NC0003425_Revisions to Delegation of Authority_20170210

DUKE
ENERGY®
PROGRESS
File: 12520 B
Duke Energy Progress, LLC.
Roxboro Steam Electric Plant
1700 Dunnaway Road
Semora, NC 27343
February 10, 2017
Mr. Tom.Belnick RECEIVEMCDEQUA
Division of Water Resources
Water Quality Permitting Section - NPDES FEB 16 2017
1617 Mail Service Center
Raleigh, NC 27699-1617 water (duality
permitting Section
Subject: Revision to Delegations of Authority for Duke Energy Progress, LLC, NC NPDES-Permitted
Facility -Roxboro Steam Electric Plant
Dear Mr. Belnick:
Duke Energy Progress, LLC, submits this correspondence as a revision to documentation for your records
of responsible corporate officers ("Responsible Officials") and designation of duly authorized
representatives ("Delegated Authorities") for the NPDES-Permit for the Roxboro Steam Electric Plant.
We are requesting that Lucas Henderson be removed as the Responsible Official and be replaced with
Jason Haynes. Additionally we would like to add Lucas Henderson as the Delegated Authority to the
previously mentioned permit. We appreciate the timely update of the Division of Water Resources
database to reflect this information so that we may begin submitting Discharge Monitoring Reports
(DMRs), as required by our permit, in NCDEQ's eDMR system.
Duke Energy
NPDES Permit
Responsible Official
Delegated Authorities
ProgressLLC.
Number
Name,- Title
Name -Title
Roxboro Steam
NC0003425
Jason Haynes -
1) Lucas Henderson —
Electric Plant
GM III Regulated
Technical Superintendent
Generation
If you have any questions regarding these designations, please do not hesitate to contact Mr. Robert
Howard at [phone] or via email at [e-mail].
Sincerely,
Jason Haynes,
Attachment: eDMR Registration forms
cc: Raleigh Regional Office - NCDEQ
eDMR Registration

-'-1 W__
Division of Water Resources
D' R
Submitter Change Request Form — (Add/update users)
North Carolina Electronic Discharge Monitoring Report System
EDMR registered Owners may use this form to add or update eDMR users to the NCDWR's Electronic
Discharge Monitoring Report system. If the Organization is not currently registered for eDMR, then the
Owner or designated Responsible Official will need to complete the required eDMR Registration Form
(available from the eDMR website) and submit it to the NCDWR eDMR Administrator at the address
below.
Type of Request (please select):
Add Submitter Permissions: (See Section B)
Update Submitter Permissions: (See Section B)
To add or update eDMR user permissions, please provide the following information:
Section A: Owner Information
NPDES Permit Number:
NC0003425
Owner / Organization Name:
Duke Energy Progress, LLC
Responsible OfficialJason
as identified in accordance with 40,CfIR I22.22) ,
Haynes
Street Address:
1700 Dunnaway Rd
City:
Semora
State / Zip Code:
North Carolina, 27343
Telephone number:
( 336 ) 597-6101
E-mail address:
Jason. Ha nes duke-ener .com
Section B: Activate New Submitter or Update Existing User
Please complete the Submitter User Details on page 2 for the individuals who will need Submitter
permissions or to update Submitter details, such as adding additional permits, to an existing user.
Submitter permissions can only be assigned by the NCDWR eDMR Administrator. Note: The Owner
and Facility Administrator can deactivate or delete eDMR user permissions for any individual within
its organization, including Submitter permissions.
The Submitter is eauivalent to the individual who suns the certification statement on the back of the
Discharge MonitoringRReport. The Submitter must be an individual with delegated signatory authority
for the Owner/Organization. If individuals other than the Responsible Official for the Owner have been
delegated signatory authority, the Division of Water Resources must be notified in writing of such
delegations. A delegation of authority form is available from the eDMR website.
In addition to the User Details, please specify the NPDES permit(s) that each user will be associated with
for eDMR submittal. Should additional space be needed for users and/or permits, please make additional
copies of the Submitter User Details page and complete as needed.
NCDWR eDMR Submitter Change Request Form - ver. 1.0 Page 1

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NCDWR eDMR Submitter Change Request Form - ver. 1.0 Page

Responsible Official Authorization
The Responsible Official, as identified in accordance with 40 CFR 122.22, is the appropriate individual
with the authority to sign reports for the organization.
I, Jason Haynes (printed name), have the authority to make this request for
Duke Energy Progress LLC/Roxboro Steam Electric Plant (Owner/Organization Name).
I request the NCDVWR add or update the eDMR Submitter user permission(s) as indicated above on the
Submitter User Details page.
;'�"�uo���
-
O ner/Responsible Official Signature
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Title
,�--13-I
Date
Please return the completed form to the NCDWR eDMR Administrator via:
Fax: or E-mail: or Mail to:
[phone] eDMRadmin(aA) cdenr.aov Information Processing Unit
Attn: eDMR Registration
1617 Mail Service Center
Raleigh, NC 27699-1617
NCDWR eDMR Submitter Change Request Form - ver. 1.0 Page 3