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HomeMy WebLinkAboutNCG160041_COMPLETE FILE - HISTORICAL_20150720STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV Oy I DOCTYPE I i HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ 1)- bI 5 c � dv YYYYMMDD ILFWA WDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Ms. Lori W. Carter APAC Atlantic Inc. - Thompson Arthur Paving & Construction Division 300 South Benbow Road Greensboro, NC 27420 Dear Ms. Carter: Donald R. van der Vaart Secretary July 20, 2015 RECEIVER JUL 2 2 2015 CENTRAL FILES DWR SECTION Subject: NPDES General Permit NCG160041 APAC Atlantic Inc. Formerly La.rco Construction Certificate of Coverage NCG 160041 Guilford County Division personnel received your request to revise your stormwater permit Certificate of Coverage to accurately reflect your new company and/or facility name. Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 707-9220. Sincerely, for Tracy E. Da s, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Winston-Salem Regional Office Stormwater Permitting Program Files VCentral Files Division of Energy, Mineral, and Land Resources Energy Section • Geological Survey Section • Land Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet http:llgortal.ncdenr.org/webA An Equal Opportunity 1 Affirmative Action Employer -- 50% Recycled 110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160041 STQRMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North.Carolina General Statute 143-215. I, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, APAC Atlantic, Inc. Thompson Arthur Paving & Construction Division is hereby authorized to discharge stormwater from a facility located at: Plant # 41 1330 Old Jackson Lake Road High Point Guilford County to receiving waters designated as a UT of Richland Creek, in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1,11I, and IV of General Permit No. NCG160000 as attached. This certificate of coverage shall become effective July 20, 2015. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 20, 201 4 for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission APAC-Atlantic, Inc. Thompson -Arthur Paving & Construction P. o. Box 21088 Greensboro, NC 27420-1088 Tel: 336-412-6753 Fax 336-412-6751 July 2, 2015 Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Re: Ownership Change Request Certificate of Coverage NCG 160041 Dear Sir or Madam: APAC-Atlantic, Inc., Thompson Arthur Paving and Construction Division (APAC) is pleased to submit this completed Ownership Change Form for a hot -mix asphalt plant located at 1330 Jackson Lake Road Certificate of Coverage No. NCG160041. Effective on March 27, 2015, APAC has purchased this facility from Larco Construction. Also enclosed is documentation of the ownership change. If you have any questions, please do not hesitate to contact me at (336) 412-6753 or our consultant, Josh Dunbar with The El Group, Inc. at (919) 459-5266. Sincerely, APAC ATLANTIC, INC. Lori Carter Environmental Representative Enclosures cc: Mr. Josh Dunbar, El RECEIVED JUL 10 2015 DENR-LAND QUALITY STORMWATER PERi%0TING Safety First/l%"" Equal Opportunity Employer Division of Energy, Mineral & Land Resources !� Land Quality Section/Stormwater Permitting National Pollutant Discharge Elimination System NCDENR Fxw .w—0PI�@LLOtMC6n PERMIT NAME/OWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Oats Received Year Month Da I. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N 10 19 1 0. 1 1 1 1 N I CQ G 1 16 1 0 0 4 1 11. Permit status urior to requested change. a. Permit issued to (company name): Larco Construction b. Person legally responsible for permit: Chris Venable First MI Last y Area Manager Title 4130 North Glenn Avenue Permit Holder Mailing Address Winston-Salem NC 27115 City State Zip (336) 767-3500 ( ) Phone Fax c. Facility name (discharge): High Point d. Facility address: 1330 Jackson Lake Road Address High Point NC 27263-9758 City State Zip e. Facility contact person: Julian H. Lipscomb (757) 229-2504 First / MI / Last Phone lIl. 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): APAC Atlantic Inc. - Thompson Arthur Paving A& Construction Division c. Person legally responsible for permit: Clarence O Bricke First MI Last RECEIVED President Title JUL 10 2015 300 South Benbow Road Permit Holder Mailing Address DENR-LAND QUALITY Greensboro NC 27420 STORMWATF-R PEF IWTTiNG City State Zip (336) 412-6700 cobrickey@apac.com Phone E-mail Address d. Facility name (discharge): Plant #41-Jackson Lake Plant e. Facility address: 1330 Old Jackson Lake Road Address High Point NC 27263-9758 _ City State Zip f. Facility contact person: Lori W Carter First MI Last (336) 412-6753 lwcarter@apac.com Phone E-mail Address Revised Jan. 27, 2014 NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM Page 2 of 2 I[V, Permit contact information (if different from the person legally responsible for the permit) Permit contact: First M 1 Last Title Mailing Address City State Zip 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, Chris Venable, 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 re uired supporting information is not included, this application package will be returned as ' complete. Sign ure Date APPLICANT CERTIFICATION 1, Clarence O. Briekey, 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. Signatu 11'ate 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 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: First MI Last Title Mailing Address City State Zip 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, Chris Venable, 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 1, Clarence O. Brickey, 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 Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27.2014 T— t:.. Book 7691 Page 1651 BK; R 7691 PG: 1651 -1654 We FEE M-00 REDoRDEn' 2015017413 STATE OF rd[: 0411412016 GUILFORD COUNTY, NC REALESTATF 09:30:03AM JEFF 1. THI6PEN ar. IARRv coraruo, aR REMSTER OF DEEDS EXTX 9184,ou ASSt5Wa4ff' NORTH CAROLWA SPECIAL WARRANTY DYED a Excise Tax 164. DO o Parcel Identifier Not'.�$.° Verified by County on the day of By: N 4J W FJ a Mail/B.nx to: Polsinelli PC. Attu. Jay Mankarn er 1515 Wynkoop. Suite 6¢d, Denver, CO 80202 _ ow This instrument was prepared by:Ct6&j HpIly B. Olson cBrief descTiption for the Index: M0 no u v� THI5 DEE17 trade this �ay of _L_II6C3 L�..� 2015, by and between J l J D L- 4U4 GRANTOR GRANTIEE 1= u Reeves Cormrucrion Company, a Gcorgia corporation, formerly APAC-ATLANTIC, INC., a Delaware corporation F � s W known as Sloan Cmutruction Company, Inc., a South Carolina 300 South 13enbow Road r ; w corporation Greensboro, North Carolina 274-01 �",r, 4130 N Glenn Avenue _ Winston Salcm, North Carolina 27105 a L w' w The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include w N w singular, ptural, masculine, feminine or neuter as required by context. v WITNESSE"T I, that the Grantor, for a valuable consideration paid by the Grantee, tale receipt of which is hereby acknowledged, has 3 r c and by these prestnts does grant, bargain, sell and convey unto the Grantoe in fee simple, all that certain lot or parcei of land situated in o N the City of High Point, Guilford County, North Carolina and more particularly described as follows: n u..- s.ca SEE EXHIBIT A r N f L h z d The property hereinabove described was acquired by Grantor by instrument recorded in Book R 6643, Pages 698 700. s o` �j " All or a portion of the property herein conveyed does not include the primary residenoe of a Grantor. L s_ NTO HAVE AND TO UOLD the aforesaid lot or parcel of land and all privitcges and appurtenances thereto belonging to the Grantee in WV � fee simple, mm a r u And the Grantor covenants with the Grantee, that Grantor has done notbing to impair such title as Grantor received, and Grantor will C warrant and defend the title against the Iawful claims of all persons claiming by, under or through Grantor, other than the following e u � exceptions; v nee m SEE. EXHIBIT B 7392846 1 IN Wr NESS WIiEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. Mail after recording to: Harbor City Title Insurance Agency, Inc., 5201 Fairview Road, Suite 325, Charlotte, NC 28210; File No.. 1 CI) g Book 7691 Pagn 1652 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year fu-st above writtcn. GRANTOR; Reeves Construction Company State of f � County or City of�a/�' i I, the undersigned Notary Public of the County or City ofa,ii, and State aforesaid, certify that as _- '- r .-'.' of Reeves Construction Company, personally appeared before me th' day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this @-Y!7 day of_�YJ��2015. L d 4 - - My Commission Expires; z'bL r, v 1,1 K. M. al _Notary Publla (Affix Seal) j I Notary's Printed or Typed Name '" 4 SU5A=01RrANER s ROTARY PUiERSE'fMy Commis1312020 Book 7691 Page 1653 I. • Guilford County, North Carolina This description being all of Tract 7 as shown on a boundary survey trap titled Isrco Construction as prepared by Davis -Martin - Powell & Associates - Job #S-46035 and being more particularly described as follows: BEGMNING at an iron pipe in the soufhem property line of Ronald E. Treadway (D. B. 2578, Pg. 261) said point being the northwest corner of Ivy 13. Riggs (D.B. 2957, Pg. 120); timce with Riggs western property line South 17000'12" West 134.59 to an iron pipe, the common corner of Riggs with Roscoe Davis and Joyce L. Windham (D.B. 3260, Pg. 847); thence with the western property comer of Davis and Windham South 14`03'13" West 149.62 feet to an iron pipe; thence with the southern property line of Davis and Windham South 75056AT' Last 200.04 feet to an iron pipe on the western right -of --Way of Old Jackson Labe Road; thence with said right-of-way South 136I315" West 10-16 fret to an iron pipe on said right -of --way said point being the northeast corner of Tract 6 of Larco Construction; thence with the northern property tine of'Tract 6 being common with Tract 7 North 87"29'53" West 1,261.89 feet to an iron pipe in the eastern property lute of Elon Partners LLC (D.13. 6486, Pg. 41G) said point bung the T=bwtst corner of Tract 6; lbenct; with the property line ofElon Partners LLC the following two calls North 02052'15" East 217.56 feet to as iron pipe; thence north 02°52'17" Fast 402.17 feet to an iron pipe, the southwest corner of GM Reality Associates (D.B. 362S, Pg. 846) in the pmperty line of Elon Partners LLC; thence with the southern property line of G.M. Realty Associates South 91'13' 17" East 957,24 feet tc an iron pipe; thence South 04°49'43" East 221.68 to an iron pipe; thence North 871491161 East 158,04 feet to an iron pipe the southeast corner of (314 Realty Associates common with Ronald E, 'headway; thence with the sautfrern property lint of'freadway North 87'28' 13' East 89.90 feet to an iron pipe the point of BFG1NNNG. Containing 13.15f acres (DMD) Book 7691 Page 1654 EXHIBIT B TO SPECIAL WARRANTY DEED 1. Dcclaration of Covenant by Sloan Constructions Company, Inc, as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 2. Easements, Setback Lines and any other facts shown on that Plat in Book 25, Page(s) 69; Book 169, Page 135; and Book 170, Page 22, all of the Guilford County Registry, reference being made to the records thereof for the full particulars. 