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Home My WebLink AboutNC0005177_Owner Name Change_20160908Fr,1=1\/ED SEP 0.,$=2016; �L. QWR SECTION . CDENR INFORMATION PROCESSING UNIT North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Donald R. van der Vaart Governor WATER QUALITY PERMITTING SECTION Secretary 4A5 ,i'j ss x sv ,.f zfii �w.sr, T{^t t ' e �f'f dma�� r=te tPEIt1VdITnN1�D'�E/O�'�NEERSHIP,�CI�A�NGEsQVEST -1 i' �� `� Er .�� .:..,�:'s ..G. '� },xy'S t .5, .. u.x� .. yrY_..s-4 v"•�i._ >.sY _ . �` i _. _ .'�_: �'�i"�o o- :L :.. - r s-�- .✓...as .: c' .-' .. � x .-. 4. � ?, .. _ :, .e _.,:?. _...,.... This form is for ownership chances or name changes of NPDES wastewater permits. • "Permittee' references the eeistin.- permit holder • "Applicant" references the entity applying for the ownership/name chanec. I. NPDES Permit No. (for which the change -is requested): N C 0 0 5 1 7 7 or Certfficate of Coverage #: N C G 5 II. Existing Permittee Information: a. Permit issued to (company name): b. Person legally responsible for permit: c. Facility name- d. Facility's physical address: e. Facility contact person: FMC Corporation Michael P McGowan First _ MI Last Planf Manager Title', _ — — PO,Box 795' J� Permit Bolder Mail Bessemer City NC City State )4) 868-7610 1115 AdarE Bessemer City NC-! City State,, Rodnev S. Willis First / MI / Last \�\'RG III. Applicant Information: a. Request for change is a result of: ❑ Change in ownership of they ❑ Name change of the facility If other please explain: Update Facility Contact and Person Legally Resposible b. Permit issuedto (company name): FMC Corporation c. Person legally responsible for permit: Michael P McGowan First MI Last Plant Manager Title PO Box 795 Permit Holder Mailing Address Bessemer City NC 28016 - City State Zip (704) 868-7610Paul McGowan@,fmc.com Phone E-mail Address IV. d. Facility name: FMC, Lithium Division- ivisione. e.Facility's physical address: 1115 Highway 161 ' Address Bessemer City NC 28016 - City State Zip E Facility contact person: Rodney S Willis First MI Last Operator in Resposible Charge _ Title 704 868-7630 rodney.willis@,fmc.com Phone E-mail Address Will the permitted facility continue to conduct the same commercialtindustrial activities conducted prior to this ownership or name change? ® Yes ❑ No (please explain) If applicable, the applicant shall submit a major permit modification request to DWIL A major modification shall be defined as one that increases the volume, increases the pollutant load, results in a significant relocation of the discharge point, or results in a change in the characteristics of the waste generated. V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: 1 1. 'This coinpleted4pp lic-ation is required for both name change and/or ownership change requests. 2. ' Legal documentation of the transfer of ownership (suchas relevant pages of a contract deed, or a bill of sale) is required for' an ownership change request. Articles of incorporation are not sufficient for an ownership change. : 40 CFR 122.41, 40 CFR 122.61 and 15A NCAC 02H.0 114 Applicable regulations !J „ ....; ... -..U........1............................................................................................... The certifications: below must be 'completed and signed by both the permit holder prior to the change (Permittee), and the " new applicant is tlie. ease of an ownership change request. For a name change request, the signed Applicant's Certification -,is stA6ienL ; PERMITTEE CERTIFICATION (Permit holder prior to ownership change): attest that this application,for a name/ wnership change has been reviewed and is accurate and complete to the best ofirny knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is iiot included, this application package will be returned as incomplete. i r . Signature. 4„ ` ` 'APPLICANTCERTIFICATION Date I, Michael Paul McGowan, 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 req ' su Vrdn ation is not included, this application package will be returned as incomplete. Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Water Resources Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST January 11, 2016 Wastewater Branch Water Quality Permitting Section Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Delegation of Signature Authority FMC CORPORATION 1115 HIGHWAY 161 BESSEMJER CITY, NC 28016 NPDES Permit Number NCO0517 To Whom It May Concern: ' C: fVED ;SEP :U 8 2016 DWR SECTION IR►FORMATION PDXE$SING UNIT By notice of this letter, I hereby delegate signatory authority to each of the following individuals for,all permit applications, discharge monitoring reports, and other information relating to the operations at the subject facility as required by all applicable federal, state, and local environmental agencies specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506. Tndividnal #1 If you have any questions regarding this letter, please feel`free' to'contact me at below Phone or c- 'mail. Sincerely, LL1 \ Michael Paul Mcgoi an , Plant Manager Fmc Corporation; Bessemer City PO Box 795 Bessemer City, NC 28016 Paul-Mcgowan@Fmc.Com , 704-868-7610 704675-6320 cc: Mooresville Regional Office, Water. Quality Permitting Section Jason Dwight Garrison ' ,Tit1et; Area Manager RA - IVi ativag�d essy' Po Box 795, Bessemer Nc 28016 City h r PhyscafAddess x Y•(h 1115 Highway 161, fde�'ent) Bessemer City Nc 28106 }2: ;Email ddress Jason.Garrison@fi?qc.com tOffice Pioner 704 - 868-0856 704 - 430 - 8662 If you have any questions regarding this letter, please feel`free' to'contact me at below Phone or c- 'mail. Sincerely, LL1 \ Michael Paul Mcgoi an , Plant Manager Fmc Corporation; Bessemer City PO Box 795 Bessemer City, NC 28016 Paul-Mcgowan@Fmc.Com , 704-868-7610 704675-6320 cc: Mooresville Regional Office, Water. Quality Permitting Section