NCG030433_Name-Owner Change Form_20211013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/13/2021 11:18:32 AM (Name Change Submission)
Approve by McCoy, Suzanne 10/15/2021 2:10:11 PM (Notification to Admin)
• The task was assigned to McCoy, Suzanne 10/13/2021 11:18 AM

I�
1
NORTH CAROLINA
Enrlmnmrnfat Quality
I. Permit Information
I. Please enter the permit number for which the change is requested.
NPDES Stormwater Individual Permit #:
NC
SX
XX
XX
X
-OR-
General Permit Certificate of Coverage (COC) #:
NCG030433
NC
GX
XX
XX
X
Use this link to check the permit contact information that is currently in our database.

II. Permit Status
II. Permit status prior to requested change.
.....................................................................................................................................................................................................
a. Permit issued to:*
Cree, Inc
Company Name
b. Person legally responsible for permit:
First name:* Middle name
Thomas
Title:
Permit holder's mailing address:*
Phone #:
91949
10637
c. Facility name:*
d. Facility address:*
Fax #:
Last name:*
Agron
Street Address
3508 Carlton Sq PI
Address Line 2
city State / Province / Region
Raleigh NC
Postal / Zip Code Country
27612 United States
Cree Incorporated - Durham
Street Address
4600 Silicon Dr
Address Line 2
city
State / Province / Region
Durham
NC
Postal / Zip Code
Country
27703
United States
e. Facility contact person (prior to change, optional):
First name: Middle name: Last name:
Robin Housh
Phone #: [phone]

III. Requested Change Information
III. Please provide the following for the requested change (revised permit).
...................................................................................................................................................................................................................................................................................................................................................
a. Request for changes is a result of: * Change in ownership of facility
• Name Change of the facility or owner
b. Permit to be issued to: * Wolfspeed, Inc.
Company Name
c. Person to be legally responsible for permit:
First name:* Middle name: Last name:
Thomas Agron
Title:
Permit holder's mailing address:* Street Address
4600 Silicon Dr
Address Line 2
city
State / Province / Region
Durham
NC
Postal / Zip Code
Country
27703
United States
Phone #: * Email address:*
919- tom.agro
407- n@wolfs
5875 peed.co
m
d. Faciltiy name:* Wolfspeed Incorporated - Durham
Is the FACILITY contact different than the person legally responsible above?*
Yes
No
f. Facility contact person:
First name: * Middle name: Last name:*
Robin Housh
Phone #: * 919-407-6103
Email address: * [e-mail]

IV. Permit Contact Information
Is the PERMIT contact different than the person legally responsible above?*
Yes
No
IV. Permit contact information
(if different form the person legally responsible for the permit)
First Name:* Middle Name: Last Name:*
Robin Housh
Title:
Mailing Address: * Street Address
4600 Silicon Dr
Address Line 2
city
Durham
Postal / Zip Code
27703
Phone #: * 919-407-6103
Email Address: * [e-mail]
State / Province / Region
NC
Country
United States

V. Permit Facility Activities
V. Will the permitted facility continue to conduct the SAME industrial activities conducted prior to this ownership
or name change:
Yes
No

VI. Signature
In the case of an ownership change request, certifications must be signed by both the permit holder prior to
the change and the new applicant. For a name change request, the signed Permittee's Certification is
sufficient.
This completed application is required for both name change and/or ownership change requests.
North Carolina General Statute 143 - 215.6 b (i) provides that:
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 [Environmental Management] 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).
Permittee Certification: I attest that this application for a name and/or ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed, or if all required supporting information is not included, this application will be considered incomplete.
In addition, I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act"); and I agree to conduct this transaction by electronic means pursuant
to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
Permittee Signature
9%WKCat, tlew
Permit -holder prior to the ownership change, or permit -holder authorizing the name change
Will another person need to complete or sign this form before it can be submitted? No problem! Simply CLICK
the "Save as Draft" button below and send the URL link to the other party to access the form. Questions? Call The
Stormwater Program at [phone] or e-mail Annette Lucas at [e-mail].

Initial Review
Project ID: *
Staff Member Email for Reminder CC
of Next Step
Reviewer: Revise permit number here if incorrect.
NCG030433
Reviewer may revise if needed.
[e-mail]