NCG060368_BIMS Contacts Report_20190108

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 1/8/2019.
Permit Number: NCG060368
Permit Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Facility Name: New Belgium Brewing Company, Inc.
Facility Addressl: 91 Craven St
Facility Address2:
City, State & Zip: Asheville, NC 28806
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name: New Belgium Brewing Company Inc
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: Nick Ampe Title: Environmental Health Specialist
Addressl: 500 Linden St
Address2:
City, State & Zip: Fort Collins, CO 80524
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: February
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
2019PR000209 1/3/2019 2/2/2019 $100.00 Open
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Nick Ampe Environmental Health 500 Linden St, Fort Collins, CO 80524 970-494-7805 nampe@newbelgium
Specialist com
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact
Contact Name Title Address Phone Fax Email
Nick Ampe 91 Craven St, Asheville, NC 28806 828-333-6900
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