NCG190052_Name-Owner Change Confirmation_20221103

Tran, Kieu M
From: Tran, Kieu M
Sent: Thursday, November 3, 2022 2:34 PM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG190052
Attachments: NCG190052 NPDES SW Permit Summary Report.pdf
Good afternoon,
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 11/3/2022.
Permit Number: NCG190052 Permit Status: Active
Permit Type: Ship and Boat Building Stormwater Discharge COC
Facility Name: SHM Jarrett Bay LLC dba Safe Harbor Jarrett Bay
Facility Addressl: 530 Sensation Weigh
Facility Address2:
City, State & Zip: Beaufort, NC 28516
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: Shm Jarrett Bay LLC DBA Safe Harbor Jarrett Bay
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: Ed Stack Title:
Addressl: 530 Sensation Weigh
Address2:
City, State & Zip: Beaufort, NC 28516-7672
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
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Tate Lawrence 520 Sensation Weigh, Beaufort, NC 252-728-2690 tlawrence@shmarina
28516 s.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Dylan Cox 530 Sensation Weigh, Beaufort, NC 252-728-2690 [e-mail]
28516-7672 m
11/3/2022 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 11/3/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax Email
Kris Gass 530 Sensation Weigh, Beaufort, NC 252-728-2690 [e-mail]
28516-7672
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: unknown
Outfall Lattitude: 34.806940 Outfall Longitude:-76.681940
Represented by Outfall:
% Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
White Oak Core Creek (Intracoastal Waterway Adams Creek Canal)
21-24 SA;HQW
11/3/2022 Page 2