HomeMy WebLinkAboutNCC230227_FRO Submitted_20230131FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land -disturbing activity on one or more acres as covered by the Act before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section, N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable, place NIA in the blank.)
Part A.
1. Project Name Welcome 1-40 Logistics Park
2. Location of land -disturbing activity: County Alamance City or Township Graham
Highway/Street Cherry Lane (SR 2123) Latitude(decimal degrees) Longitude(decimal degrees)
March 2023
3. Approximate date land -disturbing activity will commence:
4. Purpose of development (residential, commercial, industrial, institutional, etc.): Industrial
5. Total acreage disturbed or uncovered (including off -site borrow and waste areas): 69.5539
6. Amount of fee enclosed: $ 7,000.00 . The application fee of $100.00 per acre (rounded
up to the next acre) is assessed without a ceiling amount (Example: 8.10-acre application fee is $900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes ❑ Enclosed ® No ❑
8. Person to contact should erosion and sediment control issues arise during land -disturbing activity:
Name Ted Kakambouras E-mail Address tkakambouras@welcomegroup.com
Phone: Office # 713-243-6832 Mobile # 832-343-5175
9. Landowner(s) of Record (attach accompanied page to list additional owners):
Welcome 1-40 Logistics Center, LLC
713-952-7000
Name
5858 Westheimer Rd
Phone: Office #
Suite 800
Current Mailing Address Current Street Address
Houston TX 77057
City State
10. Deed Book No. 4430
Zip City
Page No. 460-466
State
_832-343-5175
Mobile #
Zip
Provide a copy of the most current deed.
ck�
Part B.
1. Company(ies) who are financially responsible for the land -disturbing activity (Provide a comprehensive list
of all responsible parties on accompanied page.) If the company is a sole proprietorship or if the landowner(s) is
an individual(s), the name(s) of the owner(s) may be listed as the financially responsible party(ies).
Welcome 1-40 Logistics Center, LLC
Company Name
5858 Westheimer Road, Suite 800
Current Mailing Address
_tkakambouras@welcomegroup.com
E-mail Address
Same
Current Street Address
Houston TX 77057
City State Zip City
Same
State
Phone: Office # 713-952-7000 Mobile # 832-343-5175
Zip
Note: If the Financially Responsible Party is not the owner of the land to be disturbed, include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a) If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry, give name and street address of the Registered Agent:
Name of Registered Agent
Current Mailing Address
City
Phone: Office #
E-mail Address
Current Street Address
State Zip City State Zip
Mobile #
Name of Individual to Contact (if Registered Agent is a company)
(b) If the Financially Responsible Party is not a resident of North Carolina, give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
The Corporation Trust Company
Name of Registered Agent
160 Mine Lake Court, Suite 200
Current Mailing Address
Raleigh NC 27615
City State Zip
Phone: Office f# 713-952-7000
E-mail Address
Current Street Address
City State Zip
Mobile #
Name of Individual to Contact (if Registered Agent is a company)
1�_
(c) If the Financially Responsible Party is engaging in business under an assumed name, give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual, General
Partnership, or other company not registered and doing business under an assumed name, attach a copy
of the Certificate of Assumed Name.
Company DBA Name
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath. (This form must be signed by the Financially Responsible Person if an individual(s)
or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with
the authority to execute instruments for the Financially Responsible Party). I agree to provide
corrected information should there be any change in the information provided herein.
(z5&G ,ri.
Type or print nam itle or Authority
2 3 2Q2 3
Signature Date
'2 1 - 6
I,y1n 1f V1I,.�n Ylr? 5 , a Notary Public of the County of v 1
State of I aS , hereby certify that Q CO VY1 �, W 1 �� r� appeared personally
before me this day and being duly sworn acknowledged that the above form was executed by him/her.
Witness my hand and notarial seal, this Z�Lday of , 20 Z S
SHAUNA L..1
Kotary
_ {p #128831932
My Commission Expires
2n
December 19. 2023
My commission expires rl L G
Continued from Items 9 & 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record:
Name
Phone: Office # Mobile #
Current Mailing Address
Current Street Address
City State
City State Zip
Zip
Deed Book No.
Page No.
Provide a copy of the most current deed.
Landowner 3 of Record:
Name
Phone: Office # Mobile #
Current Mailing Address
Current Street Address
City State
City State Zip
Zip
Deed Book No.
Page No.
Provide a copy of the most current deed.
Landowner 4 of Record:
Name
Phone: Office # Mobile #
Current Mailing Address
Current Street Address
City State
City State Zip
Zip
Deed Book No.
Page No.
