NCS000533_Email re contacts & outfalls_20210615

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Tuesday, June 15, 2021 3:27 PM
To: Regina Ward
Subject: RE: [External] NCS000533
Attachments: NCS000533_HISTORICAL WITH APPLICATION_20150810.pdf
Thank you Regina,
Attached please find a page from the application from 2015 listing the outfalls. Please confirm this information is
correct. I will need the Lat/Long for the missing outfalls.
The ownership change form from April is an incorrect form.
The table below summarizes the information that you will find in this report and the procedures for updating
that information if you find that it is incorrect.
Summary
Report Item Explanation of this Item
Facility Name I The official name of the facility.
Facility I The physical address of the facility.
Address
Owner Name The official name of the company according to
the NC Secretary of State.
Owner
Affiliation
Name
Owner
Affiliation
Address
Owner Contact
Person
A person who meets the criteria in 40 CFR
122.22 and may be responsible for a variety of
permit types. A "Permit Contact Person" can be
specified to receive correspondence on the
stormwater permit (see below).
The mailing address for the Owner Affiliation
How to Update this Item if
Needed
Complete
the Name/Ownership
Change Form
Email Suzanne McCoy
Complete
the Name/Ownership
Change Form
Complete the Owner
Designation/Affiliation Form
Email Suzanne McCoy
A person who can be contacted to speak on behalf Email Suzanne McCoy
of the Owner Affiliation.
1

Facility A person who can be contacted to speak on behalf
Contact I Email Suzanne McCoy
Person of the facility.
A person who receives correspondence specifically
Permit Contact about the stormwater permit. If a Permit Contact
Email Suzanne McCoy
Person Person is not specified, then correspondence will go
to the Owner Affiliation.
Permit Billing A person who can be contacted about billing Email Aziza Selkane
Contact matters for this permit.
Person with
Delegated
Signature
Authority
A person who can officially sign on behalf of the
Owner Affiliation for all matters related to the
stormwater permit.
Complete a Stormwater
Delegation of Signature
Authority Form
Person with
A person who can submit data via the eDMR
Electronic
system, this will be updated as you complete Step 2
N/A
Signature
below.
Authority
Every outfall that discharges stormwater to a
Outfalls
receiving stream. The data on outfall number,
Email Suzanne McCoy
description, latitude, longitude, and waterbody
must be checked for accuracy.
Suzanne McCoy
Stormwater Program Administrative Specialist
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Physical: 512 N. Salisbury Street, Office 640K, Raleigh, NC 27604
Mailing: 1612 Mail Service Center, Raleigh, NC 27699-1612
Email: Suzanne. mccoyQncdenr.gov
Phone: [phone]
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Cow+tTM^+ 01 Em+"Drurw i o ARV
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Before printing this email, please consider your budget and the environment.
N

Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.
From: Regina Ward [mailto:[e-mail]]
Sent: Friday, June 11, 2021 9:35 AM
To: McCoy, Suzanne <[e-mail]>
Subject: [External] NCS000533
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hi Suzanne. I am working to enroll in the online DMR submission requirements and ran the eDMR Owner Verification
Report and the Permit Summary. There are some errors on the reports. On April 7t", 2021 we submitted the attached
change request form. Please see the below changes that should be made:
Name: Entegris, Inc
Responsible Official: Stefanie Harding
Facility Contact: Gina Ward
Permit Contact: Gina Ward
We have 4 outfalls, but only 1 is listed. Outfalls are 001, 002, 005, 010
Please let me know if you need additional information or have any questions.
Thank you,
Gina Ward
EHS Specialist
SCEM
T [phone] M [phone]
6:) entegris.com U46" in w o pp�� Ili
333 Neils Eddy Road PACE
Riegelwood, NC 28456 USA
ENTEGRIS PROPRIETARY AND CONFIDENTIAL— INTERNAL

EPA ID Number (copy from Item 1 of Form 1) I Form Approved. OMB No. 2040-0086
Please print or type in the unshaded areas only. NCRO 0014 3 54 5 Approval expires 5-31-92
U.S. Environmental Protection Agency
FORM Zo
Washington, DC 20460
2F PA Application for Permit to Discharge Storm Water
NPDES Discharges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this applicatian is estimated to average 26.6 hours per application, induding time for reviewing instructions, searching existing data sources,
gathenng and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate, any other aspect
of this collection of information, or suggestions for improving this form, including suggestions which may increase or reduce this burden to: Chief, Information Policy
Branch, PM-223, U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, or Director, Office of information and Regulatory
Affairs, Office of Management and Budget, Washington, DC 20503.
Outfall Location
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water,
A. Outfall Number
(list)
B- Latitude
C. Longitude
D. Receiving Water
(name)
003
19.00
43.00
78.00
12.00
13.00
Livingston Creek
004
19.00
45.00
78.00
12.00
11.00
Livingston Creek
006
E34
19.00
42.00
78.00
12.00
6.00
Livingston Creek
008
19.00
38.00
78.00
11.00
59.00
Livingston Creek
009
19.00
47.00
78.00
12.00
8.00
Livingston Creek
IL Improvements
A. Are you now required by any Federal. State, or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application? This includes, but is not limited
to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions.
2. Affected Ouffalls 4. Final
1. Identification of Conditions, Compliance Date
Agreements, Etc. number source of discharge 3. Brief Description of Project a, req. b. proj.
Not applicable
6: You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your discharges) you now have under
way or which you plan. Indicate whether each program is now under way or planned, and indicate your actual or planned schedules for construction.
It. Site Drainaqe Ma
Atlach a site map showing topography (or indicating the outline of drainage areas served by the outfalls(s) covered in the application if a topographic map is unavailable)
depicting the facility including: each of its intake and discharge structures; the drainage area of each storm water outfall; paved areas and buildings within the drainage
area of each storm water outfall, each known past or present areas used for outdoor storage of disposal of significant materials, each existing structural control measure
to reduce pollutants in storm water runoff, materials $oading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied; each of
its hazardous waste treatment, storage or disposal units (including each area not required to have a RCRA permit which is used for accumulating hazardous waste
under 40 CFR 262.34): each well where fluids from the facility are injected underground; springs, and other surface water bodies which received storm water discharges
from the facility.
EPA Form 3510-2F (1-92) Page 1 of 3 Continue on Page 2