NCG050230_COMPLETE FILE - HISTORICAL_20150306

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
6!5) a 3 U
DOC TYPE
t.'COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ a (Jl 5 Q 3 0 (J
YYYYMMDD

Pickle, Ken
From:
Pickle, Ken
Sent: Friday, March 06, 2015 3:17 PM
To: White, Sue
Cc: Georgoulias, Bethany; Bennett, Bradley; Alexander, Laura
Subject: RE: NCG050230 Ernie Green Industries (Florida Production Engineering)
Hi Sue,
Yeah, BIMS shows that they have six annual invoices past due for NCG050230.
I've copied others in our group because I'm not sure what our posture is now on folks so far in arrears.
The last time I looked at a similar situation, the delinquent permittee was more than happy to bring his account up to
date. So, my expectation is that if we billed them (and I note that the invoice numbers are listed in BIMS), then they
need to pay.
A complicating issue, perhaps, arises from the letter in our files from FPE and Dennis Koc Engineering Manager, noting
that the previous permittee, Moll Industries filed for bankruptcy protection in April 2010. It appears that Dennis Koc
was an employee of Moll and that he subsequently continued with the facility under the new owner, FPE. FPE acquired
the assets of Moll in September 2010 from the bankruptcy court and on the basis of continuing the same kind of
manufacturing, FPE and Koc requested in July 2011 that we transfer the permit coverage to FPE which we did in
December 2012.)
BIMS shows the first overdue fee for the permit in the period May 2009 to April 2010: presumably Moll was still in
business for most of that period.
But, I don't know that we are justified in seeking past amounts from FPE that were attributable to Moll prior to
bankruptcy (2010), or prior to FPE acquiring the assets of Moll. Using September 2010 as the critical date (when PPE
acquired the assets of Moll, and presumably the active manufacturing operation), I would consider that PPE owes us:
• $100 for the permit period May 2010 to April 2011;
presumably continued manufacturing.)
• $100 for the permit period May 2011 to April 2012;
(FPE acquired the assets of Moll in this period, and
(FPE requested a permit transfer in this period, sorts late,
perhaps.)
• $100 for the permit period May 2012 to April 2013; (We actually provided the COC in this period - - an arguable
point, perhaps. But perhaps a stronger arguing point is that FPE has never paid a fee, and so might be
considered to be discharging without a permit beginning in one of those first two permit periods starting with
the September 2010 acquisition of Moll's assets and continuing up until today.)
• $100 for the permit period May 2013 to April 2014,
• $100 for the permit period May 2014 to April 2015.
• Total: $500.
• Consider also: they can avoid the next scheduled billing on NCG050230 for May 2015 to April 2016 if they get
their NCGNE to us in the next few weeks.
Bradley, Laura, Bethany - - have we got any sort of standard approach in this circumstance? Please advise so Sue can
advise.
Ken

From: White, Sue
Sent: Friday, March 06, 2015 10:58 AM
To: Alexander, Laura; Pickle, Ken
Cc: ssohnlv(alegindustries.com
Subject: NCG050230 Ernie Green Industries (Florida Production Engineering)
Hi Laura and Ken:
I got a call from Steve Sohnly (included in this email) concerning NCG050230. Facility changed hands in 2008. Name
change was done because it's in the current owners name but the last permit fee was paid in 2009.
Mr. Sohnly is interested in applying for a certificate of no exposure. I haven't been to the site so I don't know that they
would qualify, but I am wondering if they would have to bring this site up to date with fees, updated SP3 plan,
etc. before they can apply. They are not required to do analytical sampling but the qualitative has not been done for
several years.
This site was last inspected in 2008. 1 believe it fell through the cracks because the only affiliate on file was Dennis Koc
who left the company several years ago.
Mr. Sohnly is going to set up a technical assistance inspection with me in the next couple weeks. He's in Ohio, this site is
in Asheboro/Randolph County.
Any thoughts or insights on how we can best help would be greatly appreciated.
Sue White
Assistant Regional Engineer
Land Quality Section
Winston-Salem Regional Office
450 W. Hanes Mill Road
Winston-Salem, NC 27106
Division of Energy, Mineral, and Land Resources
Phone: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 21, 1994
Jack C. Lail
Mid -State Plastics, Inc.
6966 Highway 220
Seagrove, NC 27341
Subject: General Permit No. NCG050000
Mid -State Plastics, Inc.
COC NCG050230
Randolph County
Dear Jack C. Lail:
In accordance with your application for discharge permit received on 08/12/94, we are forwarding
- herewith the subject'certificate of coverage to discharge under the -subject state - NPDES general permit. - - - -
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983,
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal
Area Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact Mr. Steve Ulmer at telephone number
919/733-5083.
Sincerely,,,,,,.,,,,,,,, f'z d BY
a;wid fa. Gcodrich
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE NO, NCG050230
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Mid -State Plastics, Inc.
is hereby authorized to discharge stormwater from a facility located at
6966 Highway 220
Seagrove
Randolph County
to receiving waters designated as Kings Creek in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG050000 as attached.
This Certificate of Coverage shall become effective October 21, 1994.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this date October 21, 1994.
()rigirlai ;,i'tled By
Qwvid A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

