NCG030529

Division of Water Quality 1 Surface Water Protection FOR AGENCY USE oNLY
Date Received
Year Month Day
NCDENR National Pollutant Discharge Elimination System
Ve-
wmR cmtmwA DER.irrMENT OF e'r\ ��
ENVIRONMENT AND NATURAL R"OURFr PERMIT NAME/OWNERSHIP CHANGE FORM rn01L�� P `�
I. Please enter the permit number for which the change is requested. load OC
II
Revised 2012Ap23
NPDES Permit (or) Certificate of Coverage
N I C I S 10 1 1 1 1 N I C I G 1 0 13 10 1 5 12 19
Permit status prior to requested change.
a. Permit issued to (company name): Pentair Valves & Controls
b. Person legally responsible for permit: Jason
Stone
First MI Last
Plant manager
RECEIVED
Title
953 old US Hwy 70
13 2018 Permit Holder Mailing Address
FEBf Black Mountain NC 27711
DENR-LAND QUALI City State Zip
STORMWATE=R PERMITTING 828 669-5515 ( )
Phone Fax
c. Facility name (discharge): Pentair Valves & Controls
d. Facility address: 953 old US Hwy 70
Address
Black Mountain NC 28711
City State Zip
e. Facility contact person:
Gerald Runkles [phone]
First / MI /Last Phone
Please provide the following for the requested
change (revised permit).
a. Request for change is a result of:
❑ Name change of the facility or owner
If other please explain: Name change for Responsible Person
b. Permit issued to (company name):
Emerson Automation Solutions
c. Person legally responsible for permit:
Jason Stone
First MI Last
Plant Manager
Title
953 Old US Hwy 70
Permit Holder Mailing Address
Black Mountain NC 28711
City State Zip
[phone] [e-mail]
Phone E-mail Address
d. Facility name (discharge):
Pentair Valves & Controls
e. Facility address:
953 Old US Hwy 70
Address
Black Mountain NC 28711
City State Zip
f. Facility contact person:
Gerald Runkles
First MI Last
[phone] gerald.runkles(a,emerson.com
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Gerald Runkles
First MI Last
FHS Manager
Title
953 old US Hwy 70
Mailing Address _.-
Black Mountain NC 28711
City state Zip
[phone] [e-mail]
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
® Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Jason Stone, 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 is not included, this application package will be
returned as incomplete.
Lo C.y 4.-,A—
Signature Date
APPLICANT CERTIFICATION
I, Jason. Stone, 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 is not included, this application package will be
returned as incomplete.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

Delaware Page
The First State
I,
JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF AMENDMENT OF "PENTAIR VALVES &
CONTROLS US LP", CHANGING ITS NAME FROM "PENTAIR VALVES &
CONTROLS US LP" TO "EMERSON AUTOMATION SOLUTIONS FINAL CONTROL
US LP", FILED IN THIS OFFICE ON THE THIRTEENTH DAY OF OCTOBER,
A.D. 2017, AT 1:44 O'CLOCK P.M.
3100932 8100 WWW
SR# 20176612274 qznwvg�v
You may verify this certificate online at corp.delaware.gov/authver.shtml
3eHrey W. guBWCM, BauciMry or suae
Authentication : 203396584
Date: 10-13-17

STATE OF DELAWARE
AMENDMENT TO THE CERTIFICATE OF
LIMITED PARTNERSHIP
The undersigned, desiring to amend the Certificate of Limited Partnership pursuant to the
provisions of Section 17-202 of the Revised Uniform Limited Partnership Act of the State of
Delaware, does hereby certify as follows:
FIRST: The name of the Limited Partnership is -P =... Valves & Controls US LP.
SECOND. Article'I and III of the Certificate of Limited Partnership shall be amended to read as
follows -
L. The name of the limited partnership is Emerson Automation Solutions Final
Control US LP
RI. The name and mailing address of the general partner is as follows:
Name__ Address
TV&C GP Holding, LLC 8100 W. Florissant Ave., St, Louis, MO 63136
IN WITNESS;WHEREOF,he::: del"lgned::: lteti:*.Aw6ttdwontto.the Certificate of
Limited Partriershig on this ::. `:.c€ay of.17"'` .. A:.:ZI�7.
TV&C GP HOLDING, LLC
By
General Partner(s)
Name: ven A. Chelesnik
Print or Type
State of Delaware
Secnetan• of State
Dhislon of Cotgoratloas
De{ vred 01:44 PDI 1011312017
FILED 01:44 PDI 10/13/2017
SR 20176612274 - FlleNumber 3100932