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HomeMy WebLinkAboutNCG060402_Owner Affiliation Change Request_20211230Georgoulias, Bethany From: EJZD (Jessie Darby) <EJZD@novonordisk.com> Sent: Thursday, December 30, 2021 9:33 AM To: McCoy, Suzanne; Georgoulias, Bethany Cc: JRKT (Jeremy Keltner); Selkane, Aziza Subject: [External] FW: Owner Verification - NCG060402 Attachments: Stormwater Permit Owner Affiliation.pdf, NPDES SW Permit Summary Report.pdf, NPDES SW eDMR Owner Verification.pdf 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 all, I just wanted to check on the status of this request? I haven't seen anything updated in database as of yet. Please let me know or please forward me the email of someone I can reach out to to help update the contact and address information. Matt Kuntz is no longer a Novo Nordisk employee, and I fear he may be getting important emails that need to be transferred to myself or Jeremy. Thanks, -J Jessica Darby Environmental Coordinator EHS - DAPI EJZD@novonordisk.com From: JRKT (Jeremy Keltner) <JRKT@novonordisk.com> Sent: Tuesday, October 26, 2021 9:49 AM To: McCoy, Suzanne <suzanne.mccoy@ncdenr.gov>; aziza.selkane@ncdenr.gov Cc: EJZD (Jessie Darby) <EJZD@novonordisk.com> Subject: Owner Verification - NCG060402 Good Morning - Suzanne, If I need to call I can, but could I please work with you for the following The `Stormwater Permit Owner Affiliation' pdf designates me (Jeremy Keltner) as owner affiliate and removes David Bright (who no longer works for the company) Could this be updated for the owner verification and Stormwater Permit Summary please. This only applies to NCG060402 o This then should also reflect me as the responsible official for NCG060402 On the Stormwater Permit Summary for NCG060402: o Update Owner Affiliation to Jeremy Keltner o Update Facility Contact Person(s): ■ The facility address should be 3611 Powhatan Rd. NOT 3612 ■ Remove and replace Matthew Kuntz with — • Jessie Darby • Phone — 919-901-7208 • EJZD(a)-novonordisk.com o Update Permit Contact Persons: ■ Remove and replace Matthew Kuntz — • Use same info from Facility contacts — Jeremy Keltner and Jessie Darby Aziza, For Permit Billing (NCG060402) : • Please remove Matthew Kuntz (no longer employed here) Replace with o Jeremy Keltner -- 3611 Powhatan Rd, Clayton, NC 27520 — 919-410-5333 — JRKT(aD-novonordisk.com Thanks! Jeremy Keltner Environmental Coordinator 919-410-5333 (mobile) I JRKT@novonordisk.com From: McCoy, Suzanne <suzanne.mccov@ncdenr.gov> Sent: Thursday, August 26, 2021 1:46 PM To: JRKT (Jeremy Keltner) <JRKT@novonordisk.com> Cc: EJZD (Jessie Darby) <EJZD@novonordisk.com>; RDMO (Paul Morris) <rdmo@novonordisk.com> Subject: RE: [External] Owner Verification - NCG060402 Caution: This email originated from outside of the Novo Nordisk email system. Use caution when clicking on links or opening attachments. Jeremy, Please provide Paul's phone number and mailing address. I have updated the permit status to active. Fees must have been past due at the time of the renewal. Suzanne McCoy Stormwater Program Administrative Specialist Division of Energy, Mineral and Land Resources North Carolina Department of Environmental Quality Physical: 512 N. Salisbury Street, Office 640K, Raleigh, NC 27604 Mailing: 1612 Mail Service Center, Raleigh, NC 27699-1612 Email: Suzanne. m000V�ncdenr.goy Phone: 919-707-3640 Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater D4)WdIWZLi of Ens rwmWial QrjallYy Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Before printing this email, please consider your budget and the environment. 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. From: JRKT (Jeremy Keltner) [mailto:JRKT@novonordisk.com] Sent: Thursday, August 26, 2021 1:16 PM To: McCoy, Suzanne <suzanne.mccov@ncdenr.gov> Cc: EJZD (Jessie Darby) <EJZD@novonordisk.com>; RDMO (Paul Morris) <rdmo@novonordisk.com> Subject: [External] Owner Verification - NCG060402 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Hi Suzanne — I'm stepping through eSubmit process for Stromwater — in Step 1 it asks to verify content in `Owner verification'. Looks like some potential items to reconcile: 1) There are two facilities under one owner — and each facility has it's own permit and responsible individual, so on: a. Page 1 (Permit NCG060048) i. Owner/Permittee & Address: No Change ii. Responsible Individual: Change to Paul Morris iii. Facility Name & Address: No change iv. ALSO NOTE: states permit is expired — Paul Morris will address separately b. Page 2 (Permit NCG060402) i. Owner/Permittee & Address: No Change ii. Responsible Individual: Change to Jeremy Keltner iii. Facility Name & Address: No change Thank you Jeremy Keltner Environmental Coordinator 919-410-5333 (mobile) JRKT@novonordisk.com Novo Nordisk Pharmaceutical Industries, LP 1 3612 Powhatan Road I Clayton, NC 27527-9217 1 +1 919-550-2200 (switchboard) I novonordisk- clayton.com This e-mail (including any attachments) is intended for the addressee(s) stated above only and may contain confidential information protected by law. You are hereby notified that any unauthorised reading, disclosure, copying or distribution of this e-mail or use of information contained herein is strictly prohibited and may violate rights to proprietary information. If you are not an intended recipient, please return this e-mail to the sender and delete it immediately hereafter. Thank you. Division of Energy, Mineral, and