HomeMy WebLinkAboutNCG180247_COMPLETE FILE - HISTORICAL_20151116STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ CXJ5 11 ( L
YYYYM M D D
North Carolina Department of Environmental Quality
Pat McCrory
Governor
Mr. Thomas J. O'Connell
RHF-HM, LLC
P.O. Box 3444
Hickory, NC 28603
Dear Mr. O'Connell:
November 16, 2015
Donald R. van der Vaart
Secretary
RECEIVE®
NOV 18 2015
CENTRAL FILES
DWR SECTION
Subject: NPDES General Permit NCG180247
RHF-HM, LLC
Formerly Hancock and Moore, Inc.
Certificate of Coverage NCG 180247
Alexander County
Division personnel received your request to revise your stormwater permit Certificate of Coverage to
accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued
under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at (919) 707-9220.
Sincerely,
�),��
for Tracy E. is, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%a Post Consumer Paper
STATE OP NORTFI CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180247
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
RI-11--1-IM, LLC
is hereby authorized to discharge stormwatcr from a facility located at:
RI-IF-I-IM, LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenue
Taylorsville
Alexander County
to receiving waters designated as Stirewalt Creek, a class C water in the Catawba River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts 1, 11, 111, and IV of General Permit No. NCG180000 as attached.
This certificate of coverage shall become effective November 16, 2015..
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 16, 2015.
for Tracy E. Davi , .E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
A&�
Division of Energy, Mineral & Land Resources
m/A
Land Quality Section/Stormwater Permitting
NCDENRNational
Pollutant Discharge Elimination System
..r^°..
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONPy-
1.
Date Receivetl
Year Month
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N 1 G 1 S 1 0 1 1 1 1 1 1 N I C I G I 1 1 8 1 0 1 2 14 7
II. Permit status tj rior to requested change.
a. Permit issued to (company name): Hancock and Moore. Inc.
b. Person legally responsible for permit: Thomas J O'Connell
First MI Last
Vice President Of Finance
Title
P.O. Box 3444
Permit Bolder Mailing Address
Hickory NC 28603
City State zip
(828) 495-8235 (828) 495-3473
Phone Fax
c. Facility name (discharge): Hancock and Moore Plant 2
d. Facility address: 165 Matheson Park Avenue
Address
Taylorsville NC 28681
City Slate Zip
C. Facility contact person: Dennis Lockhart (828) 217-3439
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If olher please explaur
b. Permit issued to (company name):
c. Person legally responsible for permit:
RECEIVED
OCT 2 3 2015
DENR-LAPIf] Q1IALITy
STORiNWATER PERMffT ir,
d. Facility name (discharge):
c. Facility address:
I'. Facility contact person:
RI-IF-1IM, LLC
Thomas J O'Connell
First MI Last
Vice President Of' Finance
Title
P.O. Box 3444
Permit Bolder Mailing Address
Hickory NC 28603
City State zip
(828) 495-8235 tom a,hancockanclmoore.com
Phone E-mail Address
RI IP-I IM, LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenue
1.
Title
P.O. Box 3444
Permit Bolder Mailing Address
Hickory NC 28603
City State zip
(828) 495-8235 (828) 495-3473
Phone Fax
c. Facility name (discharge): Hancock and Moore Plant 2
d. Facility address: 165 Matheson Park Avenue
Address
Taylorsville NC 28681
City Slate Zip
C. Facility contact person: Dennis Lockhart (828) 217-3439
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If olher please explaur
b. Permit issued to (company name):
c. Person legally responsible for permit:
RECEIVED
OCT 2 3 2015
DENR-LAPIf] Q1IALITy
STORiNWATER PERMffT ir,
d. Facility name (discharge):
c. Facility address:
I'. Facility contact person:
RI-IF-1IM, LLC
Thomas J O'Connell
First MI Last
Vice President Of' Finance
Title
P.O. Box 3444
Permit Bolder Mailing Address
Hickory NC 28603
City State zip
(828) 495-8235 tom a,hancockanclmoore.com
Phone E-mail Address
RI IP-I IM, LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenue
Address
Tay lorsville
NC 28681
City
State Zip
Dennis
Lockhart
First
MI Last
(828) 217-3439
dennis ahancockancLnoore.cont
Phone
F-mail Address
IV. Permit contact information (indifferent from the person legally responsible for the permit)
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Joy S Bailey
First MI last
Purchasing/Safety/Environmental
Title
P.O. Box 3444
Mailing Address
Hickory NC 28603
City State Zip
(828)495-8235 joy a, hancockandmoore.com
Phone E-mail Address
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: TIIIS APPLICATION WILL 13E RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ 'Phis completed application is required for both name change and/or ownership change
rcqucsts.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract (feed,
or it 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, Thomas J. O'Connell, attest that this application for it name/ownership 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.
