NCS000140_ Permit Name-Owner Change Confirmation_20220913

Tran, Kieu M
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Good morning,
Tran, Kieu M
Tuesday, September 13, 2022 7:48 AM
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Stormwater Permit Name/Owner Change Confirmation for NCS000140
NCS000140 NPDES SW Permit Summary Report.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: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
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NORTH CAROLINA
Department of Environmental Duality
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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 9/13/2022.
Permit Number:
NCS000140 Permit Status: Expired
Permit Type:
Stormwater Discharge, Individual
Facility Name:
Certainteed LLC
Facility Addressl:
200 Certainteed Rd
Facility Address2:
City, State & Zip:
Oxford, NC 27565
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:
Certainteed 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:
Mark Heilman Title:
Addressi:
200 Certain Teed Rd
Address2:
City, State & Zip:
Oxford, NC 27565
Work Phone:
919-693-1141 Fax: [phone]
Email Address:
[e-mail]
*** Permit Annual Fee Billing ***
Billing Month: September
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
Robert Yurek 200 Certain Teed Rd, Oxford, NC 27565 919-693-1141 robert.w.yurek@sai
nt-gobain.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Robert Yurek 200 Certain Teed Rd, Oxford, NC 27565 919-693-1141 919-693-7797 robert.n.yurek@sain
Ext. 2221 t-gobain.com
9/13/2022 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 Dermit as of 9/13/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax Email
Robert Yurek 200 Certain Teed Rd, Oxford, NC 27565 919-693-1141
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: Hachers Run
Outfall Lattitude: 36.292500 Outfall Longitude:-78.614170
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Tar -Pamlico Hachers Run
28-11-3-(2) C;NSW
Outfall #: 002 Outfall Description: Outfalls to Fishing Creek
Outfall Lattitude: 36.292500 Outfall Longitude:-78.614170
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Tar -Pamlico Fishing Creek
28-11 C;NSW
9/13/2022 Page 2