Land Resources Land Quality Section / Stormwater Program National Pollutant Discharge Elimination System (NPDES) Energy, Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM Land Resources ENVIRONMENTAL QUALITY (Individual Legally Responsible for Permit) Use this form if there has been: FOR AGENCY USE ONLY Date Received Year Month Day 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: • the responsible corporate officer (for a corporation); • 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); • 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 (or) Certificate of Coverage or No Exposure N I C S N I C G 10 16 10 4 0 2 2) Facility Information: Facility name: Novo Nordisk - DAPI-US Company/Owner Organization: Novo Nordisk Pharmaceuticals Industries LP Facility address: 3611 Powhatan Rd Address Clayton NC 27527 City State Zip To find the current legally responsible person associated with your permit, go to this website: https: //deg .nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permits/npdes-industrial- program and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: David Bright First MI Last 4) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit: Jeremy Keltner First MI Last Page 1 of 2 S WU-O WNERAF FIL4Nov2019 NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION Form (if no Facility Name/Ownership Change) Title 3611 Powhatan Rd Mailing Address Clayton NC 27527 City State Zip (919 ) 4105333 jrkt@novonordisk.com Telephone E-mail Address ( Fax Number 5) Reason for this change: ❑✓ Employee or management change A result of. ❑ Inappropriate or incorrect designation before ❑ Other If other please explain: The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION: 1, Leonardo Costa Siqueira , attest that this application for this change in Owner Affiliation (person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this form are not completed, this change may not be processed. / C Digitally signed by LSIQ � W Date:2021.08.26 15:46:17-04'00' 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 (919) 707-9220 or visit the website at: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stonnwater Page 2 of 2 S WU-O WNERAFFIL-4Nov2019 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 26/08/2021. Permit Number: NCG060402 Permit Status: Active Permit Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC Facility Name: Novo Nordisk - DAPI-US Facility Addressl: 3611 Powhatan Rd Facility Address2: City, State & Zip: Clayton, NC 27527 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: Novo Nordisk Pharmaceuticals Industries LP 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: David Bright Title: Addressl: 3612 Powhatan Rd Address2: City, State & Zip: Clayton, NC 27520 Work Phone: 919-550-2215 Fax: 919-550-3670 Email Address: dbri@novonordisk.com *** Permit Annual Fee Billing *** Billing Month: November 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 Jeremy Keltner 3612 Powhatan Rd, Clayton, NC 27520 919-410-5333 JRKT@novonordisk. com Matthew Kuntz 3612 Powhatan Rd, Clayton, NC 27520 919-437-9691 mwkn@novonordisk .com Permit Contact Person(s) Contact Name Title Address Phone Fax Email Matthew Kuntz 3612 Powhatan Rd, Clayton, NC 27520 919-437-9691 mwkn@novonordisk .com 26/08/2021 Page 1 NC Division of Energy, Mineral and Land Resources NPDES Stormwater Permit Summary NC DEMLR has the followin! information in our Permit Database for vour hermit as of 26/08/2021. Permit Billing Contact(s) Contact Name Title Address Phone Fax Email Matthew Kuntz 3612 Powhatan Rd, Clayton, NC 27520 919-437-9691 mwkn@novonordisk .Corn Person(s) with Delegated Signatory Authority Type Contact Name Title Address Phone Fax Email Person(s) with Electronic Signature Authority Type Contact Name Title Address Phone Fax Email Outfalls Outfall #: 001 Outfall Description: Stormwater #1 Outfall Lattitude: 35.618330 Outfall Longitude:-78.408330 Represented by Outfall: % Stormwater: 100 % Industrial: Stream Waterbody Basin Waterbody Name Index Number Classification Neuse Little Poplar Creek 27-41-1 WS-IV;NSW Outfall #: 002 Outfall Description: Stormwater #2 Outfall Lattitude: 35.616670 Outfall Longitude:-78.401390 Represented by Outfall: % Stormwater: 100 % Industrial: Stream Waterbody Basin Waterbody Name Index Number Classification Neuse Little Poplar Creek 27-41-1 WS-IV;NSW Outfall #: 003 Outfall Description: Stormwater Outfall Lattitude: 35.615000 Outfall Longitude:-78.398060 Represented by Outfall: % Stormwater: 100 % Industrial: Stream Waterbody Basin Waterbody Name Index Number Classification Neuse Little Poplar Creek 27-41-1 WS-IV;NSW 26/08/2021 Page 2 eDMR Owner Verification Report Permit No.: NCG060048 Owner/Permittee Owner/Permittee Address: Responsible Official Resp. Official Title: Version: 6.00 Permt Status: Expired Novo Nordisk Pharmaceuticals Industries LP 3612 Powhatan Rd Clayton, NC 27520 David Bright Facility Name : Novo Nordisk Pharmaceuticals Industries, LP Facility Address: 3612 Powhatan Rd Clayton, NC 27527 Registered for eDMR? : No Page # : 1 Date : 26/08/2021 Permit No.: NCG060402 Owner/Permittee Owner/Permittee Address: Responsible Official: Resp. Official Title: Facility Name : Facility Address: Version: 3.00 Permt Status: Active Novo Nordisk Pharmaceuticals Industries LP 3612 Powhatan Rd Clayton, NC 27520 David Bright Novo Nordisk - DAPI-US 3611 Powhatan Rd Clayton, NC 27527 Registered for eDMR? : No Page # : 2 Date : 26/08/2021