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Home My WebLink AboutNC0073172_Ownership Change_20150316 •, A71;57A RECEIVED/DENR/DWR ► MAR 1 6 2015 NCDENR Water Quality North Carolina Department of Environment and Natural ResourcesPermitting Sectior Division of Water Resources Pat McCrory Donald R.van der Vaart Governor WATER QUALITY PERMITTING SECTION Secretary PERMIT NAME/OWNERSHIP CHANGE REQUEST This form is for ownership changes or name changes of NPDES wastewater permits. • "Permittee"references the existing permit holder • "Applicant"references the entity applying for the ownership/name change. I. NPDES Permit No.(Thr which the change is requested): N C 0 0 7 3 1 7 2 or Certificate of Coverage#: N C G 5 0 II. Existing Permittee Information: a. Permit issued to(company name): Vopak Terminal Wilmington b. Person legally responsible for permit: Branden Jones First MI Last Manager, SHEQ- East Coast Title 1710 Woodbine Street Permit(folder Mailing Address Wilmington NC 28401- City State Zip ( ) ( ) Phone Fax c. Facility name: Vopak Terminal Wilmington d. Facility's physical address: 1710 Woodbine Street Address Wilmington NC 28401- City State Zip e. Facility contact person: Branden Jones ( ) First / MI / Last Phone lll. Applicant Information: a. Request for change is a result of: ® Change in ownership of the facility ❑ Name change of the facility or owner ff other please explain: b. Permit issued to(company name): Kinder Morgan Operating LP "C" c. Person legally responsible for permit: Arthur Rudolph First MI Last Vice President of Operations, Eastern Area Title 1500 Greenleaf St. Permit Holder Mailing Address Charleston SC 29405- Ci ty State Zip a rthur_rudo iph@,kindermorgan.c (843)853-0453 om Page I ort Rcvised 7/0/;2Oi4 I., d. Facility name: Kinder Morgan Wilmington Woodbine Street e. Facility's physical address: 1710 Woodbine Street Address Wilmington NC 28401- • City State Zip f. Facility contact person: Christopher M Vogler First MI Last Compliance Assurance Manager-Eastern Area Title christopher vogler@kindermorg (843)853-0453 an.com Phone E-mail Address IV. Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to this ownership or name change? ® Yes ❑ No(please explain) If applicable,the applicant shall submit a major permit modification request to DWR.A major modification shall be defined as one that increases the volume,increases the pollutant load,results in a significant relocation of the discharge point,or results in a change in the characteristics of the waste generated. V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: 1. This completed application is required for both name change and/or ownership change requests. 2. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,or a bill of sale)is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. Applicable regulations:40 CFR 122.41,40 CFR 122.61 and 15A NCAC 02H.0114 The certifications below must be completed and signed byoth the permit holder prior to the change(Permittee),and the new applicant in the case of an ownership change request. For a name change request,the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION(Permit holder prior to ownership change): I, '(Lgrl%r.N ,attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included,this application package will be returned as incomplete. /'.'Izo)S Signature Date APPL CANT CERTIFICATION I, XrJ'kt,r ( � ,attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts oft ' application are not completed and that if all required supporting information is not included,this appf o , ckage 11 .7 as incomplete. /r . ,� "Ds" / 5- gnalure Date ************************** PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST Page 2 or 2 Revised 7/01/2014 4,0 Water Quality Permitting Section 1617 Mail Service Center Raleigh,North Carolina 27699-1617 NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST Page 3 of 2 Revised 7/01/2014