NCC190813_NOT Closeout Documents_20201116

Engineering Services Department
Terry Kuneff, P.E.
INTERIM DIRECTOR
NOIKi'1-1 CAROLINA'S IN-FERNAI IONAL
July 27, 2020
Joy R. Jacek, Project Coorrdinator
c/o Vericon Construction Company
13504-J South Point Boulevard
Charlotte, NC 28273
RE: EROSION CONTROL SURETY RELEASE
Project: O'Reilly Auto Parts — High Point, NC #1
Location: 2406 South Main Street, High Point, NC 27263
Land -Disturbing Permit # EN 19 0210 2274 (Corrected)
Dear Mrs. Jacek:
Per your request, the Erosion Control Surety that was provided for the site at the O'Reilly Auto Parts —
High Point, NC #1 located at/near 2406 South Main Street, High Point, NC is hereby released. The
project is completed and in compliance with the City of High Point Development Ordinance, Section 6.3.
The Erosion Control Surety Bond ( Bond Number 1071300052) that is being held by the City of High
Point for the above site is no longer required. The original copy is being returned with this letter.
In addition, the Land -Disturbing Permit will be closed out also.
Thank you for your efforts in controlling sedimentation.
Please call me if you have any questions or comments.
Sincerely,
Scott E. Ford
Engineering Services Department
[phone]
cc: File
attachment: Land Improvement Bond # 1071300052, dated August 15, 2019

PERFORMANCE BOND Bond No. 107130052
KNOW ALL BY THESE PRESENTS, That we, Vericon Construction Company, LLC.
(hereinafter called the Principal), as Principal, and Travelers Casualty and Surety Company of America , a corporation
duly organized under the laws of the State of Connecticut (hereinafter called the Surety), as Surety, are held and firmly
bound unto City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261
(hereinafter called the Obligee),
in the sum of Three Thousand One Hundred and 00/100
($3,100.00 ) Dollars, for the payment of which suns well and truly
to be made, we, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,
jointly and severally, firmly by these presents.
Signed and sealed this 15th day of August 2019
WHEREAS, said Principal has entered into a written Contract with said Obligee, dated ,
for Erosion and Sedimentation Control Plan - O'Reilly Auto Parts - High Point, NC #1
2406 South Main Street, High Point, NC 27263
Land -Disturbing Permit # EN1802102274
- Per Attached Plans for Site Work
in accordance with the terms and conditions of said Contract, which is hereby referred to and made a part hereof as if fully set forth
herein:
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the above bounden Principal shall well and truly
keep, do and perform each and every, all and singular, the matters and things in said contract set forth and specified to be by said
Principal kept, done and performed, at the times and in the manner in said contract specified, or shall pay over, make good and
reimburse to the above named Obligee, all loss and damage which said Obligee may sustain by reason of failure or default on the part
of said Principal so to do, then this obligation shall be null and void: otherwise shall remain in full force and effect.
NO SUIT, ACTION OR PROCEEDING by the Obligee to recover on this bond shall be sustained unless the same he commenced
within two (2) years following the date on which Principal ceased work on said Contract.
Ven on Construction Co pany, LLC.
incipal
Travelers Casualty and Surety Company of America
By a�t�• ,: ---
Sandra A. Pace Attorney -in -Fact
LMS-10757 10/99

LIMITED LIABILITY COMPANY ACKNOWLEDGMENT
State of New Jersey
County of U n io1 )
On this _day of , 2019,
personally came before me,�('tU'C�.. U(jL��e� of
Vericon Construction Company, LLC to me known to be the person who executed
the foregoing and acknowledged that they had the authority to execute same as the act
of said limited liability company.
My commission expires
Notary i?ublic
ASNL9Y M. BENDER
NOTARY PUBLIC OF NEW JERSEY
Comm. # 2442307 �FP
My-Commisft Exp1m 111512024

