NCS000520_Owner Affiliation Change_20201201

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy. Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRONMENTAL OUALITV (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 rill 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
N I C I S 10 10 10 15 12 10
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage or No Exposure
N IC IGI
Morehead City Bulk Handling Facility
PCs Phosphate Company, Inc.
113 Arendell St.
Address
Morehead City NC 28557
City State zip
To find the current legally responsible person associated with your permit, go to this website:
htt s://de .nc. ov/about/divisions/energy -mineral-land-resources/ener -mineral-land- ermits/n des-industrial-
rp ogram and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Mark
D. Johnson
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit. William M . Ponton
First MI Last
Page 1 of 2
S WU-O WNERAFFIL4Nov2019

NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION
Form (if no Facility Name/Ownership Change)
5) Reason for this change:
A result of.
If other please explain:
General Manager, Aurora Phosphate Operations
Title
1530 NC Hwy 306 S.
Mailing Address
Aurora NC 27806
City State Zip
(252 ) 322-4111 [e-mail]
Telephone E-mail Address
Fax Number
✓l Employee or management change
Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, William M. Ponton , 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.
12/01 /2020
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: ht ://d .nc. ov/about/divisions/ener mineral-land-resources/stormwater
Page 2 of 2
S WU-O WNERAFFIL-4Nov2019

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Director
Mark Johnson
1530 NC Hwy 306 S
Aurora, NC 278069245
NORTH CAROLINA
Environmental Quality
November 4, 2020
Subject: NPDES Industrial Stormwater Permit
Electronic Reporting Requirements
Individual Permit No. NCS000520
PCS Phosphate Company Inc- Morehead City Bulk Handling Facility
Carteret County
On January 1, 2021, all NPDES Individual Industrial permittees will begin reporting required
sampling data via the electronic Data Monitoring Report (eDMR) system. The six step Stormwater
eDMR process can also be found by entering "_ _ "in your browser. All
instructions, links and forms you will need are available there.
You will need to complete the following steps by the following dates:
By December 1, 2020, you will need to complete:
- Step 1: Verify Database Information
- Step 2: Submit eReporting Registration Form
By February 1, 2021, you will need to complete:
- Step 3: Set Up Data Entry and View Only Users in eDMR
- Step 4: Request Certify and Submit Privileges for Certain Users
Before July 1, 2021, you will need to have completed Step 5: Enter Monitoring Data in eDMR. Your
permit requires that monitoring data be submitted within 30 days of receiving the data from the
lab.
On an ongoing and as -needed basis, you will need to complete Step 6: Maintain Facility and User
Data.
If you have questions, please contact Annette Lucas, Stormwater Program Supervisor at 919-707-
3639 or :[e-mail] or Suzanne McCoy, Administrative Expert at 919-707-3640 or
. - ?.mccoy , ncdenr.gov.
Sincerely,
for rian Wrenn
Director
.,_ North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
512, North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
NORTHLAAOLINA
°e "a _N � 919.707.9200