NCG210417_ Permit Name-Owner Change Confirmation_20220913

Tran, Kieu M
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Good morning,
Tran, Kieu M
Tuesday, September 13, 2022 7:50 AM
Jocelyn Anderson
[e-mail]
Stormwater Permit Name/Owner Change Confirmation for NCG210417
NCG210417 NPDES SW Permit Summary Report (1).pdf
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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: httl2://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwatgr
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NORTH CAROLINA -
Department of Environmental Quality
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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 9/13/2022.
Permit Number: NCG210417 Permit Status: Active
Permit Type: Timber Products Stormwater Discharge COC
Facility Name: Kamps Plant 1
Facility Addressl: 5104 N Graham St
Facility Address2:
City, State & Zip: Charlotte, NC 28269
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: Kamps Inc
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: Curtis Brushman Title: Safety Manager
Addressl: 2900 Peach Rdg Nw
Address2:
City, State & Zip: Grand Rapids, MI 49534
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
Antonio Neal 5104 N Graham St, Charlotte, NC 28269 704-361-3753 antonion@kampspall
ets.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Curtis Brushman 2900 Peach Rdg Nw, Grand Rapids, MI 616-560-5678 curtisb@kampspallet
49534 s.com
9/13/2022 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followinu information in our Permit Database for vour permit as of 9/13/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Curtis Brushman 2900 Peach Rdg Nw, Grand Rapids, MI 616-560-5678 curtisb@kampspallet
49534 s.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: Ditch
Outfall Lattitude: 35.282780 Outfall Longitude:-80.803060 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Catawba Little Sugar Creek 11-137-8 C
9/13/2022 Page 2