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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