NC0083828_Owner Name Change_20160321

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City of Burlington v,. Ab,
Water Resources Department '`' iA
Telephone[phone]• Fax [phone] 'i 017%$~
P.O.Box 1358 vF g
Burlington.NC 27216-1358 E8 14.�g9
To: Charles Weaver, NPDES Permitting
Water Quality Permitting Section CERTIFIED MAIL
1617 Mail Service Center
Raleigh, NC 27699-1617 Return Receipt Requested
Fr: City of Burlington
Date: January 14, 2016 Receipt#:7012 1010 0001 1955 5413
RE: Ownership Change Request
Dear Mr. Weaver,
The City of Burlington recently underwent a management change. Long-time City Manager Harold T.
Owen retired on September 1, 2015. The Burlington City Council appointed an interim manager to
serve throughout the selection process.
Mr. Hardin F. Watkins officially became the City Manager on January 11, 2016.
Included with this letter, please find the necessary Ownership Change Request for each of the Cities
three (3) NPDES permitted facilities. I have also included one copy of the press release that was
issued on December 1, 2015 officially announcing the selection.
Please feel free to contact me at [phone] if you have any questions regarding this issue.
Thank You,
-ter
Nir
•
Eric Davis DECEIVED/NCDEQ/DWR
Water & Sewer Operations Manager
City of Burlington JAN 1 5 2016
Water Quality
Permitting Section
Attachment
CUsers'edavis'Documents Utilities DepartmenlEMS 14001 10000•Admin 10500-External Communications NPDESOwnerDesignationUpdate 160112 doc

17,TI!
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Donald R.van der Vaart
Governor WATER QUALITY PERMITTING SECTION Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form i, for o'ener,hip change, or mune cha1121', of\I'l/l':.ti %ea,te\e:Iter permits.
• I':imill :II, ,•. • , ni11I),, ,ici
• \� � li � ,. i ,,.ung , li i'
I. NPDES Permit No.(for which the change is requested): N C 0 0 8 3 8 2 8
or
Certificate of Coverage#: N C G 5
H. Existing Permittee Information:
a. Permit issued to(company name): City of Burlington
b. Person legally responsible for permit: Frank F Hope
First MI Last
City Manager
Title
P.O. Box 1358
Permit Holder Mailing Address
Burlington NC 27216-
City State Zip
[phone] (336)513-54.52
Phone Fax
c. Facility name: JD Mackintosh Jr. WTP
d. Facility's physical address: 3400 Harris Road
Address
Burlington NC 27217-
City State Zip
e. Facility contact person: Dennis K. Thomas [phone]
First / MI / Last Phone
HI. Applicant Information:
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name): City of Burlington
c. Person legally responsible for permit: Frank H Watkins
First MI Last
City Manager
Title
P.O. 1358
Permit Holder Mailing Address
Burlington NC 27217-
City State Zip
[phone] [e-mail]
Phone E-mail Address
Paee I of 2 Rei ised 7/01/2014

d. Facility name: JD Mackintosh Jr. WTP
e. Facility's physical address: 3400 Harris Road
Address
Burlington NC 27217-
City State Zip
f. Facility contact person: Dennis K Thomas
First MI Last
Chief Operator
Title
[phone] [e-mail]
Phone E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to
this ownership or name change?
® Yes
❑ No(please explain)
If applicable, the applicant shall submit a major permit modification request to DWR. A major modification shall be
defined as one that increases the volume, increases the pollutant load,results in a significant relocation of the
discharge point,or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
I. This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,or a bill of sale) is
required for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
Applicable regulations:40 CFR 122.41.40 CFR 122.61 and I 5A NCAC 02H .01 14
The certifications below must be completed and signed by both the permit holder prior to the change(Permittee),and the
new applicant in the case of an ownership change request. For a name change request,the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I,Frank F. Hope.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 is of included,this application package will be returned as incomplete.
/ b
Signature Date
APPLICANT CERTIFICATION
I,F.Hardin Watkins,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 is not included,this application package will be returned as incomplete.
�. if-ClO /- 2- -(C
Signature Date
**************************
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh.North Carolina 27699-1617
NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST
Page 2 of 2 Revised 7/01/2014

