NCG030329_Name-Owner Change Form and Supporting Docs_20220510

NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF Energy, Mineral, and Land Resources
STORMWATER PROGRAM
NORTH CAROLINA
Environmental Quality
NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: NCS���_/_ /_ or NCG��0 /_�_/ 2 / 9
1. Facility Name (prior to change): Honda Power Equipment Mfg., LLC
NEW OWNER/NAME INFORMATION:
2. This request for a name change is a result of:
a. Change in ownership of property/company
X
b. Name change only (Facility and/or Company)
RECEIVE®
DEMLR-Stormwater Program
c. Other (please explain):
(for example, facility address update. Include additional attachments if necessary.)
3. New owner's name (name to be put on permit as Permittee):
American Honda Motor Co.. Inc.
4. New owner's or signing official's name and title: David Werden
(Person legally responsible for permit)
Assistant Vice President
(Title)
5. Mailing address: 3721 NC Highway 119 city: Swepsonville
State: NC Zip Code: 27359
E-mail address:
Phone:( 336 ) 578-6300
6. New facility name (if applicable): North Carolina Manufacturing
7. Effective date of transfer or name change: January 1, 2022
D E QJ� North Carolina Department of Environmental Quality I Division of Energy, Mineral and land Resourms
512 North Salisbury Street 11612 Mail Service Center I Raleigh. North Carolina 276991612
919.70T9200

NPDES Stormwater Permit Name/Ownership Change
Page 2 of 2
III. PERMIT AND FACILITY CONTACT INFORMATION
8. New permit contact's name and title:
Stephen Fogle
(Permit Contact)
Staff Engineer
(Title)
9. Mailing address: 24000 Honda Parkway city: Marysville
State: OH Zip Code: 43040 Phone: (937 ) 644-7797
E-mail address: John—[e-mail]
10. New facility contact's name and title: John Schuh
(Facility Contact)
(Title)
11. Mailing address: 3721 NC Highway 119 City: Swepsonville
State: NC Zip Code: 27359
E-mail address: [e-mail]
Phone: ( 336 ) 578-6300
12. New billing contact's name: John Schuh
(Billing Contact)
13. Mailing address: 3721 NC Highway 119 city: Swepsonville
State: NC Zip Code: 27359 Phone:( 336 ) 578-6300
E-mail address: John^[e-mail]
IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION
1. Will industrial activities at the facility remain the same asunder the previous owner?
Yes IX No ❑
2. Will the stormwater discharge location(s) remain the same? Yes IX No ❑
NOTE: if either of these questions is answered "No," then more information is needed to review
the request. Please attach documentation to describe and explain the changes to the facility
activities, stormwater discharges, and/or outfall location. Depending on the information
provided, the Division may require that the new owner file a new permit application.
Last Revised 3/13/2022

NPDES Stormwater Permit Name/Ownership Change
Page 2 of 2
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS
ALL OF THE ITEMS LISTED BELOW ARE INCLUDED.
REQUIRED ITEMS:
1. This completed application form (with original signature)
2. Legal documentation of transfer of ownership (such as relevant pages of a deed or a bill of sale) is
required for an ownership change request. Articles of incorporation are not sufficient for an
ownership change but can be provided for a name change.
3. Information to document facility, industrial activities, stormwater discharges, or outfall changes
as noted in item IV above (if appropriate)
Why is this information needed?
Regulations in 40 CFR §122.63 allow for minor modifications to NPDES permits for a change of
ownership or operational control of a facility, provided that information supports that no other change
in the permit are necessary.
Why does this form need to be mailed in?
Permittees and applicants must fulfill signatory requirements in the NPDES federal
regulations in 40 CFR §122.22 (please see those regulations for guidance). Until NCDEQ's
electronic submission process meets Cross -Media Electronic Reporting (CROMERR)
requirements, this original signed (not digital signature) form must be mailed to the
address below. The uploaded copy is stored as part of the permit record in the Division's
digital repository.
Applicant's Certification:
I, David Werden , attest that the application for a name and/or ownership
change submitted has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed, or if all
required supporting information is not included, this application package will be considered
incomplete and may be returned.
Signature: Zz2z � Date: — Z Z
THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO:
DEMLR Stormwater Program
512 North Salisbury Street, 6`h Floor (Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
Last Revised 3/13/2022

