NCS000531_Email re update contact information_202021120

McCoy, Suzanne
From: Ann McMillan <[e-mail]>
Sent: Friday, November 20, 2020 9:23 AM
To: McCoy, Suzanne
Subject: [External] Request to update information
Attachments: Owner Information.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
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Good morning,
Please see attached, the items highlighted in yellow need to be updated for permit NCS000531. Only minor changes no
major changes.
Please let me know if you have any questions.
Thank you,
Ann
Ann McMillan I EH&S/ISO Manager
fffl YOU DRIVE.
WE NAVIGATE.
PDLYM ER
5618 Clyde Rhyne Drive I Sanford, NC 27330
office: 919.777.5995 ext. 209
www.stipolymer.com I [e-mail]
1

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 11/20/2020.
Permit Number: NCS000531 Permit Status: Active
Permit Type: Stormwater Discharge, Individual
Facility Name: STI Polymer Inc
Facility Addressi: 5618 Clyde Rhyne Dr
Facility Address2:
City, State & Zip: Sanford, NC 27330
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: Sti Polymer Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/ pri nci pie executive orricer or ranKing eiectea orricial/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Jeff Lamb Title: President
Addressi: 5618 Clyde Rhyne Dr
Address2:
City, State & Zip: Sanford, NC 27330
Work Phone: [phone] Ext. 202 Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: May
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Jeff Lamb President 5618 Clyde Rhyne Dr, Sanford, NC 919-777-5995 [e-mail]
27330 Ext. 202 m
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Ann McMillan EHS Manager 5618 Clyde Rhyne Dr, Sanford, NC 27330 919-777-5995 [e-mail]
Ext. 209
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Ann McMillan EHS Manager 5618 Clyde Rhyne Dr. Sanford NC 27330 919-777-5995 [e-mail]
ext. 209
11/20/2020 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour permit as of 11/20/2020.
Permit Billing Contact(s)
Contact Name Title Address Phone
Fax Email
Accounts 5618 Clyde Rhyne Dr, Sanford, NC 27330 919-777-5995 [e-mail]
Payable
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone
Fax Email
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone
Fax Email
Outfalls
Outfall #: 001 Outfall Description: Concrete Pipe - No industrial activity
Outfall Lattitude: 35.550560 Outfall Longitude:-79.181670
Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Cape Fear Little Buffalo Creek
17-42 C
Outfall #: 002 Outfall Description: Concrete Pipe
Outfall Lattitude: 35.550560 Outfall Longitude:-79.181670
Represented by Outfall:
% Stormwater: % Industrial:
Stream Waterbody
Basin Waterbody Name
Index Number Classification
Cape Fear Little Buffalo Creek
17-42 C
11/20/2020 Page 2