HomeMy WebLinkAboutNCG160237_Name-Owner Change Application_20240806 St A7
f 4 ti NC DEPARTMENT OF ENVIRONMENTAL QUALITY
4` .: .. = DIVISION OF Energy, Mineral, and Land Resources
\ ,T. ,
'.: STORM WATER PROGRAM
NORTH CAROLINi
Environmental Quell
NPDES STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCS / / / / /_ or NCG_160237
1. Facility Name(prior to change):Carolina Sunrock LLC- Burlington North Distribution Center
II. 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) 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):
Sunrock Industries LLC
4. New owner's or signing official's name and title: Zach Satterwhite
(Person legally responsible for permit)
Chief Operations Officer
(Title)
5. Mailing address: 200 Horizon Drive Suite 100 City: Raleigh
State: Zip Code: 27615 Phone: ( 919 ) 747-6400
E-mail address: zsatterwhite@thesunrockgroup.com
6. New facility name(if applicable):Sunrock Industries LLC-Burlington North Asphalt
7. Effective date of transfer or name change: July 31, 2024
512 NorthNorth Carolina
Salisbury DepartmentStreet1 of
1612 EnvironmentalMalIService Center I Raleigh Quality I DivisionNorth Carolina of Energy,Mineral276 and Land9612 Resources
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=Zee•I tormionmelli OrMISIY ✓ 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: Tracy Davis
(Permit Contact)
Director of Environmental Compliance
(Title)
9. Mailing address: 200 Horizon Drive Suite 100 City: Raleigh
State: Zip Code: 27615 Phone: ( 919 ) 622-4215
E-mail address: tdavis@thesunrockgroup.com
10. New facility contact's name and title: Tracy Davis
(Facility Contact)
Director of Environmental Compliance
(Title)
11. Mailing address: 200 Horizon Drive Suite 100 City: Raleigh
State: NC Zip Code: 27615 Phone: ( 919 ) 622-4215
E-mail address: tdavis@thesunrockgroup.com
12. New billing contact's name: Accounts Payable
(Billing Contact)
13. Mailing address: 200 Horizon Drive Suite 100 City: Raleigh
State: Zip Code: 27615 Phone: ( 919 ) 747-6400
E-mail address: apathesunrockgroup.com
IV. FACILITY ACTIVITIES AND DISCHARGE INFORMATION
1. Will industrial activities at the facility remain the same as under the previous
owner?Yes ►h No ❑
2. Will the stormwater discharge location(s) remain the same? Yes No 0
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,storm water 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, Zach Satterwhite , 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.
11
731 1 ZV
Signature: Date:
THE COMPLETED APP !CATION 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
`$)' , 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
APPLICATION FOR AMENDED CERTIFICATE OF AUTHORITY
OF
SUNROCK INDUSTRIES LLC
the original of which was filed in this office on the 31st day of July, 2024.
oeenRTn� �,: IN WITNESS WHEREOF, I have hereunto set my
YJ hand and affixed my official seal at the City of
i(3" r� �� Raleigh, this 31st day of July, 2024.
S
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C !!!irne
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SF�OUAM V1OE0.
Certification#C202421300110-1 Reference#C202421300110-1 Page: 1 of 8 Secretary of State
Verify this certificate online at https://www.sosnc.gov/verification
SOSID: 0719538
Date Filed:7/31/2024 12:28:00 PM
State of North Carolina Elaine F.Marshall
Department of the Secretary of State North Carolina Secretary of State
C2024 213 00110
APPLICATION FOR AMENDED CERTIFICATE Or Au t Hutu I Y
FOR LIMITED LIABILITY COMPANY
Pursuant to§57D-7-04 of the General Statutes of North Carolina,the undersigned limited liability company hereby applies for an
Amended Certificate of Authority to transact business in the State of North Carolina,and for that purpose submits the following
statement.
I. Name of Limited Liability Company
a. The name of the limited liability company exactly as it appears on the Certificate of Authority currently on file with the
North Carolina Department of the Secretary of State:
Carolina Sunrock LLC
b. The fictitious name,if any,of the limited liability company currently on file with the NC Department of the Secretary of
State is:
2. The state or country of formation is:Delaware
3. The date the limited liability company was authorized to transact business in the State of North Carolina is: April 5, 2004
4. The changes being made are as follows: (See instructions for the specific uses of this document.)
The name of the limited liability company is changed to "Sunrock Industries LLC."
5. Attached is a certificate of existence(or document of similar import),duly authenticated by the Secretary of State or other official
having custody of limited liability company records in the state or country of formation. The certificate of existence must be less
than six months old. A photocopy of the certification cannot be accepted.
6. This application will be effective upon filing,unless a date and/or time is specified:
This the 31 day of July 20 24
of ER Ft/ Carolina Sunrock LLC
NOTAAy '61 of Limite abilit` 'ompany
c xse�o,
� DES44202.0.
— —
� Signa ure
'°vsuG Bryan M. Pfohl, President
�4 COUt.�(�'. Type or Print Name and Title
Notes:
1. Filing fee is$50. This application must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised July 2017) (Form L-10)
Certification#C202421300110-1 Reference#C202421300110-Page: 2 of 8
Delaware
Page
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "SUNROCK INDUSTRIES LLC" IS DULY FORMED
UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD STANDING AND
HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS OFFICE SHOW, AS
OF THE THIRTY—FIRST DAY OF JULY, A.D. 2024.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "SUNROCK
INDUSTRIES LLC" WAS FORMED ON THE THIRTIETH DAY OF MARCH, A.D.
2004.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
PAID TO DATE.
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3783864 8300 wr• , 1 J Authentication: 204051271
lAW1•P€.