3. Easement(s) in favor of Duke Power Company as recorded in Book 3254, Page(s) 592 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 4. Deed of Easement by and between R.7. Riggs and wife, Ivyrene Riggs and MGM Transport Corp. as recorded in Book 3344, Page(s) 766 of the Guilford County Registry, reference being made to the records thereof for the fu Il particulars. S. Right(s) of way in favor of City of 1Tigh Point as recorded in Book 2012, Page(s) 200; and Book 2761, Page 350, all of the Guilford County Registry, reference being made to the records thereof for the fuH particulars. Book '7691 Page 3655 a cn Q) ace L •r kca �r V Q N ti O.0 r r l 4W a L Qjj RmF lit V 6j N aF u c aorom rocs k=L av t. a' D V E r V � r G � 0 uza Ic e .c to D �+ Lr-0. u a01N rta a r• v as r+ E L r 04.4 to u a r �cc fs Blt.: R 7691 PO: 1653 - 1668 Rc rtE MOO RSCORnEf7, 2016017414 STATE Of NC 0411I12016 GUILFORD COUNTY, NC REAL ESTATE 09:33:07 AM JEFF L. THIGPEN Reatal•EA or DEEM E_XTX VFA.00 ar. rAanY noRRAo, ,w. ASSMAN IP NORTH CA.ROLP A SPECIAL, WARRANTY DEED Exase Tax 164.00 Parcel Idensifier No._i Verified by County on the _ day of _ 20^ Ay: _ XUI/Box to: kohincUi PC, Attn. lay Iylankamytr. 1515 Wynkoop, Suite 600_ Denver. CQ SD202 This instrument was prepared by: qjA&r HoUy 1i_ 0gnn _ Brief description for the Index THIS DEED made this ;?-?day ofM'(k1 , 2015, by and between GRANTOR GRANTEE Rccvcs Construction Company, a Georgia corporation, formerly APAC-ATLAIMC, INC., a Delawaxc corporation known as Sloan Construction Company, Inc., a South Carolina 300 South Benbow Road corporation Greensboro, Notch Carolina 27401 4130 N Glenn Avenue Winston Salem, North Carolina 27105 The dcsiguation Grantor and Grantee as ❑sed herein shal] include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNFSSEM that the Grantor, for a valuable consideration paid by the Grarttec, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of High Point, Guilford County, Notch Carolina and inure particularly described as follows: SEE EXH[BIT A The property hereinabove described was acquired by Grantor by instrument recorded in Book R 6643 page 606-606. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple, And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grmtor rectived, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or t§rougb Grantor, other than the following exceptions: SEE EXHIBIT B 7392993_1 Mali after recording to: Harbor City Title Insurance Agency, Inc,, 6201 Fairview Road, Suite 325, Charlotte, NC 28210, File No, l y l n vtf -"(' I Book 7691 Vag" 1656 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year Cast above written. GRANTOR: Reeves Construction Company By:, c: �5 71 - Name: Anthony it - Title: � State of �. /y County or City of the undersigned Notary Public of the County or City of .' and State aforesaid, certify that v L.. IA +may ,zz-as 5C r K - : , of Reeves Construction Company, personally appeared before me this da�knowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp � p or seal this Z�y of r .! 2015, I 2v:< - MyCommissionExpires: i 2-o2-o C.1 N &t-1R&r Notary Public tary' (Affix Seal) Nos P'ri to ed or Typed Name 1 SUSAN M. GRANER NOTARY PUBLIC OF NEW JERSEY My Commission Expires 311312020 Book 7691 Page 1657 PU—Q I_T— 6 TO SPECIAf�WARA& TY DEED Guilford County, North Carolina Being a deeded tract of land lying south of the terminus of the Old Jackson Lake Road right-of-way in Jamestown Township, Guilford County, N.C. and being more particularly described as follows: BEGR4N1NGr at an iron pipe at the southwest tenribius of Old Jackson Lake Road, said point being tht southeast corner of Tract 6 as shown on a boundary survey titled Lam Construction as prepared by Davis -Martin -Powell & Associates, Job i;'46035. Thence with the southern terminus of said road South 85'34'50" East 49.40 feet to an iron pipe, the soutbeastern terminus of said right-of- way; thence South 85°50'30" East 30.65 feet to an, iron pipe, a common comer with City of High Point (D.B. 3190, Pg. 608); thence with City ofI-Egh Point's western property line South 02053'29" West 329.79 feet to a point in center line of Richland Creel , thence with said centerline the foilowing calls, South 77�53'49" West 33,70 feet to a point; thence South 75"18'31" West 59,10 feet to a point; thence South 67°29'O8' West 43.74 feet to a point, thence South 81'3607' West 53.25 feet to a point; thence Forth 38°24'l8' West 157.29 feet to a paint; thence North 45'48'52" West 50.57 feet to apoint; thence North 40'S7'04" West 53.I6 feet to a point; thence North 55'44'52" West 12.30 feet to a point in centerline of said creels; thence with the eas€ern property line of Tract 6 North 05'01'52" East 198.93 feet to an iron pipe; thence South 85'34'49" East 282.39 feet to the point of BF-G2NING. Book 7691 Page 1659 EXFi !IB TO SPECIAL WARRANTY DEED 1. Declaradon of Covenant by Sloan Construction Company, Inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 2. Easements, Setback Lines and any other facts shown on that Plat in Book 169, Pages)135; and Book 170, Page 22, all of the Guilford County Registry, reference being made to the records thereof for the foil Particulars. [Hook 7691 Page 1668 B K. R 7691 PG: 1668 -1671 RC FLU naw REwRoea 201SO17418 STATE OF NC D41I4201s GUILFORD COUNTY, NC REAL ESTATE D9:40:07 AM JEFF L. TMGPEN REGISTER DF DEEDS EXTx $161_DD Dr. LARR'Y CONRAD, JR. ASSlBTAKTJIP _ NORTH CAROLINA SPECIAL WARRANTY DEED n Excise Tax: 164.00 w- o Parcel Identifier No. Verified by County on the _ day of , 20� �- L uw C VI E'm Mail/Box to:_Polsinelli PC, Attu. JmMankamverr, 1515 Wynkoop, Suite 600, Denver, CO 80202 o" This instrument was prepared by: Z aha Holly B. Olson a c Brief description for the Index: 0. �" TIES DEED made this 07rT day ofIPYL 2015, by and between uD d� GRANTOR GRANTEE CReeves Construction Company, a Georgia corporation, formerly APAC-ATLANTIC, INC., a Delaware corporation I..r- known as Sloan Construction Company, Inc., a Soerth Carolina 300 South Benbow Road io s corporation Greensboro, North Carolina 27401 c 041 4130 N Giena Avenue _ m # Winston Salem, North Carolina 27105 a The designation Grantor and Grantee as used herein shall include said parties, thtir heirs, successors, and assigns, and shall include ma w H m singular, plum], masculine, feminine or neuter as required by context, b c ( WITNESSETK that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has X a v and by these prrsents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in +_ w the City of E-Ugh Point, Guilford County, North Carolina and more particularly described as follows: >,ro� A U— w 5 SEE EXHIBIT A r L N 4J O u x The property hereinabove described was acquired by Grantor by instrument recorded in Book 4594, Page 0566 to 0569. L ww All or a portion of the property herein conveyed does not include the primary residence of A Grantor, U J O a a TO IAA VE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in v 6 fee simple, rom e ' And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will u e t warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following mow .n U a exceptions: 3 C G vi rN SEE EXHIBIT B Mail after recording to: Harbor City Title Insurance 7393010_1 Agency, Inc., 6201 Fairview Rp f, Suit J32S, flit, � � Charlotte, NC 28210; File No. - --- f Sook 7691 Saga 1664 . 13930t0 1 i IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: Reeves Construction Company Name: Title: nthan L. tIIFe ina Stmnt my State of y �� County or City of 1, the undersi ed Notary Public of the County or City of ct �.' and State aforesaid, certify that as s - ��/� —�, of Reeves Construction Company, Persona€ly appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of2015. My Commission Expires: Z _ Sa t eLn At Gr R k- NotaryPublic (Affix Seal) Notary's Printed or Typed Name SUSAN M. GRANER NOTARY PUBLIC OF NEW JERSEY My Commission Expires 311312020 ---- --------- ... .... . Hook 7691 Page 1670 !*49'11:11 Guilford County, North Carolina BEING all of Tract No. 6 ofthe High Point Rock Quarry property, map of which is duly recorded in plat Book 25 at page 69 in the Office of the Register of Deeds of Guilford County, North Carolina, said tract containing 17 acres. SAVE AND EXCEPT a lot from the northeast corner of said tract described as follows; BEGINNING at a stake in the Western right-of-way line of Jackson Lake Road (formerly Union NO Road), which stake is the northeast corner of Tract No. 6 as above described and the southeast comer of Tract No. 7 (being a common comer of the two); and running thence along the common property line of Tracts 6 and 7 North 84° 59' West 300 feet to a stake in said property line; running thence Soath 17' 43' West 10 1. 10 feet to a stake; and running thence south 84° 59' Bast 300 feet to a stake in the western right-of-way line of Jackson Lake Road; thence North 17' 43' East 10 1. 10 feet along the right-of-way of said road to the point and place of beginning. i Hook 7681 Page 1671 � EXMITR TO SPECIAL WARRANTY JDEED I. Easements, Setback Lines and any other facts shown on that Plat in Book 25, Page(s) 69; Book 169, Page 135; and Book 170, Page 4 all of the Guilford County Registry, refemee being made to the records thereof for the full particulars. 2. Declaration of Covenant by Sloan Construction Company, Inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the foil particulars. Book 7691 Page 1659 V v a 0 V rn� w c L7 L r 3 C N 4 r �a •L. O L L biN r S N � a = 0-1 L LL: y ttl a 6 a N 0J Ll L LrAIm m r rd �: L OW L araN J,V•E E � n r L+a r- LN Id O uxm C C C L P L+3:o U d U IE -• E acL aj 4J L+ a a rOL� V J, a Lee Ln r m BK: R 7691 PG: 1669 -1662 RcmRDEU 0411412015 o916:85 AM Ur. LARRYCONRAD• JR. 2015017415 GUILFORD COUNTY, NC JEFF L TNEG PEN REGNTER OF DEEDS MC FEE 3" STATE OF NC REAL ESTATE EXTX$194.00 NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: S X 64.00 Parcel Identifier Notl �- 15 C-I[t Verified by County on the .___ day of , 2D MaiMox to: Polsinelh PC. Attn, Jay Mankamyer,1515 Wy*9on. Suite 600, Denver, CO 30202 This instrument was prepared by; t r Holly B. Olson Brief description for the Index THIS DEED made this ;2-7 day of Qr G�j , 2015, by and between GRANTOR GRANTEE Reeves Construction Company, a Georgia corporation, formerly APAC-ATLANTIC, INC., a Delaware corporation known as Sloan Construction Company, Inc., a South Carolina 300 South Benbow Road corporation Greensboro, North Carolina 27401 4 L30 N Glenn Avenue Winston Salem, North Carolina 27105 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WiTNESSETK that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of Mgh Point, Guilford County, North Carolina and more particularly described as follows: SEE EXIRBIT A The property hereinabove described was acquired by Grantor by instrTt cm recorded in Book R 6958, Pages 2358-2361. AU or a portion of the property herein conveyed does not include the primary residence of a Grantor, TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the tide against the lawful claims of all persons claiming by, under or through Grantor, other than the following exceptions: SEE EXHIDFF B 73930271 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. Mail after recording to, Harbor City Title insurance Agency, Inc., 6201 Fairview Road, Suite 325, Charlotte, NC 28210; File No. 10 11tP2 Book 7691 Page 1660 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR: Reeves Construction Company D--� BY: Name: . Anthony L. it Title: sewEmw Mother State of _ - ! 1 r County or City of—/�1ez�r� 11 the undersigned Notary Public of the County or City of _ /�/!�_i�.' ,G and State aforesaid, certify that 6e+ I.- G_ l/Llevi►;-,., was �.� of Reeves Construction Company, personally appeared Wm me this day and acknowledged the due execution of the fbregoinif instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this ay!! day of -,,-ems, 2015. My Commission Expires: ( a o (Affix Seal) Z ` _%emsg m yk G.s^ 1 wel Notary Public Notary's Printed or Typed Name SUSAN M, GRANSR � NOTARY PUBLIC OF NEW ,JERSEY My Commission Expires 711=020 J Guilford County, North Carolina Beginning at an iron stake looted in the western right of way lime of New Jackson Lake Road, said iron stake being located South 13" 13' 15" West 10.I6 feet from that iron stake located in the southeast corner of that Tract owned now or formerly by Roscoe j Davis and Joyce L. Windham (as per those deeds recorded in Teed Book 1999, Page 393, and in Deed Book 3260, Page 847, Guilford County Registry), and running thence from the Beginning point along the western right of way tine of New Jackson Lake j Road, South 04° 21' 32" West 101.10 feet to an iron stake; running thence North 870 29' 53" West 300.00 feet to an iron stake; running thence North 04° 21' 32" East 10 1. 