NCG030658_Name-Owner Change Confirmation_20220614

Tran, Kieu M
From: Tran, Kieu M
Sent: Tuesday, June 14, 2022 8:14 AM
To: CAMERON Michael (ORANO)
Cc: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG030658
Attachments: NCG030658 NPDES SW Permit Summary Report.pdf
Good morning,
We have processed the Name/Ownership change for this permit. Please review the attached Permit Summary Report
and verify that the new information is accurate. Please let me know if there are any other necessary updates.
Thank you,
Mrs. Kieu Tran
Stormwater Program Administrative Assistant
Office: (919) 707- 3640
Kieu.Tran @ncdenrgov
North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources Stormwater Program
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http//deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwatgr
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 6/14/2022.
Permit Number: NCG030658 Permit Status: Active
Permit Type: Metal Fabrication Stormwater Discharge COC
Facility Name: TN Americas LLC
Facility Addressl: 1621 Old Greensboro Rd
Facility Address2:
City, State & Zip: Kernersville, NC 27284
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/Ownershka"Form)
Owner Name: Tn Americas LLC
Owner Type: Non -Government 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: Michael Cameron Title:
Addressl: 1621 Old Greensboro Rd
Address2:
City, State & Zip: Kernersville, NC 27284
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Tom Bock 1621 Old Greensboro Rd, Kernersville, NC 336-497-3614 [e-mail]
27284 oup
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Tom Bock 1621 Old Greensboro Rd, Kernersville, NC 336-497-3614 [e-mail]
27284 oup
6/14/2022 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followinu information in our Permit Database for vour permit as of 6/14/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax
Email
Tom Bock 1621 Old Greensboro Rd, Kernersville, NC 336-497-3614
[e-mail]
27284
oup
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone
Fax
Email
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone
Fax
Email
Outfalls
Outfall #: 001 Outfall Description: Ditch
Outfall Lattitude: 36.110830 Outfall Longitude:-80.025560
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Cape Fear West Fork Deep River
17-3-(0.3)
WS-IV:*
6/14/2022 Page 2