HomeMy WebLinkAboutNC0039152_Signature Authority_20191122 November 22,2019
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh,NC 27699-1617
ECENED
Subject: Delegation of Signature Authority DEC 2 l 2019
OHIO ELECTRIC MOTORS WWTP
NPDES Permit Number NC0039152 NGDEQ/DVVRINPQES
To Whom It May Concern:
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.
Individual#1 Individual#2 (if applicable)
,Name: Robert Barr
Title: Signatory
P.O. Box 1325
Mailing Address: - Asheville,Nc 28802
Physical Address: ° 251 Haywood Street, Suite E
Of different) Asheville,Nc 28801
Email Address: , rbarr@rbpsystems.com
Office Phone: i- 828 - 251 - 1900 - -
Mobile Phone: ` 828 - 230 - 1021 - -
If you have any questions regarding this letter,please feel free to contact me at(828)-626-2901.
Sincerely,
Mark Eatmon
Manufacturing Manager
30 Paint Fork Road
Meatmon@Ohioelectricmotors.Com
828-626-2901
828-273-0521
cc: Asheville Regional Office, Water Quality Permitting Section
Submitter Change Request Form — (Add/update users)
North Carolina Electronic Discharge Monitoring Report System
Divisloo of Watof
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):
Add Submitter Permissions: (See Section B)
Update Submitter Permissions: (See Section B)
To add or update eDMR user permissions,please provide the following information: uE,
CE ED
DEC 2 7 2019
Section A: Owner Information NCDQIUVVR1NPDES
,NPDES.Permit Number: ( Op 3 1. Z
Owner i Organization Name: Oil O -I ee f s 4 Mc r
,Responsible Official ;qn�� �-.vry MI
(as identified accardanae with 40 CE1?122.22)
Street Address: ;D2Cl k E(k,
State/Zip Coder _� ��. D 70c1
Telephone number: (gZg) �j2(n D.%1
=mail address: �� `��` 0ti 1 O &c c 4 5 i (AV"\
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.1.0 Page 1
. ° Sablaitteir User Details=
, 'emit No.(s): 1S2
First Name.
°MicldleNarrine: Fes` 1 C�(�
East Naxnes ; -Fet Cr
-thOiteNumber:. (S2S--) 2_51 90vT
rAceLrre, rpia_syAns 4 r.re,r i s/
Enaailt` , `_ User
u - _ (Assigned by NCDWR eDMR Administrator)
elec Reflus r' ElAdd User Permission
Type: A., Update User Permission Add/Update User Permission as of(Date):
„Subnxitter User Details ,
-Perrriit No.(s) -
:First Nome: "
�VTitldle Name:.
,East Name -
Phone Number: ( )
lima : User ID:
- , ' (Assigned by NCDWR eDMR Administrator)
'Sehect'Itequest 0 Add User Permission
� '- .. ❑ Update User Permission Add/Update User Permission as of(Date).
Salbmitter User Details • '
Permit No- }
First Name:-
Middle Na e: _
East Name:
Phone Nuinbetr ( )
Email: User 1ID•
_ _ " (Assigned by NCDWR eDMR Administrator)
Select Request • 0 Add User Permission
Pype' ❑ Update User Permission Add/Update User Permission as of(Date):
NCDWR eDMR Submrtter Change Request Form—ver.1.0 Page 2
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.
x
I, 1"N ( E. '1 r i cs-vl (printed name),have the authority to make this request for
61i �v 1 I le-,tir c- N (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.
Owner/Responsible Official Signature Title Date
Please return the completed form to the NCDWR eDMR Administrator via:
Fax: or E-mail: or Mail to:
(919) 807-6498 eDMRadmin@ncdenr.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