10 feet to an iron stake; running thence South 870 29, 53" East 300.00 feet to an iron stake located in the western right of way line of New Jackson Lake Road, the point and place of the Beginning, containing 0.70 Acre (30,314 square feet), more or less, and being all of and the same property as that parcel identified as being the "Save And Except' Lot described in that deed recorded to Book 4584, Page 566, Guilford County Registry, as per the survey prepared by Davis- Martin- Powell & Associates, Inc, dated October 4, 2007, a copy of which is attached as "Exhibit B" in Deed recorded in Book 6959, Page 2359. :.. ......... Book 7691 Page 1662 1. Easements, Setback Lines and any other facts shown on that Plat attached to Deed recorded in Book 6958, Page(s) 2358 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 2. Declaration of Covenant by Sloan Construction Company, Inc. as recorded in .Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 3. Easements, Setback Lines and any other facts shown on that Plat in Book 25, Page 69; Book 169, Page(s) 135; and Book 170. Page 22, all of the Guilford County Registry, reference being made to the records thereof for the full particulars. 4. Right(s) of way in favor of the City of Hgh Paint as reearded in Book 2761, Page(s) 350 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 5. Easement(s) in favor of Duke Power Company as recorded in Book 32.54, Page(s) 592 of the Guilford County Registry, reference being made to the records theteof for the full particulars. 6. Deed of Easement by and between R_J. Riggs and wife, Ivyrene Riggs and MGM Transport Corp. as recorded in Book 3344, Page(s) 766 of the Guilford County Registry, reference being made to the records thereof for the full particulars. Book 7691 Page 1663 W a m A v- 0 r L ow L 41 rto a, 0 In U'E Ts a r 4J= r L y, do uza r CLY O IJ W •� i3 U; o v a U n r >: a c L 9 rN aJa0 a: E O4+ E U a v sec 0rro 131(; R 7691 PG: 1663 -1666 He FEE SM00 REODRDEP, 2016017416 STATE of NC 04M412016 GUILFORD COUNTY, NC REAL ESTATE 09:37:12 AM JEFF t.. THIGPEN BY: MRRY I.IOAGAN RMLSTFR OF PEEM ECTX 3164.00 PEAIAY-HP NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax 164.00 Parcel identifier No, r_;l C1.1 7,�i _ Verified by County on the day of By: b"IBox to: P isinelli PC. AtIn. Jay higniMmm 15 15 EynkoomSuite CQ 90202 This instrument was prepared by: HoIll B. 01son Brief description for the Index: THIS DEED made this p71 day of MQCr'A, 2015, by and between GRANTOR CtrItLl.rl%ti Reeves Construction Company, a Georgia corporation, formerly APAC-ATLANTIC, INC., a Delaware corporation known as Sloan Construction Company, Inc., a South Carolina 300 South Benbow Road corporation Greensboro, North Carolina 27401 4130 N Glenn Avenue Winston Salem, North Carolina 27105 Tire designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of High Point, Guilford County, North Carolina and more particularly described as follows: SEE EXHIBIT A The property beneinabove described was acquired by Grantor by instrument recorded in Book R 6643, Pages 701.-703. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid ]at or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Gmntor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following exceptions: SEE EXHIBIT 7393052_1 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. Mail after recording to; Harbor City Title Insurance Agency, Inc., 6201 Fairview Road, Suite 325, Charlotte, NC 28210; File No. _ 14115 �"63 Book 7691 Page 1664 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first alcove written. GRANTOR: Reeves Construction Company By: Name: Title: MOW U NWdrm, SeCRETAW State of County or City of I, the undersi ed Notary Public of the County or City of D I and State aforesaid, certify that '� of Reeves Construction Company, personally appeared efore me thigoday and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this _,,?Y` day of G, 2015. My Commission Expires: t 2 a b (Affix Seal) '41 ox, u 5 It M (rNotary Public Notary's Printed or Typed Name r o=MGRJERSEYflWO20 t300dc 7691 page 1665 I EXHIBIT A TO SEECIAL WARRAM PEED Guilford County, North Carolina Being a deeded tract of land lying on the west side of Old Jackson Lake Road in Jamestown Township, Guilford County and being more particularly described as follows: BEGINNINGS at an iron pipe on the western right-of-way of Old Jackson Lake Road, said point being North 13'15'55" East 158.12 feet from the eastern most comer of Tract 7 as shown on a boundary map titled i.arco Construction as prepared by Davis-MaTtin- Powell & Associates Job #46035. Thence from said BEGINNING and with the northern property line of Roscoe W. Davis and Joyce L. Davis (D.B. 3260, Pg. 847) North 78'24'08" West 199.01 feet to an iron pipe Davis' northwest corner in the line of Tract 7; thence with the property line of Tract 7 North 17'00'12" East 134.59 feet to an iron pipe the northeastern corner of Tract 7 in the southern line of Ronald E. Treadway (D. B. 2578, Pg. 261). Thence with Treadway's southern line North 8741'54" East 196.11 feet to an iron pipe on the western right -of --way of Old Jackson Lake Road; thence with said right-of-way South 1391'35' West is 1.17 feet to the point of BEGINNING. Containing 0.70f nertl30,385± sq. ft. (DMD) !Book 7691 Page 1666 —XM— IT B TO SPECIAL WARRANTY DEED 1. Declaration of Covenant by Sloan Construction Company, Inc. as recorded in Book 6976, Pages) 2562 of the Guilford County Registry, reference being made to the records thereof far the full particulars. 2. Easements, Setback Lines and any other facts shown on that Plat in Book 25, Page 69; Book 169, Page(s) I35; and Book 170, Page 22, all of the Guilford County Registry, reference being made to the records thereof for the full particulars. 3. Easement(s) in favor of Duke Power Company as recorded in Book 3254, Page(s) 592 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 4. Deed of Easement by and between R_7. Riggs and wife, Ivyrene Riggs and MGM Transport Corp. as recorded in Book 3344, Page(s) 766 of the Guilford County Registry, reference being made to the records thereof for the full particulars. APAC-Atlantic, Inc. Thompson -Arthur Paving & Construction P. O. Sox 21088 Greensboro, NC 27420.1088 Tel: 336-412.6753 Fax 336-412-6751 July 2, 2015 Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Re: Ownership Change Request Certificate of Coverage NCG 160041 Dear Sir or Madam: APAC-Atlantic, Inc., Thompson Arthur Paving and Construction Division (APAC) is pleased to submit this completed Ownership Change Form for a hot -mix asphalt plant located at 1330 Jackson Lake Road Certificate of Coverage No. NCG160041. Effective on March 27, 2015, APAC has purchased this facility from Larco Construction. Also enclosed is documentation of the ownership change. If you have any questions, please do not hesitate to contact me at (336) 412-6753 or our consultant, Josh Dunbar with The El Group, Inc. at (919) 459-5266. Sincerely, APAC ATLANTIC, INC. Lori Carter Environmental Representative Enclosures cc: Mr. Josh Dunbar, El RECEIVED JUL 10 2015 DENR-L.AND QUALITY STORMWATER PERMITTiNG Saf * Fir A& Equal Opportunity Employer ` LF; ^A Division of Energy, Mineral & Land Resources Land Quality Section/Stormwater Permitting National Pollutant Discharge Elimination System NCDENR PERMIT NAME/OWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Yeas Montl'r Da 1. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N C $ N C Cx 1 16 1 0 0 4 1 H. Permit status prior to requested change. a. Permit issued to (company name): Larco Construction b. Person legally responsible for permit: Chris First c. Facility name (discharge): d. Facility address: e. Facility contact person: Venable M1 Last Area Manager Title 4130 North Glenn Avenue Permit Holder Mailing Address Winston-Salem NC 27115 City slate Zip (336) 767-3500 ( ) Phone Fax High Point 1330 Jackson Lake Road Address Hig Point NC 27263-9758 City State Zip Julian H. Lipscomb _ _ _ (757) 229-2504 First / MI / Last Phone 11I. 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): APAC Atlantic Inc. - Thompson Arthur Paving A& Construction Division c. Person legally responsible for permit: Clarence O Brickey _ _ First Ml Last RECEIVED President Title JUL 10 2015 300 South Benbow Road Permit Holder Mailing Address DEI\R-tAIIJ QUALITY Greensboro NC 27420 STORMWATER PERIAITTING City State Zip (336) 412-6700 cobrickey@apac.com Phone E-mail Address d. Facility name (discharge): Plant #41-Jackson Lake Plant e. Facility address: 1330 Old Jackson Lake Road Address High Point _ _NC 27263-9758 City State Zip f. Facility contact person: Lori W Carter First MI Last 336 412-6753 lwcarterpapac.com Phone E-mail Address Re%4W Jan. 27, 20% NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 W. Permit contact information (if different from the person legally responsible for the permit) Permit contact: First MI Last Title Mailing Address City State Zip ) 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. PERIVIITTEE CERTIFICATION (Permit holder prior to ownership change): 1, Chris Venable, 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 re uired supporting information is not included, this application package will be returned as ' complete. 1 i5 Sign re Date APPLICANT CERTIFICATION I, Clarence O, Brickey, 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. ` Z11: Signatu ate ......................... I.......... 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 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; First MI Last Title Mailing Address City State Zip 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 bath 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): I, Chris Venable 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, Clarence O. Brickey. attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. 1 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 Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27. 2014 �i Book 7691 Page 1651 8K. R 7691 PGt 1651 - 16 64 MFEE MOa Re=RoEa 2016017413 STATE OF NG 04114r2015 GUILFORD COUNTY NC REAL ESTATE 09:30:03 AM JEFF L TMPEN RMITER Of a�as F7CTX s�Gr,Oo SY. UVtRY CCNRAD, JP NORTH CAROLI A SPECIAL WARRANTY DEED o Exclse Tmc1 164.00 o Paresl Identifier NorrJ�t ��- S' Verified by County on. the __ day of By: er MailfBo% to: Polsinelli PC, Attu, ]aarn�cr. v Mank15J 5 Wyr:koop, Suite 6Q0, Denver. C4 A0202, occ This instrument was prepared by: QLAU Holly B . Olson _ u Brief desctiption for the Index: _ b v Z1II9 DEED made this 2j4ay of f . 