NC0021156_Owner (Affiliation Change)_20240722

ROY COOPER
Gore,nor
y �
:.°x', :� MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Water Resources Dirctor
reector
ENVIRONMENTAL QUALITY
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCOO I I / y / I Co or NCG5 / / / /
1. Facility Name: (: 1r 0\00.,n - acmi RECEIVED
II. NEW OWNER/NAME INFORMATION: JUL 19 2024
1. This request for a name change is a result of: NCDEQ/DWR/NPDES
a. Change in ownership of property/company
b. Name change only c
c. Other(please explain): Ivy e r �
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title: c›AcgCLA. B\c vt i &
(Person legally responsible for permit)
Mouitoeir-
JJ (Title
4. Mailing address: PO C 466 City: lOLuc1-
State: Pe, Zip Code: tAO-640.6, Phone: ( rc4 ) 3 .0,
E-mail address: jovvIALlik.. 13).o_vA-c5IA.
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

NPDES Name&Ownership Change
Page 2 of 2
Applicant's Certification:
Tonafhan bla�10n 1.
I, , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required suppo information and attachments are not included, this application
package will be returne as incomplete.
Signature: Date: 07-14 POQ 4/
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 11/2017

City Manager
MISSION STATEMENT
The City Manager is responsible for the overall guidance and management of all City Departments and Affairs.The goal,by
way of effective leadership and teamwork,is to enhance the quality of life for those who live,learn,work,play and visit our
community.
THE CITY MANAGER AND THE CITY
The position of City Manager within a city is vital to the development and progression of both the resources and potential a
city and its citizens possess.The City Manager works to unite different organizations within the city and county to provide the
most beneficial interaction.The City Manager's objective through this position is to provide the best customer service to the
city.
CITY MANAGER
The City Manager is appointed by the City Council and serves as the Chief Executive Officer of the City of Mount Holly.The
City Manager is responsible for the daily administration of the City and provides professional leadership in the management
nexecution o icies and formulated bythe CityCouncil.The CityManager develops and recommends
andofpolicies objectives g p
alternative solutions to community problems for City Council consideration,appoints and supervises all department
directors,and makes final investigations of citizen complaints.The City Manager also directs the administration of personnel
relations and participates in intergovernmental relations that affect the City of Mount Holly and its constituents.The City
Manager's Office also provides staff support services to the City Council.
104
Jonathan Blanton
City Manager
[phone]
[phone](fax)
[e-mail]
ASSISTANT CITY MANAGER
The Assistant City Manager reports to the City Manager and is responsible to carry out the duties assigned by the City
Manager. The Assistant City Manager acts on behalf of the City Manager in his absence.
Brian DuPont,AICP,CZO
Assistant City Manager
[phone]
[phone](fax)
[e-mail]
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