Signature
APPLICANT CERTIFICATION
Date
I, Thomas J. O'Connell,. attest that this application for it name/ownership 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 roquired supporting information is not included, this application
package will be returned as incomplete.
'-7A rra & 9/9/i s
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
BILL OF SALE
(Hancock & Moore, Inc.)
This Bill of Sale ("Bill of Sale") is dated as of October 5. 2015 by and between Hancock
& Moore, Inc., a North Carolina corporation; with its principal place of business in Alexander
County, North Carolina ("Seller'); and RHF-HM, LLC, a North Carolina limited liability
company, with its principal place of business in Catawba County, North Carolina ("Purchaser`).
RECITALS
Purchaser is a wholly owned subsidiary of RHF Investments, Inc.. a North Carolina
corporation (`RHF"). RHF; Seller and other parties affiliated with Seller entered into an Asset
Purchase Agreement dated as of September 30, 2015 (`Purchase Agreement') pursuant to
which Seller has agreed to sell and RHF has agreed to purchase, or cause one or more affiliates
of Rlff to purchase, substantially all of the assets of Seller. Capitalized terms used in and not
otherwise defined in this Bill of Sale have the meaning assigned to them in the Purchase
Agreement unless the context otherwise requires.
Therefore, in consideration of the foregoing and the other valuable consideration given
by RHF and Purchase to Seller, the receipt and sufficiency of which is hereby acknowledged, the
parties, intending to be legally bound; hereby agree as follows:
AGREEMENT
1. Purchased Assets. Effective as of the date hereof. Seller hereby sells. transfers.
conveys. assigns and delivers to Purchaser, and Purchaser hereby accepts from Seller, all of the
right. title and interest of Seller in and to the Purchased .Assets of the Seller.
2. Purchase Price and Allocation. Pursuant to the terms of the Purchase Agreement.
RHF has the right to allocate the purchase price among the Purchased Assets of the Operating
Sellers. including Seller. The allocation of the total purchase price among the Purchased Assets,
including the Purchased Assets of Seller, will be made at a later date.
I Further Assurances. Seller further covenants and awes with Purchaser that
Seller Hill execute and deliver such other bills of sale, transfers, assignments and other
instruments of conveyance and will do such other acts as reasonably requested by the Purchaser
to further vest in Purchaser such title to the Purchased Assets and to fulfill and discharge Sellers
obligations of convevance hereunder and under the Purchase Agreement.
4. Warranties. Seller covenants with Purchaser that Seller owns and has good and
valid title to each of the Purchased Assets owned by it, free and clear of all Liens (other than
amounts payable pursuant to the Purchased Contracts as expressly contemplated in the Purchase
Agreement), has the right to convey the same, and that Seller will warrant and defend the title to
the same against the lawful claims of all persons whomsoever, except for the Permitted
Exceptions.
Page 1 of 2
IN TESTIMONY WHEREOF, Seller and Purchaser have executed this Bill of Sale as
of the day and year first above written.
SELLER:
Hancock & Moore, Inc.
Bv: �Q �' i iI
imothY L. Ropers
President
PURCHASER:
RHF-HM, LLC
0
Brandon M. Hucks
Chief Financial Officer
Pase 2 of 2
IN TESTIMONY WHEREOF, Seller and Purchaser have executed this Bill of Sale as
of the day and year first above written.
SELLER:
Hancock & N'Ioorc, Inc.
By:
Timothy L. Rogers
President
PURCHASER:
RHF-HAI, LLC
B_v:
Brandon M. Hucks
Chief Financial Officer
Pace 2 of 2
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Andrew Coffey
Hancock & Moore, LLC
P.O. Box 3444
Hickory, NC 28603
Dear Mr. Coffey:
PAT MCCRORY
c,n.•r,.r..
