NCG030218_Name-Owner Change Application_20220418

NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF Energy, Mineral, and Land Resources
STORMWATER PROGRAM
NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCS_/,,_f_/_/ or NCGg3j_Q_/_Z/_j/8
1. Facility Name (prior to change): Minute Man Anchors Incorporated
II. NEW OWNER/NAME INFORMATION:
2. This request for a name change is a result of:
X a. Change in ownership of property/company
b. Name change only (Facility and/or Company)
c. Other (please explain):
(for example, facility address update. Include additional attachments if necessary.)
3. New owner's name (name to be put on permit as Permittee):
MMA Manufacturing, Inc.
4. New owner's or signing official's name and title: George Waechter
(Person legally responsible for permit)
General Manager
(Title)
5. Mailing address: 305 W. King Street City: East Flat Rock
State: NC Zip Code: 28726 Phone: (800 ) 438-7277
E-mail address: [e-mail]
6. New facility name (if applicable): MMA Manufacturing, Inc.
7. Effective date of transfer or name change: 6/18/2019
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NPDES Stormwater Permit Name/Ownership Change
Page 2 of 2
III. PERMIT AND FACILITY CONTACT INFORMATION
8. New permit contact's name and title: George Waechter
(Permit Contact)
General Manager
(Title)
9. Mailing address: 305 W. King Street City: East Flat Rock
State: NC Zip Code: 28726 Phone: (800 ) 438-7277
E-mail address: [e-mail]
10. New facility contact's name and title: George Waechter
(Facility Contact)
General Manager
(Title)
11. Mailing address: 305 W. King Street City: East Flat Rock
State: NC Zip Code: 28726 Phone: (800 ) 438-7277
E-mail address: [e-mail]
12. New billing contact's name: George Waechter
(Billing Contact)
13. Mailing address: 305 W. King Street City: East Flat Rock
State: NC Zip Code: 28726 Phone: (800 ) 438-7277
E-mail address: [e-mail]
IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION
1. Will industrial activities at the facility remain the same asunder the previous owner?
Yes 10No ❑
2. Will the stormwater discharge location(s) remain the same? Yes 0 No ❑
NOTE: if either of these questions is answered "No," then more information is needed to review
the request. Please attach documentation to describe and explain the changes to the facility
activities, stormwater discharges, and/or outfall location. Depending on the information
provided, the Division may require that the new owner file a new permit application.
Last Revised 3/13/2022

NPDES Stormwater Permit Name/Ownership Change
Page 2 of 2
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS
ALL OF THE ITEMS LISTED BELOW ARE INCLUDED.
REQUIRED ITEMS:
1. This completed application form (with original signature)
2. Legal documentation of transfer of ownership (such as relevant pages of a deed or a bill of sale) is
required for an ownership change request. Articles of incorporation are not sufficient for an
ownership change but can be provided for a name change.
3. Information to document facility, industrial activities, stormwater discharges, or outfall changes
as noted in item IV above (if appropriate)
Why is this information needed?
Regulations in 40 CFR §122.63 allow for minor modifications to NPDES permits for a change of
ownership or operational control of a facility, provided that information supports that no other change
in the permit are necessary.
Why does this form need to be mailed in?
Permittees and applicants must fulfill signatory requirements in the NPDES federal
regulations in 40 CFR §122.22 (please see those regulations for guidance). Until NCDEQ's
electronic submission process meets Cross -Media Electronic Reporting (CROMERR)
requirements, this original signed (not digital signature) form must be mailed to the
address below. The uploaded copy is stored as part of the permit record in the Division's
digital repository.
Applicant's Certification:
I, �9e o L, attest that that the application for a name and/or ownership change
submitte has been reviewed and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed, or if all required
supporting information is not included, this application package will be considered incomplete
and may be returned.
Signature: Date: -
THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO:
DEMLR Stormwater Program
512 North Salisbury Street, 6t" Floor (Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
Last Revised 3/13/2022

STATE OF NORTH CAROLINA
BlI,L OF SALE
COUNTY OF HENDERSON
This Bill Of Sale made this day of May, 2019, by and between Minute -Man Anchors,
Inc., &/k/a Minutclvlan. Anchors, Inc. (a North Carolina corporation hereinafter referred to as the "O%Nvner"
and as the "Seller".) and M.MAMarurfacturing, Inc. (a North Carolina corporation hereinafter referred to as
the "Buyer");
wrrNESSETH:
That the Owner, pursuant to the Purchase and Sale Agreement of the Owner and Mark Vollari and
Dcanna Vollan, in exchange for pay-ment of $862,092.1.5, receipt ofthe purchase money promissory note for
which is acknowledged, has bargained and sold and by these presents does bargvin, sell and convey to the
Buyer the following:
1Beim; all equipment, machinery. and other tangible personal property, and all fixtures, of
Minute -Mari Anchors, Inc. (afk/a Minute Man Anchors.1ne.), including all of those located
in, at or upon the real property in Henderson County, North Carolina, located at 305 West
Kin- Street, East Flat Rock, N.C., conveyed to the Vollan Family, I..IC by MiIALAC-Nlan
Anchors, Inc., and also including but not limited to all property rig its and items shown on
Exhibit "A" and Exhibit"B" attached hereto and incorporated herein by reference (all said
equipment, machinery, other tangible personal property, fixtures, property rights and item
collectively referred to herein as the "Property").
To have and to hold the Property, to the Buyer and the Buyer's successors in title forever.
The Owner does covenant that the Owner is seized of the Property and has the right to convey the
sarne In fee simple, thatthe property is free and clear of all encumbrances whatsoever, and that the Owner
will warrant and defend the title thereto against the lawful claims of all parties whomsoever.
IN TESTIMONY WHEREOF, the Owner, by and through its Vice -Tresident, D. Scott :Moreno, has
executed this Bill Of Sale this day.
STATE OF TAT , ��
COUNTY
1. a Notary Public of the C(
of Minute Man Anchors, 1nc.,-.pqg
execution
seal, this
My Co
day of" �p
Expires.
+
MINUTE MAN ANCHORS, INC..
a/k/a N11inute-Man Anchors, Inc.
by:
D. Scott Moreno
Vice -President
id State aforesaid, certify
appe, ared before, me (bi
"oq�urpose stated thexe � vi,
D. Scott Moreno, Vice-Prosident
and acknowledged dic voluntary
tess n-ty handam. 6 official ficial Stamp or
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