NCG020684_Name-Owner Change Application_20230223

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February 23, 2023
DEMLR Stormwater Program
512 North Salisbury Street, 6th Floor (Office 640K)
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: Request for Permit Transfer
NPDES Stormwater Permit No. NCG020684
issued to Boulder Associates LLC
Stanly County
To Whom it May Concern:
Rogers Group, Inc. (RGI) recently purchased property from Boulder Associates, LLC, formerly
Parker Mine renamed New London Quarry, and is requesting to transfer the permit referenced
above. Please find attached the Permit Ownership Change Form along with the most recent
Warranty Deed, verifying the purchase of the property associated with this stormwater permit.
If you have any questions concerning this correspondence, please let me know. I can be
reached at the following number [phone] or via email,
•ik.knowles(cDrogersgrou pinc.
Sincerely,
Erik Knowles, P.E.
Director of Environmental Services
ROGERS GROUP INC.
421 Great Circle Road
Nashville, Tennessee 37228
Phone: [phone]
Cell: [phone]

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_020684_
1. Facility Name (prior to change):Parker Mine
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):
Rogers Group, Inc.
4. New owner's or signing official's name and title:
5. Mailing address:
State: TN
E-mail address:
421 Great Circle Road
Erik Knowles
(Person legally responsible for permit)
Director of Environmental Services
(Title)
City: Nashville
Zip Code: 37228 Phone:( 615 )
[e-mail]
6. New facility name (if applicable):.. New London Quarry
418-9474
7. Effective date of transfer or name change:, immediately upon approval
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
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: Steven Turaski
(Permit Contact)
Environmental Manager
(Title)
9. Mailing address: 421 Great Circle Road City: Nashville
State: TN Zip Code: 37228 Phone: ( ) 865-207-2695
E-mail address: [e-mail]
10. New facility contact's name and title: Steven Turaski
11. Mailing address:
State:
E-mail address:
same as above
Zip Code:
(Facility Contact)
Environmental Manager
(Title)
City:
Phone: ( )
12. New billing contact's name: Steven Turaski
(Billing Contact)
13. Mailing address: same as above City:
State: Zip Code: Phone: ( )
E-mail address:
IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION
1. Will industrial activities at the facility remain the same asunder the previous owner?
Yes ® No ❑
2. Will the stormwater discharge location(s) remain the same? Yes® 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 2of2
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:
1, Erik Knowles , 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: Date
Vz-3/z3
THE COMPLETED APPLICATION AND ALL SUPPORTING INFORMATION SHOULD BE SENT TO:
DEMLR Stormwater Program
512 North Salisbury Street, 6th Floor (Office 640K)
1612 Mail Service Center
Raleigh, NC 27699-1612
Last Revised 3/13/2022

BK 1810 PG 968 (3)
This Document eRecorded:
Fee: $26.00
Stanly County, North Carolina
Suzanne Lowder, Register of Deeds
Received By: KAYLAN ROLAND
DOC# 454696
01/17/2023 03:25:57 PM
CHECKED BY
NORTH CAROU NA GENERAL WARRANTY DEED TAX COLLECTOR: PF
Excise Tax: $11,972.00 _
Parcel Identifier No. 663102550857, 663102652376, 663102567965 Verified by County on the _ day
of , 20_
By: —
Mail/Box to: Grantee
This instrument was prepared by _Jonathan T. Sizemore, a licensed NC Attorney; Adams, Howeil, Sizemore 8c Adams, P.A., 1600
Glenwood Ave., Suite 101, Raleigh, NC 27608; No Title Search nor Tax Advice Given
Delinquent Taxes, if any, to be paid by the closing attorney to the County Tax Collector upon disbursement of closing proceeds.
Brief description for the Index: Tracts 1 and 2. Plat Book 10. Page 47 _
THIS DEED made this 12th day of January, 2023, by and between
GRANTOR GRANTEE
BOULDER ASSOCIATES, LLC ROGERS GROUP, INC.
a North Carolina limited liability company an Indiana corporation
304 S. Second St. 421 Great Circle Rd.
Albemarle, NC 28001 Nashville, TN 37228
Enter in appropriate. block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their hens, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated
in Harris Township, Stanly County, North Carolina and more particularly described as follows:
SEE ATTACHED EXHIBIT A
The property hereinabove described was acquired by Grantor by instrument retarded in Book 1183, Page 644.
All or a portion of the property herein conveyed , includes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Map Book 10. Page 47.
Submitted electronicativ by Adams. Howell- Sizemore & Adams. P.A. in conujiance
NC Bar Association Potm No. 3 J 1976. Revised 01/1/2010 with N rth Carolina statutes governing recordable documents and the terms orthe
Printed by Agreement with the NC Bar Association submitter agreement with the Stanly County Rccister of Deeds

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee
in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in
fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against
the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
GRANTOR:
ASSOCIATES
BOULDER ASSOeFFES LLC
a North : s i na limitlia ' ity comps y
By: - _ .1-4✓t
Prints ame: !'USES.. afl
Its: Y
State of North Carolina - County op4gily of x T q
I, the undersigned Notary Public of the County and State aforesaid, certify that TES S[,hpersonally
came before me this day and acknowledged that t@/she is rA&mbcx/M&rA&en, of BOULDER ASSOCIATES, LLC, a North
Carolina limited liability company, and that by authority duly given and as the act of such entity he signed the foregoing instrument
in its name on its behalf as its act and deed.
Witness my hand and Notarial stamp or seal, this D day of JCLhWtL-' , 20cU
`}. \�i)tary Public
Notar-s Printed or Typed Name
My Commission Expires:
(Affix Seal)
NC Bar Association Form No, 3 1976, Revised D 1/1/2010
Printed by Agreement with the NC Bar Association

EXHIBIT A
LEGAL DESCRIPTION
Being all of the real property designated Tmet 1 and Tract 2 a, ,gllown
on survey of 11ogell E. Hunsucker, R.L.S., entitled Morningstar Rxplorations,
Inc., dated Septewaer 20, 1984, revised December 17, 19M, consisting of
297.20 ac-x+es., mare or less, subject to rlplit'(s) of way, recorded in .Plat BcKolt
10, page 47, S6anly County Rogistry, Which said survey is incorporated by
reference as If fully set out herein.
LESS AND EXCEPT ftma tb,a abme-desara'bed Tract 2, that parties tbaeo f caavey$d to
Doris P. Ma=W by deed rworded in 372, Page 868, SUmltiy Cvmrtty R*9try.
NC Bar Association Fom No. 3 i9 1976, Revised © 1/1/2010
Printed by Agreement with the :VC Bar Association