NCS000543_RE Name-Owner Change Confirmation_20220322

Tran, Kieu M
From: Tran, Kieu M
Sent: Tuesday, March 22, 2022 10:08 AM
To: [e-mail]
Subject: Stormwater Permit Name/Owner Change Confirmation for NCS000543
Attachments: NCS000543 NPDES SW Permit Summary Report.pdf
Good morning,
We have processed the Name/Ownership change for this permit. Please review the attached Permit Summary Report
and verify that the new information is accurate. Please let me know if there are any other necessary updates.
Thank you,
Kieu Tran
4
E Q'
Stormwater Program Administrative Assistant o,--D
Office: (919) 707- 3640
Kieu.Tran @ncdenr.gov
North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources Stormwater Program
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties

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 3/22/2022.
Permit Number: NCS000543 Permit Status: Expired
Permit Type: Stormwater Discharge, Individual
Facility Name: Carus LLC
Facility Addressl: 181 Woodlawn St
Facility Address2:
City, State & Zip: Belmont, NC 28012
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/Ownershiv"Form)
Owner Name: Carus 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: Mack Cochran Title:
Addressl: 181 Woodlawn St
Address2:
City, State & Zip: Belmont, NC 28012
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: December
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
Mack Cochran 181 Woodlawn St, Belmont, NC 28012 704-822-1441
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Mack Cochran 181 Woodlawn St, Belmont, NC 28012 704-822-1441
3/22/2022 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 your permit as of 3/22/2022.
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: pond outfall
Outfall Lattitude: 35.267220 Outfall Longitude:-81.046670 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Catawba South Fork Catawba River 11-129-(15.5) WS-V
3/22/2022 Page 2