NC0027006_Signature Authority_20190813

August 13, 2019
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
MPLX erinals «c
539 South Main Street
Findlay, OH 45840
Subject: Delegation of Signature Authority
MPLX Terminals LLC
Charlotte West Terminal — NPDES Permit N00046213
Selma West Oak Terminal — NPDES Permit NCO027006
To Whom It May Concern:
By notice of this letter, I hereby designate signatory authority to the following individual for all permit
applications, discharge monitoring reports, and other information pertaining to the operations at the
with the requirements for signatory authority specified in 15A NCAC 2B.0506.
Name: Laurie Wilkins
Title: President, MPLX Terminals LLC
Mailing Address: 539 South Main Street, Room K-06-016
Findlay, OH 45840
Email Address: [e-mail]
Office Phone: [phone]
If you have any questions regarding this letter, please feel free to contact Erin Risner via email at
[e-mail] or via phone at 419-421-2019.
Sincerely, R w
Ange a Brn, President
MPLX Te
539 South Main Street, Room K-06-013
Findlay, OH 45840
asbrown(@marathonoetroleum.com
419-421-2629
CC: Division of Water Resources
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Division of Water Resources
Mooresville Regional Office
610 East Center Ave, Suite 301
Mooresville, NC 28115
[e-mail] [e-mail]

DWR Submitter Change Request Form — (Add/update users)
North Carolina Electronic Discharge Monitoring Report System
Division of Water Resources
EDMR registered Owners may use this form to add or update eDMR users to the NCDWR's Electronic
Discharge Monitoring Report system. If the Organization is not currently registered for eDMR, then the
Owner or designated Responsible Official will need to complete the required eDMR Registration Form
(available from the eDMR website) and submit it to the NCDWR eDMR Administrator at the address
below.
Type of Request (please select):
X Add Submitter Permissions: (See Section B)
Update Submitter Permissions: (See Section B)
To add or update eDMR user permissions, please provide the following information:
Section A: Owner Information
NC0046213,NC0027006
MPLX Terminals LLC
Street Address: j 539 South Main Street, Room K-06-013
OH / 45840
Telephone number: I [phone]
E-mail address:. ) [e-mail]
Section B: Activate New Submitter or Update Existing User
Please complete the Submitter User Details on page 2 for the individuals who will need Submitter
permissions or to update Submitter details, such as adding additional permits, to an existing user.
Submitter permissions can only be assigned by the NCDWR eDMR Administrator. Note: The Owner
and Facility Administrator can deactivate or delete eDMR user permissions for any individual within
its organization, including Submitter permissions.
The Submitter is equivalent to the individual who sikens the certification statement on the back ofthe
Discharge Monitoringeport. The Submitter must be an individual with delegated signatory authority
for the Owner/Organization. If individuals other than the Responsible Official for the Owner have been
delegated signatory authority, the Division of Water Resources must be notified in writing of such
delegations. A delegation of authority form is available from the eDMR website.
In addition to the User Details, please specify the NPDES permit(s) that each user will be associated with
for eDMR submittal. Should additional space be needed for users and/or permits, please make additional
copies of the Submitter User Details page and complete as needed.
NCDWR eDMR Submitter Change Request Form - ver.1.0 Page 1

I PeY nit No. 64l 1 I NCO046213 I NCO027006 I ( I I
Laurie
Wilkins
[phone]
lageorge
@marathonpetroleum.com
Add User Permission
❑ Update User Permission
NCDWR eDMR
08/13/2019
Id/Update User Permission as
Select Re'gnest ❑ Add User Permission
e " ❑ Update User Permission Add/Undate User Permission as of (Date):
NCDWR eDMR Submitter Change Request Form — ver.1.0 Page 2

The Responsible Official, as identified in accordance with 40 CPR 122.22, is the appropriate individual
with the authority to sign reports for the organization.
1, Angela Brown (printed name), have the authority to make this request for
MPLX Terminals LLC (Owner/Organization Name).
I request the NCDWR add or update the eDMR Submitter user permission(s) as indicated above on the
Submitter User Details page.
T" Vice Presidents t
ner/Resp Bible Official Signature Title Date
Please return the completed form to the NCDWR eDMR Administrator via:
ax: or
[phone] [e-mail]
or Mail to:
Information Processing Unit
Attn: eDMR Registration
1617 Mail Service Center
Raleigh, NC 27699-1617
NCDWR eDMR Submitter Change Request Form — ver.1.0 Page 3