NCG140366_Contact Info Update_20220301

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the fallowiniz information in our Permit Database for your ermit as of 2/23/2022,
Kermit Number:
NCG140366 Permit Status: Active
Permit Type:
Ready Mix Concrete Sto,rmwater1Wastewater,Discharge COC
Facility Name:
Eagle Rock Concrete - Zebulon Plant
Facility Addressl:
14564 US 264-A
Facility Address2:
City, State & Zip:
Zebulon, NC 27597
Owner Inform„ajigo
Details:
MIDST submit a Change ofName/Ownershipform to DEMLR to make any changes to this Owner information.
( 9Affere for "Change Of Name/Ownership"Form)
/
JOwner
Name:
Eagle Rock Concrete
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:
Adam Loftin Title:
Addressi:
8311 Sandford Way Ste 003
Address2:
City, State & Zip:
Raleigh. NC 27615
Work Phone:
919-819-1100 Fax:
Email Address:
adamaaeaglerockcona to e.com
*** Permit Annual Fee Billing ***
Billing Month: April
Invoice Number
Invoice Date Invoice Due Date Invoice Amount Invgice StAtus
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
(;FFacWil!ty Contact Person(s)
Contact Name Ift Address Phon Fax Efflau
456-A I Is- 26a--riiel �i j
�EX 2 T�i . ------ 11 B DF�D�3 0113 S -�7Y ✓ rrete.coanglerockconc
Permit Contact Person(s)
Contact Name Ti tg Address Phone EM 101ajt
�s �t6 !dam
2/23/2022

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 2/23/2022,
Permit Billing Contact(s)
Contact Name T, ft Address Phone Fax Email
Rick --P'rectar _ 24a-%'1T-V83T
Person(s) with Delegated Signatory Authorlty
Tvoe 0_ontact Name Title Address Phone F� ail
Perm iCl_ *swrs m "- g311 A.MPIWO W,+Yj 67Acao 3 Ar4-'r(*)e"*tOl1,e0A rl-
W6SW IYI&-V/ *SST ASSETS �? �16?�� N C. 276W,5- W6S Q r► i
Person(s) with Electronic Signature Authority
Tvoe Contact Name Title Address phone E" Email
Outfalls
Outfall #: 001 Outfall Description: Obrx4 j, QQ f
Outfall Lattitude: 35.814440 Outfall Longitude:-78.24917D represented by Outfall:
% Stormwater: 100 % Industrial:
Basin Waterbody Name
Neuse Moccasin Creek (Bunn Lake)
Stream Waterbody
Index Number Classification
27-86-2 C; NSW
2/23/2022