NCS000370_Stormwater Permit Contact information_20201105

McCoy, Suzanne
From: McCoy, Suzanne
Sent: Thursday, November 5, 2020 11:02 AM
To: [e-mail]
Cc: [e-mail]
Subject: NCS000370_Stormwater Permit Contact information _20201105
Attachments: NCS000370_Ltr re eDMR-Summary Report_20201105.pdf
Good morning.
Attached please find a copy of a letter being sent regarding upcoming changes to the reporting format for Stormwater
Permit sampling data.
Included with the letter is a Permit Summary Report.
It has come to my attention that the Owner Affiliation does not include a mailing address.
Please review the report and update accordingly.
Below is a portion of our website that has links to various forms that may be needed.
Manage Information for an Existing Industrial Permit
Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)
for the facility.
To update the:
• Facility name or ownership, complete the Name/Ownership Change Form.
• Legally responsible person, complete the Owner Designation/Affiliation Form.
• Facility address or contact information, email Suzanne McCoy.
• Billing contact, email Aziza Selkane.
• Stormwater outfall information, email Suzanne McCoy.
Suzanne McCoy
Stormwater Program Administrative Specialist
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Physical: 512 N. Salisbury Street, Office 640K, Raleigh, NC 27604
Mailing: 1612 Mail Service Center, Raleigh, NC 27699-1612
Email: Suzanne. mccoy(a) ncden r.gov
Phone: [phone]
Website: http://deg.nc.gov/about/divisions/energy-mineral-land-resources/stormwater

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Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Before printing this email, please consider your budget and the environment.
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working remotely or
are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting public access to
appointments only. Please check with the appropriate staff before visiting our offices, as we may be able to handle your
requests by phone or email. We appreciate your patience as we continue to serve the public during this challenging
time.

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRIAN WRENN
Director
Vergil Noorod
Subject
LLC
NORTH CAROLINA
Environmental Quality
November 4, 2020
NPDES Industrial Stormwater Permit
Electronic Reporting Requirements
Individual Permit No. NCS000370
Bridgestone Americas Tire Operations LLC- Bridgestone Americas Tire Operations,
Wilson County
On January 1, 2021, all NPDES Individual Industrial permittees will begin reporting required
sampling data via the electronic Data Monitoring Report (eDMR) system. The six step-Stormwater
eDMR process can also be found by entering "deg.nc.gov/SW-eDMR" in your browser. All
instructions, links and forms you will need are available there.
You will need to complete the following steps by the following dates:
By December 1, 2020, you will need to complete:
- Step 1: Verify Database Information
- Step 2: Submit eReporting Registration Form
By February 1, 2021, you will need to complete:
- Step 3: Set Up Data Entry and View Only Users in eDMR
- Step 4: Request Certify and Submit Privileges for Certain Users
Before July 1, 2021, you will need to have completed Step 5: Enter Monitoring Data in eDMR. Your
permit requires that monitoring data be submitted within 30 days of receiving the data from the
lab.
On an ongoing and as -needed basis, you will need to complete Step 6: Maintain Facility and User
Data.
If you have questions, please contact Annette Lucas, Stormwater Program Supervisor at 919-707-
3639 or [e-mail] or Suzanne McCoy, Administrative Expert at 919-707-3640 or
[e-mail].
S erely,,�rM
n&(r—\ 1
for Brian Wrenn
Director
D E Q North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
512 North Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
NORTH CAROLINA �
°iw""N a1 E N oM"in M °rN� 919.707.9200

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 11/5/2020.
Permit Number: NCS000370 Permit Status: Fxpired
Permit Type: Stormwater Discharge, Individual
Facility Name: Bridgestone Americas Tire Operations, LLC
Facility Addressl: 3001 Firestone Pkwv
Facility Address2:
City, State & Zip: Wilson, NC 27893
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: Bridgestone Americas Tire Operations 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: Vergil Noorod Title:
Addressl:
Address2:
City, State & Zip:
Work Phone: [phone] Fax:
Email Address: norrociverail(ftfusa.com
*** Permit Annual Fee Billing ***
Billing Month: A ril
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
Tausha Fanslau Env. Engineer
PO Box 1139, Wilson, NC 27894-1139
252-246-7485
fanslautaush@bfusa.
Corn
Permit Contact Person(s)
Contact Name Title
Address
Phone Fax
Email
Tausha Fanslau
PO Box 1139, Wilson, NC 27894-1139
252-246-7485
fanslautaush@bfusa.
11/5/2020
Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followinLy information in our Permit Database for vour permit as of 11/5/2020.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Tausha Fanslau PO Box 1139, Wilson, NC 27894-1139 252-246-7485 fanslautaush@bfusa.
com
Type Contact Name Title Address Phone Fax Email
Type Contact Name Title Address Phone Fax Email
Outfall #: 1 Outfall Description: South Outfall
Outfall Lattitude: 35.759720 Outfall Longitude:-77.872220
Stormwater: 100 % Industrial:
Basin Waterbody Name
Neuse Toisnot Swamp
Represented by Outfall:
Stream Waterbody
Index Number Classification
27-86-11-(5) C;Sw,NSW
Outfall #: 2 Outfall Description: East Outfall
Outfall Lattitude: 35.759720 Outfall Longitude:-77.872220 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Tar -Pamlico White Swamp 28-83-1 C;NSW
11/5/2020 Page 2

North Carolina Secretary of State Search Results Page 1 of 1
• File an Annual Report/Amend an Annual Report".• Upload a PDF Filing • Order a Document Online • Add Entity to My Email
Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Bridgestone Americas Tire Operations, LLC
Prev Legal Name
Bridgestone Firestone North American Tire, LLC
Prev Legal Name
Bridgestone/Firestone North American Tire, LLC
Information
Sosld: 0609795
Status: Current -Active O
Date Formed: 11/9/2001
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
Registered Agent: United Agent Group Inc.
Addresses
Reg Office Reg Mailing
15720 Brixham Hill Avenue #300 15720 Brixham Hill Avenue #300
Charlotte, NC 28277
Principal Office
200 4TH AVENUE S, STE 100
Nashville, TN 37201
Company Officials
Charlotte, NC 28277
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Scott Damon
200 4TH AVENUE SOUTH STE 100
NASHVILLE TN 37201
Assistant Secretary
Asahiko Nishiyama
200 4TH AVENUE, STE 100
NASHVILLE TN 37201
Manager
Mailing
200 4TH AVENUE S, STE 100
Nashville, TN 37201
Thomas J. Higgins
200 4TH AVENUE SOUTH, STE 100
NASHVILLE TN 37201
Manager
Gordon Knapp
200 4TH AVENUE SOUTH STE 100
Nashville TN 37201
https://www.sosnc.gov/online_services/search/Business Registration_Results 11/5/2020