WQ0011825_Final Permit_20140911

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North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 11, 2014
Maricoma Steele -Rowland
AMAC Property's, Inc.
2919 Fayetteville Street
Durham, North Carolina 27707
Dear Ms. Steele -Rowland:
John E. Skvarla, III
Secretary
Subject: Permit No. WQ0011825
AMAC Property's Inc. (Lot 413)
Single -Family Residence
Wastewater Irrigation System
Chatham County
In accordance with your permit application renewal and major modification request received May
2, 2014, and subsequent additional information received August 15, 2014, we are forwarding herewith
Permit No. WQ0011825 dated September 11, 2014, to AMAC Property's, Inc for the continued operation
of the subject single-family residence wastewater treatment and irrigation facilities. Please note that this
renewed permit shall become effective on December 1, 2014 (i.e. the day after the expiration date of the
existing permit), which differs from the date of this letter.
The modification to this permit includes changing the previously permitted sand filter treatment
system, tablet chlorinator and spray irrigation system to an Advantex treatment system, ultraviolet
disinfection with drip irrigation as the disposal method.
This permit shall be effective from the date of issuance until November 30, 2019, and shall be
subject to the conditions and limitations as specified therein. An extension shall be requested at least
six months prior to the expiration of this permit. Upon receipt of the request, the Commission will
review the adequacy of the facility described therein and, if warranted, will extend the permit for such
period of time and under such conditions and limitations as it may deem appropriate.
Please note that Condition I.3 references the requirement that the Permittee shall submit
subdivided lot plats and property ownership documentation to the Division. In the event the permitted
facility changes ownership or the Permittee changes their name, a formal permit modification request
shall be submitted to the Division as outlined in Condition VI. 5.
Please pay particular attention to the operation and maintenance requirements listed in Section III.
Failure to establish an adequate system for collecting and maintaining the required operational
information shall result in future compliance problems. Also note that Condition VI.6. requires the
Permittee to retain a set of Division approved plans and specifications for the life of the facilities
permitted herein.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 15OB of the
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: http://portal.ncdenr.om/web/wq
An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper

Ms. Steele -Rowland
September 11, 2014
Page 2'of 2
North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Alice M. Wessner at [phone] or
[e-mail].
Sincerely,
hom s A. Reeder, Director
Division of Water Resources
cc: Chatham County Health Department (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section
Kevin D. Davison, PE - Agri -Waste Technologies (Electronic Copy)
Beth Buffington, Public Water Supply Section — Protection and Enforcement Branch (Electronic
Copy)
Central Files
Digital Permit Archive (Electronic Copy)

11
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
AMAC Property's, Inc.
Chatham County
construction and operation of a 480 gallon per day (GPD) single-family residence wastewater treatment
and irrigation facility consisting of-
a 1,250 gallon baffled septic tank; an AX20-RT Advantex treatment system consisting of a 800 gallon
recirculation tank, an ultraviolet (LTV) disinfection system; a 3,500 gallon storage/pump tank; a 0.39 acre
drip irrigation area consisting of a mixed hardwood cover crop with four disposal zones with a total of
approximately 8,491 linear feet (LF) of dripper line; and all associated piping, valve, controls and
appurtenances
to serve AMAC Property's, Inc. (Hickory Trace Lane Lot 4B Parcel #72136), with no discharge of wastes
to surface waters, pursuant to the application received July 11, 2014, and subsequent additional
information received by the Division of Water Resources of August 15, 2014 and in conformity with the
project plans, specifications, and other supporting data subsequently fled and approved by the
Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until July 31, 2019, and shall be subject to the
following specified conditions and limitations:
1. In accordance with 15A NCAC 02T .0 116, upon completion of construction and prior to operation of
this permitted facility, a certification (attached) shall be submitted from a licensed North Carolina
Professional Engineer certifying that the permitted facility has been installed in accordance with this
permit, Division approved plans and specifications, and other supporting documentation, including
the location of all monitoring wells as applicable. If this project is to be completed in phases and
partially certified, the Permittee shall retain the responsibility to track further construction ap rp oved
under the same permit, and shall provide a final certificate of completion once the entire project has
been completed. Mail the Certification to the Division of Water Resources, Water Quality Permitting
Section, 1636 Mail Service Center, Raleigh, NC 27699-1636.
