NCS000591_Ownership Change Form_20180504

EDGE
WATER TREATING, LLC
April 30, 2018
Mr. Robert Patterson
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Stormwater Permit Ownership Change
Stormwater Permit No. NCS000591
Dear Mr. Patterson:
7401 Statesville Blvd
Salisbury, NC 28147
336-486-866 5
Attached is the Stormwater permit name/ownership change form. Please note on the
permittee certification that there is no one to sign this as the previous company has
dissipated due to bankruptcy.
Please feel free to contact Daniel Maiden our environmental consultant at 336-486-
8665 or danielmaiden76(aD-yahoo.com if you have any questions or need further
information.
Sincerely,
Greg Coleman
General Manager
RECE1 V 1=0
MAY 0 4 2018
i OMWAlik p' ttAa

-my?
ALTV,'FA•
Division of Energy, Mineral &Land Resources
FOR AGENCY USE ONLY
=I—
Land Quality Section/Stornlwater Permitting
Date Received
Year Month I Da
NCDENR
National Pollutant Discharge Elimination System
�
� TMC D-- -
-ar~°"�°LL�f°
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C I S 10 10 10 15 19 1 t 1 j N I C I G
Il. Permit status l riff to requested change.
a. Permit issued to (company name): Durafiber Technologies
b. Person legally responsible for permit: Fernando Montemayor
First MI Last
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
Plant Manager
Title
7401 Statesville Blvd
Permit Holder Mailing Address
Salisbury NC 28147
City State Zip
Phone Fax
Durafiber Technologies
7401 Statesville Blvd
Address
Salisbury NC 28147
City State Zip
Daniel J Maiden [phone]
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If other- please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
RECEIVED
MAY 042018
DENR-LAND QUALITY
STORMWATER PERMITTING
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Salisbury Investments I. LLC
Greg Coleman
First Ml Last /
General Mgr V
Title
5320 Old Pineville Road
Permit Holder Mailing Address
Charlotte NC 28217
City State Zip
[phone] [e-mail]
Phone E-mail Address
Edge Water Treating, LLC ,
7401 Statesville Blvd
Address
Salisbury NC 28147
City State Zip
Greg Coleman
First Ml Last
[phone] [e-mail]
fotsiteinc.com
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Daniel J Maiden
First MI Last
Environmental Consultant
Title
7401 Statesville Blvd
Mailing Address
Salisbury NC 28147
City State Zip
(33.6) 486-8665 [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) No site production
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, , 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
APPLICANT CERTIFICATION
Date
I, Greg Coletnan, 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 pants of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incgfflplete.
Signature bate
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014