NCS000312_Owner Affiliation update_20201130

McCoy, Suzanne
From: Dilworth, Trent <[e-mail]>
Sent: Monday, November 30, 2020 10:06 AM
To: McCoy, Suzanne
Subject: RE: [External] AERC Acquisition Corporation d/b/a DART, A Clean Earth Company
Attachments: NPDES-Owner-Affiliation-Change-20191104-DEMLR-SW -2.pdf
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Suzanne,
One Change below. Do I need to complete and get signed the attached form or will this email suffice?
The owner affiliation as well to:
James Kreger
Owner Affiliation: General Manager
Owner Type:
Owner Name:
Owner Type Group: Organization
AERC Acquisition Corporation D/B/A Dart A Clean Earth Company
Non -Government
[e-mail]
704-223-1470
4132 Pompano Drive
Charlotte, NC 28216
Trent Dilworth
Environmental Health & Safety Manager
CleanEarth
980.328.3252 704.233.2446
[e-mail]
www.cleanearthinc.com
4132 Pompano Road, Charlotte, NC 28216
From: McCoy, Suzanne <[e-mail]>
Sent: Monday, November 30, 2020 8:31 AM
To: Dilworth, Trent <[e-mail]>
Subject: :EXTERNAL: RE: [External] AERC Acquisition Corporation d/b/a DART, A Clean Earth Company
Thankyou
Suzanne McCoy
Stormwater Program Administrative Specialist
1

Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Physical: 512 N. Salisbury Street, Office 640K, Raleigh, NC 27604
Mailing: 1612 Mail Service Center, Raleigh, NC 27699-1612
Email: Suzanne. mccoy(jr�ncdenr.clov
Phone: [phone]
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
D4nMfIRW..d nl Ei1Y110i1HWIAI QrjallYy
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North Carolina Public Records Law and may be disclosed to third parties.
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Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
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time.
From: Dilworth, Trent [mailto:[e-mail]]
Sent: Wednesday, November 25, 2020 4:09 PM
To: McCoy, Suzanne <[e-mail]>
Subject: [External] AERC Acquisition Corporation d/b/a DART, A Clean Earth Company
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to 41
[e-mail]
Suzanne,
Please update the Facility and Permit Contact for AERC Acquisition Corporation d/b/a DART, A Clean Earth Company to:
Trent Dilworth
980.328.3252 704.233.2446
[e-mail]
4132 Pompano Road
Charlotte, NC 2821
Also,
The owner affiliation as well to:
Jeffery Diaz
Owner Affiliation:
Owner Type:
Owner Name:
Owner Type Group: Organization
Aerc Acquisition Corporation D/B/A Dart A Clean Earth Company
Non -Government

bciueri n@clea nearthi nc.com
215-734-1400
334 S Warminster Rd
Bernard Guerin
Please contact me if you have any questions or advice. I am sending the ownership change form to Jeffery Diaz to sign.
Thank you,
Trent Dilworth
L-i mi u, imental Health & Safety Manager
Clean Earth
980.328.3252 704.233.2446
[e-mail]
www.cleanearthinc.com
4132 Pompano Road, Charlotte, NC 28216
...........................................................................................................................................................................................
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............................................................................................................................................................................................ .

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
K, "Iry National Pollutant Discharge Elimination System (NPDES)
Energy, Miners! & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRONMENTAL QUALITY (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (or) Certificate of Coverage or No Exposure
N C S 0 0 0 3 1 N C G
2) Facility Information:
Facility name: AERC Acquisition dba DART a Clean Earth Company
Company/Owner Organization:
Facility address: 4132 Pompano Road
Address
Charlotte NC 28216
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
https://deg.nc. gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permits/npdes-industrial-
program and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Benard Gerin
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: ,lames Kreger
First MI
Last
Page 1 of 2
S WU-OWNERAFF11ANov2019

NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION
Form (if no Facility Name/Ownership Change)
General Manager Clean Earth Inc.
Title
4132 Pompano Road
Mailing Address
Charlotte NC 28216
City State Zip
704 1 223 -147C [e-mail]
Telephone E-mail Address
( )
Fax Number
5) Reason for this change:
A result of: Employee or management change
® Inappropriate or incorrect designation before
Ej Other
If other please explain:
The certification below must be completed and signed by the permit holder.
1911RdI101D11[y1171Y1y[0.1101130
1, James Kreger , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website
at: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
S WU-O WNERAFFIL-4Nov2019