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HomeMy WebLinkAboutNCG210411_Name-Ownership Change Form & Legal Doc_2020227 RECEIVED NC DEPARTMENT OF ENVIRONMENTAL QUALITY _ ' DIVISION OF Energy, Mineral, and Land Resources ti mac DEMLR-Stormwater Program aw,vcd' STORMWATER PROGRAM NORTH CAROLINA Environmental Quality NPDES STORMWATER PERMIT NAME OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION: Permit Number: NCSw/ _/� / or NCG 2 / 1 1. Facility Name (prior to change): __Domtar Paper Company, LLC-Broad River !I. NEW OWNER/NAME INFORMATION: 2. This request for a name change is a result of: X a. 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): Profile Products LLC 4. New owner's or signing official's name and title: Michael Hatawa (Person legally responsible for permit) Sr. Dir. EH&S (Title) 5. Mailing address: 750 W. Lake Cook Rd. Suite 440 City: Buffalo Grove State: IL Zip Code: 60089 Phone: ( 847 ) 215-1144 E-mail address: Mhataway@profileproducts.com 6. New facility name (if applicable): Profile Products, LLC. Broad River 7. Effective date of transfer or name change: 2/6/2023 NPDES Stormwater Permit Name/Ownership Change Page 2 of 2 III. PERMIT AND FACILITY CONTACT INFORMATION 8. New permit contact's name and title: Michael Hatawa (Permit Contact) Sr. DIR. EH&S Profile Products LLC. (Title) 9. Mailing address: 219 Simpson Street City: Conover State: NC Zip Code: 28613 Phone: ( 828 ) 446-1230 E-mail address: Mhataway@ profile roducts.com 10. New facility contact's name and title: Caleb Minter (Facility Contact) Fiber Supply Mgr (Title) 11. Mailing address:. 219 Simpson Street SW.. City:Conover State: NC Zip Code: 28613 Phone: ( 828 ) 502-2610 E-mail address: calebnminter@ profile roducts.com 12. New billing contact's name: Accounts Payable (Billing Contact) 13. Mailing address: 219 Simpson Street.SW City: Conover State: NC Zip Code: 28613 Phone: ( 828 ) 327-4165 E-mail address: Apconover@profileproducts.com IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION 1. Will industrial activities at the facility remain the same asunder the previous owner? Yes XX No 2. Will the stormwater discharge location(s) remain the same? Yes XX 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, Michael Hataway , 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 re rned. Signature: Date: 2 21 2023 THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO: DEMLR Stormwater Program 512 North Salisbury Street, Gt" Floor (Office 640K) 1612 Mail Service Center Raleigh, NC 27699-1612 Last Revised 3/13/2022 North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources 512 North Salisbury Street 1 1612 Mail Service Center I Raleigh,North Carolina 27699-1612 ,m u;�n ui rnw iy 919.70T9200 NORTH CAROLINA,NON-WARRANTY DEED Excise Tax: $0.00 Parcel Identifier No, 1624-52-5288(REID 1646203) Mail/Box to:Baxter R Geddie Phelps Dunbar,ILLP,42701-55 North,Jackson,MS 39211 This instrument was prepared by. CarolM Clark Snipes, a licensed NC attornc _ Delin ent taxes if M to be paid by the closin attorne to the coon tax collector upon disbursement of closing proceeds. No title examination performed by deed praparer. File: 106543.02 Brief description for the Index: 200.23 acres NO TITLE WORK DONE BY PREPARER THIS DEED made this 4"t"day of February,2023,by and between GRANTOR GRANTEE Domtar Paper Company,LLC, Profile Products LLC, a Delaware limited liability company a Delaware limited liability company 100 Kingsley Park Drive 750 W_Lake Cook Road Fort Mill,SC 25719 Buffalo Grove,lL 60089 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 content. WITNESSETH,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 Camp Creek Township,Rutherford County,North Carolina and more particularly described as follows(the"Pro a '): SEE EXHIBIT A.INCORPORATED HEREIN BY REFERENCE. The Property herein described was acquired by Grantor by instruments recorded in Book 928, Page 