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 MERGER
OF
HONDA POWER EQUIPMENT MFG., LLC
the original of which was filed in this office on the 12th day of November, 2021.
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this l 5th day of November, 2021.
Scan to verify online.
Certification# 111525457-1 Reference# 17875893- Page: l of 3 Secretary of State
Verify this certificate online at https://www.sostic.gov/verification

SOSID: 0004361
Date Filed: 11/12/2021 1:34:00 PM
Effective: 1/l/2022
Elaine F. Marshall
:North Carolina Secretary of State
C2021 316 00562
State of Norsh Carolina
Department of the Secretary of State
ARTICLES OF MERGER
Pursuant to North Carolina General Statute Sections 55-1 l-05(a), 55-11-12, 55A-11-09(d), 55A-11-04,
57D 9-42, 59-73.32(a) and 59-1072(a), as applicable, the undersigned entity does hereby submit the
following Articles of Merger as the surviving business entity in a merger between two or more business
entities.
1. The name of the surviving entity is American Honda Motor Co., Inc. , a (check one)
Rcorporation,❑ nonprofit corporation,❑ professional corporation,❑limited liability company,
❑ limited partnership,❑ partnership,[] limited liability partnership organized under the laws of
California (state or country).
2. The address of the surviving entity is:
Street Address: 1919 Torrance Blvd. City: Torrance
State: CA
Zip Code: 90501 County: Los Angeles
(a) (Complete only if the surviving business entity is a foreign business entity that is not authorized to
transact business or conduct affairs in North Carolina) The mailing address of the surviving
foreign business entity is:
Street Address:
State:
City:
Zip Code: County:
The Surviving foreign business entity will file a statement of any subsequent change in its mailing
address with the North Carolina Secretary of State.
3. For each merging entity: (ifmore than one, complete on separate sheet and attach.)
The name of the merged entity is Honda Power Equipment Mfg., LLC , a (check one)
❑ corporation,❑ nonprofit corporation,❑ professional corporation,211imited liability company,
❑ limited partnership, ❑partnership,❑limited liability partnership organized under the laws of
North Carolina (state or country).
The mailing address of each merging entity is: (if more than one, complete on separate sheet and
attach)
Street Address: 3721 NC Highway 119 City: Swepsonville
State: NC
Zip Code:27359 County:
4. If the surviving business entity is a domestic business entity, the text of each amendment, if any, to
the Articles of Tncorporation, Articles of Organization, or Certificate of Limited Partnership within
the Plan of Merger is attached.
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised Ocmber. 2018) (Furor BE-15)
Certification# 111525457-1 Reference# 17875893- Page: 2 of 3

5. A Plan of Merger has been duly approved in the manner required by law by each of the business
entities participating in the merger.
Provide the information in Items 6 and 7 below fora merger between a parent
unincorporated entity and a subsidiary corporation or corporations. Q55-11-12)
6. The terms and conditions of the merger are attached. (§55-11-12 mergers only)
7. Information concerning the manner and basis of converting the interests in each merging business
entity into interests, obligations, or securities of the surviving business entity, or into cash or other
property in whole or in part, or of cancelling the interests is attached. (§55-11-12 mergers only)
8. These articles will be effective upon filing unless a delayed date and/or time is specified i/1/2022
This the 1st day of November , 2021
American Honda Motor Co., Inc.
Name of Entity
Signature
Rick Schostek, Executive Vice President
Type or Print Name and Title
NOTES:
1. Filing fee is $50 for For -profit entities.
2. Filing fee is S25 when the surviving business entity is a Non-profit corporation.
3. This document must be Sled with the Secretary of State. Certificate(s) of Merger must be registered pursuant to
the requirements of N.C.G.S. Section 47-18.1
BUSMUS REGISTRATION WnSiON P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised October, 2018) (Furm BE-15)
Certification# 111525457-1 Reference# 17875893- Page: 3 of 3