HomeMy WebLinkAboutNCS000105_Owner Affiliation Change_20211216Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
N, ry National Pollutant Discharge Elimination System (NPDES)
Energy. Mineral& PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRONMENTAL OVALN♦ (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
I WWII Da
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 till out a Name -Ownership
Er�
and submit the completed form with all required documents
wnat uues --iegauy responsrore mmvmuar mean.
The person is either: 0EMLR-StormWater Ptoglgm • 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
N I C I S 10 10 10 11 10 15
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage or No Exposure
N C G
Canton Mill
Blue Ridge Paper Products LLC dba Evergreen Packaging
175 Main Street
Address
Canton NC 28716
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
https:Hdeg.ne.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-perm its/npdes-i ndustrial-
rp ogram and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Fred
First
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
Perrett
MI
John A McCarthy
First MI Last
Page 1 of 2
S W U-O WNERAF FIfANov2019
N
NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION
Form (if no Facility Name/Ownership Change)
5) Reason for this change:
A result of:
If other please explain:
General Manager - Canton Mill
Title
175 Main Street
Mailing Address
Canton NC 28716
City State Zip
( 828 ) 646-2840 john.mccarthy@pactivevergreen.com
Telepbone E-mail Address
Fax Number
❑� Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1 John McCarthy 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.
I
-k , I Z l o � 20 -2-
Signature
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: hitp://deg.nc.gov/about/divisions/energy-mineral-land-resources/stonTiwater
S WU-OWNERAFFIL-4Nov2019
Page 2 of 2
Tran, Kieu M
From: McCarthy, John A. <John.McCarthy@pactivevergreen.com>
Sent: Wednesday, March 9, 2022 3:33 PM
To: Georgoulias, Bethany
Cc: Young, Brianna A; Cranford, Chuck; Lightfoot, Mark; Tran, Kieu M
Subject: [External] RE: NCS000105 Owner Affiliation Information
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Bethany -
I have confirmed that all of these permits are accurate and that the legally responsible party should be changed to me.
Is there any additional documentation required beyond what has been submitted?
Thanks,
John A. McCarthy
General Manager
Pactiv Evergreen
175 Main Street I Canton, NC 28716
0: 828.492.6189 1 M: 740-649-2487
John.mccarthy@pactivevergreen.com
PactivEvergreen.com
From: Georgoulias, Bethany <bethany.georgoulias@ncdenr.gov>
Sent: Wednesday, March 9, 2022 1:59 PM
To: McCarthy, John A. <John.McCarthy@ pactivevergreen.com>
Cc: Young, Brianna A <Brianna.Young@ncdenr.gov>; Cranford, Chuck <Chuck.Cranford@pactivevergreen.com>;
Lightfoot, Mark <Mark.Lightfoot@ pactivevergreen.com>; Tran, Kieu M <kieu.tran@ncdenr.gov>
Subject: RE: NCS000105 Owner Affiliation Information
Good afternoon, John,
I see that this Owner entity is attached to numerous permits. If I update the Owner -Owner affiliation (legally
responsible person) from Fred Perrett to you, John, I just want to make sure that's what you want. The change will
affect all these other permits since the same owner is tied to them. That may be perfectly appropriate — I just wanted to
confirm that with you first. It looks like a mix of stormwater and wastewater permits, and one No Exposure
Certification.
Owner: Blue Ridge Paper Products LLC
Permit
Version
Status
Type
Facility
NCO000272
In draft
Industrial Process & Commercial Wa...
Canton Mill
NCO000272
1.0
Inactive
Industrial Process & Commercial Wa...
Canton Mill
NCO000272
1.1
Inactive
Industrial Process & Commercial Wa...
Canton Mill
NCO000272
1.2
Inactive
Industrial Process & Commercial Wa...
Canton Mill
NCO000272
2.0
Expired
Industrial Process & Commercial Wa...
Canton Mill
NCG120098
1.0
Inactive
Landfill Stormwater discharge COC
Blue Ridge Paper Products
NCG120098
2.0
Inactive
Landfill Stormwater discharge COC
Blue Ridge Paper Products
NCG120098
10
Inactive
Landfill Stormwater discharge COC
Blue Ridge Paper Products
NCG120098
4.0
Active
Landfill Stormwater discharge COC
Blue Ridge Paper Products
NCGNE0528
1.0
Active
Stormwater discharge, No Exposure ...
Waynesville Extrusion Coating Fa...
NCS000105
1.0
Inactive
Stormwater discharge, Individual
Canton Mill
NCS000105
2.0
Inactive
Stormwater discharge, Individual
Canton Mill
NCS000105
10
Active
Stormwater discharge, Individual
Canton Mill
WI0100016
1.0
Inactive
Injection In situ Groundwater Remedi...
Canton Mill
WI0100016
2.0
Inactive
Injection In situ Groundwater Remedi...
Canton Mill
W00041004
1.0
Active
Gravity Sewer Extension, Pump Stati...
Leochate Force Main Installation
Thanks,
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
bethany.georgoulias@ncdenr.gov
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 [deq.nc.govl
Qi�
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: McCarthy, John A. [mailto:John.McCarthy@ pactivevergreen.com]
Sent: Tuesday, March 8, 2022 9:25 AM
To: Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Cc: Young, Brianna A <Brianna.Young@ncdenr.gov>; Cranford, Chuck <Chuck.Cranford@pactivevergreen.com>;
Lightfoot, Mark <Mark.Lightfoot@ pactivevergreen.com>
Subject: [External] RE: NCS000105 Owner Information
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Bethany -
The Blue Ridge Paper Products, LLC is the correct entity. Are there other documents that need to be corrected that
you are seeing?
Thanks,
John A. McCarthy
General Manager
Pactiv Evergreen
175 Main Street I Canton, NC 28716
0: 828.492.6189 1 M: 740-649-2487
John.mccarthy@pactivevergreen.com
PactivEvergreen.com
From: Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Sent: Monday, March 7, 2022 4:27 PM
To: McCarthy, John A. <John.McCarthy@ pactivevergreen.com>
Cc: Young, Brianna A <Brianna.Young@ncdenr.gov>
Subject: NCS000105 Owner Information
Importance: High
Good afternoon,
We are processing DMR forms that were uploaded earlier this year, and we saw that these were submitted for
NCS000105. In our system, that permit is currently still held by Blue Ridge Paper Products, LLC. Was a Name/Owner
Change ever submitted for this Stormwater permit? We do not see one in our currently queue of pending requests, but
it appears an ownership transfer needs to be done.
Please see the Stormwater Permit Name/Ownership Change Form [edocs.deg.nc.govl for our current form, and let us
know if you have any questions.
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Last Updated fay bimsprodcron Last Updated On: 11J1412020 &:art PM
Enter CDC or Individual Permil Number
NC000105
Must begin with NCS or KCG
Evergreen Packaging
Haywood
1e and county are used to help the reviewer verify the permit number entered, and to display the
dress on the submitter's form (not here). These metadata details will be pulled from current BIM
e DMR(s) are filed_ If the submittal is accepted, simply note any errors in the reviewer's comments_
}rind Information:
...........................................................................
VVhal is the YEAR of the sample daWs)?
2021
Click the upload button or drag and drop files here to attach documenA_
Upload
EvergreenPackagingCantonMill_Annu._. 2.19MB
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4
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
bethany.georgoulias@ncdenr.gov
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 fdeq.nc.govl
DES-"
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.