233 and in Book 2068,Page 3936,Rutherford County Registry_ All or a portion of the Property herein conveyed does not include the primary residence of a Grantor. R&5 2980936 1 PDA0255171.2 TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging to Grantee in fee simple. The Grantor males no warranty,express or implied,as to title to the Property here described. (Signature and Notary acknowledgment on following page.) R&S 2980936 1 PD.40255171.2 IN WITNESS WHEREOF, Grantor has duly executed the foregoing as of the day and year first above written. DOMTAR PAPER CoMaANy,LLC, a Delaware limited liability company w By: (SEAL) Nam - Kevin Belanger Title: VP Wood Fiber Procur meat State of Q,County of I, the undersigned Notary Public of the County and State aforesaid, certify that Kevin Belanger personally appeared before me this day as the VP Wood Fiber Procurement of Domtar Paper Company, LLC, a Delaware limited liability company, and acknowledged the due and voluntary execution of the foregoing instrument for the purposes therein expressed on behalf of the company. Witness my hand and Notarial stamp or seal this I day of, .2023. QW,V900"ll", P• missid 0 G 2 Notary Public Notary's Printed Name: O'0, My Commission Expires: s �1i1�yC My COMMISSION EXPIRES: June 19,2025 R&5 2980936_1 pb.40255171.2 EXHIBIT A Survey Legal Description Lying and being in Camp Creek Township,Rutherford County,North Carolina,lying along and South of Centennial Road. Being a combined total of 200.23 Acre parcel of land described as Tracts One(1) and Three(3) of Deed Boole 928,Page 233,Rutherford County Registry and being more particularly described as follows: BEGINNING at a MAG nail set in the centerline of Centennial Road(S.R. 1504) and the centerline of a branch culvert_Being the northwestern corner of the herein described tract and the northeastern corner of the Stephen C. Harper, II tract, Deed Boole 2057, Page 1471. Said MAG nail tied from NGS concrete monument "Centennial" by a bearing South 74 degrees 42 minutes 54 seconds West a distance of 1754.67 feet with NC grid coordinates North 643,764.28, East 1,125,663.65 feet (NAD 83/2011). Said MAG nail being the POINT OP BEGINNCNG. Thence from the beginning point with the centerline of Centennial Road(S.R. 1504)the following calls: South 46 degrees 27 minutes 54 seconds East,a distance of 158.66 feet to a point,thence South 48 degrees 05 minutes 40 seconds East,a distance of 39.17 feet to a point;thence South 50 degrees 50 minutes 08 seconds East,a distance of 47.88 feet to a point;thence South 56 degrees 28 minutes 30 seconds East,a distance of46.18 feet to apoint;thence South 65 degrees 25 minutes 01 seconds East,a distance of 34.31 feet to a point;thence South 73 degrees 26 minutes 25 seconds East,a distance of 37.70 feet to a point;thence South 80 degrees 49 minutes 58 seconds East,a distance of 38.03 feet to a point;thence South 87 degrees 52 minutes 46 seconds East,a distance of 48.54 feet to a point;thence North 86 degrees 33 minutes 14 seconds East,a distance of 50.96 feet to a point;thence North 84 degrees 14 minutes 26 seconds East, a distance of 56.29 feet to a point;thence North 83 degrees 35 minutes 47 seconds East, a distance of 77.70 feet to a point;thence North 83 degrees 01 minutes 03 seconds East, a distance of 210.28 feet to a point;thence North 82 degrees 30 minutes 28 seconds East, a distance of 138.12 feet to a point;thence North 81 degrees 42 minutes 50 seconds East, a distance of 44.23 feet to a point;thence North 81 degrees 01 minutes 41 seconds East,a distance of 64.54 feet to a point;thence North 79 degrees 14 minutes 32 seconds East,a distance of 54.34 feet to a point;thence North 75 degrees 50 minutes 14 seconds East,a distance of 58.70 feet to a point;thence North 71 degrees 59 minutes 07 seconds East,a distance of 68.92 feet to a point;thence North 67 degrees 41 minutes 02 seconds East,a distance of 