MO-9433_40867_C_NRP_20200305_Filed Notice of Residual Petroleum

14041 0243
NOTICE OF RESIDUAL PETROLEUM
_Rocky River Presbyterian Church Cabarrus _ County, North Carolina
(site name)
FILED ELECTRONICALLY
CABARRUS COUNTY NC
M. WAYNE NIXON
----------------------
FILED Mar 05, 2020
AT 09:24:00 AM
BOOK 14041
START PAGE 0243
END PAGE 0250
INSTRUMENT # 06838
EXCISE TAX $0.00
The property that is the subject of this Notice (hereinafter referred to as the "Site")
contains residual petroleum and is an Underground Storage Tanlr (UST) incident under North
Carolina's Statutes and Regulations, which consist of N.C.G.S. 143-215.94 and regulations adopted
thereunder. This Notice is part of a remedial action for the Site that has been approved by the
Secretary (or his/her delegate) of the North Carolina Department of Environment Quality (or its
successor in function), as authorized by N.C.G.S. Section 143B-279.9 and 14313-279.11. The .North
Carolina Department of Environment Quality shall hereinafter be referred to as "DEQ".
NOTICE,
Petroleum product was released and/or discharged at the Site. Petroleum constituents remain
on the site, but are not a danger to public health and the environment, provided that the
restrictions described herein, and any other measures required by DEQ pursuant to N.C.G.S.
Sections 143B-279.9 and 143B-279.11, are strictly complied with. This "Notice of Residual
Petroleum" is composed of a description of the property, the location of the residual petroleum, and the
land use restrictions on the Site. The Notice has been approved and notarized by DEQ pursuant to
N.C.G.S. Sections 143B-279.9 and 143.B-279.11 and has/shall be recorded at the
_ Cabarrus _ Register of Deeds' office Book , Page
(name of counly)
Any reap or plat required by DEQ has been/shall be recorded at the Cabarnis_ _ Register of
(name of county)
Deeds' office Boole ,Page , and has been/shall be incorporated into the Notice by this reference.
Source Proper
R� ocky River Presb terian Church of _Harrisburg, NC._
(oivner'.s name) (city & state of homeowner)
simple of all or a portion of the Site, which is located in the County of
Carolina, and is known and legally described as:
is the owner in fee
Cabarrus State of North
submitted electronically by "Shepard Law, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the Memorandum of understanding with
the office of the Register of Deeds of Cabarrus County. NCGS 47-14(al)(5).

BEGZNNINCC AT A POINT IN THE CENTERLXNE OF ROCKY RIVER ROAD (S. R. 1134) ,
8.3'NG A COMON CORNER Clr THE PROPERTY OF ROCKY RIVER I"ALMSYTZRSAN
CHURCH AND THE PPOPERTY OF TOMY J, LINKV (BOOK 757, PAGE 396), NOW OR
POP ERLY, AND RUNIVINO PROM SAID HECINNING POINT ALONG THE C1+NTERLXNE OF
ROCKY RZVER ROAD S 28-22--06 W 57.14 F°.EE'T TO A POINT IN THE CENTSRLIME
OF .SAID AGAD, THENCE CONTTItTU= ALONG THE C1;NT'ERZINE OF ROCKY RIVER
ROAD S 23-30-10 W 100,00 FEET TO A 2OZNT IN THE CENTSRLI"NE OF SAID
ROAl); THENCE CONT.INUXNG, ALOW THE CENTEAL.INE OF ROCKY RIVER RM S
31-53-12 W 99�5 FEET TO A POINT IN THY, C gNTERLINE OF $AID ,ROAD,' THENCE
CONTINUING A.LOW THE CENTERLINE OF ROCKY RIVER ROAD 8 33-32-08 w 100.00
FRET TO A POINT iN THE CENTERLINE OF ,SAID ROAD; THENCE CONT'1NUING ALDNG
T'FE CENTERLINE OF ROCKY RIVER ROAD 5 36A46-45 N 78.17 FEET TO A 1OIM7'
IN T'FIE CENTERLINE OF SAID ROAD; TH,6NCE COY TINVIN5 ALONG THE CENTERLINE
OF ROCKY RIVER ROAD 5 34•-48-13 W 67.32 7-FE,4'T" TO A POrNT IN THE
TNT°ERSECTION OF ROCKY RIVER .ROAD AMD LOWER ROCKY RIM ROAD (S.R.
113$) ; THENCE CONTINUING ALONG THE C.ENTE'RL,INE OP ROCRY .RZVE'R ROAD S
57-57- 06 N 648.96 FEET TU A PDXNT' IN rUS INTERSECTION OF ROCKY RIi+ R
ROD AND PHARR NXLL ROAD {S.A. 1158), THENCE jP=0WXX6 THE CENTERLINE
OF PHARR MILL ROAD 9 30-, 3- 04 W 117.25 FEET TO A POINT IN THE
CENTERLINE Or SAID RCiAD; PRENCE 0NTINVING ALONG THE CENTERLINE OF
ERR MILL ROAD N 25 — 0 6 — 32 W $ 8.30 FEET To A POINT 7N THE CENT.ERL THE OF
SAID R=; THERCS CONTINUING ALONG THE CENTERLINE OF PHARR XTLI ,ROAD N
13-42-5 8 W 57. 79 FEET 70 A POINT IN THE CENiTR, INS OF SAID ROB;
TIJENCiFr CONTINUING ALONG THE CENTERLINE OF PKARR MILL itOAD N 11-05-02 W
87.58 FZVT TO A POINT IN VHE CENT'ER,LINK OF SAID !ROAD; TANCE CONTINUING
ALONG THE CENTERLINE OF PWR MILL ROAD N 06-41--53 W 79.52 FEET To
POINT IN TRZ CENT46MLINE OF SAID ROAD,* THENC79 CONTINUING ALOYG THE
CL'11TERLINE OF PAR MILL ROAD N 08 —22 -21 W 90. 59 .FEET TO A POINT IN
THE CENTE,R41NE OF SAID ROAD; THENCE LEAVING PHAIW HILL ROAD N 17-$9-0I
E TO A POINT; THENCE S 71-34 —34 E 113.88 FEET TO A NAIL BY CHAMNE1a IRON
(p) RENT IN STONES; THENCE N 34-34-41 E 327.44 FEET ;i'{7 A ST'CWE' (F"),
TH59CE N 65-53-49 W 76,35 .FEET" TO A FLAT IRON MF 7HE9CE N 04-41 -38 W
361.36 FEET TC A POINTr THENCE N 04-41ffi 8 W 155.00 FEET TO AN IRON PIN
(S) IN BRANCH, THENCE N 38-06-49 W 253.17 FEET TO A. POINT, THENCE ,S
42-02-44 W 99.83 FEZT TO A POINT; THENCE 8 16-16-43 W 671.39 FEET TOO A
POZNT; THENCE 3 10-115p4:3 W 34.50 fkST TO A Pt ZMT rN T'RE C,ENTEXLZN,E Or
PHARR MILL ROAD; THENGE FOLLOKIVG TIIE CEIPT',VRLrNS OF Pt" MILL !ROAD X
49-56-,I5 W 293.99 FEET TO A POINT, THENCE LSAVING PHARR 1 LL ROAD N
b2- 45-50 E 34.60 FEET To A Pormr T"yrgCR 9 02-45-50 E 949,23 FEET TO A
POINT; THBUCE N 17-56-09 W 518.95 FEET TO AN OLD ION (F) AT FENCL;
CORNER; THENCE N 83-16-57 E 341 .,�J FEE'T TO dA AtAT-4 BY OLD IRON (F)
BENT; THENCE, S 53-28-41 E 494.01 FEET TO AN OLD 1',RON (F) ; THENCE S
53-28-41 E 841.71 TWEET TO AN XRON F'TN (S); TH6NGE S 35-43-50 W 630.95
FEET TO AN 1TROM PIN (S) AT FENCE CORNER AND STORE WALL, THENCE S
52-06-22 E 330.00 FEET TO AN IRON PIN (S) , THENCE S 34-06-22 E 177- 60
FEET TO AN XRON FIN M r THENCE S 5 4 — 0 6-22 Z 30.78 FEET TO THE POINT
AND PLACE OF EEG1'NXZNG, CONTAININO 40.899 ACRES, MORE OR LESS,
ACCORDING TO A BOUNDARY SURVEY BY C.RZGORY S. FLOWE, PLS, OF BEN M.
FLOWE AND SONS, DATED MAY 2S, 2009, REF. RCUC.E TO SAID SURVEY BEING
MADE FOR A MORE COMPY,F;7`E AND ACCURATE DESCRIPTION.
2 Revised February 7, 2019

