NCG060028_Contact update_20210728

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Wednesday, July 28, 2021 1:44 PM
To: Campanaro, Matthew J
Subject: RE: [External] ADM Charlotte eDMR quest - NPDES Permit No. NCG060028
I have updated the contact information.
It will appear on reports the following day.
Please run Stormwater Permit Summary Reports and review for accuracy.
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.
From: Campanaro, Matthew <[e-mail]>
Sent: Wednesday, June 30, 2021 9:55 AM
To: McCoy, Suzanne <[e-mail]>
Subject: RE: [External] ADM Charlotte eDMR quest - NPDES Permit No. NCG060028
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good morning Suzanne,
Please find attached the Permit Owner Designation Form and the e-Reporting registration form which also details the
new contact information for the site. These are provided as part of the process for eDMR registration for the Archer
Daniels Midland Charlotte Milling site (NPDES # NCG060028).
Regards,
Matt Campanaro

Matt Campanaro
..........................
Area Environmental Manager (Region 2/East)
AWKTechnology Center of Excellence — Environmental, Health & Safety
ADM
m [phone]
Learn more about how an ADM Center of Excellence can help you DELIVER EHS Center of Excellence.
From: McCoy, Suzanne <[e-mail]>
Sent: Thursday, June 24, 2021 10:15 AM
To: Campanaro, Matthew J <[e-mail]>
Subject: RE: [External] ADM Charlotte eDMR quest - NPDES Permit No. NCG060028
To update the legally responsible person please compete the form:
Legally responsible person, complete the Owner Designation/Affiliation Form.
Also, may I get the mailing address and phone number for the new facility contact.
Thankyou
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.
From: Campanaro, Matthew <[e-mail]>
Sent: Thursday, June 24, 2021 10:11 AM
To: McCoy, Suzanne <[e-mail]>
Subject: [External] ADM Charlotte eDMR quest - NPDES Permit No. NCG060028
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good morning Suzanne,

I am working on behalf of the Archer Daniels Midland Milling Operation in Charlotte — SW NPDES # NCG060028. As they
are currently onboarding a brand new site EHS leader, I am handling their eDMR registration.
In Step 1 (Owner verification report), we will need to update the contact information. Specifically, the changes needed
are:
• Responsible Official: John West ([e-mail])
• Facility Contact person: Rachel Gootee ([e-mail])
Thanks for your help in updating our records, and feel free to reach out to me in you have any questions.
-Matt
Matt Campanaro
7 Area Environmental Manager (Region 2/East)
ADMTechnology Center of Excellence — Environmental, Health & Safety
ADM
m [phone]
Learn more about how an ADM Center of Excellence can help you DELIVER EHS Center of Excellence.
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Confidentiality Notice:
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exempt from disclosure. If you are not the intended recipient, you should promptly delete it and
should not disclose, copy or distribute it to others.

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
NZ National Pollutant Discharge Elimination System (NPDES)
Enrrgy, Abneral5 PERMIT OWNER AFFILIATION DESIGNATION FORM
Lat, Rc, t .ei� I. (Individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
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Use this form if there has been:
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
Is the responsible corporate officer (for a corporation);
Is the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
Is or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation')
applies:
Individual Permit (ay Certificate of Coverage or No Exposure
N I C I S I I I I TTI INICIG10 16 10 10 2 6
2) Facility Information:
Facility name: ADM Milling Co.
Company/Owner Organization: Archer Daniels Midland, Inc.
Facility address: 620 west tom St
Address
Charlotte NC 28202
City State Zip
To rind the current legally responsible person associated with your permit, go to this website:
rp oani and ran the Permit Contact Summary
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: David Shestokes
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: John West
First Nit Last
Page I of 2
S WU-O\VNERAFFHANov2ol9

NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION
Form (if no Facility Name/Ownership Change)
Facility Manager
Title
620 West 10th St
Mailing Address
Charlotte NC 28202
City State Lip
(704 ) 332-3165 [e-mail]
Telephone E-mail Address
Fax Number
5) Reason for this change.
A result of ❑� Employee or management change
Inappropriate or incorrect designation before
❑ Other
IJfather please explain:
.................
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
John West , attest that this application for this change in Owner Affiliation
(person legaly res onsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledg . I ungl rstand that if all required pans of this form are not completed, this change may not be
Signature
Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the websile
at: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
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