NCG030296_Owner Affiliation Change and DOSA Docs Email_320240309

July 12, 2023
DEMLR Stormwater Program eDMR
Attn: Suzanne McCoy
1612 Mail Service Center
Raleigh, NC 27699-1612
Subject: Delegation of ftnahire Authority Letter
Dear DEMLR Stormwater Program staff:
By notice of this letter, I hereby signatory authority to each of the individuals listed in the
attached Table 1 for all permit applications, discharge monitoring reports, and other information
relating to the operations at the subject facility as required by all applicable federal, state, and
local environmental agencies specifically within the requirements for signatory authority as
specified in 15A NCAC 2B .0506.
a
General Manager
Parker Hannifin-Kings Mountain, NC
Title of Responsible Official: Rob Jacob
Mailing Address: 101 Canterbury Road
Email Address: Rob,[e-mail]
Office Phone: [phone]
Mobile Phone: [phone]

Table 1: Individuals to be Granted Signatory Authority
eDMR User I❑ Permit Nos.
Individual (if applicable) for which this person shalt have
si nato authori
Craig Sommers NCG030296
-2-

D E
Q
�, Division of Energy,Mineral, and Land Resources FOR AGENCY USE ONLY
Date Received
ITa � � Land Quality Section /Stormwater Program Year Montb Da
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name-Ownership Change Form
and submit the completed form with all required documentation.
What does"legally responsible individual'mean?
The person is either:
• the responsible corporate officer(for a corporation);
• the principle executive officer or ranking elected official(for a municipality, state,federal or other public
agency);
• the general partner or proprietor(for a partnership or sole proprietorship);
• or,the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (or) Certificate of Coverage or No Exposure
N C I S N I C G 0 3 0 2 9 6
2) Facility Information:
Facility name: Parker Hannifin
Company/Owner Organization: Parker Hannifin Corporation
Facility address: 101 Canterbury Road
Address
Kings Mountain NC 28086
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
littps://deg.iic.gov/sw. Navigate to the "NPDES Industrial Program" section and run the Stormwater Permit
Contact Summary Report for your permit number.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Steve Lolli
First M1 Last
4) NEW OWNER AFFILIATION(legally responsible for the permit):
Person legally responsible for this permit: Rob Jacob
First M1 Last
Pagel of 2
Last revised 20 Feb 2022

NPDES Stormwater Permit OWNER AFFILIATION DESIGNATION
Form (if no Facility Name/Ownership Change)
General Manager
Title
101 Canterbury Road
Mailing Address
Kings Mountain NC 28086
City State Zip
704 ) 730-2000 [e-mail]
Telephone E-mail Address
( )
Fax Number
5) Reason for this change:
A result of:
✓❑ Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
Note: 40 CFR 122.22(c) requires an original signature (not diaitall
PERMITTEE CERTIFICATION:
1, Rob Jacob ,attest that this application for this change in Owner Affiliation
(person legally responsible for the permit)has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this form are not completed,this change may not
be process
7/12/2023
Signature Date
PLEASE SEND THE ORIGINAL SIGNED COPY OF THE COMPLETED
OWNER AFFILIATION CHANGE FORM TO:
DEMLR- Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh,North Carolina 27699-1612
For more information or staff contacts,please call(919)707-9220 or visit the website
at: http://deg.ne.gov/sw
Per NC General Statute 143-215.613 (i), any person who knowingly makes any false statement,representation, or
certification in any application,record,report,plan,or other document filed or required to be maintained under this
Article or a rule implementing this Article . . . shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars($10,000).
Page 2 of 2
Last revised 20 Feb 2022