Additional Affected Property Also Subject to Restrictions
(owner's name)
of is the owner in fee simple of a portion of
(city &state of owner)
the Site, which is located in the County of , State of North Carolina. Petroleum
contamination is located on this property at the time this Notice is approved. This property was also
owned or controlled by the underground storage tank owner or operator or another party responsible for
the petroleum discharge or release at the time the discharge or release was discovered or reported, or at
any time thereafter. This property is known and legally described as:
(Insert Real Property Description Here for Additional Properties Owned or Controlled by Any Owner or
Operator of the Underground Storage Tank or Other Responsible Party, if Applicable)
Additional Affected Property Not Subject to Restrictions
Additionally residual petroleum is also located on the following property. The following
property is not subject to land use restrictions pursuant to N.C.G.S. Section 143B-279.9(b). The
following property is known and legally described as:
(Insert Legal Description of Other Real Property Affected by Residual Petroleum Not Owned or
Controlled by Any Owner or Operator of the Underground Storage Tank or Other Responsible Party, if
Applicable)
For protection of public health and the environment, the following land use restrictions required
by N.C.G.S. Section 143B-279.9(b) shall apply to all of the above -described real property. These
restrictions shall continue in effect as long as residual petroleum remains on the site in excess of
unrestricted use standards and cannot be amended or cancelled unless and until the _Cabarrus_ County
Register of Deed receives and records the written concurrence of the Secretary (or his/her delegate) of
DEQ (or its successor in function).
PERPETUAL LAND USE RESTRICTIONS
[IRestrictions apply to activities on, over, or render 1he land. C'hoo,se one or nw re oflhe following <rs
cypE) ))7'ZLlte. _..
Soil: Alternate ])Soil containing residual petroleum, above applicable regulatory
standard(s), remains on the site in the area identified in Figure 1, Attachment A). No
Revised February 7, 2019

copy of that figure(s)). No soil shall be excavated or disturbed within 3 feet of the
area identified in Figure 1, Attachment except to remediate the soil in accordance
with all applicable state and federal statutes, regulations and guidelines.
Groundwater: Groundwater within 150 feet of the site is prohibited from use as a water supply. Water
supply wells of any kind shall not be installed or operated within 150 feet of the site.
ENFORCEMENT
The above land use restriction(s) shall be enforced by any owner, operator, or other party
responsible for the Site. The above land use restriction(s) may also be enforced by DEQ through any of
the remedies provided by law or by means of a civil action, and may also be enforced by any unit of local
government having jurisdiction over any part of the Site. Any attempt to cancel this Notice without the
approval of DEQ (or its successor in function) shall be subject to enforcement by DEQ to the full extent
of the law. Failure by any party required or authorized to enforce any of the above restriction(s) shall in
no event be deemed a waiver of the right to do so thereafter as to the same violation or as to one occurring
prior or subsequent thereto.
IN WITNESS WHEREOF, (n,t-��� B. Ms has caused this Notice to be executed pursuant to
N.C.G.S. Sections 14313-279.9 and 14313-279.11, this 2oTif day of F"RyA,9V , 20 2-o.
Gwoo 4—OnCS
e f r We party if agent is signing)
By:
(s * nature o sponsible party, attorney or other agent if there is one)
fAZ`— ®li�'rR Pfll�a1 �fdaJ�
(title of agent for responsible party if there is one)
Signatory's name typed or printed: teMU
(Note to be deleted on fin al documeaeta 1--1reparer gI'docelment musl assure lhat the c°orrcrc
€acl4'aat�asletlgeaaaent is used and complies with changes effective October i, 2000)
Choice Onne lnnsta°¢a�nlent signed b.V one persona
NORTH CAROLINA
COUNTY
(Name of county in which acknowledgment was taken)
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she signed the foregoing document:
Date:
(Official Seal)
expires:
(signature ofNotaiy Public)
(printed or typed name of Notary Public)
Notary Public
My commission
Revised February 7, 2019
4

