NCG080289_Email re Facility Address_20210729

McCoy, Suzanne
From:
McCoy, Suzanne
Sent:
Thursday, July 29, 2021 10:47 AM
To:
Claudia B Irvin
Cc:
Tammy Crowder; Barry Dale; Lucas, Annette
Subject:
FW: [External] NCG080289 CRTS, Inc. - Corrections to Owner Verification
Report/Stormwater Permit Summary Report/Signatory Authority Delegation
Attachments:
NPDES Stormwater Permit Summary - CRTS NCG080289.pdf, NPDES SW eDMR Owner
Verification - CRTS NCG080289.pdf, Stormwater eReporting Registration Form - CRTS
- NCG080289.pdf, Stormwater Permit Delegation of Signatory Authority Form - CRTS
- NCG080289.pdf
Good morning,
I have a concern about the request to change the facility address from 3116 Capital Blvd. Raleigh 27604 to 3301 Integrity
Drive Garner 27529. This moves the facility to a different Waterbody.
Did the facility move, if so, we need to Rescind NCG080289 and submit a Notice of Intent for the new location.
The historical documents show the facility to be located at 3116 Capital Blvd.
Your assistance with this matter 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.
:t
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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: Claudia B Irvin <[e-mail]>
Sent: Monday, June 28, 2021 6:11 PM
To: McCoy, Suzanne <[e-mail]>
Cc: Tammy Crowder <[e-mail]>; Barry Dale <[e-mail]>
Subject: [External] NCG080289 CRTS, Inc. - Corrections to Owner Verification Report/Stormwater Permit Summary
Report/Signatory Authority Delegation

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6/28/2021
Suzanne —
Enclosed are the following forms associated with CRTS, Inc.'s stormwater permit NCG080289:
1. eDMR Owner Verification Report —Changes noted in red.
2. NPDES Stormwater Permit Summary — Changes and additions noted in red.
3. Stormwater Permit Delegation of Signature Authority Form
4. Stormwater eReporting Registration Form
The hard copies of these four documents (originals of items 3 and 4) are being mailed to your attention on June 29, 2021.
Please let me know if you are in need of additional information or if you have any questions about the submitted information.
Thanks!
Claudia B. Irvin
Project Manager
a S&ME
3201 Spring Forest Road
ANOW
Raleigh, NC 27616 map
ANOW 0:919.872.2660
Now M: 919.906.4867
loom www.smeinc.com
'ILL FOR Linkedln I Twitter I Facebook
VERSATILITY
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2

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 6/28/2021.
Permit Number: NCG080289 Permit Status: Active
Permit Type: Transportation w/Vehicle Maintenance/Petroleum Bulk/Oil Water Separator Stormwater Discharge COC
Facility Name: C R T S Incorporated
Facility Addressl: 3116 Capital Blvd 3301 Integrity Drive
Facility Address2:
City, State & Zip: Raleigh, NC 27604 Garner, NC 27529
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: C R T S Inc
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: Barry B Dale Title:
Addressl: 3301 Integrity Rd
Address2:
City, State & Zip: Garner, NC 27529
Work Phone: [phone] Fax:
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: September
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Tammy Crowder VP of Human Resources 3301 Integrity Drive, Garner NC 27529 919-773-4025 919-773-4004 [e-mail]
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Barry B Dale Vice President 3301 Integrity Rd, Garner, NC 27529 919-773-4000 919-773-4004 [e-mail]
Permit Contact Person(s) A
Contact Name Title Address Phone Fax Email
Tammy Crowder VP of Human Resources 3301 Integrity Drive, Garner NC 27529 919-773-4025 919-773-4004 [e-mail]
Permit Billing Contact(s) iMMM
Contact Name Title Address Phone Fax Email
Barry B Dale Vice President 3301 Integrity Rd, Garner, NC 27529 919-773-4000 919-773-4004 [e-mail]
6/28/2021 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 6/28/2021.
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax Email
Barry Dale Vice President 3301 Integrity Dr., Garner, NC 27529 919-773-4000 919-773-4004 [e-mail]
Tammy Crowder VP of Human Resources 3301 Integrity Drive, Garner NC 27529 919-773-4025 919-773-4004 [e-mail]
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Barry Dale Vice President 3301 Integrity Dr., Garner, NC 27529 919-773-4000 919-773-4004 [e-mail] T
Tammy Crowder Vice Present of Human Resources 3301 Integrity Dr., Garner, NC 27529 919-773-4025 919-773-4004 [e-mail]
Outfalls
Outfall #: 001 Outfall Description: Marsh Creek
Outfall Lattitude: 35.836110 Outfall Longitude:-78.590280
% Stormwater: 100
Basin
Neuse
% Industrial: 0
Waterbody Name
Marsh Creek
Represented by Outfall:
Stream
Index Number
27-33-20
Waterbody
Classification
C;NSW
6/28/2021 Page 2

