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NCG081009_Name-Owner Change Supporting Info (2)_20231013
NC Division of Energy, Mineral and Land Resources NPDES Stormwater Permit Summary NC DEMILR has the following information in our Permit Database for vour permit as of 10/10/2023. Permit Number: NCG081009 Permit Status: Active Permit Type: Transportation w/Vehicle Maintenance/Petroleum Bulk/Oil Water Separator Stormwater Discharge COC Facility Name: CRTS, Inc Facility Addressl: 3301 Integrity Dr Facility Address2: City,State&Zip: Garner, NC 27529 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/Ownership"Form) Owner Name: Crts 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: Barry B Dale Title: Addressl: 3301 Integrity Rd Address2: City, State&Zip: Garner, NC 27529 Work Phone: 919-773-4000 Fax: 919-773-4004 Email Address: *** 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 Barry B Dale 3301 Integrity Rd, Garner, NC 27529 919-773-4000 919-773-4004 Permit Contact Person(s) Contact Name Title Address Phone Fax Email Tammy Crowder 3301 Integrity Dr, Garner, NC 27529 919-773-4000 tammy.crowder©crt sinc.com Permit Billing Contact(s) Contact Name Title Address Phone Fax Email Tammy Crowder 3301 Integrity Dr, Garner, NC 27529 919-773-4000 tammy.crowder©crt sinc.com 10/10/2023 NC Division of Energy, Mineral and Land Resources NPDES Stormwater Permit Summary NC DEMILR has the follcming information in our Permit Database for your permit as of 10/10/2023. 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: 35.731110 Outfall Longitude: -78.585560 Represented by Outfall: Stormwater: 100 % Industrial: Stream Waterbody Basin Waterbody Name Index Number Classification Neuse Big Branch 27-34-11 C;NSW 10/10/2023 Page 2