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HomeMy WebLinkAboutNCS000107_Name-Ownership Change Form_20221013RECEIVED HALLSTAR=' DEMI-R-Stormwater Program 120 South Riverside Plaza Suite 1620, Chicago, IL 60606 312.554.7445 www.hallstaccom October 5, r �4W4Z12-o V CAAD DEMLR Stormwater Program 512 N. Salisbury Street 6th Floor (Office 640K) 1612 Mail Service Center Raleigh, NC 27699-1612 RE: Permit Number: NCS000107 Permit Name / Ownership Change Form Delegation of Signature Authority Form Pad Z 4 Z &b (%lUl' I6,k+6hC1KT° . C&I"- I V/ Y r Ylc�.7`� A� 7� to S6C4-'- Gb1 A g-,%YIP d To Whom this May Concern: En /t Enclosed, please find the Permit Name/Ownership Change Form as well as the /�J{ Delegation of Signature Authority Form and supporting documentation for the facility ov- located at 520 Broome Road in Greensboro, NC. In addition to these paper forms, online forms were also completed. We look forward to receiving the new permit in the name of Hallstar Industrial Solutions Company for our new Greensboro site. I can be reached at 312-554-7422 or acesaretti@hallstar.com if you have questions. Best Regards, HALLSTAR April A. Cesaretti Regulatory Affairs Manager acesaretti@hallstar.com 312-554-7422 RECEIVED A,- Pr. rn�(am DEMIR-Stormweter Pff DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF Energy, Mineral, and Land Resources STORMWATER PROGRAM NORTH CAROUNA EnvlrontnenfdlquaW NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM CURRENT PERMIT INFORMATION: 7 Permit Number: NCSOJ_0QI-L—/_0l! or NCG___J--J—/--/_/_ 1. Facility Name (prior to change): P��( 11. NEW OWNER/NAME INFORMATION: 2. This request for a name change is a result of: 4?:Ca. Change in ownership of property/company _b. Name change only (Facility and/or Company) _c. Other (please explain): (for example, facility address update. Include additional attachments if necessary.) 3. New owner's name (name to be put on permit as Permittee): 4. New owner's or signing official's name and title: �GA` t NUlW� (Person le ally responsible for permit) _P�ANT AA (Title) S. Mailing address: -S)L N=ne(' _City: eLt7C.1 IQlown State: N(_. ' Zip Code: 2740 b Phone: (330?-,%W-L 9 &L: E-mail address: THu KST l 14%-L-srAjz COT" 6. New facility name (if applicable): ,I a[&VS )r\tom' 7. Effective date of transfer or name change: GCUhIzAr 11 7_2�_ D �_� North Caraihu Department of EnvironmrnWl Quality I Division al Energy. Mineral and Land Resources `T7�p 512NnrthsalLsbury5treet 11612 mail Service Center I Raleigh.NorthC�na27699-1612 o-�.w+ a /'� 919.707.9200 NPDES Stormwater Permit Name/Ownership Change Page 2 of 2 III. PERMIT AND FACILITY CONTACT INFORMATION 8. New permit contact's name and title:bA Z�L l (Permit Contact) Nayi4- Aa (Title) 9. Mailing address: b2,0 [ City: &66V6(WD State:lL-L-11. Zip Code: Z' (40 Phone: () 3_78 "Cq &,-Sr E-mail address: T_1&j0%_cQ TOW 10. New facility contact's name and title:ib l i I!" ?Mo MA/1- (Facility Contact) AAQ y1a (Title) 11. Mailing address: �S2z eny&1-e_ u ' City: & 5eMoiD State: I " Co' Zip Code: Z 14 0 U Phone: (9 3 �) )cJ I U —O 2L( E-mail address: EQ WMI-1 (F-.1[A/"\wFVAV_ - 12. New billing contact's name: Eyaff�d lk/_ &WtV0,04 (Billing Contact) 13. Mailing address: State: C f jly dip Code: _h NX - Phone: ( E-mail address: IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION 1. Will industrial activities at the facility remain the same as under the previous owner? Yes Ckwo O 2. Will the stormwater discharge location(s) remain the same? Yes No o 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 outfal! 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: I0 Q� , attest that the application for a name and/or ownership Me change submittQ 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 will be considered required supporting information is not included, this application package incomplete an44Ttay be returned. Signature: THE COMPLETED APPLICATION Date.