C(,oOPER LNVIRONMENTAL
ENGINEERS GEOLOGISTS SCIENTISTS
SITE LOCATION MAP
MID —STATE PLASTICS, INC.
SOURCE: USCS 1:24000 TOPOGRAPHIC 6966 HIGHWAY 220
4 SEAGROVE, NORTH CAROLINA
MAP "SEAGROVE, NC". 1973, PROJECT'. 94104 TOPO: SEAGROVE
DATE: 8/I1/94 FIGURE: I

FACILITY'
COUNTY.;,
Rl
NPDES
MAP #
DSN FLOW
SUB D)ASIN
LATTITUDE
Pi-49'T/c5� /A!G
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LONGITUDE , ` o 4% l 45 �� r
RECEIVING STREAM bl nj &/ Artl e-;b 77z/ T&L47W eTo 1(11vG7S C�qeEk
STREAM CLASS c . /
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CLASS STom-M n/ A rE)Z
0$�.RA'�"� N-j DATE bE3- 3l- R�

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
CHARLES NEEDHAM
MID -STATE PLASTICS, INC.
P.O. BOX 88
SEAGROVE, NC 27341
A
oo'���
�
1:3 E N F1
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCGO50230
Randolph County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have -
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
DWQ or permits required by the Division of Land Resouiices, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone]
Sincerely,
foA. Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 _ Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E. Director
10/24/2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
MID STATE PLASTICS INCORPORATED
PO BOX 88
SEAGROVE, NC 27341
Dear Permittee:
1�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMIT RENEWAL APPLICATION
MID STATE PLASTICS INCORPORATED
NCG050000
COC NUMBER NCG050230
RANDOLPH COUNTY
This letter is to inform you that, as of the date of this letter, the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation of NCGS §143.215.1 (c)(l) which
states "All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on which an existing permit expires, as the case may be".
Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a
permit after the expiration and has not requested renewal at least I80 days prior to expiration, will be subjected to
enforcement procedures as provided in NCGS § 143-215.6 and 33 USC 1251 et. seq.
In order to prevent continued, escalated action, including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the "Stormwater and General Permits Unit' at
the letterhead address within ten (10) days of your receipt of this letter (renewal application enclosed). If the
subject discharge has been terminated, please complete the enclosed rescission request form. A valid reason for
requesting rescission is required, incomplete forms will be returned and you will still be subject to possible
escalated action. Mailing instructions for submitting rescission request are listed on the bottom of the form. You
will be notified when the rescission process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter, please
contact Aisha Lau of the central office Stormwater and General Permits Unit at 919-733-5083, ext. 578.
Sincerely,
for Alan W. Klimek, P.E.
Director, Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
I
April 28, 2003
Travis Lucas
Moll Industries -Seagrove Division
PO Box 88
Seagrove, NC 27341
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: NPDES Stormwater Permit Renewal
Moll Industries -Seagrove Division
COC Number NCG050230
Randolph County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division
may require modification or revocation and reissuance of the Certificate of Coverage. This permit does
not affect the legal requirements to obtain other permits which may be required by the Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office
Stormwater and General Permits Unit at [phone], ext. 578.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
CV%
NCDENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050230
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Moll Industries
is hereby authorized to discharge stormwater from a facility located at
Moll Industries -Seagrove Division
6966 Hwy 220
Seagrove
Randolph County
to receiving waters designated as a UT to Kings Creek, a class C stream, in the Yadkin - Pee
Dee River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, Il, III, IV, V, and VI of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Sovo, �
Denis Koc
Engineering Manager
FPE NC, LLC
6966 Hwy. US-220 South
Asheboro, NC 27205
July 28, 2011
Division of Water Quality
Surface Water Protection Section
1617 Mail Service center
Raleigh, NC 27699-1617
To whom it may concern,
AUG . 9 2011
Moll Industries Inc. ceased to exist as a business entity after filing for a bankruptcy protection in April
2010. All of its assets were purchased by a liquidation company in September 2010 from the bankruptcy
court. Florida Production Engineering Inc. purchased majority of the assets that were owned by Moll
Industries from this liquidation company in September 2010. Because of this, section VI cannot be filled
out by Moll or the liquidation company. FPE NC, LLC requests that the permit for the surface water
protection be transferred to FPE NC, LLC. FPE NC, LLC will continue to conduct same industrial activities
conducted by the previous owner of the facilities. If you have any questions regarding this application
for ownership change, please contact me at your earliest availability.
Regards,
Denis Koc
Engineering Manager
PPE NC, LLC
6966 Hwy. US-220 South
Asheboro, NC 27205

