HomeMy WebLinkAboutNCGNE0841_COMPLETE FILE - HISTORICAL_20170221STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE O�y
DOC TYPE
❑HISTORICAL FILE
DOC DATE
❑ �a � aaa �
YYYYMMDD
G�
Energy, Mineral & ����A°o, ebruary 13, 2017
Land Resources
ENWRONMENTAL QUALITY
Mr. Jeffrey J. Newman
Generics Bidco II
V
3241 Woodpark Blvd.
Charlotte, NC 28206
Dear Mr. Newman:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0841
Generics Bidco 11, dba Prinston
Laboratories
Formerly Qualitest Pharmaceuticals
Mecklenburg County
The Division has reviewed your submittal of the permit name/ownership change form for the
subject No -Exposure Certification. Division personnel have reviewed and approved your
request to transfer the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the No -Exposure Certification and by our
approval of your request to transfer it, you are obligated to maintain no -exposure conditions
at your facility. If conditions change such that your facility can no longer qualify for the no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for
your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an
un-permitted discharge.
Annual re -certification is required; and we have enclosed one blank Annual No Exposure
Exclusion Self Re -Certification form for your use. Your certification of no exposure does
not affect your facility's legal requirements to obtain environmental permits that may be
required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information. please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerelyy,
OR1Gl1dAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis; P.E.. CPM, Director
Division of Energy, Mineral and Land
cc: Mooresville Regional Office
Stormwater Permitting Program
(Nothing Compares,
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200
Energy, Mineral &
Land Resources
ENVIRONMENTAL OUALITY
Mr. Jeffrey J. Newman
Generics Bidco I1
3241 Woodpark Blvd.
Charlotte, NC 28206
Dear Mr. Newman:
February 13, 2017
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0841
Generics Bidco II, dba Prinston
Laboratories
Formerly Qualitest Pharmaceuticals
Mecklenburg County
The Division has reviewed your submittal of the permit name/ownership change form for the
subject No -Exposure Certification. Division personnel have reviewed and approved your
request to transfer the exclusion from NPDES stormwater permitting requirements.
Please note that by our original acceptance of the No -Exposure Certification and by our
approval of your request to transfer it, you are obligated to maintain no -exposure conditions
at your facility. If conditions change such that your facility can no longer qualify for the no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for
your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an
un-permitted discharge.
Annual re -certification is required, and we have enclosed one blank Annual No Exposure
Exclusion Self Re -Certification form for your use. Your certification of no exposure does
not affect your facility's legal requirements to obtain environmental permits that may be
required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
Tracy E. vis.
.for TY F.E., Ctor
Division of Energy, Mineral and Land
cc: Mooresville Regional Office
Stormwater Permitting Program
Nothing Compares.,
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200
+�!
Division of Energy, A-lineral & Land Resources
Land Quality SectionlStormwater Permitting
I�CDEPIR
National Pollutant Discharge Elimination System
C'_�'
E+o-. — _n N__FL10:nC19
PERMIT NAME/OWNERSHIP CHANGE FORM
na
MC
FOR AGENCY SEONLY
Date Received
Year Month Day
Please enter the permit number for .which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I G I S 10 10 10 1 '.),-N 10 1 G. IF I f 10 1 IoEiu
11. Permit status prior to requested change. i j�
a. Permit issued to (company name): q t T�S� T k.-tyVAC�.a
b. Person legally responsible for permit: r �Sre�rti
Facility name (discharge):
Facility address:
e. Facility contact person:
Firstl' j! �[I Last
lG.�t a
Title
Permit Holder Mailing Address
city state zip
Phone Fax
islet 1 c o 09A, rt 1 ha ,4,,cA +�
700 A (x)!,)wh Biad
jf 9dresi
C ar,C) 4e
City State Zip
First / MI / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for chance is a result of: Change in ownership of the facility
Name change of the facility or owner
Ifother•please e-vphrin:
b. Permit issued to (company name): (Tenrrl es j):,)cd-lf (2136 1'r,,AsA-o,r--
c. Person legally responsible for permit. r1 k)P-1
First � kNIT Last
r(
F� r t't �c S
Title
lleriiiit holder Mailin; Address
h AJ_ c, 28 206
Cit�ystate �jZip
Oat) 67 -? ` 36% 1 f
Phone E-mail Address
d. Facility name (discharge):
