NCG030696_Contact Update_20210924

Regional Offices:
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Jacksonville, FL
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Miami, FL
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Tallahassee, FL
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Atlanta, GA
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Macon, GA
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Savannah, GA
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New Orleans, LA
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Boston, MA
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Charlotte, NC
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Albuquerque, NM
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New York, NY
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Environmental - Southeast, LLC
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July 30, 2021
Suzanne McCoy
North Carolina Department of Environmental Quality
512 North Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: NCG030696
Ms. McCoy:
Regarding Step 1 Stormwater Summary Report, please note the following changes that need to be updated.
The Owner Designation/Affiliation Form has been transmitted separately to update the Owner Affiliation from
Richard Butler to Robert Smith and the mailing address.
Mailing Address should be changed from 2200 Worthington Dr Denton TX to 7319 Galvan Way Harrisburg NC 28075
Please update the Owner Contact Person. Facility Contact Person, Permit Contact Person, and Permit Billing Contact
to the following:
Contact Name: Robert Smith
Title: Plant Manager
Address 7319 Galvan Way Harrisburg NC 28075
Phone [phone]
Fax: ----
Email: [e-mail]
Any person who knowingly makes any false statement, representation, or certification in any application, record,
report, plan, or other document filed or required to be maintained under this Article or a rule implementing this
Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case
under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device
or method required to be operated or maintained under this Article or rules of the Commission implementing this
Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars
($10,000).
1 hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and
belief such information is true, complete, and accurate.
Robert Smith
Plant Manager
- L9-z02 t
Date
For any questions, please contact Bob Hayes at bhaves(cDaarcerour).com or 833.493.2272
Corporate Office:
4751 Best Road Ste 480
Atlanta GA 30337
Tel: [phone] - Fax: [phone]