to
ROY COOPER
Governor
ELIZABETH S.BISER
Secretary
DOUGLAS R.ANSEL NORTH CAROLINA
Interim Director Environmental Quality
Stormwater Delegation of Signature Authority Form (DOSA)
This form shall be used to delegate signature authority from the permit Owner (Permittee) to
another party. Only the Responsible Official defined below may submit permit applications and
reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this
form is completed and submitted to the DEMLR Stormwater Program. Please note that.delegating
signature authority does not relieve the Permit Owner from the responsibility and compliance for
permit compliance.
Permit Owner: The legal entity to which/whom a permit has been issued and maybe an individual
or an organization such as a company or government agency. Every Owner is required to have a
Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22,
summarized below:
• For a corporation,the Responsible Official shall be a president,secretary,treasurer,or vice president
in charge of a principal business function,or another individual who performs similar functions for
the corporation,or the manager of one or more manufacturing,production,or operating facilities
who is authorized to make management decisions about the facility operation.
• For a partnership or sole proprietorship,the Responsible Official shall be a general partner or the
proprietor,respectively;or
• For a municipality,State,Federal,or other public agency,the Responsible Official shall be either a
principal executive officer[City/County Manager]or ranking elected official[Mayor].
Please mail the DOSA Form with original wet signatures to: NCDEMLR Stormwater
Program, 1612 MSC,Raleigh, NC 27699-1612
Name of Organizational Entity Parker Hannifin
Responsible Official Name Craig Sommers
Responsible Official Title: Division EHS Manager
Email Address: [e-mail] Phone [phone]
MailingAddress 2745 Snapps Ferry Road
City Greeneville State TN zip code 37745
y North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
E _,�� 512 North Salisbury Street 1 1612 Mail Service Center I Raleigh,North Carolina 2 769 9-1612

A. Persons to Receive Signature Authority
The signatures of the persons listed below indicates their acceptance of signatory authority.
Attach additional pages if you need more space.
Delegated Party Name Craig Sommers
Delegated Party Title Division EHS Manager
PermitNumber(s) NCG030296
Email Address: [e-mail] Phone [phone]
MailingAddress 2745 Snapps Ferry Road
City Greeneville State I TN Zip code 28086
Signature of Delegated Party
indicating acceptance of C
��� jv),n emsSignatory Authority:
Date 7/12/2023
Delegated Party Name
Delegated Party Title
Permit Numbers)
Email Address: Phone
MailingAddress
City State Zip code
Signature of Delegated Party
indicating acceptance of
Signatory Authority:
Date
Delegated Party Name
Delegated Party Title
Permit Numbers)
Email Address: Phone
MailingAddress
City State Zip code
Signature of Delegated Party
indicating acceptance of
Signatory Authority:
Date I
Stormwater Permit Delegation of Signatory Authority Form
Page 2

B. Responsible Official Signature
The Responsible Official,as identified in accordance with 40 CFR 122.22, is the appropriate
individual with the authority to sign and submit reports for the organization.
As the Responsible Official,I, Craig Sommers (printed name),
have the authorityto enter into this Agreement for
Parker Hannifin-Kings Mountain
(Owner/Organization Name).
I requestthat the DEMLR Stormwater Program include the persons listed in Part A of this
form signatory authority for the above-named permit.
I acknowledge that I,and the persons listed in Part A of this form work at/for my
organization and have authorityto act as a signatoryfor purposes of the NCDEQ's
electronic document systems.
By submitting this application,I, Craig Sommers (printed name),have read,
understand,and accept the terms and conditions of the stormwater permit(s)for which I
am the Responsible Official.
Responsible 0 icia ignature
Division EHS Manager 7/12/2023
Title Date
Stormwater Permit Delegation of Signatory Authority Form
Page 3