e. FaciliEw address: 3 `lOD od i t i31,J� /
Address ✓
, C t ';.�2 OE,
City State �1 Zip
f. Facility cotuact person: ��•�#!e � 1� �
krSI NlI Last
c7a�l_ } �(2 88F� AJCtz:n.c�i. Ptns onpll�trlk� ,C6
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
Permit contact:
r FiI
MI Last
r_ t�
Ti[te �
k G IJ
1 Mailing Address
V, C, Z$206
CState �} Zip it
Phone E-mail Address I
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
�. Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
attest that this application for a namelownership change 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 and that if all required supporting information is not included, this application package will be
returned as incomplete. / /
a/ /6 I l
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27.2014
Energy, x1ineral
and Lund Resources
rflVMONMENTAL QUALITY
Division of Energy. kiNlineral and Land Resources
Land Quality Section — Stormwater Permitting
National Pollutant Discharge Elimination System ,
ANNUAL NO EXPOSURE EXCLUSION SELF RE -CERTIFICATION
NCGNE0000
Do not submit this form to DEMLR unless requested.
For questions, please contact the DEMLR Regional Office for your area or the Central Office.
(Please print or type)
Facility's No Exposure Exclusion No. Date Completed (MM/DD/YYYY)
N I C I G I N I E 0 8 4 1 0 7/ O 1/ 2 0 1 6
1) Has the facility name or owner changed? ❑ Yes ® No
(if yes, please submit a separate Name/Ownership Change Form to DEMLR located at:
httDaldea-nc.aov/a bout/divi sions/enerov-m inera1-land-resou rces/enerav-mineral-land-oermits/stormwater-Dermitslnodes-
industrial-sw )
2) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible to maintain your no exposure exclusion, and must immediately apply for a permit from DEMLR.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ® No
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes ® No
c. Materials or products from past industrial activity
❑ Yes
® No
d. Material handling equipment (except adequately maintained vehicles)
❑ Yes
® No
e. Materials or products during loading/unloading or transporting activities
❑ Yes
® No
f. Materials or products stored outdoors (except final products intended for outside
❑ Yes
® No
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks,
❑ Yes
® No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by
❑ Yes
® No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
❑ Yes
® No
j. Application or disposal of process wastewater (unless otherwise permitted)
❑ Yes
® No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes ® No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormy/ater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes ® No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
Page 1 of 3
SWU-NESR-Alay2016
,.. rinstow-m.
"' La bnratories
Dear Sir or Madam,
3241 • 3700 • 3801 Woodpark Blvd.
Charlotte, NC 28206
On January 9 2017 Generics Bidco II dba Qualitest Pharmaceuticals was purchased by Prinston Pharmaceuticals
and will now be operating as Generics Bidco II dba Prinston Laboratories. I spoke with Marcia Allocco from the
Mooresville office who was very helpful with the proper forms. Please contact me if additional information is
required.
Jeff Newman
Facilities
Prinston Laboratories, 3801 Woodpark Blvd, Charlotte, NC 28206
704.612.8867
JNewman@PrinstonPharm.com
(Prinston
`.. Lwbbratoilaa'. -
`�� ._ram rr'r � j11♦ �, 9�:+ s'y
JAN 2 5 �Ql
WRITTEN CONSENT OF THE SOLEMEMBER
OF
GENERICS HIDCO II, LLC
JANUARV 11, 2017
The undersigned, constituting the sole niembea (the.-S61c Mcmbcr°')-of Generics Bidco 11, t_ L. a
Delaware hriilttd liability company (the "Cone"), hercbywaives till notice of time, place of purpose
ol' a meeting and consent to, approve and adopt,the following, r6oldtions pursuant. to the Delaware
Limited Liability Company -Act and direct that this Writidn Consent ofjlie'Sole,Mernber (this "Consent"j
be filed Nvith the tninutti s of the proceedings of the Company:,
APPOINrMENTO MANAGER. -
WHEREAS, in connection with the Sole McinbeCs acquisition of all issued and outstanding
membership interests of the. Company pursunni to that certain. Membership Interest and .Assei 'Purchese
Agreement dated as of October 31. 21016 by and aniong Generics International. (US), fric. (``Generics
Vintage Pharmaceuticals, I_LC and the Sale Member, Generics US resigned as the sole manager of
the Company;
WHEREAS, pursuant to Section 10 of the Amended and Restated Limited Liability Company
Agreement of the Company, the Sole Member may elecuone or.more individuals or entitles to manage th(
Company,
WHEREAS. the -Sole Member desires to elect Prinston Phari-naccutical Inc. -as manager -of
the Company.