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2. The Raleigh Regional Office, telephone number [phone], shall be notified at least 48 hours in
advance (excluding weekends and holidays) of operation of the installed facilities such that an in-
place inspection can be made. Notification to the regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays.
3. By November 1, 2014, the Permittee shall submit subdivided lot plats as well as property ownership
documentation to the Division.
4. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this .permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
5. In accordance with 15A NCAC 02T .0607, if a public or community sewage system is or becomes
available, the subject single-family residence wastewater treatment and irrigation facilities shall be
closed and all wastewater shall be discharged into the public or community sewage system within 180
days of its availability. Prior to the initiation of these connection activities, appropriate Division
approval shall be received.
1. The subject non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to surface waters, nor any contravention of groundwater or surface water standards.
In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate
the effluent, the Permittee shall take immediate corrective actions including Division required actions,
such as the construction of additional or replacement wastewater treatment or disposal facilities.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
the following table:
TABLE 1— APPLICATION LIMITATIONS
Field
Parameter
Hourly Rate
Yearly Max
Units
1
01284 — Non -Discharge Application Rate
0.25
19.50
inches
4. The subject facility has been approved to land apply wastewater effluent on the following fields:
TABLE 2 — IRRIGATION AREA INFORMATION
Field
Owner
County
Latitude
Longitude Net Dominant
Acreage Soil Series
1
AMAC Property's Inc.
Chatham
35°50'52"
78°57'40" 0.39 Creedmoor
Total
0.39
5. The Operation and Maintenance Agreement (attached) between the Permittee and the Division of
Water Resources is incorporated herein by reference and shall be a condition of this permit.
Noncompliance with the terms of the Operation and Maintenance Agreement shall subject the
Permittee to all sanctions provided by North Carolina General Statutes § 143-215.6A to § 143-215.6C
for violation of or failure to act in accordance with the terms and conditions of this permit.
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6. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when
effluent application is not appropriate in accordance with Conditions IIIA. and I11.5. of this permit.
7. In accordance with 15A NCAC 02L .0107(i), the compliance boundary is established at the property
boundar-y-Any exceedance—of—standards—at—the—com. pl-iance—bmundar-y—shal-l—require—action—ire
accordance with 15A NCAC 02L .0106.
8. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L.0106.
9. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
10. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02T .0600 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any habitable residence or place of public assembly owned by the Permittee: 15
iii. Any private or public water supply source: 100
iv. Surface waters: 100
v. Groundwater lowering ditches: 100
vi. Surface water diversions: 25
vii. Any well with exception of monitoring wells: 100
viii. Any property line: 50*
ix. Top of slope of embankments or cuts of two feet or more in vertical height: 15
x. Any water line from a disposal system: 10
xi. Subsurface groundwater lowering drainage systems: 100
xii. Any swimming pool: 100
xiii. Public right of way: 50
xiv. Nitrification field: 20
xv. Any building foundation or basement: 15
*a setback agreement is in place to waive the setback to property lines as required by 15A NCAC
02T .0606(a).
b. The setbacks for storage and treatment units permitted under 15A NCAC 02T .0600 shall be as
follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any private or public water supply source: 100
iii. Surface waters: 50
iv. Any well with exception of monitoring wells: 100
v. Any property line: 50
M. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .0604(f).
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2. The installation of the Advantex AX20 recirculating filter units shall comply with the manufacturer's
specifications. The Engineer's Certification shall serve as evidence that these specifications have
been met.
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
4. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system.
5. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites
listed in Table 2 of Condition 111.4.
6. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff.
7. Only effluent from AMAC Property's, Inc. (Hickory Trace Lane Lot 4B Parcel #72136), shall be
irrigated on the sites listed in Table 2 of Condition 11.4.
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed.
9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. Fencing
shall be provided to prevent access to the irrigation site (minimum 2 -strand wire) and treatment units
shall be secured with locks on all tank accesses and control panels.