My commission
expires:
Choice Two: Acknowledge by attorney in fact
NORTH CAROLINA
COUNTY
(Name of county in which acknowledgment was taken)
I, , a Notary Public for said County and State, do hereby certify that
, attorney in fact for personally appeared before me this day, and being by
me duly sworn, says that he executed the foregoing and annexed instrument for and in behalf of the said
, and that his authority to execute and acknowledge said instrument is contained in an instrument duly
executed, acknowledged, and recorded in the office of in the County of
, State of on the day of 20 and
that this instrument was executed under and by virtue of the authority given by said instrument granting
him power of attorney.
I do further certify that the said acknowledged the due execution of the
foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said
WITNESS my hand and official seal, this the day of , 20
(Official Seal)
expires:
(signature of Notary Public)
printed or typed name of Notary Public)
Notary Public
My commission
Choice Three: Conveying security interest in personal property of a corporation
NORTH CAROLINA
C.L.1ryCkf r �& 5 COUNTY
(Name of county in which acknowledgment was taken)
CA a Notary Public for said County and State, do hereby certify that
- personally came
before me this day and acknowledged that he is
of `r`� Q, acknowledged, on
behalf of C\ ,the grantor
the due execution of the foregoing instrument.
�
�er o'�
WITNESS my hand and official seal, this the
day of� 2020
,
(Official Sea�,� `� .a
„o � � .
(si nature of No ary Public)
�'°'•
r C1_�('
f
printed or typed name of Notary Public)
•. 0z
Notary Public
0,0
Revised February 7, 2019

�'\ My commission
expires:—*
A,Iproved for the purposes of N.C.G.S. 14313-279.11
gnatur Re i r)
(G n, Regional Supervisor
C( inted name of gional upervisor)
k C2L�` e2ional Office
UST Section
Division of Waste Management
Department of Environment Quality
NO ` �V�-�`I1INA
COUNTY
(Name of county in which acknowledgment was taken)
I certify that the following person(s) personally a geared before me this day, each acknowledging to me
that he or she signed the foregoing document: (d 44,7roAAAM (full printed name of Regional supervisor)
Dat
(Official Seal) (si attire o�NotaryPu /j f
C��V �� �k-
printed or typed name of Notary Public)
Notary Public
r; -RIAN'®eye My commission
exp 2 2Dz i s: 6 q
NO
�L1C
6 Revised February 7, 2019

Figure 2 Attachment A
�_� / ,
Bountlar� Survey
�JN ,
...
I
40899 Acres
Iw
Rocky River Presbyterian Church
rer R-ky Hiftootl
\
_ tJ
N�o. CTow n,
Cod r s ounty, N.C. wmu "
incAnon wn+c*roxuF
'^
,!
Stone Wall
Revised February 7, 2019

Revised February 7, 2019

Beverly, Trudy
From: Beverly, Trudy
Sent: Wednesday, April 22, 2020 12:52 PM
To: [e-mail]
Subject: RE: [External] Re: Rocky River Presbyterian Church - Incident #40867 - Conditional No
Further Action
Good Afternoon John,
The documents have been received. No need to mail the originals. I'll get back with you after reviewing the materials.
Have a wonderful day and stay safe out there,
Trudy
Trudy Beverly, L.G.
D, I E Q Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
' — UST Section, Mille Regional Office
utiw�a�c,� aWm�` on, Mooresville g
704.235.2182 (Office)
Trudy.Beverlykncdenr. ov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: ht_pt s:Hdeg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https://deg.nc.aov/about/divisions/waste-mana2ement/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://dea.nc.xov/about/divisions/waste-management/waste-management-rules-data/waste-management-xis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
bit.ps://deq.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httas://files.nc.izov/ncdea/Waste%2OMana2ement/DWM/UST[WhatsNew/Final-Electronic-Document-Submittal-Policy.odf
https:Hfiles.nc.gov/ncdeq/Waste%20Management/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: [e-mail] [mailto:[e-mail]]
Sent: Wednesday, April 22, 2020 12:10 PM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Re: Rocky River Presbyterian Church - Incident #40867 - Conditional No Further Action
01 17(,:
ernal email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to nc. ov
Truck,
I just sent the file via the transfer app you use. Is this acceptable or do you need originals?
Jim
-----Original Message -----
From: jlpharr <jlpharr(@aol.com>
To: trudy.beverly <trudy.beverly(a ncdenr.gov>
Cc: Chrystal.Swinger <Chrystal.Swinger .CabarrusHealth.org>; MKDowns <MKDowns(a-)cabarruscounty.us>; dstoner
1

<dstoner shieldengineering.com>
Sent: Wed, Feb 26, 2020 4:43 pm
Subject: Re: Rocky River Presbyterian Church - Incident #40867 — Conditional No Further Action
Trudy,
Thank you. To others, if you have questions please call me at 980-329-6225.
Jim Pharr
-----Original Message -----
From: Beverly, Trudy <trudy.beverly(cbncdenr.gov>
To: Jim Pharr <jlpharr(a_aol.com>
Cc: Chrystal Swinger<Chrystal.Swinger(cDCabarrusHealth.orq>; Mike Downs <MKDowns(cDcabarruscounty.us>; David
Stoner <dstoner(cDshieldengineering.com>
Sent: Wed, Feb 26, 2020 3:53 pm
Subject: Rocky River Presbyterian Church - Incident #40867 -- Conditional No Further Action
Please see the attached Conditional No Further Action letter for Rocky River Presbyterian Church located at 7940 Rocky
River Road, Concord, Cabarrus County, North Carolina (Incident #40867).
Jim — A copy of the Conditional NFA letter will be mailed today to the church with the original Notice of Residual
Petroleum for filing with the Cabarrus County Register of Deeds.
Trudy
Trudy Beverly, L.G.
DEQ Hydrogeologist, Division of Waste Management
� North Carolina Department of Environmental Quality
Ileparhrxn[ci LnnrunmenLil ❑ua4t UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.Beverlygncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: hit2s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: ht_pt s://deg.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns:Hdeo.nc. gov/about/divisions/waste-management/waste-management-rules-data/waste-management-gis-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
fts:Hdeq.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
hgps:Hfiles.nc. gov/ncdeg/W aste%20Manai4ement/D WMiUST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.pdf
https:Hfiles.nc. gov/ncdeg/Waste%20Management/DWM/UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx

