NCG020052_DOSA Form_20221201

November 28, 2022
REC;EI\/ED
DFC 61 2V?
D'cNR•LAND QUALITY
STORimP/ATER PERMITTING
Ms. Bethany Georgoulias, Environmental Engineer
DEMLR Stormwater Program
512 N. Salisbury Street
Raleigh, NC 27604
RE: Hanson Aggregates Southeast LLC
Stormwater Permit Delegation of Signature Authority Form
Dear Ms. Georgoulias:
■■■
■■■
"'Hanson
HEIDELBERG CEMENTGrou p
Hanson Aggregates Southeast LLC
South Region
North Carolina Territory Office
3825 Barrett Drive, Suite 300
Raleigh, NC 27609
Tel [phone]
Fax [phone]
w .lehiahhanson.com
Hanson Aggregates Southeast LLC is hereby submitting the attached Stormwater Permit
Delegation of Signature Authority Form delegating signatory authority to Ms. Mary Ann Hoerle for
its thirteen (13) stormwater permitted sites. The affected permitted sites are listed in the table
below. Mary Ann is taking my place as environmental manager since I will be retiring as of
December 31, 2022.
Plant
COC No.
County
Re ional Office
Crabtree u
NCG020052
Wake
Ralei h
Durham Sales Yard
NCG020088
Durham
Ralei h
Elliott Sand & Gravel
NCG020178
Hamett
Fa etteville
Elm CityNCG020182
Wilson
Ralei h
Gardner u
NCG020164
Harnett
Fa etteville
Holt Springs u
NCG020087
Wake
Ralei h
Lexington Quarry
NCG020204
Davidson
I Winston-Salem
Neverson Quarry
NCG020234
Wilson
Raleigh
Princeton II Quarty
NCG020124
Johnston
Raleigh
Raleigh Quarry
NCG020209
Wake
Raleigh
Rocky Mount R Quarry
NCG020121
Ed ecombe
Raleigh
Rou emont Quarry
NCG020235
Durham/Omn a
Raleigh
Senter Sand & Gravel
NCG020156
Harnett
Fayetteville
Should you have any questions or need additional information, please call me: [phone], or
reach me by email: Jack. GarveVCa2lehighhanSOn.COm .
Sincerely,
Sc? Garvey
Environmental Manager
cc: Mary Ann Hoerle, NC Environmental Manager
Daren McMorris, NC General Manager
Scott Dickson, VP/GM Southeast Region

�• 4
NC Department of Environmental Quality
"`• "�' Division of Energy, Mineral and Land Resources
NOR�N CAROLINA
Emlmnmenml Quallry
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 elected 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:
Hanson Aggregates Southeast LLC
Responsible Official Name:
Daren McMorris
Responsible Official Title:
NC General Manager
Email Address:
[e-mail]
Phone:
[phone]
Mailing Address:
3825 Barrett Drive, Suite 300
City:
Raleigh
I State:
I NC
ZiP
27609
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:
Mary Ann Hoede
Delegated Party Title:
Environmental Manager
Permit Number:
Email Address:
[e-mail]
I Phone:
(91g) 357-6695
Mailing Address:
3825 Barrett Drive, Suite 300
City:
Raleigh
1 State:
NC
I Zip:
127609
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
I November 23, 2022
Delegated Party Name:
Delegated Party Title:
Permit Number:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Permit Number:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
acceptance of Signatory Authority:
Date:
Delegated Party Name:
Delegated Party Title:
Permit Number:
Email Address:
Phone:
Mailing Address:
City:
State:
Zip:
Signature of Delegated Party indicating
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, Daren McMorris (printed name),
have the authority to enter into this Agreement for
iiGnSon ���c _OP5 lou_}�ep6V LL _ (Owner/Organization Name).
I request that the DEMLR 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 at/for my organization
and have authority to act as a signatory for purposes of the NCDEQ's electronic document
systems.
By submitting this application, I, Daren McMonis (printed name),
have read, understand, and accept the terms and conditions of the stormwater permit(s) for
which I am the Responsible Official.
Responsible Official Signature
NC General
Title
11/23/2022
Date
Stormwater Permit Delegation of Signatory Authority Form
Page 3