NCS000421_Contact info updates_20201008

McCoy, Suzanne
From: Robby Stone <[e-mail]>
Sent: Thursday, October 8, 2020 3:25 PM
To: McCoy, Suzanne; Selkane, Aziza
Cc: Terry Houk; Trevor Spencer; Anita Simpson; Robby Stone
Subject: [External] FW: How to Update Your MS4 Permit Info with DEQ
Attachments: Permit Owner Affiliation Designation Form.pdf, 20201008150719974.pdf
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[e-mail]
Hello,
I've scanned in the Permit Summary for the City of High Point (NCS00421). Please see the attached as I've
highlighted the areas that need correcting. I didn't see the option to correct these on the other attached form
as our Responsible Person is correct. If I need to submit this in another format, please let me know. Thanks.
1. Terry Houk's title is Public Services Director
2. Owner Contact Person should be: Robby Stone, PO Box 230 High Point, NC 27261, 336-883-
3217(phone), 336-822-7074(fax), [e-mail] (email).
3. Facility Contact Person(s) should be: Trevor Spencer, PO Box 230 High Point, NC 27261, 336-883-
3455(phone), 336-883-8561(fax), [e-mail] (email).
4. Permit Contact Person(s) should be: Anita Simpson, PO Box 230 High Point, NC 27261, 336-883-
8587(phone), 336-883-8561(fax), [e-mail] (email).
5. Permit Billing Contact(s) should be: Robby Stone, PO Box 230 High Point, NC 27261, 336-883-
3217(phone), 336-822-7074(fax), [e-mail] (email).
Robby D. Stone
PE, MPA
ral,.flu.
CITY OF HIGH POINT
PUBLIC SERVICES ASSISTANT DIRECTOR
211 S Hamilton, Room 2061 High Point, NC 27260
336.883.3217 1 fax: [phone]
[e-mail] I www.highpointnc.gov
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Please be aware that e-mail and attachments sent to and from this address are subject to the North Carolina
Public Records Law and may be disclosed to third parties.

From: Terry Houk <[e-mail]>
Sent: Thursday, October 8, 2020 12:44 PM
To: Trevor Spencer <trevor.spencer@ high pointnc.gov>; Kenneth Sult <ken.suIt@high poi ntnc.gov>; Bill Frazier
<biILfrazier@high poi ntnc.gov>; Dawn Molnar <dawn.molnar@high poi ntnc.gov>; Duane Hamby
<duane.ham by@high poi ntnc.gov>; Wendell Pickett<wendel1.pickett@high poi ntnc.gov>; Elaine Sellars
<elaine.sellars@high poi ntnc.gov>; Carrie Hyler <carrie.hyler@high poi ntnc.gov>
Cc: Robby Stone <robby.stone@high poi ntnc.gov>; Derrick Boone <derrick.boone@high poi ntnc.gov>
Subject: FW: How to Update Your MS4 Permit Info with DEQ
FYI,
Terry L. Houk
BSET
I ro 011. qff
CITY OF HIGH POINT
Public Services Director
211 S Hamilton, Room xxxl High Point, NC 27260
336.883.3218 1 fax: [phone]
[e-mail] I www.highpointnc.gov
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Please be aware that e-mail and attachments sent to and from this address are subject to the North Carolina
Public Records Law and may be disclosed to third parties.

From: Powell, Jeanette <[e-mail]>
Sent: Thursday, October 8, 2020 10:46 AM
To:[e-mail]; Hoyt, Sally C <[e-mail]>;
[e-mail]; [e-mail]; [e-mail]; afulbright
<[e-mail]>; [e-mail]; [e-mail]; McDaniel, Andrew H.
<[e-mail]>; [e-mail]; [e-mail]; [e-mail]; anna.reh-
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; Barkes, Richard W <[e-mail]>; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail]; Charles
Brown <charles.brown @townofcary.org>; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; ctodd@laurel park.org;
[e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; David.Phlegar
<[e-mail]>; [e-mail]; Oconnor, Dan J <[e-mail]>;
[e-mail]; [e-mail]; [e-mail]; Daryl Norris <[e-mail]>;
Donald Perry<[e-mail]>; [e-mail]; DJ Seneres <[e-mail]>;
[e-mail]; [e-mail]; [e-mail]; eabrown @townofhopemiIIs.com;
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; Fredric. Royal @wilmingtonnc.gov; [e-mail]; [e-mail];
info@ haywoodwaterways.org; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail];
[e-mail]; ieffery�[e-mail]; iennifer.butler@wilmin�tonnc.�ov;
[e-mail]; [e-mail]; [e-mail];
igreen @townofran lo.org; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail]; joseph.alm
<[e-mail]>; joy.garland <[e-mail]>; [e-mail];
[e-mail]; [e-mail]; istannard@ arnernc. ov; [e-mail];
[e-mail]; [e-mail]; ([e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail]; Kelly.Craver@thomasville-
nc.gov; [e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
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[e-mail]; [e-mail]; [e-mail];
[e-mail]; Mayfield, Michelle <[e-mail]>;
Michel [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail]; pdonovan-
[e-mail]; phillip. [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
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[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; rusty. [e-mail]; [e-mail]; [e-mail];