RRPC Notice of Residual Petroleum notifications for
7859 PHARR MILL RD — Parcel 01-018-0008.00
PIN - 55272173400000
Rocky River Presbyterian Church
7940 Rocky River Road
Concord, NC 28025
** In the town of Harrisburg, NC

7700 Rocky River Road — Parcel 01-018-0007.00
PIN — 55273240380000
7811 Rocky River Road — Parcel 01-018-0007.10
PIN - 55273096120000
Roberta Gail Ritchie Linker
7800 Rocky River Road
Concord, NC 28025
Complete items 1, 2, and. * A. Signature
Print your-name:end addfess on tfre reverse
IIq
so that we Can .return. the card to you:
B. Received by (Printed Name)
Attach this- card to'the back of the mailpiece,
or on the front if space permits.
,krticle Addressed to-.
/
�I�Q6�io NC
I III � Ifl IIIII III � IIIIII III IIII I III 11'il
9590 9402 5935 0049 7295 11
.. -1 M- mhAr frmnsfer from service label)
701,9 0700 OQOO 5503 4067
Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ priority Mail Express@
❑ Adult Signature
❑ Registered MaiITM
❑ Adult Signature Restricted Delivery
0 Registered Mail Restricte(
❑ Certified Mail@
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationT"
n in —red Mail
❑ Signature Confirmation
d Mail Restricted Delivery
Restricted Delivery
$500)
Domestic Return Receipt

7939 Rocky River Road — Parcel 01-018-0009.00
PIN 55273022240000
Security Oil Company INC
PO Box 5028
Concord, NC 28027
*This is a contamination site currently undergoing remediation
SECTION
a Complete items 1, 2, and 3. A. Sign --�-
a Print your name and address on the reverse X © Agent
so that we can return the card to you. © Addressee
® Attach this card to the back of the mailpiece, B. Received bif(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
rir
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below; Q No
doN 4D I
3. Service Type 0 Priority Mail Express®
(I 111111 I III I III
III 1111111111 11 • Adult Signature L1 R Registered Mail
© Adult Signature Restricted Delivery ❑Registered Mail Restricts
❑ Certified Mail@ Delivery
9590 9402 55a4 9249 5416 25 Certified Mail Restricted Delivery O Return Receipt for
❑ Collect on Delivery Merchandlse
p - El Collect on Delivery Restricted Delivery L1 Signature ConfirmationT"
?01I 1[ 4❑ []Q Q 1 ""ail 0 Signature Confirmation
918 4 529S ail Restricted Delivery Restricted Delivery
�I
PS Form 3$11, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

1419 Pembroke Road — Parcel 01-022-0004.00
PIN 55263904480000
Andrew Linker
509 Joslin Point Lane
Rock Hill, SC 29732
a Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
® Attach this card to the back of the mailpiece,
or on the front if space permits.
1.. Article Addressed to:
&D-e6PJ bNK6�
.5-69 JcyS 41 N nl ofN(- �4\i
B. f�ece�ve �y (Prinfe�Na.
J, . ! € -�
D. Is delivery address different from item 1?
If YES, enter delivery address below:
3. Service Type 0 Priority Mail Express®
❑ Adult Signature ❑ Registered Mail li II ❑Adult Signature Restricted Delivery p Registered Mail RestrictE
© Certified MailO Delivery
9590 9402 5554 9249 5416 32 ❑ Certified Mail Restricted Delivery 0 Return Receipt for
© Collect on Delivery Merchandise
2. Article Number (Transfer from servfra ianAn I n Cnllor+— r)olivery Restricted Delivery © Signature Confirmationrr
❑ Signature Confirmation
? 0 y 9 1640 0001 9185 9995 estricted Delivery Restricted Dellve4y
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

7877 PHARR MILL RD — Parcel 01-018-0010.10
PIN 55272066780000
William King McCachren, Jr
7877 PHARR MILL RD
HARRISBURG. NC 28075
DATE 3 IV—'2-O�
TO: NC Department of Environmental Quality
From: _William King McCachren, Jr.
Address: _7877 Pharr Mill Road, Harrisburg, NC 28075
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I have been informed of residual petroleum on the property of Rocky River
Presbyterian Church, which is adjacent to my property. The issue has been explained and I
know that I can contact your agency if I have concerns or further questions.
r.
Signature v7

7875 PHARR MILL RD — Parcel 01-018-0010.00
PIN - 55272068140000
William King McCachren, Sr. Sharron M. Twitty
7877 PHARR MILL RD
HARRISBURG, NC 28075
DATE 3 — / U "2-f%a4I
TO: NC Department of Environmental Quality
From: William King McCachren, Sr.
Address: _7877 Pharr Mill Road, Harrisburg, NC 28075
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I have been informed of residual petroleum on the property of Rocky River
Presbyterian Church, which is adjacent to my property. The issue has been explained and I
know that I can contact your agency if I have concerns or further questions.
Signature

7873 PHARR MILL RD — Parcel 01-018-0010.20
PIN - 55272150670000
Sharon M. and Michael Twitty
7873 PHARR MILL RD.
HARRISBURG, NC 28075
DATE 'S (0 - V Vo
TO: NC Department of Environmental Quality
From: ✓Sharon M. and Michel Twitty,
Address: 7873 Pharr Mill Road, Harrisburg, NC 28075
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I have been informed of residual petroleum on the property of Rocky River
Presbyterian Church, which is adjacent to my property. The issue has been explained and I
know that I can contact your agency if I have concerns or further questions.
-J &.-A
Signature

7811 PHARR MILL RD — Parcel 01-018-0018.16
PIN - 55272104530000
Andrew B. and Katherine B. Highsmith
PO BOX 257
MIDLAND, NC 28107
DATE
TO: NC Department of Environmental Quality
From: Andrew B. and Katherine B. Highsmith
Address: _ PO BOX 257, MIDLAND, NC 28107
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I hav been inform esidual petroleum on the property of Rocky River
Presby ian Church, whic is adjacen to my operty. The issue has been explained and I
know ha Ica c�ntact yo agency' I have co erns or further questions.

