NC0045993_owner name change_20230206

NORTH CAROLINA
Environmental Quality
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00_4 /5__9_/_9 /_3_ or NCG5 / /_/_/_
1. Facility Name: As Shown on Permit: ATI Allvac Monroe Plant; As Shown in Most
Recent Permit Renewal Application: ATI Specialty Materials — Monroe Plant
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
_X_c. Other (please explain): Corporate restructuring resulting in legal entity and name
changes.
2. New owner's name (name to be put on permit):
ATI Specialty Materials, LLC
3. New owner's or signing official's name and title: Larry Allen
(Person legally responsible for permit)
EHS Manager
(Title)
4. Mailing address: 2020 Ashcraft Ave. City: Monroe
State: NC
Zip Code: 28110 Phone: [phone]x.3823
E-mail address: [e-mail]
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes X No 0
2. Will the treatment system and discharge location remain the same? Yes X No El
"No Responses"
If either or both of these questions are answered "No" then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities, waste
�D_EQNORTH CAROLINA
Department M EmironmMal auatny
North Carolina Department of Environmental Quality I Division of Water Quality
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

NPDES Name and Ownership Change
Page 2 of 2
stream, treatment process or outfall location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form - Included
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement) — The change is an internal change to articles of incorporation.
3. Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate) — Not Applicable.
Applicant's Certification:
I, Larry Allen , 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 and
attachments are not included, this application package will be returned as incomplete. I understand
that Permit Name/Ownership Change can only take place through action taken by the Division of Water
Resources and that no actions on my part or the part of my company result in the automatic transfer of
permit coverage.
Signature:
ilte Date: . `CD— a`0:3
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 07/2021