[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail];
[e-mail]; Ekka, Sujit <[e-mail]>; [e-mail];
[e-mail]; [e-mail]; [e-mail]; Terry Houk
<[e-mail]>; therms@maiden nc.gov; [e-mail]; [e-mail];
town [e-mail]; town [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; tstephenson@fuguay-
varina.org; Tyler. [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail];
[e-mail]; [e-mail]; [e-mail]; [e-mail]
Cc: McCoy, Suzanne <[e-mail]>; Selkane, Aziza <[e-mail]>; Morman, Alaina
<[e-mail]>; Lucas, Annette <[e-mail]>; Clark, Paul <[e-mail]>;
Aiken, Stan E <[e-mail]>; Houck, Blane <[e-mail]>; Denton, Bill
<[e-mail]>; Eplin, Tamera <[e-mail]>; Gantt, Matt <[e-mail]>;
Graybeal, Christopher E<[e-mail]>; McDonnell, Jesse M <[e-mail]>;
Khan, Zahid <[e-mail]>; Garcia, Lauren V <[e-mail]>; Lentz, Zachary
<[e-mail]>; Norberg, Natalie B <[e-mail]>; Reed, Isaiah L <isaiah. reed@ ncdenr.gov>;
Valentine, Thad <[e-mail]>
Subject: How to Update Your MS4 Permit Info with DEQ
Greetings MS4 Permitted Entities,
Many of you have had staff changes which are not reflected in the DEQ permitting database. Please take a moment to
verify that your permit owner, delegated signatory authorities and billing contact are correct. Just click Stormwater
Permit Summary Report and enter your stormwater permit number (NCS000###). This will generate a form that
includes the address, permit owner, contact(s), billing contact and delegated signature authority on file for the MS4
Permit.
To update any information that is not correct in the Stormwater Permit Summary Report:
• Permit Owner/Legally Responsible Individual - Complete the online Owner Designation/Affiliation Form and
upload the attached signed Permit Owner Affiliation Designation Form.
• Facility address or contact information - Email Suzanne McCoy at [e-mail] and include your
permit number in the email.
• Billing contact - Email Aziza Selkane at [e-mail] and include your permit number in the email.
What does "legally responsible individual' mean? For an MS4 Permit, the responsible party is either: (1) the principle
executive officer or ranking elected official for a municipality, state, federal or other public agency; or, (2) a duly
authorized representative. The legally responsible individual(s) receive all official permit communications.
There is also a separate database for day-to-day MS4 Program Communications contacts, which is used to send out
general communications and information like this email. This database has a primary contact for each permittee,
typically the MS4 Program Administrator, and can include a cc. Consultants and others can also request to be included
on this list. If you received this email, then you are on the MS4 Program Communications list. Emails that are returned
as undeliverable are updated by contacting the MS4 directly. If you have other changes/additions to your MS4 Program
Communications contacts, please just email me the contact email address and I will add them.
Thanks and have a great day!
Jeanette Powell

MS4 Program Coordinator
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: Jeanette. Powella-ncdenr.gov
Physical Address: 512 North Salisbury Street
Mailing Address: 1612 Mail Service Center
Raleigh, NC 27699-1612
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Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties
hms://deg.nc.gov/sw

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DENILR has the following information in our Permit Database for your permit as of 10/8/2020.
Permit Number: NCS000421 Permit Status: Active
Permit Type: Stormwater Discharge, Individual (MS4)
Facility Name: High Point city - Small MS4
Facility Addressl: 211 5 Hamilton St
Facility Address2:
City, State & Zip: High Point, NC 27261
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name: City of High Point
Owner Type: Government - Municipal Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Terry L Houk Title:
Addressl: PO Box230
Address2:
City, State & Zip: High Point NC 27261-0230
Work Phone: [phone] Fax: [phone]
Email Address: terrv.houk(&highvointnc.gov
*** Permit Annual Fee Billing ***
Billing Month: July
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Persons)
Contact Name Title Address Phone Fax Email
Chris Thompson 211 S Hamilton St, High Point, NC 336-883-3167
Melanie Bruton 5875 Riverdale Dr, Jamestown, NC 336-883-3517 336-883-3624 melanie.bruton@hi
27282 ghpointnc.gov
Facility Contact Persons)
Contact Name Title Address Phone Fax Email
Derrick Boone Superintendent PO Box 230, High Point, NC 27261 336-883-3215 336-883-1675 derrick, [e-mail]
Permit Contact Persons)
Contact Name Title Address Phone Fax Email
10/8/2020 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your hermit as of 10/8/2020
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Derrick Boone Superintendent PO Box 230, High Point, NC 27261 336-883-3215 336-883-1675 [e-mail]
Persons) with Delegated Signatory Authority
Tyne Contact Name Title Address Phone Fax Email
Persons) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Outfalls
Outfall #:
Outfall Lattitude:
% Stormwater:
Basin
Outfall Description:
Outfall Longitude:
Industrial:
Represented by Outfall:
Stream
Waterbody Name Index Number
Waterbody
Classification
1o/s/zozo
Paye 2