NC0027341_Owner Name Change_20160919

NA
Tennessee Valley Authority, 1101 Market Street, BR 4A, Chattanooga, Tennessee 37402-2801
September 14, 2016
RECEIVEDINCDENWR
SEP 19 2016
Division of Water Resources water Quality
Water Quality Permitting Section Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Maddam or Sir:
TENNESSEE VALLEY AUTHORITY - CHATUGE HYDRO (CTH), FONTANA HYDRO (FNH),
AND HIWASSEE HYDRO (HIH) - NPDES PERMIT NAME CHANGE REQUESTS,
Enclosed are completed name change request forms for the following facilities.
Facility
NPDES Permit
No.
Chatuge Hydro (CTH)
NCO027332
Fontana Hydro (FNH)
NCO027341
Hiwassee Hydro (HIH)
NCO027359
If you have any questions regarding this matter, please contact Mike Stiefel at
[phone] in Chattanooga, Tennessee or by email at mbstiefel(d)-tva.gov.
Sincerely,
C-'
Terry . Cheek
Senior Manager
Water Permits, Compliance, and Monitoring

Pat McCrory
Governor
I.
II.
G
IVA
:
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Donald R. van der Vaart
WATER QUALITY PERMITTING SECTION Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee" references the existing permit holder
• "Applicant" references the entity applying for the ownership/name change.
NPDES Permit No. (for which the change is requested): N C 0 02 73 4 1
or
Certificate of Coverage #: N C G 5
Existing Permittee Information:
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name:
d. Facility's physical address:
Tennessee Valley Authority -TVA
Cynthia M Anderson
First MI Last
Senior Manager, Water and Waste Compliance
Title
1101 Market Street, BR 4A
Permit Holder Mailing Address
Chattanooga TN 37402 -
City State Zip
[phone] [phone]
Phone Fax
Fontana Hydro Plant
NC Highway 28 (near Fontana Village)
Address
Fontana Village NC 28733
City State Zip
e. Facility contact person: TVA [phone]
First / MI / Last Phone
III. Applicant Information:
a. Request for change is a result of:
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
❑ Change in ownership of the facility
® Name change of the facility or owner
Tennessee Valley Authority -TVA
James R Dalrymple
First M1 Last
Senior Vice President, Power Operations
Title
1101 Market Street, LP 3K
Permit Holder Mailing Address
Chattanooga TN 37402 -
City State Zip
[phone] [e-mail]
Phone E-mail Address
Page 1 of 2 Revised 7/01/2014

d. Facility name: Fontana Hydro Plant
e. Facility's physical address: NC Highway 28 (near Fontana Village
Address
Fontana Village NC
28733
City State
Zip
f. Facility contact person: Lisa M
Perkey
First MI
Last
Environmental Scientist
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:
1. 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 15A NCAC 02H .0114
.....................................................................................................................
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, , 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.
Signature
APPLICANT CERTIFICATION
Date
I, James R. Dalrymple, 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 uired su porting inform ' n is not included, this application package will be returned as incomplete.
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

d. Facility name: Fontana Hydro Plant
e. Facility's physical address: NC Highway 28 (near Fontana Village
Address
Fontana Village NC 28733
City State Zip
f. Facility contact person: Lisa M Perkey
First MI Last
Environmental Scientist
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:
1. 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 15A NCAC 02H .0114
.....................................................................................................................
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, , 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.
Signature
APPLICANT CERTIFICATION
Date
I, James R. Dalrymple, 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 uired su porting inform ' n is not included, this application package will be returned as incomplete.
.",A
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 7/0112014