WQ0043624_Application (FTSE)_20220711

NC Dept of Environmental Quality
DocuSign Envelope ID: 83018912-04A445FB-ADD3-F1BB3A401B7C
State of North Carolina
DWR
JUL 112022 Department
22 of Environmental Quality
Division of Water Resources
Mel WER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 06-21 & SUPPORTING DOCUMENTATION
Application Numbew-12003&Z (to be completed by DWR)
All items must be completed or the application will be returned
1. APPLICANT INFORMATION:
I. Applicant's name: FUJIFILM Diosynth Biotechnoloeies North Carolina Inc (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: David Stewart per 15A NC'AC 021' .0106lb}
Titic: Head of Project DclivcEy
4. Applicant's mailing address: 3020 Carrington Mill Blvd #500
City: Morrisville State: NC Zip: 2750K_
5. Applicant's contact information: 60
Phone number: [phone] Email Address: david.stewart a fujifilm.com
II. PROJECT INFORMATION:
1. Project name: FDB - Project Galaxy
2. Application/Project status: ® Proposed (New Permit) ❑ Existing Permit/Project
If a modification, provide the existing permit number: WQ00 and issued dale: ,
For modifications, also attach a detailed narrative description as described in Item G of the checklist.
If new construction, but part of a master plan, provide the existing permit number: WQ00 _
3. County where project is located: WIU
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.649793' Longitude:-78.873753"
5. Parcel ID (if applicable): 0639720552 (or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
I. Professional Engineer: Jamig E. Gollin25 License Number: 29501
Firm: Jacobs Enainecring Group
Mailing address: 111 Coming Rd, Suite,200
City: Cary State: NC Zip: 27518-_
Phone number, [phone] Email Address: Jam ie.GollinQs[u)iacobs.com
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
I. Facility Name: Utley Creek WRF Permit Number: NCO063096
Owner Name: Town of Holly Springs
V. RECEIVING DOWNSTREAM SEWER INFORMATION:
1. Permit Number(s): WQ0042872
2. Downstream (Receiving) Sewer Information: 20 inch ® Gravity ❑ Force Main
3. System Wide Collection System Permit Number(s) (if applicable): WQCS00192
Owner Name(s). Town of Holly Spriggs
FORM: FTA 06-21 Page I of 5

DocuSign Envelope ID: 83018912-04A4-45FB-ADDS-F1BB3A40187C
VI. GENERAL REQUIREMENTS
I. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑ No ® NIA
2. If the Applicant is a Developer of lots to be sold, has a IgveloWr's Operational A urtemeni (FORM: I)L V) been attached?
[]Yes [:]No ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an HOA+POA t Fperational Alt eczr nt FORM: I IOA) and
supplementary documentation as required by 15A NCAC 02T.0115(c) been attached?
❑ Ycs ❑ No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential (Individually Owned) ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential (Leased) ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool/Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
® Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: _% Domestic % Commercial 100 % Industrial (Sec I SA NCAC 02 T _0103(201)
If Industrial, is there a Pretreatment Program in effect? ® Yes❑ No
6. Has a flow reduction been approved under I SA NL`r 0 �U.JJJam? ❑ Yes ® No
➢ If Yes, provide a copy of flow reduction nipiproval letter with this application
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01 14(f))
Daily Design Flow • °
No. of Units
Flow
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
gall
GPD
Total
0 GPD
a See I5A—NCA(' 02T .0l HLU. (d), (elt 1) and (c)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or cast of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T Al 14(c), design flow rates for establishments not identified [in table 15A NCAC 02 IA 1141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 0 GPD (per 15,E NCAC 02'T _0114)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, please indicate why:
❑ Pump Station/Force Main or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line.
Please provide supplementary information indicating the approximate timeframe for permitting upstream sewers with flow.
® Flow has already been allocated in Permit Number: W00042872 Issuance Date: Nov 17, 2021
❑ Rehabilitation or replacement of existing sewers with no new flow expected
❑ Other (Explain):
FORM: FTA 06-21 Page 2 of 5

