NCG060402_Owner Affiliation Change Confirmation_20211230

Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Thursday, February 3, 2022 8:05 AM
To: JRKT (Jeremy Keltner); EJZD (Jessie Darby)
Subject: RE: [External] FW: Owner Verification - NCG060402
Attachments: NCG060402 Permit Summary Report.pdf
Good morning,
We apologize for the delay. We are trying to catch up on contact changes. Please see the attached permit summary
report and let us know if everything looks okay. I noted that the address for this site and contacts was revised to 3611
Powhatan Rd, but the owner entity "Novo Nordisk Pharmaceuticals Industries LP" was still in our system with the 3612
address. I updated that. (I also corrected a typo that had it as "Pawhatan" before.)
Thanks,
Bethany Georgoulias (she/her)
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
From: JRKT (Jeremy Keltner) [mailto:[e-mail]]
Sent: Monday, January 24, 2022 2:09 PM
To: Georgoulias, Bethany<[e-mail]>; EJZD (Jessie Darby) <[e-mail]>
Subject: RE: [External] FW: Owner Verification - NCG060402
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
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Hi Bethany —
Yes, please list myself for both permits.
Thank you.
Jeremy Keltner
Site Environmental & Energy Area Specialist
919-410-5333 (mobile) I [e-mail]
From: Georgoulias, Bethany<[e-mail]>
Sent: Monday, January 24, 2022 2:04 PM
To: EJZD (Jessie Darby) <[e-mail]>
Cc: JRKT (Jeremy Keltner) <[e-mail]>
Subject: RE: [External] FW: Owner Verification - NCG060402
Importance: High

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 2/3/2022.
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.
(CQckHere for "Change of Name/Ownership"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: Jeremy Keltner Title:
Addressl: 3611 Powhatan Rd
Address2:
City, State & Zip: Cla)ton, NC 27527
Work Phone: [phone] Fax:
Email Address: JRKTCainovonordisk.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
Jessie Darby 3611 Powhatan Rd, Clayton, NC 27527 919-901-7208 EJZD@novonordisk.
com
Jeremy Keltner 3611 Powhatan Rd, Clayton, NC 27527 919-410-5333 JRKT@novonordisk.
com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Jessie Darby 3611 Powhatan Rd, Clayton, NC 27527 919-901-7208 EJZD@novonordisk.
com
Jeremy Keltner 3611 Powhatan Rd, Clayton, NC 27527 919-410-5333 JRKT@novonordisk.
com
2/3/2022 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followinLi information in our Permit Database for vour hermit as of 2/3/2022.
Permit Billing Contact(s)
Contact Name Title Address
Phone Fax
Email
Jeremy Keltner 3611 Powhatan Rd, Clayton, NC 27527
919-410-5333
JRKT@novonordisk.
com
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 #3
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
2/3/2022 Page 2

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Good afternoon,
We apologize for the delay. We are trying to catch up contact updates for permits. I see that the same Owner (and
therefore the same individual) is tied to another stormwater permit as well — NCG060048. If I update this owner -owner
affiliation to be Jeremy Keltner for NCG060402, he will also be the designated legally responsible person for the other
permit. Is this okay?
Owner:
Novo Nordisk Pharmaceuticals Industries LP
Permit
Version
Status
Type
Facility
NCG060040
1.0
Inactive
FoodlTobaccolSoapslCosmeticslPubI...
Novo Nordisk Pharmaceuticals In...
NCG060040
2.0
Inactive
FoodfTobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCG060040
3.0
Inactive
FoodffobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCG060040
4.0
Inactive
FoodlTobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCG060040
5.0
Inactive
FoodlTobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCG060040
6.0
Inactive
FoodlTobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCGO60048
7.0
ActiVe
FoodffobaccolSoapslCosmeticslPubl...
Novo Nordisk Pharmaceuticals In...
NCG060402
1.0
Inactive
FoodlTobaccolSoapslCosmeticslPubl...
Novo Nordisk- DAPI-US
NCG060402
2.0
Inactive
FoodffobaccolSoapslCosmeticslPubl...
Novo Nordisk- DAPI-US
NCG060402
3.0
Active
FoodlTobaccolSoapslCosmeticslPubl...
Novo Nordisk- DAPI-US
Q0040347
1.0
Inactive
Wastewater Pump and Haul
Novo Nordisk Pharmaceuticals In...
I wanted to make sure before I made the change.
Thank you,
Bethany Georgoulias (she/her)
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http//deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
W-011- QF:i�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
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: EJZD (Jessie Darby) [mailto:[e-mail]]
Sent: Thursday, December 30, 2021 9:33 AM
To: McCoy, Suzanne <[e-mail]>; Georgoulias, Bethany<[e-mail]>
Cc: JRKT (Jeremy Keltner) <[e-mail]>; Selkane, Aziza <[e-mail]>
Subject: [External] FW: Owner Verification - NCG060402
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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
[e-mail]
From: JRKT (Jeremy Keltner) <[e-mail]>
Sent: Tuesday, October 26, 2021 9:49 AM
To: McCoy, Suzanne <[e-mail]>; [e-mail]
Cc: EJZD (Jessie Darby) <[e-mail]>
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
0 EJZDCcD-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(c)-novonordisk.com
Thanks!
Jeremy Keltner
Environmental Coordinator
919-410-5333 (mobile) I [e-mail]
From: McCoy, Suzanne <[e-mail]>
Sent: Thursday, August 26, 2021 1:46 PM
To: JRKT (Jeremy Keltner) <[e-mail]>
Cc: EJZD (Jessie Darby) <[e-mail]>; RDMO (Paul Morris) <[e-mail]>
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. mccoy p7.ncdenr.goy
Phone: [phone]
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
D, E Q"
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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.

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:[e-mail]]
Sent: Thursday, August 26, 2021 1:16 PM
To: McCoy, Suzanne <[e-mail]>
Cc: EJZD (Jessie Darby) <[e-mail]>; RDMO (Paul Morris) <[e-mail]>
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)
[e-mail]
Novo Nordisk Pharmaceutical Industries, LP 1 3612 Powhatan Road I Clayton, NC 27527-9217 1 [phone] (switchboard) I novonordisk-
clayton.com
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