Eric Davis
From: Bob Patterson
Sent: Monday, January 11, 2016 11:13 AM
To: Eric Davis; Shelley Isley
Subject: FW: City of Burlington Press Release: Hardin Watkins Named Burlington's Next City
Manager
From: Rachel Kelly
Sent:Tuesday, December 01, 2015 11:45 AM
Subject:City of Burlington Press Release: Hardin Watkins Named Burlington's Next City Manager
BCity of
URLINGTON
tlflic4• of Public ItllilrI Itin*1
_
MEDIA RELEASE
For Immediate Release Contact: Rachel Kelly
Date: December 1, 2015 [e-mail]
(o) 336.222.5076 (c) 336.516.1532
HARDIN WATKINS NAMED NEXT BURLINGTON CITY MANAGER
BURLINGTON, NC—At an 11:00 a.m. press conference held today in the Burlington City Council Chamber,
Mayor Ronnie K. Wall announced the City Council's selection of Hardin Watkins as Burlington's next city
manager. Mr. Watkins will assume the role of city manager on January 11, 2016.
The selection comes after a national search and extensive assessment process led by Development Associates,
LLC, a North-Carolina based company that helps organizations identify and develop leaders.The selection
process began after the September 1, 2015 retirement of long-time City Manager Harold Owen. Mr. Watkins
was unanimously chosen from a pool of 52 candidates.
Mr. Watkins, a native of Hendersonville, North Carolina, comes to Burlington from the Town of Garner, North
Carolina, where he has held the role of city manager since 2007. He holds a Bachelor of Arts in Public Policy
Analysis, with a specialization in State and Local Administration and a Masters of Public Administration, both
from the University of North Carolina at Chapel Hill. Mr. Watkins' full biography is available online here:
littp://burlingtonnc.gov/DocumentCenter/View/7910.
Reflecting on the selection of Mr. Watkins, Councilmember.Jim Butler said that he"is extremely pleased with
the City Council's section." He added that "Mr. Watkins was a very inspirational candidate who is very well-
rounded, experienced and grounded."
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Councilmember Kathy Hykes commented that "after the exhaustive vetting process, Mr. Watkins was clearly
the most qualified candidate and is a great fit for Burlington.""His enthusiasm for the opportunities that lie
ahead for Burlington really sold me," she said.
During the press conference, Mr. Watkins addressed media and City staff, stating that "I'm thrilled to take on
this role; a major part of who I am is somebody who wants to make my corner of the world a little bit better, the
thing we get to do here in municipal government is to have a chance to do that... I look forward to doing that
here." He went on to say that he is"optimistic about the opportunities that lie before Burlington."
###
A video recording of the press conference is available on YouTube here: https://www.youtube.com/watch?v=Nirly8JJ3cc
Photos Attached
our Mission:
"The(City of Burlington is dedicalcd to providing high quality municipal services ooithin our diverse community in a friendly,
professional and efficient manner in order to promote the safety,health,and quality of life of residents and employees."
Burlington 1lunicipal Building• 425 South Lexington Avenue, Burlington, N('2-215
wvvw.BurlingtonN('.gov • www.Facehook.com/BurlingtouNC•Twitter(u-BurliugtonNC_
\swk‘.FlickR.com/BurlingtonNC• Instagram (a Burlingto1NC_
Rachel Kelly
Office of Public Information I City of Burlington, NC
(0) 336.222.5076 1 (M) 336.516.1532
www.BurlingtonNC.gov
11114
Please note that any and all correspondence to or from this email address is subject to North Carolina Public Records Law and may be disclosed to third parties.
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