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Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Monday, April 11, 2022 4:42 PM
To: DavidH Henderson
Subject: RE: [External] RE: DMR Upload Not Accepted / the forms sent
Thank you for sending a revised signed copy of the DMR.
Please see the screen shot below. It was the uploaded copy of the DMR that was not signed.
DIVIR Submittal from 1126Q022
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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
[e-mail]
!�xV—s1=a'3':'9 PV LrF§tNKa ere-ul*
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
1E
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
1

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: DavidH Henderson <[e-mail]>
Sent: Monday, April 11, 2022 4:36 PM
To: Georgoulias, Bethany <[e-mail]>
Cc: DavidH Henderson <DavidH.Henderson@ mauserpackaging.com>
Subject: [External] RE: DMR Upload Not Accepted / the forms sent
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 received this email from the laserfiche, see below
I have attached the forms I sent in January, for you to review.
My signature on the download form is the electronic signature.
I did follow the instructions given.
Is there something else I need to do or send?
Thank -you
David Henderson
Materials Manager
Large Packaging
Mauser Packaging Solutions
MAUSER USA, LLC
12180 University City Blvd, Harrisburg NC ► USA
P: + 1 704 455 2111 x 232 M: + 1 704 575 0343 F: + 1 704 455 9830
david h.hend erson(a-)_mauserpackaging.com ► www.mauserpackaging.com
`�j Please consider your environmental responsibility before printing this e-mail
From: [e-mail] <[e-mail]>
Sent: Monday, April 11, 2022 4:07 PM
To: DavidH Henderson <[e-mail]>
Cc: [e-mail]
Subject: DMR Upload Not Accepted
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe.

Unfortunately the DMR upload for Permit No. NCG030253 submitted on 1/25/2022 could not be accepted for the
following reason:
It's okay that the permittee was unable to collect storm water from a representative rainfall from the time period June
2021 to December 2021. However, the DMR uploaded was *not signed*. Please resubmit a signed copy of the DMR for
this period.
Please contact the Stormwater Program for more information.
This email was automatically generated by Laserfiche Forms. Please do not respond to this email address, as responses
are not monitored.

Stormwater NPDIES Permit Data Monitoring Rape
NORTH CANUUNA DMR Upload
€"Wmh.nalal Quality
Permit and Facility Information:
Please enter the permit number and other details for this upload.
IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG030253
Must begin with NCS or NCG
Facility Name: * MAUSER USA LLC
County: * Cabarrus
After uploading here, the original signed hardcopy must be mailed to:
DECK Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https:Hdeq.nc.gov/contact/regionaI-offices/mooresviIle
Monitoring Period Information:
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.

Also, copies of the lab results and qualitative (visual) monitoring -should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload* Click the upload button or drag and drop files here to attach document.
NPDES-NCS-PDF-DEC 2021.pdf 221.23KB
Only PDFs are accepted.
Comments: I was unable to collect storm water from a representative rainfall from the time
period June 2021 to December 2021.
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
• I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name:* DAVID HENDERSON
Name of person submitting this form
Email Address:* [e-mail]
Phone Number:* 704- 455- 2111 ext 232
Signature: *
Date: * 01 /25/2022