56.13 feet to a point;thence North 64 degrees 41 minutes 12 seconds East, a distance of 4293 feet to a point;thence North 60 degrees 58 minutes 43 seconds East, a distance of 37.05 feet to a point;thence North 57 degrees 04 minutes 18 seconds East,a distance of 38.12 feet to a point;thence North 53 degrees 19 minutes 04 seconds East,a distance of 25.84 feet to a point;thence North 49 degrees 24 minutes 37 seconds East,a distance of 33.10 feet to a point;thence R&S 2980936 1 PD.40255171.2 North 43 degrees 31 minutes 12 seconds East,a distance of 44.81 feet to a point;thence North 36 degrees 46 minutes 43 seconds East,a distance of 46.25 feet to a point;thence North 31 degrees 41 minutes 04 seconds East, a distance of 44.60 feet to a point;thence North 28 degrees 03 minutes 34 seconds East, a distance of 40.09 feet to a point;thence North 26 degrees 53 minutes 06 seconds East,a distance of 56.05 feet to a point;thence North 26 degrees 30 minutes 30 seconds East,a distance of 55.09 feet to a point;thence North 27 degrees 04 minutes 37 seconds East,a distance of 54.77 feet to a point-thence North 29 degrees 20 minutes 12 seconds East,a distance of 43.71 feet to a point;thence North 34 degrees 17 minutes 27 seconds East,a distance of 41.71 feet to a point;thence North 43 degrees 56 minutes 57 seconds East, a distance of 45.00 feet to a point;thence North 58 degrees 27 minutes 14 seconds East,a distance of 49.77 feet to a point;thence North 72 degrees 32 minutes 36 seconds East,a distance of 49.31 feet to a point;thence North 86 degrees 42 minutes 41 seconds East,a distance of 44.96 feet to a point;thence South,81 degrees 58 minutes 16 seconds East,a distance of 22.36 feet to a point;thence South 75 degrees l 1 minutes 20 seconds Fast, a distance of 42.64 feet to an existing MAG Nail found at the intersection of Centennial Road (S.R. 1504) and Camp Creek Road (S.R. 1512); thence leaving the centerline of Centennial Road a bearing of South 59 degrees 50 minutes 40 seconds East, a distance of 407.25' to a new iron pin set, said pin being on the southern property line of the Julie L. Greene tract, Deed Book 1113, Page 817; thence continuing with the Greene southern property line South 59 degrees 50 minutes 40 seconds East, a distance of 114.69' to an E1P (Bolt found); thence South 22 degrees 53 minutes 07 seconds West, a distance of 114.70' to a MAG Nail set in the centerline of Centennial Road being the northwestem comer of the F. Todd and Melissa Y. White tract, Deed Book 793, Page 160; thence with the common line of the White tract South 22 degrees 53 min-ate 07 seconds West,a distance of 149.74'to an existing Stone found;thence South 47 degrees 10 minutes 24 seconds West,a distance of 150.44'to a Stone found,the southwestern corner of the White tract,thence South 41 degrees 58 minutes 19 seconds East, a distance of 288.53' to an Existing Iron found,being a common corner of the F. Todd and Melissa Y. White tract, Deed Book 793, Page 160 and the Sherry J. Kelly tract, Deed Book 975, Page 449;thence with the Kelly line South 47 degrees 01 minutes 49 seconds West,a distance of 325.34' to an Existing Iron Pin,being the southwestern comer of the Sherry J. Kelly tract:Deed Book 975,Page 449; thence with the Kelly property line South, 40 degrees 44 minutes 10 seconds East, a distance of 409.41' to an Existing 4" Axle, thence continuing with the Kelly property line North 51 degrees 39 minutes 02 seconds East, a distance of 466.18' to an Existing Iron Pin, being the eastern most corner of the Sherry J.Kelly tract,Deed Book 975,Page 449 and being on the property line of the Travis C. Greene and Meredith E.Greene tract,Deed Book 2056,Page 2576;thence with the Greene line South 40 degrees 27 minutes 02 seconds East, a distance of 412.31' to an Existing Iron Pin; thence South 53 degrees 59 minutes 25 seconds West, a distance of 74.31' to an Existing Iron Pin; thence South. 