NCG080285_Name-Owner Change Application_20220929

NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF Energy, Mineral, and Land Resources
STORMWATER PROGRAM
NORTH CAROLINA
Envi<ronmenrat Quality
NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
1. CURRENT PERMIT INFORMATION:
Permit Number: or NCG_9L/j�_/_t_J_L/ $ 15
1. Facility Name (prior to change): Zenith Freight Lines LLC
11. NEW OWNERINAME 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):
J.B. Hunt Transport Services Inc.
4. New owner's or signing official's name and title: Stan Cooper
(Person legally responsible for permit)
Senior Project Manager
(Title)
5. Mailing address: 705-A North Bloomington Street City: Lowell
State: AR zip Code: 72745 Phone: ( 479 ) 361 - 0599
E-mail address: Stan.Coo er(a,jbhunt.eom
6. New facility name (if applicable): J.B. Hunt Transport Services Inc.
7. Effective date of transfer or name change._ Effective Immedialgly
.._ North Carolina Department of Environmrntai Quality I Airislon of Energy, fvtlnrral and Land Resources
_ •�Ii, 512 North Salisbury Street 1 1012 Mail Service Center I Raleigh, North Carolina 2709.IW
919.707,9200

NPDES Stormwater Permit Name/Ownership Change
Page 2 of 2
III. PERMIT AND FACILITY CONTACT INFORMATION
8. New permit contact's name and title: Stan Cooper
(Permit Contact)
Senior Project Manager
(Title)
9. Mailing address: 705-A North Bloomington Street City:
State: AR zip Code: 72745
E-mail address: Stan.Coo era 'bhunt.eom
Lowell
Phone: ( 469 ) 361 - 0599
10. New facility contact's name and title: Shannon Spears
(Facility Contact)
Maintenance Supervisor
(Title)
11. Mailing address: 210 Dehart Terminal Road City: Conover
State: NC Zip Code: 28613 Phone: ( 828 ) 302 - 9533
E-mail address: shannon.I.s ears jbhuntxom
12. New billing contact's name: Environmental Works, Inc.
(Billing Contact)
13. Mailing address: 1455 E. Chestnut Expy, City: Springfield
State: MO Zip Code: 65802 Phone: ( 417 ) 890 - 9500
E-mail address: 'bhuntEenvironmentalworksxom
IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION
1. Will industrial activities at the facility remain the same asunder the previous owner?
Yes ® No ❑
2. Will the stormwater discharge location(s) remain the same? Yes M 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 ownerfile 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 outfalI 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 aperationai control of a facility, provided that information supports that no other change
in the permit are necessary.
Why does this form need to he 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:
1, .:`tag-n (_ QV. f L , attest that the application for a name and/or ownership
change submitted 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: ;�—�—LDate: 'c 7—q ZVZZ--
THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO:
❑EMLR Stormwater Program
512 North Salisbury Street, fir' Floor (Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
Last Revised 3/13/2022