2015, by and between J L t3 aim- GRANTOR GRANTEE w L� r W O! 3 L C v Reeves Construction Company, a Gcorgia corporation, formerly APAC-ATLANTIC, iLi iC., a Dctawara corporation } s known as Sloan Construction Company, Inc., a South Carolina 300 South Benbow Road r ; " corporation Greensboro, North Carolina 27401 ` 4130 N Glenn Avenue 4 Cf V 'W inston Saicm, North Carolina 27105 m +'r w The designation Grantflr and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shdli include y aJ singular, plural, masculine, feminine or neuter as required by context. c ro WITNESSETI L that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledgod, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain tot or parcpi of land situated in LO the City ofMgh Point, Guilford County, North Carolina and more iparticularly described as follows: A U r SEE EX> MIT A r t_ vi u z v The property hereinabove described was acquired by Grantor by instrument rcmrdcd in Book R 6643, Pages 698-700. w s o r w All or a portion of the property herein conveyed does not include the primary residence of a Grantor, U ; o TO 14A VE AND TO HOLD the afDresaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in dm� fee Simple. n� n ~ And the Gnustorcovenants with the Granter, that Grantor has done nothing to impair such title as Grantor received, and Grantor will dr W Er warrant and defend the title against the lawful claitns of all persons clauning by, under or through Grantor, other than the following exceptions: � v ace a A SEE EXHMIT E 7372846 1 1N WITNESS W1fEREOF, the Grantor has duly wtecuted the foregoing as of the day and year rust above written_ Mail after recording to: Harbor City Title Insurance Agency, Inc., 6201 Fairview Road, Suite 325, Charlotte, NC 28210; File No. Hook 7691 Page 1652 IN WITLESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year fast above written. GRANTOR: Reeves Construction Company By,._ _ _ - Name: Title: State of - _F v ,� County or City of 1, the undersigned Notary Public of the County or City of /p,�i� _ and State aforesaid, certify that 95 _ S/ f rral�= yt of Reeves Construction Company, personally appeared beforo me thdday and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this akf day of _�1'!c►�� d, 2015. My Commission Expires: z4r_a ^� u s • Al- NotaryPubUc (Affix Seal) Notary's Printed or Typed Name "SUSAN M. GRANER # NOTARY PUBUC OF NEW JERSEY fly Commission Expires 3l131Y020 Book 7691 Page 1653 Guilford County, North Carolina This description being all of Tract i as shown on a boundary survey map tided Lmw Construction as prepared by Davis -Martin - Powell & Associates - Job #S-46035 and being more particularly described as follows; BEONNING at an iron pipe in the southern property line of Ronald E. Treadway (D. B. 2579, Pg. 261) said point being the northwest comer of Ivy B. Riggs (D3. 29S7, Pg. t20); thence with Riggs western property Wte South 17*00'12" West 134.59 to an iron pipe, the common corner of Riggs with Roscoe Davis and Jcyce L. Windham (D3. 3260, Pg. 847); thence with the western property corner of Davis and Windham South 14003' 13" West 149.62 feet to an iron pipe; thence with the southern property line of Davis and Windham South 75*5647" East 200.04 feet to an iron pipe on the western right�f-way of old Jackson Lake Road; thence with said right-of-way South 13'1TI5' West 10.16 feet to an iron pipe on said right-of-way said point being the northeast corner of Tract 6 of Larco Construction; thence with the northern property line of Tract 6 being common with Tract 7140A 87129153" West 1.26 LU fret to an iron pipe in the eastern property tins of Eton Partners LLC (D.13, 6486, Pg. 410) said paint bccing the northwest corms of Tract 6; thence with the property line of Elan Partners LLC the following two calls North 02°52'IS" East 217.58 feet to an iron pipe; thence North 02'ST17" East 402.17 feet to an iron pipe, the southwest corner of GM R'Wity Associates (D.B. 3628, Pg. 846) in the property sine of Elan Partners LLC; thence with the southern property line of G.M. Realty Acsncsate:t South 91013'17" East 857.24 feet to an iron pipe; thence South W4943" East 221.63 to an iron pipe; thence North 87"49'16" Fast 158.04 feet to an iron pipe the southeast corner of G.M. Realty Associates common with Ronald E. Treadway; thcncu with the southern property line of Treadway North 87a28'13" East 89,90 feet to an iron pipe the point of BEGINNING. Containing 13.15± acres (DMD) ...... ------- . .. ......... .__........ _..._� �._.___.__..___. ... .__ _.. _�... Hook 7691 Page 1654 QUJIB T B TO SPECCAL WARRAKY U D 1. Declaration of Covenant by Sloan Cvnstnwtiov Company, Inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the accords thereof for the full particulars. 2. Easements. Setback Lines and any other facts shown on that Plat in Book 25, Pagc(s) 69; Book 169, Page 135; and Book 170, Page 22, all of the C Iford Cottaty Registry, reference being made to the records thereof for the full particulars. 3. Easement(s) in favor of Duke Power Company as recorded in Book 3254, Page(s) 592 of the Guilford County Registry, reference being made to the records thtrcnf for the full particuiars. 4, Deed of Easement by and between R.J. Riggs and wife, Ivyrene Riggs and M6M Transport Corp. as recorded in Book 3344, Page(s) 766 of the Guilford County Registry. reference being made to the records thereof for the full particulan. S. Right(s) of way in favor of City of 1Eiglr Point as recorded in Book 2012, Page(s) 200; and Book 2761, Page 350, all of the GO ford County Registry, reference being made to the records thereof for the full particulars. lBoak 7591 paw 1655 N V a d 0 e L W a) c+ W cH ua 0 �r vc mu a9 L t7 J 01. Va L W 4.. ai Lr r r w rna mcu L 4t L ca�r++ ed S an3 d �e L}+ 11 r ame W V W � d o as L W A t01� rv� s.L-o a+ t3 L y� ra 0 uzm cW�+ o a+ V V 6 — OrCL ro a, a7r M eL a! N EL r D is 0u a v 11 C C ill r b SK: R 7691 PG: 1655 -1658 eEcaxoED, 0U1+1f1015 as: sa or Ant BY. 4AWY CONRM, X ASSBWNr-FP NC FEE 626M 2015017414 STATE OF NC GUILFORD COlfM NC RE4EEITATE A7F L. TFRCPEt1 RemHTEA OF DEXW DRX Sn64.00 NORTH CAROLINA SPECIAL WARRANTY DEED l xcisc Tax' 164.00 Parcel Identifier No. �i`u �s,r Verified by County on the ____ day of —, 20___, By: MailBox to: P91sineDi PC, Attrl,1aay-Mank_amym 1515 WYnkoop Suite 60Q ,1Dc var, C4 80202 This ir►strumant was prepared by: Gi rrf r 014nn Brief description for the Index: THIS DEED made thiso27day of _IM, 'O 7� 2015, by and between GRANTOR GRANME R=vcs Construction Company, a Georgia corporation, formerly APAC-ATLANMC, INC., a Deiaware corporation known as Sloan Construction Company, Inc„ a South Carolina 300 South Benbow Road corporation Greensboro, North Carolina 27401 4130 N Glenn Avenue Winston Salem, North Carolina 27105 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. W1TN'ESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of whicb is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all thatcerWn lot or parcel of land situated in the City of High Point, Guilford County, North Carolina and more particularly described as follows: SEE EXM IT A The property here inabove described was acquired by Grantor by inswumcul recorded in Book R 6643 page 60"08, All or a portion of the property hrrein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid lot or parcel of laud and all privileges and appurtenances themto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, first Grantor has done nothing to impair such lisle as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following CXCepti0n5: SEE £?a-HBIT B 7192993_1 Mail after retarding to: Harbcr City Title Insurance Agency, Inc., 6201 Fairview Road, Suite 325, Charlotte, NC 28210; flee No. i y to �# C-C' Ir --- Book 7691 page 1656 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. GRANTOR.• Reeves Construction Company By: Name: Title: State of _ / v r County or City of the undersigned Notary Fublic of me County or City of and State aforesaid, certify that hdH L_G�{ nL. 1L. as of Reeves Construction Company, personally appeared before m�and achowledged the dAie execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this a.'' gay of & a!Z14 2013. My Commission Expires: T73Q W f,rgi(Ke Notary Public (Affix Seal) Notary's Printed or Typed Name #NOTARY SUSAN Nl. GRANfR I�UBLIC OF NEW JFAS"My Commission Expires 3I13f202fl Book 7691 Page 1657 Ii. Guilford County, North Carolina Being a deeded tract of land lying south of the terminus of the Did Jackson bake Road right-of-way in Jamestown Township, Guilford County, N.C. and being more particularly described as hollows: BEGU iN1NG at an iron pipe at the southwest tamittus of Old Jackson Lake Road, said point being the southeast comer of Tract 6 as shown on a boundary survey titled Larco Construction as prepared by Davis -Martin -Powell & Associates, Job #46035. Thence with ilte southern terminus of said mad South 85°34'50" Fast 49.40 feet to an iron pipe, the southeastern ternminns of said right-of- way; thence South 85°50'30" Fast 30,65 feet to an- iron pipe, a common comer with City of Mgh Point (DJ3. 3190, Pg. 608), thence with City of High Point's wcstnra property line South 02°53'29" West 329.79 feet to a point in center line of Richland Creels; thence with said centerline the following calls, South 7705349" West 33.70 feet to a point; thence South 75°1831" West 59.10 feet to a point, thence South 67°208' West 43.74 feet to a poi -, thence South 81136'07" West 53.25 feet to a point; thence North 38°24'l8" West 157.29 fed to a point; thence North 45048'S2" West 50-57 fat to a point* thence North 40°57'04° West i 53.16 feet to a point; thence North 55°44'52" West 12,30 feet to a point in centerline of said creep; thence with the eastern property line of Tract 6 North 05"01'52" East 198.93 feet to an iron pipe; thence South 85°34'49" East 282.39 feet to the point of BEGLNNWG. Book 7691 Page 1650 EXiii337T $ TO SPECIAL WARRANTY DEED i 3. Declaration of Covenant by Sloan Construction Company, Ex. as recorded in Book 6976, Pagc(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars, i I 2. Easements, Setback Lines and any other facts shown on that Plat in Book 169, Page(s) 135; and Book 170, Page 22, all of the Gu ford County Registry, reference being made to the records thereof for the full particulars. j I (Hook 7691 Page 1668 N n d v 0 w 0 BK: R 7691 PG: 1668 - 1671 2015017418 HCFEE Moo REcoar*XX STATE of NC 041414=15 GUILFORD Ct]WM, NC RM ESTATE 09:4c:o7 AM JUP L. THIGPEN R&G[STU OF DEEDS EXTir 516lpp BY: l.'RR'Y CONRAD, JR A=aTW -HP NORTH CAROLINA SPECIAL WARRANTY DEED Excise Tax: 1G4.00 Parcel Identifier No.LACLLM2_ Verified by _ County on the_ day of , 20 By: _ MaillBox to: PolsineJli PC. Attn. Jay Mankam er =Y—Y—nk0oPL Suite 600 en er CO 90202 This instrument was prepared by: Holly B . Olson Brief description for the Index: THIS DEED made this 9 ? day of I'nCtfGjn , 2015, by and between GRANTOR GRANTEE Reeves Construction Company, a Georgia corporation, fnmserly APAC-ATLANTIC, INC., a Dcfawarc corporation known as Sloan Construction Company, inc., a South Carolina 300 South Benbow Road corporation Greensboro, North Carolina 27401 4130 N U"n Avenue Winston Salem, North Carolina 27105 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNE5SE11J, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of Rgh Point, Guilford County, North Carolina and more particularly described as follows: SEE EXIi1BIT A The property hc=4Wjove described was acquired by Grantor by instrument recorded in Book 4584, Page 0566 to 0569. All or a portion of the property herein conveyed does not include the primary residence of a Grantor, TO HAVE AND TO HOLD the aforesaid Jot or parcel of laud and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following exceptions: SEE EX IBiT B Mail after recording to: Harbor City Title insurance Agency, Inc., 6201 Fairview Ft d, Suite 325, Charlotte, NC 28210; File No. _ igro �Z-loI 7393010_1 r)Book 7691 1'ege 1669 j 73930101 I IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above wriftm ' GRANTOR: Reeves Construction Company 13y:^�� _ Name• Title: nay L. Mi ling,1) State of _ �- _ County or City of ,�Q- j _ I, the undersiAncd Notary Public of the County or City of %d �.' and State afaresaid, certify that as _ �t� fr�x of Reeves Construction Company, personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the purpo= therein expressed. Witness my hand and Notarial stamp or seal this 314 day of,�, My Commission Expires: I Z o Z O 55 g�4 M Gr R k2 Notary Public (Affix Sea[) Notary's Printed or Typed Name SUSAN M. GRANER NOTARY i°UBLIC OF NEW JERSEY ry My Commiaaion Expires W%202U Book 7691 Page 1670 Guilford County, North Carolina BEM &II of Tract No. 6 of the High Point Rock Quarry property, reap of which is duty rocorded in Plat Book 25 at Page 69 in the Officc of the Register of heeds of Guilford County, North Carolina, said tract conmirting 17 acaes. SAVE ANT) EXCEPT a lot from the northeast corner of said tract described as follows: BEGMNING at a stake in the Western right-of•way line of Jackson Lake Rcad (fbn= y Union Mill Road), which stake is the northeast corner of Tract No. 6 as above described and the southeast corner of Tract No. 7 (being a common comer of the two); and running thence along the common property line of Tracts 6 and 7 Nortb 940 59' West 300 feet to a stake in said property line; running thence South 17° 43' West 101.10 feet to a stake; and running thence south 94' S9' East 300 feet to a stake in the western right-of-way litre of Jackson Lake Road; thence Norib 17' 43' East 101.10 feet along the right-of-way of said road to the point and place of beginning. Book 7691 page 1671 1 XMIT, B TO SPECIAL WARRANTY DEE(7 1. Eascmcnts, Setback Lines and any other facts shown on that Plat in Book 25, Page(s) 69; Boob 169, Page 135; and Book 170, Page 22, all of the Guilford County Registry, reference being made to the records thereof for the :Cull particulars. 