NCG140106_Name-Owner Change Confirmation_20220602

Tran, Kieu M
From: Tran, Kieu M
Sent: Thursday, June 2, 2022 7:39 AM
To: Jim White
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG140106
Attachments: NCG140106 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 @ncdenr.gov
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/stormwater
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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 6/2/2022.
Permit Number: NCG140106 Permit Status: Active
Permit Type: Ready Mix Concrete Stormwater/Wastewater Discharge COC
Facility Name: Havelock Plant 20012
Facility Addressi: 417 Miller Rd
Facility Address2:
City, State & Zip: Havelock, NC 28532
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: Smyrna Ready Mix Concrete 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: Jeff Hollingshead Title: CEO
Addressi: 1000 Hollingshead Cir
Address2:
City, State & Zip: Murfreesboro, TN 37129
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
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Quinn Vaughan 1020 E 5th St, Washington, NC 27889 252-717-0318 gvaughan@smyrnar
eadymix.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Jim White 1000 Hollingshead Cir, Murfreesboro, TN 615-355-1028 jwhite@smyrnaread
37129 ymix.com
6/2/2022 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 6/2/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
1000 Hollingshead Cir, Murfreesboro, TN 615-355-1028 apsrmnc@smyrnarea
37129 dymix.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: Unknown
Outfall Lattitude: 34.880560 Outfall Longitude:-76.923610 Represented by Outfall:
% Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Neuse Slocum Creek 27-112 SC;Sw,NSW
6/2/2022 Page 2