NCG050303_Name Ownership Change Confirmation_20230509

Sanford, Joyce
From: Sanford, Joyce
Sent: Tuesday, May 9, 2023 2:23 PM
To: [e-mail]
Cc: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCG050303
Attachments: NCG050303.pdf
Good afternoon,
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,
/We s
Stormwater Admistrative Specialist I
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: joyce.sanford(a)-ncdenr.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 5/9/2023.
Permit Number: NCGO50303 Permit Status: Active
Permit Type: Apparel/Printing/Paper/Leather/Rubber Stormwater Discharge COC
Facility Name: OMNOVA North America Inc
Facility Addressl: 2011 Rocky River Rd
Facility Address2:
City, State & Zip: Monroe, NC 28110
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: Omnova North America Inc
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: Rick Hurd Title:
Addressl: 2011 N Rocky River Rd
Address2:
City, State & Zip: Unionville, NC 28110
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: November
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
David Marzec 2011 N Rocky River Rd, Unionville, NC 704-289-6441 david.marzec@omno
28110 va.com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
David Marzec 2011 N Rocky River Rd, Unionville, NC 704-289-6441 david.marzec@omno
28110 va.com
5/9/2023 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 5/9/2023.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
David Marzec 2011 N Rocky River Rd, Unionville, NC 704-289-6441 david.marzec@omno
28110 va.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: Dyr For
Outfall Lattitude: 35.025280 Outfall Longitude:-80.606390 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Dry Fork 13-17-36-6-3 C
5/9/2023 Page 2