DONALD R. VAN DER VAART
.Sccrvnrrp
TRACY DAVIS
UPfc'!a(
February 3, 2016
RECEIVED
FEB 0 8 2016
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG180247
Hancock & Moore, LLC
Formerly RHF-HM, Inc.
Alexander County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
for Tracy E. avis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
1
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180247
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Hancock & Moore, LLC
is hereby authorized to discharge stormwater from a facility located at:
Hancock & Moore, LLC
165 Matheson Park Avenue
Taylorsville
Alexander County
to receiving waters designated as Stirewalt Creek, a class C water in the Catawba River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV of General Permit No. NCG180000 as attached.
This certificate of coverage shall become effective February 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 4, 2016.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
A Division of Energy, Mineral & Land Resources ��'R
y/ Land Quality Section/Stormwater Permitting
.J � FNF R
NCDNational Pollutant Discharge Elimination System
Nmm finOuxx Owu+rx[xr 0
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
I Day
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N 1 C$1 0 1 1 N I C 10 1 I 1 8 1 0 1 2 1 4 7
II. Permit status tt riot. to requested change.
a. Permit issued to (company name): RFIF-I IM, Inc.
b. Person legally responsible for permit: I'homas J O'Connell
RECEIVED
DEC 29 2015
DENR-LAND QUALITY
STORMWATER PERMI'MNG
c. Facility name (discharge):
d. Facility address:
First MI Last
Vice President Of Finance
Title
P.O. Box 3444
Permit I-IoIder Mailing Address
Hickory NC 28603
City Slate Zip
(828)495-8235 (828)495-3473
Phone I'as
RHF-I-IM. LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenuc
Address
Taylorsvillc NC 28681
Ciq' State Zip
e. Facilitycontactperson: Dennisl.,ockhart (828)217-3439
First / MI/ Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
if other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
d. Facility name (discharge):
e. Facility address:
I'. Facility contact Person:
Hancock & Moore, LLC
Andrew
Coffey
First
MI Last
Controller
Title
P.O. Box 3444
Permit
Holder Mailing Address
Hickory
NC 28603
City
State Zip
(828) 495-8235
andy a,hancockandmooiexom
Phone
I mail Address
I lancock & Moore,
LLC dba Hancock and Moore
Plant
2
165 Matheson Park Avenuc
Address
Taylorsville
NC 28681
City
State Zip
Dennis
I.,ockhart
First
MI Last
(828) 217-3439
dennis tl,haitcoekaitdmoorc.com
Phone
Gnmil Address
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Joy
S Bailey
First
MI Last
1'urchasiiiSafety/Environmental
True
P.O. Box 3444
Mailing Address
Hickory
NC 28603
City
$LaIe Zip
(828)495-8235
joynhancockandmoore.com
Phone
F-mail Address
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 13E 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.
PERMIT" 1'EE CERTIFICATION (Permit holder prior to ownership change):
1, Andrew Coffee, attest that this application for a name/ownership 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.
igi ature Date
APPLICANT CERTIFICATION
I, Andrew Coffev, attest that this application for a name/ownership 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 willbereturned as incomplete.
/2-1 V-/5-
gnatur Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitling Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014
.e T M Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
NCDENR National Pollutant Discharge Elimination System
`°"^°° T11°N�,A.�A�,W PERMIT NAME/OWNERSHIP CHANGE FORM
GENCY USE ONLYate
ReceivedMonth
P
Day
Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N
d
S
0
hi
0
G
I 8
0
2
4
7
Permit status prior to requested change.
a. Permit issued to (company name):
RHF-HM Inc.
b. Person legally responsible for permit:
Thomas J O'Connell
First MI last
Vice President Of Finance
RECEIVED
Title
P.O. Box 3444
J
DEC 2 9 2015
Permit Holder Mailing Address
Hickory NC 28603
DENR-LAND QUALITY
City State Zip
STORMWATER PERUTTING
(828) 495-8235 (828) 495-3473
Phone Fax
c. Facility name (discharge):
RfIF-FIM, LLC dba Hancock and Moore Plant 2
d. Facility address:
165 Matheson Park Avenue
Address
Taylorsville NC 28681
City State -Lip
e. Facility contact person:
Dennis Lockhart (828) 217-3439
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
Hancock & Moore LLC
c. Person legally responsible for permit:
Andrew Coffey
First MI Last
Controller
Title
P.O. Box 3444
Permit Holder Mailing Address
Hickory NC 28603
City State 'Lip
(828) 495-8235 andy a hancockandmoore com
Phone F-mail Address
d. Facility name (discharge):
Hancock & Moore, LLC dba Hancock and Moore Plant
2
e. Facility address:
165 Matheson Park Avenue
Address
Taylorsville NC 28681
City State - "Lip /
F. Facility contact person:
Dennis Lockhart t/
First MI Last
(828) 217-3439 dennis a hancockandmoore com
Phone El -mail Address
Revised Jan. 27, 2014
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
rage 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Joy S Bailey
First MI Last
Purchasin Safety/Environmental
Title
P.O. Box 3444
Mailing Address
Hickory NC 28603
City State Zip
(828) 495-8235 joy(i)n,hancockandmoore.com
Phone F-mail Address
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 13E 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.
