NC0023442_NC0023442 CEI contacts 2024_20240702

DocuSign Envelope ID:895578EC-1 F35-4091-B63E-8AOCDFA49A48
North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: NCO023442
Permit Type: Discharging 100% Domestic < 1MGD
Facility Name: Moncure Plywood
Facility Addressi: 306 Corinth Rd
Facility Address2:
City,State&Zip: Moncure, NC 27559
Owner Information Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name: Southern Veneer Specialty Products 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: Ora Kendall Adams Title: Managing Member
Addressi: PO Box 279
Address2:
City,State&Zip: Fitzgerald, GA 31750
Work Phone: [phone] Fax:
Email Address: kendall.adams(a)syspecialty.com
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Thomas Reams 306 Corinth Rd, Moncure, NC 27559 910-605-9258 thomas.reams@syspecial
ty.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name Title Address Phone Fax Email
Thomas Reams 306 Corinth Rd, Moncure, NC 27559 910-605-9258 thomas.reams@syspecialt
y.com
Persons with Signatory Authority
Type Contact Name Title Address Phone Fax Email
Permit Brian W Van 306 Corinth Rd, Moncure, NC 803-374-3564 [e-mail]
Gelder 27559
Permit Glen Lang 1445 Lancaster Hwy, PO Box 803-385-4957
1110, Chester, SC 29706
Permit Caitlin Payne 306 Corinth Rd, Moncure, NC 919-642-7011 caitlin.payne@syspecialit
27559 y.com
Permit Timmy 306 Corinth Rd, Moncure, NC 919-642-7015 timmy.richardson@syspe
Richardson 27559 cialty.com
7/1/2024

DocuSign Envelope ID:895578EC-1 F35-4091-B63E-8AOCDFA49A48
Permit Number: NCO023442
Permit Type: Discharging 100% Domestic < 1MGD
Facility Name: Moncure Plywood
Facility Addressl: 306 Corinth Rd
Facility Address2:
City,State&Zip: Moncure, NC 27559
Designated Operators
If the designated operators listed below are incorrect or no longer associated with the collection system,the information can be updated by a
Operator Designation Form"(Click Here for ORC Designation Form). Please provide specific details as to the changes requested,including th
designated operators, For all other operator questions or issues,please call 919-807-6353.
Facility Classification: WW1
Operator Name Role Cert Type Cert Status Cert# Effective Date
Randall Craig Jarrell ORC WW-4. Active 7937 4/14/2014
Kenneth Chad Leinbach Backup WW-2 Active 29210 4/12/2014
7/1/2024 Page 2