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100.
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
12. Pump/dosing tanks shall have audible and visual alarms external to any structure.
13. Any excavation into bedrock shall be lined with a 10 millimeter (mm) synthetic liner.
14. A water -tight seal on all treatment/storage units or minimum of two feet protection from the 100 -year
flood plain elevation shall be provided.
15. The Permittee is responsible for the operation and maintenance of the entire treatment and disposal
system including, but not limited to, the following items:
a. The septic tank shall be checked annually and pumped out as needed. The septic tank effluent
filter shall be checked and cleaned at the same frequency as the septic tank.
b. The ultraviolet disinfection unit shall be checked weekly. The lamps) and quartz sleeve(s) shall
be cleaned or replaced as needed to ensure proper disinfection.
c. The storage, pump, and alarm systems shall be inspected monthly. The scum layer shall be
removed at the same interval as the septic tank is cleaned out.
d. The system shall be inspected monthly'to make certain of the proper operation of the drip lines,
that the system is free of leaks, that the vegetative growth allows a proper drip pattern, that the
soil is assimilating the disposed treated wastewater with no surface runoff, and that no
objectionable odors are being generated.
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A,
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable samplingreporting schedule shall be followed.
2. Noncompliance Notification:
The Permittee shall report by telephone to the Raleigh Regional Office, telephone number (919) 791-
4200, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
b. Any facility failure resulting in a by-pass directly to receiving surface waters.
c. Any time self-monitoring indicates the facility has gone out of compliance with its permit
limitations.
d. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to
prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples.
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
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2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T.01050).
This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T.01 10.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the I Ph day of September 2014
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
omas 4fReeder, Director
ivision of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0011825
WQ0011825 Version 3.0 Shell Version 140707 Page 6 of 7

Permit No. WQ0011825 Single Family Residence Wastewater Irrigation
AMAC Property's, Inc. September 11, 2014
AMAC Property's, Inc. (Hickory Trace Lane Lot 4B Parcel #72136) Chatham County
F,,N(=TNF.F- ATIOIY
❑ Partial ❑ Final
In accordance with 15A NCAC 02T .0 116, I, ,
as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's
authorization to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility,
hereby state to the best of my abilities that due care and diligence was used in the observation of the
construction, such that the facility was built within substantial compliance and intent of this permit, the
Division approved plans and specifications, and other supporting documentation.
•0 Any variation to this permit, the Division approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brief narrative description of any variations:
Professional Engineer's Name
Engineering Firm
Mailing Address
City State Zip
Telephone E-mail NC PE Seal, Signature & Date
110 all) 'alkyl 01 V C1312F.1101 OKI Ely I a) IN V.111 RIM -41.1 as F.11 N W] MR1 04121 W X111 1; 109 010J R 9110AI IMMA 011
=011125 1, on , .
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604
WQ0011825 Version 3.0 Shell Version 140707
Page 7 of 7

SOF wATFh'Q State of North Carolina
\p L ;[Department of Environment and Natural Resources
; r Division of Water Quality
ai U-1 15A ICAC 02T.0600 — SINGLE-FAMILY RESIDENCE WASTEWATER IRRIGATION SYSTEMS
FORM: SFRWWIS O&M 06-11
Permit No. V40DI I Ba County: Chatham
Property owner(s) as appearing on the recorded deed: AMAC PropertV's Inc. c/o Maricorna Steele
Mailing address: 2919 Fayetteville Street, Durhain, NC, 27707
Facility address: Hickory Trace Lane Lot #413, Durham, NC, 27713
Irrigation Method: ❑ SPRAY ® DRIP
I / We agree to operate and maintain the single-family residence wastewater treatment and irrigation system as follows:
1. The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and irrigation
system including, but not limited to, the following items:
a. The septic tank shall be checked annually and pumped out as needed.
b. The septic tank effluent filter shall be checked and cleaned annually.
c. Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be
removed manually.