PERM ITTEE CERTIFICATION (Pennit holder prior to ownership change):
I, Andrew Coffey, attest that this application for a name/ownership 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.
tgt ature Date
APPLICANT CERTIFICATION
1, Andrew Coffey, 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.
e�� 4 —
gnaturc 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
North Carolina Department of Environmental Quality
Pat McCrory
Governor
Mr. Thomas J. O'Connell
RHF-HM, LLC
P.O. Box 3444
Hickory, NC 28603
Dear Mr. O'Connell:
Donald R. van der Vaart
Secretary
November 16, 2015
Subject: NPDES General Permit NCG180247
RHF-HM, LLC
Formerly Hancock and Moore, Inc.
Certificate of Coverage NCG 180247
Alexander County
Division personnel received your request to revise your stormwater permit Certificate of Coverage to
accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued
under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at (919) 707-9220.
Sincerely,
ORIGINAL SIGNED BY
Bgl-jANY GEORa OULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hUp://portal.ncdenr.o[glweb/Ir/
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper,
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO: NCGI80000
CERTIFICATE OF COVERAGE No. NCG180247
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
RI-IF-1-1M, LLC
is hereby authorized to discharge stormwater from a facility located at:
RHF-HM, LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenue
Taylorsville
Alexander County
to receiving waters designated as Stirewalt Creek, a class C water in the Catawba River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, 11, III, and IV of General Permit No. NCG180000 as attached.
This certificate of coverage shall become effective November 16, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 16, 2015.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
Division of Energy, Mineral & Land Resources
�1 Land Quality Section/Stormwater Permitting
NCDE�� National Pollutant Discharge Elimination System
Name W°uru Deiw�n[rvi oe
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Vear
Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G 1 S I Q I I I I I I N' 1 -0 1 G I 1 I —87EO72-1 4 1 7
11. Permit status prior to requested change.
a. Permit issued to (company name): Hancock and Moore, Inc.
b. Person legally responsible for permit: Thomas J O'Connell
First MI Last
Vice President Of Finance
Title
P.O. Box 3444
Permit Holder Mailing Address
Hickory NC 28603
City State Zip
(828) 495-8235 (828) 495-3473
Phone rm
c. Facility name (discharge): Hancock and Moore Plant 2
d. Facility address: 165 Matheson Park Avenue
Address
Taylorsville NC 28681
City State Zip
e. Facility contact person: Dennis Lockhart (828) 217-3439
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
/f other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
RECEIVED
OCT 2 3 2015
DEJ PR-LAPj:, QUALITY
STOMNiWATER PEMAb%TT0id3
d. Facility name (discharge):
e. Facility address:
RHF-HM, LLC
Thomas J O'Connell
First MI Last
Vice President Of Finance
Title
P.O. Box 3444
Permit Holder Mailing Address
Hickory NC 28603
City State Zip
(828) 495-8235 tom(r�hancockandmoore.com
Phone E-mail Address
RHF-HM, LLC dba Hancock and Moore Plant 2
165 Matheson Park Avenue
Address
Taylorsville NC 28681
City State Zip
f. Facility contact person: Dennis Lockhart
First MI Last
(828) 217-3439 dennis n,hancockandmoore.com
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 2 of 2
Permit contact: Joy S Bailey
First MI Last
Purchas i ng/Safety/Environmental
Title
P.O. Box 3444
Mailing Address
Hickory NC 28603
City State Zip
(828) 495-8235 joy(a�hancockandmoore.com
Phone E-mail Address
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):
1, Thomas J. O'Connell, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that i f al I 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.