-4 ALL SUPPORTING INFORMATION SHOULD BE SENT TO: DEMLR Stormwater Program 512 North Salisbury Street, 61h Floor (Office 640K) 1612 Mail Service Center Raleigh, NC 27699-1612 i net Revised 3/13/2022 Book 8665 Page 1950 BK: R 8665 PG:1958 -1954 "` FEE $zs.00 RECORDED: 2022061168 STATE OF NC 10/03=22 GUILFORD COUNTY. NC REAL ESTATE 08:39:39 AM JEFF L. THIGPEN EXTX S76Q0.40 DEPUTY-GOREGISTER OF DEEDS Bt AMIY L SIMPSON Excise Tax: $7,600.00 Tax Lot NoJParcel Identifier No.: 92994 Mail after recording to: Michael DeFranco, Baker & McKenzie LLP, 300 East Randolph Street, Suite 5000, Chicago, IL 60601 This instrument was prepared by: David Saye, Mayer Brown LLP, 214 North Tryon Street; Suite 3800, Charlotte, NC 28202 Brief Description For The Index: ••'• 520-Broome-Road, Greensboro,- NC 27406 NORTH CAROLINA SPECIAL WARRANTY DEED THIS DEED made as of October 1 , 2022, by and between: GRANTOR: GRANTEE: LANXESS CORPORATION, HALLSTAR GREENSBORO LLC, a Delaware corporation a limited liability company organized under the laws of North Carolina Address: 111 RIDC Park Nest Drive Address: Pittsburgh, PA 15275-112 120 South Riverside Plaza, Suite 1620 Chicago, IL. 60606 Enter in appropriate block for each party: name, address, ana, it appropnate, cnaracEer or enary, e.g. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context submitted electronically by "Chicago Title company, LLc" in compliance with North caroling statutes governing recordable documents and the terms of the submitter agreement with the Guilford county Register of Deeds. Book 8665 Page 1951 WMESSETH, that Grantor, for a valuable consideration paid by Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto Grantee in fee simple, all that certain lot or parcel of land situated in the City of Greensboro, Guilford County, North Carolina and more particularly described as follows (the "ProPert'i: See &I bi't A_ attached hereto and incorporated herein by reference. The Property hereinabove described was acquired by Grantor by instrument recorded in Book 4123, Pages 0691, Office of the Guilford County Register of Deeds. All or a portion of the Property herein conveyed does not include the primary residence of Grantor. TO ]HAVE AND TO HOLD the aforesaid lot or parcel of land and all improvements thereon and all privileges and appurtenances thereto belonging to Grantee in fee simple. And Grantor covenants with Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, except for the exceptions listed on Exhibit attached hereto and incorporated herein by reference. In addition, Grantee acknowledges, for itself and its successors and assigns in ownership of any interest in or to all or any portion of the Property, that this Deed is subject to the following prohibitions, reservations and restrictive covenants, which shall run with the land in -perpetuity -for -the -benefit of Grantor; -and their respective successors and assigns: A. The Property shall not be used to grow plants for food; and B. The Property shall be used only for non-residential purposes, and shall not be used for any residential or quasi -residential purpose whatsoever, including, without limitation, single or multifamily purposes, retail, recreation, nursing or long term care facilities, adult or child day care, schools or similar facilities, or any use that involves the occupancy of any improvements on the Property for residential or similar purposes, and Grantee shall not request, publicly or privately, or support in any manner or forum any remediation standard for the Property more stringent than the non-residentiallindusniaVcommercial standards required by applicable Law. It is intended that the foregoing restrictions shall be interpreted as broadly as possible and not narrowly. IN WITNESS WHEREOF, Grantor has caused this deed to be duly executed as of the date first above written. GRANTOR: LANXESS CORPORATION, a Delaware corporation 1 By: Name: pM r c!� r[ 1:3 Title: