NCG030672_Name-Owner Change Confirmation_20230404

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 4/4/2023.
Permit Number: NCG030672 Permit Status: Active
Permit Type: Metal Fabrication Stormwater Discharge COC
Facility Name: Jordan Innovative Fabrication LLC
Facility Addressi: 275 Sedberry Rd
Facility Address2:
City, State & Zip: Biscoe, NC 27209
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: Jordan Innovative Fabrication 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: Justin McBride Title:
Addressi: 275 Sedberry Rd
Address2:
City, State & Zip: Biscoe, NC 27209
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: June
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
Justin McBride 275 Sedberry Rd, Biscoe, NC 27209 910-428-2368 jmcbride@jordan-fab
.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Justin McBride 275 Sedberry Rd, Biscoe, NC 27209 910-428-2368 jmcbride@jordan-fab
.com
4/4/2023 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followinLy information in our Permit Database for vour Dermit as of 4/4/2023.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Justin McBride 275 Sedberry Rd, Biscoe, NC 27209 910-428-2368 jmcbride@jordan-fab
.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: Stormwater outfall
Outfall Lattitude: 35.351110 Outfall Longitude:-79.791940 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Hickory Branch 13-25-22-3-1 C
4/4/2023 Page 2

Tran, Kieu M
From: Tran, Kieu M
Sent: Tuesday, April 4, 2023 7:43 AM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG030672
Attachments: NCG030672 NPDES SW Permit Summary Report (1).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,
Mrs. Kieu Tran
Stormwater Program Environmental Specialist
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
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