NCG060161_Contact info change_20210219

McCoy, Suzanne
From: Wolfe Tracy < tracy.wolfe @lasso nde.com >
Sent: Friday, February 19, 2021 3:55 PM
To: McCoy, Suzanne
Cc: Anderson, Wade
Subject: [External] Stormwater Permit COC NCG060161 Permit# NCG06000
Attachments: NPDES SW Permit Summary Report.pdf
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Suzanne,
Can you change the facility billing and contact person from Tracy Wolfe to:
Billy Watson
125 Industrial Park Rd.
Hendersonville, NC 28792
828-388-8682 125
Billv.watson(@Iassonde.com
Thank you, let me know if I need to submit anything else.
Tracy Wolfe
Waste Water Operator
LASSONDE I Lassonde Pappas and Company, Inc.
[e-mail]
125 Industrial Park Road, Hendersonville, NC, 28792
T [phone], 1742
C [phone]
Visit us @ Lassonde Pappas I Apple & Eve I Old Orchard
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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 2/19/2021.
Permit Number:
NCG060161 Permit Status: Active
Permit Type:
Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Facility Name:
Clement Pappas Plant
Facility Addressl:
125 Industrial Park Rd
Facility Address2:
City, State & Zip:
Hendersonvlle, NC 28792
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:
Clement Pappas NC LLC
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:
Wade Anderson Title: Plant Manager
Addressi:
125 Industrial Park Rd
Address2:
City, State & Zip:
Hendersonville, NC 28792
Work Phone:
828-693-0711 Fax:
Email Address:
[e-mail]
*** Permit Annual Fee Billing ***
Billing Month: March
Invoice Number
Invoice Date Invoice Due Date Invoice Amount Invoice Status
2021PR000979
2/1/2021 3/3/2021 $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
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
10 N Parsonage Rd, Bridgeton, NJ 08302 828-693-0711
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Tracy Wolfe 125 Industrial Park Rd, Hendersonvlle, NC 828-329-6647
28792
2/19/2021 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 your permit as of 2/19/2021.
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: Unnamed Tributary
Outfall Lattitude: 35.370280 Outfall Longitude:-82.486670 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
French Broad Mud Creek 6-55 C
Outfall #: 002
Outfall Description: Unnamed Tributary
Outfall Lattitude:
35.371670 Outfall Longitude:-82.486110
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
French Broad
Mud Creek
6-55 C
Outfall #: 003
Outfall Description: Outfall 003
Outfall Lattitude:
35.371390 Outfall Longitude:-82.485830
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
French Broad
Mud Creek
6-55 C
2/19/2021 Page 2