NCG120064_Email re Owner Affiliation Needed_20201217

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Thursday, December 17, 2020 3:13 PM
To: [e-mail]
Subject: NCG120064 Stormwater Permit Anson Waste Management Facility
Attachments: NCG 120064.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: NCG120064 Permit Status: Active
Permit Type: Landfill Stormwater Discharge COC
Facility Name: Anson Waste Mgmt Facility
Facility Addressi: 375 Dozer Dr
Facility Address2:
City, State & Zip: Polkton, NC 28135
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/Ownershiv"Form)
Owner Name: Chambers Development of NC
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: 375 Allied Rd
Address2:
City, State & Zip: Polkton, NC 28135
Work Phone: [phone] Fax: [phone]
Email Address: steve.robertsCaiawin.com
*** Permit Annual Fee Billing ***
Billing Month: January
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2020PRO11242 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
Tyler Fitzgerald District Manager 375 Dozer Dr, Polkton, NC 28135 704-694-6900 704-694-5415 tylerf@wasteconnec
tions.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Tyler Fitzgerald District Manager 375 Dozer Dr, Polkton, NC 28135 704-694-6900 704-694-5415 tylerf@wasteconnec
tions.com
12/16/2020 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour permit as of 12/16/2020.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
David Jones 375 Dozer Dr, Polkton, NC 28135
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: Unknown
Outfall Lattitude: 35.003330 Outfall Longitude:-80.161940 Represented by Outfall:
Stormwater: 100 % Industrial: 0
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Brown Creek 13-20 C
12/16/2020 Page 2