SR#20243282019 / Date:07-31-24
You may verify this certificate online at corp.delaware.gov/authver.shtml
Certification#C202421300110-1 Reference#C202421300110-Page: 3 of 8
Delaware
Page
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED ARE TRUE AND CORRECT
COPIES OF ALL DOCUMENTS ON FILE OF "SUNROCK INDUSTRIES LLC" AS
RECEIVED AND FILED IN THIS OFFICE.
THE FOLLOWING DOCUMENTS HAVE BEEN CERTIFIED:
CERTIFICATE OF CONVERSION, CHANGING ITS NAME FROM "CAROLINA
SUNROCK CORPORATION" TO "CAROLINA SUNROCK LLC", FILED THE
THIRTIETH DAY OF MARCH, A.D. 2004, AT 1 :18 O'CLOCK P.M.
CERTIFICATE OF FORMATION, FILED THE THIRTIETH DAY OF MARCH,
A.D. 2004, AT 1 :18 O'CLOCK P.M.
CERTIFICATE OF AMENDMENT, CHANGING ITS NAME FROM "CAROLINA
SUNROCK LLC" TO "SUNROCK INDUSTRIES LLC", FILED THE TWELFTH DAY
OF JULY, A.D. 2024, AT 5:53 O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF AMENDMENT IS THE THIRTY—FIRST DAY
OF JULY, A.D. 2024.
/GP�S pHY•S _ -\ �.nF+r w.dWlocF_Srweiry d suer
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3783864 8100H \, _ .- m""`'' Authentication: 204051285
SR#20243282021 Date:07-31-24
You may verify this certificate online at corp.delaware.gov/authver.shtml
Certification#C202421300110-1 Reference#C202421300110-Page: 4 of 8
Delaware
Page
The First State
AND I DO HEREBY FURTHER CERTIFY THAT THE AFORESAID
CERTIFICATES ARE THE ONLY CERTIFICATES ON RECORD OF THE
AFORESAID LIMITED LIABILITY COMPANY, "SUNROCK INDUSTRIES LLC".
GP�S pHY•S _ -\ J.nF+r WO.th IacF_Sowel.rp d stole
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3783864 8100H _ .- m""`�'' Authentication: 204051285
SR#20243282021 Date:07-31-24
You may verify this certificate online at corp.delaware.gov/authver.shtml
Certification#C202421300110-1 Reference#C202421300110-Page: 5 of 8
State of Delaware
Secretary of State
Division of Corporations
Delivered 01:31 PM 03/30/2004
FILED 01:18 PM 03/30/2004
SW 040232710 - 3783864 FILE
STATE OF DELAWARE
CERTIFICATE OF CONVERSION
FROM A FOREIGN CORPORATION TO A
LIMITED LIABILITY( COMPANY PURSUANT TO
SECTION 18-214 OF THE LIMITED LIABILITY
COMPANY ACT
I.)The jurisdiction where the Corporation first formed is North Carolina ,
2.)The jurisdiction immediately prior to filing this Certificate is North Carolina
3.)The date the Foreign Corporation first foamed July 2, 1984
4.)The name of the Foreign Corporation immediately prior to filing this
Certificate is Carolina SunYock Corporation
5.)The name of the Limited Liability Company as set forth in the Certificate of
Formation is Cereling_tunrocK LLC •
dirAn 094
Authorized Person
Name: Bryan M. Pfohl
Print or Type
Certification#C202421300110-1 Reference#C202421300110-Paue: 6 of 8
State of Delaware
Secretary of State
Division of Corporations
Delivered 01:31 PM 03/30/2004
FILED 01:18 PM 03/30/2004
SRV 040232710 - 3783864 FILE
CERTIFICATE OF FORMATION
OF
CAROLINA SUNROCK LLC
The undersigned, an authorized natural person, for the purpose of forming a limited
liability company under the provisions and subject to the requirements of the Delaware
Limited Liability Company Act, Chapter 18, Title 6 of the Delaware Code, as amended,
hereby certifies that:
1. Name. The name of the limited liability company formed hereby is:
Carolina Sunrock LLC
2. Registered Office and Registered Agent. The address of the registered office of
the limited liability company required to be maintained by Section 18-104 of the Delaware
Limited Liability Company Act is 2711 Centerville Road, Suite 400, City of Wilmington,
County of New Castle, State of Delaware 19808. The Limited Liability Company's
registered agent at that address is the Corporation Service Company.
IN WITNESS WHEREOF, the undersigned has executed this Certificate of
Formation as of this 29th day of March, 2004.
/sBarbara B. Erwin
Barbara B.Erwin, Authorized Person
CoMickipn#C202121 flfll l n 1 uofo,•o„'a+E r �n�a�i znni 1 n_Pogo• 7 of 54
STATE OF DELAWARE
CERTIFICATE OF AMENDMENT
OF CERTIFICATE OF FORMATION
The undersigned authorized person,desiring to amend the limited liability company
formation pursuant to Section 18-202 of the Limited Liability Company Act of the State
of Delaware,hereby certifies as follows:
1. The name of the limited liability company is Carolina Sunrock LLC
•
2. The Certificate of Formation of the limited liability company is hereby amended
as follows:
Article 1 is amended to read:
1. Name:The name of the limited liability company is"Sunrock Industries LLC."
3. This Certificate of Amendment shall become effective on July 31st,2024
By:
Authorized Person
Name:Bryan M. Pfohl, Chairman&CEO of its Sole Member
Print or Type
State of Delaware
Secretary of State
Division of Corporations
Delivered 05:53 FM 07/12/2024
FILED 05:53 PM 07/12/2024
SR 20243131595 - File Number 3783864
Certification#C202421300110-1 Reference#C202421300110-Page: 8 of 8