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Home My WebLink AboutNCG030261_Owner Affiliation Change_20220106Division of Energy, Mineral, and Land Resources Land Quality Section / Stormwater Program !:a National Pollutant Discharge Elimination System (NPDES) FOR AGENCY USE ONLY Dale Received Year I Month I Day e ♦—'W—. ED Energy. Mineral a PERMIT OWNER AFFILIATION DESIGNATION FORM JAN 00 20�2 Land Resources (Individual Legally Responsible for Permit) DENR-LAND QUALITY Land Reso rcesY Use this form if there has been: 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 ownershiv of the facility has changed, do NOT use this form. Instead, you must fill out a Name -Ownership Chaanngg Form and submit the completed form with all required documentaticREC FZ I V G D V ram,• r What does °'legally responsible individual" mean? 'I , w—,. The person is either: DENR-LAND QUALITY • the responsible corporate officer (for a corporation); STORMWATER PERMITTING • 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 p 3 t7 2 la I 2) Facility Information: Facility name: Company/Owner Organization: Facility address: (or) Certificate of Coverage or No Exposure N C G O 3 0 2 6 1 LS Cable & System USA, Inc. LS Cable & System USA, Inc. 2901Anaconda Road Address Tarboro NC 27886 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-m ineral-land-pemiits/npdes-industrial- program and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: Dongsung Ahn Last 4) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit: Brian Jo First MI Last Page 1 of 2 S WU-0WNERAFFIL4Nov2019 '`GI is l,7 1'i NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION Form (if no Facility Name/Ownership Change) Plant Manager Title 2901 Anaconda road Mailing Address Tarboro NC 27886 City State Zip (252 )823-5111 Biian.Jo@LSCSUSA.com Telephone E-mail Address Fax Number 5) Reason for this change: A result of: ❑� Employee or management change ❑ 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, Er I oy) Jo 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. o Si ature 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.ne.gov/about/divisions/energy-mineral-land-resources/stormwater Page 2 of 2 S WU-OWNERAFFIL-0Nov2019 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. Delails 1 [ Delails 2 Ballang Vass Creslg. I. DentS _I Reg AClrtilM5__.. Etf Cul&hnes — --Affiliations_ Remmers P$rmit dC3000�i5Version: .3.0 St86us= ilwe Floi I Type: SlbrrR3wete f di5th 9t _ lrldi,riCual Permit Classification: ndtuidUrat Primary Ratated Parmit Program Calegory. PGES SW Atlrnln Region. AsnMlle Facility. anbdn MITI j $tails_._ COU a od owner. OueRMdgePaper Products LLC Dgiaita_._ , Project Type: Renewal — DaleS -- Issued' IW017 OV!VIssued-, 121f$!7994 ❑ERAtAaior Pt-rmlr [l'� � ';'�3C� pi �in5 $79 Slip Efiedkwe: 1 f4t 0'l7 Slahl6or 0 3 New F a rM usllmp F3tm, ra m Explfe, OMM I[laClEr9; ❑ N7nowat�Me kr lt_ItpreS= SOC: ❑RalnbreaRefDewce ❑ ClC PTesen" 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 Eve rgreenPackagingCantonMill_ eco._. 536_78KB Only PDFs are a.ccepled_ 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.