NCG160132_Name-Owner Change Confirmation_20220406

Tran, Kieu M
From: Tran, Kieu M
Sent: Wednesday, April 6, 2022 8:21 AM
To: [e-mail]
Cc: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG160132
Attachments: NCG160132 NPDES SW Permit Summary Report.pdf
Good morning,
We have processed the Name/Ownership change for this permit. Please review the attached Permit Summary Report
and verify that the new information is accurate. Please let me know if there are any other necessary updates.
Thank you,
Mrs. Kieu Tran
Stormwater Program Administrative Assistant
Office: (919) 707- 3640
Kieu.Tran @ncdenrgov
North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources Stormwater Program
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/stormwatgr
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties

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 4/6/2022.
Permit Number: NCG160132 Permit Status: Active
Permit Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Name: Russell Standard Greensboro
Facility Addressl: 1124 S Holden Rd
Facility Address2:
City, State & Zip: Greensboro, NC 27407
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownershka"Form)
Owner Name: Russell Standard NC LLC
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: James Shay Title: EHS Director
Addressl: 285 Kappa Dr Ste 300
Address2:
City, State & Zip: Pittsburgh, PA 15238
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2021PR006062 7/1/2021 7/31/2021 $100.00 Overdue
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Shawn Byram 1124 S Holden Rd, Greensboro, NC 336-292-6875 shawn.byram@russe
27407 Ilstandard.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
James Shay 285 Kappa Dr Ste 300, Pittsburgh, PA 412-449-0700 jim.shay@russellstan
15238 dard.com
4/6/2022 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour hermit as of 4/6/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax
Email
James Shay EHS Director 285 Kappa Dr Ste 300, Pittsburgh, PA 412-449-0700
jim.shay@russellstan
15238
dard.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: Outfall #001 (SDO #1) Southwest
Outfall Lattitude: 36.057500 Outfall Longitude:-79.846110
Represented by Outfall:
% Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Cape Fear South Buffalo Creek
16-11-14-2
WS-V;NSW
Outfall #: 002 Outfall Description: Outfall #002 (SDO #2) Riprap Drainage
Outfall Lattitude: 36.058890 Outfall Longitude:-79.842500
Represented by Outfall:
% Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Cape Fear South Buffalo Creek
16-11-14-2
WS-V;NSW
4/6/2022 Page 2