NOW, T-111CREFORE, III, IT RESOLVED, that effective as of the date hereof, Pri_nston
Ph lrrn'iCcutrcal Inc. (the "lxfcinti per"j .bt, and. hereby is, elected as the sole manager cif the C.ompany-to
Serve until a successor is duly elected arid.gitalified.
TRAi)r NANIF, FiLI:NGS.
WHEREAS, the Company desires to .conduct business, under a trade name :ten& to file the
appropriate applications to register the trade name with any stale, tetritory or dependency of the United
States or ativ foreign counlry in ►which it is necessary or expedient for the Company to transact business
using a tradenarrie.
NOW, THEREFORE,, RE IT RESOLVED, that for the purpose of authorizing the Company to
do business under a trade name in any suite, territory or dependency.of the -United States or any foreign
country in which it is necessary or expedient For the CEnnpany-to transact business using a trade name, the
Sole Member hereby authorizes the Sole Member or tiic Manager to make and file all applications,
cerificates. reports and ollier instruments as may be required or appropriate tinder the laws of such stare,
territory, dependency or country, to atithorize the Company to transact business under a .trade naive
therein and, whenever it is expedient for ttie Company to cease doing business therein under a trade name,
to file such -certificates. reporm acid other instruments as may be required to cancel the trade name in anN
such state, territory, dependency or country. and if in connection Wilh.the Foregoing:any particular form of
resolution shall be required, such resolution shall be deeniecd hereby adopted, -provided that a copy of Such
resolution shall be inserted in the minute book of' tile Cornpanl''IbIloxving•this Cdnsent and that the Sole.
Member is.authorized to certify such resolution as.having been adopted by this Consent.
GENEFLIL REsowrtotis.
NOW, THEREFORE, BE IT RESOLVED, that Sole Member and. the .Manager of; the
Company, be and hereby is, authorized, ernpo%%�ered and directed':tr3 do bn louse to be done, anv and all
such nets and things, and to execute and deliver, 6r c arise. to: be executed and delivered, all agreements,.
instruments, documents and certificates (including any and all arttendntertts or supplements thereto,
modifications. extensions or N6ivers thereof; or replacements), in each case in the narne and on behalf of
the Company, as the Sale rOvIember or the Manager deems necessary, appropriate;or desirable to ettect-the.
intent and accomplish the purOoses of'these resolutions: and.tie it l
FURTHER RESOLVED. that the execution and delive'l-v bv_the Sole Member or the Manager
of any Agreement. instrument, certificate or other dociirne-nt. and; the taking of any other action in
connection with and of these r"olutionst shall evidence the. Sole -Member's or the Manager's. approval
and authority and thr-approval, <ufnption, attthor.izaEiUrt, r.adficaticin and confirfhati(on by the Sole Member
and by the Company; rind be it
FURTHER RESOLN'ED, that all agreements, instruments, certificates and other documents
executed and delivered and all other actions taken by the Sole Meritber or the Mariager-in connection with
any of the foregoing matters prier or subsequent to the date of these rrsoluiions are approved,: adopted,
eiuthorized..ratified and confinned-in all respects.
ISIGNATU RE- PAGE FOLLOWS I
2
IN WITNESS WHEREOF, the undersigned has. caused this Consent fo be duly executed as of
the day and year set forth alcove.
