Permit Change Route Sheet ownership change Facility Name Change Responsible Official Change. V tt~ L) ~ AfhJ«-- Crrm..r'.lle &A.hiY\.

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1 Permit Change Route Sheet ownership change Facility Name Change Responsible Official Change C,t Project/Facility Name if\ L\.t"V'-'( M {] 1 V tt~ L) ~ AfhJ«-- Crrm..r'.lle &A.hiY\. Permit Number A'iUM6711 AFIN NO. Assigned Activity Initials lf 'S- ODilt;L/ Date Complete/Entered ASII (1 day) Application Logged/ Assign to Engineer -r:w :J /:J L( j ;,/) Engineer (3 days) Completeness and Technical Review V Enter Update Info to Database v Disclosure Statement for ARG lila Check With Enforcement Check with SOS v Check Fee Payments v 15-- I z.(~/tb AA III (15 days) Enter Into PDS Merge Change Owner Form (if applicable) C/0 Form to Committee (if applicable) Wait 10-days for response (if applicable) Merger Letter for Permittee Engineer (1 day) Review transfer letter and documents Engineer Supervisor Review all the documents and letter (1 day) Permits Section Review the documents and sign Chief (1 day) Mail original to applicant. Scan complete folder and place in AS II appropriate E-drive folders. Update (1 day) Zylab. Be sure to include this change in weekly report, due every Tuesday by 2:00P.M. /P ~}~/l~ Remarks: Revised 1/5/11

2 Arkansas Secretary of State /corps/search~ corps. php?d ETA I L= ARKANSAS SECRETARY OF STATE ~~ Search Incorporations, Cooperatives, Banks and Insurance Companies Printer Frienclly Versigo LLC Member information is now confidential per Act 865 of 2007 Use your browser's back button to return to the Search Results Begin New Search For service of process contact the Secretary of State's office. Corporation Name COORSTEK BENTON Fictitious Names Filing# Filing Type Filed under Act Status Foreign For Profit Corporation For Bus Corp; 958 of 1987 Good Standing Principal Address Reg. Agent Agent Address THE CORPORATION COMPANY 124 WEST CAPITOL AVENUE SUITE 1900 LITTLE ROCK, AR Date Filed Officers Foreign Name Foreign Address State of Origin 02/17/2016 DANE BARTLETT, Incorporator/Organizer COORSTEK, INC DENVER WEST PARKWAY GOLDEN, CO DE Purcha.se a..c.er~jflc.ate of Good Standing for this Entity Pay Fran~;;b_[se Tax for this corporation I of I 2/29/ :47 AM

3 Lester, Guy From: Sent: To: Subject: Porter, Gina Monday, February 29, :57 PM Lester, Guy RE: Enforcement Review - Legal Name Change - ARROOB711 Guy, There are no enforcement issues with the permit below. Gina From: Lester, Guy Sent: Monday, February 29, :03AM To: Porter, Gina Cc: Johnson, Miles; McDonald, Scott; Healey, Richard Subject: Enforcement Review- Legal Name Change- ARROOB711 Gina: Are there any Issues with ARROOB711 that would preclude the approval of a permittee name change? Guy Lester - Engineer Water Division

4 Please select one of the following options: PERMIT TRANSFER FORM A. Permittee (legal name) change B. Facility name change ~A DB oc OA&B OA&C PE~IITNUMBER: R ~~~~~;- Sllo qq 1VJ - C. Responsible official name change OB&C OA&B&C I. CURRENT PERMITTEE INFORMATION Permittee (legal name): Facility Name: Responsible Official Name (see Section IV below): Is the permittee identified above, the owner of the facility? If you mark No, please list the name of the owner: II. NEW PERMITTEE INFORMATION Permittee (legal name): Facility Name (if different from Permittee Name): Is the permittee identified above, the owner of the fncility'l If you mark No, please list the name of the owner: pj Yes ~ Y cs 0 No 0 No CerflNhC. s dj b/t+ ~ Official Title of Responsible Officer: ..L.:...I-l.~..L-.!>~~:;..---~'-L.LI!~.:::..r- CD (Y'\ Owner Type: Permittee Address: Permittee City: Permittee State: Permittee Telephone No.: Is the new permittee registered with the Arkansas Secretary of State? If yes, please provide the full name of corporation if different than the legal permittee name listed above. Facility Mailing Address: S~ '-A,_,_... frbo K fy\_-'--'e... -= Fncility city: Facility Contact Person Name: (V\ ; R Tc '(c l \ Telephone Number: Invoice Contact Person: Invoice Mailing Address: Invoice Mailing Address: 5o}-?74-)"2-tlfax Number: Facility State: D STATE Cognizant Official Name: Cognizant Official Title: Telephone Number: D PARTNERSHIP 0 FEDERAL JX( CORPORATION* 0 SOLE PROPRIETORSHIP ~Yes Fax Number: D No Zip: Contact Person Title: E/{ $ f{)en~ f11 krrr ltecot'\1?5 :ld= -C n. City: State: Zip: Telephone: ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY 5301 NORTHSHORE DRIVE I NORTH UTILE ROCK I ARKANSAS I TELEPHONE /FAX www,odeq.slote.orus