bocuSgn Envelope ID: 83018912-04A445F13-ADDS-FIB133A401137C
VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 021' .0305 & MD(' (('ravity Sewers):
I. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
6
3,115
PVC
8
242
PVC
10
676
PVC
12
1,707
PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related to minimum slopes for gravity sewer(s)
D Oversizing lines to meet minimum slope requirements is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02'h .0305 & MDC (Pump Stations(Force Mains):
PROVIDE A SEPARATE COPY OF THIS PAGE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: -
3. Total number of pumps at the pump station:
3. Design flow of the pump station: millions gallons per day (firm capacity)
This should reflect the total GPM for the pump station with the largest pump out of service.
4. Operational point(s) per pump(s): gallons per minute (GPM) at feet total dynamic head (TDI I )
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
If any portion of the force main is less than 4-inches in diameter, please identify the method of solids reduction per
MDCPSFM Section 2.01C.I.b. ❑ Grinder Pump ❑ Mechanical Bar Screen ❑ Other (please specify)
6. Power reliability in accordance with 15A NCAC021 .0305(hit I):
❑ Standby power source or ❑ Standby pump
Must have automatic activation and telemetry - 15A NCAC 02T.0305(h)(1)(B)'
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
D Must be permanent to facility and may not be portable
Or if the pump station has an average daily flow less than 15,000 gallons per day 15A NCACO2T.0305(h)(I)(C):
❑ Portable power source with manual activation, quick -connection receptacle and telemetry -
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry:
➢ Include documentation that the portable source is owned or contracted by the applicant and is compatible with the station.
D If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timcframes, shall be provided
as part of this permit application in the case of a multiple station power outage.
FORM: FTA 06-21 Page 3 of 5

DocuSign Envelope ID: 83018912-04A4-45FB-ADD3-FIBB3A401137C
IX. SETBACKS & SEPARATIONS — (02B .0200 & 15A NCAC 02T .0305(f)):
I. Does the project comply with all separations/altcrnalives found in 13A N(_'AC 02T _0305{ft& W? ® Yes ❑ No
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systcros:
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
18 inches
ZWater mains (vertical - water over sewer preferred, including in benched trenches)
18 inches
'Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-1 waters of Class 1 or
Class II impounded reservoirs used as a source of drinking water, and associated wetlands.
100 feet
**Waters classified WS (except WS-1 or WS-V), B, SA, ORW, FIQW, or SB from normal
high water (or tide elevation) and wetlands associated with these waters (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches, as well as wetlands associated with these waters or classified as WL.
10 feet
Any building foundation (horizontal)
5 feet
Any basement (horizontal)
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ If noncompliance with 021.0305(t) f%r (0, see Section X.1 of this application
*15A NCAC Q '1`.0305j,g� contains alternatives where separations in 02�1�_� 05QJ cannot be achieved. Please check "yes"
above if these alternatives are used and provide narrative information to explain.
**Stream classifications can be identified using the Division's NC Surface WatcrQassititations wetigime
2. Does this project comply with the minimum separation requirements for water mains? ®Yes. ❑ No ❑ N?A
➢ If no, please refer to 15A NCAC 18C.0906(f) for documentation requirements and submit a separate document,
signed/sealed by an NC licensed PE, verifying the criteria outlined in that Rule.
3. Does the project comply with separation requirements for wetlands? ® Yes ❑ No ❑ NfA
➢ Please provide supplementary information identifying the areas of non-conformance.
➢ See the Division's draft ss gnklion requirements for situations where separation cannot be met.
➢ No variance is required if the alternative design criteria specified is utilized in design and construction.
4. Is the project located in a river basin subject to any State buffer rules? ❑ Yes Basin name: ® No
If yes, does the project comply with setbacks found in the river basin rules per a13 'AC SI21}. _020i)1 El Yes El No
➢ This includes Trout Buffered Streams per 15A NCAC 213.0202
5. Does the project require coverage/authorization under a 404 Nationwide/individual permits ® Yes ❑ No
or 401 Water Quality Certifications?
➢ Please provide the permit number/permitting status in the cover letter if coveragetauthorization is required.
6. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certitications)? ® Yes ❑ No
Per 15A NCAC 021.0105(c)(L)), directly related environmental permits or certification applications must be being prepared,
have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion
and sedimentation control plans, stormwater management plans, etc.).
7. Does this project include any sewer collection lines that are deemed "high -priority?" ❑ Yes ® No
Per 15A NC C 021.0402, "high -priority sewer" means any aerial sewer, sewer contacting surface waters,
siphon, or sewers positioned parallel to streambanks that are subject to erosion that undermines or deteriorates the sewer.
Siphons and sewers suspended through interference/conflict boxes require a variance approval.
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location),
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permittee's individual System -Wide Collection permit.
FORM: FTA 06-21 Page 4 of 5