NC Department of Environmental Quality
Division of Energy, Mineral and Land Resources
NORTH CAROLINA
avlrnnmenlal Quality
Stormwater eReporting Registration Form
Directions are in red.
=> Completion of the Stormwater Electronic Reporting (eReporting) Registration Form is a
required step for the Owner and, if applicable, other User Account(s) to obtain the privilege of
submitting electronic reports to DEQ and in lieu of submitting paper reports.
In addition, this form allows for Owners to designate Facility Administrator(s) and Submitter(s)
who can act on their behalf. Owner and User(s) must agree to the Electronic Signature
Agreement(ESA) Conditions contained in this form.
A. Owner Information
=> The Owner is the legal entity to which whom a permit has been issued. The Owner may be an
individual or organization. Every Owner is required to have a Responsible Official who meets
the legal signature authority requirements in 40 CFR 122.22,
• For a corporation, this individual shall a president, secretary, treasurer, or vice-president in charge of
a principal business function, or another individual who performs similar functions for the corporation,
or the manager of one or more manufacturing, production, or operating facilities who is authorized to
make management decisions about the facility operation.
For a partnership or sole proprietorship, this individual shall be a general partner or the proprietor,
respectively; or
For a municipality, State, Federal, or other public agency, this individual shall be either a principal
executive officer or ranking elected official.
Owner Name: Parker Hannifin Title: Division EHS Manager)
Responsible Official Name: Craig Sommers Phone: [phone]
Does the Responsible Official ❑ Yes ❑No If Yes,
already have an eDMR account? User ID:
Email Address: [e-mail]
Mailing Address_ 2745 Snapps Ferry Road _4
City: Greeneville _ state: TN Zip: F37745
Stormwater Electronic Reporting Registration Form
Page 1

i
B. Permit Information
Include all stormwater permit currently held by the Owner(both Individual and General
permits). Designate any applicable users for each permit. Attach additional pages if you need
more space.
Permit No. Facility Name Facility Address Name of the user
if applicable)
NCG030296 Parker Hannifin 101 Canterbury Road
Stormwater Electronic Reporting Registration Form
Page 2

C. User Account Information
Include the following information for all User(s) listed in Part B. Attach additional pages if you
need more space.
=> Click on one or more of the two access roles available: Facility Administrator and/or
Submitter.
e If the user enters data and submits report on behalf of the facility, then the Submitter
role should be requested. This role is automatically approved to enter and certify the
data. This erson must have signatory authority for the permit.
e If the user is the person responsible for managing user information for the facility/permit,
then the Facility Administrator role should be requested. The Facility Administrator
user can be assigned by the Responsible Official or can be assigned at the time of
registration by the Stormwater eDMR Administrator. Note: If this person is responsible
for submitting eDMR reports, then they must have signatory authority for the permit.
User Account Information Permit Number(s) NCG030296
Request Access Role: QSubmitter [—]Facility Administrator
Name: Craig Sommers Title: Division EHS Manager
Do you already have an eDMR No If Yes,
account? ❑Yes ❑ User ID Phone: [phone]
Organization: Parker Hannifin
Email Address: [e-mail]
Mailing Address: 12745 Snapps Ferry Road
City: I Greeneville State: TN Zip: 37745
User Account Information Permit Number(s) NCG030296
Request Access Role: ❑Submitter Q✓ Facility Administrator
Name: Michael Fox Title: Director-Consultant
Do you already have an eDMR If Yes,
account? IQYes ❑✓ No User ID Phone: [phone]
Organization: Appalachian Environmental Resources, Inc.
Email Address: [e-mail]
Mailing Address: 206 Princeton Road Suite#3
City: Johnson City State: TN 1. Zip: 37601
User Account Information Permit Number(s)
7
Request Access Role: Submitter Facility Administrator
Name: Title:
Do you already have an eDMR If Yes,
account? QYes [:]No UserlD Phone:
Organization:
Email Address:
Mailing Address:
City: State: Zip:
Stormwater Electronic Reporting Registration Form
Page 3

