NC0040339_Correspondence_20160211

WDES DOCYNEMT SCANNING COVER !;HEE,r
NPDES Permit:
NC0040339
Corpening Training Center WWTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
:Correspondence
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
Februar 11, 2016
This document is printed on reuse paper - igizore sa ny
coateat on the reverse side

Feb 11, 2016
Division of Water Resources
Water Quality Permitting Section RECEIVEDlNCDEID/M
1617 Mail Service Center FEB 16 2016
Raleigh, NC 27699-1617
Water Quality
Permitting Section
RE: B.H. Corpening Mountain Training Facility
NPDES Permit # NCO040339
Request change in the name of the Responsible Official
To whom it may concern:
Please find enclosed with this letter a request to change the name of
the Responsible Official for NPDES Permit # NC0040339. The individual listed,
David Lane, is no longer affiliated with the facility. Please update your records
accordingly so that we may proceed with eDMR Registration.
Thank you

RIMA
, A L*A
NCDENR
North Carolina Department of Environment and Natural
Division of Water Resources
Pat McCrory
Governor WATER QUALITY PERMITTING SECTION
RECEIVEDINCDEUDWR
FEB 16 2016
Water Quality
P
Resources ermitting Section
Donald R. van der Vaart
Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee" references the existing permit holder
• "Applicant" references the entity applying for the ownership/name change.
1. NPDES Permit No. (for which the change is requested): N C O O 4 O 3 3 9
or
Certificate of Coverage #:
N C G 5
11. Existing Permittee Information:
a. Permit issued to (company name):
North Carolina Forest Service
b. Person legally responsible for permit:
David Lane
First MI Last
Responsible Official
Title
6065 Linville Falls Hwy
Permit Holder Mailing Address
Crossnore NC 28616-
City State Zip
Phone Fax
c. Facility name:
B.H. Corpening Mountain Training Facility
d. Facility's physical address:
6065 Linville Falls Hwy
Address
Crossnore NC 28616-
City State Zip
e. Facility contact person:
David Lane ( )
First / MI / Last Phone
Ill. Applicant Information:
a. Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: New Responsible Official is managing the facility
b. Permit issued to (company name): North Carolina Forest Service
c. Person legally responsible for permit:
Chasity Webb
First MI Last
Facility Manager
Title
6065 Linville Falls Hwy
Permit Holder Mailing Address
Newland NC 28657-
City State Zip
[phone] [e-mail]
Phone E-mail Address
Page I oft Revised 710112014

d. Facility name: B.H. Corpening Mountain Training Facility
e. Facility's physical address:
6065 Linville Falls Hwy
Address
Newland
NC
28657-
City
State
Zip
f. Facility contact person: Chasity
Webb
First
MI
Last
Facility Manager
Title
[phone] chasity.webb(a'�,ncagr.gov
Phone
E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/industrial 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 DWR. 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. This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership (such as 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.
Applicable regulations: 40 CFR 122.41, 40 CFR 122.61 and 15A NCAC 02H .0114
...................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change (Permittee), and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification
is sufficient.
PERM ITTEE CERTIFICATION (Permit holder prior to ownership change):
I, _, 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 required
supporting information is not included, this application package will be returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
I. Chasity Webb, 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
required supporting information is not included, this application package will be returned as incomplete.
h0
Signature 1 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
Page 2 of 2 Revised 710112014

February 19, 2015
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
B.H. CORPENING MAOUNTAIN TRAINING FACILITY W WTP
NPDES Permit Number NCO040339
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 Cfapplicable)
Name:
Ken Deaver
Rachael Kramer
Compliance Manager
Title:
President, Kace Environmental, Inc.
Kace Environmental, Inc.
2905 Wood Road
2905 Wood Road
Mailing Address:
Mooresboro, Nc 28114
Mooresboro, Nc 28114
Physical Address:
(iidifferent)
Email Address:
[e-mail]
[e-mail]
Office Phone:
828 - 657 -1810
828 - 657 - 1810
Mobile Phone:
-
If you have any questions regarding this letter, please feel free to contact me at 828.733.4242 or
[e-mail].
Sincerely, ?/
Chasity Webb
Facility Manager
6065 Linville Falls Hwy., Newland, NC 28657
Chasity. [e-mail]
828.733.4242
cc: Asheville Regional Office, Water Quality Permitting Section

NCDENR
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
I PERMIT NAME/OWNERSHIP CHANGE REQUEST I
This form is for ownership changes or name changes of NPDES wastewater permits.
"•Permittee" references the existing permit holder
NPDES Permit No. (for which the change is requesled): N C 0 0 4 0 3 3 9
or
Certificate of Coverage #: N C G 5
11. Existing Permittee Information:
a. Permit issued to (company name):
b. Person legally responsible for permit:
FEB 16 2016
Water Cruet
Permitting on
c. Facility name:
North Carolina Forest Service
David Lane
First MI Last
Responsible Official
Title
6065 Linville Falls Hwy
Permit Holder Mailing Address
Crossnore NC 28616-
city State Zip
Phone Fax
B.H. Corpening Mountain Training Facility
d. Facility's physical address:
6065 Linville Falls Hwy
Address
Crossnore NC 28616-
City State Zip
e. Facility contact person:
David Lane ( )
First / MI / Last Phone
Ill. Applicant Information:
a. Request for change is a result of:
❑ Change in ownership of the facility
❑ Namc change of the fncility or owner
if other please explain: New Responsible Official is managing the facility
b. Permit issued to (company name):
North Carolina Forest Service
c. Person legally responsible for permit:
Chasity Webb
First MI Last
Facility Manager
Title
6065 Linville Falls Hwy
Permit Holder Mailing Address
Newland NC 28657-
City State Zip
[phone] [e-mail]
Phone E-mail Address
Page 1 of Revised 710112014

d. Facility name: B.H. Corpening
Mountain Training
Facility
c. Facility's physical address:
6065 Linville Falls Hwy
Address
Newland
NC
28657-
City
State
Zip
f. Facility contact person: Chasity
Webb
First
MI
Last
Facility Manager
Title
[phone] [e-mail]
Phone
E-mail Address
IV. Will the permitted facility continue to conduct the same commereiaVndustrial 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 DWR. 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:
I. This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bil I of sale) is
reouirSdd for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
.............. App.
licable re..gulations...: 40 C F R 122.41, 40 CFR 122.61 and 15A NCAC 0 2 H .01 14
........................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change (Permittee), and the
new applicant in'du case of an ownership change request. For a name change request, the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, _, attest that this application for a namdownership 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 required
supporting information is not included, this, application package will be returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
1, Charity Webb, 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
required supporting information is not included, this application package will be returned as incomplete.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Wader Resources
Water Quality Permitting Section
1617 Mail Service Center
Rale'igh, North Carolina 27699.1617
NPDES PERMIT NAMEIOWNERSHIP CHAA,GE REQUEST
Page 2 of 2
Revised 71011201a