NCG090011_Email re Owner Affiliation needed_20201217

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Thursday, December 17, 2020 3:18 PM
To: [e-mail]
Subject: NCG090011 Stormwater Permit Carolina Solvents Inc
Attachments: NCG090011.pdf
Good afternoon.
Upon review of information in our database, it came to our attention that there is not an individual designated at the
Owner Affiliation (legally responsible person) for your organization.
Please review the attached NPDES Stormwater Permit Summary for accuracy.
Please visit the link to our Industrial Stormwater Program page and complete the required forms.
https://deg.nc.gov/about/divisions/energy-mineral-land-resources/npdes-industrial-stormwater
Scroll down to "Manage Information for an Existing Industrial Permit"
Choose the Legally responsible person, complete Owner Designation/Affiliation Form.
I would also like to take bring to your attention the updated process for submitting Data Management reports.
Scroll to "How to Submit Paper DMRs Before eDMR is Implemented".
Suzanne McCoy
Stormwater Program Administrative Specialist
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. mccoyCa�ncdenr.clov
Phone: [phone]
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 12/16/2020.
Permit Number: NCG090011 Permit Status: Active
Permit Type: Paints, Varnishes, Lacquers Stormwater Discharge COC
Facility Name: Carolina Solvents Incorporated
Facility Addressi: 2274 1st St SE
Facility Address2:
City, State & Zip: Hickory, NC 28602
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownershka"Form)
Owner Name: Carolina Solvents Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/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: Title:
Addressi: PO Box 9206
Address2:
City, State & Zip: Hickory, NC 28603
Work Phone: [phone] Fax: [phone]
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: January
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2020PRO11136 12/3/2020 1/2/2021 $100.00 Open
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Jackie B Yoder PO Box 9206, Hickory, NC 28603 828-322-1920 828-322-6993 jackie@carolinasolve
ntsinc.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Jackie B Yoder PO Box 9206, Hickory, NC 28603 828-322-1920 828-322-6993 jackie@carolinasolve
ntsinc.com
12/16/2020 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followin! information in our Permit Database for vour hermit as of 12/16/2020.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
H Lindsay PO Box 9206, Hickory, NC 28603 828-322-6993
Simpson
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax Email
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Outfalls
Outfall #: 001 Outfall Description: henry fork river
Outfall Lattitude: 35.700000 Outfall Longitude:-81.344170 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Catawba Henry Fork 11-129-1-(12.5) C
12/16/2020 Page 2