D. Electronic Signature Agreement Conditions
To receive and accept the required electronic signature credential, consisting of a User ID and
password, issued by the North Carolina Department of Environmental Quality (NCDEQ) in order
to sign electronic documents submitted to NCDEQ's Electronic Document Systems and to
receive electronic documents from NCDEQ's systems;
i
The Responsible Official and other User Account(s) (if applicable) named in this form do
herby:
1. Understand that this Electronic Signature Agreement requires me to submit electronic
documents to NCDEQ's approved eDMR system under the authorized program in lieu of
paper submissions.
2. Understand that this Electronic Signature Agreement requires me to accept electronic
transmissions, in lieu of paper transmissions of all permits, permit modifications,
authorizations to construct, and any other correspondence related to reviewing and
processing permits from NCDEQ. This authorization will not become effective until NCDEQ
establishes a system for processing electronic documents; I am notified in writing from
NCDEQ that use of the electronic systems has officially been initiated; and North Carolina
rules and statutes are changed to allow the implementation of electronic submittal and
acceptance of documents.
3. Understand that this Electronic Signature Agreement requires me to submit electronic all
necessary information for processing of NPDES application including information for renewal
of existing permits, modification to existing permits, and applications for new discharge
permits. The submittals may include all necessary applications and supporting documentation
to NCDEQ's approved system for electronic submittals in lieu of paper submissions. This
authorization will not become effective until NCDEQ establishes a system for processing
electronic documents; I am notified in writing from NCDEQ that use of the electronic systems
has officially been initiated; and North Carolina rules and statutes are changed to allow the
implementation of electronic submittal and acceptance of documents.
4. Understand that this Electronic Signature Agreement requires me to accept electronic
submissions, in lieu of paper submissions, of all Notices of Deficiency, Notices of Violation,
Civil Penalty Assessments, and any other correspondence related to compliance with federal
and state water quality laws and regulations that might be sent by NCDEQ. This authorization
will not become effective until NCDEQ establishes a system for processing electronic
documents; I am notified in writing from NCDEQ that use of the electronic systems has
officially been initiated; and North Carolina rules and statutes are changed to allow the
implementation of electronic submittal and acceptance of documents.
5. Agree to protect both the electronic signature credential, consisting of my User ID and
password, and security questions and answers, from compromise and from use by anyone
except me. Specifically, I agree to maintain the secrecy of my electronic signature credential
and security questions and answers; I will not divulge or delegate my credential or security
questions and answers to any other individual; I will not store my credential or security
questions and answers in an unprotected location; and I will not allow my electronic signature
credential or security questions and answers to be written into computer scripts to achieve
automated log-in.
6. Understand and agree that I will be held as legally bound, obligated, and responsible for the
use of my electronic signature as I would be using my hand-written signature.
7. Understand that I will be informed through my registered email address whenever my User ID
or password has been modified.
Stormwater Electronic Reporting Registration Form
Page 4

8. Understand that eDMR reports the last date my User ID and password were used immediately
after successfully logging into eDMR.
9. Agree to contact the NCDEQ SW-eDMR Administrator via email at SW-eDMRCkdeq.nc.gou as
soon as possible, but no later than 24 hours, after suspecting or determining that my User ID
and/or password have become lost, stolen or otherwise compromised.
10. Agree that I will review the contents of all electronic submissions prior to submission.
11. Understand that I will automatically receive an email receipt at my registered email address
from the NCDEQ's SW-eDMR system for any submission that contains a valid electronic
signature, identifying the document received, the signatory, and the date and time of receipt.
12. Agree to contact the NCDEQ SW-eDMR Administrator via email at SW-eDMRna?deq.nc.gav if I
do not receive an email receipt as specified above within five (5) business days for any
electronically signed submission using my credentials.
13. Agree that if I received an email notification for an activity that I do not believe that I
performed, I will notify the NCDDEQ SW-eDMR Administrator via email at SW-
eDMR a�7deq.nc.go• as soon as possible, but no later than 24 hours, after receipt.
14. Agree to report, within 24 hours of discovery, any evidence of discrepancy between any
electronic document I have signed and submitted and what the NCDEQ eDMR has received
from me by contacting the NCDEQ SW-eDMR Administrator via email at
SW-eUNgkCc-y_deq.nc_pov.
15. Understand that the NCDEQ eDMR's system will automatically reject any electronic document
submitted without a valid electronic signature if such signature is required.
16. Agree to contact the NCDEQ SW-eDMR Administrator via email at SW-eDMR @deg,nc.gov
within ten working days if my duties change and I no longer need to interact with eDMR on
behalf of my organization.
17. Agree to notify the NCDEQ SW-eDMR Administrator via email at SW [e-mail] if I
cease to represent the regulated entity specified above as signatory of that organization's
electronic submissions as soon as this change in relationship occurs.
18. Understand that the NCDEQ may contact the Organization's Responsible Official,who signs
below to authorize me as a signatory for the Owner/Organization, in order to verify my identity.
19. Agree to retain a copy of this signed agreement as long as I continue to represent the
regulated entity specified above as signatory of the Organization's electronic submissions.
20. Certify that I have the authority to enter into this Agreement on behalf of the Organization
identified above, and I am a signatory authorized to represent that Organization, and I am able
to sign and submit reports and other information on behalf of that Organization in the capacity
required by statute and/or regulation.
Stormwater Electronic Reporting Registration Form
Page 5