DocuSign Envelope ID: 83018912-04A445FB-ADD3-F1BB3A401B7C
X. CERTIFICATIONS:
1. Does the submitted system comply with 15A_NCAC 02 P, the Minimum Design Criteria for the Permittina of Pump StdlitlnN.
A)d Eorce Mains (latest version)- and the Gravity Sewer Minimum Dt;i Criteria (latest version as applicable?
® Yes ❑ No
If no, for projects requiring a single variance, complete and submit the Varianc&Alternative Design Request application
(VADC 10-14) and supporting documents for review to the Central Office. Approval of the request will be issued
concurrently with the a proval of the permit, and prolects reguirine a variance approval may be subject to longer
review times. For Proaects requirin2 two or more variances or where the variance is determined by the Division to be a
si nificant portion of the prooect, the full technical review is required.
2. Professional Engineers Certification:
1, Jamie E. Gollin s, attest that this application for FDB - Project Galaxy
(Professional Engineer's name from Application Item 111.1 ) (Project Nam+: From Application Item 11 1)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans,
specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. 1 further
attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations,
Minimum Dcsi n Criteri&k. QEavvity Sewers flatcst vcrsionl, and the Minimum DesijLn Criteria for the Fast- track Permitting
.jf Pump Stations and Fq!z cjklains (latest. vgrsior)3. Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. Misrepresentation of the application
information, including failure to disclose any design non-compliance with the applicable Rules and design criteria, may subject
the North Carolina -licensed Professional Engineer to referral to the licensing board. (21 NCAC 56.0701)
North Carolina Professional Engineer's seal, signature, and date: �"", Zt1 CAR(j�'
•.E 65 SIQ�!ti•�'%� I
oocuslpnad by: - SEAL I
�ou+lit, r?6uiU/�S 029501
��/tilt; if ll ,
3. Applicant's Certification per 15A NCAC 02T .0106(b):
I, David Stewart attest that this application for FDB - Proiect Galaxy
(Signature Authority Name from Application Item 13.) (Project Name from Application Item 11 1)
attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge.
1 understand that if all required parts of this application are not completed and that if all required supporting documentation
and attachments are not included, this application package is subject to being returned as incomplete. 1 understand that any
discharge of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division
of Water Resources should a condition of this permit be violated. 1 also understand that if all required parts of this application
package are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.61), any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Ly:
ftned by:
Signature: SkwtxyfDate:
a��
7/1/2022
FORM: FTA 06-21 Page 5 of 5

DocuSign Envelope ID: 83018912-04A4-45FB-ADD3-F1BB3A401B7G
Jacobs
22 June 2022
NCDEQ
Raleigh Regional Office Water Quality Section
3800 Barrett Drive
Raleigh, North Carolina 27609
Re: FDB — Project Galaxy
Sewer Extension Permit
Permit Reviewer:
114 Corning Road
Suite 200
Cary, NC 27518
United States
T +1.919.859.5000
F +1 919 859.5151
www.jacobs.Com
NC Dept of Environmental Quality
JUL 112022
Raleigh Regional Office
Please find enclosed our application package for a private sanitary sewer extension for
FDB — Project Galaxy in Holly Springs, NC. The proposed private sewer will connect to
MH#4 of a public sewer currently under construction as part of the Oakview Innovation
Park under Permit# WQ0042872. Being as the 400,000 gpd of flow for Project Galaxy is
already represented and approved under Permit# WQ0042872, this application results in
no additional flow to what has been previously permitted. Project Galaxy is a
pharmaceutical manufacturing facility and, as such, has a wastewater discharge that is
atypical for most uses and industries. The manufacturing processes will result in a
significant portion of the wastewater stream resulting from process water discharge.

