NCG090031_Contact updates_20210603

McCoy, Suzanne
From:
Andrew Sullivan <[e-mail]>
Sent:
Thursday, June 3, 2021 4:50 PM
To:
McCoy, Suzanne
Subject:
[External] SPPP
Attachments:
Permit Owner info change.pdf, Permit Summary.pdf
Follow Up Flag:
Follow up
Flag Status:
Completed
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Hi Suzanne,
I noticed on our Permit Summary there is some incorrect information. I thought that I needed to fill out the owner
affiliation change form in order to update this but then realized I could just email you.
On our permit summary the following information needs to be changed:
Legally Responsible- Paul Sartorelli, 106 Enterprise Dr Rockingham, NC 28379, [e-mail]
Permit Contact Person- Andrew Sullivan, 7 Martel Way Georgetown, MA 01833, [e-mail]
Please let me know if you need anything else from me or any additional guidance is appreciated.
Thanks,
Andrew Sullivan
[e-mail]
Environmental, Health, and Safety
CaINKAlDESIVES,
i
7 MARTEL WAY
GEORGETOWN, MA 01833
TEL: [phone]
FAX: [phone]
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 6/3/2021
Permit Number: NCG090031 Permit Status: Expired
Permit Type: Paints, Varnishes, Lacquers Stormwater Discharge COC
Facility Name: 2135 Manufacturing, LLC
Facility Addressl: 106 Enterprise Dr
Facility Address2:
City, State & Zip: Rockingham NC 28379
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(C/ick Here for "Change of Name/Ownership"Form)
Owner Name: Rockingham Group 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: Paul Sartorelli Title:
Addressl: 106 Enterprise Dr
Address2:
City, State & Zip: Rockingham, NC 28379
Work Phone: [phone] Fax: [phone]
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: May
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
Tom Sartorelli 106 Enterprise Dr, Rockingham, NC 910-895-5779 910-895-5796 [e-mail]
28379 m
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Stu Parks Corporate EHS Director 7 Martel Way, Georgetown, MA 01833 610-207-8666 ehs-stuparks@caiink.
com
6/3/2021 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 vour permit as of 6/3/2021.
Peraft B f g .1 act{s)
Contact Name Title Address Phone Fax Email
Tom Sartorelli 106 Enterprise Dr, Rockingham, NC 910-895-5779 910-895-5796 [e-mail]
28379 m
Person(s) with Delegated signatory Authority
Type Contact Name Title Address Phone Fax Email
Person(s) with Vecttonllc Signature Authority
Tvpe Contact Name Title Address Phone Fax Email
Outfa1ls
Outfall #: 001 Outfall Description: unknown
Outfall Lattitude: 34.963060 Outfall Longitude:-79.804720
% Stormwater: 100
Basin
Yadkin
Industrial:
Waterbody Name
Cartledge Creek
Represented by Outfall:
Stream Waterbody
Index Number Classification
13-35
6/3/ 2021 Pace

0NPDES SW Permit Owner Affiliation Change Request
NORTH CARDJN,'.
EnHro 1.1 Q-111y
NPDES Permit Enter your NPDES stormwater permit number or Certificate of Coverage (COC) number.
Number* NCG090031
Begins with NCS, NCG, or NCGNE (no exposure)
Submittor's Name* Please enter your FIRST and LAST name
Paul Sartorelli
Phone Number* Please enter your phone number
978-352-4510
Any format is fine.
Email Address* Please enter a valid e-mail address
[e-mail]
A confirmation of submission will be e-mailed to this address.
Need a copy of the Permit Owner Affiliation Designation Form? You must upload a signed copy of that form below.
Questions? Call Bethany Georgoulias at [phone] or e-mail her at [e-mail].
Completed Form Please upload the signed "Permit Owner Affiliation Designation Form"
Upload * NPDES-Owner-Affiliation-Change-20191104-DE... 671.67KB
pdf only