E. Responsible Official Signature
This form must be completed with an original wet signature (not digital) [40 CFR 122.22]
The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate
individual with the authority to sign and submit reports for the organization.
Craig Sommers (printed name), have the authority to enter
into
this Agreement for Parker Hannifin-Kings Mountain (Owner/Organization
Name).
I request the NCDEQ grant me and, if included in Part B of this form, the named User(s), an
electronic signature credential to submit and accept documents electronically on behalf of my
organization.
I acknowledge that I, and if included in Part B of this form, the named User(s), work at/for my
organization and have authority to submit and accept electronic documents and act as a
signatory for purposes of the NCDEQ's electronic document systems.
By submitting this application, I, Craig Sommers (printed name),
have read, understand, and accept the terms and conditions of this Electronic Signature
Agreement. I certify under penalty of law that I have personally examined and am familiar
with the information submitted in this application and all attachments and that, based on my
inquiry of those persons immediately responsible for obtaining the information contained in
the application, I believe that the information is true, accurate and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fine
and imprisonment.
I/ � � Division EHS Manager 7/12/2023
Responsi t
fficial Signature Title Date
eDMR User ID
Stormwater Electronic Reporting Registration Form
Page 6

F. User Signature
=> Provide a .Z�UNarate page for every User listed in Part B.
This form must be completed with an original wet signature (not digital) [40 CFR
122.22]
Users other than the Responsible Official who can submit this agreement to request to sign
reports electronically and other information and to accept electronic documents.
1. Michael Fox (printed name), am authorized by the
Responsible Official named in this document, who has the authority under the applicable
standards, to enter into this agreement for Parker Hannifin-Kings Mountain
(Owner/Organization Name).
By submitting this application, I, Michael Fox (printed name),
have read, understand, and accept the terms and conditions of this Electronic Signature
Agreement. I certify under penalty of law that I have personally examined and am familiar with
the information submitted in this application and all attachments and that, based on my inquiry
of those persons immediately responsible for obtaining the information contained in the
application, I believe that the information is true, accurate and complete. I am aware that there
are significant penalties for submitting false information, including the possibility of fine and
jmpriW ent.
� T Director-Consultant 7/12/2023
U er Signature Title Date
eDMR User ID
Submit the completed Stormwater Electronic Reporting Registration Form in hard copy
with original signature to:
DEMLR Stormwater Program eDMR
Attn: Stormwater eDMR Administrator
1612 Mail Service Center
Raleigh, NC 27699-1612
Stormwater Electronic Reporting Registration Form
Page 7