2, Declaration of Covenant by Sloan Construction Corapmy, Inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 1tR�' Book 7691. rage 1659 BK_ R 7691 PG: 1669 -1662 Me Fer MW RECORWU 20i5017415 STATE OF WC 04M4r2016 GUILFORD COUNTY, NC REALESTATE a9;s1:36AM dEFF i THIGPEN BY SNSRYCJMIAD, At. REGISTER OF DEEDS EY1X $19400 ASSMU NT-W NORTH CAROLINA SPECIAL WARRANTY DEED Pxcise Tax: % 164. UO a Parcel Identifier No.0 I �-JS L L, _ Verified by County on the day of , 20, By: a MAR(Box to: Patsinelli K. Ann. Jim Mankamver. 15I5 Wvnkoop. Spite 600, Denver. CO 80202 This instrument was prepared by: gfiWr Holly B. Olson - Brief description for the Index THIS DEED made this ,21 day of 1 t ,�j 2015, by and between GRANTOR Reeves Construction Company, a Georgia corporation, formerly APAC-ATLANTIC, INC., a Delaware corporation known as Sloan Construction Company, Inc, a South Carolina 300 South Benbow Road corporation Greensboro, North Carolina 27401 4130 N Glenn Avenua Winston Salem, Borth Carolina 27105 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by contact. WnNBSETK that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, at€ that certain lot or parcel of land situated in the City of Kgh Point, Guilford County, North Carolina and morn particularly described as follows: SEER EKIMIT A The property heminabove described was acquired by Grantor by instrument recorded in Book R 6958, Pages 2358-2361. All or a portion of the property herein conveyed does not include the primmy residence of a Grantor. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Granter, that Grantor has done nothing to impair such tide as Grantor received, and Grantor wit€ warrant and defend the title against the lawful clairns of all persons claiming by, under or through !grantor, other than the following exceptions: SEE EVUBLT B 7393027 t IN WTITZESS W ffiREOF, the Grantor has duly executed the foregoing as of the day and year first above written. Mail after recording to: Harbor CIty Title Insurance Agency, Inc., 6201 Fairview Road, Suite 325, Charlotte, NC 28210; File No. I i14_- I'mY Hook 7691 Page 1660 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written, GRANTOR: Reeves Construction Company $y:... Name: - —�i n�h9��t •m;..� Title: �,..,.�..„ State of _ A/3— County or City of / ,L a the undersigned Notary Public of the County or City of ii!' .a and State aforesaid, certify that .4 of Reeves Construction Company, personalty appeared before me this day and acknowledged the due execution of the fbrcgoin instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal thisae day of 2015. My Commission Expires: ao (Affix Seal) Goy kKe/ _Notary Public Notary's Printed or Typed Name wMy SUSAN M. GRANER TARY PUR-rOf HEWJERSO Commission Expires 311312020 Book 7691 Page 1661 I: F71 LUWT A TO SPMAL WARRANTY DEED Guilford County, North Carolina Begimdng at an iron slake located in the wemm right of way Ime of New Jackson Lake Road, said iron stake being leeated South 130 13' 15' West 10.I6 feet from that iron stake located in the southeast comer of that Tract owned now or fornteriy by Roscoe Davis and Joyce L. Windham (as per arose deeds recorded in Deed Book t998, Page 393, and in Deed Book 3260, Page 847, Guilford County Registry), and running thence from the. Beginning Point aiong the western right of way line of New Jackson Lake Read, South 040 21' 32" West 101,10 feet to an iron stake, tracing thence North 87129' 53" West 300.00 feet to an iron stake; running thence North 04° 21' 32" Lust 101.10 feet to an iron stake; running thence South 87' 29' 53" East 300.00 feet to an iron stake located in the western right of way fine of New Jackson Lake Road, the point and place of the Beginning, containing 0,70 Acne (30.1 t4 square feet), more or less, and bring all of and the same property as that parcel identified as bciog the 'Save And Except' Lot described in that dad recorded In Book 4584, Page 566, Guilford County Registry, as per the survey prepared by Davis- Martin- Powetl & Associates, Inc, dated October 4, 2007, a copy of which is attached as "Exhibit B' in Deed recorded in Book 6958, Page 2359. Book 7691 Page 1662 EXEMU B SPECIALIQ l . E&serncnts, Setback Lines and any other facts shown on that Plat attached to Deed recorded in Book 6958, Page(s) 235 S of the ChAlford County Registry, reference being made to the records thereof for the full particulars. 2. Declaration of Covenant by Sloan Construction Company, inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 3. .Easements, Setback Lines and any other facts shown on that Plat in Book 25, Page 69; Book 169, Paga(a)135; and Book 170, Page 22, all of the Guilford County Registry, reference being made to the records thereof for the full particulars. 4. Right(s) of way in favor of the City of Ngh Point as recorded in Book 2761, Page(s) 350 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 5. Easernent(s) io favor of Duke Power Company as recorded in Book 3254, Page(s) 592 of the Guilford County Registry, reference being made to the records thereof for the full particulars. 6. Deed of Easement by and between R.J. Riggs and wife, Ivyrene Riggs and MGM Transport Corp. as rmordcd in Book 3344, Page(s) 766 of the Guilford County Registry, mference being made to the records thereof for the full particulars. Aaale 76g1 Page 1663 b 0 w 0 BK: R 7691 PG: 1663 -1666 RE'. 0WEQ 0<t1MAIS W37:12 AM aY: awy ►AOROM oEPUrf-HP ExciseTj 164.00 2015017416 GUILFORD COUNTY, NC UFF L TNIGPM RTd' MER OF DMS He ntmen STATE OF NO REAL ESTATE EXTx s1e4.0r NORTH CAROLINA SPECIAL WARRANTY DEED Parcel Idtetir= No.f-,aGL F t-c _ verified by _ _ County on the _ day of 20� By: MailBox to: PolsiaelllP.C. Attu. ,Tay Maw&emvcr. 1515 Wvnkaag. Suite 6Q0. Denver. CO 60202 This instrument was prepared by; (3666b Ho119 B. Olson _ Brief description for the Index: THIS DEED made this t-n day of 2015, by and between GRANTOR GRANTEE Reeves Construction Company, a Georgia corporation foumeriy APAC-A"i'LANT[C, INC., a Delaware corporation known as Sloan Construction Company, Inc., a South Carolina 300 South Bcnbow Road corporation Greensboro, North Carolina 27401 4130 N Glenn Avenue Winston Salem, North Carolina 27105 The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context. WITNPSSE1n that the Orantor, for a valuable oonsidcrution paid by the: Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple:, ali that certain lot or parcel of [and situated in the City of High Point, Guilford County, North Carolina and more particularly described as follows: SEE EXMI T A The property hemirmbove described was acquired by Grantor by tasty uncut recorded in Book R 6643, Pages 701-703. All or a portion of the property herein conveyed does not include the primary residence of a Grantor. TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtcna=3 thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Csrantoe, that Grantor has done nothing to impair such title as Grantor received, and Grantor WE warrant and defend the title against the lawi'ul elaims of all persons claiming by, under or through Grantor, other than the following exceptions: �r� •.► ti I I: 7393052 1 IN WITNESS WHF.REO;', the Grantor has duly executed the foregoing as of the day and year first above written. Mail after recording to: Harbor City Title Insurance Agency, Inc,, 6201 Fairview Road, Suite 325, Charlotte, NC 28210; File No ' b ?.Vt,3 Back 7691 page 1664 IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written. Reeves Construction Company By: Name: Title: Anthony war , State of _ -A _ County or Chy of / 1, the Undersigned Notary Public of the County or City of _ al/, i and State aforesaid, certify that of Reeves Constmution Company, peraoeally appearrd efort me th' day and atimowledged.the due execution of the foregoing instrument for the purposes therein cgmssed. Witn= my hand and Notarial stamp or seal this _& &y of �! , 2015. My Commission Expires- t 3 2 e s 4 K ru G r k!T Notary Public (Affix Seal) Notary's Printed or Typed Name SUSAN M. GRANER 4, NOyARY Pl1ax OF NEVV JERSEY My Commission Expires MW2020 Book 7691 Page 1665 EX1 QITA TO SPECJAL WARRANTY DEED Guilford County, North Carolina Being a deeded trace of land lying on the west side of Old Jacksoa Jake Road in Jamestown Township, Guilford County and being more particularly described as follows: BEGDOMI G at as iron pipe on the western right-of-way of Old Iackson Lake Read, said point being North 13'I Y55' East 158.12 feet from the eastern most comer of Tract 7 as shown on a boundary map titled Larco Construction as prepared by Davis -Martin - Powell & Associates Job #46035. Thence from said BEMNING and with the northern property line of Roscoe W. Davis and Joyce L. Davis (D.B. 3260, Pg, 847) North 78°24'08" West 198.01 feet to an iron pipe Davis' northwest corner in the line of Tract 7; thence with the property line of Tract 7 North 17900'12" Fast 134.59 feet to an iron pipe the northeastern comer of Tract 7 in the southern line ofRonaidE. Treadway (D. B. 2578, Pg- 261). Thence with Treadway's southern line North 87'41'54" East 196.11 feet to an iron pipe an the western right-of-way of Old Jackson Lake Road; thence with said right-of-way South 1301115" West 191.17 feet to the point of BEGINNING. Containing 0.701 acrel30,385t sq. ft. (DMD) i • !Hook 7691 Page 1666 .EJ Mrr B TaSPECIAL WARR&MDEED 1. Declaration of Covenant by Sloan Consuvction Company, Inc. as recorded in Book 6976, Page(s) 2562 of the Guilford County Registry, refrrence being made to the records themf for the full particulars. 2. Fasements, Setback Lines and my other facts shown on that Flat in Book 25, Page 69; Book 169, Page(s) 135; and Book 170, Page A all of the Guilford County Registry, reference being made to the records thereof for the full particulars. 3. Easement(s) in favor of Duke Power Company as recorded in Book 3254, Pages) 592 of the Guilford County Registry, reference bring made to the records thereof for the full particulars. 4. Deed of Easement by and between R.I. Riggs and wife, Ivyrene Riggs and MGM Transport Corp. as recorded in Book 3344, Page(s) 766 of the Guilford County Registry, reference being made to the records thereof for the full particulars. NCDENR E.n.Mww.e.rc .ao Mwv..� �+ceawca Division of Energy, Mineral & Land Resources Land Quality Section/Stormwater Permitting National Pollutant Discharge Elimination System PERMIT NAME/OWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Year Month Day 1. