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Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
FOR AGENCY USE ONLY
Date Received
Year Month Day
National Pollutant Discharge Elimination System (NPDES)
Energy, Mineral &
Land Resources
PERMIT OWNER AFFILIATION DESIGNATION FORM
ENVIRONMENTALOUALITY
(Individual Legally Responsible for Permit)
Use this form if there has been:
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual' mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (of) Certificate of Coverage
N C S N C G o 5 0 1 6 4
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
Sonoco Products Company
212 Cook Road
Address
Elon, NC 27244
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://dgg.nc.-gov/abouttdivisions/energy-mineral4and-resources/energy-mineral-land-permits/stormwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Peggy Davis
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: Jk A n h i '60e
first MI Last
Page 1 of 2
S W U-OWNERAFFIL-23March2017
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of:
If other please explain:
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Title
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Mailing Address
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City State Zip
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Telephone E- ail Address
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Fax Number
❑ Employee or management change
® Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, —J)'n [- - dIL , attest that this application for this change in Owner Affiliation
(person lega ly responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
. -3 M-
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Set -vice Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call (919) 707-9220 or visit the website
at: http://deg.ne.gov/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
SW U-OWNERAFFIL-23Mar2017
C
�m
SANACa
April 13, 2018
NC Department of Environmental Quality
DEMLR - Storm Water Program
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Signatory Authority
Sonoco Products Company, Elon, NC
Dear Department of Environmental Quality,
RECEIVED
MAY 0 3 2018
LAND QUALITY
MINING PROGRAM
As a Vice President of Tubes and Cores for Sonoco Products Company, I hereby authorize the plant
manager to sign as the official representative for environmental purposes for the Elan, NC facility.
The position is currently held by Danny Cook.
If you have any questions regarding this matter, please contact Peggi Davis of our corporate
Environmental Services department at peggi.davis n,sonoco.com, or (843)383-7991.
Sincerely,
James Harrell
V.P. Tubes & Cores, US & Canada
RF�Ei
Mqy VE
04 zp1d D
ST RMwATF QUAtI
RPERMI�NG
North Second Street
Hartsville, S.C. 29550 USA
www.sonoco.com