7775 PHARR MILL RD — Parcel 01-018-0018.00
PIN - 55271158880000
Margaret Bullard Linker, Trustee
7775 PHARR MILL RD
HARRISBURG, NC 28075
DATE _ 3 `e- Ad
TO: NC Department of Environmental Quality
From: Margaret B. Linker_
Address: _7775 Pharr Mill Road, Harrisburg, NC 2807
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I have been informed of residual petroleum on the property of Rocky River
Presbyterian Church, which is adjacent to my property. The issue has been explained and I
know that I can contact your agency if I have concerns or further questions.
Signature

7561 PAUL LINKER PL— Parcel 01-018-0003.50
PIN 55272243970000
Ara Jane Thornton
7561 PAUL LINKER RD
HARRISBURG, NC 28075
DATE 3 d I ao
TO: NC Department of Environmental Quality
From: Jane Thornton
Address: _7561 Paul Liner Road, Harrisburg, NC 28075
Subject: Notification of residual petroleum on Rocky River Presbyterian Church property
This is to verify that I have been informed of residual petroleum on the property of Rocky River
Presbyterian Church, which is adjacent to my property. The issue has been explained and I
know that I can contact your agency if 1 have concerns or further questions.
Signature

Mike Downs, Manager
Cabarrus County
PO Box 707
Concord, NC 28026
■ Complete,items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
filt''t6 'DOL'Olv-5; z�s CC ^4I vtiaa�e
'-PO ?45 7
' 2
A. Signature
& ''� Cl Agent
"�'�wr-—a ©Addresse(
13. Rec�j * **j)1&6ftme) C. Date of Delivery
D. Is delivery address different from item 1? El Yes
If YES, enter delivery address below: El No
!71V C06 ,�i / G 6v 2 C�
3. Service Type
El Priority Mail Express®
© Adult Signature
is Registered Mail
0 Adult Signature Restricted Delivery
p Registered Mail RestrictE
Jj
© Certified Mall(D
Delivery
9590 9402 5554 9249 5416 49
© Certified Mail Restricted Delivery
0 Return Receipt for
Merchandise
C] Collect on Delivery
2. ^ ;,^m-Gpnvice label)
71119
0 Collect on Delivery Restricted Delivery
rl Insured Mail
0 Signature ConfirmationT"
❑ Signature Confirmation
16 4 0 ID Q 01 9185
971 Restricted Delivery
9971
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

Haynes Brigman, Town Manager
Harrisburg, NC
4100 Main Street
Harrisburg, NC 28075
■ Complete items 1, 2, and 3. A. Sign
at
ure
• Print your name and address on the reverseLL'�L
so that we can return the card to you. �1 %
• Attach this card to the back of the mailpiece, q.,ReceiZ
or on the front if space permits. 711aZ j'
1. Article Addressed to:
��- ��S �ZirG,yraly
M—Agent
❑ Addressei
Date of Deliver
D. Is delivery a iddresssdifferent froill item 1 ? ❑ Yes
If YES, enter delivery address below: C1 No
i iiII 3. Service Type ❑ Priority Mail Express@
❑ Adult Signature ❑ Registered Mail
i ❑Adult Signature Restricted Delivery ❑RRegistered Mail Restricts
© Certified MaiO Delivery
9590 9402 5554 9249 5416 56 ❑ Certified Mail Restricted Delivery 0 Return Receipt for
n nnilPrt nn nail-- Merchandise
2, Article N Q 9 y 6 0 Jr 9 9 8 rioted Delivery ❑ Signature ConfirmationT'
❑ Signature Confirmation
ure ai es ric e Delivery Restricted Delivery
(over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipi

Erin Shoe, MPH, Health Director
Cabarrus Health Alliance
300 Mooresville Road
Kannapolis, NC 28081
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
&Z1N 5"'v--
cirBR/LR'�S �/t�FC7h A, liym-2-
3oa Moc�zes.�«�s ep
lm'l
QFQt19402 5554 9249 5416 70
z.Art 7019 1640 0001 9186
A. Sin re p
X-. ►fy_ Agent
Addressee
B. Received by (Pr* fed Nam C. ate o Delivery
" 3�zeo
D. Is delivery address different from item 11 ❑ kes
If YES, enter delivery address below: E3 No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MailT
E Adult Signature Restricted Delivery
❑ Registered Mail Restricts
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
n Collect on Delivery Restricted Delivery Signature ConfirmationT"
❑ Signature Confirmation
0 1307
O 7 .ricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PEN 7530-02-000-9053 Domestic Return Receipt

Cabarrus County GIS — 1/27/2020
C AIiir.lIa]IibiiN7mll[ea

Appendix A
Letter to each adjacent landowner
March 3, 2020
Name
Address
City
Addressee,
Enclosed is a report indicating that Rocky River Presbyterian Church has petroleum on the
property that has not been totally removed but poses no threat so long as it is not disturbed.
You are being notified because your land adjoins that of Rocky River Presbyterian or are an
official required to be notified by the NC Department of Environmental Quality.
This release came to light following an incident where our heating oil tank was overfilled. While
cleaning fuel oil from that release we discovered that the tank had been leaking for some time.
This tank was located below ground between the sanctuary and the cemetery behind the
church. Contaminated soil was removed to about two feet below the sanctuary's foundation
(about seven feet below the surface. Contaminated soil was obvious below that area and
appears to extend under the sanctuary.
Removal beyond that point would threaten the sanctuary structure or extremely expensive
supports would have to be installed. Because the area is not likely to be built on, the decision
to stop digging and not actively use that area for activities such as a play -ground was made. We
will also not be allowed to use the area within three feet of the contamination not have a water
supply well within 150 feet of the site.
Please contact Jim Pharr at 980-329-6225 if you have questions.
Sincerely,
Glenn Jones
President, RRPC Inc.

