NC0060691_Owner (Name Change)_20230803

NORTH CAROLINA
Environmental Quality
RECENE �" DEPARTMENTDIVAS ONVOF WATER RESOURCES
AUG 0 3 =D'23 WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
PERI16 R%AW1 'ER5LPH PUANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00_6_/_0_/_6_/_9_/_1_ or NCG5_/_J_/_J_
1. Facility Name: MVP Group International
il. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
ate. Change in ownership of property/company
6 b. Name change only
__c. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title
4. Mailing address: 430 Gentry RD
Rodney Parries
(Person legally responsible for permit)
Facility / Maintenance
(Title)
City: Elkin
State: NC Zip Code: 28621 Phone: (336 ) 527-2235
E-mail address: [e-mail]
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same asunder the previous owner? Yes !"o
2. Will the treatment system and discharge location remain the same? Yes ?1 No ❑
"No Responses"
If either or both of these questions are answered "No" then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities, waste
North Carolina Department of Environmental Quality I Division of Water Quality
S12 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

NPDES Name and Ownership Change
Page 2 of 2
stream, treatment process or outfall location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
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:
This completed application form
Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
I, Rodney Parries , 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. I understand that Permit Name/Ownership Change can only take place through
action taken by the Division of Water Resources and that no actions on my part or the part of my
company result in the automatic transfer of permit coverage.
c
Signature:PA __ Date: 7/26/2023
THE COMPLETED APPLICATION PACKAGE, 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
Version 07/2021