NCC202867_MODIFICATION Supporting Doc (LEG RESP CHANGE)_20231002

NCG01 Legally Responsible Individual Change Form
Use this form when:
The person who is legally responsible for the permit has changed, but there is NO CHANGE in the project name
or ownership.
**If the project name has changed, or if the ownership of the project has changed, do NOT use this form.**
Instead,you must submit a new NCGO1 electronic Notice of Intent(eNOI).
Directions:
Print this form, complete,scan and upload to the Construction Stormwater Permit MODIFICATION Form.
Then, mail the original form to the NC DEMLR Stormwater Program at:
Division of Energy, Mineral&Land Resources Stormwater Program
512 N. Salisbury Street,6tn Floor(Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
DO NOT MAIL THIS FORM UNTIL YOUR MODIFICATION HAS BEEN REVIEWED AND ACCEPTED AS COMPLETE.
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE (NOT DIGITAL) [40 CFR 122.221
Certificate of Coverage (COC) Number: NCC202867
Name of Project:The Grifols Expansion of the PLC
Legally Responsible Organizational Entity:Grifols Therapeutics LLC
PREVIOUS Legally Responsible Individual: Donald Parker
NEW Legally Responsible Individual:David Auge
The following section is to be completed and signed by the NEW Legally Responsible Individual.
Per NC General Statute 143-215.6E(i), 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 a rule implementing this Article. . .shall be guilty of a Class 2 misdemeanor which may
include a fine not to exceed ten thousand dollars($10,000).
Page 1 of 2

NCG01 Legally Responsible Individual Change Form
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE(NOT DIGITAL) [40 CFR 122.22]
Under penalty of law, I certify that (check all boxes to indicate your agreement):
k I am the person responsible for the construction activities of this project,for satisfying the
requirements of this permit, and for any civil or criminal penalties incurred due to violations of this
permit.
y I will abide by all conditions of the NCGO10000 General Permit and the approved Erosion and
Sediment Control Plan.
C1 If the approved Erosion and Sediment Control Plan is not compliant with Part II (Stormwater Pollution
Prevention Plan)of the NCGO10000 General Permit, I will nonetheless ensure that all conditions of
Part II of the permit are met on the project at all times.
X1 I understand that coverage under this permit will constitute the permit requirements for the
discharge(s) and is enforceable in the same manner as an individual permit.
This form has been reviewed and is accurate and complete to the best of my knowledge.
*Signature: ��t/"� V Date:October 2 2023
Print Name of Signed: David Auge
Title:Senior Engineering Manager, Environmental
Mailing Address:8368 US 70 Business Highway West, Clayton, NC 27520
Street Address: 8368 US 70 Business Highway West, Clayton, NC 27520
Email Address: [e-mail]
Phone Number:919-359-4375
* IMPORTANT NOTE. This form must be signed by a responsible corporate officer that owns or operates the
construction activity,such as a president,secretary, treasurer, or vice president, or a manager that is
authorized in accordance with Part IV,Section B, Item(6)of the NCGO10000 permit.
For more information on signatory requirements,see Part IV,Section B, Item(6)of the NCGO10000 permit.
Page 2 of 2

From: Parker,Donald
To: Trick,William;Kistner.David
Cc: matthew.lassiterCalmcaill.associates.com;Auae. David
Subject: RE: Notice of Deficiency:Unpaid Permit Fee for NCC202867
Date: Sunday,September 17,2023 2:53:16 PM
All —I am no longer the contact for this permit (see below)
Will/David does this still fall under Facilities or GE? Please notify who the new contact should be and
take care of this.
Thanks,
DONALD PARKER
SR. MANAGER ENGINEERING,GRIFOLS ENGINEERING I GRIFOLS CANADA THERAPEUTICS INC.
2911 MARIE-CURIE AVE. I MONTREAL, QC H4S 0137
OFFICE I514-375-5800 EXT. 418
CELL I514-968-8980
DONALD.PARKERPGRIFOLS.COM
From: [e-mail]<[e-mail]>
Sent: Saturday, September 16, 2023 12:56 AM
To: Parker, Donald <[e-mail]>
Cc: [e-mail]; [e-mail];[e-mail];
[e-mail]
Subject: Notice of Deficiency: Unpaid Permit Fee for NCC202867
You don't often get email from laserfiche.ncdenr. oovv&mccicloud.io.Learn why this is important
This message was sent from outside the company. Please do not click any links or open any attachments unless you
recognize the source and know the content is safe. Please contact Service Desk if you have any questions.
This email is to convey a Notice of Deficiency for failure to pay the 2023 annual permit fee
per the requirements of NC General Statute 143-215.313(a)(4).Please be sure to coordinate
payment with other parties copied on this e-mail to avoid duplicate payments.
Your Certificate of Coverage (COC) under the Construction Stormwater NPDES General
Permit was not renewed because the annual fee payment(Invoice No.NCC202867-
2023)was not received. The payment is 15 day(s) overdue. A Notice of Deficiency is
attached.
Please contact the Stormwater Program at tev.holloman(c dde .nc.gov or(919) 707-3649.
Please reference:
COC no. NCC202867
This COC is for Grifols-The PLC Expansion in Johnston County, issued to Grifols
Theraputics.

Annual fee payment can be made through this website:
hj42s://deq.nc.gov/sw-el2ayments
If this project has been closed-out or sold,it is important that you submit a Notice of
Termination request here:
hiWs://edocs.deg.nc.gov/Forms/NCGO1-Termination
Please visit hJWs://deg.nc.gov/NCGO1 for more information about this permit.
The NC DEMLR Stormwater Program
512 N. Salisbury Street,Archdale Building 6th Floor, 1612 Mail Service Center, Raleigh,NC
27699-1612
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