NCG020052_SW Permit DOSA_20220202

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January 25, 2022
Ms. Bethany Georgoulias, Environmental Engineer
DEMLR Stormwater Program
512 N. Salisbury Street
Raleigh, NC 27604
RE: Hanson Aggregates Southeast LLC
Stormwater Permit Delegation of Signature Authority Form
Dear Ms. Georgoulias:
■■■
MEE
"'Hanson
HEIDELBERG CEMENTGroup
Hanson Aggregates Southeast LLC
South Region
North Carolina Territory Office
3825 Barrett Drive, Suite 300
Raleigh, NC 27609
Tel [phone]
Fax [phone]
www.lehighhanson.com
Hanson Aggregates Southeast LLC is hereby submitting the attached Stormwater Permit
Delegation of Signature Authority Form delegating signatory authority to me for its thirteen (13)
stormwater permitted sites. The affected permitted sites are listed in the table below.
Plant
COC No.
County
Regional Office
Crabtree Quarry
NCG020052
Wake
Raleigh
Durham Sales Yard
NCG020088
Durham
Raleigh
Elliott Sand & Gravel
NCG020178
Harnett
Fayetteville
Elm City ua
NCG020182
Wilson
Raleigh
Gardner Qu
NCG020164
Hamett
Fayetteville
Holly Springs ua
NCG020087
Wake
Raleigh
Lexington Quarry
NCG020204
Davidson
Winston-Salem
Neverson QuarTy
NCG020234
Wilson
Raleigh
Princeton II Quarry
NCG020124
Johnston
Raleigh
Raleigh Quarry
NCG020209
Wake
Raleigh
Rocky Mount II Quagy
NCG020121
Ed ecombe
Raleigh
Rou emont QuarTy
NCG020235
Durham/Orange
Raleigh
Senter Sand & Gravel
NCG020156
Harnett
Fayetteville
Should you have any questions or need additional information, please call me: [phone], or
reach me by email: [e-mail] .
Sincerely,
Jack Garvey
Environmental Manager
cc: Daren McMorris, NC General Manager
Scott Dickson, VP/GM Southeast Region

�~ NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
NORTH CAROLINA
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Stormwater Permit Delegation of Signature Authority Form
Directions are in red.
This form shall be used to delegate signature authority from the permit Owner (Permittee) to
another party. Only the Responsible Official defined below may submit permit applications and
reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this
form is completed and submitted to the DEMLR Stormwater Program. Please note that delegating
signature authority does not relieve the Permit Owner from the responsibility for permit
compliance.
The permit Owner is the legal entity to which whom a permit has been issued, and may be an individual
or an organization such as a company or government agency. revery Owner is required to have a
Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22. summarized
below:
• For a corporation, the Responsible Official shall be a president, secretary, treasurer, or vice-
president in charge of a principal business function, or another individual who performs similar
functions for the corporation, or the manager of one or more manufacturing, production, or operating
facilities who is authorized to make management decisions about the facility operation.
• For a partnership or sole proprietorship, the Responsible Official shall be a general partner or the
proprietor, respectively, or
• For a municipality, State, Federal, or other public agency, the Responsible Official shall be either a
principal executive officer [CitylCounty Manager] or ranking elected official [Mayor].
Even if delegated signatory authority has been delegated to another individual, the Responsible Official
retains responsibility for compliance with permit conditions.
Permrlittee:
Daren McMorris, Hanson Aggregates Southeast LLC
Permit Number.
NCG02IX3 NCG020 .NC�i?S, NCG20192. NCG0MU1 NCC-02 70 NCC0M204. NCGi0 Z0 .NCG 124, NCG0M@ NCWM121, NCG0 235, NCG020156
Responsible Official Title:
NC General Manager
Email Address:
[e-mail]
Phone:
919-614-1153
Mailing Address:
3825 Barrett Drive, Suite 300
City:
Raleigh
State:
NC
I Zip:
27609
Stormwater Delegation of Signature Authority Form
Page 1

A. Persons to Receive Signatory Authority
zz> The signatures of the persons listed below indicates their acceptance of signatory authority.
Delegated Party Name:
Jack Garvey
Delegated Party Title:
Environmental Manager
Delegated Party Organization:
Hanson Aggregates Southeast LLC
Email Address:
[e-mail]
I Phone:
919-380-2746
Mailing Address:
3825 Barrett Drive, Suite 300
City:
Raleigh
State:
NC
I Zip:
27609
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
011141202
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City-
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Delegated Party Organization:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Stormwater Permit Delegation of Signatory Authority Form
Page 2

B. Responsible Official Signature
The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate
individual with the authority to sign and submit reports for the organization.
As the Responsible Official, 1, Daren McMorris
have the authority to enter into this Agreement for
Hanson Aggregates Southeast LLC
(Owner/Organization Name).
(printed name),
I request that the DEMLR Stormwater Program include the persons listed in Part A of this form
signatory authority for the above -named permit.
I acknowledge that I, and the persons listed in Part A of this form work at/for my organization
and have authority to act as a signatory for purposes of the NCDEQ's electronic document
systems.
By submitting this application, I, Daren McMorris (printed name),
have read, understand, and accept the terms and conditions of the stormwater permit(s) for
which I am the Responsible Official.
Responsible Official Signature
General Manager - North Carolina a':�):
Title Date
Stormwater Permit Delegation of Signatory Authority Form
Page 3