DocuSlgn Envelope ID- 83018912-04A4-45FS-ADD3 F1BB3A401B7C
Jacobs
SEWER YIAIN -
LPNI%A[E{
NC Dept of Environmental Quality
JUL 112022
Ralcigh Regional Office
1 i 1 Corning Road
Suite 200
Cary, NC 27518
United States
T +1.919.859.5000
F +1.919.859.5151
www.jacobs.com
� sAN�sweR MAIN
a�tPRNATlE)
al 0C SANIipkY SEWER EXTENSION
iBY OTHERS) IN C0 WIDE
PUBLIC EASEMENT

Docuftn Envelope ID- 83018912 04A4-45FB-AD03-F1BB3A401B7C
Jacobs
111 Corning Road
Suite 200
Cary, NC 2751E
United States
T +1.919.859.5000
F +1.919.859.5151
www.jacobs.com
A 4011404 permit (USACE Action ID. No. SAW-2021-01565; DWR 4 20211296) is
required for the overall project and has obtained full regulatory approval. The project
will include the following pipe sizes, lengths, and materials:
Private Sanitary Sewer Main Data
Size (Inches)
Length (feet)
Material
6
3115
PVC
8
242
PVC
10
676
PVC
12
1707
PVC
Included in this submittal is the following:
i . Cover Letter
2. Fast Track Sewer System Extension Application (Form FTA 06-21)
3. $480.00 check to NCDEQ
4. North Carolina Form FTA 04-16 Fast Track Sewer System Extension Application
5. USGS Topographic Map showing project area (see above and enlargement
attached)
6. Copy of street level map showing relevant project area (see above and
enlargement attached)
7. Aerial Map
8. Copy of locally -required (Holly Springs) Design and Application Certification &
Delegation of Authority
If you have any questions, please feel free to contact me.
Sincerely,
Jamie E. Gollings, PE
Civil Engineering Department Manager
Jamie- ollings�rr'iacobs.com
919.600.1163
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ts
. � SEA
029501 -
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06/30/2022

DocuSign Envelope ID- 83018912-04A4-45FB-ADD3•F1BB3A40187C
Jacobs
Vicinity Map
111 Corning Road
Suite 200
Cary, NC 27518
United States
T + 1 .919.859.5000
F +1.919.859.5151
www,jacobs.com

DocuSign Envelope ID: 83018912-04A4-45FB-ADD3-FIBB3A401B7C
Jacobs
USGS Quadraugle Map
111 Corning Road
Suite 200
Cary. NC 27518
United States
T +1.919.859.5000
F +1.919.859.5151
www.jacobs.com

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DocuSi n Envelope ID: 83018912-04A4-45FB-ADD3-F1BB3A401B7C
S 4r
A T H E
July 1', 2022
TOWN OF 9�Z'011y 6pinongs
Director, Division of Water Resources
Raleigh Regional Office
Water Quality Operation Section
3 800 Barrett Drive
Raleigh, NC 27609
Re: Application for PRIVATE Sewer Extension Permit
Project: FUJIFILM Diosynth Biotechnologies NC, Inc
Dear Sir or Madam:
NC Dept of Environmental Quality
JUL 112022
Raleigh Regional Office
Please find enclosed the following items in application for a sewer extension permit to the Town
of Holly Springs existing sewer distribution system:
0 One original and one copy cover letter including a project narrative
o A check in the amount of $480.00
0 One original and one copy of the State of North Carolina Fast Track Sewer System
Extension Application (FTA 04-16)
0 Two copies of FTSE 04-16 Flow Tracking/Acceptance Form
0 Two color copies of a 8.5-inch by 11-inch portion of a 7.5 minute USGS Topographic
Map showing project area
0 Two copies of a street level map showing all relevant project areas
0 One copy of the locally -required Design and Application Certification
Feel free to contact me at 919-577-3150 should you have any questions or need additional
information in order to process this application.
Sincerely, �ix
Oocuft-d 4y
Kendra :T'B�ist,"P.E., CFM Rachel Ingham
Executive Director of Utilities and Infrastructure uti 1 i ty Engineer
KP/tr
cc: Project Consultant Engineer, Jamie E. Gollings, PE
Rachel Ingham, Utility Engineer
Drew Johnson, Development Construction Manager
Theresa Randall, Utility Permitting Specialist
Project file/Correspondence #41998
3002
04 172019
Utilities and Infrnstritchire Services
P.O. Box 8 • 128 S. Main Street • Holly Springs, NC 27540 • www.hollyspringsnc.gov