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage 1 16 10 1 Oj 4 1 1 H. Permit status prior to requested change. a. Permit issued to (company name): b. Person legally responsible for permit V c. Facility name (discharge): Larco Construction Co. A Division of Sloan rConstruction Co. Inc. ' ' Robert Ponton First M I Last Area Manazer Q 1i Title 4130 N. Glenn Ave. Permit Holder Mailing Address Winston-Salem NC 27115 City State Zip (336) 767-3500 (336) 767-7427 Phone Fax Larco Construction Co. - A Division of Nello L. Teer- Guilford d. Facility address: 1330 Old Jackson Lake Rd. Address High Point NC 27105 City State Zip e. Facility contact person: Fred Fenske (336) 767-3500 First / MI / Last Phone Ill. 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): Larco Construction Co. c. Person legally responsible for permit: Chris Veneable First M1 Last Area Manager Title 4130 N. Glenn Ave. Permit !-folder Mailing Address Winston-Salem NC 27115 City State Zip (336) 767-3500 venablec a larco.com Phone E-mail Address d. Facility name (discharge): >S Larco Construction Co. - High Point e. Facility address: 1330 Old Jackson Lake Rd. Address High Point NC 27105 City State Zip f. Facility contact person: Chris Venable First MI Last (336) 767-3500 venablec@n larco.com Revised Jan. 27, 2014 NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 Phone E-mail Address IV. Permit contact information (if different from the person legally responsible for the permit) Permit contact: Julian H Lipscomb, Jr. First Ml Last Environmental Manager Title 432 McLaws Circle Mailing Address Williamsburg VA 23185 City State Zip (757) 229-2504 lipscombj@,branscome.com 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): I, , 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, Julian H. Lipscomb, Jr., 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. May 14, 2014 SignaturU Date 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 too MCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Charles Wakild, PE John E. Skvarla, III Governor Director Secretary March 11, 2013 Mr. C. Gabriel Whitaker, Area Manager LARCO Construction — A Division of Branscome, Inc. 4130 North Glenn Avenue Winston-Salem, NC 27105 Subject: Denial of Monitoring Exemption or "Dormant Status" for NCG160041 LARCO Construction Asphalt Facility — High Point 1330 Old Jackson Lake Road Guilford,County Dear Mr. Whitaker: The Division of Water Quality (DWQ) has reviewed your request for an exemption from the monitoring requirements in your NPDES Industrial Stormwater permit. Based on a site visit by Winston-Salem Regional Office staff on March 5, 2013, DWQ is unable to concur with your request for exemption from monitoring at this time. Observations at facility the found that industrial materials at the site are exposed or have.the potential to be exposed to stormwater. DWQ cannot grant the requested exemption from monitoring based on the following: e Stockpiles of gravel, sand, recycled concrete and recycled asphalt pavement were present. The dormant status guidance prevents the storage of raw materials on -site. In addition, the benchmark for TSS was exceeded in November 2011 and May 2012. Chemicals were present in several totes and tanks plus the secondary containment area. The dormant status guidance prevents the storage of chemical additives on site. Please continue to operate under the full conditions of General Permit NCG160041. If you have any questions or need further information, please contact Mike Mickey at (336) 771-5000. Sincerely, W. Corey Basinger Regional Water Quality Supervisor Surface Water Protection Section Division of Water Quality cc: Stormwater Permitting Unit Files DWQ Central Files `vvs�b Wetlands and Stormwater Branch One 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NQrthCarQlina Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Naturally Phone: 919-89-807.630a 1 FAX: 919-$07-64941 Customer Service: 1-877�23.6748 lntemet www.ncwaterqual ty.org An Equal Opporlunity 1Affrmative Action Employer LA RC Larco Construction - A Division of Branscome Inc. N 5 T R U C T, o N 4130 North Glenn Avenue I Winston-Salem, NC 27105 Phone: (336) 767-3500 Fax: (336) 767-7427 February 26, 2013 Mr. Corey Basinger Winston-Salem Regional Office NCDENR/DWQ 585 Waughtown Street Winston-Salem, NC27107-2241 RE: COC Number NCG160041 Guilford County Dear Mr. Basinger, RECEIVED N.C. Dept. of ENR MAR 0 4 2013 Winston-Salem Regional office As a result of the weak economy, we are proposing to temporarily suspend operations at our asphalt facility located off Old Jackson Lake Road in High Point for the upcoming year; as such the facility will be locked and unmanned. Since the site will not have industrial stormwater discharges, we respectfully request our permit be placed in "dormant" status and that a monitoring exemption be granted. It is understood that the conditions of the permit will still be in effect requiring us to maintain the Stormwater Pollution Prevention Plan, pay any associated fees, notify the regional office when the operation resumes, and resume sampling. I await your decision as to my request. Should you have any questions or suggestions, please do not hesitate to contact me. Sincerely, C. Gabriel Whitaker Area Manager cc: Ms. Bethany Georgoulias Mr..lay Lipscomb P A V I N G I G R A D I N G I S I T E W 0 R K I ASP H ALT P R O D U C T S Mickey, Mike From: Mickey, Mike Sent: Thursday, March 07, 2013 3:22 PM To: Iwhitakerg@branscome.com' Subject: LARCO - Old Jackson Lake Road Gabe — I stopped by the High Point asphalt plant on Tuesday (3/5). Quick observations revealed stockpiles of gravel, sand, recycled concrete and asphalt pavement as well as chemical storage involving several totes and tanks plus the secondary containment area. Our dormant status guidance requires that "No stockpiles of raw materials (to include chemical additives) are stored on the site". The current condition of the asphalt plant is not going to meet the dormant status criteria. Please give me a call at your convenience @ 771-4962. Thanks, Mike. Mike Mickey Mike.MickevPNCDENR.eov NC Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone: (336) 771-4962 FAX: (336) 771-4630 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. Mickey, Mike From: Mickey, Mike Sent: Tuesday, March 05, 2013 3:09 PM To: Georgoulias, Bethany Subject: LARCO - Dormant Status Request Attachments: LARCO (pictures March 5, 2013).JPG; LARCO (secondary containment area with hot liquid asphalt & diesel tanks).JPG; LARCO (secondary containment - hot liquid asphalt tank).JPG; LARCO (chemical tanks).JPG; LARCO (recycled asphalt pavement).JPG; LARCO (recycled concrete).J PG Bethany — Got a question about "Dormant Status". If this is not your area, could you please pass on my email. LARCO Construction just submitted a letter requesting dormant status for their High Point asphalt facility that is temporarily closed. Attached are some pictures of the site. The second bullet point below from the dormant site guidance is where I have questions. There are no industrial activities takingplace. lace. I figure it is safe to assume that no industrial activity is taking place since the facility is currently shut down and the gate is locked. No stockpiles of raw materials (to include chemical additives) are stored on the site. There are plenty of raw material stockpiles on site (gravel, sand, recycled concrete, recycled asphalt pavement, etc). Would these be a concern? They are relatively inert. Regarding chemical additives, there are the four tanks in the secondary containment structure with product still in them (hot liquid asphalt, diesel, etc) along with several tanks and totes (anti -stripping agents, etc) with product. Do these have to be empty to qualify for dormant status? Just want to make sure I am consistent with what the other regions are saying. Thanks for your help again. Mike. Mike Mickey Mike.MickevPNCDENR.eov NC Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone: (336) 771-4962 FAX: (336) 771-4630 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. Mickey, Mike From: Georgoulias, Bethany Sent: Thursday, March 07, 2013 1:20 PM To: Mickey, Mike Cc: Pickle, Ken Subject: RE: LARCO - Dormant Status Request Hi Mike, Ken says your voice mail said you'd be out until 2 o'clock today, so we may catch up on this tomorrow. You call one of us when you can, or we'll call you. We think we have a good path forward but wanted to go over a few questions we had first. Also, I checked Google Docs for data from NCG160041 (I think that's the one - has the same address as the picture you sent), and here are the results: Date Permit No Lab 1 Lab 2 outfall Sample Date Rainfall TSS pH TPH 9/24/2010 9,20:36 ncg160041 103 11 5/17/2010 0.83 74 6.95 11.1 9/24/2010 9:20:36 ncg160041 103 12 S/17/2010 0.83 <2.5 7.67 11.2 10/6/20116:23:27 NCG160041 103 11 2/25/2011 0.21 32 7.86 10 10/6/20116:23:41 NCG160041 103 12 2/25/2011 0.21 67 7.21 6.9 12/20/20116:12:04 NCG160041 67 5054 11 11/16/2011 1.92 25.1 6.38 6.3 12/20/20116:12:20 NCG160041 67 5054 12 11/16/2011 1.92 334 6.97 5.2 7/17/2012 7:37:16 NCG160041 67 5054 11 5/29/2012 0.26 265 6.38 <5 7/17/2012 7:38:03 NCG160041 67 5054 12 5/29/2012 0.26 37.5 6.97 <5 2/18/2013 6:45:03 NCG160041 67 5054 11 12/20/2012 0.42 90.5 6.47 6.1 2/18/2013 6:45:29 NCG160041 67 5054 12 12/20/2012 28.9 6.8 <5.0 Looks like they had a couple of sporadic TSS hits above the benchmark, but they weren't persistent. We can talk more voice to voice. Cheers, Bg Bethany Georgoulias Environmental Engineer NCDENR I DWQ I Stormwater Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604 Phone: (919) 807-6372 Fax: (919) 807-6494 NEW WebsiW http://Dortal.ncdenr.org/webfwg/ws/su E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Mickey, Mike Sent: Tuesday, March 05, 2013 3:11 PM To: Georgoulias, Bethany Subject: LARGO - Dormant Status Request Bethany - Got a question about "Dormant Status". If this is not your area, could you please pass on my email. LARCO Construction just submitted a letter requesting dormant status for their High Point asphalt facility that is temporarily closed. Attached are some pictures of the site. The second bullet point below from the dormant site guidance is where I have questions. There are no industrial activities taking place. I figure it is safe to assume that no industrial activity is taking place since the facility is currently shut down and the gate is locked. No stockpiles of raw materials (to include chemical additives) are stored on the site. There are plenty of raw material stockpiles on site (gravel, sand, recycled concrete, recycled asphalt pavement, etc). Would these be a concern? They are relatively inert. Regarding chemical additives, there are the four tanks in the secondary containment structure with product still in them (hot liquid asphalt, diesel, etc) along with several tanks and totes (anti -stripping agents, etc) with product. Do these have to be empty to qualify for dormant status? Just want to make sure I am consistent with what the other regions are saying. Thanks for your help again. Mike. Mike Mickey Mike.Mickey@NCDENR.eov NC Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone: (336) 771-4962 FAX: (336) 771-4630 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. 2 u L� 4 Y . 