NCS000531_Updated Conatcts_20190715

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMILR has the following contact information in our Permit Database for your permit as of 4/15/2019.
Permit Number, NCS000531
Permit Type: Stormwater Discharoe. Individual
Facility Name: 5TI Polymer Inc
Facility Addressl: 5618 CLyde Rhyne Dr
Facility Address2:
City, State & Zip: Sanford, NC 27330
owner information Details;
MUST submit a Change of Name/Ownerrhfpform to DEMLR to make any changes to this Owner infbi matiion.
(Click Here for "Change of Name Urunershf " Form
Owner Name: SU Polymer Inc
Owner Type: N nn-Gg�en Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/princlple 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: Zejf lamb Title:
Addressl: 5618 Clyde Rhyne Dr
Address2:
City, State & Zip: Sanford, NC 27330
Work Phone: [phone] Ext. 202 Fax:
Email Address: J �G cnb s �GLy m �F , `��r r1
*** Permit Annual Fee Billing ***
Billing Month: M:
Invoice Invoice Date Invoice Due Date Invoice Amount Invoice Status
2019PR002890 4/2/2019 5/2/2019 $860.00 Open
Owner Contact Person(s)
Contact Name Address Phone Fix Email
3eff Lamb �y r �c ti 5618 Clyde Rhyne Dr, Sanford, NC 919-777-5995 pffostit,613YmUrcom
27330 Ext. 202
Facility Contact Person(s)
Contact Name Title Address Phone EAM Email
Ann McMillan 9-5 f cy'nct�sc 5618 Clyde Rhyne Dr, Sanford, NC 27330 919-777-5995 4nn@631peiymer a"
Ext.209 QN� l c� ca--
Permit Contact Person(s)
Contact Name Title Alm phone film Entail
n�jSki PJ-y-r
Permit Billing Contact
Contact Name Ttle Add PEE EI[ E111B1L
Accounts 5618 Clyde Rhyne Dr, Sanford, NC 27330 919-777-5995
Payable -
4/15/2019 Page 1