■■ ■■■ "'Hanson HEIDELBERG CEMENTGrou p Hanson Aggregates Southeast LLC South Region North Carolina Territory Office 3825 Barrett Drive, Suite 300 Raleigh, NC 27609 Tel 919 380 2500 Fax 919 380 2616 w .lehiahhanson.com Hanson Aggregates Southeast LLC is hereby submitting the attached Stormwater Permit Delegation of Signature Authority Form delegating signatory authority to Ms. Mary Ann Hoerle for its thirteen (13) stormwater permitted sites. The affected permitted sites are listed in the table below. Mary Ann is taking my place as environmental manager since I will be retiring as of December 31, 2022. Plant COC No. County Re ional Office Crabtree u NCG020052 Wake Ralei h Durham Sales Yard NCG020088 Durham Ralei h Elliott Sand & Gravel NCG020178 Hamett Fa etteville Elm CityNCG020182 Wilson Ralei h Gardner u NCG020164 Harnett Fa etteville Holt Springs u NCG020087 Wake Ralei h Lexington Quarry NCG020204 Davidson I Winston-Salem Neverson Quarry NCG020234 Wilson Raleigh Princeton II Quarty NCG020124 Johnston Raleigh Raleigh Quarry NCG020209 Wake Raleigh Rocky Mount R Quarry NCG020121 Ed ecombe Raleigh Rou emont Quarry NCG020235 Durham/Omn a Raleigh Senter Sand & Gravel NCG020156 Harnett Fayetteville Should you have any questions or need additional information, please call me: (919) 380-2746, or reach me by email: Jack. GarveVCa2lehighhanSOn.COm . Sincerely, Sc? Garvey Environmental Manager cc: Mary Ann Hoerle, NC Environmental Manager Daren McMorris, NC General Manager Scott Dickson, VP/GM Southeast Region �• 4 NC Department of Environmental Quality "`• "�' Division of Energy, Mineral and Land Resources NOR�N CAROLINA Emlmnmenml Quallry Stormwater Permit Delegation of Signature Authority Form Directions are in red. This form shall be used to delegate signature authority from the permit Owner (Permittee) to another party. Only the Responsible Official defined below may submit permit applications and reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this form is completed and submitted to the DEMLR Stormwater Program. Please note that delegating signature authority does not relieve the Permit Owner from the responsibility for permit compliance. The permit Owner is the legal entity to which whom a permit has been issued, and may be an individual or an organization such as a company or government agency. Every Owner is required to have a Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22 summarized below: • For a corporation, the Responsible Official shall be a president, secretary, treasurer, or vice- president in charge of a principal business function, or another individual who performs similar functions for the corporation, or the manager of one or more manufacturing, production, or operating facilities who is authorized to make management decisions about the facility operation. • For a partnership or sole proprietorship, the Responsible Official shall be a general partner or the proprietor, respectively; or • For a municipality, State, Federal, or other public agency, the Responsible Official shall be either a principal executive officer [City/County Manager] or ranking elected official (Mayor]. Even if delegated signatory authority has been delegated to another individual, the Responsible Official retains responsibility for compliance with permit conditions. Organization Name: Hanson Aggregates Southeast LLC Responsible Official Name: Daren McMorris Responsible Official Title: NC General Manager Email Address: Daren.McMorris@lehighhanson.com Phone: (919) 614-1193 Mailing Address: 3825 Barrett Drive, Suite 300 City: Raleigh I State: I NC ZiP 27609 Stormwater Delegation of Signature Authority Form Page 1 A. Persons to Receive Signatory Authority � The signatures of the persons listed below indicates their acceptance of signatory authority. Delegated Party Name: Mary Ann Hoede Delegated Party Title: Environmental Manager Permit Number: Email Address: MaryAnn.Hoerle@lehighhanson.com I Phone: (91g) 357-6695 Mailing Address: 3825 Barrett Drive, Suite 300 City: Raleigh 1 State: NC I Zip: 127609 Signature of Delegated Party indicating acceptance of Signatory Authority: Date: I November 23, 2022 Delegated Party Name: Delegated Party Title: Permit Number: Email Address: Phone: Mailing Address: City: State: Zip: Signature of Delegated Party indicating acceptance of Signatory Authority: Date: Delegated Party Name: Delegated Party Title: Permit Number: Email Address: Phone: Mailing Address: City: State: Zip: Signature of Delegated Party indicating acceptance of Signatory Authority: Date: Delegated Party Name: Delegated Party Title: Permit Number: Email Address: Phone: Mailing Address: City: State: Zip: Signature of Delegated Party indicating acceptance of Signatory Authority: Date: Stormwater Permit Delegation of Signatory Authority Form Page 2 B. Responsible Official Signature The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate individual with the authority to sign and submit reports for the organization. As the Responsible Official, I, Daren McMorris (printed name), have the authority to enter into this Agreement for iiGnSon ���c _OP5 lou_}�ep6V LL _ (Owner/Organization Name). I request that the DEMLR Stormwater Program include the persons listed in Part A of this form signatory authority for the above -named permit. I acknowledge that I, and the persons listed in Part A of this form work at/for my organization and have authority to act as a signatory for purposes of the NCDEQ's electronic document systems. By submitting this application, I, Daren McMonis (printed name), have read, understand, and accept the terms and conditions of the stormwater permit(s) for which I am the Responsible Official. Responsible Official Signature NC General Title 11/23/2022 Date Stormwater Permit Delegation of Signatory Authority Form Page 3