1 C., -ft 1, qwr tJF Mickey, Mike From: Georgoulias, Bethany Sent: Thursday, March 07, 2013 1:20 PM To: Mickey, Mike Cc: Pickle, Ken Subject: RE: LARCO - Dormant Status Request Hi Mike, Ken says your voice mail said you'd be out until 2 o'clock today, so we may catch up on this tomorrow. You call one of us when you can, or we'll call you. We think we have a good path forward but wanted to go over a few questions we had first. Also, i checked Google Docs for data from NCG160041 (I think that's the one — has the same address as the picture you sent), and here are the results: Date Permit No Lab 1 Lab 2 outfall Sample Date Rainfall TSS pH TPH 9/24/2010 9:20:36 ncg160041 103 11 5/17/2010 0.83 74 6.95 11.1 9/24/2010 9:20:36 ncg160041 103 12 5/17/2010 0.83 <2.5 7.67 11.2 10/6/20116:23:27 NCG160041 103 11 2/25/2011 0.21 32 7,86 10 10/6/20116:23:41 NCG160041 103 12 2/25/2011 0.21 67 7.21 6.9 12/20/20116:12:04 NCG160041 67 5054 11 11/16/2011 1.92 25.1 6.38 6.3 12/20/20116:12:20 NCG160041 67 5054 12 11/16/2011 1.92 334 6.97 5.2 7/17/2012 7:37:16 NCG160041 67 5054 11 5/29/2012 0.26 265 6.38 <5 7/17/2012 7:38:03 NCG160041 67 5054 12 5/29/2012 0.26 37.5 6.97 <5 2/18/2013 6:45:03 NCG160041 67 5054 -11 12/20/2012 0.42 90.5 6.47 6.1 2/18/2013 6:45:29 NCG160041 67 5054 12 12/20/2012 28.9 6.8 <5.0 Looks like they had a couple of sporadic TSS hits above the benchmark, but they weren't persistent. We can talk more voice to voice. Cheers, Bg Bethany Georgoulias Environmental Engineer NCDENR I DWQ I Stormwater Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604 Phone: (919) 807-6372 Fax: (919) 807-6494 NEW Website: http://portal.ncdenr.org/web/wq/ws/su E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Mickey, Mike Sent: Tuesday, March 05, 2013 3:11 PM To: Georgoulias, Bethany Subject: LARCO - Dormant Status Request Bethany — Got a question about "Dormant Status". If this is not your area, could you please pass on my email. 1 LARCO Construction just submitted a letter requesting dormant status for their High Point asphalt facility that is temporarily closed. Attached are some pictures of the site. The second bullet point below from the dormant site guidance is where I have questions. There are no industrial activities taking place. I figure it is safe to assume that no industrial activity is taking place since the facility is currently shut down and the gate is locked. No stockpiles of raw materials (to include chemical additives) are stored on the site. There are plenty of raw material stockpiles on site (gravel, sand, recycled concrete, recycled asphalt pavement, etc). Would these be a concern? They are relatively inert. Regarding chemical additives, there are the four tanks in the secondary containment structure with product still in them (hot liquid asphalt, diesel, etc) along with several tanks and totes (anti -stripping agents, etc) with product. Do these have to be empty to qualify for dormant status? Just want to make sure I am consistent with what the other regions are saying. Thanks for your help again. Mike. Mike Mickey Mike.Mickev@NCDENR.gov NC Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 Phone: (336) 771-4962 FAX: (336) 771-4630 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. LA RC PN Larco Construction -A Division of Branscome Inc. C 6 N S T R U C T I O 4130 North Glenn Avenue I Winston-Salem, NC 27105 Phone: (336) 767-3500 Fax: (336) 767-7427 February 26.2013 Mr. Corey Basinger Winston-Salem Regional Office NCDENR/DWQ 585 Waughtown Street Winston-Salem, NC27107-2241 P \ . CO-` Number NCCG.150041 Guilford County Dear Mr. Basinger, As a result of the weak economy, we are proposing to temporarily suspend operations at our asphalt facility located off Old Jackson Lake Road in High Point for the upcoming year: as such the facility will be locked and unmanned. Since the site will not have industrial stormwater discharges, we respectfully request our permit be placed in `'dormant" status and that a monitoring exemption be granted. It is understood that the conditions of the permit will still be in effect requiring us to maintain the Stormwater Pollution Prevention Plan, pay any associated fees, notify the regional office when the operation resumes, and resume sampling. I await your decision as to my request. Should you have any questions or suggestions, phase do not hesitate to contact me. Sincerely, 0, W- �"LC. Gabriel Whitaker rMARr Area Manager 4 Zat3 cc: Ms. Bethany Georgoulias� Mr. Jay Lipscomb W P A V I N G I G R A D I N G I S I T E W 0 R K I ASP H ALT P R O D U C T S WAIF Mlchael F. Easley, Governor QUO 9�G William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources r= Alan W. Klimek, P.E.. Director --i Division of Water Quality fl � 3/ 18/2004 CERTIFIED MAIL RETURN RECEIPT REQUESTED PETE GALLOWAY SLOAN CONSTRUCTION CO-GUILFORD PO BOX 16279 WINSTON SALEM, NC 27115 Subject: FINAL NOTICE - NPDES Stormwater Permit Renewal Sloan Construction Co -Guilford COC Number NCG 160041 Guilford County Dear Permiltce: Your facility is currently covered for stormwater discharge under General Permit NCG 160000. This permit will expire on July 31, 2004- North Carolina General Statute 143.215.1(c) requires that an application for permit coverage renewal be filed in a timely manner. A prior notice of renewal was sent for this site on December 1, 2003. To date, no response has been received by the Division of Water Quality (DWQ). In order to assure your continued coverage under the general permit, you must apply to DWQ for renewal of your permit coverage. Enclosed you will find a general permit renewal application form. The application must be cornpleted and returned by April 19, 2004 in order to assure continued coverage under the general permit. Failure to request renewal by April 9, 2004 can result in a civil assessment of at least $250.00, Larger penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day. If you have any questions regarding the permit renewal procedures please contact Bill Mills of the Central Office Stormwater Unit at (919) 733-5093, exi. 548 Sincerely, Bradley Bennett, Supervisor Stormwater and General Permits Unit cc: Central Files SWGPU Files Winston-Salem Regional Office N. C. Dlvlsion of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-5083 ern NCDENR Customer Service 1- 800-623-7748 State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary Kerr T. Stevens, Director July 27, 1999 PETE GALLOWAY SLOAN CONST.CO. INC.-LARCO CONSTRUCTION P.O. BOX 16279 WINSTON-SALEM, NC 27115 Dear Permittee: 1•• NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Reissue - NPDES Stormwater Permit Sloan Const.Co. Inc.-Larco Construction COC Number NCG160041 Guilford County In response to your renewal application for continued coverage under general permit NCG160000, the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983. The following information is included with your permit package: * A copy of general stormwater permit NCGI60000 * A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to certify that you have developed and implemented the SPPP as per the conditions of the permit. This form must be completed and returned to the Division within 30 days of receipt of this letter. DO NOT SEND the SPPP with the signed form. * Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form * A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements, and addresses frequently asked questions * A Certificate of Coverage Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater and General Permits Unit at (919) 733-5083. ext. 584 Sincerely, for Kerr T. Stevens cc: Central Files Stormwater and General permits Unit Files Winston-Salem Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 Fax 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% past -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160041 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1. other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, SLOAN CONST.CO. INC,-LARCO CONSTRUCTION is hereby authorized to discharge stormwater from a facility located at SLOAN CONST.CO. INC.-LARCO CONSTRUCTION 1330 OLD JACKSON LAKE RD HIGH POINT GUILFORD COUNTY to receiving waters designated as a UT of Richland Creek in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Pans I, II,111. IV. V. and VI of General Permit No. NCGI60000 as attached. This certificate of coverage shall become effective August 1. 1999, This Certificate of Coverage shall remain in effect for the duration of the General Permit. Si.-ned this day July 27, 1999. for Kerr T. Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission i State bf North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director March 3, 1995 R D Reeves Sloan Construction P.O. Box 2008 Greenville, NC 29602 1 � • �EHNF� Subject: General Permit No. NCG 160000 Sloan Construction COC NCG160041 Guilford County Dear R D Reeves: In accordance with your application for discharge permit received on January 18, 1995, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. Please take notice that this certificate of coverage is not transferable except after notice to the Division of Environmental Management. The Division of Environmental Management may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any question concerning this permit, please contact MR. ANTONIO EVANS at telephone number 919/733-5083. Sincerely, nriginaf signed BY Calc_cn N• Sullins A. Preston Howard, Jr. P.E. cc: Winston-Salem Regional Office P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160041 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Larco Construction is hereby authorized to discharge stormwater from a facility located at Larco Construction 1330 Old Jackson Lake Road High Point, NC Guilford County to receiving waters designated as an unnamed tributary to Richland Creek in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, Ill and IV of General Permit No. NCG160000 as attached. This certificate of coverage shall become effective March 3, 1995. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day March 3, 1995. Original Signed By Coleen H. Sullins A. Preston Howard, Jr., P.E., Director Division of Environmental Management By Authority of the Environmental Management Commission Imo, •�r"'��:.. � �,�' ' — "� .r O �` �'-`r ° ���'�`� ��� \J.� \ ����':� .='�X}--=;: `,`�: )/ � •�` ' 1' �• TsHir ��! rl ,_ \ .t f �i%L � r 't • �o � �,)7 ��l�'� _.. •�. , J-Y^-' `.� ��. ' ' •t l ' .-i1 W ' • 1 v � .% . ram• n.l Q � ° � r-� �o _'�:.:, •-� y ��.: ' l w IF'�• � ',� . \ "� .>< � i � i •�._�" *• r ��` ` lei. ve `ro �, �.�� ��p?� /!� r�)'��;�i. ��•` c •� `. L� `r I ��ft/ w �! .'•la �? r }I 14� ' rr }i1iSi'..' nd1 Ch 'r I � �wl j — , .y1_ �,� � Jr � I ,J '��1 �•� ���,r. _`"�l _ / - � � �'Ir /r �! r! 1'.� ',�,, J _� ~ �• r J� c t 1 b' I ] ` O • [. l r� ` V �i� r � � •�� � ��': �, - _9MI y lei E /`.-� 1L•���j ,,�1 ,L II: „r� 'Y6 �.� `\� .a ` f %�-�r_J -1 r ri .�:.•.�.� ��/�� � 1/1 �� ;�."'j`a � lr''/�,:� ��,%, SITE IACATI4N �'� �� ~I::�\ -� �.� ..-� I y -� -�,V 1, c`C;��� �� � •r-� •,�� 'mil ` �./ ��.1'� i/ r�>� ro .i��z„1.'.' o �) t.._'�S M 7 Q) �•':� I � �'^l J!'1 -`" � r ��//�,'>��, `A "� � 1 i r '� � ,0 /'��. �� .-�,�.."Y-`1 � '�' �-�--++�r��,. ♦ o; ir. s,'�.� jj .... l II s �—'1r:z,�„ i. � ` � � ...1,• 1_.' —'. ) (/ •�':u _ ,w::'iC�,. '.rr-��ti...�—�r�� /J `•4.,,. '�, .� J i ; �.., ���� } �,�' j\� f' `� � �iy.�,._'f (� � �L� � ! /����: •-� C� ' � �� ^ ���``����'�:•��i//����� 1 ri'�`�� � �( �. �r;� 1�[/.fit`'•,\ �--f t�,��` � .• y ��tl�—,, � �1�, `. J"i�._ •,� �_-��� 1 '�. •^ `� �' �,1 . r__�'1l r=;:r-1�1F`�'-` �{ r"��� il, 1���.; )�1 ¢ =� f 'ii;� "1{�� � � ���,.5 f��nj���. � {+��TG .