NC0000272_Owner (Name Change)_20240923

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Governor\
ELIZABETH S. BISER
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Secretory ownvi
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC0000272
1. Facility Name: Blue Ridge Paper Products Inc., Canton, NC
II. NEW OWNERMAME INFORMATION:
1. This request for a name change is a result of:
_X_a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be put on permit):
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3. New owner's or signing official's name and title:
Eric J. Spirtas
Manager
4. Mailing address: 41 Main St. City: Canton
State: NC Zip Code: 28716 Phone: [phone]
E-mail address:_eric.spirtas(a spirtasworldwide.com
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]
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North Carolina Department of Environmental Qualify 1 Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center ; Raleigh, North Carolina 27699-1617
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919.707.9000

Page 2 of 2
Applicant's Certification:
1, Eric J. Spirtas as manager of TQD Utilities LLQ, 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 supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature:
Date: /y-
THE COMPLETE0k APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
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