Annex B
NCDEQ Notification letter

d°` a
ROY COOPER NORTH C AR O LI NA
Governer Envitenmental Quality
MICHAEL S. REGAN
se�iey
MICHAELSCOTT
Dot,"
Rocky River Presbyterian Church
Attn_ Jim Pharr
7940 Rocky River Road
Concord, NC 29025
(mail and email)
February 26, 2020
Re: Conditional Notice of No Further Action
15A NCAC 2L .0407(d)
Risk -based Assessment and Corrective Action
for Petroleum Underground Storage Tanks
Rocky River Presbyterian Church
7940 Rocky River Road, Concord
Cabarrus County
Incident Number- 40867
Risk Classification: Low
Dear Mr_ Pharr and Rocky River Presbyterian Church -
A review of information on file with the Underground Storage Tank (UST) Section, Division of
Waste Management, Mooresville Regional Office indicates that soil and groundwater contamination meet
the cleanup requirements for a low -risk release under Title 15A NCAC 2L _0202 and .0400, but
contamination exceeds the limits allowed for the unrestricted use of a site where closed under risk -based
cleanup standards.
The UST Section determines the subject incident to be eligible conditionally for no further action
status_ However, final approval of no further action status is contingent on the filing of the approved Notice
of Residual Petroleum with the Register of Deeds in the county in which the release is located, verified by
the receipt of a certified copy of the filed NRP by this office (see attachment); and receipt of confirmation
that public notice requirements have been completed, as described below.
Be advised that as soil contamination may exceed the residential MSCCs, the portion of the
property containing the soil contamination is suitable only for restricted residential use ("residential' being
inclusive of, but not limited to, private houses, apartment complexes, schools, nursing homes, parks,
recreation areas and day care centers), as stipulated in the Notice of Residual Petroleum (attached).
North Carodna Depmtment of EnvbonmenW Quality I DMManof Waste Management
Movresvllle Reg[ot�al QPfix 1 610 East Centcr Avenue. Babe 301 1Moorcsvl[le. North Carvllna 19115
I04b63.1"9

Groundwater within 150 feet from the site is probibited from use as a water supply_ Water supply wells of
any kind shall not be installed or operated within 150 feet the site.
As soil contamination may exceed the residential MSCCs, pursuant to NCGS 143B-279.9 and
14313-279_11, you mast file the approved plat and declaration for a Notice of Residual Petroleum with the
Register of Deeds in the county in which the release is located and submit a certified copy to the UST
Section within 30 days of receipt of this letter.
As soil contamination may exceed the lower of the residential or soil -to -groundwater MSM,
public notice in accordance with 15A NCAC 2L _0409(b) also is required. Within 30 days of receipt of this
letter, a copy of this letter must be provided by certified mail (or otherwise be made available by posting in
a prommentplace if certified mail is impractical,) to the local health director, the chief administrative officer
of each political jurisdiction in which the contamination occurs, all property owners and occupants within
or contiguous to the area containing contamination, and all property owners and occupants within or
contiguous to the area where the contamination is expected to migrate_
Within 60 days of receiving this letter, this regional office must be provided with correspondence
documentation showing that each party included in the listing above either received or affirmatively refused
to accept delivery of the copy of the letter (signature required delivery acceptance or documentation of
refusal), and/or documentation describing the manner in which the letter was publicly posted, where
applicable. Interested parties may examine information on file for this site by contacting this regional office
and may submit comments about the site to the regional office at the address or telephone number listed
below.
This conditional No Further Action determination /sill not become valid until the UST Section
receives a certified copy of the Notice of Residual Petroleum which is filed with the Register of Deeds
and until public notice requirements are completed.
If you have any questions regarding this notice, please contact me at Tn*.Beverlv&ucdenr.gov
or [phone]_
Sincerely,
Jq1Y.Av"�
Trudy Beverly, L_G.
Hydrogeologist
Mooresville Regional Office
UST Section, Division of Waste Management, NCDEQ
Attachment: Notice of Residual Petroleum (Original mailed to Rocky River Presbyterian Church for
filing with the Cabarrus County Register of Deeds)
cc_ David Stoner, Shield Environmental (via email)
Chrystal Swinger, Cabamis County Environmental Health (via email)
DECK
North Cary[Ina Department of Ertvtronmental Qmallty I IlhWmof Waste Management
MooresvIle Regional Offlr_e 1610 East Cemer Arerwe,Stdte 301 I MooremAlc North Carolina Y9115
70"6&IM

R1631I[IN DKIIaRnI111MAWallr:Z1] MDIM I
Rocky River Presbyterian Church Cabarrus County, North Carolina
(safe name)
The property that is the subject of this Notice (hereinafter referred to as the "Site")
contains residual petroleum and is an Underground Storage Tank (UST) incident under North
Carolina's Statutes and Regulations, which consist of N.C.G.S.143-215.94 and regulations adopted
thereunder. This Notice is part of a remedial action for the Site that has been approved by the
Secretary (or his/her delegate) of the North Carolina Department of Environment Quality (or its
successor in function), as authorized by N.C.G.S. Section 143E-279.9 and 143B-279.11. The North
Carolina Department of Environment Quality shall hereinafter he referred to as "DEQ".
NOTICE
Petroleum product was released and/or discharged at the Site. Petroleum constituents remain
on the site, but are not a danger to public health and the envininnnent, provided that the
restrictions described herein, and any other measures required by DEQ pursuant to N.C.G.S.
Sections 143B-279.9 and 14313-279.11, are strictly complied with. This "Notice of Residual
Petroleum" is composed of a descriplion of the property, the location of the residual petroleum, and the
land use restrictions on the Site. The Notice has been approved and notarized by DEQ pursuant to
N.C.G.S. Sections 143B-279.9 and 143B-279.11 and has/shall be recorded at the
abarrus Register of Deeds' office Book � Page
(Wme of county)
Any map or plat required by DEQ has been/shall be recorded at the Cabarrus Register of
(rtanme of.,nn)
D"ds' office Book , Page _, and has been/shalI be incorporated into the Notice by this reference.
Source Property
Rocky River Presbyterian Church of _Harrisburg, NC is the owner in fee
(mvwr's naw) (city & slate of hMeuwner)
simple of all or a portion of the Site, which is located in the County of_Cabarrus State of North
Carolina, and is known and legally described as:
Revised February 7, 2019

