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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 �� D E , =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 o 'o �o _ itq C !!!irne . 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. /GPES PPY'S_p� h:p Mtn._ p:F •, �rnFrr w.th iacF_Srwrlirp d suer ( 1tt 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 k r-�J 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 i iy� C;\ 4 A0 r-�J 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