5 Ul. OWNERSHIP CHANGE AGREEMENT PERMIT TRANSFER FORM Please note you must complete this Section (III.) only if the permit has a new owner or a new ownership. Please specify the closing date for this transaction: Current Permittee (Seller): Signature of Responsible Corporate Officer: Title of Responsible Corporate Officer: Printed Name of Responsible Corporate Officer: Date: New Permittee (Buyer): Signature of Responsible Corporate Officer: Title of Responsible Corporate Officer: Printed Name of Responsible Corporate Officer: Date: Disclosure Statement: Disclosure Statement must be submitted for new permittee. Disclosure Statement is not required for Stormwater Permits. Is Disclosure Statement enclosed: 0 Yes ~No Finandal Assurance: Please note that if Financial Assurance is required for the current permittee then the new permittee may have to provide new Financial Assurance before the permit maybe transferred.. Land Use Contract: For land application permits you must submit a new land use contracts for all the sites pem1itted under the current permit for land application. The new land use contract must be signed by the new permittee and land owner. IV. CERTIFICATION OF NEW PERMITTEE "I certify that the cognizant official designated in this Permit Transfer Form (Section H) is qualified to act as a duly authorized representative under the provisions of 40 CFR Part (b). If no cognizant official has been designated, I understand that the Department will accept reports signed by the applicant. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." In addition, l certify that there will be no operational changes that warrant a permit modification. (Please note that if there are changes that warrant a permit modification, then you must submit a complete application, updated plans, design calculations and specifications, and the permit modification fee along with this Ownership Change Form. The transfer may be made effective prior to permit modification.) Typed or Printed Name: Signature: Title: E}iS fl1ut~ Date: ~p;;;;;j~::i:::::...e2=-, 7~~~--- ARKANSAS DEPARTMENT Of ENVIRONMENTAl QUALITY 5301 NORTHSHORE DRIVE I NORTH UTILE ROCK I ARKANSAS /TELEPHONE /FAX

6 Wilson, Tabatha From: Sent: To: Cc: Subject: Attachments: Folio~ Up Flag:.Flag Status: Categories: Singleton, Marilyn Tuesday, February 23, :49 PM Wilson, Tabatha Osborne, Caleb FW: Scanned from a Xerox Multifunction Device Scanned from a Xerox Multifunction Device.pdf Follow up Completed Done, Mail - Log & Assign Is this one that you do? Marilyn -----Original Message---- From: Osborne, Caleb Sent: Tuesday, February 23, :28 AM To: Singleton, Marilyn Subject: FW: Scanned from a Xerox Multifunction Device Marilyn, Attached is a form requesting a change to a permittee's name. Will you forward this to the appropriate person for them to handle? Thanks Caleb -----Original Message---- From: Dickinson, Charles Sent: Monday, February 22, :15PM To: Osborne, Caleb; Hynum, Tammie Subject: FW: Scanned from a Xerox Multifunction Device Tammy I Caleb, CoorsTek has requested a name change. Please find the enclosed information, and let me know if you have any questions. Thank you, Charles "Clay" Dickinson Business Assistance Program Manager Arkansas Department of Environmental Quality 5301 Northshore Drive North Little Rock, AR (501)

7 rigi na I Message----- From: Terrell, Michael [mailto:wterreii@coorstek.com] Sent: Monday, February 22, :04 PM To: Dickinson, Charles Subject: FW: Scanned from a Xerox Multifunction Device Charles, I have filled out the name change form. 1 have attached it to this . Will you please tell me who to" it to or please forward it to the responsible party. Thanks, Mike Terrell EHS Manager T: M: E: mterrell@coorstek.com CoorsTek, Inc. Arkansas Operations 3315 Boone Road Benton, AR USA -----Original Message----- From: lnb65@coorstek.com [mailto:lnb65@coorstek.com] Sent: Tuesday, February 20, :57AM To: Terrell, Michael <wterreii@coorstek.com> Subject: Scanned from a Xerox Multifunction Device Please open the attached document. It was scanned and sent to you using a Xerox Multifunction Device. Attachment File Type: pdf, Multi-Page Multifunction Device Location: Device Name: lnb65 For more information on Xerox products and solutions, please visit 2