BEGINNING AT A POINT IN THE CENTERLINE OF ROCKY AXV9R ROAD (S,R. 11301
BEING A COMWN CORNER OF THE PROPERTY OF ROCKY RIVER PRX$BYT9RrAN
CtfURCi1 AND THE PROPERTY OF TflEMy J, LINKER (BOOR 757, FAGS 386), NOW OR
FORMERLY, AND RUNhrXlVG FRCW SAID BEGINNING POINT ALONG T'HE CENTERLINE OF
ROcAy RIVER ROAD S 28-22-06 W 57.14 FEET TO A POINT IN Tiff CENTERLINE
OF SAID ROAD; THENCE CONTINUING ALONG THE CENTERLINE OF ItOCKY RIVER
ROAD S 28-30-I0 W 100.00 FEET TO A POINT IN THE CENTERUIE OF SAID
ROAD; TfiENCE CONTINUING ALONG THE CENTERLINE OF ROCKY RIVER ROAD S
32-53-22 W 99.9E FEET TO A POINT IN THE CirNTSALINE OF 5AID RWI THENCE
CONTINUING ALONG THE CENTERLINE OF ROCKY RIVER ROAD S 33-32-08 W 200.00
FTET TO A PAINT IN THE CENTERLINE OF SAIA ROAD; TIiENG6 Gi1NTINVING ALONG
THE CENTERLINE OF ROCKY RIVER ROAD S 36'-46-48 W 76,17 FEET TO A POIN2'
IN TFiS CENTERLINE OF SAID ROAD: TffENCE CONTINUING ALONG THE CENTERLINE
OF ROCKY RIVER ROAD S 34-48-I3 W 67.32'FEET TO A POINT IN THE
INTERSECTION DF ROCftY RIVER ROAD AND LOWER ROCKY RIVER ROAD {5-R.
22361: THENCE CONTINUING ALONG THli CLWrZRkIN£ QF ROCKY RIVER ROAD S
57-57-06 W 648.96 FEET -TO A POINT IN TfIE INTERSECTION OF ROCKY RIVER
ROAD AND PHARR XZLL ROAD (S.R. 1158), THENCE POI.LOWING THE CENTERLINE
OF PRARR MILL ROAD N 30-33-44 W 117.25 FEET TO A POINT IN TEE
CENTERLINE OE' SAID HUAD; T92MU CONTINUING ALONG THE CENTERLINE OF
PAUR MILL Ro" N 25-06-32 R 56.30 FEET TO A AOINT IN THR CENTERLINE OF
SAID ROAD: TNENCE COiJ9'.lNiIING ALONG THE CENTERCINS OF PHARR MILL ROAD N
I8-42«5 6 W 57.79 FEET TO A POINT TN TN£ CENTERLINE OF' -SAID ROAD;
TlfrNCE CONTINUING ALONG THE CENTERLINE OF PHARR MILT. ROAD N II-05-02 W
07.5E FZZT TO A POINT LN THE CENTERLINE OF SAID ROAD; THENCE CONTINUING
ALONG TRZ CENTULINE OF PHARR MILL ROAD N 06-41-51 W 79,52 FEET TO A
POINT IN THE CI:NVSALINZ OF SAID ROAD) THENCE CONTINUING ALONG THE
CENTERLINE OF PHARR MILL ROAD N 08-22-2I W 90.59 TBBT TO A POINT IN
THS CENTERLINE OF SAID ROAD,- THENCE LEAVING PHARR MILL ROAD N 17-59-01
E TO A POINT: TYI1rNCE S 72-34-34 E I13.88 FEET TO A NAIL BY CHANNEL IRODI
{F) BENT IN STONES; THENCE N 34-34-41 B 327.44 FEET TO A SIVNE (F);
THENCE N 65-53-49 W 76.35 FEET TO A FLAT IRON fF); THENCE N 04-41 -30 W
361,36 FEET TO A POINT; THENCE N 04-4I-38 If 155.00 FEET YO AN IRON PIN
(S} IN BRANCH; 7'MENCE N 38-06-43 W I5.9.I7 FEET TO A FAINT; THENCE S
42-02-44 W 99.63 FEET TO A POINT; THENCE S IS-I6-43 W 671.39 FEET TO A
PAINT: THENCE 3 10-16-93 N 34.50 FIST TO A POINT XN THE CZNTXRLZNE Or
PHARM MILL ROAD, THENCE FOLLOWINCr T131 CENTERLINE OF FKARR MILL ROAD N
49-,56-Ih W 293,99 FEET TO A POINT; THENCE LEAVING PHARR HILL ROAR N
02-45-50 E 34.60 FEET 2-0 A POINT; TFE'NCE N 02-45-50 E 949.23 FEET TO A
POINT; TTlENCR N 17-58--09 W 5IS. 95 FEET TO AN OLD IRON (F) AT k1tKWi
CORNER; THENCE N 83-16-57 K 341 .S3 FEET TO A HAIL BY OLD IRON (F)
BENT; THENCE S 53-26-41 E 494.01 FEET TO AN OLD IRON (F): rhTNCE S
53-28-41 E 94.I. 71 FEET TO AN IRON FIN (5) ; TNENCE 5 35-4-7-50 W 6.30. 95
FEET TO AN IRON PIN (Sa AT FENCE CORNER AND STONE WALL; THENCE 9
52-06-22 E 330.00 FEET TO AN IRON PIN 0)i TifENCI; 3 S4-06-22 E 177.60
FEET To AN rRON pTN (S); THENCE 5 54-06-22 E 30.78 FEET TO TILE POINT
AND PLACE OF BEGINNING, CONTINNING 40.699 ACRE$, NARE OR LESS,
ACCORDING TO A BOONDARY SURVEY BY GREGORY S. FLOWE, PLS, OF B,EN kf.
rLOWE AND SONS, DATED SAY M 2009, REFERENCE T4 SAID SURVEY BEING
MADE F'OR A MORE CONPT.F7'F.AND ACCURATE DE5CRIPTIQN-
Rcviscd Fobruary 7, 2019

