NCG190123_SW Permit DOSA_20220926

Resource
RM,A,Management
Associates
SENT VIA FEDEX DELIVERY ON THIS DATE
September 26, 2022
DE M LR — Stormwater Program
Attn: Stormwater Program Administrative Specialist
NC Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: NPDES Permit Information Updates
Zimmerman Marine, Inc.
To Whom it May Concern:
888-RMA-0230
[e-mail]
www.rmagreen.com
As agent for the company identified herein, please find enclosed two (2) sperate Stormwater
Permit Delegation of Signature Authority (DOSA) Forms with original signatures for the following
two (2) facilities:
• Zimmerman Marine Holden — 107 B-Var Rd, Supply, NC 28462
o (Permit No.: NCG190123)
• Zimmerman Marine Oriental — 1306 Neuse Dr, Oriental, NC 28571
o (Permit No.: NCG190078)
Should you have any questions or need any additional information, please feel free to contact me.
Sincerely,
Christopher Ruhlin
Environmental Consultant
C W R/cr
Encls.
PC: Steve Zimmerman, Zimmerman Marine, Inc. (w/encls. via email)
Nick Steele, Zimmerman Marine, Inc. (w/encls. via email)
David Cronin, Zimmerman Marine, Inc. (w/encis. via email)
Environmentol Complionce & Due Diligence Services

NC Department of Environmental Quality
me,µ- Division of Energy, Mineral and Land Resources
NORM CAWX INA
f nviranmetthd Quatlry
Stormwater Permit Delegation of Signature Authority Form
Directions are in red.
=> This form shall be used to delegate signature authority from the permit Owner (Permittee) to
another party. Only the Responsible Official defined below may submit permit applications and
reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this
form is completed and submitted to the DEMLR Stormwater Program. Please note that delegating
signature authority does not relieve the Permit Owner from the responsibility for permit
compliance.
=> The permit Owner is the legal entity to which/whom a permit has been issued, and may be an individual
or an organization such as a company or government agency. Every Owner is required to have a
Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22, summarized
below:
• For a corporation, the Responsible Official shall be a president, secretary, treasurer, or vice-
president in charge of a principal business function, or another individual who performs similar
functions for the corporation, or the manager of one or more manufacturing, production, or operating
facilities who is authorized to make management decisions about the facility operation.
• For a partnership or sole proprietorship, the Responsible Official shall be a general partner or the
proprietor, respectively; or
• For a municipality, State, Federal, or other public agency, the Responsible Official shall be either a
principal executive officer [City/County Manager] or ranking erected official (Mayor].
=> Even if delegated signatory authority has been delegated to another individual, the Responsible Official
retains responsibility for compliance with permit conditions.
Organization Name- Zimmerman Marine Inc
Responsible Official Name: Steve Zimmerman
Responsible Official Title:
Email Address:
Mailing Address:
City:
President
[e-mail] Phone: [phone]
59 Heron Point Road
Cardinal
State: I VA I Zip: 123025
Stormwater Delegation of Signature Authority Form
Page 1

A. Persons to Receive Signatory Authority
==> The signatures of the persons listed below indicates their acceptance of signatory authority,
Delegated Party Name:
Nick Steed
Delegated ated Part Title: -
Yard Mans ar
Permit Number;
NCGlOo123
Email Address:
nlck®ziminennanmarine.com
Phone: [phone]
Mailing Address:
1073 B-Var Road
City: _.... -...---....._...
—_-- - '-
supply state. I-
- -.
Nc
zip:
Signature of Delegated patty indicating
acceptance of Signatory Authority:
Date: .._—
22
Delegated Party Name: i
Delegated Party Title;
_ Permit Number:
Email Address: -
Mailing Address:
Clay:
Signature of Delegated party indicating
acceptance of Signatory Authority:
Date:
Phone.
--- --- - - Stater, Zip:
....._.
Delegated Party Name:
Delegated Party Title: __
Permit Number:_
Email Address: Phone:
_
city: State: Zip:
Signature of Delegated Party Indlcating
acceptance of Signatory Authority:
Date.
Stormwater Permit Delegation of Signatory Authority Form
Page 2

B. Responsible Official Signature
The Responsible Official, as identified in accordance with 40 CFR 122,22, is the appropriate
individual with the authority to sign and submit reports for the organization.
As the Responsible Official, i, Steve Zimmerman
have the authority to enter into this Agreement for
Zimmerman Marine Inc (Owner/OrganiZation Name).
(printed name),
I request that the DEM{_R Stormwater Program include the persons listed in Part A of this form
signatory authority for the above -named permit.
I acknowledge that I, and the persons listed in Part A of this form work attfor my organization
and have authority to act as a signatory for purposes of the NCDEQ's electronic document
systems.
By submitting this application, I, Steve Zimmerman (printed name),
have read, understand, and accept the terms and conditions of the stormwater permit(s) for
which I am the Responsible Official.
R 5> ,sib1@,OffcTaSignature
President ? 12-2- -
Title � Date _ --
Stormwater Permit Delegation of Signatory Authority Form
Page 3