eDMR Owner Verification Report
Permit No.: NCG080289
Owner/Permittee
Owner/Permittee
Address:
Responsible Official
Resp. Official Title:
Version: 5.00
CRTSInc
3116 Capital Blvd 3301 Integrity Drive
Raleigh, NC 27604 Garner, NC 27529
Barry B.Dale
Facility Name : C R T S Incorporated
Facility Address: 3116 Capital Blvd 3301 Integrity Drive
Raleigh, NC 27604 Garner, NC 27529
Registered for eDMR? : No Sending in Forms now
Permt Status: Active
Page # : 1
Date : 6/28/2021

r„ •
NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
NORTH CAROLINA
E-b ►uaPaNd Quary
Stormwater Permit Delegation of Signature Authority Form
Directions are in red.
=> This form shall be used to delegate signature authority from the permit Owner (Permittee) to
another party. Only the Responsible Official defined below may submit permit applications and
reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this
form is completed and submitted to the DEMLR Stormwater Program. Please note that delegating
signature authority does not relieve the Permit Owner from the responsibility for permit
compliance.
The permit Owner is the legal entity to which/whom a permit has been issued, and may be an individual
or an organization such as a company or government agency. Every Owner is required to have a
Responsible Official who meets the legal signature authority requirements in 40 CFR 122.2Z summarized
below.,
• For a corporation, the Responsible Official shall be a president, secretary, treasurer, or vice-
president in charge of a principal business function, or another individual who performs similar
functions for the corporation, or the manager of one or more manufacturing, production, or operating
facilities who is authorized to make management decisions about the facility operation.
• For a partnership or sole proprietorship, the Responsible Official shall be a general partner or the
proprietor, respectively, or
• For a municipality, State, Federal, or other public agency, the Responsible Official shall be either a
principal executive officer [City/County Manager] or ranking elected official [Mayor].
=> Even if delegated signatory authority has been delegated to another individual, the Responsible Official
retains responsibility for compliance with permit conditions.
Permittee:
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Permit Number:
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Responsible Official Title:
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Stormwater Delegation of Signature Authority Form
Page 1

A. Persons to Receive Signatory Authority
The signatures of the persons listed below indicates their acceptance of signatory authority.
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
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Email Address:
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Phone:
Mailing Address:
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City:
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State:
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Zip:
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Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Sit nrE X R, X G z I
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Stormwater Permit Delegation of Signatory Authority Form
Page 2

B. Responsible Official Signature
The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate
individual with the authority to sign and submit reports for the organization.
As the Responsible Official, I, -,I g•"be-t T (printed name),
have the authority to enter into this Agreement for
e-IV_1 ".s,, iV%lr- , (Owner/Organization Name).
I request that the DEMLR Stormwater Program include the persons listed in Part A of this form
signatory authority for the above -named permit.
I acknowledge that I, and the persons listed in Part A of this form work at/for my organization
and have authority to act as a signatory for purposes of the NCDEQ's electronic document
systems.
By submitting this application, I, $ . bo-t e_ _ (printed name),
have read, understand, and accept the terms and conditions of the stormwater permit(s) for
which I am the Responsible Official.
Resp�nsible Official Signature
[Z►
Title Date
Stormwater Permit Delegation of Signatory Authority Form
Page 3