d. ❑ The tablet chlorinator shall be checked weekly. Wastewater grade tablets (calcium hypochlorite) shall be
added as needed to provide proper chlorination (pool chlorine tablets shall not be used), OR
The ultraviolet disinfection unit shall be checked weekly. The lamps) and quartz sleeve(s) shall be
cleaned or replaced as needed to ensure proper disinfection.
e. All pump and alarm systems shall be inspected monthly.
f. The irrigation system shall be inspected monthly to ensure that the system is free of leaks, that all irrigation
equipment is operating as designed, that vegetative growth does not interfere with the system inspection or
operation, that the soil is assimilating the disposed treated wastewater with no visible runoff or ponding, and
that no objectionable odors are being generated.
2. Failure to pay the annual fee shall be cause for the Division to revoke the permit pursuant to 15A NCAC 02T
.0105(e)(3).
3. The Permittee's failure to properly operate this system is subject to a penalty up to $25,000 per day.
4. Failure to meet the permit conditions or violation of the State's surface water or groundwater regulations may void
the permit.
All owners appearing on the legally recorded property deed shall sign this Operation & Maintenance Agreement
I / We understand the ab ve requir ents and agree to these terms as part of e issued permit.
Owner Signature: '��` Date:
Owner Signature:
Date:
FORM: SFRWWIS O&M 06-11 Page I of 1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Fater Resources will not consider this form complete unless all instructions are followed. Failure
to follow instructions or to submit all required items will lead to additional processing and review time.
For more information or.for arz electronic version of this, forms, visit our web site at:
http: //portal. iicdenr. or g/web/wq/apsllau/applications.
INSTRUCTIONS TO THE APPLICANT:
✓ Do not submit this form for review without a corresponding Non -Discharge Pennitting Unit application form.
✓ Any changes to this form will result in the application package being returned.
✓ Any other setbacks required by 15A NCAC Subchapter 02T other than those referenced below, cannot be waived
through execution of this form.
✓ A copy of the completed and appropriately executed fonn must be provided to the property owner.
AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY
15A NCAC 02T .0506(a), .0506(b), .0606(a), .0706(a) and .1006(x)
The undersigned property owner(s) hereby permits:
Applicant's name: 'MAC ProperVs Inc.
Complete mailing address. of applicant: 2919 Fayetteville Street
City: Durham
Telephone number:9( 19) 491-4766
State: NG
Hereinafter referred to as the Permittee, to (check all that apply):
® Non -Discharge disposal of wastewater effluent within
❑ Non -Discharge disposal of wastewater effluent within
❑ Construct treatment and storage units within
❑ Construct treatment and storage units within
15
Zip
27707
Facsimile number: (�
feet of the property line,
feet of the identified residence,
feet of the property line,
feet of the identified residence.
FORM: NDWSW 11-13 Page 1 of 2

The waived setbacks apply as shown on the attached snap and located at the following:
L-ocation- ddress-of-property: Hickory Trace Lane Lot #4B
City: Durham State: NC Zip: 27713
❑ I certify that I ain a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Pennittee to dispose of wastewater effluent or
construct wastewater treatment units as, specified herein. I further agree that upon the Division of Water Resources's
issuance of a permit for the subject non-dischargesystem, I will record this waiver form with the appropriate Register
of Deeds and provide the Permittee and Division of Water Resources with documentation of such.
Property ow err(ns) name(s): AMAC Property's Inc.
Signature /e A -0-,l (Z49M� .t . /f lt./ f/l"Y°J` 4"' t t -'1r-- Date:
Signature:
Date:
NORTH CAROLINA, / UGC') C� COUNTY
1, �-►�a. �: ( �`�`/ , a Notary Public for y Vl kel-" County, North Carolina,
c®
do hereby certify that 5 G. "' c�`f'e�Ie� personally appeared before me this day and
acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the day of
SEAL ------
a 'T L c ___..-�__ E
NOTARY PUBi-IC
ilVAKE COUNTY, NO
My Commission Epiro.s 7-19-2094
Signature of Notaiy Public
My commission expires
;Z-l4-Zo1+
FORM: NDWSW 11-13 Page 2 of 2