NCG100008_Name-Owner Change Confirmation_20221007

Tran, Kieu M
From: Tran, Kieu M
Sent: Friday, October 7, 2022 8:55 AM
To: Aimee Studna; Meagan McCleary; Ashley Hunt
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG100008
Attachments: NCG100008 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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NORTH CAROLINA
Department of Environmental Quality
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 10/7/2022.
Permit Number:
NCG100008 Permit Status: Active
Permit Type:
Used Motor Vehicle Parts Stormwater Discharge COC
Facility Name:
Aesop of North Carolina DBA Lewisville Motor Company
Facility Addressl:
5600 Country Club Rd
Facility Address2:
City, State & Zip:
Winston Salem, NC 27104
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/Ownershiv"Form)
Owner Name:
Aesop Auto of North Carolina 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:
Aimee Studna Title: Signature Authority
Addressl:
5600 Country Club Rd
Address2:
City, State & Zip:
Winston Salem, NC 27104
Work Phone:
336-765-2362 Fax:
Email Address:
[e-mail]
*** Permit Annual Fee Billing ***
Billing Month: January
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
Justin Myers Site Manager 5600 Country Club Rd, Winston Salem, 980-247-3200 justin@lewisvillemot
NC 27104 orcompany.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Justin Myers 5600 Country Club Rd, Winston Salem, 980-247-3200 justin@lewisvillemot
NC 27104 orcompany.com
10/7/2022 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 10/7/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Justin Myers 5600 Country Club Rd, Winston Salem, 980-247-3200 justin@lewisvillemot
NC 27104 orcompany.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: outfall 001
Outfall Lattitude: 36.093060 Outfall Longitude:-80.370280 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Tomahawk Creek 12-94-9-1 C
10/7/2022 Page 2