SW3110401_Renewal Application_20210111

Date Received Fee Paid Permit Number
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER: JAN I ZOO
PERMIT RENEWAL APPLICATION FORM -
DENR-LAND QUALITY
STORMWATER PERMri TING
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398(SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW3110401
2. Project name: Albemarle U.S. (Formerly Chemetall Foote Corp.) New Office and Laboratory Project
3. Project street address: 348 Holiday Inn Drive
City: Kings Mountain County: Cleveland ZIP : 28086
4. What, if any, changes have been made to the project as permitted? None, other than corporate name
change
If the project has changed from the original approved plans, please complete SWU-101 for a Major
Modification or Minor Modification Application form available at:https://deq.nc.00v/about/divisions/energy-
mineral-land-resources/enerqy-mineral-land-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at:https://deq.nc.gov/about/divisions/energy-mineral-Iand-
resources/energy-mineral-land-rules/stormwater-program/post-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: Albemarle U.S., Inc
2. Signing Official's Name: Mitchell Bruce
3. Signing Official's Title: Site Director
4. Mailing Address: Same as Project
City: State: ZIP :
5. Street Address:
City: State: ZIP :
6. Phone: [phone] Email: mitchell.bruce(a�albemarle.com
Stormwater Permit Renewal Form Page 1 of 3 May 11,2018

C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office(Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non-Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial each item below to indicate that the required information is provided in the application package:
E'"' A permit application processing fee of$505.00 payable to NCDEQ.
/�IyL 2. One original signed hard copy and one electronic copy of this completed form. The signing official
UU named on this application to represent the current permittee must meet one of the following:
a. Corporation—a principle executive officer of at least the level of vice-president;
b. Limited Liability Company(LLC)—a manager or company official as those terms are defined
in G.S. 57D"North Carolina Limited Liability Company Act;"
c. Public Entity—a principal executive officer, ranking official, or other duly authorized employee;
d. Partnership or limited partnership—the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a—e above authorizing the
signature of another entity.
nil(- 3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
1L 4. O&M Agreements, Please select one:
® I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit; or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
ooL 5. Designer Certifications, Please select one:
® A copy of the certification(s)confirming that the project was built in accordance with the
approved plans have been previously provided to the Division; or
❑ A copy of the certification(s)confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
thIL. 6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
V t`- 7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation(LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
Stormwater Permit Renewal Application Form Page 2 of 3 May 11,2018

D. PERMITTEE'S CERTIFICATION
I, Mitchell Bruce, the person legally responsible for the permit, certify that I have a copy of the Permit and O&M
Agreement on site (or I will obtain a copy and it will be kept on site), that I am responsible for the performance of
the maintenance procedures, and the site has been and will be maintained according to the O&M Agreement and
approved plans. I agree to notify DEMLR of any problems with the SCMs or built-upon area and to submit the
proper forms to modify or transfer the permit prior to any changes to the project, SCMs, or ownership. All
information provided on this permit renewal application is, to the best of my knowledge, correct and complete.inaillif,
Signature: VI'dJ'c_[,(..f e_______ Date: i Z Z cI Iz d
NOTARIZATION: jj��
I, 'eqJJl na Dawn Tra C� , a Notary Public for the State of
.JVD(11'1 CCLr0)i rl Q , County of CTaS 171 , do hereby certify
that i , +Ch el I 6 ruc e_ personally appeared before me
this ,,,.,, 2 q day of DCCern her , 20 zO , and acknowledge the due
�a9tVit f &,orgoing instrument. Witness my hand and official seal,
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chss Myoiti ion expires 1 - 9 — 20211
Stormwater Permit Renewal Application Form Page 3 of 3 May 11,2018

State Stormwater Permit
Permit No. SW3110401
Chemetall Foote Corp. New Office and Laboratory Project
Stormwater Permit No. SW3110401
Cleveland County
Designer's Certification
I, Timothy D Foley , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically!weekly!
full time)the construction of the project,
Chemetall Foote Corp. New Office and Laboratory Project
(Project Name)
for Chemetall Foote (Project Owner) hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
The checklist of items on page 2 of this form is included In the Certification.
Noted deviations from approved plans and specification:
• SEAL
Signature , ((: A _,r- �� ,,,,,,,,,,,,,,,,,
p��� eto�����''
Registration Number 23557 Q 't•
SEAL t
s
Date ;3•• Z- - i 2- = t 23557 r
Page 5 of 6

