NCGNE0282_Permit Contacts Summary Report_20181019

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in our Permit Database for your permit as of 10/19/2018.
Permit Number:
NCGNE0282
Permit Type:
Stormwater Discharge, No Exposure Certificate
Facility Name:
CommScope Connectivity
Solutions LLC
Facility Addressl:
8420 Triad Dr
Facility Address2:
City, State & Zip:
Greensboro, NC 27409
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(C/ick Here for 'Change of Name/Ownership"Form
Owner Name:
Commscope Connectivity
Solutions 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:
Jeffrey Dixon
Title: Director of Operations
Addressl:
8420 Triad Dr
Address2:
City, State & Zip:
Greensboro, NC 27409
Work Phone:
336-665-5920
Fax:
Email Address:
[e-mail]
*** Permit Annual Fee Billing ***
Billing Month:
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
Keith Whitt
EHS Coordinator
8420 Triad Dr, Greensboro, NC 27409 336-665-6008
keith.whitt@commsc
ope.com
Permit Contact Person(s)
Contact Name
Title
Address Phone Fax
Email
Keith Whitt
8420 Triad Dr, Greensboro, NC 27409 336-665-6008
keith.whitt@comms
cope.com
Permit Billing Contact
Contact Name
Title
Address Phone Fax
Email
Keith Whitt
8420 Triad Dr, Greensboro, NC 27409 336-665-6008
keith.whitt@comms
cmexom
10/19/2018 Page 1