SURETY ACKNOWLEDGMENT
State of New Jersey
County of Union
On this 15t" day of August, 2019
Before me personally came Sandra A. Pace to me known, who being by me duly
sworn, did depose and say that he/she is an Attorney -in -Fact of
Travelers Casualty and Surety Company of America the corporation described in
and which executed the within instrument; that he/she knows the corporate seal of said
corporation; that the seal affixed to the within instrument is such corporate seal, and that
he/she signed the said instrument and affixed the said seal as Attorney -in -Fact by
authority of the Board of Directors of said corporation and by authority of this office
under the Standing Resolutions thereof. KEM,AL EIRKAfVOVIc
NOTARY Pu°S!.(C OF NEIAI JERSEY
Comma. * 50051090
WCOnIn104sion Expires 12/12/2021
My commission expires

Travelers Casualty and Surety Company of America
AM Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Sandra A. Pace of Westfield, New Jersey their true and lawful
Attorney -in -Fact tosign, execute, seal and acknowledge any and all bonds,recognizances, conditional undertakings and other writings obligatory in the
nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and
executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February,
2017.
�N10 wR(,r eJ���r gryaa
F1MTF0� s HARTFOM�qjN.oState of Connecticut
By:
City of Hartford ss. Robert L. Raney, Se for Vice President
On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. t±T�
My Commission expires the 30th day of June, 2021
# ��0 ik Mane C. Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in
full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by
one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this istn day of August , 2019
"�H1RfFORO, NARTFORD, C CO�OR4r[
A CONK. W CON, c
• r,��� 'rd Yee°
Kevin E. Hughes, Assistant Secretary
To verify the authenticity of this Power ofAttorney, please call us at 1-800-421-3880.
Please refer to the above -named Attorney -in -Fact and the details of the bond to which the power is attached.

TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
HARTFORD, CONNECTICUT 06183
FINANCIAL STATEMENT AS OF DECEMBER 31, 2018
CAPITAL STOCK $ 6,480,000
CASH AND INVESTED CASH
g 36.728,596
UNEARNED PREMIUMS
$ 979,007,378
BONDS
3,507,432,239
LOSSES
750.995.504
STOCKS
294,199,596
LOSS ADJUSTMENT EXPENSES
166,673.871
INVESTMENT INCOME DUE AND ACCRUED
38,287,129
COMMISSIONS
45,868.584
OTHER INVESTED ASSETS
3,507,839
TAXES, LICENSES AND FEES
14,584,663
PREMIUM BALANCES
250,478,792
OTHER EXPENSES
43,858,534
NET DEFERRED TAX ASSET
48.781,239
CURRENT FEDERAL AND FOREIGN INCOME TAXES
10.143,037
REINSURANCE RECOVERABLE
29,278,755
REMITTANCES AND ITEMS NOT ALLOCATED
21.277,153
SECURITIES LENDING REINVESTED COLLATERAL ASSETS
14.277,262
AMOUNTS WITHHELD J RETAINED BY COMPANY FOR OTHERS
30,289,553
RECEIVABLES FROM PARENT, SUBSIDIARIES AND AFFILIATES
27,613,266
RETROACTIVE REINSURANCE RESERVE ASSUMED
810,360
ASSUMED REINSURANCE RECEIVABLE AND PAYABLE
626,488
POLICYHOLDER DIVIDENDS
10.410,755
OTHER ASSETS
4,936,229
PROVISION FOR REINSURANCE
7.641,356
ADVANCE PREMIUM
1.608.777
REINSURANCE PAYABLE ON PAID LOSSES & LOSS ADJ. EXPENSES
868.002
PAYABLE FOR SECURITIES LENDING
14.277,262
CEDED REINSURANCE NET PREMIUMS PAYABLE
46,469.976
OTHER ACCRUED EXPENSES AND LIABILITIES
335A89
TOTAL LIABILITIES
S 2,145,120,254
CAPITAL STOCK
S 6.480,000
PAID IN SURPLUS
433,803,760
OTHER SURPLUS
1,670,943,418
TOTAL SURPLUS TO POLICYHOLDERS
2,111 , 1
TOTAL ASSETS
F ,25 6�
TOTAL LIABILITIES & SURPLUS
$ 4,256,347,43
STATE OF CONNECTICUT
COUNTY OF HARTFORD ) SS.
CITY OF HARTFORD
MICHAEL J. DOODY, BEING DULY SWORN, SAYS THAT HE IS SECOND VICE PRESIDENT, OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,
AND THAT TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE FINANCIAL CONDITION OF SAID
COMPANY AS OF THE 31ST DAY OF DECEMBER, 2018.
SUBSCRIBED AND SWORN TO BEFORE ME THIS
28TH DAY OF MARCH, 2019
=u) * �=
o �C'�BLI ,
.,,ti�yEfC.�
VICE PRESIDENT, FINANCE
NOTARY PUBL C `
SUSAN M. WEISSLEDER
Noimy Public
Aly Commission Expires November 30, 2022