0
State Stormwater Permit
Permit No. SW3110401
Certification Requirements:
X 1. The drainage area to the system contains approximately the permitted
acreage.
X 2. The drainage area to the system contains no more than the permitted
amount of built-upon area.
X 3. All the built-upon area associated with the project is graded such that the
runoff drains to the system.
X 4. All roof drains are located such that the runoff is directed into the system.
X 5. The outlet/bypass structure elevations are per the approved plan.
X 6. The outlet structure is located per the approved plans.
X 7. Trash rack is provided on the outlet/bypass structure.
X 8. All slopes are grassed with permanent vegetation, per the vegetation plan.
X 9. Vegetated slopes are no steeper than 3:1.
X 10. The inlets are located per the approved plans and do not cause short-
circuiting of the system.
X 11 The permitted amounts of surface area and/or volume have been
provided.
X 12. Required drawdown devices are correctly sized per the approved plans.
X 13. All required design depths are provided.
X 14. All required parts of the system are provided, such as a vegetated shelf,
and a forebay.
X 15. The required system dimensions are provided per the approved plans.
cc: NCDENR-DWQ Mooresville Regional Office
Cleveland County Building Inspections
Page 6 of 6

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�„`, NORTH CAROLINA
�. r J' Department of the Secretary of State
CERTIFICATE OF AUTHORIZATION
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby
certify that
ALBEMARLE U.S., INC.
a corporation organized under the laws of Delaware was authorized to transact
business in the State of North Carolina by issuance of a certificate of authority on the 8th
day of November, 2002.
I FURTHER certify that the said corporation's certificate of authority is not
suspended for failure to comply with the Revenue Act of the State of North Carolina; that
the said corporation's certificate of authority is not revoked for failure to comply with the
provisions of the North Carolina Business Corporation Act; that its most recent annual
report required by G.S. 55-16-22 has been delivered to the Secretary of State; and that a
certificate of withdrawal has not been issued in the name of the said corporation as of the
date of this certificate.
IN WITNESS WHEREOF, I have hereunto set
1-4
CI�` ;,r o � affixed El my hand and my official seal at the City
J �� of Raleigh,this 16th day of June, 2017.
to
'.1- lit fr:""` ' - Dn'r #10,itt.....4 lawitaie
•(sm,,;,;-', Scan to verify online.
Certification#100787017-1 Reference# 13902146- Page: 1 of 1 Secretary of State
Verify this certificate online at httpJ/www.sosnc.gov/verification

A ALBEMARLE®
4250 Congress Street,Suite 900
Charlotte,North Carolina 28209-4865
December 10,2019
Delegation of Authority for Reports to be Filed
By Albemarle U.S., Inc.—Kings Mountain,North Carolina
Effective immediately, I, Eric Norris, President of Albemarle U.S., Inc., hereby delegate to Mr.
Mitchell V.Bruce the authority to sign any and all reports and/or documents which are required to
be or may be filed on behalf of Albemarle U.S., Inc.'s plant located in Kings Mountain, North
Carolina under permits or licenses issued by:
Department of the Treasury, Alcohol and Tobacco Tax and Trade Bureau
North Carolina Department of Environment and Conservation
U.S. Department of Homeland Security
U.S.Department of Transportation
U.S. Environmental Protection Agency
U.S.Fish and Wildlife Service
U.S.Drug Enforcement Administration
Mr. Bruce is the Site Director of Albemarle U.S.,Inc.'s Kings Mountain Plant and is responsible
for the entire operation of thc facility.
This Delegation of Authority shall remain in effect for the duration of the permits referenced above
unless earlier revoked. Any such revocation will be by written notification from the undersigned.
Eri orris
President
cc: David Lima
John Kuhn
Proprietary Information of Albemarle Corporation-Confidential

ALBEMARLE'
Kings Mountain Facility
348 Holiday Inn Drive
Kings Mountain NC 28086
December 29, 2020
RECFNED
Mr. Corey Anen
NC DEQ — Stormwater Permitting JAPJ 112021
1612 Mail Service Center DENR-LAND QUALITY
Raleigh, NC 27699-1617 STORMWATER PERMITTING
RE: Permit Renewal Application
Albemarle — Permit SW3110401
Kings Mountain, Cleveland County, NC
Certified Mail 7016 2070 0000 1239 8815
Dear Mr. Anen:
In November, Albemarle submitted an application to renew the permit referenced above. As we
have discussed in emails, we recognized that our initial submittal was incomplete as we did not
have a check to pay the renewal fee, and we were also missing the Section D signed and
notarized certification form.
Enclosed is a complete application with fee to renew the referenced permit for the Albemarle
facility located in Kings Mountain, North Carolina, and other appropriate required documents.
Please contact me with any elements required for the renewal that are incomplete or inadequate
and I will get that information to you as soon as possible.
Should you have any questions or need additional information related to this matter, please
contact John Kuhn at 704-734-2708 (office) or 704-231-4208 (cell).
Si erely,
ohn Kuhn
Environmental Manager