NCG020858_Name_Owner Change Confirmation_20221207

Tran, Kieu M
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Good morning,
Tran, Kieu M
Wednesday, December 7, 2022 11:53 AM
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Stormwater Permit Name/Owner Change Confirmation for NCG020858
NCG020858 NPDES SW Permit Summary Report.pdf
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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: httl2://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwatgr
DE
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NORTH CAROLINA -
Department of Environmental Quality
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 12/7/2022.
Permit Number: NCG020858 Permit Status: Active
Permit Type: Mining Activities Stormwater Discharge COC
Facility Name: BWI ETN 1-LC-Daurity Springs Quarry
Facility Addressl: 40 Daurity Rd
Facility Address2:
City, State & Zip: Goldston, NC 27252
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: Bwi Etn 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: Walt Hillis Title: Environmental Manager
Addressl: 9509 Diggs Gap Rd
Address2:
City, State & Zip: Heiskell, TN 37754
Work Phone: [phone] Fax:
Email Address: whillisCaibluewaterindustries.com
*** Permit Annual Fee Billing ***
Billing Month: April
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
Ryan Seremet 181 Daurity Springs Quarry Rd, Goldston, 919-618-6452 rseremet@bluewate
NC 27252 rindustries.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Walt Hillis 9509 Diggs Gap Rd, Heiskell, TN 37754 865-512-7628 whillis@bluewaterind
ustries.com
12/7/2022 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 12/7/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax
Email
Anna Detkova 200 W Forsyth St Ste 1200, Jacksonville, 904-512-7714
apdept@bluewateri
FL 32202
ndustries.com
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 #: 100 Outfall Description: Cedar Creek
Outfall Lattitude: 35.582500 Outfall Longitude:-79.323060
Represented by Outfall:
Stormwater: % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Cape Fear Cedar Creek
17-26.5
C;HQW
12/7/2022 Page 2