ROY COOPER
Governor
ELIZABETH S.BISER
Secretary
DOUGLAS R.ANSEL NORTH CAROLINA
Interim Director Environmental Quality
Stormwater Delegation of Signature Authority Form (DOSA)
This form shall be used to delegate signature authority from the permit Owner (Permittee) to
another party. Only the Responsible Official defined below may submit permit applications and
reports required by the permit (such as Data Monitoring Reports and Annual Reports) until this
form is completed and submitted to the DEMLR Stormwater Program. Please note that,delegating
signature authority does not relieve the Permit Owner from the responsibility and compliance Far
permit compliance,
Permit Owner: The legal entity to which/whom a permit has been issued and may be an individual
or an organization such as a company or government agency. Every Owner is required to have a
Responsible Official who meets the legal signature authority requirements in 40 CFR 122.22,
summarized below:
• For a corporation,the Responsible Official shall be a president,secretary,treasurer,or vice president
in charge of a principal business function,or another individual who performs similar functions for
the corporation,or the manager of one or more manufacturing,production,or operating facilities
who is authorized to make management decisions about the facility operation.
■ For a partnership or sole proprietorship,the Responsible Official shall be a general partner or the
proprietor,respectively;or
• For a municipality,State,Federal,or other public agency,the Responsible Official shall be either a
principal executive officer[City/County Manager]or ranking elected official[Mayor].
Please mail the DOSA Form with original wet signatures to: NCDEMLR Stormwater
Program, 1612 MSC,Raleigh, NC 27699-1612
Name of Organizational Entity Parker Hannifin
Responsible Official Name Craig Sommers
Responsible Official Title: Division EHS Manager
Email Address: Phone [phone]
[e-mail]
MailingAddress 2745 Snapps Ferry Road
City Greeneville State T�j Zip code 1 37745
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Center I Raleigh,North Carolina 27699-1612
919.707.9200

A. Persons to Receive Signature Authority
The signatures of the persons listed below indicates their acceptance of signatory authority.
Attach additional pages if you need more space.
Delegated Party Name Craig Sommers
Delegated Party Title Division EHS Manager
PermitNumber(s) NCG030296
Email Address: [e-mail] Phone [phone]
MailingAddress 2745 Snapps Ferry Road
City Greeneville State TN Zip code 28086
Signature of Delegated Party
indicating acceptance of /
Signatory Authority: L,,,
Date 7/12/2023
Delegated Party Name
Delegated Party Title
Permit Number(s)
Email Address: Phone
MailingAddress
City State Zip code
Signature of Delegated Party
indicating acceptance of
Signatory Authority:
Date
Delegated Party Name
Delegated Party Title
Permit Number(s)
Email Address: Phone
MailingAddress
City State Zip code
Signature of Delegated Party
indicating acceptance of
Signatory Authority:
Date
Stormwater Permit Delegation of Signatory Authority Form
Page 2

B. Responsible Official Signature
The Responsible Official,as identified in accordance with 40 CFR 122.22,is the appropriate
individual with the authority to sign and submit reports for the organization.
Rob Jacob
As the Responsible Official,I, _W� (printed name),
have the authorityto enter into this Agreement for
Parker Hannifin-Kings Mountain
(Owner/Organization Name).
I request that the DEMLR Stormwater Program include the persons listed in Part A of this
form signatory authority for the above-named permit.
I acknowledge that I,and the persons listed in Part A of this form work at/formy
organization and have authorityto act as a signatoryfor purposes of the NCDEQ's
electronic document systems.
By submitting this application,I, Rob Jacob (printed name),have read,
understand,and accept the terms and conditions of the stormwaterpermit(s)for which I
am the Responsible Official.
Respt Official Signature
General Manager 7/12/2023
Title Date
Stormwater Permit Delegation of Signatory Authority Form
Page 3

