NCS000107_Name-Owner Change Confirmation_20221027

Tran, Kieu M
From: Tran, Kieu M
Sent: Thursday, October 27, 2022 7:55 AM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCS000107
Attachments: NCS000107 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 10/27/2022.
Permit Number: NCS000107 Permit Status: Expired
Permit Type: Stormwater Discharge, Individual
Facility Name: Hallstar Greensboro LLC
Facility Addressl: 520 Broome Rd
Facility Address2:
City, State & Zip: Greensboro, NC 27406
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: Hallstar Greensboro 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: Dan Fitzgerald Title:
Addressl: 120 S Riverside Plz Ste 1620
Address2:
City, State & Zip: Chicago, IL 60606
Work Phone: [phone] Fax:
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
Terry Hurst Plant Manager 520 Broome Rd, Greensboro, NC 27406 336-378-0965 [e-mail]
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Franchellie 520 Broome Rd, Greensboro, NC 27406 336-378-0965 [e-mail]
Brewer m
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Terry Hurst 520 Broome Rd, Greensboro, NC 27406 336-378-0965 [e-mail]
10/27/2022 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followin! information in our Permit Database for vour hermit as of 10/27/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax Email
Franchellie 520 Broome Rd, Greensboro, NC 27406 336-378-0965 [e-mail]
Brewer
m
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: South Buffalo Creek
Outfall Lattitude: 36.039440 Outfall Longitude:-79.778890
Represented by Outfall:
% Stormwater: 100 % Industrial: 0
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Cape Fear South Buffalo Creek
16-11-14-2 WS-V;NSW
Outfall #: 002 Outfall Description: Unknown
Outfall Lattitude: 36.038610 Outfall Longitude:-79.778060
Represented by Outfall:
% Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Cape Fear South Buffalo Creek
16-11-14-2 WS-V;NSW
10/27/2022 Page 2