0
a0� W A7F, Q Beverly Eaves Pcrdue, Governor
pj 9 Dee Freeman, Secretary
>_r—y North Carolina Department of Environment and Natural Resources
O <
Coleen H. Sullins, Director
Division of Water Quality
,4 SURFACE WATER PROTEC,FION SECTION .-
_ PERMIT N_A_M_E/OWNERSHIP CHANGE FORM
I.� Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C: S 10 1 ETT= I N I C I G 1 0 1 5 0 2 3 0
11. Permit status prior to requested change.
a. Permit issued to (company name): MOLL Industries
b. Person legally responsible for permit: Denis
c. Facility name (discharge):
d. Facility address:
Koc
First MI Last
Engineerine Manager
Title
6966 Hwy. US-220 South
Permit I folder Mailing Address
Asheboro NC 27205
City State "Zip
[phone] [phone]
Phone Fax
Asheboro
6966 Hwy. US-220 South
Address
Asheboro NC 27205
City State Zip
e. Facility contact person: Denis Koc 336-873-5018
First / MI / Last Phone
Please provide the following for the requested change (revised permit).
a. Request for change is a result of: X Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: Moll Industries ceased to exist as a business. FPE acquired the assets
and business property of Moll Industries.
b. Permit issued to (company name): FPE NC, LLC.
c. Person legally responsible for permit: Denis Koc
First MI
Last
Engineering Manager
Title
6966 hwy us-220 South
Permit Holder Mailing Address
Asheboro NC
27205
City State
Zip
[phone] [e-mail]
Phone E-mail Address
d. Facility name (discharge):
Same
e. Facility address:
Same
Address
City State
Zip
f. Facility contact person:
Denis
Koc
First MI
Last
[phone] dkoc a,fpe-inc.com
Revised 812008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Vl.
X Yes
❑ No (please explain)
Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ 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.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the 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):
1, , 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
1, Denis Koc, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. 1 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 Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Dennis Koc
FPF NC, LLC
6966 Hwy us-220 S
Asheboro- NC 27205
Dear Mr. I<oc:
Division of Water Quality
Charles Wakild, P. E.
Director
December 4, 2012
Dee Freeman
Secretary
Subject: NPDES General Permit NCG050000
Certificate of Coverage NCG050230
RE NC, LLC
Formerly Asheboro
Randolph County
Division personnel received your request to revise your stormwater permit Certificate of Coverage to
accurately reflect your new company and facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under
the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement
between North Carolina and the U.S. Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at 919-807-6300.
Sincerely,
ORIGINAL SIGNED 57
KEN PICKLE
for Charles Wakild, P.E.
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit
Wetlands and Stonnwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 9IM07-64941 Customer Service: 1-877-62M748
Internet: www.ncwaterquality.org
An Equal Opporlunity 1 Affirmalive Action Employer
One
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050230
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,
and the Federal Water Pollution Control Act, as amended,
FPE NC, LCC
is hereby authorized to discharge stormwater from a facility located at
FPE NC, LLC
6966 I -I W V us-220 S
Asheboro
Randolph County
to receiving waters designated as a UT to Kings Creek, a class C, waterbody in the Yadkin -Pee Dee River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, 111, IV, V and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 4, 2012.
ORIGINAL SIGNED 8)
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

n2 NC Division of Water Quality
D
6� , NPDES Stormwater Permit Contacts Summary
NC DWO has the followine contact information in our Permit Database for your permit as of 12/17/2012.
Permit Number:
Permit Type: Apparel/Printina/Paper/Leather/Rubber Stormwater Discharge COC
Facility Name: f I(711�do,- ?-CC(CLC- b-r-, hee.t'((�'
Facility Addressl: 6966 Hwy 220 S , �J\
Facility Address2: Tr ly- _ro
City, State & Zip: Seaeraver NC 27341
Owner Information Details: Y✓_
Owner Name: 7nmmmmo(�
Owner Type: Non -Government Owner Type Group: Oroanization
*** Legally Responsible for Permit ***
(Responsible corporate oMmr/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: SKevin-rMdn�ws 7nn �l $ Kz Title:
Addressl: ;fib trc� /QJ //��00 / r6 l
Address2: I/" "�� �"`"'"""IY(,/Vel
City, State & Zip:Ilas-i3H5Z4& �� C7 J
Work Phone: �j�]21I�63-6908-/,�7j3(p grI�— VI D Fax: .[phone]W
Email Address: (11 /t ! j -Ir )e I nc o �m
OwnerContact Person(s)
Contact
Name B(o Address Phone FM Ep10il
V —
Facility Contact Person(s)
Contact Name --�/Tjpg Address Phone EM
,tl�a�-Phms \)(-Director Operations of PO Box 88 FI�2Q Seagrove, NC 27341 -mtdiaet:rnlm5@1-mbMn
VVV rr, dusidrswrn
Permit Contact Person(s)
Contact Name Address Phone Eaa Email
Apavable PO Box 88, Seagrove, NC 27341 336-873-7221
12/17/2012 Page 96