33 degrees 48 minutes 50 seconds East, a distance of 816.18' to an Existing Iron Pin, being a corner of the Travis C. Greene and Meredith E. Greene tract, Deed Book 2056, Page 2576 and also being the northernmost corner of the Patsy R.West and others tract as described in Deed Book 962,Page 6;thence with the West tract, South 45 degrees 17 minutes 58 seconds West,a distance of 405.56'to an Existing Iron Pin;thence South 37 degrees 17 minutes 13 seconds West,a distance of 376.66'to an Existing Iron Pin;thence South 01 degrees 08 minutes 43 seconds West,a distance of 767.12'to an Existing Iron Pin on the western bank of a branch, thence crossing the branch South 33 degrees 10 minutes 49 seconds West, a distance of x&s 2980936_1 PD.40255171.2 293.33' to an Existing Iron Pin on the eastern bank of the branch;thence South 07 degrees 48 minutes 32 seconds East, a distance of 207,88' to an Existing Iron Pin; thence South 61 degrees 58 minutes 51 seconds East, a distance of 380.82' to an Existing Iron Pin on the northern bank of the Second Broad River;thence South 32 degrees 14 minutes 44 seconds West, a distance of 44.92' to a point in the center of the Second Broad River;thence a series of calls following the centerline of the river: North 69 degrees 21 minutes 25 seconds West,a distance of 87.01' South 54 degrees 17 minutes 44 seconds West,a distance of 146.54' North 82 degrees 47 minutes 44 seconds West,a distance of 331.66' North 32 degrees 45 minutes 25 seconds West,a distance of 88.78' North 61 degrees 39 minutes 29 seconds West,a distance of 41.54' North 43 degrees 39 minutes 51 seconds West,a distance of 57.79' North 57 degrees 22 minutes 57 seconds West,a distance of 119.67' South 75 degrees 31 minutes 03 seconds West,a distance of 35.59' South 44 degrees 58 minutes 26 seconds West,a distance of 63.88' South 43 degrees 08 minutes 52 seconds West,a distance of 85.82' South 56 degrees 29 minutes 46 seconds West,a distance of 60.47' South 87 degrees 32 minutes 23 seconds West,a distance of 56.38' South 79 degrees 51 minutes 55 seconds West,a distance of 90.58' North 62 degrees 58 minutes 45 seconds West,a distance of 24.42' North 38 degrees 57 minutes 59 seconds West,a distance of 34.95' North 12 degrees 03 minutes 10 seconds West,a distance of 121.64' North 20 degrees 51 minutes 12 seconds West,a distance of 104.03' North 51 degrees 42 minutes 27 seconds West,a distance of 48.27' North 67 degrees 41 minutes 51 seconds West,a distance of 30.65' said point being tied to a MAG nail set in the centerline of the railroad trestle over the centerline of the river, South 67 degrees 25 minutes 34 seconds East, a distance of 122.81'; thence leaving the centerline of the Second Broad River North 30 degrees 29 minutes 43 seconds West,a distance of 74.47'to an New Iron Pin set on the north bank of the Second Broad River and on the northeastern Right of Way of the CSX Railroad;thence following the northeastern Right of Way of the CSX Railroad,North 30 degrees 29 minutes 43 seconds West,a distance of 1944.63'to an New Iron Pin set on the northeastern Right of Way of the CSX Railroad; thence South 29 degrees 08 minutes 31 seconds West, a distance of 86.95' to a point in the centerline of the CSX Railroad track;thence South 29 degrees 08 minutes 31 seconds West,a distance of 69.61'to a New Iron set on the southern Right of Way of the CSX Railroad;thence South 29 degrees 08 minutes 31 seconds West, a distance of 328.36', crossing the Second Broad River to an Existing Iron Pin; thence South 50 degrees 13 minutes 07 seconds West, a distance of 287.36' to an Existing Iron Pin, said Iron Pin being a corner of the James E. and Mary L. Reynolds tract,Deed Book 500,Page 168;thence with the Reynolds property crossing a second channel of the Second Broad River, South 85 degrees 39 minutes 16 seconds West, a distance of 349.38' to an Existing Angle Iron on the southern bank of a branch; thence