SOLE MEMBER'
PRJNS'1;0N PHARMACEUTIC -AL INC.
Name ..Jun Du .
Title: Chief Executive Ufticer ;
Dm 3"1'13 NON. I
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor
Mr. Jeff Green
Vintage Pharmaceuticals
3700 A Woodpark Blvd.
Charlotte, North Carolina 28206
Dear Mr. Green:
Director
April 18, 2012
Natural Resources
Dee Freeman
Secretary
Subject: No -Exposure Certification NCGNE0841
Qualitest Pharmaceuticals
3700 A Woodpark Blvd., Charlotte, North Carolina 28206
Mecklenburg County
The Division has reviewed your submittal of the No -Exposure Certification form for Exclusion from NPDES Stormwater
Permitting. Based on your submittal and signed certification of no exposure and the site visit of April 17, 2012, by staff
from this Office the Division is granting your conditional exclusion from permitting as provided for under 40 CFR
122.26(g), which is incorporated by reference in North Carolina regulations.
Please note that by our acceptance of your no -exposure certification, you are obligated to maintain no -exposure
conditions at your facility. If conditions change such that your facility can no longer qualify for a No -Exposure
exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge.
Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge.
You must self re -certify your No -Exposure status annually using the enclosed form or obtain NPDES permit
coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be
submitted to DWQ unless requested. Your conditional exclusion from permitting does not affect your facility's legal
requirements to obtain environmental permits that may be required under other federal, state, or local regulations or
ordinances.
If you have any questions or need further information, please contact Marcia Allocco at (704) 235-2204, or at
marcia.allocco(d-)ncdenr.gov.
Sincerely,
for Charles Wakild, P,E.
Enclosure: No -Exposure Self Re -certification Information sheet
Annual No -Exposure Exclusion Self Recertification form
Site inspection report
cc: Stormwater Permitting Unit No- Exposure Files
Mooresville Regional office
Location: 610 East Cenler Ave., Suite 301 Mooresville, NC 28115
Phone: (704) 663-16991 Fax: (704) 663-60401 Customer Service: 1-877-623-6748
lntemet: www.ncwaterquality.org
R. Rozzelle, MCWQP
NorthCarolina
Aaturallif
An Equal Opporluniy t Affinnafive Action Employer - 30% Recycledl10% Past Consumer paper
Permit: NCGNE0841
SOC:
County: Mecklenburg
Region: Mooresville
Compliance Inspection Report
Effective: Expiration: Owner: Vintage Pharmaceuticals DBA Qualitest-
Pharmaceuticals
Effective: Expiration: Facility: Qualitest Pharmaceuticals
3700 A Woodpark Blvd
Contact Person: Steve Vanburen
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title:
Inspection Hate: 04/17/2012 Entry Time: 02:22 PM
Primary Inspector: Marcia Allocco
Secondary inspector(s):
Charlotte NC 28206
Phone: 704-612-8989
Certification:
Exit Time: 02:48 PM
Phone:
Phone: 704-663-1699
Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
M Miscellaneous Questions
(See attachment summary)
Page: 1
Permit: NCGNE0841 Owner - Facility; Vintage Pharmaceuticals DBA Qualitest
Pharmaceuticals
Inspection Date: 04/17/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The facility was visited through a new No -Exposure Certification request
Stormwater at the site drains to two outfalls with eventual discharge to an unnamed tributary to Irwin Creek (verified on
USGS Derita Quadrangle). The outfall (drop inlet) at the southeastern corner of the building collects roof drain discharge.
The outfall (drop inlet) in the parking lot on the western side of the building collects runoff from the shipping/receiving area
and roof drains. There was flow in southeastern comer drop inlet, which was determined to be air conditioner condensate
(deemed permitted).
The following sources of stormwater exposure were noted during the inspection:
• Newly installed trash compactor— however, the dumpster was entirely contained and there was no evidence of
discharge from the dumpster.
Therefore, the facility meets the requirements of "No Exposure".
Page: 2