Provide a copy of the most current deed.
Landowner 5 of Record:
Name
Phone: Office # Mobile #
Current Mailing Address
Current Street Address
City State
City State Zip
Zip
Deed Book No.
Page No.
Provide a copy of the most current deed.
Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name
Current Mailing Address
E-mail Address
Current Street Address
City State Zip City
Phone: Office # Mobile #
State Zip
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office # Mobile #
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office # .. _ Mobile #
Company 5 Name E-mail Address
Current Mailing Address
Current Street Address
City State Zip City
Phone: Office # Mobile #
State Zip
Type: CONSOLIDATED REAL PROPERTY
Recorded: 1/13/2023 12:39:49 PM
Fee Amt: $3,409.00 Page 1 of 3
Revenue Tax: $3,383.00
Alamance, NC
David Barber Register of Deeds
BK 4430 PG 464 - 466
As of the Date of this Certification, On the Real Property
described in this Deed, there are No Delinquent Taxes
Owed which are (1) ad valorem County taxes, (2) ad
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 01 /13/2023
Deputy/Tax Collector: LW
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax: $ 3,383,00 Parcel Id: 8894934551
Maill ox to: GRANTEE
This instrument was prepared by: Hilton Silvers & McClanahan PLLG
Brief description for Index: 1 Tract
L- THIS DEED made this t` day of January 2023, by and between
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Michelle Perduk and spouse,
Norman Perduk
Mailing Address: 2096 NE Syracuse Court
Palm Bay, FL 32005
GRANTEE
Welcome 1-40 Logistics Center, LLC, a Delaware
limited liability company
Mailing Address: 5858 Westheimer Road, Suite &00
Houston, TX 77057
The designation Grantor and Grantee as sed herein shall include said parties, their heirs, successors, and assigns,
and shall incluce singular, plural, mascu'ine, 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 Alamance County, North Carolina and more particularly described as:
SEE ATTACHED EXHIBIT A WHICH IS INCORPORATED BY REFERENCE.
The property described above was acquired by Grantor by instrument recorded in Book 0377 Page 0805.
A map showing the above described property is recorded in Book of Maps _, page
Mail after recording to:
Harbor City Title Insurance Agency of NC, Inc.
6201 Fairview Road, Suite 325 �f
Chor1offe, NC 28210 File #
Book: 4430 Page: 464 Page 1 of 3
All or a portion of the property conveyed is not a principal residence of the 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.
The Grantor covenants with the Grantee that Grantor has done nofhing to impai, such title as Grantor received, and
Grantor will warrant and defend the title against the lawful claims of all persons ciaiming by, under or through Grantor,
except for exceptions stated herein as follows:
Ad valorem taxes for the current year; any easements, covenants, conditions, rights of way, restrictions or
other matters, as may appear an public record; exceptions listed in Grantee's title insurance policy; and,
matters which would be disclosed by an accurate surrey of the property
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing the day and year written above.
N600-1 W — SEAL
Michelle Perduk
(SEAL)
Norman Perduk
STATE OF T� COUNTY OF
I, the undersigned Notary Public, certify that the following persons) personally appeared before me this
day and that l have personal knowledge of the identity of the principal(s) and/or I have seen satisfactory
evidence of the principal's identi by a ourrent state or federal'fdentification with the principal's photograph
in the form of a — /d t'� and that he/she/th acknow ged to
me that he/she/they voluntarily sign d the foregoing document for the purpose they ' nd in the
capacity indicated: Michelle Perduk and Norman Perduk.
Date: Z 7 29 2— —
(Official Seal')
Printed Name-
v 2A9>1
2&TY Woa),!Z
, !kD My commission expires; -f
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Book: 4430 Page: 464 Page 2 of 3
EXHIBIT A
LEGAL. DESCRIPTION
Beginning at a iron pipe found in the southerly right of way of Interstate 40 EasVInterstate 85 North, said
iron pipe having North Carolina State Grid Coordinates of North 843,913.53 and East 1,900,592.41; running
thence S 03012'13" W 300.01' to a point, running thence S 31019'20" E 716.30' to an iron pipe found;
running thence S 68°26'40" W 330.67' to an iron pipe found; running thence S 68056'49" W 60.98' to an
iron pipe found, running thence N 48049'51" W 105.43' to an iron pipe found; running thence N 78°04129"
W 530.55' to an iron pipe found, running thence N 1600412" W 276.91' to an iron rod found; running thence
S 72016'08" W 401.56 to an iron found; running thence S 02018'57" W 179.28' to an iron found; running
thence N 82010'24" W 953.49' to an iron pipe found; running thence S 17"46'38" W 388.86' to an iron pipe
found; running thence N 42027'29" W 619.33' to a point; running thence N 02° 45' 41" E 46.03' to a point in
the centerline of Back Creek, running thence along the centerline of Back Creek the following eleven
courses and distances: N 58"32'34" E 21.10" N 42013'10" E 54.19', N 08007'21" E 54.29', N 04041'35" E
134.95', N 09-30-57" E 87.42', N 03-15-41" E 82.66', N 03°02'54" E 125.93`, N 28-18-03" W 11.07', N
09005'25" W 18.99'. N 09"45'15" E 34.51', and N 01°06'26" E 100.04'to a point in the southerly rightof way
of Interstate 40 East/Interstate 85 North; running thence along said southerly right of way N 89026'54" ]_
1631.90' to an iron pipe found, S 87°45'06" E 422.43' to an iron pipe found and S 83"32'50" E 425.99' to
the point of beginning, having an area of 2.397,663 square feet or 55.043 acres.
