NCG180177_Permit Contacts Summary Report_20181022

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in our Permit Database for your permit as of 10/22/2018.
Permit Number: NCG180177
Permit Type: Furniture and Fixtures Stormwater Discharge COC
Facility Name: Hickory Chair LLC
Facility Addressl: 37 9th Street PI SE
Facility Address2:
City, State & Zip: Hickory, NC 28602
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(C/ick Here for 'Change of Name/Ownership"Form
Owner Name: Hickory Chair LLC
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Timothy James Atkins Title: Plant Manager
Addressl: 37 9th Street PI SE
Address2:
City, State & Zip: Hickory, NC 28602
Work Phone: [phone] Ext. 7220 Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: September
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Chris Larry 37 9th Street PI SE, Hickory, NC 28602 828-328-1802 chris.farabee@hickor
Farabee Ext. 3343 ychair.com
Permit Contact Person(s)
Contact Name Title
Address
Phone Fax
Email
Chris Larry
37 9th Street PI SE, Hickory, NC 28602
828-328-1802
chris.farabee@hickor
Farabee
Ext. 3343
ychair.com
Permit Billing Contact
Contact Name Title
Address
Phone Fax
Email
Timothy James
37 9th Street PI SE, Hickory, NC 28602
828-328-1802
tim.atkins@hickoryc
Atkins
Ext. 7220
hair.com
10/22/2018 Page 1