NC0087866_Owner Affiliation Change_20171127

Water Resources
Environmental Quality
IC offil
COOPER
Govet of
MICHAEL S. REGAN
Sect etaty
T TNT) A CT TT PFPPFR
RECEIVE®/®FC!!R/®WR
PERMIT NAME/OWNERSHIP CHANGE FORM NOV 272017
CURRENT PERMIT INFORMATION: Water Resources
'rmitting Section
Permit Number: NC00 8 / 7 / 8 / 6 / 6 or NCG5 / / / /
1 Facility Name John F Klme Water Treatment Plant
II. NEW OWNER/NAME INFORMATION:
1 This request for a name change is a result of
a Change In ownership of property/company
b Name change only
X c Other (please explain) New Executive Director
2 New owner's name (name to be put on permit)
3 New owner's or signing official's name and title Gregory T Flory
(Person legally responsible for permit)
Executive Director
(Title)
4 Mailing address P O Box 1326 City Randleman
State NC Zip Code 27317 Phone ( 336 ) 498-5510
E-mail address gflory(a-)-ptrwa org
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 Item No. 3 of attached PTRWA Board
Minutes
[see reverse side of this page for signature requirements]
<--Nothing Compares..
State of North Carolina I Environmental Quality
450 W Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone [phone] FAX [phone]

Applicant's Certification:
I, Gregory T Flory , 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: 11-17-17
THE COMPLETED APPLICATI N 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

MINUTES
PIEDMONT TRIAD REGIONAL WATER AUTHORITY
January 17, 2012
The Piedmont Triad Regional Water Authority (PTRWA) met Tuesday, January 17, 2012 at
12:00 noon in the PTRWA Conference Room, 7297 Adams Farm Road, Randleman, NC.
Chairman Sherrill Shaw called the meeting to order.
Present: Mr. Sherrill Shaw
Mr. John Thomas
Mr. Darrell Frye
Mr. Lewis Dorsett
Mr. John Forbis
Mr. Charles Jones
Mr. Arnold Koonce
Mr. Bob McDuffie
Mr. Tom Phillips
Absent: Mrs. Ruby Jones
Welcome, by PTRWA Chairman Sherrill Shaw
Mr. Shaw welcomed the PTRWA Board members.
1. Approval of December 13, 2011 PTRWA minutes
Mr. Shaw asked if there were revisions to be made in the December 13, 2011 minutes.
Motion was made by Mr. Phillips, seconded by Mr. Forbis, and carried unanimously to
approve the December 13, 2011 PTRWA minutes as presented.
PTRWA Minutes
January 17, 2012

2. NC Wildlife Resources Commission Presentation (Creel Study and Rule -Making)
Corey Oakley and Brian McRae
�1 Mr. Kime reminded the Board of the collaborative effort between the PTRWA and North
Carolina Wildlife Resources Commission (NCWRC) that is in place to conduct a
biological survey of the Randleman Regional Reservoir in order to better manage the
fish population of the reservoir. He then introduced Mr. Corey Oakley (biologist) with
the North Carolina Wildlife Resources Commission (NCWRC). Mr. Oakley explained
that through the creel study boat and bank anglers are interviewed as they are leaving
the lake. They are asked about the length of their trip, the species of fish they targeted,
the number and species of fish they caught, and the number and species of fish they
harvested. The length of harvested fish is also measured. Mr. Oakley then presented
preliminary results of the data obtained in the study from July 1, 2011 through
November 30, 2011 (attached). The creel study will begin again when the reservoir is
opened for the 2012 season and continue through November 30, 2012. The survey is
being conducted at both the Randleman Regional Reservoir Marina and the Southwest
Park Marina by NCWRC biologists, NCWRC creel clerks and PTRWA staff. Mr. Oakley
indicated that after completion, the creel study would be scheduled again on an as -
needed basis and that a biological testing of the reservoir would be on a three-year
rotation.
Mr. Corey also reported that the new regulation for bass harvested from the Randleman
Regional Reservoir has been approved by the NC Wildlife Resources Commission and
will be implemented on March 1, 2012. This rule maintains the daily creel limit of five
bass. However, two bass may be less than fourteen inches (14") and only one bass
may be over twenty inches (20"). He stated that once the Authority has determined the
opening date for the season a press release would be issued from the Commission with
the new regulation information.
Motion was made by Mr. Frye, seconded by Mr. Thomas, and carried unanimously to
approve the opening of the reservoir for public fishing and boating on March 1, 2012.
3. Executive Session — Personnel (NCGS 143-318.11(a)(6)
Motion was made by Mr. Forbis, seconded by Mr. Thomas, and carried
unanimously to go into executive session for the purpose of considering the
qualifications, competence, performance, condition of appointment of a public
officer or employee or prospective public officer or employee (G.S. 143-
318.11(a)(6).
PTRWA Minutes
-2-
January 17, 2012

EXECUTIVE SESSION
EXECUTIVE SESSION ENDED
Mr. Shaw reconvened the meeting and called on Mr. John Forbis, Chairman of
the Personnel Committee, to provide a report. Mr. Forbis thanked the other
members of the committee (Mr. McDuffie, Mr. Koonce, Mr. Dorsett, and Mr.
Jones) for their diligent work in selecting the best candidate to lead the Authority
in the future. Mr. Forbis stated that Mr. Gregory T. Flory has been chosen as the
candidate for the Board's approval as Executive Director effective February 1,
2012. Mr. Forbis also stated that Mr. Kime would work closely with Mr. Flory for
approximately one month. After March 1, 2012, Mr. Kime would serve as a
contracted consultant to the Authority as needed Mr. Flory was then
introduced.
Motion was made by Mr. Phillips, seconded by Mr. McDuffie, and carried
unanimously to enter into the employment agreement with Mr. Flory as the
Executive Director of the Piedmont Triad Regional Water Authority effective
February 1, 2012.
4. Old Business
There was no old business.
5. New Business
There was no new business.
6. Next PTRWA meeting date — Tuesday, February 14, 2012
The next meeting date was set for Tuesday, February 14, 2012 at 12:00 noon in
the PTRWA conference room.
PTRWA Minutes
-3- January 17, 2012

7. Adjournment
There being no other business, the meeting adjourned at 1:17 p.m.
Secretary
r
i
2,
Recordin ` e retary
PTRWA Minutes
-4-
January 17, 2012