L-A00 DZS_rLL1LMWCA-- k_c
Engineering Services Department
B. Keith Pugh, P.E.
DIREC"rOR
rr► � rsr r
NORTH CAROLINA'S INTERNATIONAL CITY —
June 28, 2019
Owner/Financially Responsible Party
O'Reilly Automotive Stores, Incorporated
233 South Patterson Avenue
Springfield, MO 65802
RE: APPROVAL of EROSION and SEDIMENTATION CONTROL PLAN
Project: O'Reilly Auto Parts — High Point, NC #1
Location: 2406 South Main Street, High Point, NC 27263
Land -Disturbing Permit # EN1802102274
Dear Sir or Madame:
The Engineering Services Department has completed the review process for the Soil Erosion
Sedimentation Control Plan submitted on 5-26-2019 for the project referenced above. Based on
our review, the plan is hereby approved.
This plan will specifically cover the Erosion and Sediment Control Measures during the
Grading and Building Phases. If a different identity from the Grading Phase executes
the Building Phase, this approved Erosion and Sediment Control Plan (E&SCP) may be
transferred to the firm/person executing the Building Phase. Prior to transferring the
plan, written authorization and a Financial Responsibility Form must be submitted to
our office for review. The terms and conditions of the approved plan shall remain in
place unless otherwise noted.
The Erosion Control Measures shown on the plan(s) are approximate. Some field adjustment
may be required to make the measures work correctly.
An Erosion Control Financial Guarantee (Surety) is required to be submitted prior to any Land -
Disturbing activities. This refundable guarantee shall remain in force until the work is completed
in accordance with the Land -Disturbance Permit and the work is approved by the Engineering
Services Director. The amount of the guarantee required is $2000.00 per disturbed acre and can
1 . SS I'n1rL-
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:[phone] TDD:336.883.8517
1 . 55 YZo 00 -
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be in the form of a Check, Irrevocable Letter of Credit, Equivalent Security or Surety Bond. The
Check, Irrevocable Letter of Credit or Equivalent Security can be deposited with the City or held
in escrow with a Financial Institution as per Section 7.2.2 — Performance Guarantee of the City
of High Point Development Ordinance. Surety bonds will be held by the city until released.
This letter will serve notice that:
• As per NCGS 15A NCAC 04B .0120 (b) and (c), INSPECTIONS AND
INVESTIGATIONS, this letter shall serve as notice that inspection of sites shall be
carried out by the staff of Department of Environmental Quality or other qualified
persons authorized by the Commission or Department of Environmental as necessary to
carry out its duties under the Act and No person shall refuse entry or access to any
representative of the Commission or any representative of a local government who
requests entry for purposes of inspection.
• As per High Point Development Ordinance 2.5.10.G.I and 2, the Land -Disturbing Permit
will become null and void one (1) year from the date of issuance. You may request in
writing, a 180-day permit extension 30 days prior to the expiration date, for good cause.
• The approval of the draft Erosion and Sediment Control Plan and the Land Disturbing
Permit issued by the City of High Point is conditional based on the applicant's
compliance with Federal and State water quality laws, regulations, and rules.
• The approval of the draft Erosion and Sediment Control Plan is based in part on the
accuracy of the information provided on the submitted Financial Responsibility Form. If
any changes to the submitted Financial Responsibility Form (e.g. ownership, address,
company name) occur, then you are required to submit an amended form showing such
changes.
• The approval of the draft Erosion and Sediment Control Plan does not supersede any
other permit or approval.
• Approval of the draft Erosion and Sediment Control Plan, authorizes the permittee to
discharge stormwater in accordance with the standard and regulations of current General
Permit NCGO 10 and the National Pollutant Elimination System (NPDES).
This Letter�of Approval must be posted at the site of the land disturbing activity along
with thAand-Disturbing Permit, the approvehrosion and Sediment Control Plan, a
copy of theINPDES/NCGO10 Permit, and a copy of thegCertificate of Coverage (COC�,'
• Records of Inspections must be kept on site for twelve (12) months.
• All data used to complete the e-NOI and all Inspection Records must be maintained for a
period of three (3) years and available upon request (40 CFR 122.41).
• Construction site pollutants must be maintained on -site and not allowed to reach the
state's waters. Any spent fluids from construction traffic must be cleaned up and disposed
of properly. Any herbicide, pesticide and fertilizer must be used in accordance to the
label restrictions. All wastes composed of building materials shall be disposed of in
accordance with North Carolina General Statues, Chapter 130A, Article 9 — Solid Waste
Management, and rules governing the disposal of solid waste (NC Administrative Code
Section 15A NCAC 13B). No dumping of paint and other liquid building material waste
in storm drains. Concrete materials onsite, including excess concrete, must be controlled
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:[phone] TDD:336.883.8517