following along the branch North 30 degrees 11 minutes 02 seconds R&S 2990936_1 PD.40255171.2 West, a distance of 176.03' to an Existing Angle Iron; thence North 88 degrees 33 minutes 00 seconds West, a distance of 137.96' to an Existing Angle iron; thence North 17 degrees 49 minutes 19 seconds West, a distance of 178.12' to an Existing Angle Iron; thence North 47 degrees 46 minutes 07 seconds East, a distance of 115.78' to an Existing Angle Iron; thence North 18 degrees 58 minutes 35 seconds West, a distance of 668.92' to an Existing Iron Pipe; thence North 22 degrees 14 minutes 44 seconds West, a distance of 209.29' to a point in the centerline of the Second Broad River; thence with the centerline of the river North 40 degrees 46 minutes 11 seconds West, a distance of 77.42'; thence North 19 degrees 31 minutes 13 seconds West, a distance of 75.11'; thence North 37 degrees 41 minutes 39 seconds West a distance of 61.26'; thence North 75 degrees 47 minutes 12 seconds West, a distance of 11.84'to a point in the centerline of the Second Broad River and the intersection with a branch,said point being a corner of the James E. and Mary L.Reynolds tract,Deed Book 500,Page 168 and the David H. Oomen and wife,Patricia L Oomen tract,Deed Book 2028,Page 1864;thence with the Oomen property line,running with the centerline of the branch the following calls: North 38 degrees 30 minutes 43 seconds East,a distance of 55.73' South 65 degrees 38 minutes 41 seconds East,a distance of 12.98' South 08 degrees 27 minutes 01 seconds West,a distance of 14.17' South 49 degrees 24 minutes 54 seconds East,a distance of 14.96' North 26 degrees 19 minutes 46 seconds East,a distance of 21.64' North 19 degrees 56 minutes 21 seconds East,a distance of 31.37' North 53 degrees 43 minutes 49 seconds West,a distance of 21.49' North 36 degrees 15 minutes 07 seconds East, a distance of 13.07' North 63 degrees 08 minutes 31 seconds East,a distance of 38.39' North 51 degrees 08 minutes 14 seconds West,a distance of 14.60' North 72 degrees 17 minutes 14 seconds East,a distance of 23.41' North 53 degrees 26 minutes 16 seconds East,a distance of 29.34' North 73 degrees 09 minutes 02 seconds East,a distance of 15.05' North 26 degrees 55 minutes 36 seconds East,a distance of 42.93' North 37 degrees 52 minutes 36 seconds East,a distance of 32.34' North 17 degrees 49 minutes 24 seconds East,a distance of 46.47' North 51 degrees 58 minutes 42 seconds East,a distance of 40.53' North 28 degrees 41 minutes 19 seconds East,a distance of 23.67' South 81 degrees 12 minutes 38 seconds East,a distance of 21.16' North 37 degrees 47 minutes 59 seconds East,a distance of 25.67' North 19 degrees 09 minutes 41 seconds East,a distance of 29.06' North 46 degrees 24 minutes 21 seconds East,a distance of 112.55' North 37 degrees 32 minutes 20 seconds East,a distance of 174.25' North 53 degrees 28 minutes 34 seconds East,a distance of 37.88' 1t&S 2980936 1 PD.40255171.2 North 51 degrees 57 minutes 40 seconds East, a distance of 22.53' North 51 degrees 57 minutes 40 seconds East, a distance of 26.81' North 32 degrees 38 minutes 00 seconds East, a distance of 32.95' North 21 degrees 21 minutes 49 seconds East, a distance of 36.05' North 53 degrees 47 minutes 30 seconds East, a distance of 15.07' North 23 degrees 49 minutes 38 seconds East,a distance of 36.68' North 34 degrees 33 minutes 59 seconds East, a distance of 42.35' North 76 degrees 58 minutes 40 seconds East,a distance of 25.98' North 62 degrees 45 minutes 30 seconds East,a distance of 25.11' North 14 degrees 10 minutes 54 seconds East,a distance of 29.51' North 46 degrees 20 minutes 30 seconds East, a distance of 30.38' North 24 degrees 16 minutes 11 seconds East,a distance of 9.55' North 40 degrees 44 minutes 25 seconds East, a distance of 35.61' to the POINT OF BEGINNING; said described tract containing 200.23 acres more or less. R&S 2980936 1 PD.40255171.2