NCG030182_Email re Owner Affiliation_20201218

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Friday, December 18, 2020 2:39 PM
To: [e-mail]
Cc: [e-mail]
Subject: NCG030182 Stormwater Permit Southbend Div. of Middleby Corp
Attachments: NCG030182.pdf
Good afternoon.
Upon review of information in our database, it came to our attention that there is not an individual designated as the
Owner Affiliation (legally responsible person) for your organization.
Please review the attached NPDES Stormwater Permit Summary for accuracy.
Also, please visit the link to our Industrial Stormwater Program page and complete the Owner Designation/Affiliation
Form.
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 the Owner Designation/Affiliation form.
I would also like to take this moment to bring to your attention the updated process for submitting Data Management
reports.
From the same link, scroll to "How to Submit Paper DMRs Before eDMR is Implemented".
Your attention to these matters is greatly appreciated.
Suzanne McCoy
Stormwater Program Administrative Specialist
Division of Energy, Mineral and Land Resources
Department of Environmental Quality
512 N. Salisbury Street, Office 640K, Raleigh, NC 27604
1612 Mail Service Center, Raleigh, NC 27699-1612
919-707-3640
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 are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are
limiting public access to appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or
email. We appreciate your patience as we continue to serve the public during this challenging time.
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Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

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: NCG030182 Permit Status: Active
Permit Type: Metal Fabrication Stormwater Discharge COC
Facility Name: Southbend Div Of Middleby Corp
Facility Addressl: 1100 Old Honeycutt Rd
Facility Address2:
City, State & Zip: Fuquay Varina, NC 27526
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: Southbend Div Of Middleby Corp
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:
Addressl: 1100 Old Honeycutt Rd
Address2:
City, State & Zip: Fuquay Varina, NC 27526
Work Phone: [phone] Fax:
Email Address: ndennis@south bend nc.com
*** Permit Annual Fee Billing ***
Billing Month: February
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
James Baker Manager 1100 Old Honeycutt Rd, Fuquay Varina, 919-762-1000 919-552-9798 jbaker@southbendn
NC 27526 c.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
James Baker 1100 Old Honeycutt Rd, Fuquay Varina, 919-552-9161 919-552-9798 jbaker@southbendn
NC 27526 c.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
Rob Taylor 1100 Old Honeycutt Rd, Fuquay Varina, 919-552-9161 919-552-9798 jbaker@southbend n
NC 27526
c.com
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: Black Creek
Outfall Lattitude: 35.580000 Outfall Longitude:-78.860000
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Neuse Black Creek
27-45-(2) C;NSW
12/16/2020 Page 2