/t`^ ? /9 /ir
Signature Date
APPLICANTCERTIFICATION
1, Thomas J. O'Connell, 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.
1)7,gc�� 9A7
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
BILL OF SALE
(Hancock & Moore, Inc.)
This Bill of Sale (`Bill of Sale") is dated as of October 5, 2015 by and between Hancock
& Moore, Inc., a North Carolina corporation, with its principal place of business in Alexander
County, North Carolina ("Seller"), and RHF-HM, LLC, a North Carolina limited liability
company, with its principal place of business in Catawba County, North Carolina ("Purchaser").
RECITALS
Purchaser is a wholly owned subsidiary of RHF Investments, Inc., a North Carolina
corporation ("RHF"). RHF, Seller and other parties affiliated with Seller entered into an Asset
Purchase Agreement dated as of September 3 0, 2015 ("Purchase Agreement') pursuant to
which Seller has agreed to sell and RHF has agreed to purchase, or cause one or more affiliates
of Rl-IF to purchase, substantially all of the assets of Seller. Capitalized terms used in and not
otherwise defined in this Bill of Sale have the meaning assigned to them in the Purchase
Agreement unless the context otherwise requires.
Therefore. in consideration of the foregoing and the other valuable consideration given
by RHF and Purchase to Seller, the receipt and sufficiency of which is hereby acknowledged, the
parties, intending to be legally bound, hereby agree as follows:
AGREEMENT
I. Purchased Assets. Effective as of the date hereof, Seller hereby sells; transfers;
conveys, assigns and delivers to Purchaser, and Purchaser hereby accepts from Seller; all of the
right, title and interest of Seller in and to the Purchased Assets of the Seller.
2. Purchase Price and Allocation. Pursuant to the terms of the Purchase Agreement.
RHF has the right to allocate the purchase price among the Purchased Assets of the Operating
Sellers, including Seller..The allocation of the total purchase price among the Purchased Assets,
including the Purchased Assets of Seller; will be made at a later date.
3. Further Assurances. Seller further covenants and agrees with Purchaser that
Seller will execute and deliver such other bills of sale, transfers, assignments and other
instruments of conveyance and will do such other acts as reasonably requested by the Purchaser
to further vest in Purchaser such title to the Purchased Assets and to fulfill and discharge Seller's
obligations of conveyance hereunder and under the Purchase Agreement.
4. Warranties. Seller covenants with Purchaser that Seller owns and has good and
valid title to each of the Purchased Assets owned by it, free and clear of all Liens (other than
amounts payable pursuant to the Purchased Contracts as expressly contemplated in the Purchase
Agreement), has the right to convey the same, and that Seller will warrant and defend the title to
the same against the lawful claims of all persons whomsoever, except for the Permitted
Exceptions.
Page I of 2
IN TESTIMONY WHEREOF, Seller and Purchaser have executed this Bill of Sale as
of the day and year first above written.
SELLER:
Hancock & Moore, Inc.
By:
Timothy L. Rogers
President
PURCHASER:
RHF-HM, LLC
By:
Brandon M. Hucks
Chief Financial Officer
Page 2 of 2
IN TESTIMONY WHEREOF, Seller and Purchaser have executed this. Bill of Sale as
of the day and year first above written.
SELLER:
Hancock & Moore, Inc.
By:
Timothy L. Rogers
President
PURCHASER:
RHF-HM, LLC
By: C/SJ X C 1/
Brandon M. Hucks
Chief Financial Officer
Page 2 of 2
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180247
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Hancock & Moore, Inc.
is hereby authorized to discharge stormwater from a facility located at
Hancock & Moore, Inc. Plant #2
165 Matheson Park Avenue
Taylorsville
Alexander County
to receiving waters designated as Stirewalt Creek, a class C water in the Catawba River Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, 11, III, IV, V, and VI of General Permit No. NCG180000 as attached.
This certificate of coverage shall become effective May 15, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 15, 2013
ORIGINAL SIGNED Et
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission
NCG180247
Map Scale 1:23,995
Hancock & Moore, Inc.
Hancock & Moore, Inc. Plant #2
Latitude: 351 54' 58.17" N
Longitude: 810 10' 26.77" W
County: Alexander
Receiving Stream: Stirewalt Creek
Index No: 11-69-6-(1)
Stream Class: C
Sub -basin: 03-08-32 (Catawba River Basin)
rP • . �11► �j1�. +
Facility Location
NG®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
May 15, 2013
Mr. Kenneth Pennell
Hancock & Moore, Inc.