Georgoulias, Bethany
From: Michael Fox <[e-mail]>
Sent: Tuesday, March 5, 2024 4:28 PM
To: Georgoulias, Bethany
Cc: [e-mail]
Subject: FW: [External] RE: DMR Upload Not Accepted
Attachments: Storm water delegation eDMR.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Hi Bethany,
Attached are the documents prepared and submitted for the Parker Hannifin facility located in Kings
Mountain. The DOSA,also on this email, has not received notification about submitting storm water eDMRs on the
NC DEQ website.
Can you review and verify all documents have been received by your group? We still need to submit the 2"semi-
annual 2023 storm water data.
Please let me know if you have any questions.
Thanks,
Michael Fox
Director, EH&S Compliance Services
Appalachian Environmental Resources Inc.
tvww.aertn.com
206 Princeton Reed,Suite 3
Johnson City,TN 396a1
. Cell: 423-956-29Do
Office; 423-434-2985,ext-203
Fax: [phone]
Email: [e-mail]
E-MAIL CONFIDENTIALITY NOTICE:
The contents of this e-mail message and any attachments are intended solely for the addressee(s)and
moy contoinconfidentiol and/or legally privileged information. If you ore not the intended recipient of
this message or if this message has been addressed to you in error,please immediately alert the sender
by reply e-mail and then delete this message and any attachments-If you are not the intended recipient,
you are notified that any use, dissemination,distribution,copying,or storage of this message or any
attachment is strictly prohibited.
From: Georgoulias, Bethany<[e-mail]>
Sent:Tuesday,June 6, 2023 8:23 AM
To: Michael Fox<[e-mail]>
Cc: Sanford,Joyce<[e-mail]>
Subject: RE: [External] RE: DMR Upload Not Accepted
1

CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the
sender and know the content is safe.
Great—thank you! If you have any questions about eDMR registration, let Joyce Sanderson in our group know.
Thanks,
Bethany Georgoulias(she/her)
Environmental Engineer,Stormwater Program
DEMLR Laserfiche Administrator
Division of Energy,Mineral,and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee email addresses
may look different, but email performance will not be impacted.
512 N.Salisbury Street,Raleigh, NC 27604 (location)
1612 Mail Service Center,Raleigh, NC 27699-1612 (mailing)
Website: httl2://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwatgr
From: Michael Fox<[e-mail]>
Sent:Tuesday,June 6, 2023 8:17 AM
To: [e-mail]
Cc: Georgoulias, Bethany<[e-mail]>
Subject: [External] RE: DMR Upload Not Accepted
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good morning.
Thanks for the information. I will upload the DMR to the previous DMR system and register this facility with the new 6-
step process in the new system.
Thanks again,
2

Michael Fox
Director, EH&S Compliance Services
Appalachian Environmental Resources Inc.
rrww.aertn.com
2o6 Princeton Road,Suite 3
Johnson City,TN 376o1
Cell: 4z3-956-2.gDo
Office; 423-434-2985,ext.x03
E&x: 423-434-2794
Email: mfox@-)aertn.cam
E-MAIL CONFIDENTIALITY NOTICE:
The contents of thise-moil message and any attachments care intended solely for rile addressees}and
may cont ainconfi dent ial and/or IegalIyprinileged information. If you are not the intended recipient of
this message or if this message has been addressed to you in error,please immediately alert the sender
by reply a-mail and then delete this message and any attachments_if you are not the intended recipient,
you are notified that any use, dissemination,distribution,copying,or storage of this message or any
attachment is strictly prohibited.
From: [e-mail]<[e-mail]>
Sent: Monday,June 5, 2023 4:18 PM
To: Michael Fox<[e-mail]>
Cc: [e-mail]
Subject: DMR Upload Not Accepted
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the
sender and know the content is safe.
Unfortunately the DMR upload for Permit No. NCG030636 submitted on 12/15/2022 could not be
accepted for the following reason:
The uploaded DMR form was not signed. Please upload a copy of the original signed DMR form for
the October 2022 sample results.
Be sure to add laserfiche.ncdenr.r_ovCcDmccicioud.io to your contacts to avoid future e-mails from going into
Spam filters.
The NC DEMLR Stormwater Program
512 N. Salisbury Street,Archdale Building 6th Floor(640K), 1612 Mail Service Center, Raleigh,
NC 27699-1612
This email was automatically generated by Laserfiche Forms. Please do not respond to this email address, as responses
are not monitored.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
3