NCS000332_Owner Affiliation Change_20201116

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* NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
NORTH CAROLINA
Environmental Quality
Stormwater eReporting Registration Form
Completion of the Stormwater Electronic Reporting (eReporting) Registration Form is a required
step for the Owner to obtain the privilege of submitting electronic reports to DEQ and in lieu of
submitting paper reports.
In addition, this form allows for Owners to designate Responsible Officials and Facility
Administrators who can act on their behalf. Responsible Officials and Facility Administrators
must agree to the Electronic Signature Agreement (ESA) Conditions contained in this form.
A. Owner Information
The Owner is the legal entity to which/whom permits have been issued. The Owner may be an
individual or organization. Every Owner is required to have a Responsible Official who meets
the legal signature authority requirements in 40 CFR 122.22.
• For a corporation, this individual shall a president, secretary, treasurer, or vice-president in
charge of a principal business function, or another individual who performs similar functions
for the corporation, or the manager of one or more manufacturing, production, or operating
facilities who is authorized to make management decisions about the facility operation.
• For a partnership or sole proprietorship, this individual shall be a general partner or the
proprietor, respectively; or
• For a municipality, State, Federal, or other public agency, this individual shall be either a
principal executive officer or ranking elected official.
Owner Name:
Hexion Inc.
Responsible Official Name:
Jeffrey McDaniel
Title:
Site Leader
Does the Responsible Official
already have an eDMR account?
0 Yes 0 No
If Yes,
User ID:
Email Address:
[e-mail]
Phone:
[phone]
Mailing Address:
114 Industrial Blvd.
City:
Morganton
state: NC
I zip
28655
Stormwater Electronic Reporting Registration Form
Page 1

B. Permit Information
Include all stormwater permit currently held by the Owner (both Individual and General permits).
Designate any persons to be designated as Facility Administrators for each permit. Include all
persons to have Facility Administrator privileges in the some box. Attach additional pages if you
need more space.
Permit No. I Facility Name I Facility Address I Facility Administrator(s) I
NCS000332 I Hexion Morganton Facility 1114 Industrial Blvd. Morganton NO. 286651 fr �eT �. � 1
Stormwater Electronic Reporting Registration Form
Page 2

C. Facility Administrator Information
Include the following information for all Facility Administrators listed in Part B. Attach additional
pages if you need more space.
Facility Administrator for Permit Number:
Name:
Jeffrey McDaniel
Title:
Site Leader
Do you already have an eDMR
account?
13 Yes M No
If Yes,
User ID:
Organization:
Hexion Inc
Email Address:
}[e-mail] I
Phone:
[phone]
Mailing Address:
114 Industrial Blvd
City: I
Morganton
State:
NC
Zip:
28655
Facility Administrator for Permit Number:
Name:
Melanie Townsend
Title:
Site Adminstrative Support
Do you already have an eDMR
account?
13 Yes 0 No
If Yes,
User ID:
Organization:
Hexion Inc.
Email Address:
[e-mail]
I Phone:
[phone]
Mailing Address:
114 Industrial Blvd.
City:
Morganton
State:
NC
Zip:
28655
Facility Administrator for Permit Number:
Name:
Jeffrey P. Hamilton
Title:
Regional EHS
Do you already have an eDMR
account?
13 Yes El No
If Yes,
User ID:
Organization:
Hexion inc.
Email Address:
Hexion Inc.
Phone:
[phone]
Mailing Address:
5329 Buck Creek Rd. _
Finchville State: KY Zip: 40022
City:
Facility Administrator for Permit Number:
Name:
Title:
Do you already have an eDMR
account?
® Yes 13 No
1f Yes,
User ID:
Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Facility Administrator for Permit Number:
Name:
Title:
Do you already have an eDMR
account?
0 Yes 10 No
If Yes,
User ID:
Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Stormwater Electronic Reporting Registration Form
Page 3

D. Responsible Official Authorization
1, Jeffrey McDainel (printed name), certify that I
meet the legal signatory authority requirements under 40 CFR 122.22, to make this request on
behalf of Hexion, Inc. (Owner/Organization Name).
n'�I' /. " (1116 &Zo q0
Signature v v Date
Stormwater Electronic Reporting Registration Form
Page 4