Additional Affected Property Also Subject to Restrictions
of is the owner in fee simple of a portion of
_ (owner's names fciN 8 state of owner)
the Site, which is located in the County of , State of North Carolina. Petroleum
contamination is located on this property at the time this Notice is approved. This property was also
awned or controlled by the underground storage tank owner or operator or another party responsible for
the petroleum discharge or release at the time the discharge or release was discovered or reported, or at
any time thereafter. This property is known and legally described as;
(Insert Real Property Description Here for Additional Properties Owned or Controlled bye Any Owner or
Operator of the Underground Storage Tank or Other Responsible Party, ifApplicable)
Additional Affected Property Not Subject to Restrictions
Additionally residual petroleumn is also located on the following property. The following
property is not subject to land use restrictions pursuant to N_C.G.S. Section 143B-279.9(b). The
following property is known and legally described as:
(Insert Legal Description of Other Real PropertyA Peeled by Residual Petroleum Not Owned or
Controlled by Any Owner or Operator of the Underground Storage Tank or Other Responsible Party,
Applicable)
For protection of public health and the environment, the following land use restrictions required
by N.C.G.S. Section 14311,-279.9(b) shall apply to all of the above -described real property. These
restrictions shall continue in effect as long as residual petroleum remains on the site in excess of
unrestricted use standards and cannot be amended or cancelled unless and until the _Cabarrus_ County
Register of Deed receives and records the written concurrence of the Secretary (or his/her delegate) of
DEQ (or its successor in function).
PERPETUAL LAND USE RESTRICTIONS
['Reslrivlion.Y upp(y to ac•livilie,s 0it, c�ve'r. r,r 11TR L't' 1he land- C'heuosr one (u' more ol'the./bIhm."tns; Lq
Oppropriale.I
Soil: Alternate f}Soil containing residual petroleum, above applicable regulatory
standard(s), remains on the site in the area identified in Figure 1, Attachment A), No
Revised February 7, 2019

copy of that figure(s)). No soil shall be excavated or disturbed within 3 feet of the
area identified in Figure 1, AtiachmentA except to remediate the soil in accordance
with all applicable state and federal .statutes, regulations and guidelines -
Groundwater: Groundwater within 150. feet of the site is prohibited from use as a water supply. Water
supply wells of any kind shall not he installed or operated within 1 SU feet of the site.
ENFORCEMENT
The above land use restriction(s) shall be enforced by any owner, operator, or other party
responsible for the Site. The above land use restriction(s) may also be enforced by DEQ through any of
the remedies provided by law or by means of a civil action, and may also be enforced by any unit of local
government having jurisdiction over any part of the Site. Any attempt to cancel this Notice without the
approval of DEQ (or its successor in function) shall be subject to enfamement by DEQ to the full extent
of the law. Failure by any party required or authorized to enforce any of the above restriction(s) shall in
no event be deemed a waiver of the right to do so thereafter as to the same violation or as to one occurring
prior or subsequent thereto.
1N WITNESS WHEREOF, r si has caused this Notice to be executed pursuant to
N.C.G.S. Sections 143E-279.9 and 14313-279.1 I, this � day of FUatAAf , 20,2a.
Gr--P,j jp -a3
idle panv +f vgent i.Y 3+8RI+,'�
By:
(s{spvruii+le parry.Opal o,wy or rher agent if there isaney
f�7S.eX,- Ras�Prva l kL=+ar Cep
(ridenfagem respowrblepmryifthereisme)
Signatory's name typed or printed: GARMIl $. CS
(Note to be delefed on farurl doctinterti: Preparer rffilocunrent must assure 11xtt the correct
acknowledgement is rived and cunrplies with changes effective October 1, 2606)
Choice One: Instrument signed by one person
NORTH CAROLINA
COUN'ry
[Name of caeney in irhkh ackwwkdgm l w s lakenJ
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she signed the foregoing document:
Date:
(Official Sea[)
expires:
(slgxatwe of+orury Public}
(pmied- rypsd name of Miary PvNk)
Notary Public
My commission
Revised February 7, 2019

My commission
expires:
Choice Two. Acknowledge by afforney in fact
NORTB CAROLINA
COUNTY
(Name ofrounly in w)ffck acknowfedNwra wax taken)
1, , a Notary Public for said County and State, do hereby certify that
, attorney in fact for , personally appeared before me this day, and being by
me duly sworn, says that he executed the foregoing and annexed instrument for and in behalf of the said
, and that his authority to execute and acknowledge said instrument is contained in an instrument duly
executed, acknowledged, and recorded in the office of in the County of
, State of , on the day of . 20_and
that this instrument was executed under and by virtue of the authority given by said instrument granting
him power of attorney.
I do further certify that the said acknowledged the due execution of the
foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said
Wf fNESS my hand and official seal, this the day of , 20
(Official Seal)
exp ires:
(aigNalnre ofNarary Public)
(prinmdor typed w= of Notary Public)
Notary Public
My commission
Choice Threes Conveying security interest in personal property of a corporrdion
NORTH CAROLINA
CaNOW rk S COUNTY
(Name of county in which acAnowledgrneni wai taken)
I, L-., r bcr -� Cko&t c , a Notary Public for said County and State, do hereby certify that
a -, personally came before me this day and acknowledged that he is
of and acknowledged, on behalf o r- , the grantor
The due execution orthe foregoing instrument. 9r as `.�AtY Nc-yr C
WITNESS my hand and official seal, this the
(Official Seal)
day of r , 20 -.O
{sr e of No ry Public
Cmrrurr e. _�'� k o� ref
(minted ar typed name of Notary Public)
Notary Public
ttcrised Fcbruwy T, 2019

My commission
expires: �J �
A prov for the purposes off4N.C.G.S.143E-279.11
�0
gnal«r Re r1
( Regional Supervisor
( rnle�tnvme of{�slnrHIJ y�ervsorJ
v■ 1►'�Regionai office
UST Section
Division of Waste Management
Department of Environment Quality
NO .4 OigqfNA
r{1 COUNTY
(,Name of conmy of which acknowledpwnr ices lakevr)
1 certify that the following pers-on(s) personally Upeeied before me this day, each acknowledging to me
that he or she signed the foregoing document: 40 Ifulfprinredrmme ajHegioru115xpervisorJ
Dat .<Q�- 1�
��j f
(Official Sea]) is fa e 01Nnmry Px"k.—p-Lod—L
printed or typed name ojNomry Pjoh0c)
Notary Public
�.j�,RlAyrerq�� M7�commission
expi IS: 2��� My "��.
lc
Revised February 7, 2019

Figure 2 Attachment A
Revised February 7, 2019
12

Revised Febnrary 7, 2019
11