NCG180073_Name_Owner Change Confirmation_20221207

Tran, Kieu M
From: Tran, Kieu M
Sent: Wednesday, December 7, 2022 12:02 PM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG180073
Attachments: NCG180073 NPDES SW Permit Summary Report.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
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. Also, can I
get Brandon Hucks work phone and email address? It was left blank on the form.
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: httl2://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwatgr
ic,...�D E ��
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 12/7/2022.
Permit Number: NCG180073 Permit Status: Active
Permit Type: Furniture and Fixtures Stormwater Discharge COC
Facility Name: Century Furniture LLC Plant #12
Facility Addressl: 309 Simpson St Sw
Facility Address2:
City, State & Zip: Conover, NC 28613
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: Century Furniture 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: Brandon M Hucks Title: Senior VP/ CFO
Addressl: PO Box 608
Address2:
City, State & Zip: Hickory, NC 28603
Work Phone: Fax:
Email Address:
*** 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
Dennis B Tart PO Box 608, Hickory, NC 28603 828-326-8376 dennistart@centuryf
urniture.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Dennis Tart PO Box 608, Hickory, NC 28603 828-326-8376 828-326-8649 dennistart@centuryf
urniture.com
12/7/2022 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 12/7/2022.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Dennis Tart PO Box 608, Hickory, NC 28603 828-326-8376 828-326-8649 dennistart@centuryf
urniture.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: unknown
Outfall Lattitude: 35.713890 Outfall Longitude:-81.242220 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Catawba Cline Creek 11-129-5-2 C
12/7/2022 Page 2