Being the same property as described in feed Book 377 at Page 805 and being Aiamance County GPIN
8894934551 (PIN 153027).
Along with that 60' Private Right of Way as shown on Plat Book 17 Page 79 and Plat Book 77 Page 85
being described as follows: Beginning at a point in the northerly right of way of Cherry Lane (North Carolina
State Route 2123), running thence along said northerly right of way N 52055'16" E 60.30' to a point; running
thence N 31"19'1 V W 598.33' to an iron pipe found in the southerly line of lands of Perduk; running thence
along said southerly line of Perduk S 68056'49" W 60.98' to an iron pipe found; running thence S 31 *19'11"
E 615.25' to the point of beginning.
A-1
Book: 4430 Page: 464 Page 3 of 3
As of the Date of this Certification, On the Real Property
described in this Deed, there are No Delinquent Taxes
Owed which are (1) ad valorem County taxes, (2) ad
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 01 /13/2023
Deputy/Tax Collector: LW
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Excise Tax: $2,397.00
Type: CONSOLIDATED REAL PROPERTY
Recorded: 1/13/2023 12:36:56 PM
Fee Amt. $2,423.00 Pagel of 4
Revenue Tax: $2,397.00
Alamance, NC
David Barber Register of Deeds
NORTH CAROLWA SPECIAL WARRANTY DEED
9804012943.8894916547,8894912932,8894923597,8894921459
Ma ox to: GRANTEE
T s instrument was prepared by: Hilton Silvers & McClanahan PLLG
Brief description for Index; S Tracts
THIS DEED made this -� N day of January 2023, by and between
GRANTOR
Jeffrey A. Elchinger and spouse,
Jeanne R. Elchinger
Mailing Address: 37 Newbridge Parkway, Unit
306, Asheville, NC 28804
GRANTEE
Welcome 140 Logistics Center, LLC, a Delaware
limited liability company
Mailing Address: 5858 Westhelmer Road, Suite 800
Houston, TX 77057
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.
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 lots or parcels of land situated in Alamance County, North Carolina and more particularly described as:
SEE ATTACHED EXHIBIT A WHICH IS INCORPORATED BY REFERENCE.
The property described above was acquired by Grantor by instrument recorded in Book 3184 Page 0507; Book 1458,
Page 80; Book 0495, Page 0106; and Book 1459, Page 77,
A map showing the above described property is recorded in Book of Maps , Page
Mail after recording to:
Harbor City Title Insurance Agency of NC. Inc.
6201 Falrvtew Road, Suite 325,E
Charlotte, NC 28210 File +t
Book: 4430 Page: 460 Page 1 of 4
All or a portion of the property conveyed is a principal residence of the Grantor,
To HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto belonging
to the Grantee in fee simple,
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 We against the lawful claims of all persons claiming by, under or through Grantor,
except for exceptions stated herein as follows:
Ad valorem taxes for the current year; any easements, covenants, conditions, rights of way, restrictions or
other matters, as may appear on public record; exceptions listed in Grantee's title insurance policy; and,
matters which would be disclosed by an accurate survey of the property.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing the day and year written above.
---- (SEAL)
XeffrIVA. chinger
— .
(SEAL)
t�6
R. Eichingex 14
STATE OF i{' 02 I �,n,,, w_ _ , COUNTY OF &nn.L---
1, the undersigned Notary Public, certify that the following person(s) personally appeared before me this
day and that I have personal knowledge of the identity of the principal(s) and/or I have seen satisfactory
evidence of the principal's identity by a current state or federal identification with the principal's photograph
in the form of a and that he/she/they acknowledged to
me that helshelthey voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicated: Jeffrey A. Eichinger and Jeanne R. Eichinger.