DocuSign Envelope ID: 83018912-04A445FB-ADD3-F1BB3A401B7C
NC Dept of Environmental Quality
JUL 112022
DO NOT SUBMIT SEWER EXTENSION APPLICATIONS UNTIL
CONSTRUCTION DRAWINGS HAVE BEEN aiiV9%C9MFF!
Sewer Design and Application Certification
Note: This form must be submitted with the Fast Tract Application for extension to the Town of
Holly Springs Sewer System
Project:
Design Engineer:
Address:
Phone Number: M 9,600,1163 Email: iami� aollinas�iacobs_com
Date Complete Application Package Received by Town: 20 May 2022
1 7/1/2022 ft 7/5/2022 �
Date Approved: (by R1 , (by KD �� (by D7)
f #fBi*2�
As design engineer for this project, I certify the following (please check (x) each applicable box):
0 That the design of the project is in complete conformance with the Town of Holly
Springs Engineering Design and Construction Standards and NC DEQ Sanitary Sewer
Design Regulations;
❑ That each of the following items are completed and enclosed for submittal to the State for
a sewer extension permit:
❑ One cover letter that includes a project narrative
❑ A check in the amount of $480.00 to NC DEQ
o A check in the amount of $200.00 to the Town of Holly Springs
❑ One State of North Carolina form FTA 04-16 Fast Tract Sewer System
Extension Application
❑ One FTSE 10-18 Flow Tracking far Sewer Extension Applications
❑ One color copy of an 8.5-inch by 11-inch portion of a 7.5-minute
USGS Topographic Map showing project area
❑ One copy of a street level map showing all relevant project areas
❑ One copy of the locally -required Design and Application Certification
(this form)
cu8lpn.d by'
Design Engineer's Signaturec-;*
S _ Date 05/20/22
Please contact Theresa Randall at (919) 5674009 or theresa,randall(r;hollysprin snc.gov if you
have any questions.
2003 Scwcr Design AppLcaeon Certification
01.14.21
Utilities and Infrastructure Services
P.O. Box 8 • 128 S. Main Street 0 Holly Springs, NC 27540 a www.hollyspringsnc.gov

DocuSign Envelope ID: 83018912-04A445FB-ADD3-FlBB3A401B7C
Date: Mune2022
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-16 1 7
Subject: Delegation of Signature Authority
Facility Name- FUJIFILM Diosynth Biotachnologles North Carolina, Inc.
NPDES Permit Number: N I_c l._!_ J -LTL I l L
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual ##1
Name:
Thomas Schmalzbauer
Title:
Mead of Seconds Buildin s and Site De
Mailing Address:
101 Z5 Aorrris Commons Lane
Moms0Ne, NC 295(oO
Physical Address:
(ifdjjrerenr)
I r75 i New H, ll Holly r.-,�s I
H p 11 , s NC o2'�5
Email Address:
Thomas.Schmalzbauer fu'ifilm.com
Office Phone:
919-583-2686
Mobile Phone:
919-583-2686
Individual ##2 (ifapplicahle)
David Stewart
11-lead of Drug Substance Manufacturing
1v1 J /rtorr,y (_4rirnVnS
Aorrif,vi Ile , NC R9566
j I951 New M,fl i-jo ji . ,n
Hotly Sri-,nrC any --
David. Slewart@fujifilm corn
919-501-3906
919-501-3906
If you have any questions regarding this letter, please feel free to contact me at either the phone
number or email address below.
Sincerely,
Authorized Signing Official's Signature
Kenneth Bilenberg
Authorized Signing Official's Name (rypeorprinr)
Mailing Address
[e-mail]
VP
Title
Email Address
[phone] [phone]
Office Phone Mobile Phone
CC" Regional Office, Water Quality Permitting Section
rFn1+-r n-gion nanu.a