P.O. Box 3444
Hickory, NC 28603
Subject: General Permit No. NCG 180000
Hancock & Moore, Inc.
Hancock & Moore, Inc. Plant #2
COC NCG180247
Alexander County
Dear Mr. Pennell:
John E. Skvarla, III
Secretary
In accordance with your application for a discharge permit received on May 6, 2013, we
are forwarding herewith the subject certificate of coverage to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
Per the requirements of the Catawba Riparian Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after June 30, 2001, must be
discharged through a correctly designed level spreader or another device that meets diffuse flow
requirements per 15A NCAC 2B .0243. Diffuse flow requirements are described in Chapter 8 of
the North Carolina Stormwater BMP Manual, available at:
hUp://Dortal.nedenr.ory/web/wq/ws/sLi/bmi)-manual.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Land Quality Section of the
Division of Energy, Mining and Land Resources, Coastal Area Management Act or any other
federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Julie Ventaloro at
telephone number (919) 807-6370, or at Julie.ventaIOCOQ�ncdenr.eov.
Wetlands and Stonnwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: 91 M07-63001 FAX: 919-807.64941 Customer Service: 1-877-623-6748
Internet: w .ncwalerqualiry.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
NRtu,ralll,J
Mr. Kenneth Pennell
Hancock & Moore, Inc—NCG180247
May 15, 2013
Sincerely,
ORIGINAL SIGNED Si
KEN PICKLE
for Charles Wakild, P.E.
cc: Mooresville Regional Office, Michael Parker
Central Files
Stormwater Permitting Unit Files
Page 2 of 2
Ventaloro, Julie
From:
Parker, Michael
Sent:
Tuesday, May 14, 2013 7:44 AM
To:
Ventaloro, Julie
Subject:
RE: Review Requests NCG180246,180247,180428 Hancock & Moore
Follow Up Flag:
Flag for follow up
Flag Status:
Flagged
Julie,
I can find no reason to not issue the three GPs.
Michael Parker- Michael.Parkerc@ncdenr.gov
Regional Supervisor, Surface Water Protection
North Carolina Dept. of Environment & Natural Resources
Division of Water Quality
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Direct Line: (704) 235-2194 Fax: (704) 663-6040
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Ventaloro, Julie
Sent: Monday, May 13, 2013 4:13 PM
To: Parker, Michael
Subject: Review Requests NCG180246,180247,180428 Hancock & Moore
Hi Mike, ,
We've received NOls for three existing facilities in your region. All of them are owned by Hancock & Moore, Inc., a
furniture manufacturer.
NCG18 — Hancock & Moore
• Plant #1 (NCG180246) - The site discharges stormwater at three points to an unnamed tributary to Rock Creek
(Class C). The NO1 is attached.
• Plant #2 (NCG180247)—The site discharges stormwater at five points to Stirewalt Creek (Class C). The NOI is
attached.
• Plant #3 (NCG180248)—The site discharges stormwater at three points to an unnamed tributary to Rock Creek
(Class C). The NOI is attached.
Please let me know if the Mooresville Regional Office has any concerns about issuing these COCs. Please also let me
know of any potential impacts to wetlands. If we don't receive any objections, we'll issue the COCs in 30 days.
Thanks!
Julie Ventaloro
Coordinator, Water Supply Watershed Protection Program
NC Division of Water Quality
Wetlands & Stormtiater Branch
1617 Mail Service Center, Raleigh, NC 27699-617
Phone. (919) 807-6370 Fax: (919) 807-6494
Website: http://watercu¢plMatershed.nc gov
E-mail correspondence to and fi-orn this address may he subject to the North Carolina Public Records Law and may he disclosed to third
parties.
