NCG050370_Permit Summary Report with Renewal COC_20230720

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your uermit as of 7/20/2023.
Permit Number: NCG050370 Permit Status: Active
Permit Type: Apparel/Printing/Paper/Leather/Rubber Stormwater Discharge COC
Facility Name: FXI Inc. - High Point
Facility Addressi: 2222 Surrett Dr
Facility Address2:
City,State&Zip: High Point, NC 27263-8508
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: Fxi Inc
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: Michael Whitney Title:
Addressi: 2222 Surrett Dr
Address2:
City,State&Zip: High Point, NC 27263
Work Phone: [phone] 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
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Chad Long 2222 Surrett Dr, High Point, NC 336-862-7911 cclong2fxi.com
27263-8508
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Teddy Faust 222 Surrett Dr, High Point, NC 732-272-3733 [e-mail]
27263-8508
7/20/2023 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 uermit as of 7/20/2023.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Yvette 2222 Surrett Dr, High Point, NC 336-862-7920 [e-mail]
Rodriquez 27263-8508
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax Email
Person(s) with Electronic Signature Authority
Tvpe Contact Name Title Address Phone Fax Email
Outfalls
Outfall #: 001 Outfall Description: ditch
Outfall Lattitude: 35.915280 Outfall Longitude: -79.998060 Represented by Outfall:
Stormwater: 100 %Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Uwharrie River 13-2-(0.5) WS-III
7/20/2023 Page 2