NCG210411_Stormwater Permit Name_Owner Change Confirmation _20230323

Sanford, Joyce
From: Sanford, Joyce
Sent: Thursday, March 23, 2023 8:34 AM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG210411
Attachments: NPDES SW Permit Summary Report-ncg210411.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,
JOYCE S F®
Admistrative Specialist I
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: joyce.sanford(cDncdenr.gov
Physical Address: 512 North Salisbury Street
Mailing Address: 1612 Mail Service Center
Raleigh, INC 27699-1612
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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 3/23/2023.
Permit Number: NCG210411 Permit Status: Active
Permit Type: Timber Products Stormwater Discharge COC
Facility Name: Profile Products LLC Broad River
Facility Addressl: 2075 Centennial Rd
Facility Address2:
City, State & Zip: Union Mills, NC 28167
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: Profile Proucts 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: Michael Hatawav Title:
Addressl: 750 W Lk Cook Rd Ste 440
Address2:
City, State & Zip: Buffalo Grove, IL 60089
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: April
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2023PR002526 3/3/2023 4/2/2023 $100.00 Open
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Caleb Minter 219 Simpson St Sw, Conover, NC 28613 828-502-2610 calebminter@profile
products.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Michael Hataway 219 Simpson St Sw, Conover, NC 28613 828-446-1230 Mhataway@profilepr
oducts.com
3/23/2023 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 3/23/2023.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax
Email
Accounts 219 Simpson St Sw, Conover, NC 28613 828-327-4165
Apconover@prof ilep
Payable
roducts.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: UT to Second Broad River
Outfall Lattitude: 35.481390 Outfall Longitude:-81.937500
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Broad Second Broad River
9-41-(0.5)
WS-V
Outfall #: 004 Outfall Description: Outfall 4a
Outfall Lattitude: 35.475830 Outfall Longitude:-81.938890
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream
Waterbody
Basin Waterbody Name
Index Number
Classification
Broad Second Broad River
9-41-(0.5)
WS-V
3/23/2023 Page 2