711ADivision of Water Quality / Water Quality Section
�o�
NC®ENR National Pollutant Discharge Elimination System
N G NA C[nurt or
EWFOXMEM ♦ND NMRK R RCCs
NCG l 80000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Rccoived
Year
Mon,h
Da
. Certificate
C vera e
heck
A�noun
Pe it Assi edto
c� ro
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG180000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 25 Furniture and Fixtures
SIC 2434 Wood Kitchen Cabinets
' Standard Industrial Classification Code
1) Mailing address of owner/operator:
Name:
Street Address:
City:
Telephone No.:
(Please print or type)
Hancock & Moore Inc
P.O. Box 3444
Hickory State: NC ZIP Code: 28603
(828)495-8235 Fax: (828) 495-3021
Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name:
Facility Contact:
Facility Address:
City:
County:
Telephone No.:
Kenneth Pennell
165 Matheson Park Avenue
Taylorsville State: NC ZIP Code: 28681
(828) 632-7079 Fax: (828) 495-3021
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). One block east of Highway 16 on Matheson Park Avenue
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) Latitude 35.9161605 Longitude-81.1741040 (degrees, minutes,
seconds) 3ie5y'S,lot 0D2b,�7tI. -N-- .._
5) This NPDES Permit Application applies to which of the following: rD /�
❑ New or Proposed Facility Date operation is to begin
❑x Existing
6) Standard Industrial Classification: / �wokZd
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the plrYt1'j strlal:,:,
activity at this facility s.n
SIC Code: 2512
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Manufacture and assembly of wood frames for upholstered furniture
Page 1 of 4
SWU-233-081511
P
NCG180000 N.O.I.
t
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 5
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Creek is not named St, rrva I-1(rt(k c��
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NA
10) Does this facility have any other NPDES permits?
O No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
❑x No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
O Yes
If yes, please briefly describe: Included in SWPPP
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
0 Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
O No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
❑O No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
x❑ No Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑O No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
Page 2 of 4
S W U-233-081511
NCG180000 N.O.I.
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport I disposal vendor: _
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record,
report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate
any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of
the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar
offense.)
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Tom O'Connell
Title: Vice President Finance
s%t4 by
(Signature of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑x Check for $100 made payable to NCDENR
This completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
Page 3 of 4
SWU-233-081511
NCG180000 N.O.I.
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office ...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........
(919) 807-6300
Page 4 of 4
SWU-233-081511
Hancock & Moore Plant 42 SWPP Plan April 15,2013
10.n
V4'
<1 6>
V013 Mp0nt PoMams M13
NAVT to [Temv I Privacy
Figure 1-1 General Location Map for the Hancock & Moore Plant #2
2
NORTH CAROLINA
Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
the following and hereto attached to be a true copy of
ARTICLES OF AMENDMENT
OF
RHF - HM, LLC
WHICH CHANGED ITS NAME TO
HANCOCK & MOORE, LLC
the original of which was filed in this office on the 20th day of October, 2015.
Scan to verify online.
Document Id:C201529200449
Verify this certificate online at w .secrelary.slate.nc.us/verification
RECEIVED
11 o{ 9. 9 2015
bENR=LAND QUALITY
STORMWATER PERMITTING
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 20th day of October, 2015.
Secretary of State
SOSID: 1447810
Date 1,iled: 10/20/2015 8:30:00 A�iNI
Elaine F Marshall
North Carolina Secretary of Stale
C2015 292 00449
Stale of North Carolina
Department of the Secretary of State
Limited Liability Company
AMENDMENT TO ARTICLES OF ORGANIZATION
Pursuant to §57D-2-22 of the General Statutes of North Carolina, the undersigned limited liability
company hereby submits the following Articles of Amendment for the purpose of amending its Articles
of Organization.
1. The name of the limited liability company is: RHF —I-INI LLC
2. The text of each amendment adopted is as follows (attach additional pages if necessary):
RESOLVED, that Article 1 of the Articles of Organization of RI -IF - HM, LLC
be amended to read as follows:
The name of the limited liability company is Hancock & Moore,
LLC.
3. (Check either a or h, whichever is applicable)\
a. The amendment was duly adopted by the unanimous vote of the organizers of the
limited liability company prior to the identification of initial members of the limited liability
company.
b. XX The amendment was duly adopted by the unanimous vote of the members of the
limited liability company or was adopted as otherwise provided in the limited liability
company's Articles of Organization or a written operating agreement.
4. These articles will be effective upon filing, unless a date and/or time is specified:
This the 15" day of October 2015.
RI-1F — HNI, LLC
Name of
�Limit�ed Liability Company
Signature
Brandon M. Hucks, Manager
Type or Print Name and Title
NOTES:
1. Filing fee is $50. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(ReviredJanwry 2014) (Form 1. 17)
1PHD 00787160.DOCX 1