NC0021971_Signature Authority_20190813

M
MARATHON
Blanchard Terminal Company LLC
A subsidiary of Marathon Petroleum Corporation
August 13,2019 539 South Main Street
Findlay, OH 45840
Tel: [phone]
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617 REOEIVED/N QIDWR
Subject: Delegation of Signature Authority AUG 21 2019
Blanchard Terminal Compnay!LC
Charlotte East Terminal—NPDES Permit NC0021971 Water Quality
Selma Terminal,outfall 001—NPDES Permit NC0088960 permitting Section
Selma Terminal,outfall 002—NPDES Permit NC0036145
To Whom It May Concern:
By notice of this letter, I hereby designate signatory authority to the following individual for all permit
applications, discharge monitoring reports, and other information pertaining to the operations at the subject
facilities as required by all applicable federal,state, and local environmental agencies specifically with the
requirements for signatory authority specified in 15A NCAC 2B.0506.
Name: Laurie Wilkins
Title: President, Blanchard Terminal Company LLC
Mailing Address: 539 South Main Street, Room K-06-016
Findlay, OH 45840
Email Address: [e-mail]
Office Phone: [phone]
If you have any questions regarding this letter, please feel free to contact Erin Risner via email at
[e-mail] or via phone at 419-421-2019.
Sincer-ly, ibICAA-Arj
Angela Bros n,Vice President
Blanchard ermine!Company LLC
539 South Main Street, Room K-06-013
Findlay, OH 45840
[e-mail]
419-421-2629
CC: Division of Water Resources Division of Water Resources
Raleigh Regional Office Mooresville Regional Office
1628 Mail Service Center 610 East Center Ave,Suite 301
Raleigh, NC 27699-1628 Mooresville, NC 28115
[e-mail] [e-mail]

Submitter Change Request Form — (Add/update users)
DWR __ North Carolina Electronic Discharge Monitoring Report System
`'Divlslon of Water Resources
EDMR registered Owners may use this form to add or update eDMR users to the NCDWR's Electronic
Discharge Monitoring Report system. If the Organization is not currently registered for eDMR,then the
Owner or designated Responsible Official will need to complete the required eDMR Registration Form
(available from the eDMR website)and submit it to the NCDWR eDMR Administrator at the address
below.
Type of Request(please select):
X Add Submitter Permissions: (See Section B)
Update Submitter Permissions: (See Section B)
To add or update eDMR user permissions,please provide the following information:
Section A: Owner Information
NPDES Permit Number: NC0021971,NC0088960, NC0036145
Owner/Organization Name: Blanchard Terminal Company LLC
Responsible Official
(as identified in accordance with 40 CFR 122 22) Angela Brown,Vice President
Street Address: 539 South Main Street, Room K-06-013
City: Findlay
State/Zip Code: OH/45840
Telephone number: ( 419)421-2629
E-mail address: [e-mail]
Section B: Activate New Submitter or Update Existing User
Please complete the Submitter User Details on page 2 for the individuals who will need Submitter
permissions or to update Submitter details, such as adding additional permits,to an existing user.
Submitter permissions can only be assigned by the NCDWR eDMR Administrator. Note: The Owner
and Facility Administrator can deactivate or delete eDMR user permissions for any individual within
its organization, including Submitter permissions.
The Submitter is equivalent to the individual who signs the certification statement on the back of the
Discharge Monitoring Report. The Submitter must be an individual with delegated signatory authority
for the Owner/Organization. If individuals other than the Responsible Official for the Owner have been
delegated signatory authority,the Division of Water Resources must be notified in writing of such
delegations. A delegation of authority form is available from the eDMR website.
In addition to the User Details,please specify the NPDES permit(s)that each user will be associated with
for eDMR submittal. Should additional space be needed for users and/or permits,please make additional
copies of the Submitter User Details page and complete as needed.
NCDWR eDMR Submitter Change Request Form-ver. Page 1

Submitter User Details
Permit No.(s): NC0021971 NC0088960 NC0036145
First Name: Laurie
Middle Name:
Last Name: Wilkins
Phone Number: (419 ) 429-5367
lageorge
Email: @marathonpetroleum.com User ID:
(Assigned by NCDWR eDMR Administrator)
Select Request X Add User Permission 08/13/2019
Type: ❑ Update User Permission Add/Update User Permission as of(Date):
Submitter User Details
Permit No.(s):
First Name:
Middle Name:
Last Name:
Phone Number: ( )
Email: User ID:
(Assigned by NCDWR eDMR Administrator)
Select Request ❑ Add User Permission
Type: ❑ Update User Permission - Add/Update User Permission as of(Date):
Submitter User Details
Permit No.(s):
First Name:
Middle Name:
Last Name:
Phone Number: ( )
Email: User ID:
(Assigned by NCDWR eDMR Administrator)
Select Request ❑ Add User Permission
Type: ❑ Update User Permission Add/Update User Permission as of(Date):
NCDWR eDMR Submitter Change Request Form-ver.1.0 Page 2

c • '
Responsible Official Authorization
The Responsible Official,as identified in accordance with 40 CFR 122.22,is the appropriate individual
with the authority to sign reports for the organization.
I Angela Brown (printed name),have the authority to make this request for
Blanchard Terminal Company LLC (Owner/Organization Name).
I request the NCDWR add or update the eDMR Submitter user permission(s)as indicated above on the
Submitter User Details page.
Vice President
Owner/R onsible Official Signature Title Date
Please return the completed form to the NCDWR eDMR Administrator via:
Fax: or E-mail: or Mail to:
[phone] eDMRadmin(aincdenr.gov Information Processing Unit
Attn: eDMR Registration
1617 Mail Service Center
Raleigh,NC 27699-1617
NCDWR eDMR Submitter Change Request Form-ver.1.0 Page 3