• --f � � ��_ FIGURE 1: SITE LOCATION MAP NORTH LRI HIGH POINT EAST, Nn .C. QUADRANGLE LRI Cosulting & Tet6eoMgks La:RCO CONSTRUCTION ASPHALT PLANT NO. 3 1330 OLD JACKSON LAKE ROAD HIGH "N7, NC 27263 FACILITY: La,c, (�Dnsf r'u 41on COUNTY: G (A j i T O r c NPDES: CG l (D 0 C (i 1 MAP#: [)I Q Nu) DSN FLOW: �,3 i A SUB BASIN: 03 -- 06 "C LATITUDE: 4.. LONGITUDE: 3S" S T7 5 cj RECEIVING STREAM- U nest Cg"* STREAM CLASS: (,' DISCHARGE CLASS: EXPIRATION DATE: aor m W Alm `l�I I oi,q Permit: NCG160041 SOC: County: Guilford Region: Winston-Salem Compliance Inspection Report Effective: 10/01/09 Expiration: 09/30/14 Owner: Larco Construction A Division of Sloan Construction Co Inc Effective: Expiration: Facility: Larco Construction A Division of Nello L. Teer-Guilford 1330 Old Jackson Lake Rd Contact Person: Fred Fenske Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Title: Inspection Date: 03/05/2013 Entry Time: 10:30 AM Primary Inspector: Michael M Mickey Secondary Inspector(s): High Point NC 27263 Phone: 336-885-0724 Certification: Exit Time: 10:45 AM Phone: Phone: 336-771-5000 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC Facility Status: ■ Compliant Q Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 Permit: NCG160041 Owner - Facility: Larco Construction A Division of Sloan Construction Co Inc Inspection Date: 03/05/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection summary: Permit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented by the Division? # Has the facility evaluated all illicit (non stormwaler) discharges? Comment: A site visit was conducted in response to LARCO's 2/26/13 letter requesting dormant status. Observations revealed that DWQ could not grant the requested exemption from monitoring based on the following: *Stockpiles of gravel, sand, recycled concrete and recycled asphalt pavement were present. The dormant status guidance prevents the storage of raw materials on site. In addition, the benchmark level for TSS was exceeded in November 2011 and May 2012. *Chemicals were present in several totes and tanks plus the secondary containment area. The dormant status guidance prevents the storage of chemical additives on site. A letter dated 3/11 /13 was sent to LARCO advising that the request was denied and that they should continue to operate under the full conditions of General Permit NCG 160041. Yes No NA NE 0 0 N 0 ■ D ❑ 0 0 N 0 ■QQ0 Page: 2 Compliance Inspection Report Permit: NCG160041 Effective: 10/02/14 Expiration: 09/30/19 owner: Larco Construction Co SOC: Effective: Expiration: Facility: Larco Construction Co -High Point County: Guilford 1330 Old Jackson Lake Rd Region: Winston-Salem High Point NC 27263 Contact Person: Julian Lipscomb Title: Phone: 757-229-2504 Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection bate: 07/19/2017 Primary Inspector: Ryan Swaim Secondary Inspector(s): Certification: Phone: Entry Time: 12:30PM Exit Time: 01:30PM Phone: 336-776-9659 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC Facility Status: Compliant Not Compliant Question Areas: 0 Storm Water (See attachment summary) Page: 1 permit NCG160041 Owner - Facility_ Largo Construction Co Inspection Date: 07119/2017 Inspection Type : Compllance EValualion Reason for Vlstt: Routine Inspection Summary: Page: 2 Permit: NCG100041 Owner - Facility: Larco Construction Co Inspection Date: 07/19/2017 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ❑ ❑ M ❑ # Does the Plan include a General Location (USGS) map? ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? ❑ ❑ 0 ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? ❑ ❑ E ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ❑ ❑ E ❑ # Has the facility evaluated feasible alternatives to current practices? ❑ ❑ 0 ❑ # Does the facility provide all necessary secondary containment? ❑ ❑ 0 ❑ # Does the Plan include a BMP summary? ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ❑ ❑ ❑ # Does the facility provide and document Employee Training? ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ❑ ❑ 0 ❑ # Is the Plan reviewed and updated annually? ❑ ❑ 0 ❑ # Does the Plan include a Stormwater Facility Inspection Program? ❑ ❑ 0 ❑ Has the Stormwater Pollution Prevention Plan been implemented? ❑ ❑ E ❑ Comment: This site is currently inactive and has been so since 2015. All comDonents of the SWPPP is suspended until the site becomes active. Qualitative Monitorinq Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? [] ❑ 0 ❑ Comment: Qualitative monitoring requirements have been suspended until the site becomes active again. Analytical Monitoring Yes Nv_NA NE Has the facility conducted its Analytical monitoring? ❑ ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ E ❑ Comment: Analical monitoring requirements have been suspended until the site becomes active again. Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ 0 ❑ ❑ # Were all outfalls observed during the inspection? ❑ ❑ M ❑ # If the facility has representative outfall status, is it property documented by the Division? ❑ ❑ ❑ # Has the facility evaluated all illicit (non stonnwater) discharges? ❑ ❑ 0 ❑ Comment: A copy of the permit can be found at the office of Lori Carter (Environmental Representative of APAC Atlantic). Please submit a change of ownership form to this office to reflect APAC Atlantic ownership of this facility instead of Larco Constuction. A copy of this form has been attached to this report. Page: 3 A May 19, 2008 Mr. Fred Fenske, Plant Manager Larco Construction P.O. Box 16279 Winston-Salem, NC 27115 Michael F. Easley, Governor Wi3liam G. Ross Jr.. Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality Subject: General Stormwater Permit Inspection — NPDES Permit. No. NCG160041 Larco Construction — High Point Asphalt Plant Guilford County Dear Mr. Fenske: On May 16, 2008, .fenny Graznak of this office performed a General Stormwater Permit Inspection at the High Point Asphalt Plant located at 1330 Old Jackson Lake Road in High Point, North Carolina. This facility holds General Stormwater Permit No. NCG160041 under the National Pollutant Discharge Elimination System (NPDES) to discharge Stormwater from activities associated with Asphalt Paving Mixtures and Blocks. You were present for the inspection. This type of inspection consists of two basic parts: a review of facility files and self - monitoring data and an inspection of the facility's discharge points. This particular inspection evaluated five (5) areas, and observations from each area are addressed below: 1. Permit The permit became effective August 1, 2004 and expires July 31, 2009. 2. Records/Reports The facility has a Stormwater Pollution Prevention Plan (SPPP) that includes a location map, site plan, storage practices, and a list of Best Management Practices on the site. Stormwater Services Group, LLC updated the SPPP in January 2008. Employee training in stormwater pollution prevention occurs on an annual basis. 3. Facility Site Review The new site includes an asphalt production area and an aggregate storage area (sand, gravel, debris, etc.). The asphalt production area houses liquid asphalt and fuel oils protected with secondary containment. The foreman is required to observe the standing water in the containment area for signs of contamination (oil sheen, color, foam, etc.) prior to its release. The water is restrained by manually operated and locked valves. Records of these secondary containment observations and releases are maintained with the SPPP. Noble Oil is typically called upon to pick the Stormwater in the containment area if there are any signs of contamination. 4. Effluent/Receiving Waters Stormwater from this site drains to an unnamed tributary to Richland Creek (WS-III; NSW) in the Cape Fear River Basin. There are two stormwater oufalls on the site, each draining from a Stormwater retention pond. Outfall/Pond 001 drains area containing the new plant site on top of the hill. Outfall 002 drains the lower part of the property, including the old plant site. There was a third outfall that was eliminated during re -grading for the new site. North Carolina Division of Wxcr Quality 585 GWaughtown Street; Winston-Salem, NC 27107 Phonc (336) 771-5000 Npr Carolina Customer Service: 1-877-623-6748 Intemet: www,newatergualiry.org Fax (336) 771-4630 N tllrally An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Mr, F. Fenske Page 2 May 19, 2008 5_Self-Monitoring Program The stormwater permit requires semi-annual qualitative monitoring at each stormwater discharge outfall. An on -site review of the qualitative monitoring data during the inspection showed that all parameters were evaluated per the specifications of the permit. The environmental consultant made the most recent visual observation on May 13, 2008. Also, the plant performs a monthly review of site -specific BMPs and maintains records of these inspections with the SPPP. Analytical monitoring is also required on an annual basis. TriTest Laboratories performed the last analytical monitoring event on dune 24, 2007, during a rain event with a total rainfall of 0.42 inches and lasting for 3 hours and 15 minutes. The results were as follows: Oil & Total Outfall Flow Grease Suspended pH (MG) (m IL) Solids (m IL 0.0030 10.4 62 7.84 E0001 02 Representative outfall status was granted. Only 001 is sampled, Please refer to the attached report for further details from the inspection. If you have any questions concerning this report, please contact Ms. Graznak or me at (336) 771-4960. Sincerely, Steve W. Tedder Regional Supervisor Surface Water Protection Section cc: WSRO — SWP Central Files — SWP NPS Assistance & Compliance Oversight Unit Compliance Inspection Report Permit: NCG160041 Effective: 08/01/04 Expiration: 07/31/09 Owner: Larco Construction Cc SOC: Effective: Expiration: Facility: Larco Construction A Division of Nello L. Teer-Guilford County: Guilford 1330 Old Jackson Lake Rd Region: Vlrtnston-Salem Contact Person: Fred Fenske Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): On -site representative Related Permits: Fred Fenske Title: Inspection Date: 05/16/2008 Entry Time: 10:00 AM Primary Inspector: Jennifer F Graznak Secondary Inspector(s): High Point NC 27263 Phone: 336-885-0724 Certification: Exit Time: 11:00 AM Phone: Phone: 336-885-0724 Phone: 336-771-5000 Reason for Inspection: Routine Inspection Type: Stormwater Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC Facility Status: M Compliant ❑ Not Compliant Question Areas: ® Storm Water (See attachment summary) ft- SloanI]ivision ol- www,stoa "nstruction Co.. Inc n-consfr i n.com FRED FENSKE P.O. Box 16279Asphalt Plant Manager Winston-Salem, NC 27115 (336) 767-3500 phone Mobile: (336) 767-7427 Fax Nextel tD (150) 240-8059 05530.1 fensket@sloancc.net I'age 1 Permit: NCG160041 Owner - Facility: Larco Construction Ca Inspection Date: 05116/2008 Inspection Type: Stormwater Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE goes the site have a Stormwater Pollution Prevention Plan? ■ 0 0 n # Does the Plan include a General Location (USGS) map? ■ Q rl # Does the Plan include a "Narrative Description of Practices"? ®n n # Does the Plan include a detailed site map including outfall locations and drainage areas? ®n n n # Does the Plan include a list of significant spills occurring during the past 3 years? ■ n n Q # Has the facility evaluated feasible alternatives to current practices? ® n n n # Does the facility provide all necessary secondary containment? ■ n n n # Does the Plan include a BMP summary? ■ n n n # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ®n n n # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ ❑ Q n # Does the facility provide and document Employee Training? 0 ❑ # Does the Plan include a list otResponsible Party(s)? ■ n n n # Is the Plan reviewed and updated annually? ® ❑ n n # noes the Plan include a Stormwater Facility Inspection Program? ® n n n Has the Stormwater Pollution Prevention Plan been implemented? ■ n n n Comment. - Qualitative Monitorin Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ n Q n Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ■ n 0 n # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ® n n .n Comment: Permit and Outtalls Yes No NA NE # is a copy of the Permit and the Certificate of Coverage available at the site? ■ n Q n # Were all outfalls observed during the inspection? ® n 0 ❑ # If the facility has representative outfall status, is it properly documented by the Division? ROOD # Has the facility evaluated all illicit (non stormwater) discharges? ® 0 0 Cl Comment: Page: 3