Loading...
HomeMy WebLinkAboutNC0039152_Owner (Affiliation Change)_20210720 SCATS,,, ROY COOPER Governor DIONNE DELLI-GATTI ,!'?47 Secretary Qw 4 S.DANIEL SMITH NORTH CAROLINA RECEIVED Director Environmental Quality JUL202021 PERMIT NAME/OWNERSHIP CHANGE FORM NCDEQ/DWR/NPDES I. CURRENT PERMIT INFORMATION: Permit Number: NC0039152 / / / or NCG5 / / / / 1. Facility Name: Ohio Electric Motors II. NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: a. Change in ownership of property/company x _b. Name change only _c. Other(please explain): 2. New owner's name(name to be put on permit): John Petty 3. New owner's or signing official's name and title: John Petty (Person legally responsible for permit) Plant Manager (Title) 4. Mailing address: 30 Paint Fork RD City: Barnardsville State:NC_ Zip Code: 28709 Phone: (828 ) 228-6049 E-mail address: 1petty@ohioelectricmotors.com THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1. This completed application form 2. Legal documentation of the transfer of ownership (such as a property deed, articles of incorporation,• or sales agreement) [see reverse side of this page for signature requirements] ' - North Carolina Department of Environmental Quality ( Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617 NORTH C,iLtEP14 NPDES Name&Ownership Change Page 2 of 2 Applicant's Certification: I, John Petty , 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 and attachments are not included,this application package will be returned as incomplete. Signature: (/(1 Date: (7(20 ( THE COMPLETED APPLICATION ACKAGE,INCLUDING ALL SUPPORTING INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS: NC DEQ /DWR/NPDES 1617 Mail Service Center Raleigh,North Carolina 27699-1617 vA,-e;,,,, i i i'rrin