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Home My WebLink AboutSW7080940_Email re Post-Const transfer_20211005McCoy, Suzanne From: McCoy, Suzanne Sent: Tuesday, October 5, 2021 8:59 AM To: Jessica Roberts Cc: Dumpor, Samir Subject: SW7080940-Elizabeth City Asphalt Plant and SW7981013-Kitty Hawk Asphalt Plant Attachments: NCG160194-Name-Owner Change Form_20210106.pdf Good morning Jessica. Back in January, when we completed the Ownership change for NCG160194, see attached, it also changed ownership of Post -Construction Permits: SW7080940 Elizabeth City Asphalt Plant SW7981013 Kittv Hawk Asohalt Plant Find Owner Owner Inspections Owner Details Owner: Fsc II LLC Owner Incidents Owner Enforcements Owner Violations Owner Projects Owner Delegations r OwnerAliiliations r Owner Facilities Owner Perm Permit Version Status Type Facility NCG160183 1.0 Inactive Asphalt Paving Mixture Stormwater Di... FSC II LLC- Black Ankle Plant NCG160183 2.0 Inactive Asphalt Paving Mixture Stormwater Di... FSC II LLC- Black Ankle Plant NCG160183 3.0 Active Asphalt Paving Mixture Stormwater Di... FSC II LLC- Black Ankle Plant NCG160194 1.0 Inactive Asphalt Paving Mixture Stormwater Di... Elizabeth City Asphalt Plant NCG160194 2.0 Inactive Asphalt Paving Mixture Stormwater Di... Elizabeth City Asphalt Plant NCG160194 3.0 Inactive Asphalt Paving Mixture Stormwater Di... Elizabeth City Asphalt Plant NCG160194 4.0 Active Asphalt Paving Mixture Stormwater Di... Elizabeth City Asphalt Plant NCG160224 1.0 Inactive Asphalt Paving Mixture Stormwater Di... FSC II LLC- Haw River Plant NCG160224 2.0 Active Asphalt Paving Mixture Stormwater Di... FSC II LLC - Haw River Plant SW7080940 1.0 Inactive State Stormwater Elizabeth City Asphalt Plant SW7080940 1.1 Active State Stormwater Elizabeth City As phaltPIant SW7981013 1.0 Inactive State Stormwater Kitty Hawk Asphalt Plant SW7981013 2.0 Inactive Istate Stormwater Kitty Hawk Asphalt Plant SW7981013 2.1 Active IState Stormwater Kitty Hawk Asphalt Plant Details... The Post -Construction program has a different process for Transfers. Please see hyperlink to this portion of the Post - construction page for the Transfer form. Please contact Samir Dumpor 252-948-3859,in our Washington Regional office with any questions, he is also copied on this email. Thank you for your attention to this matter. X 1 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. m000V�ncdenr.goy Phone: 919-707-3640 Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater — — -7 D, E Qft' A- 6pp�rjmmt{ of �n�rfronmpn inl QcisliYy 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. 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. Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 1/6/2021 12:11:08 PM (Name Change Submission) Approve by McCoy, Suzanne 1/8/2021 7:33:21 AM (Notification to Admin) • The task was assigned to McCoy, Suzanne 1/6/2021 12:11 PM NORTH C'A.: D_INA EnMmnmenJdl Qudffly I. Permit Information 1. Please enter the permit number for which the change is requested. ,dliIDES Stormwater Individual Permit #: NC SX XX XX X 9MM General Permit Certificate of Coverage (COC) #: NCG160194 NC GX XX XX X Use this link to check the permit contact information that is currently in our database. II. Permit Status II. Permit status prior to requested change. a. Permit issued to:* RPC Contracting, Inc. Cor pany t brre b. Person legally responsible for permit: First name:* Middle name Robert Title: Permit holder's mailing address:* Phone #:* 252- 261- 3336 c. Facility name:* d. Facility address:* Fax #: Last name:* Parker Street Address P.O. Box 333 Address Line 2 City State / Province / Region Kitty Hawk NC Fbstal / Zip Code Country 27949 us Knobbs Creek Elizabeth City Plant Street Address 166 Knobbs Creek Drive Address Line 2 City State / Province / Region Elizabeth City NC Fbstal / Zip Code Country 27909 us e. Facility contact person (prior to change, optional): First name: Middle name: Last name: Robert Parker Phone #: III. Requested Change Information III. Please provide the following for the requested change (revised permit). a. Request for changes is a result r Change in ownership of facility of: * r Name Change of the facility or owner b. Permit to be issued to:* FSC II, LLC Conpany fine c. Person to be legally responsible for permit: First name:* Middle name: Last name:* Brent E Wood Title: Vice President Permit holder's mailing address:* Street Address Phone #:* 919- 740- 7325 d. Faciltiyname:* e. FaciIityaddress:* 701 Corporate Center Drive Address Line 2 Suite 101 City Raleigh Postal / Zip Code 27607 Email address:* brent.wo od@fred smithcom pany.net State / Province / Region NC Country us FSC II, LLC - Elizabeth City Asphalt Plant Street Address 166 Knobbs Creek Drive Address Line 2 Oty Elizabeth City Postal / Zip Code 27909 Is the FACILITY contact different than the person legally responsible above?* t Yes No r. Facilitycontact person: First name:* Middle name: Last name:* Bailey Watkins Phone #:* 919-896-4695 Email address:* bailey.watkins@fredsmithcompany.net State / Province / Rion NC Country us IV. Permit Contact Information Is the PERMIT contact different than the person legally responsible above?* C Yes r No V. Permit Facility Activities V. Will the permitted facility continue to conduct the SAME industrial activities conducted prior to this ownership or name change:* (- Yes r No VI. Signature In the case of an ownership change request, certifications must be signed by both the permit holder prior to the change and the new applicant. For a name change request, the signed Permittee's Certification is sufficient. This completed application is required for both name change and/or ownership change requests. Legal documentation of 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. File Upload:* Upload supporting docurrentationfor ownership change RPC Ltr to Division of Air Quality re 393.62KB change of ownership.pdf pdf only North Carolina General Statute 143 - 215.6 b (1) 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 arule 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 [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Permittee Certification: I attest that this application for a name and/or 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, or if all required supporting information is not included, this application will be considered incomplete. In addition, I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); and I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); Permittee Signature Ferrrit-holder prior to the ownership change, or permit -holder authorizing the narre change Applicant Certification: I attest that this application for a name and/or 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, or if all required supporting information is not included, this application will be considered incomplete. In addition, I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); and I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); Applicant Signature O&Orl-S :WI To w horn the perrrit is to be transferred Will another person need to complete or sign this form before it can be submitted? No problem! Simply CLICK the "Save as Draft" button below and send the URL link to the other party to access the form. Questions? Call The Stormwater Program at (919) 707-3639 or e-mail Annette Lucas at annette.lucasCd)ncdenr.gov. Initial Review Project ID:* Reviewer nay revise pernit nurrber here if incorrect. NCG160194