Date: { a
(Official Seal)
Grace Pearson
Notary Public
Buncombe CMW, NC
i MY Comm 11-l7-
Printed Name::rf p `/�� rsr3.•
My commission expires: r
Book: 4430 Page: 460 Page 2 of 4
EXHIBIT A
LEGAL DESCRIPTION
Tract 1
Beginning at a iron rod found in the northerly right of way of Cherry Lane (S,R. 2123, 60' Right of Way),
running thence N 51'41'42" W 32.18' to an iron pipe found; running thence N 25°53'59" E 176.75' to a
concrete monument found; running thence N 25059'43" E 253.48' to an iron pipe found; running thence S
29"10'05" E 226.56' to a point in the northerly right of way of Cherry Lane, said point being located N
29010'05" W from an iron pipe found; running thence along the northerly line of Cherry Lane S 52°37'02"
W 344.16' to the point or place of beginning, having an area of 45,387 square feet or 1.042 acres,
Tract 2
Beginning at a point in the northerly right of way of Cherry Lane, said point being located S 52Q36'46" W
142.45' from the point of beginning of Tract 1 above described, running thence S 50017'41" W 30.65' to a
point in the northerly right of way of Cherry Lane; running thence N 59012*41" W 299.29' to an iron pipe
found; running thence S 76034'37" W 398.91' to a point; running thence S 88'54'25" W 101.36' to a point;
running thence N 71'14'05" W 102.39' to a point; running thence N 60002'54" W 137.63'to a point; panning
thence S 78253'42" W 30.89' to a point; running thence N 60°51'38" W 64.90' to a point; running thence N
04050136" W 255.36' to a point; running thence N 30047'13" E 199.93' to a point, said point being in the
southerly line of Tract 4 below described; running thence S 59009'33" E 225.00 to a corner of Tract 4 below
described; running thence S 59°09'33" E 930.92' to the point or place of beginning, which is the point of
beginning, having an area of 256,438 square feet or 5.887 acres.
Tract _3
Beginning at a point in the northerly right of way of Cherry Lane, said point being located S 50°17'41" W
30.65' from the point of beginning of Tract 2 above described; running thence along the northerly right of
way of Cherry Lane S 47023'07" W 462.51' to a point in the northerly right of way of Cherry Lane; running
thence N 31053'25" W 100.49' to a point; running thence N 0915918" W 95.24' to a point; running thence
N 28046'55" W 94.76' to a point; running thence N 76°12'20" W 79.06' to a point; running thence N
50033'54" W 145.97' to a point in the southerly line of Tract 2 above described; running thence N 76°34'37"
E 398.91' to an iron pipe found ; running thence S W12'41" E 299.29' to the point or place of beginning,
having an area of 137,619 square feet, 3.159 acres.
Tract 4
Beginning at an iron pipe found, said point being a corner of Tract 5 below described, running thence N
30051'21" E 314.00' to a point; running thence S 59°10'47" E 415.79' to a point; running thence S 30°49'02"
W 314.15' to a point; running thence N 59009'33" W 225.00'; running thence N 59°09'33" W 191.00' to the
point or place of beginning; having an area of 130,622 square feet or 2.999 acres.
Tract 5
Beginning at an iron rod found in the northerly right of way of Cherry Lane, said point being the point of
beginning of Tract 1 above described; running thence S 52036'46" W 142,25' to a point in said northerly
right of way; running thence N 59'09'33" W 930.92' to a point; running thence N 30°49'02" E 314.15' to a
point; running thence N 59"10'47" W415.79' to a point; running thence S 30°51'21" W 314.00' to an iron
pipe found; running thence N 42049'25" W 577.14' to an iron pipe found, said iron pipe have North Carolina
State Grid coordinates of North 842,761.95 East 1,898,455.39; running thence N 17°46'38" E 388,86' to an
iron pipe found; running thence S 82°10'24" E 953.49' to an iron found; running thence 5 82016'23" E
A-1
Book: 4430 Page: 460 Page 3 of 4
500.30' to an iron pipe found; running thence S 23°33'09° W 401.63' to an axle found; running thence S
23026'08" W 404,00' to an iron rod found; running thence S 59'16'21" E 553.52' to a concrete monument
found in the westerly line of Tract 1 above described; running thence S 25053'59" W 176.75' to an iron pipe
found; running thence S 51 °41'42" E 32.18' to the point or place of beginning, having an area of 1,147,556
square feet or 26,344 acres.
A-2
Book: 4430 Page: 460 Page 4 of 4