and managed to avoid contact with surface waters, wetlands or buffers. No concrete
slurry shall be discharged from the site.
• Only minor deviation from the approved plan can be approved by the Erosion Control
Inspector prior to address the following deficiencies:
o Addition of E&SC measures (e.g., silt fence, inlet protection, check dam, rolled
erosion control practices, etc.).
o Relocation of E&SC Measures that improve the overall stormwater and sediment
control.
• Erosion Control Measures must be maintained until site is stabilized with sufficient
ground cover. The Sedimentation Pollution Control Act of 1973 (NCGS 113A-51
through 66) is performance -oriented, requiring protection of existing natural resources
and adjoining properties. If, following the commencement of this project, the approved
E&SCP is inadequate to meet the requirements of the Sedimentation Pollution Control
Act of 1973, revisions to the plan may be required by the Erosion Control Inspector.
• A condition of this approval is that the streets in this phase must be kept free of sediment.
Daily cleaning of streets will be required. Erosion Control Measures to prevent.
construction traffic tracking sediment onto the streets must be maintained. Any debris or
sediment will be cleaned from the street surface immediately.
• All applicable fees must be paid prior to the issuance of the Land -Disturbing Permit.
When you are ready for the Land -Disturbing Permit to be issued, please notify my office to
arrange for a pre -construction meeting.
Site Data:
Project Name: O'Reilly Auto Parts — High Point, NC #1
Land -Disturbing Permit (Project ID): EN1802102274
Limits of Disturbance (in acres) approved: 1.55 acres
Address: 2406 South Main Street
City: High Point
State: NC
Zip Code: 272632
County: Guilford
Latitude (in decimal degrees): 35.930 degrees
Longitude (in decimal degrees):-79.993 degrees
River Basin: Cape Fear
Draft E&SCP submitted by: Molly Robb, PE, Anderson Engineering, Incorporated,
2045 West Woodland, Springfield, MO 65807
Date(s) draft E&SCP Received: June 26, 2019
Plan Type: E&SCP
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax:[phone] Phone:[phone] TDD:336.883.8517

Please call me if you have any questions or comments.
Sincerely,
Scott E. Ford
Engineering Services Department
[phone]
cc: File
Molly Robb, PE, Anderson Engineering, Incorporated, 2045 West Woodland, Springfield,
MO 65807
City of High Point, P.O. Box 230, 211 South Hamilton Street, High Point, NC 27261 USA
Fax: [phone] Phone: [phone] TDD: 336.883.8517